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Went to get fit for my mouth splint to hold my tongue in place and my jaw open just right yesterday. Will pick it up and make sure it fits and works well on friday morning. Then friday at 3 pm will go for my planning appointment for radiation where they will make the mask and take a ct scan so they can plan the attack.

After that they say 3 to 5 days after will start radiation. So a monday may 31st or sooner will start radiation.

Pretty nervous and a bit scared, but I am sure I will make it through this.

Also supposed to move on the 1st of june, so wish they would wait till after the move and we get all settled, but cancer isn't kind nor considerate of life, so i am stuck.


25/female at diagnosis
Dx;stage 3 SCC tongue 03/25/2010
Surgery 04/13/2010
Trach,ng tube, peg feeding tube
Hemiglossectomy, right side neck dissection, 40 lymph nodes removed. Free-Flap transplant to tongue.
30 rounds IMRT ended July 15,2010
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This is a very nerve wrecking time in the treatment process. Hurrying up to wait for the next procedure. Even thought it is not the ideal time to move, generally speaking, the first few weeks of radiation are not so difficult as to make moving impossible. We are all here for you. Just keep putting one foot in front of the other......one step at a tine. Good Luck


DX 2/10/09; Stage 1 SCC side of tongue; Partial Gloss; PEG in 3/3/09; 3 Cisplatin; 35 IMRT; PEG out 7/17/09; Eating via mouth and walking 3 miles/day 4 wks after treatment end. 50 pound weight loss; Clear PET 09/09 and 09/10
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I couldn't have said it better than Carmen. I'll be thinking of you tomorrow. The mask is a drag. There's no other way to say it. I found that listening to music or an audio book during treatment was a lifesaver for me. Had to balance mini speakers on my stomach as they wouldn't let me use my iPod earbuds, but it was worth it.

Keep us posted!
D2


David 2
SCC of occult origin 1/09 (age 55)| Stage III TXN1M0 | HPV 16+, non-smoker, moderate drinker | Modified radical neck dissection 3/09 | 31 days IMRT finished 6/09 | Hit 14 years all clear in 6/23 | Radiation Fibrosis Syndrome kicked in a few years after treatment and has been progressing since | Prostate cancer diagnosis 10/18
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The Moffitt radiation nurses had a boom box in the room and encouraged bringing our own CD's. There was also great incentive to do that unless you liked their country & western ones!

I remember my wife coming into the radiation room for my first rad and seeing them clamped me down her knees buckled and she was helped out of the room never to return again.


David

Age 58 at Dx, HPV16+ SCC, Stage IV BOT+2 nodes, non smoker, casual drinker, exercise nut, Cisplatin x 3 & concurrent IMRT x 35,(70 Gy), no surgery, no Peg, Tx at Moffitt over Aug 06. Jun 07, back to riding my bike 100 miles a wk. Now doing 12 Spin classes and 60 outdoor miles per wk. Nov 13 completed Hilly Century ride for Cancer, 104 miles, 1st Place in my age group. Apr 2014 & 15, Spun for 9 straight hrs to raise $$ for YMCA's Livestrong Program. Certified Spin Instructor Jun 2014.
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You have been through so much already. I'm sure your a real trooper. I don't think I will ever forget the day I got fitted for the mask. A tranquilizer taken before the fitting would have been nice! I just had no idea of what to expect. They need to form the mask very quickly while it is still warm. All in all, I was out in 15 minutes. Good Luck, post back & lets us know how it went.


BOT T3N2M0 No surgery, 38radiation treatments,4 chemo rounds, peg removed 11/08, still have a port. Treatments ended 6/20/08. So far, so Good ! "I know God won't give me anything I can't handle. I just wish He didn't trust me so much !"

*** Admin update --- Dianne has passed away on August 25, 2015 ***
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Appointment went ok, but mouth stint/appliance is very uncomfortable to use while laying down, and the mask forming was a bit creepy, but i dealt. I Will start my IMRT 30-35 treatments on wednesday june 2nd. So at least I get to get moved in before starting.

Does anyone know of any good meds, rinses, or vitamins to take that help reduce side effects from radiating the tongue and neck?

