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klr #177131 01-30-2014 07:57 PM
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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






klr #177139 01-30-2014 10:13 PM
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Schedule is great. So........... what does it mean? I did not see any shingles sounding vaccine in the list? If so, it is not recommended?

Thanks


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
klr #177141 01-30-2014 10:58 PM
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The shingles vaccine is on the 2013 CDC list..... Zolster

Its now for people 50 and older. The 2013 graph is incorrect showing it as 60 and older. This just recently changed so when the graph was made (probably in 2012) it was back then age 60+.

Thanks for the list, Paul! Very good find!!!


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
klr #177142 01-31-2014 03:00 AM
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Thank you. At the bottom of the vaccination list, #6 Zoster vaccination, if does say FDA approves vaccination over age 50, but another organization says, ACIP, over 60, CDC too, which said it may change its recommendations when more vaccines are available, so it can be confusing.

Last edited by PaulB; 01-31-2014 03:44 AM. Reason: spell O.o

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






klr #177143 01-31-2014 03:19 AM
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All the info you need about Shingles.

http://www.cdc.gov/mmwr/preview/mmwrhtml/rr5705a1.htm

Contradictions and Precautions for Commonly Used Vaccination in adults.

http://www.immunize.org/catg.d/p3072.pdf

Zoster (HZV) Contradictions: "Known severe immunocompromised deficiency (e.g. from hematologic and solid rumors, receipt of chemotherapy, and long-term immunosuppressive therapy and patients with HIV infection who are severely immunocompromised."

For those that like to read, ACIP, "Advisory Committee on Immunization Practices"

http://www.cdc.gov/mmwr/pdf/wk/mm62e0128.pdf

Last edited by PaulB; 01-31-2014 04:00 AM. Reason: Spell O.o and links

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






klr #177153 01-31-2014 03:24 PM
Joined: Aug 2007
Posts: 1,301
"OCF Down Under"
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I have been following this Topic with interest and shall ask for the shingles vaccination at my next GP or Oncologists visit.
My immune system is compromised after a recent Splenectomy (along with removal of large tumour - sarcoma) and now being on oral Chemotherapy for life.
Have already had the flu plus pneumococcus, Haemophilus influenza type B (Hib), and meningococcal vaccinations.
Gabriele


History Leukoplakia bx 8/2006 SCC floor mouth T3N0M0- Verrucous Carcinoma.
14 hour 0p SCC-Right ND/excision/marginal mandibulectomy 9/2006, 4 teeth removed, flap from wrist, trach-ng 6 days- no chemo/rad.
6 ops and debulking (flap/tongue join) + bx's 2006-2012.
bx Jan 2012 Hyperkeratosis-Epithelial Dysplasia
24cm GIST tumour removed 8/2013. Indefinite Oral Chemo.

1/31/16 passed away peacefully surrounded by family

klr #177155 01-31-2014 05:29 PM
Joined: Jan 2013
Posts: 1,292
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OK. Now confused about the contraindication. For prior chemo recipients isn't that statement mean Zoster should not be given?



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
donfoo #177165 02-01-2014 04:44 AM
Joined: Jul 2012
Posts: 3,267
Likes: 4
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Hi Don, I guess that would depend. Someone going into chemo, I read two, three months before, during, and soon after, should not receive any immunizations due to possibly having a suppressed immune system. Is this followed, no. My first chemo in 2009 which was disastrous, I had the Flu, and pneumonia vaccine during my Induction Chemo, and what else they wanted to give me, and believe through research, symptoms, records, I may have suffered two rare conditions, amongst others, Gallium Barre Syndrome, and Steven Johnson Syndrome. Last year, the same day as chemo, I received a Flu vaccine, which I later only learned of the contradictions. This year I received the Flu vaccine in October, two months before chemo. I must say, although a different type treatment with Protons and Carboplatin, this was the easiest for me. Last year wasn't, and Erbitux is supposed to be easy, but I was laced with Taxotere too lol.

This far out from chemo, even radiation can suppress the immune system, blood work can see if your immune system is compromised. Mine is, but have other co-medical conditions, presecriptions, which I cross reference often now with any medications, treatments I'm going to receive.


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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