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#121140 08-31-2010 01:30 AM
Joined: May 2010
Posts: 638
klo
"OCF Down Under"
"Above & Beyond" Member (500+ posts)
"OCF Down Under"
"Above & Beyond" Member (500+ posts)

Joined: May 2010
Posts: 638

Alex has had a rocky road through treatment. From the 1st chemo treatment, he endured a massive pneumothorax (collapsed lung) which interfered with his recovery from chemo and stretched us both. For the first 90 days from diagnosis, we expected 6 days in hospital (2 per chemo cycle) and actually achieved 50! Nearly all the other days were caused by an ongoing comedy of errors around the original collapsed lung. Besides having so many holes in his chest we have lost count, he has had 3 collapses, 2 corrective procedures (pleurodeses) and one major op (thoractomy) which nearly killed him. There were 3 emergency admissions - only 1 cancer related, and this was all during his scheduled 9 weeks chemo (3 rounds). One advantage of undergoing chemo whilst in the cardiothoracic ward or Jurassic Park as Alex calls it(referring to the actions of the doctors not the age of the patients) was that he got a single room because he was "purple" and the nurses were scared enough to leave him alone. In our part of the world a single room is a huge bonus because it is the one with the view of the Sydney Harbour Bridge and the Opera House. The Sun rising over the water, and hitting the tiles of the Opera House is enough to make you forget you are sick for 30 minutes every morning. The other bonus was not having to battle peak hour traffic to get to chemo on time as the wardsman just rolled Alex to the 12th floor (lucky devil didn't even have to get out of bed).

The complications did make Alex very sick though and the doctors decided to give him a bonus round of chemo when it became clear he would not be fit for radiation in time. So, 4 or 5 weeks behind schedule we began chemoradiation. He cruised through it(relatively speaking) and the pain from ulcers didn't knock him completely flat until last week - his final week of radiation (although the phlegm drove him mad from day 1 of both chemo and chemoradiation). He is unable to talk, swallow or spit without pain and excess phlegm creates need to swallow and spit often. Alex has elected not to talk and I have been banned from the house to assist in this resolution. I think he has done extraordinarily well considering the poor bugger has been full of cisplatin since the middle of March.

We were on the single figure countdown when things went awry ... 2 days before the end of treatment, his bloods came back crappy and chemo was postponed in favour of a blood transfusion. Alex was devastated. It was supposed to be the last of his 7 cisplatin doses. To add insult to injury, we were told that another chemo cycle would be scheduled the following week which put us back another week from recovery and that houseboat we have been talking about.

Today we had 2 great things happen. An email from the oncologist in response to my question about why we should have to undergo another chemo round if Alex had already finished his radiation. Dr A had the correct answer: We don't! So we are done!!! And have been for 4 days and didn't know it which means we are also 4 days through the worst of the radiation effects!!! Tears and leaping about the place (well, Alex waved his arms about - I did the happy dance)!

Then the 2nd thing happened - I hit the thread on this forum that discusses pain and ulcers and read about the use of Fentanyl. Oooh we haven't tried that one yet and we just happened to have an appointment with our primary physician a today. So I asked the doctor about it. Not a problem. Alex is currently spaced out but feeling like this might be a good solution and we only have a couple of weeks to go before we can start looking forward to teeth, eating, working and finding that houseboat to rent!

Life is good (even if my boyfriend is not talking to me) smile


Karen
Love of Life to Alex T4N2M0 SCC Tonsil, BOT, R lymph nodes
Dx March 2010 51yrs. Unresectable. HPV+ve
Tx Chemo x 3+1 cycles(cisplatin,docetaxel,5FU)- complete May 31
Chemoradiation (IMRTx35 + weekly cisplatin)
Finish Aug 27
Return to work 2 years on
3 years out Aug 27 2013 NED smile
Still underweight
Joined: Jun 2007
Posts: 10,507
Likes: 8
Administrator, Director of Patient Support Services
Patient Advocate (old timer, 2000 posts)
Administrator, Director of Patient Support Services
Patient Advocate (old timer, 2000 posts)

Joined: Jun 2007
Posts: 10,507
Likes: 8
Congrats on finishing treatments. Alex had a long difficult road!!! So glad he can now focus on his recovery. Hope he heals quickly. Most patients start to feel better 2 to 3 weeks after finishing their treatments.

I sent you a PM about the fentanyl patch. Be careful. He shouldnt feel any better for about 24 hrs. Thats how long it takes to kick in. Hope the patch works for him and helps ease the pain.

Best of luck with continued recovery.


