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Charm2017 #123858 10-30-2010 11:53 AM
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Charm,

Thank you so much for your kind words and thoughts. They are more appreciated than I can express.


Twin brother Stage 4. Mouth, tongue, jaw, throat, neck and vocal chords. Not a candidate for surgery or chemo due to earlier health issues this year. He is opting for no treatment. He smoked and drank. Nutritional levels were not at their highest the last several years.
Ohmybluz #124089 11-03-2010 04:52 PM
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Has anyone encountered a loved one with delerium early in the morning? My brother does not seem to know exactly where he is and has begun hallucinating. It lasts for about an hour and is usually shortly after he awakens. After that, back to normal.


Twin brother Stage 4. Mouth, tongue, jaw, throat, neck and vocal chords. Not a candidate for surgery or chemo due to earlier health issues this year. He is opting for no treatment. He smoked and drank. Nutritional levels were not at their highest the last several years.
Ohmybluz #124094 11-03-2010 06:20 PM
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Perhaps the side effects from pain meds?? The only time I experienced this was when Bill was hospitalized toward the end of treatment and they were giving him morphine IV. He was seeing bugs crawling on the sheets and said that "they" were washing down the room walls with a hose. Once home and off the morphine, no "visions"

Hugs, Deb


Deb..caregiver to husband, age 63 at diagnosis, former smoker who quit in 1997.
DIAGNOSIS: 6/26/07 SCC right tonsil/BOT T4N0M0
TREATMENT START: 8/9/07 cisplatin/taxol X 7..IMRT twice daily X 31.5.
TREATMENT END: 10/1/07
PEG OUT: 1/08
PORT OUT: 4/09
FOLLOWUP: Now only annual exams. ALL CLEAR!

Passed away 1/7/17 RIP Bill
debandbill #124119 11-04-2010 04:21 AM
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It's possible, but he is only on hydrocodone and does not take more that 2 doses of that per day (if we get him to take 2...often times only one). I am thinking the cancer in mets to the brain or liver. No real way of knowing since he wants no treatment. When the delerium starts it is that he does not know where he is (he may be at home but thinks we are in a grocery store) or having conversations with folks who are not there. Given that he is really not eating much of anything though, the meds may ultimately be the cause. Thanks Deb

Lori


Twin brother Stage 4. Mouth, tongue, jaw, throat, neck and vocal chords. Not a candidate for surgery or chemo due to earlier health issues this year. He is opting for no treatment. He smoked and drank. Nutritional levels were not at their highest the last several years.
Ohmybluz #124135 11-04-2010 08:38 AM
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Lori,

If his nutrition is compromised, this can also be a "sugar" related issue. Blood sugar issues can cause lots of dementia type behaviors.

I am so sorry...this has got to be so hard. I know you said he is opting for no treatment but how about supportive measures such as proper pain meds and fluids and food supplements?





Deb..caregiver to husband, age 63 at diagnosis, former smoker who quit in 1997.
DIAGNOSIS: 6/26/07 SCC right tonsil/BOT T4N0M0
TREATMENT START: 8/9/07 cisplatin/taxol X 7..IMRT twice daily X 31.5.
TREATMENT END: 10/1/07
PEG OUT: 1/08
PORT OUT: 4/09
FOLLOWUP: Now only annual exams. ALL CLEAR!

Passed away 1/7/17 RIP Bill
debandbill #124139 11-04-2010 09:50 AM
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Lori, I am so sorry to read your story about what is happening with yoru brother. I cant even begin to imagine how hard it must be for you and your family to watch this happen right before your eyes. Im sure you all must feel so helpless. Im very very sorry!!!! One thing that should be a huge help is hospice, its good that they are there helping him.

One medication that may be helpful for his pain is the fentanyl patch. It gets changed every 3 days, its much easier to keep him painfree with a steady dose of medicine. Ask the doc. Im not very familiar with hospice policies or if they can get a different medication, but maybe they could help with the patch.

Prayers to you and your brother.


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
ChristineB #124174 11-04-2010 07:20 PM
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Off to Glasgow soon so this will be a quick response. Low sodium (salt) is also a cause of "confusion" especially if someone has poor kidney function. Given your brother has issues with kidneys I would be taking him the doctor for blood tests. All the other suggestions are good ones too, and no matter what, it needs a trip to the doctor.


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
klo #124241 11-05-2010 07:26 PM
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All,

Thank you so very much for your input. It has helped in ways that I can not begin to explain. My brother, gets a bit weaker each day. That said, this weekend he chooses to be with a lovely
woman from his complex. My mother has concerns (because she can not control this)I don't. My thought is that he is an adult and deserves time alone when possible. This is probably the last possible weekend. So, Mom comes to my house this weekend and my brother is with his Lady Love. The End


Twin brother Stage 4. Mouth, tongue, jaw, throat, neck and vocal chords. Not a candidate for surgery or chemo due to earlier health issues this year. He is opting for no treatment. He smoked and drank. Nutritional levels were not at their highest the last several years.
klo #124243 11-05-2010 07:29 PM
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Christine,

Thank you so much for your kindness and suggestions. He is failing quickly so we will see what time allows us. Thank you for your compassion and caring.

Lori Lee


Twin brother Stage 4. Mouth, tongue, jaw, throat, neck and vocal chords. Not a candidate for surgery or chemo due to earlier health issues this year. He is opting for no treatment. He smoked and drank. Nutritional levels were not at their highest the last several years.
Ohmybluz #124273 11-06-2010 09:19 AM
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Lori Lee feel free to pm me if you need an ear or a shoulder x


Liz in the UK

Husband Robin aged 44 years Dx 8th Dec 2006 poorly differentiated SCC tongue with met to neck T1N2cM0 Surgery and Radiation.Finished TX April 2007
Recurrence June/07 died July 29th/07.

Never take your eye off the ball, it may just smack you in the mouth.
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