#83411 11-03-2008 01:57 PM | Joined: Nov 2008 Posts: 10 Member | | Member Joined: Nov 2008 Posts: 10 | I am new to this site and have read some of the forums and this looks like a good place to both give and receive support.
I was diagnosed with stage 1 tongue cancer two years ago. In Dec 06 I had a right side tongue resection with some lymph nodes on the right neck renoved. Margins were clean and all tissue removed from the neck was clean.
In Sept 08 I had a recurrence of cancer of the tongue but farther back on the underside of the tongue. A second tongue resection with clean margins was done.
I am now getting ready to undergo radiation therapy and after I have read more postings I will probably have some questions for everyone.
For right now I just wanted to say "Heh". That's how we say hi here in the south.
59 Male 10/06 SCC Stage 1 tongue cancer. 12/06 partial glossectemy right side, removal of lymph nodes. Margins and lymph nodes clean. 09/08 recurrence SCC Stage 1 tongue cancer. 10/08 partial glossectemy right side. Margins clean. Radiation recommended.
| | | | | Joined: Jun 2007 Posts: 595 "Above & Beyond" Member (500+ posts) | | "Above & Beyond" Member (500+ posts) Joined: Jun 2007 Posts: 595 | Hi Bill, Welcome aboard! This is the best forum to get answers to any all questions. Good luck with your future treatment. Semper-Fi Bob
Bob age 57, non smoker,non drinker, ended treatment on 11 Nov 2007 and started back to work on 29 Nov 2007. Veterans Day 2012 the Battle was lowered, folded, Taps was played and the Flag buried as I am know a 5 year survivor. Semper-FI !!!
| | | | | Joined: Jun 2007 Posts: 5,260 Patient Advocate (old timer, 2000 posts) | | Patient Advocate (old timer, 2000 posts) Joined: Jun 2007 Posts: 5,260 | Hey to you too Bill-G.. welcome to the best people on the internet and the most knowledgable. You will get about any question answered. Our leader in here is Brian Hill and if he doesn't have an answer for you , he will find it. This is a great plce and I want to wish you all of the best from us yankees LOL
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 2007 Posts: 212 Gold Member (200+ posts) | | Gold Member (200+ posts) Joined: Nov 2007 Posts: 212 | Hi Bill,
Welcome to our boards. Lots of people with lots of different experiences here but all more than willing to share. It's a good place for both information and support. Best of luck.
Susan
Cancer of Tongue, SCC early Stage 1, Dx 3/13/07, partial glossectomy 4/14/07 found no residual carcinoma and a granular cell tumor with pseudo epitheliomatous hyperplasia.
| | | | | Joined: Jun 2007 Posts: 10,507 Likes: 8 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: 8 | Hello Bill and welcome to OCF.
When you get time, please add some info to your signature so its easier to respond to yoru questions.
Sorry to hear about your recurrance. Something that helped me get thru mine was knowing I beat it once, I can do it again.
Your post said you were going to start chemo/rad. Several things to know going into it..... if you are able to eat, do it now and eat like crazy. Dont worry about calories or gaining weight, you dont want to have regrets later. As long as you can eat, get all the spicy stuff in now and steaks, bread, meats, and sandwiches even a soda. Those things will be difficult if not impossible for a while later. Also do stretching exercises to work your jaw, drink everday (dont mean booze). Swallowing is an important function you dont want to have trouble with later.
Feel free to ask any questions that may come up. Also there is a ton of info on the main OCF pages with a good search functin availble there too.
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 | | | | | Joined: Sep 2006 Posts: 8,311 Senior Patient Advocate Patient Advocate (old timer, 2000 posts) | | Senior Patient Advocate Patient Advocate (old timer, 2000 posts) Joined: Sep 2006 Posts: 8,311 | When will your radiation start and have they discussed chemo options with you?
As Christine said, eat now like you want to gain 150 lbs. Eat all your favorite things. During Tx your taste will go bye bye and so will your saliva so now is the time to stock up on eating memories.
You will find this site to be a valuable asset in your war against th1s cancer.
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.
| | | | | Joined: Nov 2008 Posts: 10 Member | | Member Joined: Nov 2008 Posts: 10 | I couldn't make it through the mask fitting. I tried the first day and lasted about 10 minutes. Next day I took valium and couldn't last 1 minute. I completely panicked. The readiologist said he can't do anything for me unless I can keep the mask on. He did not offer any solutions. I am so scared when I put the mask on that I can'stand it. I am thinking about going to a hypnotist or a therapist to overcome this fear but I don't know if that will happen soon enough. Are there any other solutions that people have tried?
