#18020 08-03-2005 06:58 AM | Joined: Mar 2003 Posts: 1,384 Likes: 1 Patient Advocate (1000+ posts) | Patient Advocate (1000+ posts) Joined: Mar 2003 Posts: 1,384 Likes: 1 | Does this mean we all have to become ordained?
Mark, 21 Year survivor, SCC right tonsil, 3 nodes positive, one with extra-capsular spread. I never asked what stage (would have scared me anyway) Right side tonsillectomy, radical neck dissection right side, maximum radiation to both sides, no chemo, no PEG, age 40 when diagnosed.
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#18021 08-03-2005 01:47 PM | Joined: May 2005 Posts: 497 "Above & Beyond" Member (300+ posts) | "Above & Beyond" Member (300+ posts) Joined: May 2005 Posts: 497 | Since Mark has survived for 4 years and 5 months I feel he should be given the honor of being ordained first. Now how are we going to ordain him and who is going to start first?
[i]"The artist, a traveler on this earth, leaves behind imperishable traces of his being." -Fran
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#18022 08-04-2005 05:22 PM | Joined: Jun 2005 Posts: 349 Likes: 2 Platinum Member (300+ posts) | OP Platinum Member (300+ posts) Joined: Jun 2005 Posts: 349 Likes: 2 | Doreen, thanks for the warm thoughts and update on Lee. I will be hoping for a quick response for him.
Barb, I nominate Gary for the honors of ordaining Mark first :-)
Michael | 53 | SCC | Right Tonsil | Dx'd: 06-10-05 | STAGE IV, T3N2bM0 | 3 Nodes R Side | MRND & Tonsillectomy 06/29/05 Dr Fee/Stanford | 8 wks Rad/Chemo startd August 15th @ MSKCC, NY | Tx Ended: 09-27-05 | Cancer free at 16+ Yrs | After-Effects of Tx: Thyroid function is 0, ok salivary function, tinnitus, some scars, neck/face asymmetry, gastric reflux. 2017 dysphagia, L Carotid stent / 2019, R Carotid occluded not eligible for stent.2022 dental issues, possible ORN, memory/recall challenges.
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#18023 08-07-2005 01:26 AM | Joined: Jul 2005 Posts: 624 "Above & Beyond" Member (500+ posts) | "Above & Beyond" Member (500+ posts) Joined: Jul 2005 Posts: 624 | Hi -- Back from Maine -- we received our Therabite set while we were away, only 3 days' after ordering; reading instructions, it seems straight-foward enough. Didn't get a video, is this supposed to come with it or was it a separate order? The dental folks at Hopkins just recommend the fingers method, but after reading the paper on OCF web site decided that was not good enough -- will start right away, especially after heeding Barry's ENT's warning re swallowing issues and trismus.
The Hopkins rehab people told Bary to start using aloe vera gel (the 100% type, that you can swallow) both of neck area externally and in mouth; they also sent a sample of some cream (not Biafine) that is specially for radiation burns (Burn-block) -- the name sounds like you use it before getting rads but the instructions are clear that you only use it afterwards.
However, as a biologist I have been a little skeptical from beginning about the admonition not to put anything on the skin before radiation -- the photon beams are passing through various (and varying thicknesses over time) layers of skin, muscle, fat, etc. -- all of which have different densities -- and yet can be more-or-less precisely targeted -- how can 1 mm of say aloe gel cause any deflection of such energetic radiation? Not that we are going to go against what the radiation people say, but it doesn't seem to make much sense.
Same as with admonition not to take certain antioxidants, but if you look at what's in Boost, someone taking 6-7 bottles a day, is getting lots of C, E, and other proscribed vitamins in the food -- just as if they were popping the pills...
Oh well, on with the show...
Gail
CG to husband Barry, dx. 7/21/05, age 66, SCC rgt. tonsil, BOT, 2 nodes (stg. IV), HPV+, tonsillectomy, 7x carboplatin, 35x tomoTherapy IMRT w/ Ethyol @ Johns Hopkins, thru treatment 9/28/05, HPV vaccine trial 12/06-present. Looking good!
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#18024 08-07-2005 07:26 AM | Joined: Mar 2002 Posts: 4,916 Likes: 63 OCF Founder Patient Advocate (old timer, 2000 posts) | OCF Founder Patient Advocate (old timer, 2000 posts) Joined: Mar 2002 Posts: 4,916 Likes: 63 | FYI - The TheraBite company was recently bought from it's inventor / founder and all around great guy Bob Horst, so it is now part of a bigger medical firm, which is located outside the US. This may have caused some changes in packaging, what comes with it, etc. However, the product itself has not changed. Bob was always an oral cancer cause supporter, and now that he has retired (likely with some financial security from this deal) I wish him well, and thank him for the manner in which he cooperated with OCF in the early days. He has written the new corporate owner and suggested that OCF would be an organization worth supporting... but it appears that being on the other side of the pond, they do not see the value in that. Anyway, that doesn't make the product any less useful, and we will continue to tell people about it.
