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Joined: Aug 2006
Posts: 199
Me2
Senior Member (100+ posts)
Senior Member (100+ posts)

Joined: Aug 2006
Posts: 199
Wow - what good advice everyone has given. My "words of wisdom" to new docs are fairly simple:
1) Remember that your patient is a human being feeling scared, angry and completely helpless. Treat your patients like they were your husband, wife, mother or father.
2) Don't assume your patients know anything - explain everything in simple terms, with complete explanations. Even if they do know they are so shell shocked they don't remember.


Ginny M. SCC of Left lateral tongue Dx 04/06,Surgery MDACC 05/11/06: Partial glossectomy with selective neck dissection. T1N0M0 - no radiation. Phase III clinical trial ("EPOC" trial)04/07 thru 04/08 because tests showed a 65% chance of recurrence. 10 Year Survivor!
Joined: Sep 2006
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"OCF Canuck"
Patient Advocate (1000+ posts)
"OCF Canuck"
Patient Advocate (1000+ posts)

Joined: Sep 2006
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My two suggestions would be:

1) Tell your patient there is no such thing as a stupid question, that the Dr. understands patient fears, that it is okay to call to make appointments to clear up any potential issues - even if the patient might think it is silly, they don't think that.

2) The Doctor should address the role of the internet - tell patients that there are many many sites which would scare the liver out of any human. Provide a list of what the doctor thinks are "approved or helpful" sites, and all the while doing that stress that while one patient can learn from another - NO two patients are alike and you cannot predict your course and outcome based on what has happened to someone else - we truly all are unique. The internet is so prevelant and I think doctors ignoring that patients get information from that source is a mistake.

Enjoy your day. I'm looking forward to hearing how it turns out.

Donna


Donna,69, SCC L Tongue T2N1MO Stg IV 4/04 w/partial gloss;32 radtx; T2N2M0 Stg IV; R tongue-2nd partial gloss w/graft 10/07; 30 radtx/2 cispl 2/08. 3rd Oral Cancer surgery 1/22 - Stage 1. 2022 surgery eliminated swallowing and bottom left jaw. Now a “Tubie for Life”.no food envy - Thank God! Surviving isn't easy!!!! .Proudly Canadian - YES, UNIVERSAL HEALTH CARE IS WONDERFUL! (Not perfect but definitely WONDERFUL)
Pandora99 #68214 01-23-2008 03:13 AM
Joined: Sep 2006
Posts: 8,311
Senior Patient Advocate
Patient Advocate (old timer, 2000 posts)
Senior Patient Advocate
Patient Advocate (old timer, 2000 posts)

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Posts: 8,311
Great ideas...keep them coming.


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.
davidcpa #68235 01-23-2008 06:59 AM
Joined: Jun 2007
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Patient Advocate (old timer, 2000 posts)
Patient Advocate (old timer, 2000 posts)

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I always try to relax the Drs. It lets them know you are alive and kickin and still full of life or BS, LOLIf I can keep them laughing, then I made a friend.


Since posting this. UPMC, Pittsburgh, Oct 2011 until Jan. I averaged about 2 to 3 surgeries a week there. w Can't have jaw made as bone is deteroriating steaily that is left in jaw. Mersa is to blame. Feeding tube . Had trach for 4mos. Got it out April.
--- Passed away 5/14/14, will be greatly missed by everyone here
Joined: Nov 2006
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Senior Member (100+ posts)
Senior Member (100+ posts)

Joined: Nov 2006
Posts: 167
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David, congrats on the invite. As knowledgeable about OC as you are I know you will do fine. My 2 cents worth would be to remind them the patients time is ever more valuable and if they are there for a 1000 am appt do not make them wait until 1230 before you see them. The other would be to have the docs tell both the positives and the negatives about any treatment or surgery. There were times I felt I was prying explanations about things and it really made me feel unimportant at times. Let us know how it goes. smile


Bill B. Dx 10-16-06 Stage 4 T2N2bM0 SCC Left Tonsil,3 nodes. 1st tx 11-28-06, last tx 1-8-07. 3x Cisplatlin, 5fu pump, and Doxetaxel. Modified neck dissection,20 Nodes removed, all clear 02-21-07. HPV+,33 IMRT start 3-22-07 70GY,Completed 05-04-07 smile
Talbill #68274 01-23-2008 05:23 PM
Joined: Apr 2005
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Patient Advocate (old timer, 2000 posts)
Patient Advocate (old timer, 2000 posts)

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David,

Nothing to add to the wonderful responses you have received, but I wanted to tell you how great I think it is that you were asked to do this and I am thrilled that you are back in action here on the forum. Thank you for your continuing efforts on behalf of Oral Cancer Awareness and I'm sure that you will do a great job.

