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#157948 11-22-2012 09:49 AM
Joined: Jul 2012
Posts: 3,267
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Patient Advocate (old timer, 2000 posts)
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I asked several oncologists about the K-ras gene testing for HNSCC, like it's done for colon cancer, and was told it's not done, and doesn't apply. I only read about the 5 percent factor here before I started Erbitux, which was interesting, and was sort of happy when the oncologist wanted do small dose Taxotere in addition. I can't get most other chemos due my kidney disease, underlying medical conditions, and bad chemo reaction to Taxotere, Cisplatin, 5-FU in '09, so I settled to do Erbitux for recurrent metatastic cancer with prior cisplatin failure.


10/09 T1N2bM0 Tonsil
11/09 Taxo Cisp 5-FU, 6 Months Hosp
01/11 35 IMRT 70Gy 7 Wks
06/11 30 HBO
08/11 RND PNI
06/12 SND PNI LVI
08/12 RND Pec Flap IORT 12 Gy
10/12 25 IMRT 50Gy 6 Wks Taxo Erbitux
10/13 SND
10/13 TBO/Angiograph
10/13 RND Carotid Remove IORT 10Gy PNI
12/13 25 Protons 50Gy 6 Wks Carbo
11/14 All Teeth Extract 30 HBO
03/15 Sequestromy Buccal Flap ORN
09/16 Mandibulectomy Fib Flap Sternotomy
04/17 Regraft hypergranulation Donor Site
06/17 Heart Attack Stent
02/19 Finally Cancer Free Took 10 yrs






#157950 11-22-2012 11:47 AM
Joined: Jul 2012
Posts: 3,267
Likes: 1
Patient Advocate (old timer, 2000 posts)
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It's Minoclycline 50mg that's given for the Erbititux Rash. Two Tylenol, and Benydryl infusion are given before the Erbitux. I used Cetaphol liquid moisturizer cleansor to shower, and Cetaphol moisturizing cream.


10/09 T1N2bM0 Tonsil
11/09 Taxo Cisp 5-FU, 6 Months Hosp
01/11 35 IMRT 70Gy 7 Wks
06/11 30 HBO
08/11 RND PNI
06/12 SND PNI LVI
08/12 RND Pec Flap IORT 12 Gy
10/12 25 IMRT 50Gy 6 Wks Taxo Erbitux
10/13 SND
10/13 TBO/Angiograph
10/13 RND Carotid Remove IORT 10Gy PNI
12/13 25 Protons 50Gy 6 Wks Carbo
11/14 All Teeth Extract 30 HBO
03/15 Sequestromy Buccal Flap ORN
09/16 Mandibulectomy Fib Flap Sternotomy
04/17 Regraft hypergranulation Donor Site
06/17 Heart Attack Stent
02/19 Finally Cancer Free Took 10 yrs






#157973 11-23-2012 06:16 AM
Lady1
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Lady1
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Whoever said it before on this forum- there sure seems to be a bunch of people on here who think they are medical experts. I don't find non medical people giving expert medical opinions on the latest "evidence" and cancer protocols very helpful. Yes you all have experience with the disease- but I don't see anyone with medical degrees or oncology fellowships advising on here so I think I will look for support elsewhere... I would recommend whoever is overseeing this forum to provide more oversight on people providing medical opinions.

#157977 11-23-2012 07:27 AM
Joined: Dec 2010
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"OCF Canuck"
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"OCF Canuck"
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Lady1 I'm sorry you feel that way. No one here will tell you they know best. We're sharing information that was shared with us usually by a dr. Or through independant research. People here are basically sharing their experiences and what they have read in terms of information. Some of the members here have had good experiences with Erbitux. Others have had recurrences. As a former medical professional I can say even the drs. don't know. After 11 years in school, training to be a specialist, most drs can give you a well educated guess at best, and base their expected outcomes on experience, but no dr can tell a person for sure what can and will happen when choosing one drug over another. We are all individuals with different biologies, medical histories, environments, and challenges. This is why a perfectly healthy stage one cancer patient may go on to face several recurrences and ultimately pass, when a stage IV will get through it and live another 40 years despite having the same dr., and treatment. People here just want to educate, and share information so that when you are facing a decision you don't step blindly into it.
For me Erbitux wasn't an option. Initially, they had considered me for the clinical trial, however my RO and MO decided against it because I'd had extracapular extension in the one node I had involved. To them sticking with the tried and true (in this case cisplatin) was my best shot at beating this. To me that says - they didn't want to risk my life on an unknown. Clinical trials are important to the advancement of medicine absolutely but in this case with all the mixed reviews I would err on the side of caution and ask for a combo of cisplatin, and Erbitux if Erbitux were offered. (let's hope I never find myself in that position again, to make that choice) hugs.