I can barely make it through my normal quarterly CAT scans because of the anxiety.
59 Male 10/06 SCC Stage 1 tongue cancer. 12/06 partial glossectemy right side, removal of lymph nodes. Margins and lymph nodes clean. 09/08 recurrence SCC Stage 1 tongue cancer. 10/08 partial glossectemy right side. Margins clean. Radiation recommended.
| | | | | Joined: Sep 2008 Posts: 250 Platinum Member (200+ posts) | | Platinum Member (200+ posts) Joined: Sep 2008 Posts: 250 | Bill,
I wish I could help, but anything I could say would involve common sense, and phobias, as we all know, don't respond to common sense, and it sounds like that's what you have. I hope someone else here who had the same problem can help get you through it, because your life depends on it. You absolutely must find a way to conquer this fear in order to conquer the cancer.
I'll be pulling for you. You can do this.
Lani
SCC part glossectomy 3/06, recur 8/06 glossectomy, floor of mouth, part of jaw removed, RT/chemo thru 10/12/06, PET clear 7/08 "A bend in the road is not the end of the road, unless you fail to make the turn" Passed away 12/14/08
| | | | | Joined: Nov 2008 Posts: 51 Supporting Member (50+ posts) | | Supporting Member (50+ posts) Joined: Nov 2008 Posts: 51 | We pumped Linda up with Ativan. Don't know if that will help since you already tried vallium. I have heard others mentioning using music and things like that. Good luck!
P.S. Welcome to the site!!
Last edited by justjan123; 11-06-2008 02:32 PM.
Cg to partner, Stage IV SCC of upper left mandible, met to lymph nodes. Dx 4/1/2008. Inopperable, 3 rounds of chemo followed by 2 rounds of chemo with 33 tx of radiation. Growth started again immediatly following. She crossed over November 30, 2008.
| | | | | Joined: Sep 2006 Posts: 8,311 Senior Patient Advocate Patient Advocate (old timer, 2000 posts) | | Senior Patient Advocate Patient Advocate (old timer, 2000 posts) Joined: Sep 2006 Posts: 8,311 | Bill,
First off you must wear the mask or your precisely aimed radiation will not do the job it's designed to do and that is kill the cancer. So you are putting your life at great risk since this cancer is extremely aggressive.
That said, you now must dig as deep as you can within yourself and just do it. You really don't have any option unless, of course, you want to give in to the cancer which will kill you in about a year. It's was not pleasant at first for any of us and granted some have a worse time than others. I will say, like just about anything else, you will become accustomed to it but you have to do once to start to get use to it. Some have gotten meds to help them and I found listening to loud music did the trick for me. Even when I didn't like the song I would count to myself to see how long each position took. If you're like most of us you will have appx 35 treatments with each lasting less than 15 minutes so come on tell yourself "I can do this!!"
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.
| | | | | Joined: Nov 2005 Posts: 1,128 Patient Advocate (1000+ posts) | | Patient Advocate (1000+ posts) Joined: Nov 2005 Posts: 1,128 | Keep your eyes closed -- Perhaps being led in wearing a sleeping mask to blind you might help.
Otherwise, see if you can find a therapist.
Age 67 1/2 Ventral Tongue SCC T2N0M0G1 10/05 Anterior Tongue SCC T2N0M0G2 6/08 Base of Tongue SCC T2N0M0G2 12/08 Three partial glossectomy (10/05,11/05,6/08), PEG, 37 XRT 66.6 Gy 1/06 Neck dissection, trach, PEG & forearm free flap (6/08) Total glossectomy, trach, PEG & thigh free flap (12/08) On August 21, 2010 at 9:20 am, Pete went off to play with the ratties in the sky.
| | | | | Joined: Aug 2008 Posts: 531 "Above & Beyond" Member (500+ posts) | | "Above & Beyond" Member (500+ posts) Joined: Aug 2008 Posts: 531 | For me and I am as anxious as they come...I have a severe anxiety disorder although never had radiation and that experience...For me even a cat scan I found myself getting anxious...the only advice that worked for me is to detach from myself and concentrate on breathing...follow the breath in and out...or focus on a part of my body and breathe it does help for me...
Dianne..treatment at cc at Victoria Hospital, London, Ontario...insulin dependant, Surgery Sept 8/08 Tracheotomy,composite resection and bilateral neck dissection, left radial forearm free flap... T2N0 squamous cell carcinoma. No radiation A little over 2 yrs clear YAY
| | | | | Joined: Jun 2007 Posts: 5,260 Patient Advocate (old timer, 2000 posts) | | Patient Advocate (old timer, 2000 posts) Joined: Jun 2007 Posts: 5,260 |
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: Jun 2008 Posts: 309 Platinum Member (300+ posts) | | Platinum Member (300+ posts) Joined: Jun 2008 Posts: 309 | i had to have them stop for a couple minutes when having the mask made. was all i could do to make it thru but i did it. ativan is what they use at the UW to help with it ... and maybe it works better than valium for this type of thing so i would try it if i were you. i would also speak to your oncologist and see what they suggest i am sure you are not the first and will not be the last to not make it thru without help. just keep trying everything until you make it thru.