Jerry


Jerry

Retired Dentist, 59 years old at diagnosis. SCC of the left lateral border of the tongue (Stage I). Partial glossectomy and 30 nodes removed, 4/6/05. Nodes all clear. No chemo no radiation 18 year survivor.

"Whatever doesn't kill me, makes me stronger"
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Senior Patient Advocate
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All I can say is WOW WOW and DOUBLE WOW. I learned so much listening to Dr Trotti and especially all the slides and charts and graphs. It's one thing talking to our doctors in the exam room and talking to each other on this site but to see slides and charts and graphs of all the things we talk about is really enlightening. And dummy me I didn't think to take a pen and paper.

Anyway there were 160 med students in attendance and Trotti did his thing for about 1 1/2 hours. After a short break, he introduced me and gave my history and then handed me a microphone and started asking me questions starting with "how did I find out I had cancer" and ending with " what am I feeling like 17 months post Tx". I talked for at least an hour and then he opened it up to a Q and A session and you should have seen the hands. I know I mentioned the OFC at least 20 times and I got to mention every thing everyone had suggested. I really felt I made an impact on these students and relationships with future cancer patients judging by the depth of their questions. He had to cut off the questions because we ran out of the alloted time.

Dr Trotti told me after the session that he wants to do this again and wants me to be be there. I told him that was up to him to make sure I was still kicking.

There was one thing funny that is worth mentioning. Dr Trotti gave a brief history of radiology and he said that the first Head and Neck patient treated with radiation was in 1902 (Jim remember?) and it was for cancer of the voice box in an attorney. True fact. Then he said with a straight face that it was the first mistake that medical profession admits to !! I can't wait to tell my lawyer friends.



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.
wilckdds #68337 01-24-2008 12:49 PM
Joined: May 2002
Posts: 2,152
Patient Advocate (old timer, 2000 posts)
Patient Advocate (old timer, 2000 posts)

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Don't forget to send the patient to Physical Therapy after ND. Also PT help with lymph drainage and trismus issues as results of radiation.

My biggest problem was and is communication trying to get test results. Doctors won't do email because they'd get 2000 a day. Trying to get call back from the nurse or secretary doesn't work. Sometimes I can't even get through to the dept. I can't imagine being a current cancer patient and trying to deal with that. Doesn't seem to be just one dept. It's the same in all of them. Drs need to make certain that their staff is doing the proper follow up in a timely fashion and that their staff has an easy method of leaving a message, be it phone mail or email. Relieving this type of frustration helps everyone.

Eileen


----------------------
Aug 1997 unknown primary, Stage III
mets to 1 lymph node in neck; rt ND, 36 XRT rad
Aug 2001 tiny tumor on larynx, Stage I total laryngectomy; left ND
June 5, 2010 dx early stage breast cancer
June 9, 2011 SCC 1.5 cm hypo pharynx, 70% P-16 positive, no mets, Stage I
Eileen #68351 01-24-2008 03:14 PM
Joined: Nov 2007
Posts: 681
"Above & Beyond" Member (500+ posts)
"Above & Beyond" Member (500+ posts)

Joined: Nov 2007
Posts: 681
We went to a doctor whose group had a wonderful system. To get results of any testing there was an 800 number to call. The patient had a permanent code and you gave your doctor's name and he came on with a recorded message. The doctor gave you a business size card with all the numbers and how soon to call. They also had a lab in the same office so if you had to have work either before or after a visit you didn't have to run around like a chicken with it's head chopped off.


SCC stage II Partial mandibulectomy w. neck dissection- July 2005. Renal cancer w. partial nephrectomy-Jan 2004. Breast cancer discovered in routine mammogram. Successful lumpectomy, sentinal nodes clear, RT only-2008 Reconstruction of mandible w fibula free flap-Jan 09. TORS removal of begnin pappiloma from esophagus-2010. Masectomy,rt breast 2013.
Support OCF
Eileen #68352 01-24-2008 03:15 PM
Joined: Jul 2007
Posts: 939
"Above & Beyond" Member (500+ posts)
"Above & Beyond" Member (500+ posts)

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Posts: 939
Eileen,

Oddly enough, Bill's MO did do email...and boy was it wonderful to be able to reach him and know that he would handle it at a time convenient to him. I did not write him unless it was important (really important,) but I kid you not, I never waited more than 20 minutes for a reply...just amazing. His staff told me before treatment started that he was a terrific doctor...they were more than correct!

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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