#41661 08-27-2007 09:33 AM | Joined: Jun 2007 Posts: 510 "Above & Beyond" Member (300+ posts) | OP "Above & Beyond" Member (300+ posts) Joined: Jun 2007 Posts: 510 | Just returned from hospital; Buzz got PEG, has had TWO oxocodone and is writhing in pain....I did a search and found a gazillion posts about PEGS...don't have time to read all of them at this moment...IS THIS LEVEL OF PAIN NORMAL???
CG to 77 y/o hubby;SCC Alveolar Ridge; Wake Forest Baptist Hosp surgery: 07/19/07; bi mod radical resection/jaw replacement; T2 N2-B M0 Stage IV-A 28 IMRT + 6 Paclitaxel/Carboplatin Getting stronger every day!
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#41662 08-27-2007 09:42 AM | Joined: Jul 2007 Posts: 939 "Above & Beyond" Member (500+ posts) | "Above & Beyond" Member (500+ posts) Joined: Jul 2007 Posts: 939 | No, Lois
I don't think this is normal but we have only experienced one so we are not the experts. Bill took some liquid tylenol w/ codeine (15cc) right before he was released and did not need anything till the next day so something is not quite right. Bill was sore but not writhing in pain. No one should be hurting that bad no matter what...I would call and get help!
Deb..caregiver to husband, age 63 at diagnosis, former smoker who quit in 1997. DIAGNOSIS: 6/26/07 SCC right tonsil/BOT T4N0M0 TREATMENT START: 8/9/07 cisplatin/taxol X 7..IMRT twice daily X 31.5. TREATMENT END: 10/1/07 PEG OUT: 1/08 PORT OUT: 4/09 FOLLOWUP: Now only annual exams. ALL CLEAR!
Passed away 1/7/17 RIP Bill
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#41663 08-27-2007 10:36 AM | Joined: Aug 2007 Posts: 41 Contributing Member (25+ posts) | Contributing Member (25+ posts) Joined: Aug 2007 Posts: 41 | Hi, Call someone i got a peg and no pain untill thay took it out and then only for a minute or two. paul
paulie
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#41664 08-27-2007 11:00 AM | Joined: Apr 2006 Posts: 5 Member | Member Joined: Apr 2006 Posts: 5 | This is absolutely not normal. Call your doctor immediately! The same thing happened to my husband, he had a tear that had to be surgically repaired. Good luck! | | |
#41665 08-27-2007 11:55 AM | Joined: Mar 2007 Posts: 179 Gold Member (100+ posts) | Gold Member (100+ posts) Joined: Mar 2007 Posts: 179 | not normal , I would call the dr. LJ
CG to husband 53,39 rads. 3 rds cisplastin ended 6/2/07 Tonsils removed 1.10.07 11 of 20 nodes positive- lump removed on rt. side of neck 1/26/07 cancer of nasal pharnyx TXN2MX 2nd rd. of chemo- carbo/taxol on 6/11/07
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#41666 08-27-2007 12:26 PM | Joined: Aug 2006 Posts: 294 Gold Member (200+ posts) | Gold Member (200+ posts) Joined: Aug 2006 Posts: 294 | Doesn't sound normal. When I woke up from the sleep and had my new pull string I don't recall feeling anything at all. The only pain came when it was removed several weeks later.
Bill D.
Dx 4/27/06, SCC, BOT, Stage III/IV, Tx 5/25/06 through 7/12/06 - 33 IMRT and 4 chemo, radical right side neck dissection 9/20/06.
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#41667 08-27-2007 02:04 PM | Joined: Mar 2006 Posts: 114 Senior Member (100+ posts) | Senior Member (100+ posts) Joined: Mar 2006 Posts: 114 | I had to go back to the hospital after mine was done - from horrible pain. We thought it was infected. It turned out the tube was simply too tight - the little plastic/rubber flap that 'anchors' it outside the stomach to keep it from pulling 'in' to the stomach. If it's locked down too tight, it causes internal irritation and hurts horribly.
