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"OCF Down Under, Kiwi"
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"OCF Down Under, Kiwi"
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Hi, LWP. You are not whining because there's a sort of wry self-awareness in your tone that is far from a whining sound:) I have felt just like you through both surgery and rsdiation.
A good cry can be cathartic although it's difficult when your kids are young. Writing, writing about your fear, pain, frustration and disappointment can help too. I love what you say about Canada's short but awesome summer because I always wondered how you guys coped with all that SNOW!
I hope you can get adequate pain relief from your RO. I refuse to feel pain if it can be thwarted by drugs. Felt very little during the whole 6 weeks, finishing on 19 May. Was given Oxycodone which I believe is almost identical to morphine and had the benefit in its immediate release form of delivering a mild euphoria. I'm also on anti-depressants and seeing a psychologist. Like you I've had a pile of disasters, one on top of the other and needed help.
I'm older and have no pressing responsibilities but remember how I felt when I got ovarian cancer at 49. First thought is to protect the kids who are just entering adolescence or adult life and it's hard, hard, hard.
Wishing you all the best.


1996, ovarian cancer surgery + cisplatin and taxol.
September, 2007, SCC of left lateral tongue. Excision.
October, 2009 recurrence in scar tissue, T1NOMO. Free flap surgery from left wrist - neck dissection. 63 year old New Zealander. No chemo, no RT.
February, 2014. New primary in left buccal mucosa. Marginal mandibulectomy, neck dissection, right arm free forearm flap. T1N0M0 but third occurrence and some areas of concern: RT started 8 April and finished 19 May.
Joined: Apr 2013
Posts: 319
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Hi LWP, I sent you a PM, if you look at the flashing icon on the menu bar next to "My stuff," and then select "Messages" you'll see it.

Good luck. PS, I don't think you're a whiner at all, my message is about how to deal with anxiety from a practical and "mechanical" approach.

Good Luck with this business,

Bart


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!
Joined: Feb 2014
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LWP Offline OP
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Little update - Week Four starts tomorrow.

The Good News - after some ups and downs - started IV fluids and they have made a bit difference in my pain level. My swallowing was really painful and so I was not able to get too much down, but I didn't find the hydromorphine really that helpful with the swallowing. After I stopped the fluoride trays, my mouth stopped burning as much as it had been.

My doctor recommended I up the dosage of the hydromorphine which made me start to get nauseous... So luckily I had some gravol around and it took a couple of days for my stomach to settle out. But now I am not taking anything for the pain, swallowing is still painful, but not nearly as bad.

I'm hoping to beg and plead and keep the IV hydration for the duration. It's made the world of difference, I know I still need to be eating more (or drinking more calories rather) but at least I seem to have a strategy that is working... for now...

Plus Week Four out of Seven feels good to say! Getting there....


Age 48, Rabid non-smoker, Mom, horse lover
Diagnosed SCC Feb 11/14
CT Scan showed three larger than normal lymph nodes
Partial Gloss & SND Mar 25, 2014
Nodes Clear/ 3mm margin / RADs recommended
Began RADs May 20, 2014 (30 in total) ENDED June 30th
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I had 2 bags of IV fluids a day starting the week after treatment for about 5 months. I even carried a little fanny pack pump to work. It was mostly because the Cisplatin caused some creatinine issues but I felt so much better they kept doing it until the creatinine came back down.

Glad you've seen some improvement. Small victories add up.


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
Joined: Sep 2006
Posts: 8,311
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It'a surprises me that ports and at least weekly fluids are not standard for our Tx. After my Tx nearly killed me literally, I begged Moffitt to do that to all future patients but they said I was the exception....yeah RIGHT!


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.
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Sometimes a little drama in the doctor's office (tears work) saves big drama like being hospitalized and going off-protocol for your treatment. And you really want to stay on protocol to beat this thing and get back to the horses.

Best wishes for the remainder of your treatment. And remember, your doctor listening to your communications isn't nearly as bad as what, say, a cranky mare might do to the vet.
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.
Joined: Feb 2014
Posts: 23
LWP Offline OP
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Another update! I am mid way through Week 5 - and technically 66% there! Not that I am counting down the days, hours and minutes of this.... treatment.... journey... hell???

So - had a PICC line put in place today, even though I was struggling with tummy troubles. I am still struggling to find meal options. Ensure, One Resource, Boost all do NOT agree with my tummy. At all - I learned that the hard way (almost a very embarrassing situation avoided only by parking in a completely illegal spot and rushing into the nearest washroom!) that they are not a good fit for me. I am quasi-lactose intolerant - there is some stuff I can take, and some I can't. And, I can't take them...

At least the PICC line makes the hydration easier, and the WaterPik has been a lifesaver - really has improved my mouth hygiene and reduced the pain I was feeling. But the days of painkillers are back now...

I'm just hoping that my jaw continues to open enough to get to the end of the treatment - it's not a happy bunny right now

11 to go... I can see the finish line glimmering in the distance...

Thanks all for the support - your words help...


Age 48, Rabid non-smoker, Mom, horse lover
Diagnosed SCC Feb 11/14
CT Scan showed three larger than normal lymph nodes
Partial Gloss & SND Mar 25, 2014
Nodes Clear/ 3mm margin / RADs recommended
Began RADs May 20, 2014 (30 in total) ENDED June 30th
Joined: Jan 2014
Posts: 31
bwb Offline
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Seriously about the lactose intolerance. My mom is not lactose intolerant at all so all is good, but if it were me? I would be in a world of calorie hurt.


Caregiver to mom Chris, symptoms started 12/18/13. Biopsy 1/18/14, Diagnosed t2n2 2/3 2014. 3x Carboplatin and Taxotere finished 4/21/14. Chemo/Rads 8 erbitux 36 rads began 5/12/2014. End 6/20/2014. Pnuemonia 6/23/2014. 1 month in hospital 3 in rehab. PEt NED 11/8/2014, T3 recurrence DX 3/4/2015. Hemiglossectomy/mandiblectomy 4/27/2015. 30 rads end 07/24/2015. 4 years NED.
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Senior Patient Advocate
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LWP,

Listen you must find a way to get the calories down and the water down without discomfort and nausea. Unfortunately it's probably going to get worse, even much worse from now until about 3 weeks post Tx. I would consider a nasal tube. It's a non surgical option to the PEG and it can REALLY help bypass the mouth pain and the gag reflex when swallowing.


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.
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Administrator, Director of Patient Support Services
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I didnt realize any dairy products were part of the over the counter formulas. Get a nasal tube ASAP. With a nasal tube you can ask for prescription formulas that are made for people who are lactose intolerant.

Bottom line is you MUST get more calories in or you will soon hit a brick wall, probably ending with hospitalization. Ive been down that road and its horrible. Im sure I gave you the minimums and explained how important they were... at least 2500 calories and 48-64 oz of water every single day until you hit your one year anniversary post rads.

Good luck!!!



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
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