#15664 08-16-2004 01:32 PM | Joined: Nov 2002 Posts: 541 "Above & Beyond" Member (500+ posts) | "Above & Beyond" Member (500+ posts) Joined: Nov 2002 Posts: 541 | Jamie, people react differently and I was once very worried about my voice too particularly I am a school teacher. I had my oncologist reassure me all the time that my voice box was not damaged and it took time to have my voice recovered. For about 1 or 2 months, I could just whisper and felt really frustrated. Things however did improve and gradually I could talk quite normally in about 3 months post treatment. Of course there is still the hoarseness even today, almost 3 years post diagnosis due to a lack of saliva. My voice varies every day but can communicate with others without problem. My voice sounds the clearest when I am crying and talking at the same time because my tears are around my voice box, giving it a kind of lubrication. Funny! So don't worry, things will get better gradually and slowly.
Karen.
Karen stage 4B (T3N3M0)tonsil cancer diagnosed in 9/2001.Concurrent chemo-radiation treatment ( XRT x 48 /Cisplatin x 4) ended in 12/01. Have been in remission ever since.
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#15665 08-16-2004 11:18 PM | Joined: Sep 2003 Posts: 30 Contributing Member (25+ posts) | Contributing Member (25+ posts) Joined: Sep 2003 Posts: 30 | I had a scope done on my lungs July 12th and lost my voice again just like I did when I got done with radiation. Does anyone know how long it will take this time to get my voice back? I finish radiation April 28, 2003 and I have no salvia. Mary Lee | | |
#15666 10-01-2004 06:50 PM | Joined: Jun 2004 Posts: 35 Contributing Member (25+ posts) | Contributing Member (25+ posts) Joined: Jun 2004 Posts: 35 | Hi there, seems like it has been forever since i have been here. I have set my mom up on the website to read everything I have. She has moved back to her own house now, was staying with my aunt. Her voice is back, but she still is having choking problems and unable to swallow much, first the doctor says try eating, then they tell her if she eats and it goes down wrong, she could get pneumonia?? what is that? so she is still using the feeding tube, but i can tell she really wants to get back to eating regular food. Hair is slowly coming back in. I took her to the local octoberfest today and she got in some walking and sunshine. Only problem now is she is soooo bored! she is used to working, and going out with friends and shopping, now it seems like she doesnt have much interest in those things. Waiting for an MRI scheduled for Nov. to see if she will need additional surgery after everything else. if not then she can probably go back to work. Got Dan's pictures from the LV trip. looked like fun, maybe next time I can get her to go to meet some of you. I hope she will start posting all of her worries/questions and get to know all of you. Talk soon. Jamie
jbentonwolfe
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#15667 10-02-2004 02:13 AM | Joined: Apr 2004 Posts: 837 "Above & Beyond" Member (300+ posts) | "Above & Beyond" Member (300+ posts) Joined: Apr 2004 Posts: 837 | Jamie,
The type of pneumonia the doctors are concerned about is aspiration pneumonia, which can occur when solid particles (like food) go down the wrong way and end up in the lungs. This can be an issue especially with older people who have swallowing difficulties. If she hasn't been swallowing for some time, it will take awhile to get adjusted again, so she will obviously need to start with easy, soft foods and work very slowly to get the muscles working properly again.
I hope she can start to get some strength back so she feels like getting out and about -- but it does take time.
Cathy
Tongue SCC (T2M0N0), poorly differentiated, diagnosed 3/89, partial glossectomy and neck dissection 4/89, radiation from early June to late August 1989
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#15668 10-02-2004 05:41 PM | Joined: Dec 2003 Posts: 2,606 Likes: 2 Patient Advocate (old timer, 2000 posts) | OP Patient Advocate (old timer, 2000 posts) Joined: Dec 2003 Posts: 2,606 Likes: 2 | Hi Jamie,
I am glad to hear things are improving for your mother. I have been thinking of both of you and hoping for the best. Direct her this way and maybe collectively we can help make the recovery a bit easier for her.
Ed
SCC Stage IV, BOT, T2N2bM0 Cisplatin/5FU x 3, 40 days radiation Diagnosis 07/21/03 tx completed 10/08/03 Post Radiation Lower Motor Neuron Syndrome 3/08. Cervical Spinal Stenosis 01/11 Cervical Myelitis 09/12 Thoracic Paraplegia 10/12 Dysautonomia 11/12 Hospice care 09/12-01/13. COPD 01/14 Intermittent CHF 6/15 Feeding tube NPO 03/16 VFI 12/2016 ORN 12/2017 Cardiac Event 06/2018 Bilateral VFI 01/2021 Thoracotomy Bilobectomy 01/2022 Bilateral VFI 05/2022 Total Laryngectomy 01/2023
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#15669 10-03-2004 05:51 PM | Joined: Jun 2004 Posts: 35 Contributing Member (25+ posts) | Contributing Member (25+ posts) Joined: Jun 2004 Posts: 35 | I have given her the website and my password to get in, i think she read a few last week and i had her look at brian hills, video but she is not really computer savvy, i will keep pushing her as i think it is the best way to get positive reinforcement. she tried going to a local support group but it seemed like it was kindof depressing for her. on to that aspiration pneumonia,, is there anyway to prevent it? or are you taking your chances when you eat. i want her to start trying different things, but that is a worry. thanks jamie
jbentonwolfe
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#15670 10-04-2004 06:59 AM | Joined: Dec 2003 Posts: 2,606 Likes: 2 Patient Advocate (old timer, 2000 posts) | OP Patient Advocate (old timer, 2000 posts) Joined: Dec 2003 Posts: 2,606 Likes: 2 | Jamie,
Unfortunately aspiration pneumonia is something that many of us will battle because of the swallowing issues from treatment. They can do studies to try to identify how impaired swallowing is plus it will improve with time. Speech pathologists are useful in developing a plan to relearn swallowing to maximize the remaining functioning of the throat.
