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#178446 03-18-2014 07:15 PM
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What a revoltin' development this is! Nice to see that you are around though.

Liam


2/2014 SCC T4aN2bM0 HPV+ Tonsil/BOT
3/3/2014 PEG and port
3/10/2014 Chemoradiation therapy begins 260 mg Cisplatin x3, 2.12 Gy rads x33
4/23/2014 Final Cisplatin infusion
4/25/2014 Final radiation treatment
7/17/2014 PET scan. Lymph nodes clear. Primary tumor reduced both size and SUV (borderline hypermetabolic) so it's inconclusive.
8/2/2014 PEG tube removed.
11/24/2014 Saw MO, RO, ENT, and Head & Neck Surg. over past 10 days - all agree no recurrence but enhanced surveillance will continue.
Liam Skye #178447 03-18-2014 07:32 PM
Joined: Jun 2007
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Administrator, Director of Patient Support Services
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Liam, welcome to our group.


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
ChristineB #178449 03-18-2014 07:37 PM
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Thank you for your hospitality, ChristineB. I have just recently been diagnosed and have begun both chemo and rads at the beginning of last week. I have already almost completely lost my sense of taste. I'm here to learn how others have coped and to share whatever I have that might be helpful to others who find themselves in the same pickle as I find myself.


2/2014 SCC T4aN2bM0 HPV+ Tonsil/BOT
3/3/2014 PEG and port
3/10/2014 Chemoradiation therapy begins 260 mg Cisplatin x3, 2.12 Gy rads x33
4/23/2014 Final Cisplatin infusion
4/25/2014 Final radiation treatment
7/17/2014 PET scan. Lymph nodes clear. Primary tumor reduced both size and SUV (borderline hypermetabolic) so it's inconclusive.
8/2/2014 PEG tube removed.
11/24/2014 Saw MO, RO, ENT, and Head & Neck Surg. over past 10 days - all agree no recurrence but enhanced surveillance will continue.
Liam Skye #178450 03-18-2014 07:52 PM
Joined: Jul 2011
Posts: 945
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Posts: 945
Hi, Liam
Since your taste is already fading, you will have remind yourself that nutrition is important - even if it is not tasty! Do you have a caregiver to help you as the treatments progress?
Maria


CG to husband - SCC Tonsil T1N2M0 HPV+ Never Smoker
First symptoms 7/2010, DX 12/2010
TX 40 IRMT (1.8 gy) + 10 Cetuximab
PET Scans 6/2011 + 3/2012 clear, 5 year physical exam clear; chest CT's clear of cancer. On thyroid pills. Life is good.
Liam Skye #178452 03-18-2014 10:21 PM
Joined: Jan 2013
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Welcome. Visit often and read a lot of the information as it will bring you lots of knowledge of what you are facing.


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
Liam Skye #178457 03-19-2014 03:27 AM
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Liam - welcome to the family. Listen to what Christine said above. As you lose your taste, so goes your appetite. I had many days where I had no desire to eat at all, not even one meal. Do that for a couple of days and you can get mal-nourished quickly, to the point of needing hospitalization to fix it.

Don't go down that road, even though you may have no desire to eat and it may actually hurt to swallow, you have to force yourself to do so. Ensure Plus has the calorie density you will need, vanilla, chocolate and strawberry are all very tolerable. My doc said I needed 7 of them per day to get enough nutrition. That's like one bottle every two hours from wake up to bed time every day. Vanilla sells out quickly, so when it's available, stock up to the tune of even 3 or 4 six packs at a time. Consider giving one shelf of your refrigerator to Ensure for the next couple of months.

Some on the forum will pooh-pooh Ensure saying it has too much sugar. There are less sugar substitutes, but I think they are quite a bit more expensive.

You will likely lose weight during treatment anyway, the trick is to not lose too much weight. I lost 42 pounds during treatment, others have lost more, lots more. Had I lost anymore weight they would have put me on a PEG feeding tube, something else you don't really want to experience unless you have too.

I can't stress enough that this nutrition stuff is extremely important while you are in treatment. Cancer is what they call hyper metabolic, it eats a high percentage of what you intake every day. The treatment is also hyper metabolic, combine those two together and there are few calories left over for your normal body use. So, in effect you are having to eat enough for 3 people.

I hope you now understand the seriousness of nutrition during treatment; screw this up and you can make your recovery way more difficult.

Now, go get something to eat. Welcome to the family.