Cheryl : Irritation - 2004 BX: 6/2008 : Inflam. BX: 12/10, DX: 12/10 : SCC - LS tongue well dif. T2N1M0. 2/11 hemigloss + recon. : PND - 40 nodes - 39 clear. 3/11 - 5/11 IMRT 33 + cis x2, PEG 3/28/11 - 5/19/11 3 head, 2 chest scans - clear(fingers crossed) HPV-, No smoke, drink, or drugs, Vegan
#157980 11-23-2012 08:02 AM
Joined: Sep 2006
Posts: 8,311
Senior Patient Advocate
Patient Advocate (old timer, 2000 posts)
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Patient Advocate (old timer, 2000 posts)

Joined: Sep 2006
Posts: 8,311
Lady,

Wow it's amazing how in such a short period of time on this site that you have dissected our sinister plan to uneducate the poor souls that come here seeking support, comfort and knowledge!

Nobody ever posts that they are experts or cancer docs, we merely try and use our experience to help those that have not been through what we already have. Some of us spend hours each day trying to help oral cancer patients so IMO your comments are WAY out of line.

Should you decide to stay then I would hope that you would refrain from posting further comments until you get to know us better. If you choose not to stay then I wish you and especially your husband luck on finding another site that is even 10% as good as this site in doing what we do.


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.
#157982 11-23-2012 08:42 AM
Joined: Mar 2008
Posts: 3,082
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Posts: 3,082
lady1

OCF forum is a package deal. You get all the emotional support from the caregiver community but you also get opinions. It's no problem if you chose not to listen to them. Most all of us rely upon our doctors' opinions, it's just that with 8.000 plus members, the difference between "expert" doctors on oral cancer protocols becomes crystal clear in a way that an individual does not get to see otherwise.
Your apparent faith in a medical degree or oncology fellowship as a badge of correct information is rather quaint IMO. I will bet you have never been a juror in a medical malpractice case. You don't know how much I wish the doctors would all agree on how to treat oral cancer and what to do. Sadly they don't.
We have spirited discussions here on those difference of medical opinions about the PEG, Erbitux, re-irridation, TSH tests and many many posters find these opinions very helpful in framing questions to their doctors. I'm sorry you don't
Still, I hope your husband pulls through fine.
Best wishes
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
Anonymous #157986 11-23-2012 09:43 AM
Joined: Mar 2002
Posts: 4,912
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OCF Founder
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Lady one has been removed at her request form the OCF forum data base


Brian, stage 4 oral cancer survivor. OCF Founder and Director. The first responsibility of a leader is to define reality. The last is to say thank you. In between, the leader is a servant.
Anonymous #157989 11-23-2012 02:23 PM
Joined: Oct 2012
Posts: 118
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Joined: Oct 2012
Posts: 118
All I can say is Wow....


Bette/CG to husband Reggie 66

dx 1: SCC Soft Palate (12/06)
tx: chemo and rad

dx 2: SCC 6 cm tum rt. vocal chord (12/09)
tx: total laryngectomy with stoma, 2 nodes

dx 3: SCC 4 cm tum BOT (10/16/12)
Tx: partial gloss w/ mod deck dis 4 nodes incl. part. pharyngectomy
Anonymous #157990 11-23-2012 02:51 PM
Joined: Sep 2006
Posts: 8,311
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I really feel for her husband.


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.
Anonymous #157993 11-23-2012 06:01 PM
Joined: Nov 2006
Posts: 2,671
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I do hope her husband makes it OK. In all the time (6+ years) I've been around here, I've never seen anyone react the way this lady did. She must be really stressed over what's happening with her husband.


Anne-Marie
CG to son, Paul (age 33, non-smoker) SCC Stage 2, Surgery 9/21/06, 1/6 tongue Rt.side removed, +48 lymph nodes neck. IMRTx28 completed 12/19/06. CT scan 7/8/10 Cancer-free! ("spot" on lung from scar tissue related to Pneumonia.)



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