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#71296 03-10-2008 03:14 PM
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My hubby came home this evening complaining of a bad sore throat. He said he mentioned it to his ENT today at surgery follow-up and they went ahead and swabbed his throat and it was negative for strep. So my question is could it be the radiation/chemo this fast? I wouldn't think so and wasn't expecting anything this fast.
Thanks,
Michelle


Michelle, CG to husband (45), DX 2/08 Stage IVa Adenocarcinoma Salivary Gland (T2N2bMO)
Parotidectomy & ND 2/08, Tumor margins not clear, 4 of 30 nodes positve for cancer,
TX IMRT 39x, cisplatin 7x (completed 5/1/08),
PEG (4/22 - 7/9), No port. Currently in remission!

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I felt a slight difference in my throat after the first rad Tx but I just went with the flow. I really started feeling a sore throat after 10 rad Txs and some here didn't get bothered until later so it is what it is as each of us can react differently.


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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This appears to be quite variable. I felt essentially nothing for the first 9 treatments. (I had 3 rads then a break for a week. After the 9th radiation my taste buds went south within a few hours. Breakfast ok. Lunch ..... what the hell did I just eat to metallic cardboard in the evening. real irritation started for me after the midpoint.

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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I so hope this is a cold and not early treatment effects. His throat is sore, coughing up mucous and he says cokes are burning his throat. No fever and the sore throat has not stopped his eating so it's not severe yet or anything but it's bothering him and he's getting pretty hoarse. It's frustrating of course that it is such a variable thing. I'm sure you have all felt the same way. Thanks for listening!!


Michelle, CG to husband (45), DX 2/08 Stage IVa Adenocarcinoma Salivary Gland (T2N2bMO)
Parotidectomy & ND 2/08, Tumor margins not clear, 4 of 30 nodes positve for cancer,
TX IMRT 39x, cisplatin 7x (completed 5/1/08),
PEG (4/22 - 7/9), No port. Currently in remission!

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Any chance this is thrush?
Once I remember Mary's mouth didn't bother her, but her throat was sore and it ended up being a mild-moderate case of thrush.
At least worth checking out since this is usually easily dealt with....
Liz


CG to friend Mary. SCC Stage IV-A of rt. tonsil, mets. to lymph node on rt. DX 06/07,tonsillectomy 08/07, Chemo Cisplatin, Taxotere and 5FU X3 cycles; RAD completed 1/20/08 RND scheduled for 3/08. 54yr.old, NS, social drinker.
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Michelle,

What has his RO said?


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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He said yesterday when he went in for radiation he asked to see the RO and he breezed in and said go see your PCP. I asked Dan did he describe his symptoms and ask could it be early radiation effects - NO. I asked him did RO look in his mouth - no. Dan said he told him he had a cold??? I love my hubby alot, but he is HORRIBLE at communicating to docs, etc. that is why I don't let him go to most appointments on his own. Tomorrow we have labs, see both docs, the NP and have both treatments and I will be with him all day. We start at 8:00am so hopefully we will have some resolution before we leave the center.


Michelle, CG to husband (45), DX 2/08 Stage IVa Adenocarcinoma Salivary Gland (T2N2bMO)
Parotidectomy & ND 2/08, Tumor margins not clear, 4 of 30 nodes positve for cancer,
TX IMRT 39x, cisplatin 7x (completed 5/1/08),
PEG (4/22 - 7/9), No port. Currently in remission!

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Posts: 8,311
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Most of the time I was glad to have my wife along with me especially since we were able to write our questions down on the 40 mile trip to the rad Txs. Then we just rattled off the questions and she took notes. When she wasn't with me I tended to gloss over things only to wish later I had asked.


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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Michelle,
My 2 cents worth.
It is possible that his sore throat is due to the affects of chemo/rad treatment even this early in treatment. It is also equally as probable that he does, in fact, have a viral cold. A virus would be much more able to cause problems with cells and tissue that are being weakened by chemo/rad treatment.
Did they check for "candida" or thrush? It is uncommon but, thrush can occur in the throat with the primary symptoms mimicking that of a viral cold. Thrush does not always appear as a whitish area that can be wiped off. It can cause the tissue to become red, inflammed and painful without the classic appearance.
Check with his docs.
I am 100% in agreement with David. If you can, you need to be there with your husband. When I was left to go to appointments by myself I went into a "bubble" and never got all of my questions answered or never asked. My wife would be very irate with me when I got home. After two of these sessions she made sure she was at my appointments even though I told her it was unnecessary. I realize now the benefit of her attendance.
Cheers,
Mike


Dentist since 1995, 12 year Cancer Survivor, Father, Husband, Thankful to so many who supported me on my journey so far, and more than happy to comfort a friend.
Live, Laugh, Love & Learn.
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I'm with you guys about being with him. We had thought that for these early quick radiation appointments that he would take himself and I would go with him always on chemo days and always on days when he had a doc appointment. It's tough logistically sometimes with our toddler son. But now I realize that I am just going to have to make it work and go with him to every appointment. Thanks for all your replies and I will definately ask about thrush tomorrow morning. We'll be at the cancer center pretty much all day tomorrow so we better know an answer when we leave :-)


Michelle, CG to husband (45), DX 2/08 Stage IVa Adenocarcinoma Salivary Gland (T2N2bMO)
Parotidectomy & ND 2/08, Tumor margins not clear, 4 of 30 nodes positve for cancer,
TX IMRT 39x, cisplatin 7x (completed 5/1/08),
PEG (4/22 - 7/9), No port. Currently in remission!

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