Or anyone know of any exercises they did while going through radiation to reduce stiffness and trismus?


25/female at diagnosis
Dx;stage 3 SCC tongue 03/25/2010
Surgery 04/13/2010
Trach,ng tube, peg feeding tube
Hemiglossectomy, right side neck dissection, 40 lymph nodes removed. Free-Flap transplant to tongue.
30 rounds IMRT ended July 15,2010
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Christine
SCC 6/15/07 L chk & by L molar both Stag I, age44
2x cispltn-35 IMRT end 9/27/07
-65 lbs in 2 mo, no caregvr
Clear PET 1/08
4/4/08 recur L chk Stag I
surg 4/16/08 clr marg
215 HBO dives
3/09 teeth out, trismus
7/2/09 recur, Stg IV
8/24/09 trach, ND, mandiblctmy
3wks medicly inducd coma
2 mo xtended hospital stay, ICU & burn unit
PICC line IV antibx 8 mo
10/4/10, 2/14/11 reconst surg
OC 3x in 3 years
very happy to be alive smile
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Sounds like you have already been through a lot . The radiation will probably be troublesome for you. I did not have any radiation of my mouth, just my neck. I used a cream, Biafine on my neck that worked beautifully. I never peeled and unless you knew I was having treatment you would not have known. The Biafine is not greasy, my whole neck actually looks better. The mask thing bothered me some, especially farther down in the treatment when I would cough etc while in treatment. I was initially surprised that during treatment, you feel nothing. The techs played an FM station while I was on the treatment table. I figured out my time was about three songs plus ads, haha. I would tell you to eat as much as possible now. Even though I had no lymph involvement, my RO increased the field of my treatment of my voice box to catch the lymph nodes adjacent. He called it microscopic treatment for anything that might not of shown up on my initial CT. Good luck. I think the hardest part may be behind you. I will start my after treatment scans soon and praying nothing shows up. I basically have been in limbo all year so far. Time to get better and have some fun.


58 yrs Female
Vocal cord cancer T1NOMO
DX 3/05/10
Started TX 3/18/10 with IMRT 39 total treatments
Smoker- quit at DX No PEG
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I am receiving radiation for microscopic cells as well. They removed the lymph node that had cancer and they removed all of the cancer from my tongue. But because of the perineural invasion, how deep the tumor went in my tongue, and how much cancer was in my lymph node they are choosing to go with radiation.


25/female at diagnosis
Dx;stage 3 SCC tongue 03/25/2010
Surgery 04/13/2010
Trach,ng tube, peg feeding tube
Hemiglossectomy, right side neck dissection, 40 lymph nodes removed. Free-Flap transplant to tongue.
30 rounds IMRT ended July 15,2010
Joined: Jul 2009
Posts: 1,406
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Bethers - there are a lot of good products out there and of course everyone's experience is different. I used just about everything my RO and her excellent nurse prescribed and it was still tough.

For eating (i.e. the liquids, which was all I was on for several months) I would first use viscous lidocaine. It's a gel that you hold in your mouth to dull any sores you might have. It works, well, it helps, I'd say. Impossible to get it really down in your throat for any lesions down there, alas. But it's something.

Caphosol is a saliva substitute that helps moisten the mouth during treatment. Very expensive though.

There's a rinse that comes as a powder in a plastic bottle to which one adds water. Trying to remember the name... hmm... it's not coming to me but if I remember it I'll PM you.

If your neck blisters, Silver Sulfadiazine is great. It really helped me.

Don't be shy about asking for painkillers. If you're in pain you absolutely need them and your docs should be prescribing them freely. I found plain Oxycodone worked the best for me, at least eventually, as Percocets (Oxy + Acetominophen) are quite large and hard to swallow. I also used a Fentanyl patch during the last couple of weeks when the Oxys weren't enough. But ask your docs and see what they say.

No question, radiation is a bitch and the immediate aftermath no better. But you'll get through it without a problem I'm sure! So good to hear you can complete your move before you start. That must be a huge load off your mind.

Keep us posted all the way, okay?

