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JamesD #166402 06-11-2013 05:46 AM
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James,

PLEASE do yourself a huge favor and get at least 2500 cals and 48 ozs of water down EACH and EVERY DAY from now until at least 1 yr post Tx. Of course it won't be easy but trust me it will be worse on you if you don't. I speak with VAST experience on this topic. You might, no I'll change that to you need to discuss with your RO about giving you weekly fluid IV's. I also would recommend getting a port. That's the one thing I wish I had done, well other than being a compliant patient. lol


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.
JamesD #166407 06-11-2013 06:41 AM
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Nourishment and hydration are vital during and after treatment. From the time I joined the forums I read that advice. It was drilled into my head.

Hydrate hydrate hydrate!... eat what you can while you can.... calories calories calories! Believe me, I knew full well as did my caregiver what I needed to do.

In reality, I was unable to maintain that pace due to side effects. I made it through treatment but not without losing too much weight and getting a PEG literally 2 hours after ringing the bell.

Now, 7 weeks out of treatment I'm doing quite well. I'm eating solid foods again but still getting 80% of my nourishment through the PEG. Weight has been stable.

David's advice on fluids is spot on. I got IV fluids practically every day from week 3 on. Hydrate and eat as much as you can while you can and don't beat yourself up if you can't maintain it. Ask for help from your team if you find yourself falling behind the eight ball.

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
NED Since
JamesD #166424 06-11-2013 02:58 PM
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Remember this is a WAR you are in and like every Warrior you must be physically and mentally strong, you need at least 2200 cals. per day, keep up the good fight!!! Semper-Fi Bob


Bob age 57, non smoker,non drinker, ended treatment on 11 Nov 2007 and started back to work on 29 Nov 2007. Veterans Day 2012 the Battle was lowered, folded, Taps was played and the Flag buried as I am know a 5 year survivor. Semper-FI !!!
JamesD #166446 06-12-2013 02:54 AM
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Doctor confirmed radiation burns on back of throat. Right now using Motrin - she prescribed magic mouthwash also minocycline for rash from Erbitux (known side effect) Other than those 2 issues still eating 3000 calories and drinking close to 100 oz of water. No weight loss yet. Have to be more careful in what I eat as throat will not get better. Again I appreciate the advice/encouragement and will follow it throughout the battle.


Age 55 HPV 16+ SCC, BOT 050613 Stage IV
great team at OSU
Tx 6 weeks of rad started June 3
8 weeks of chemo started May 28
RTOG Phase III trial Cetuximab group.
Treatment completed 7/16/2013
PET Scan completed 10/08/13
Results discussed 10/11/13
NED - Free but am I
Next part of the journey?
1year PET 10/24/14 NED
Good reports now 10 years out.
JamesD #166449 06-12-2013 05:03 AM
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As the swallowing discomfort increases you will need to concentrate on high calorie liquid drinks like Boost VHC that packs a whopping 560 nutritionally balanced calories in a small 8 oz can. You can reach your daily goal by only downing 6 cans and believe you will appreciate that when you can barely swallow. My routine in the late stages of Tx was alternating 1 can of water and 1 can of CIB VHC (now Boost VHC) every waking hour. I didn't always keep that schedule but it was my mental goal.


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.
JamesD #166458 06-12-2013 07:25 AM
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Glad to hear you are getting closer to the right amount of water and nutrition James as evidenced by your lack of weight loss. Your body is thanking you now for the water. Don't hesitate adding some more with the heat coming on. Glad you have identified the solution to a couple of problems.

You are fortunate, too, since OSU has a good aftercare program when you complete treatment. Hope you get there as fast as possible!


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
JamesD #166469 06-12-2013 11:01 AM
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Just registered as of today,I am Jason.. Jim's oldest son..Have to say I am proud of my Dad for sticking this out and showing his real strength though this battle.. he has always been a strong person and I know that this will even more strengthen his character.. He will make it through this and knowing him will stay on this site for support for others after he beats this.. Thanks to all who have posted helpful thoughts to help him get through this.

JamesD #166471 06-12-2013 01:56 PM
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Welcome Jason. I believe you could be part of the success your father has been having! Always good to see family here!

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
JamesD #166481 06-12-2013 05:43 PM
Joined: Jun 2007
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Administrator, Director of Patient Support Services
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Jason, glad to have you with us.

My son joined the forum when I was very ill a few years ago. He kept everyone updated when I was not able to.

You will find we are all in this together. We are like a big extended family around here. Your father is in good hands, we will help get him thru this bad spell. He is a lucky man to have a great son like you!


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
JasonDykstra #166493 06-12-2013 10:00 PM
Joined: Jan 2013
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Welcome, Jason.

Always nice to have supporters looking out for the good of those struck by this horrible disease. You will find great knowledge and support at the forum and others will benefit from your unique insights you bring. Again, welcome, don


Don
Male, 57 - Great health except C
Dec '12
DX: BOT SCC T2N2bMx, Stage 4a, HPV+, multiple nodes
1 tooth out
Jan '13
2nd tooth out
Tumor Board -induction TPF (3 cycles), seq CRT
4-6/2013
CRT 70gr 2x35, weekly carbo150
ended 5/29,6/4
All the details, join at http://beatdown.cognacom.com
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