A simple adjustment to loosen it and I was in almost immediate relief.
I have heard of other cases of this as well.
-Steve J
Age 41 - Stage 2 SCC tongue Dx 2/06. Cisplatin x3, IMRT x35. Mets to neck node discovered 7/07. RND 40 nodes removed, margins not clear. Cisplatin, Taxotere, 5-FU Fall 07, then IMXT/Erbitux for 7 wks. Inoperable mets to both lungs and pleura Dx Oct'08. 4 cycles Carboplatin, Erbitux, 5-FU so far.
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#41668 08-27-2007 02:51 PM | Joined: May 2007 Posts: 666 "Above & Beyond" Member (500+ posts) | "Above & Beyond" Member (500+ posts) Joined: May 2007 Posts: 666 | Same thing that Steve described happened to me too. Except that the "dude" who put it in told me that it is just in my head..... Well it was simply to tight, once it was loosened (a few days later!) everything was fine. However, there are also other possibilities so talk to your physician.
Markus
Partial glossectomy (25%) anterior tongue. 4/6/07/. IMRT start @5/24/07 (3x) Erbitux start/end@ 5/24/07. IMRT wider field (30x) start 6/5/07. Weekly cisplatin (2x30mg/m2), then weekly carbo- (5x180mg/m2). End of Tx 19 July 07.
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#41669 08-27-2007 03:17 PM | Joined: Jun 2007 Posts: 510 "Above & Beyond" Member (300+ posts) | OP "Above & Beyond" Member (300+ posts) Joined: Jun 2007 Posts: 510 | THANKS to all of you for your posts! It's now 10pm here in NC and Buzz has 1500 mg Oxycodone in him and is feeling a bit better, as long as he sits up and doesn't move!
If he is not remarkably improved by morning, we're off to Pinehurst to see the surgeon. And, obviously, if the pain doesn't subside, we'll make the trip before then if needed. You MEN can be SO damned stubborn!
The GOOD news is that Buzz completed the fitting for his mask and got a CT scan immediately after the PEG placement today. In addition to the IV meds given before/during surgery, I insisted that he take the Ativan, so he had no problems with the fitting...thank GOD!
I sincerely appreciate everyone here...It's great to know that I can have a panic attack about something, post, and get immediate responses from those of you who have already 'been there'...
Don't stop praying! Thanks...Lois
CG to 77 y/o hubby;SCC Alveolar Ridge; Wake Forest Baptist Hosp surgery: 07/19/07; bi mod radical resection/jaw replacement; T2 N2-B M0 Stage IV-A 28 IMRT + 6 Paclitaxel/Carboplatin Getting stronger every day!
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#41670 08-27-2007 03:42 PM | Joined: Mar 2002 Posts: 1,140 Likes: 1 Patient Advocate (1000+ posts) | Patient Advocate (1000+ posts) Joined: Mar 2002 Posts: 1,140 Likes: 1 | Get him back to the docs, Emmylou, because that kind of pain is not anywhere near normal. I took only a couple of OTC Tylenols, and was out doing very heavy yard work the next day, with no pain at all. At the most, from what I have heard from other PEG people, there should be some slight soreness. | | |
#41671 08-27-2007 04:13 PM | Joined: May 2007 Posts: 16 Member | Member Joined: May 2007 Posts: 16 | Emmylou,
My husband also had bad pain this was caused by gas they put into the stomach. If you received discharged papers check them that was one of the items mention in when to notifying your doctor for I would call the Doctor and check with him now don't wait until tomorrow.