I am glad to see you back and especially happy to see your mother is doing good. Give her my love.
Ed
SCC Stage IV, BOT, T2N2bM0 Cisplatin/5FU x 3, 40 days radiation Diagnosis 07/21/03 tx completed 10/08/03 Post Radiation Lower Motor Neuron Syndrome 3/08. Cervical Spinal Stenosis 01/11 Cervical Myelitis 09/12 Thoracic Paraplegia 10/12 Dysautonomia 11/12 Hospice care 09/12-01/13. COPD 01/14 Intermittent CHF 6/15 Feeding tube NPO 03/16 VFI 12/2016 ORN 12/2017 Cardiac Event 06/2018 Bilateral VFI 01/2021 Thoracotomy Bilobectomy 01/2022 Bilateral VFI 05/2022 Total Laryngectomy 01/2023
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#15671 10-05-2004 04:56 AM | Joined: Feb 2004 Posts: 218 Gold Member (200+ posts) | Gold Member (200+ posts) Joined: Feb 2004 Posts: 218 | Hi, Your mom can alleviate the constipation somewhat by using a version of Boost or Ensure that includes fiber. You can also use a soluble fiber like Benefiber that can be dissolved in water and ingested through the feeding tube. Getting this under control can make a big difference. My radiation oncology nurse recommended Aquaphor to use on the skin as it became burned from the radiation. I used to glop it on every morning and night and it seemed to improve things. It helped my head stick to the pillow! Take care, Sheldon
Dx 1/29/04, SCC, T2N0M0 Tx 2/12/04 Surgery, 4/15/04 66 Gy. radiation (36 sessions) Dx 3/15/2016, SCC, pT1NX Tx 3/29/16 Surgery
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#15672 11-02-2004 08:44 AM | Joined: Jun 2004 Posts: 35 Contributing Member (25+ posts) | Contributing Member (25+ posts) Joined: Jun 2004 Posts: 35 | HI EVERYONE, SORRY IT HAS BEEN SO LONG. BUT I HAVE BEEN BUSY. I HAVE SOME NEW QUESTIONS PLEASE, MY MOM ENDED HER RADIATION TREATMENTS IN THE END OF SEPT. WHEN SHE WAS DONE, SHE COULD SWALLOW WATER AND LIQUIDS MINIMALLY. NOW A MONTH AND HALF LATER, SHE CANT DO ANYTHING BUT ICE CHIPS. SHE IS DEPRESSED, FRUSTRATED AND NOT GETTING ANSWERS FROM THE DOCTORS. I TOLD HER THAT THE HEALING PROCESS PROBABLY TAKES SEVERAL MONTHS BUT SHE WANTED ME TO GET SOME INPUT FROM ALL OF YOU, DID YOU HAVE THE SAME PROBLEM? I WENT TO THE ENT WITH HER LAST MONTH AND HE SAID THAT THE RADIATION CONTINUES AFTER IT STOPS AND THAT NOW THERE IS EDEMA, SWELLING AND IT JUST NEEDS TO HEAL. ANY WORDS OF ADVICE?? THANKS JAMIE
jbentonwolfe
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#15673 11-02-2004 11:03 AM | Joined: Mar 2003 Posts: 1,384 Likes: 1 Patient Advocate (1000+ posts) | Patient Advocate (1000+ posts) Joined: Mar 2003 Posts: 1,384 Likes: 1 | Jamie, The recovery is sometimes slower for some, it sounds to me like she is right on track time wise. She will likely start to see improvement soon. Perhaps a specialist in the area could evaluate her swallowing and see what could be done to help. Some people need dialation to make the esophagus larger after treatments.
The edema is also a normal after effect. There are gentle massage techniques to relieve that as well. Lymphedema therapy is a specialty, ask her doctor for a referral to a trained lymphedema specialist (usually a physical therapist will have this as an added specialty)
This it the worst time in her course of treatments. Please reassure her that everything you mention is quite normal and WILL start to get better soon.
Mark, 21 Year survivor, SCC right tonsil, 3 nodes positive, one with extra-capsular spread. I never asked what stage (would have scared me anyway) Right side tonsillectomy, radical neck dissection right side, maximum radiation to both sides, no chemo, no PEG, age 40 when diagnosed.
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