Brian, stage 4 oral cancer survivor. OCF Founder and Director. The first responsibility of a leader is to define reality. The last is to say thank you. In between, the leader is a servant. | | |
#18025 08-07-2005 07:28 AM | Joined: Mar 2002 Posts: 4,916 Likes: 63 OCF Founder Patient Advocate (old timer, 2000 posts) | OCF Founder Patient Advocate (old timer, 2000 posts) Joined: Mar 2002 Posts: 4,916 Likes: 63 | While I haven't asked the question of an authority, I was told that oils, lotions, etc. shouldn't be used because they might contribute to the burning of the tissues, and not because they might block something.
Brian, stage 4 oral cancer survivor. OCF Founder and Director. The first responsibility of a leader is to define reality. The last is to say thank you. In between, the leader is a servant. | | |
#18026 08-07-2005 08:14 AM | Joined: Jun 2005 Posts: 349 Likes: 2 Platinum Member (300+ posts) | OP Platinum Member (300+ posts) Joined: Jun 2005 Posts: 349 Likes: 2 | On the question of pre-rad ointments, etc.; for what it's worth, I've too have heard it's more a question of the synergy of the radiation and the cream, ointment etc, causing wierd combinations, burns, and reactions, more than the thickness/ray distortion. Maybe like how fluids, water, etc change the effect of sun rays (sometimes unpredictably) on the skin...but I could totally wrong on that one...(and everything else for that matter:) What's it called, Refraction? We just landed this morning (5:30 AM!!) in NY... Hot & humid here, but not as bad as 11 days ago. Glad to be here and starting the ball rolling... There's an interesting new release today about Hemoglobin levels, in esophogeal cancers, which may or may not relate at all to ours, but it's mildly interesting... http://patient.cancerconsultants.com/news.aspx?id=34722 My blood labs from 48 hours ago had HGB at 14.8 g/dl :-) The thing that's bugging me the most the last 2 days is a "feeling" in my throat/mouth I "feel" like the cancer's returned to the right tonsil tumor bed !! I can FEEL something in there, especially when swalling, like something's stuck in my throat (how post-nasal-drip feels a bit), but it never goes comnpletely away...sometimes it's more noticable than others... I can kinda feel like it would cause me to gag sometimes if I let it, and maybe make's my voice sound a little "gargle-ie", like I need to blow my nose sounding... Of course, I had the 2 wisdom teeth removed on the other side about 13 days ago, had 4 fillings last week, a deep cleaning, etc, so there's been a lot of hands in my mouth!! Then, I got sick with a 4 day cold the end of July too... Anyway, I have my GTube surgery tomorrow, so we'll see if I can talk to an ENT while there. They did an MRI last vist on the the 27th, just before my simulation, and I never heard anything about the results...I wonder if someone would have told me if there was something alarming??? Problably not, they'd just wait until my next appt... :-( I should have had the radiologist's reading sent to me via fax, but forgot, and at the time, felt like it was more of a formality, to establish baselines, etc. Maybe I'll feel better after some rest and jet lag catch up. Things are worse on a weekend, or at night, since easily accessable health professional are slim..I think this adds (like I've said about nighttime before) to the anxiety. Eating seems to temper the "sensation" a bit, so we're off the 3rd Ave to find a great street side bistro table.. I do notice that I have no "pain" in the site (like I started to get 24 hours just before the surgery), and no ear aches, fevers, or anything like that. Gail, I think the aloe is a good idea too, I've been "taking" it for a couple of weeks now...100% pure, oraganic, and I've read that "Cold Pressed" is important too, but who knows!? As far as vitamins as pills, versus in "foods" we consume, my surgeon answered this paradox by saying, "...no one really knows!" (at least he wsa honest:) Anyway, he say's that science doesn't understand why completely, but nutrients from foods are different to our systems than pill form suppliments so maybe that's a distinction to help exlain why vitamins added to 'foods' don't affect tx, but suppliments do..? Or, maybe it's a way for the health care professionals to monitor (read: control) what we take into our bodies in the way of pills, suppliments, herbs, and medicines..? Hope everyone is well!!!!!