CG to Larry 61, 1st Dx 8-18-06 TlNoMo SCC Right Lateral Tongue- second Dx 1-25-07 Right neck dissection-T1N1Mo. Treatment started 3-20-07 Radiation & Etyhol Finish 5-31-07
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#41672 08-28-2007 04:14 PM | Joined: Jun 2007 Posts: 718 "Above & Beyond" Member (500+ posts) | "Above & Beyond" Member (500+ posts) Joined: Jun 2007 Posts: 718 | Emmylou,
Curious what the outcome was with your husband, the pain and the PEG. Hope all is well! Margaret ---------- C/G: Husband, 48 (at time of dx) Dx 5/18/07 SCC, BOT, lymph node involvement. T1N2BM0. (Stage 4a, G2/3) Tx 6/18 - 8/3/07, IMRT x 33 Cisplatin x3 (stopped after 1st dose due to hearing issues). Weekly Erbitux started 6/27/07 completed 8/6/07.
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#41673 08-28-2007 04:51 PM | Joined: Jun 2007 Posts: 510 "Above & Beyond" Member (300+ posts) | OP "Above & Beyond" Member (300+ posts) Joined: Jun 2007 Posts: 510 | Hi Marg: Buzz slept sitting up in a chair last night...utterly refused to go to E.R., or to let me call the doctor...MEN! You can't live with 'em, and you just can't kill 'em....
I managed to get FOUR Oyxcodone in him before 1am, and he was okay, just as long as he didn't MOVE at all...
This morning he was much improved, and had a visit from the home-care nurse this afternoon, who checked the PEG site and said it looked okay.
We are scheduled for "chemo class" tomorrow afternoon, which should be interesting.
I was going to post earlier, but after responding to my pm's and e-mails, and reading the most recent posts, I didn't think Buzz' condition was anywhere near as important as some of the issues that others are having.
My heart hurts for everyone here...I get so excited when someone reaches a milestone in their treatment.
After reading John's eulogy to Lynn tonight, I just sat and cried.
Grandma always said "as long as there is breath, there is hope"...I keep repeating that...
God bless you all......
CG to 77 y/o hubby;SCC Alveolar Ridge; Wake Forest Baptist Hosp surgery: 07/19/07; bi mod radical resection/jaw replacement; T2 N2-B M0 Stage IV-A 28 IMRT + 6 Paclitaxel/Carboplatin Getting stronger every day!
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#41674 08-28-2007 07:01 PM | Joined: Apr 2006 Posts: 583 "Above & Beyond" Member (500+ posts) | "Above & Beyond" Member (500+ posts) Joined: Apr 2006 Posts: 583 | emmylue, Keep your head up and keep going. It is not easy I know.
We all do our best with what we have. That is all we can ask of our selves.
We are cancer free until our next visit. We live for today during that time!! That is what I do. I hope this will help in some small way.
Do not think that Buzz condition is not important to us all. He is very important. If we can help him in any way, we will!! We want to help you as well.
Fighting Cancer is hard on everyone!! That means you too!! Take care and do not be afraid to email anyone for help. bye For now.. Diane
2004 SCC R.tip 1/4 tongue Oct. 2005 R. Neck SCC cancer/Chemo Cisplatin 2x/8wks. Rad. Removed Jugular vein, Lymph gland & some neck muscle. TX finished 1/20/06... B.Cancer 3/29/07 Finished 6/07 Bi-op 7/15/09 SCC in-situ, laser surgery removed from 1st. sight. Right jaw replacement 11/3/14. 9 yrs cancer free as of Jan. 2015
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#41675 08-29-2007 02:37 AM | Joined: May 2007 Posts: 622 Likes: 1 "Above & Beyond" Member (500+ posts) | "Above & Beyond" Member (500+ posts) Joined: May 2007 Posts: 622 Likes: 1 | Hi Emmyloe
Voice of experience here, I had a lot of pain with my PEG and it turned out to be an abscess infection, Yeah it "looked" okay, "maybe a little red" he said, but after fighting it for 2 weeks, they finally decided it was infected. Now this was after I'd had it in for a month, but just be aware that this is a possibility.
Kevin 18 YEAR SURVIVOR SCC Tongue (T3N0M0) diag 06/2006. No evidence of disease 2010 Another PET 12-2014 pre-HBO, still N.E.D.