D2


David 2
SCC of occult origin 1/09 (age 55)| Stage III TXN1M0 | HPV 16+, non-smoker, moderate drinker | Modified radical neck dissection 3/09 | 31 days IMRT finished 6/09 | Hit 14 years all clear in 6/23 | Radiation Fibrosis Syndrome kicked in a few years after treatment and has been progressing since | Prostate cancer diagnosis 10/18
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I also recommend viscous lidocaine. It only works a short time, but it worked wonders when taken before eating or drinking after week 4 or so. Some use "magic mouthwash" which is generally locally made. Whatever mine was it burned so I did not use it. Instead I used salt water/baking soda which was tolerable when even water started to burn. (there should be recipes around here)
Best

M





Partial glossectomy (25%) anterior tongue. 4/6/07/. IMRT start @5/24/07 (3x) Erbitux start/end@ 5/24/07. IMRT wider field (30x) start 6/5/07. Weekly cisplatin (2x30mg/m2), then weekly carbo- (5x180mg/m2). End of Tx 19 July 07.
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I also used Biafine on my skin and highly recommend it. It is prescription so ask about it. As to vitamins and supplements, I think they generally recommend you stop taking all those things. Check with your RO on that.

Take care,
Eileen


----------------------
Aug 1997 unknown primary, Stage III
mets to 1 lymph node in neck; rt ND, 36 XRT rad
Aug 2001 tiny tumor on larynx, Stage I total laryngectomy; left ND
June 5, 2010 dx early stage breast cancer
June 9, 2011 SCC 1.5 cm hypo pharynx, 70% P-16 positive, no mets, Stage I
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I was told by all of my Drs to keep taking centrum daily.We can't eat a lot of foods that contain the needed vitamins and need the supplements contained in these.


Since posting this. UPMC, Pittsburgh, Oct 2011 until Jan. I averaged about 2 to 3 surgeries a week there. w Can't have jaw made as bone is deteroriating steaily that is left in jaw. Mersa is to blame. Feeding tube . Had trach for 4mos. Got it out April.
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I'm in Radiation therapy right now I started April 28 an the firs side effects really started to show up the week of May 10th. By the end of the week May 13 th I had last my voice I am producing Larg amounts of Phlem. I go through almost an entire box of tissues or a roll of paper towels. I'm finding it difficult to sleep. I'm good for the first couple of hours, then after that it's every hour I'm awake.

The week ending the 21st I needed to get a patch for teh pain. My throat is very raw and sore.


Tom Barry
Male 43 Years old Base of Tongue Cancer Stage 4
Diagnosed 01/20/2010
Also have Adult onset Stills disease
08/09/10 Clear PT Scan
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Tom,

Hang in there.

Everything you are going thru is 1000% normal. Swishing seltzer water helps breakup that crap. I walked around with a small Styrofoam cup in my pocket and spit in it all day. GROSS GROSS GROSS but better than anything else I tried. Unfortunately things may get worse from here until about your 2nd or 3rd week post Tx but I predict that by July 4th you will not only be celebrating the 4th but you will start feeling a lot better.


David

Age 58 at Dx, HPV16+ SCC, Stage IV BOT+2 nodes, non smoker, casual drinker, exercise nut, Cisplatin x 3 & concurrent IMRT x 35,(70 Gy), no surgery, no Peg, Tx at Moffitt over Aug 06. Jun 07, back to riding my bike 100 miles a wk. Now doing 12 Spin classes and 60 outdoor miles per wk. Nov 13 completed Hilly Century ride for Cancer, 104 miles, 1st Place in my age group. Apr 2014 & 15, Spun for 9 straight hrs to raise $$ for YMCA's Livestrong Program. Certified Spin Instructor Jun 2014.
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Beth
I wish I had found OCF back when I started my radiation TX. Instead there was just our waiting room cohort of patients watching each other get worse every week. Take a look at these posts and see that all of us made it through radiation.
It seems like forever when you are doing it, but within a year you will be the one posting to a newcomer about how you survived the Radiation.
In the meantime, as a diversion, you could Think about what you want to do with your mask, I posted a link a while ago about an art exhibit made entirely out of recycled radiation masks. Others mount it on their wall as a "trophy" or "award". Others crush it, ride it over, burn it, shoot it, bury it or just leave it behind at the TX center.
Good luck
Charm


