|    |       Joined:  Oct 2012  Posts: 143    Senior Member (100+ posts)   |      OP      Senior Member (100+ posts)    Joined:  Oct 2012  Posts: 143  |    After 2 surgeries and chemo from October to January the cancer of Joy is back now more visible to the naked eyes,  It is now in expose like an open sore blister.  
  My husband's cousin that is a doctor will have a meeting with the  oncologist to determine the next step. Joyce doesn't want to be touched anymore.  She even barely survived the chemo.
  Any thoughts?        
Joyce March 1940 to January 2014 A wife, a mother, grandmother and great grandmother. She fought oral cancer from late 2009 to Early 2014.   2 Timothy 4:7  I have fought the good fight, I have finished the race, I have kept the faith.
  |      |       |               |    |       Joined:  Apr 2012  Posts: 111    "OCF across the pond" Senior Member (100+ posts)   |           "OCF across the pond" Senior Member (100+ posts)    Joined:  Apr 2012  Posts: 111  |    I am so sorry to hear about Joyce's terrible ordeal. I hope she is able to get suitable pain releif. My thoughts are with her and your family. Sally        
Dx 10/11 51yrs LBOT Stage 4 2nodes HPV16+. Non-smoker  mod alcohol. 10/11 Induction chemox2 (Docetaxel, 5-Flu, Cisplatin) then Cisplatinx2 IMRTx30. Ended 01/13/12. 12/07/11 RIG. RIG removed 05/05/12. 4/12 CT scan clear. Visual scope checks clear as of 10/13. Learning to live with eating challenges.
  |      |       |               |    |       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  |    Ina Im very sorry to hear about the latest update on Joyce.  Poor thing has been thru so much already.  To me it sounds like she has made her decision to not have any more treatment.  Without treatment this will only get progressively worse.
  Im not sure what is offered in her country.  Here in the US we have hospice to help with a persons end of life issues.   Here its ok to call them well in advance to help with the patient.  Ive heard this is very comforting and invaluable to both the patient and the family involved.
  As always, wishing you and Joyce all the best.        ChristineSCC 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       |      |       |               |    |       Joined:  Sep 2006  Posts: 8,311    Senior Patient Advocate Patient Advocate (old timer, 2000 posts)   |           Senior Patient Advocate Patient Advocate (old timer, 2000 posts)    Joined:  Sep 2006  Posts: 8,311  |    Why no rad?
  Perhaps contact Hospice.        
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.
  |      |       |               |    |       Joined:  Oct 2012  Posts: 143    Senior Member (100+ posts)   |      OP      Senior Member (100+ posts)    Joined:  Oct 2012  Posts: 143  |    I read that no matter what the lesions should be removed.  Josie will not survive chemo and radiation.  She is literally skin and bones now.  She will not survive any more of those.  
  So my question is - - is only a matter of time?        
Joyce March 1940 to January 2014 A wife, a mother, grandmother and great grandmother. She fought oral cancer from late 2009 to Early 2014.   2 Timothy 4:7  I have fought the good fight, I have finished the race, I have kept the faith.
  |      |       |               |    |       Joined:  Dec 2010  Posts: 5,264 Likes: 5    "OCF Canuck" Patient Advocate (old timer, 2000 posts)   |           "OCF Canuck" Patient Advocate (old timer, 2000 posts)    Joined:  Dec 2010  Posts: 5,264 Likes: 5  |    Likely - unfortunately if it goes untreated it will kill her. Call a hospice they will manage her pain. Hugs to you and your family.        
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
  |      |       |               |    |       Joined:  Sep 2006  Posts: 8,311    Senior Patient Advocate Patient Advocate (old timer, 2000 posts)   |           Senior Patient Advocate Patient Advocate (old timer, 2000 posts)    Joined:  Sep 2006  Posts: 8,311  |    Sorry to say but by the time other posters have reported cancer breaking through the skin, the end was very near but we are not there and we are not doctors of any kind so if I were you I would ask her doctors if they think you need to get Hospice involved.        
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.
  |      |       |               |    |       Joined:  Oct 2012  Posts: 143    Senior Member (100+ posts)   |      OP      Senior Member (100+ posts)    Joined:  Oct 2012  Posts: 143  |    Update is to put a peg tube as soon as possible.  Josie is severely malnourished.  She can not have any further treatment until she is up to good health.  Once she regains weight  and strength they will perform surgery to remove the oral cancer on her face and do aggressive treatment of both chemo and radiation.
    
Last edited by Ina; 05-13-2013 08:14 PM.
       
Joyce March 1940 to January 2014 A wife, a mother, grandmother and great grandmother. She fought oral cancer from late 2009 to Early 2014.   2 Timothy 4:7  I have fought the good fight, I have finished the race, I have kept the faith.
  |      |       |               |    |       Joined:  Sep 2006  Posts: 8,311    Senior Patient Advocate Patient Advocate (old timer, 2000 posts)   |           Senior Patient Advocate Patient Advocate (old timer, 2000 posts)    Joined:  Sep 2006  Posts: 8,311  |    Where is she being treated?
  I'm sorry but this just doesn't make sense at this point and judging by your description of the cancer and her age and her overall health I don't see how they have time to make a difference. Certainly I hope I'm wrong.        
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.
  |      |       |               |    |       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  |    David, Joyce is in the Philippines.        ChristineSCC 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       |      |       |                 
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