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
Joined: Jul 2009
Posts: 453
"OCF Down Under"
Platinum Member (300+ posts)
"OCF Down Under"
Platinum Member (300+ posts)

Joined: Jul 2009
Posts: 453
Very appropriate that Alex finished his treatment on Daffodil day. Steve finished his treatment on daffodil day last year so we just passed the 1 year mark.

I can't believe you haven't been told about Fentanyl patches yet. Steve was using them before he even began his treatment. His doctor gave him them as soon as we arrived in NSW. They work well. Steve never went over 37mg on his dose and he weened off them very easily (low dose probably helped) but they made a massive difference in his pain levels.

So glad to hear you both have gotten through the treatment. Also glad to see you could still appreciate the beauty throughout this. Watching the sun rise over the opera house would be spectacular. Take all the beautiful moments you can. They are there but sometimes we just have to look a bit for them. It's a rough road and the recovery process goes on for a long time.

Take care, both of you. Happy to see your sense of humour is still there. Steve chose not to speak too much after treatment ended also as it was painful. It didn't last long though. A week of no treatment and he was feeling much better.

Wendy


Wife to Steve 43. DX 5 May 09. T4N2MO SCC tongue, floor of mouth, lymph nodes & jaw bone
No surgery
radiation 13/07/2009 x 7wks
chemo 15/07/2009 x 3 Cisplatin
last TX 28/08/2009
25/11/2009 PET-lymph node activity.
08/01/2010 CT Scan-ALL CLEAR
03/03/2010-Peg removed
01/2013 left side of Jaw removed and replaced with pectoral flap.
23/12/2020 scan show lesion in tongue
01/2021 SCC stage 3 base of tongue diagnosed
01/03/2021 chemotherapy started.
17/03/22 lost the battle. Missed dearly
Joined: May 2010
Posts: 638
klo
"OCF Down Under"
"Above & Beyond" Member (500+ posts)
"OCF Down Under"
"Above & Beyond" Member (500+ posts)

Joined: May 2010
Posts: 638
ooh Wendy, another good omen.

Steve's story sounds so similar to Alex's (particularly reactions to things) that I felt an immediate connect from the beginning.

To have both finish on the same day adds to our good omens.

It was important to Alex that we finished on daffodil day which is weird because he doesn't have a superstitious bone in his body. That we were told on the last day of winter that we were finished was my good sign.

I think today is going to be a better day than yesterday, and yesterday was pretty damn good!


Karen
Love of Life to Alex T4N2M0 SCC Tonsil, BOT, R lymph nodes
Dx March 2010 51yrs. Unresectable. HPV+ve
Tx Chemo x 3+1 cycles(cisplatin,docetaxel,5FU)- complete May 31
Chemoradiation (IMRTx35 + weekly cisplatin)
Finish Aug 27
Return to work 2 years on
3 years out Aug 27 2013 NED smile
Still underweight
Joined: Jul 2009
Posts: 453
"OCF Down Under"
Platinum Member (300+ posts)
"OCF Down Under"
Platinum Member (300+ posts)

Joined: Jul 2009
Posts: 453
Yep definitely some similiarities between our two boys. Daffodil day has to be a good omen, plus the end of winter. Although winter in our house will be here for a while. Steve feels the cold as he has no meat on his bones so 2 heaters are running most of the time, even when it's not that cold. We actually managed to turn them both off today, with a bit of arm twisting from me.

Each day will get better now. I noticed everyday a small improvement in Steve after treatment ended. By the end of the first week after treatment (although for most it's longer) I couldn't keep him at home. He wanted to be doing a million things all at once. Wore me out. Apparently it's normal so be prepared. Steve had 8 weeks worth of living to make up for. After 8 weeks homebound there was no keeping him home.

So glad things are improving for you both. It's a hell of a ride isn't it? Not one I'd like to do ever again that's for sure.


Wife to Steve 43. DX 5 May 09. T4N2MO SCC tongue, floor of mouth, lymph nodes & jaw bone
No surgery
radiation 13/07/2009 x 7wks
chemo 15/07/2009 x 3 Cisplatin
last TX 28/08/2009
25/11/2009 PET-lymph node activity.
08/01/2010 CT Scan-ALL CLEAR
03/03/2010-Peg removed
01/2013 left side of Jaw removed and replaced with pectoral flap.
23/12/2020 scan show lesion in tongue
01/2021 SCC stage 3 base of tongue diagnosed
01/03/2021 chemotherapy started.
17/03/22 lost the battle. Missed dearly

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