�Remember to look up at the stars and not down at your feet. It matters that you don't just give up.� Stephen Hawking | | |
#41676 08-29-2007 05:24 AM | Joined: Jul 2007 Posts: 939 "Above & Beyond" Member (500+ posts) | "Above & Beyond" Member (500+ posts) Joined: Jul 2007 Posts: 939 | Lois,
I would like to add this as well. Don't let Friday come if you still have concerns and Buzz is still in a lot of pain....the weekends are not the greatest time to get help. Voice of experience!
Also wanted to add this. Bill's belly got sores from the tape & gauze over his Peg site...we tried both paper tape(terrible) and cloth tape (better but not great.) So, I just "slid" one of those 2 X 2 drainage gauzes just under the flange at the insertion point and then used a large ace bandage wrapped all the way around front to back to hold the tube in place. Bill was so relieved to get rid of the tape and the ace bandage is soft and breathable. He now needs no gauze and just uses the ace. It allows him to move the tube tip around to different place but keep it upright and not leaking. Calls it his "bra." They are washable so get a couple to alternate. Bill keeps commenting how much more comfortable he is.
Good luck. Deb
Deb..caregiver to husband, age 63 at diagnosis, former smoker who quit in 1997. DIAGNOSIS: 6/26/07 SCC right tonsil/BOT T4N0M0 TREATMENT START: 8/9/07 cisplatin/taxol X 7..IMRT twice daily X 31.5. TREATMENT END: 10/1/07 PEG OUT: 1/08 PORT OUT: 4/09 FOLLOWUP: Now only annual exams. ALL CLEAR!
Passed away 1/7/17 RIP Bill
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#41677 08-29-2007 09:33 AM | Joined: Dec 2006 Posts: 9 Member | Member Joined: Dec 2006 Posts: 9 | Towards the end of using my PEG I too had a tape rash that was increasingly uncomfortable. I then started using a coaches lanyard for a whistle! Just detach the whistle but leave the clip. Slide the tube through and choke it at the narrow part. It kept the PEG tube adjustable, elevated to whatever position I needed, and allowed my skin to start healing.
Frank
SCC, dx July 2006,Stage II,front third of tongue, surgery Oct 16, 2006, radical neck dissection, 20 lymph nodes removed right side negative, tongue resection,IMRT Dec.2006-Jan.2007 45X,T2N0M0, no chemo. Roswell Park Cancer Institute Buffalo, NY.
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#41678 08-29-2007 01:25 PM | Joined: Jun 2007 Posts: 510 "Above & Beyond" Member (300+ posts) | OP "Above & Beyond" Member (300+ posts) Joined: Jun 2007 Posts: 510 | Hi All! Thanks for your input and suggestions. Here's an update:
Buzz slept NONE last night, sitting upright in his lounge chair. He was still in much pain this morning, nausea, but no vomiting...I called the surgeon who did the PEG; he wanted to see Buzz at the hospital asap.
Buzz had a CT scan, and the site was cultured, just in case he picked up 'staph' or some other bug while in the hospital Monday. Pain med, fluids and antibiotic via IV.
8 hours later back home. New prescription for Percocet, antibiotic and Prevecid. No CT scan or culture results yet!
Chemo class scheduled for today has now been re-set for tomorrow. We also learned that Buzz is to get his 1st chemo next Wednesday.
We are both exhausted, as most of you can relate!
Thanks for your thoughts and prayers!
Lois & Buzz
CG to 77 y/o hubby;SCC Alveolar Ridge; Wake Forest Baptist Hosp surgery: 07/19/07; bi mod radical resection/jaw replacement; T2 N2-B M0 Stage IV-A 28 IMRT + 6 Paclitaxel/Carboplatin Getting stronger every day!
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#41679 08-29-2007 02:06 PM | Joined: Jul 2007 Posts: 939 "Above & Beyond" Member (500+ posts) | "Above & Beyond" Member (500+ posts) Joined: Jul 2007 Posts: 939 | Lois,
So sorry to hear that you guys are having such a hard time...jeez, it just too much! I am glad you saw your doc. Buzz's nausea is probably from all the pain meds ..poor soul. Hope you both can get some sleep tonight and I will say a little prayer for you both. If he keeps having pain...pitch a hissy fit (good NC term) and get someone to do something different! He just should not be having this kind of discomfort!