65 yr Old Frack
Stage IV BOT T3N2M0 HPV 16+
2007:72GY IMRT(40) 8 ERBITUX No PEG
2008:CANCER BACK Salvage Surgery
25GY-CyberKnife(5) 3 Carboplatin
Apaghia /G button
2012: CANCER BACK -left tonsilar fossa
40GY-CyberKnife(5) 3 Carboplatin

Passed away 4-29-13
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Hi Beth,

I had trouble with the mask my first time through radiation. I had a panick attack and started to cry when they clamped me down for the first time. So they pulled the mask off anf cut the area over my eyes out. That felt so much better! I could open my eyes and see things normally instead of through plastic mesh. Ask if they can do that for you.

As far as treating your skin from the radiation, I tried Biafine but it felt like it was burning my skin. What worked the best for me was Palmer's Lotion with Cocoa Butter and Vitamin E. That was recommended by my plastic surgeon after surgery to lighten scarring. I continued to use it after each radiation treatment because it moisturized my skin so well and gave me such relief. My radiation oncologist says that also helped prevent scarring from the radiation. The area of my neck that was radiated went back to my normal skin color after treatment ended and I never had that leather look. I swear by that stuff and will be using it again with this next radiation treatment.

Good luck to you. I'll be thinking of you and keeping you in my prayers.


Surgery:10/09 removed tumor rt floor of mouth/mandible,4 molars,rt neck dissection removed lymph nodes; reconstruct:flap lft forearm,skin graft lft thigh. Chemo-cysplatin/radiation.
Surgery:04/10 lft neck dissection removed tumor,muscle,jugular vein,lymph nodes.Chemo(Carboplatin),Erbitux/radiation.
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You have me laughing as usual with your words about our Lone Ranger apparatus. Only you Charm.


Since posting this. UPMC, Pittsburgh, Oct 2011 until Jan. I averaged about 2 to 3 surgeries a week there. w Can't have jaw made as bone is deteroriating steaily that is left in jaw. Mersa is to blame. Feeding tube . Had trach for 4mos. Got it out April.
--- Passed away 5/14/14, will be greatly missed by everyone here
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I found it very helpful to wrap my teeth and gums in gauze. It made it easier on the hot spots.


6-05, Left Tonsil-T1N2bM0 stageIVA, chemo(Cisplatin), radiation(6660cGy), neck disection, no PEG. HPV negative. (Doc suspects posit)
3-9-09 last of 30 HBO treatments.
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Do you have any aloe plants at your place? My daughter cut off a leaf from the aloe plant and rubbed it directly on my skin as soon as I got out of radiation, before I even got in the car to go home, and I had hardly any burn at all.


BOT-SCC Partial glossectomy 7/16/09.
Stage IV, Rt ND 10/2/09.
Teeth out 11/5/09.
Port/peg in, 11/20/09.
7 wks rad & chemo, end 1/22/10
lung, colon biopsies 1/9/11 - both cancer
colon resect surg 1/10/11
Folfox + Avastin - discontinued 6/11
lung surgery 3/13/12, 5/1/12
mets to liver and bones
passed away 9/4/13
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Like thay have all said everyone is different. MY skin never burned, but I had a horrible time with everything else. Here I am just 4 months later, eating all by mouth, and mowing the lawn. When I look back on those times during rads, I never thought I would be doing normal things again. I still get really tired, but I stop and rest and get right back at ti later. You can and will get through this and we are all here to help you do it.


Angelia
31 at Dx.
DX: 4/30/09, 10/21/09 SCC on floor of mouth,
T1NOMO, T2N1M0
TX: 39 IMRT, 8 cisplatin 11/30/09
PET/CT: 11/03/09: Lymph node involvement
PEG/PORT: 11/09
TX end: 02/01/10
PET Scan: 04/05/10 clear
PEG Out: 06/21/10
Biopsy: 12/23/10: fibrosis
HBO: 01/04/11 - ORN
Baby girl born 11-30-12
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