Michael | 53 | SCC | Right Tonsil | Dx'd: 06-10-05 | STAGE IV, T3N2bM0 | 3 Nodes R Side | MRND & Tonsillectomy 06/29/05 Dr Fee/Stanford | 8 wks Rad/Chemo startd August 15th @ MSKCC, NY | Tx Ended: 09-27-05 | Cancer free at 16+ Yrs | After-Effects of Tx: Thyroid function is 0, ok salivary function, tinnitus, some scars, neck/face asymmetry, gastric reflux. 2017 dysphagia, L Carotid stent / 2019, R Carotid occluded not eligible for stent.2022 dental issues, possible ORN, memory/recall challenges.
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#18027 08-07-2005 08:23 AM | Joined: Feb 2005 Posts: 2,019 Patient Advocate (old timer, 2000 posts) | Patient Advocate (old timer, 2000 posts) Joined: Feb 2005 Posts: 2,019 | Gail, I haven't looked at what vitamins are in each can of Boost lately, but I do know that consuming the amount of Jevity I do every day (the liquid stuff that's made for tube feeding), I get about what I'd get in a good multivitamin of C, E, etc. As opposed to getting, say, 1500-2000 mgs of vitamin C which is the level many people take (or higher) when taking it for antioxidant protection. The admonitions I got were against taking that kind of high level of antioxidants, not the lower minimum RDA level you'd find in a multivitamin.
SCC(T2N0M0) part.glossectomy & neck dissect 2/9/05 & 2/25/05.33 IMRT(66 Gy),2 Cisplatin ended 06/03/05.Stage I breast cancer treated 2/05-11/05.Surgery to remove esophageal stricture 07/06, still having dilatations to keep esophagus open.Dysphagia. "When you're going through hell, keep going"
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#18028 08-07-2005 10:00 AM | Joined: Jul 2005 Posts: 624 "Above & Beyond" Member (500+ posts) | "Above & Beyond" Member (500+ posts) Joined: Jul 2005 Posts: 624 | Well, Barry was only taking 500 mg C (which is what is in most multivitamins) and they told him to stop, also 200 mg gamma-E (not a-tocopherol which is what is in Boost). Most other liquid diets are also rather heavily vitamin-enriched, something to keep in mind if you are also taking a multi-vitamin (which Barry was not, as not recommended by his prostate oncologist).
If he ends up using 6 cans of Boost Plus/day, he will be back to ingesting about 500 mg C or 6X the RDA. (And we know the Boost C is not naturally occuring as it would be in, say, orange juice.) Also a lot more beta-carotene (150% of daily value), than would seem prudent, at least for patients that were smokers.
This is not to dump on Boost but I do detect a certain inconsistency here...
This whole issue is controversial, have recently seen a number of papers and a couple review articles that dismissed the "conventional wisdom," finding more evidence for beneficial than negative effects from reasonable intake of certain antioxidants during radiation (not mega-doses).
I think the jury is still out on this...
Gail
CG to husband Barry, dx. 7/21/05, age 66, SCC rgt. tonsil, BOT, 2 nodes (stg. IV), HPV+, tonsillectomy, 7x carboplatin, 35x tomoTherapy IMRT w/ Ethyol @ Johns Hopkins, thru treatment 9/28/05, HPV vaccine trial 12/06-present. Looking good!
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#18029 08-07-2005 11:33 AM | Joined: May 2005 Posts: 497 "Above & Beyond" Member (300+ posts) | "Above & Beyond" Member (300+ posts) Joined: May 2005 Posts: 497 | Hi Michael. Good luck this week. I hope all goes well for you. I "felt" something in my throat also around 2 weeks after surgery. Just try and be calm and to not add any more stress to yourself right now.
Do some deep breathing meditation and get yourself some great books you always wanted to read but never did. I use Biafine three times a day but nothing once I get up in the morning and shower before I leave for treatment. On weekends I use a triple antibiotic recommended by the Shriners Burns Institute for Children. Oil is a no no and the antibiotic cream is only used on weekends and washed off on Sunday night.
My skin has remained soft and moist and though they felt it might be in a bad peel tomorrow it has gone back to looking pretty good with the TA cream. The rest of the time I religiously use the Vigilon pads and they have given me such relief I can't even discribe it. They are quite happy with the results so far. No hard, dry skin, no cracks and splits.
Best thing....just take your physicians advice. That is why you chose him and your team right?
hugs and blessings, Barb~ 2 more and done!
[i]"The artist, a traveler on this earth, leaves behind imperishable traces of his being." -Fran
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