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#82284 10-18-2008 03:19 PM
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Bill C Offline OP
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Finished my 33rd radiation on Friday the 10th. 3rd Cisplatin was on the 7th.

Nausea is not too awful. The mucous flow is heavy and that is my vomit trigger. Pain no too bad, I can swallow but anything I put in my mouth to chew kills the oral portion of my tongue.

PEG feeding is not going to well in the last few weeks due to hair-trigger vomiting. I am down about 45 pounds. I could spare it but I really need to retain some calories.

My neck isn't looking to bad. Skin is blistered open about the size of a quarter. I used Biafin twice daily to keep it moist. I still did get a waddle.

Using muca-mist(?) to take care of ringing in the ears. Did document some loss above 3000Hz but I did not come this far to wave off on the last wave of chemo.

When will the tongue stop hurting? How about taste bud function? How long will the musous flow remain heavy?

Thanks, you folks are my best resource.


Bill age 47 at Dx, non-smoker

1st DIAG: 8/06/2008 SCC BOT T4N1M0

2nd Diag 10/14/09 Mets in lungs

3rd diag 06/23/2010 Primary Site malignant
Hemi-glossectomy July 2


In surveillance post re-IMRT and Carbo. Lots of scar tissue, hi-FDG Uptake on PET, no lump. Feel Fine, CLEAR for now.
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Bill,

my thick phlegm is also my ralphing/hurling trigger...it's like my lung is going to pop out it gets so bad. warm tea and honey is helping me a lot. the dietitian told me papaya juice helps with the mucous. i haven't tried it though. since i'm about three weeks behind you i can't really help you on the other stuff, but i'll find out soon!...congrats on finishing!

Last edited by Ray1971; 10-20-2008 04:36 AM.

7-16-08 age 37@Dx, T3N0M0 SCC 4.778cm tumor, left side of oral tongue, non smoker, casual drinker, I am the 4th in my family to have H&N cancer
8-13-08 left neck dissection and 40% of tongue removed, submandibular salivary gland & 14 nodes clean, no chemo, IMRTx35
11-4-08 Recovering & feeling better
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I found the tried and true salt/baking soda/water not only helped mouth but helped cut phlem some.

Tongue is variable -- depends on whether they did Boost treatments directly at the tumor, how many, etc. If my experience is any guide, a couple of weeks and you should see some improvement.

Taste is more variable. A little bit will start coming back soon, but does so slowly. I reached a point about 3 months out where I thought I had gotten back all of the taste I was going to, but then it continued to improve. Today, 15 months out, I would say I have 95% of my taste back.

Tough to do, but be patient. It all comes back in time, and if you expect too much, too soon, you will inevitably be disappointed and depressed\angry. Take it one day at a time, and celebrate the improvements.

Good luck and keep posting!


Jeff
SCC Right BOT Dx 3/28/2007
T2N2a M0G1,Stage IVa
Bilateral Neck Dissection 4/11/2007
39 x IMRT, 8 x Cisplatin Ended 7/11/07
Complete response to treatment so far!!
JeffL #82360 10-20-2008 07:44 AM
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Jeff, How often did you use the baking soda and salt water daily? And did you just rinse and spit? Thanks, Angel


SCC left tonsil, tonsillectomy with additional tissue removed 06/10/08, a few teeth on top left side removed 09/05/08,recurrence before treatment started at BOT and tonsil area, 35 IMRT treatments began 10/15/08, and Cisplatin IV (began10/16/08) weekly for duration of radiation.
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Bill:

Heres some help with the peg feedings. It will ease the nasuea if you water it down with an extra 1/2 can of water. Try using a feeding pump, if you dont have one ask your doc for a prescription and run it slowly overnight. Gotta lay down propped up on 2 pillows and start out with a speed of 40 and gradually increase it by about 20 every few days til you get up to about 160. Just slow down and water it down those two things will make the world of difference in your feedings.

Right now is a rough part in your tx. Hang in there and push like crazy for 3000 calories so you maintain your weight. Losing any weight right now will make you only feel worse.

The mucous lasted about 1 month for me. Then it turned into dry mouth which lasted about 8 months. Taste buds are gone for quite a while, mine took about 4 months before I could taste anything except the flavor of burnt. That was even water tasted burnt.

Hang in there, you will start to feel a bit better very very soon. Thats whats called walking out of the tunnel, you will know when you do.



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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Bill, great that tx are over but now you're full of radiation and the nasty side effects that come with it. Your body will need time and all the calories you can pour down the peg to burn this stuff out. For me, it took several weeks before the mucous stopped, I was constantly spitting/foaming during that time ( carried a small cup with me ), and I eased back into food about a month and a half out from tx. Taste buds take a while . . . varies from person to person as you will read. Doctors can't give you any real guidance here time wise. I am still only around 70% back but that's an improvement from where I was several months ago. You are now starting the road to recovery - good luck.


Bill . . . SCC - originated in right tonsil, drifted into neck ( 28 lymph nodes removed - one positive ). Radical neck dissection in September 07, completed 34 radiation tx on January 4, 2008. Used Peg. Non smoker, 61, good shape, no previous health issues. Second year PET scan - "all clear".
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Another option for the feedings - instead of the pump at night - is to use the gravity method (food drips from a bag that hangs on a pole - looks like an IV) during the day. We started doing this for my husband on Thursday because the bolus method was making him sick. It's been wonderful. He doesn't feel like doing much other than lie around so he doesn't mind having to sit/lie around for two hours at a time (that's the time it takes to get two cans in him). He's now regularly getting 2400+ a day, whereas with the bolus he was lucky if he got 1,700 in a day. And he's no longer nauseated.


Caregiver to husband, 44, nonsmoker, nondrinker
Diagnosed 7/15/08 with BOT SCC, stage IVa.
Two positive nodes removed
Cisplatin and erbitux ended 10/15/08
Radiation over 10/20/08
Back to work 11/24/08
PEG out 12/9/08
Scans 12/2008 and 3/2009 Clear
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I'm with Wendy, the drip bags are the way to go. I had the same exact problem and the bad fixed me up.


Age 46; SCC BOT T3N1M0l dx 9/06
Cisplatin x3; radiation x42
Completed tx 10/31; Selective neck dissection 12/06

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