Rita - Age 44 wife, mother of 4 - ages 3,16,21,24 & grandma to 1 (R upper) Maxillectomy 8/8/08 - UW / Seattle, WA.
===============================
"Those who think by the inch and speak by the yard, should be kicked by the foot."
| | | | | Joined: May 2002 Posts: 2,152 Patient Advocate (old timer, 2000 posts) | | Patient Advocate (old timer, 2000 posts) Joined: May 2002 Posts: 2,152 | Does the mask have eye holes and nose holes so you can see and breathe? If not, ask them to cut holes in the mask. For me, the simulations lastest much longer than the actual treatments. Simulations ran about a half hour while treatment was 5 to 10 minutes. As Jim said, it is mind over matter. Ya gotta do it.
Tare care, 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
| | | | | Joined: Sep 2008 Posts: 711 "Above & Beyond" Member (500+ posts) | | "Above & Beyond" Member (500+ posts) Joined: Sep 2008 Posts: 711 | I had a similar problem. It was shortly after exploratory surgery on my throat to find the primary so my throat was still swollen and I had a hard time exhaling. About 1/2 way through the fitting I couldn't exhale at all and panicked. We worked with repositioning my head to get a clear airway and I managed to dig down and get through it. They also cut the chin away on the mask so it didn't feel like pressure there. Between those adjustments and valium I got through my 35 25 minute treatments with a few anxious moments but, as has been said, soothing music and counting the positions also helped. Work with the techs to find what's comfortable for you. The alternative is not, imo, acceptable.
David R. 65 yr old male non-smoker, light drinker, stage 3 or 4, depending on which doc you ask, scc rt. tonsil, 2 nodes, 7 weeks radiation and chemo. No surgery. Teatment ended 3/20/08. PET scan 8/08 showed no cancer. And now, as of oct, 2010, caregiver to wife, Linda, with breast cancer. May, 2013, Linda diagnosed with stage 3 ovarian cancer. Enuf already.
| | | | | Joined: Aug 2008 Posts: 531 "Above & Beyond" Member (500+ posts) | | "Above & Beyond" Member (500+ posts) Joined: Aug 2008 Posts: 531 | Bill...My heart truly goes out to you as a fellow phobia person...closterphobia and severe anxiety disorder...As others are saying the mind is a powerful powerful tool either it is you friend or your foe...the trick is to make it your friend..I understand from the depths your fears arise...I am the same way thats why the suggestion of focusing on your breathing and I added humming to myself although not sure if you can do that during radiation treatments....I had some tests done where they did scopes I was relaxed during the first part but the moment they tried to go down my throat I paniced and they had literally force me and hold me down...I had nightmares for months after of drowning...having the feeding tube gave me the same sence of being choked...although I knew logically that it wasn't hurting me I could not let it go... It is a matter of trusting who is working with you...I made a connection with my nurse practicioner and well when I was having trouble with my feeding tube after surgery I asked for her...when I saw her and her determined eyes working on my tube and not letting anyone else do what they wanted to do (take it out and put it back in with the aid of an xray machine) I relaxed and drifted off...I know this is going to be the hardest feat to do in your life but believe me you CAN do it! I have not thank god have to have radiation and a mask and if faced with the same issue I know I would be in a spot...Try to learn to trust relax.. what ever it takes for you....Please don't give up...When all is said and done you will have so much more to be proud of also conquer fears wow...like I said for me it is a matter of detatching from myself or concentrating on something focusing on something other than what is scaring me... and trusting you will be ok and you will!!
Persistance pays off...hypnosis, accupuncture, meditation anything that may work but keep trying!!!