Tony


Tony, 69, non-smoker, aerobatics pilot, bridge player/teacher, avid dancer (ballroom, latin, swing, country)

09/13 SCC, HPV 16, tonsillectomy, T2N0.
11/13 start rads, no chemo
12/13 taste gone, dry mouth,
02/14 hair slowly returning
05/14 taste the same, dry sinuses, irrigation helps.
01/15 food taste about 60% returned, dry sinuses are worse in winter.
12/20 no more sinus problems, taste pretty good

Maria #178477 03-19-2014 08:19 AM
Joined: Mar 2014
Posts: 31
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Posts: 31
My wife is helping me with all aspects of my care. The magnitude of that commitment is quickly becoming clear.


2/2014 SCC T4aN2bM0 HPV+ Tonsil/BOT
3/3/2014 PEG and port
3/10/2014 Chemoradiation therapy begins 260 mg Cisplatin x3, 2.12 Gy rads x33
4/23/2014 Final Cisplatin infusion
4/25/2014 Final radiation treatment
7/17/2014 PET scan. Lymph nodes clear. Primary tumor reduced both size and SUV (borderline hypermetabolic) so it's inconclusive.
8/2/2014 PEG tube removed.
11/24/2014 Saw MO, RO, ENT, and Head & Neck Surg. over past 10 days - all agree no recurrence but enhanced surveillance will continue.
n74tg #178478 03-19-2014 08:25 AM
Joined: Mar 2014
Posts: 31
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Posts: 31
My appetite has completely deserted me. I'm trying to eat foods that smell good because I hope they will have some flavor. I've lost about 20 pounds already so I'm starting to drink Ensure and Glucerna shakes for nutrition. I can still taste some of the Naked brand of fruit and vegetable smoothies too.

Thanks to everybody for your warmth and hospitality. I'm going to browse through the forums and check back here periodically.


2/2014 SCC T4aN2bM0 HPV+ Tonsil/BOT
3/3/2014 PEG and port
3/10/2014 Chemoradiation therapy begins 260 mg Cisplatin x3, 2.12 Gy rads x33
4/23/2014 Final Cisplatin infusion
4/25/2014 Final radiation treatment
7/17/2014 PET scan. Lymph nodes clear. Primary tumor reduced both size and SUV (borderline hypermetabolic) so it's inconclusive.
8/2/2014 PEG tube removed.
11/24/2014 Saw MO, RO, ENT, and Head & Neck Surg. over past 10 days - all agree no recurrence but enhanced surveillance will continue.
Liam Skye #178479 03-19-2014 08:29 AM
Joined: Apr 2013
Posts: 319
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Hi Liam,

I like your introduction! You sound like you've got your head on straight, like Tony and Hellion (to name just a couple of most of us here) which is a huge advantage in dealing with this condition.

I want to echo and endorse what Tony said about nutrition, and add that Boost, a competitor to Ensure, makes a 500 calorie version of their nutritional drink. It's called "Boost VHC" and probably will have to be special ordered. I know that CVS carries it, and usually will have it for you the next day after you order it. It's the same price (!!!) as the regular Boost (here, that's just a tic under $50 for a 27 count box).

Also, check the prices on Jevity, the common nutrition mix for use in PEG feeding. It doesn't taste wonderful, but the good thing about losing your sense of taste is that you can drink Jevity and not be bothered by the taste!

But whatever route you go, make sure that you get 2500 cal/day! At least while you're undergoing radiation or its side effects. Healing and surviving make extreme demands on your system for energy, and will get it by consuming your body if you do not give it extra fuel when it needs it.



My intro: http://oralcancersupport.org/forums/ubbt...3644#Post163644

09/09 - Dx OC Stg IV
10/09 - Chemo/3 Cisplatin, 40 rad
11/09 - PET CLEAN
07/11 - Dx Stage IV C. (Liver)
06/12 - PET CLEAN
09/12 - PET Dist Met (Liver)
04/13 - PET CLEAN
06/13 - PET Dist Met (Liver + 1 lymph node)
10/13 - PET - Xeloda ineffective
11/13 - Liver packed w/ SIRI-Spheres
02/14 - PET - Siri-Spheres effective, 4cm tumor in lymph-node
03/15 - Begin 15 Rads
03/24 - Final Rad! Woot!
7/27/14 Bart passed away. RIP!
Liam Skye #178480 03-19-2014 08:41 AM
Joined: Dec 2010
Posts: 5,264
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Hi Liam... go for nutrition, and just chow down... seriously. This is until it becomes too hard to eat. Then switch if you can to liquid nutrition, either your own homemade high protein smoothies or ensure. Keep yourself well hydrated and force yourself to eat and drink even if it hurts. You need to maintain your swallow. Hugs... and welcome. And give your wife a kiss.


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
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