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How many of you had the feeding tube put in later during treatment? My Dad was really determined not to get one, but at this rate. I really think the doc is going to pressure him to get one. I know they would normally do this with a camera down the throat, but they probably won't be able to do this. Anyone else had this done halfway through treatment? How'd it go?


Brandi, daughter of:
Jack, age 69, non-smoker, BOT primary, Stage 4, HPV+
1/28/2013: Surgery. All cancerous masses removed. Dad is CANCER FREE!!!
2/26/2012: Beginning of TX. Weekly chemo: Carboplatin and Taxol. Daily RT (about 40 total)
4/25/2013: Will be last day of TX, both chemo and RT
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I've got the same question. We're just starting on this journey. Radiation and chemo will start on 4/22. My mom wants to wait and see how treatment goes before any discussion of a PEG.


Little Bird, CG to mother, diagnosed March 15, 2013, age 70, non-smoker, non-drinker
BOT, HPV+
Cisplatin and 35 days of radiation, completed June 13, 2013.
Looks like they got it all. (knock on wood)
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I think that there are some here who have had the tube put in after treatment started, even though that was not my case. I had the surgery, then the PEG was put in before my treatments started. I hated the thing, but was glad that I had it.


Female, nonsmoker, 70, diag. 5/09 after tongue biopsy: stage IV. Left hemi-gloss. and left selec. neck disec. 30 lymph nodes removed May 20. Over 7 weeks daily rads. with three chemo. PEG removed 12/4/09 Am eating mostly soft foods. Back to work 11/09 Retired 4/1/11. 7 clear scans! Port out 9/11. 2/13. It's back: base of tongue, very invasive
surgery involving lifestyle changes. 2/14: Now speaking w/Passey-Muir valve. Considering a swallow study. Grateful to be alive.
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They can put in a nasal tube, if it's for a short term, aound 6 weeks, and another way is done by a radiologist without sn endoscopy. I had an endoscopic placement. Good luck.


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






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Mike what a great post!!! Congratulations on this HUGE improvement!!!! You must be jumping for joy.

Thanks for posting your update. It gives others in your situation encouragement. Im very happy it has worked out for you. I have seen where it does grow back so Im glad they prepared you to maybe need to go thru this again. Keep swallowing as often as you can to keep everything working correctly.

Best wishes with your recovery and happy eating smile


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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Well, my Dad was able to get down a shake made with 2 scoops of ice cream and a can of peaches yesterday. He said if he knew his throat wouldn't get any worse than it is, he'd be okay, but since he can't count on that he will get the tube to supplement for extra calories/nutrition. He plans on drinking water and/or Ensure drinks everyday, even with the tube.


Brandi, daughter of:
Jack, age 69, non-smoker, BOT primary, Stage 4, HPV+
1/28/2013: Surgery. All cancerous masses removed. Dad is CANCER FREE!!!
2/26/2012: Beginning of TX. Weekly chemo: Carboplatin and Taxol. Daily RT (about 40 total)
4/25/2013: Will be last day of TX, both chemo and RT
Joined: Mar 2013
Posts: 421
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To Tube or Not to Tube... that is the question. Whether it is nobler in the mind to suffer....

I went into this wanting a PEG as a precaution. My team was against it so no PEG. I saw my RO last Thursday and I'm seeing him tomorrow. He is concerned about my weight. I'm in chemo as I write this getting juiced up for the Cisplatin. I lost 5 lbs the last week. Over 10 since March 14th.

I'm at the halfway point Wednesday! YAY! BUT.... I hit the wall yesterday. We were home for the weekend. Saturday wasn't too bad. My throat is shot and I was feeling rough but it was good to be home, run errands and do "normal" things. The weekends are an oasis in this sea of treatments and appointments. Anyway... I woke up Sunday feeling pretty rough. I went to take my meds and one of the pills got caught in the back of my throat. I went into the kitchen and tried to cough it up and promptly tossed my cookies! That was the first time that has happened. I felt awful the rest of the day....

So... back to now... I drank as much as I could but still felt pretty bad. I almost have a bag of fluid in me and they gave me Emend for the 'yuck". As far as the PEG? I'll listen to my team and deal with what I have to deal with. My swallow has been an issue since the neck dissection and I'm going to need therapy in order to get it back fully. Taking meds is becoming increasingly difficult too.. we'll see.

Positive thoughts and prayers

"T"


57
Cardiac bypass 11/07
Cardiac stents 10/2012
Dx'd 11/30/2012 Tx N2b MO Stage IV HPV+
Palatine Tonsillectomy/Biopsies 12-21-12
Selective Neck Dissection/Lingual Tonsillectomy/biopsies TORS 2/7/13
Emergency Surgery/Bleeding 2/18/13
3/13/2013 30rads/6chemo
Finished Tx 4/24/13
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Can you use a pill crusher/pestle and mortar to crush the pills and let them dissolve in a bit of water to get them down?


Gloria
She stood in the storm, and when the wind did not blow her way, she adjusted her sails... Elizabeth Edwards

Wife to John,dx 10/2012, BOT, HPV+, T3N2MO, RAD 70 gy,Cisplatinx2 , PEG in Dec 6, 2012, dx dvt in both legs after second chemo session, Apr 03/13 NED, July 2013 met to lungs, Phase 1 immunotherapy trial Jan 18/14 to July/14. Taxol/carboplatin July/14. Esophagus re-opened Oct 14. PEG out April 8, 2015. Phase 2 trial of Selinexor April to July 2015. At peace Jan 15, 2016.
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Hi Gloria,

Yes, we can crush the meds if need be. I was doing that after my surgeries. I'd much rather be able to swallow the meds and keep the swallowing functional. I have exercises I need to do with my swallow and honestly, they're ridiculously difficult!

"T"


57
Cardiac bypass 11/07
Cardiac stents 10/2012
Dx'd 11/30/2012 Tx N2b MO Stage IV HPV+
Palatine Tonsillectomy/Biopsies 12-21-12
Selective Neck Dissection/Lingual Tonsillectomy/biopsies TORS 2/7/13
Emergency Surgery/Bleeding 2/18/13
3/13/2013 30rads/6chemo
Finished Tx 4/24/13
NED Since
Joined: Jul 2012
Posts: 3,267
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Patient Advocate (old timer, 2000 posts)
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FYI..certain meds can't be crushed, like time released, so check what can with the pharmacy or health provider.


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






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