Dianne..treatment at cc at Victoria Hospital, London, Ontario...insulin dependant, Surgery Sept 8/08 Tracheotomy,composite resection and bilateral neck dissection, left radial forearm free flap... T2N0 squamous cell carcinoma. No radiation A little over 2 yrs clear YAY
| | | | | Joined: May 2008 Posts: 219 Platinum Member (200+ posts) | | Platinum Member (200+ posts) Joined: May 2008 Posts: 219 | Bill, I to have had a hard time with severe panic attacks with the radiation. My RO gave me 1mg. Xanax and I take it 45 minutes to 1hour before my 25 minute treatment and it has really helped. Now don't get me wrong I still have a problem with my mind running and wanting to panic every day but I keep telling myself that I have got to do this if I want to live. And I definately do so I just keep trying to keep myself calm and I am working through it. So far I have had 18 radiation treatments and 4 chemo, The radiation treatments have gotten a little easier over time and I explained to them that I wanted to make sure I could let them know if I was having a problem during radiation and they told me that all I would need to do was to raise my knees up and they would stop the treatment and help me. That has only happened once so far. I try my best every time I go to make it easy on the worker as I can and in turn they really go out of their way to help me as well. Good luck and I will be thinking about you and hoping peace will pull you through this. You can do it! I am also from Ga. 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.
| | | | | Joined: Jun 2007 Posts: 5,260 Patient Advocate (old timer, 2000 posts) | | Patient Advocate (old timer, 2000 posts) Joined: Jun 2007 Posts: 5,260 | mI think the fear is like being afraid of the dark when you were little. The more you had to do it, the easier it became.. You sure have my feelings following you. Good luck and you will do fine.
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 2007 Posts: 27 Contributing Member (25+ posts) | | Contributing Member (25+ posts) Joined: Nov 2007 Posts: 27 | Bill,
Don't feel badly. That was a major concern for me when I had my treatments. I honestly prayed that God give me the strength to make it through being put in the mask and I asked others to pray for me about that as well. I know it worked, because I honestly fell asleep a couple times during my treatment. My treatments usually took about 20 or so minutes to complete.
Dianne's advice is good too. Make a connection with at least on of your nurses. We had a signal worked out that all I had to do was move my foot and they would come in if I needed them. Because of the prayers I mentioned above I never had to do it. The nurses made sure I knew that it was not a problem to stop if I was uncomfortable.
Maybe just having that reassurance that you can stop will help you if you get a signal and everything worked out.
You can do this and make it through!
Cindy
SCC of tongue removed 3/07 mod. left neck dissection. Tumor reappeared 6/07. Removed 8/07, right neck dissection, free flap from wrist for tongue graph. Radiation 30 (IMRT), chemo cisplatin 4 rounds finished 11/07.
| | | | | Joined: Nov 2008 Posts: 10 Member | | Member Joined: Nov 2008 Posts: 10 | Thanks to everyone for their replies. Part of the problem may have been that my radiation oncologist was pretty heartless. I have complained to the radiation chairperson and I will start over with a new radiation oncologist. I am also trying to find a therapist or pschologist to talk this over with. This phobia keeps getting worse all the time and I need to deal with it. I will let you know how things turn out.
59 Male 10/06 SCC Stage 1 tongue cancer. 12/06 partial glossectemy right side, removal of lymph nodes. Margins and lymph nodes clean. 09/08 recurrence SCC Stage 1 tongue cancer. 10/08 partial glossectemy right side. Margins clean. Radiation recommended.
| | | | | Joined: Nov 2007 Posts: 681 "Above & Beyond" Member (500+ posts) | | "Above & Beyond" Member (500+ posts) Joined: Nov 2007 Posts: 681 | Bill, There should be a patient navigator, a medical social worker or an omsbudman where you are being treated. These people can help you with this. Maybe the new RO will be helpful. For now, I suggest that instead of trying to work on your claustrophobia which could be along process you should concentrate on getting through the mask and radiation. The suggestions offered by those who have been through this issue seem to be very good. Perhaps the best for you would be the nose and mouth holes. There is a difference between overcoming a phobia and controlling it. I was terrified of fire and still am. In college I made my own therapy which consisted of having the courage to hold a lit cigaret, putting one in my mouth after a friend lit it, and finally lighting my own. This was not an over night process and now I can actually strike a match but am still shakey when one begins to burn close to my fingers. I get that physical internal shaking even when someone else is letting a match or cigarettte burn down to what I feel is a "dangerous level." I have found what I think is the source of this irrational fear but that is irrelevant to the fact that I will probably always have this phobia.
Another thought: Why don't you make your own sign(s) with some pictures such Munch's "The Scream," Darth Vader, Houdini ,... and/or some slogans or phrases that you may think would help. Good luck, Malka
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
| | | | | Joined: Sep 2006 Posts: 8,311 Senior Patient Advocate Patient Advocate (old timer, 2000 posts) | | Senior Patient Advocate Patient Advocate (old timer, 2000 posts) Joined: Sep 2006 Posts: 8,311 | Malka,
Everyone gets "shaky when one begins to burn close to my fingers". That's normal so maybe you've overcome it.
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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