Feel better Buzz...Deb
Deb..caregiver to husband, age 63 at diagnosis, former smoker who quit in 1997. DIAGNOSIS: 6/26/07 SCC right tonsil/BOT T4N0M0 TREATMENT START: 8/9/07 cisplatin/taxol X 7..IMRT twice daily X 31.5. TREATMENT END: 10/1/07 PEG OUT: 1/08 PORT OUT: 4/09 FOLLOWUP: Now only annual exams. ALL CLEAR!
Passed away 1/7/17 RIP Bill
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#41680 08-29-2007 04:06 PM | Joined: Apr 2005 Posts: 2,676 Patient Advocate (old timer, 2000 posts) | Patient Advocate (old timer, 2000 posts) Joined: Apr 2005 Posts: 2,676 | Hissy fit is also a good "Nurse from Hell" [or wife from hell as the case may be-term One of the hardest things I had to learn was to NOT let a problem fester until Friday. If it looks like a potential problem on Wednesday- get it addressed on Thursday!!!. Doctors tend to disappear for the weekends. I have some hats I can send you Lois. Amy in Oz
CGtoJohn:SCC Flr of Mouth.Dx 3\05. Surg.4\05.T3NOMO.IMRTx30. Recur Dx 1\06.Surg 2\06. Chemo: 4 Cycles of Carbo\Taxol:on Erbitux for 7 mo. Lost our battle 2-23-07- But not the will to fight this disease
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#41681 08-30-2007 04:17 AM | Joined: Jun 2007 Posts: 10,507 Likes: 7 Administrator, Director of Patient Support Services Patient Advocate (old timer, 2000 posts) | Administrator, Director of Patient Support Services Patient Advocate (old timer, 2000 posts) Joined: Jun 2007 Posts: 10,507 Likes: 7 | Has the PEG tube ever been loosened? Mine hurt quite a bit until the doctor finally loosened it. ChristineSCC 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 | | |
#41682 09-05-2007 04:29 PM | Joined: Dec 2006 Posts: 147 Senior Member (100+ posts) | Senior Member (100+ posts) Joined: Dec 2006 Posts: 147 | Lois, My husband had the PEG and never did get relief. He was always in pain. He kept it for (3) weeks and then had it removed, against Dr.'s orders. Keep increasing the pain medication which has a tendency to constipate you. Keep the bm's going or else it will cause him to be nauseated, which seems like a never ending cycle. Finally, when it was removed, it was determined it was wayyyy toooo tight - Jim WAS a fleshy kind of guy and they expected him to lose a lot of weight and that the PEG would loosen up. Well, it didn't and it was horrific. After the PEG was removed (against Dr.'s orders), but he is very headstrong and determined. His wound would not heal and kept leaking and having a lot of infection...couldn't figure it out between his oncologist/radiation Dr. and general Dr. Finally, they were sending him to a wound care specialist and Jim got desperate the day before the appointment and really started "digging" into the hole that was left from the tube.....well, he pulled out about an 1 1/2 inch piece of a stitch that was used to hold the tube in...he refused to go to the wound care Dr. and 2 days later his tummy was closed and ceased draining. He is doing fine now. He finished Radiation 2/14/07, cleared his tummy up from the PEG in June and is beginning to gain weight, get his saliva glands back.
Hang in there....Jim (my hubby) assures me that this is harder on the care givers. It was devastating for us as we married 2 weeks after he was diagnosed. Things are going great - this website kept me going as I am always reading it, not talking much, but definately on it....just remember, the Dr.'s are doing the best they can, but we each know our own bodies the best. Just listen to it and keep asking qustions!
Good Luck! Paula and Jim
Caregiver to Husband 50 yrs.young-non smoker/non-drinker; Stage IV - all treatments stopped August 2009 Lost the battle November 23, 2010
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