#99047 07-08-2009 04:58 PM | Joined: Apr 2009 Posts: 128 Senior Member (100+ posts) | OP Senior Member (100+ posts) Joined: Apr 2009 Posts: 128 | I finished radiation on 6/26/2009. I did fairly well during the process. BUT The first week after rad, I did a lot of sleeping and resting. Then I had three days where I was fine, not spending time in bed, out and about. Yesterday, I wound up in the er due to being SO tired and weak. I am back in bed 18 hours a day again. All the test at the hospital were fine, nothing wrong with blood work, not dehidrated. Is this the norm? Has anyone else on here gone through? How long will it last?
Age 57 at dx on 3/30/2009 by Dentist SCC of R tonsil S2 Poorly Differentiated - 2.5 cm Rad - IMRT 5x a wk for 8 wks starting 5/4/2009 No Chemo Last Rad treatment was 6/26/2009. Two years down as of 3/30/2011! God bless all affected by this monster called cancer!
| | | | Joined: Jun 2007 Posts: 718 "Above & Beyond" Member (500+ posts) | "Above & Beyond" Member (500+ posts) Joined: Jun 2007 Posts: 718 | WFC,
I think you are doing better than normal...the first two weeks after RT are generally tougher than the last two weeks of treatment. Keep yourself awake enough to get your calories and fluids in and sleep the rest of the time away. If you are like the majority here, between week 2 and 3 post treatment you will start to feel signs of improvement. You might backslide here and there, but overall you'll start to head in the right direction.
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.
| | | | 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 | Hi Bill...
What you are going thru is very normal. Its two steps forward and sometimes three backwards. You have done a great job thru out your treatments. The fatigue can overtake your life for a few weeks. There was a period of time right around the end of my treatments where I was in bed about 22 hours per day.
About week 3 after radiation has finished is when you should start to slowly regain some strength. Just make sure to keep up your nutrition and hydration or you will feel much worse.
Hang in there, you will feel better very soon. 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: Jan 2009 Posts: 253 Gold Member (200+ posts) | Gold Member (200+ posts) Joined: Jan 2009 Posts: 253 | Thank you to everyone for posting this information. I am 16 days out of treatment and have been feeling very guilty for sleeping so much.
I have another recovery question. My tongue is still extremely sore/sensitive. Even though I can swallow fine, the texture of even soft foods just hurt my tongue too much. I'm still on a liquid diet. I'm hoping my tongue starts to heal soon, but is it okay to still be on a liquid diet so long after treatments.
Sandy
Sandy 56, BOT SCC Biopsy 1/21/09 Stage 3, T3NXM0. Finished 3 cycle induction chemotherapy 4/7/09. (Chisplatin, 5-fu and Texotere). Re-staged 4/20/09,(very successful.) Will start Carboplatin/radiation 2 Gy/5 days/7 weeks (Tomotherapy) starting May 4th. Finished 6/22/09. OCF member/supporter
| | | | Joined: Jun 2007 Posts: 718 "Above & Beyond" Member (500+ posts) | "Above & Beyond" Member (500+ posts) Joined: Jun 2007 Posts: 718 | Sandy,
16 days is not a long time to be out of treatment! The first two weeks the rad keeps working and it really can wipe you out and make you feel worse than any other part of treatment.
My husband couldn't handle anything in his 2nd week post treatment, he had to have a nurse come to the house daily for home IV hydration.
During week three he started to try soup, but it was painful. He finished treatment 2 years ago in early August, and it wasn't until later in September of that year that he was able to start getting more calories from food than liquid supplements.
Everyone returns to eating at their own pace, but being on a liquid diet 16 days post treatment is pretty much the norm for many people who have gone through chemo and radiation. 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.
| | | | Joined: May 2008 Posts: 551 "Above & Beyond" Member (500+ posts) | "Above & Beyond" Member (500+ posts) Joined: May 2008 Posts: 551 | Sandy,
I was on tube feedings for 2 months after treatment ended and it was no problem! There are folks out there that live entirely on canned nutrition. The key is to swallow whatever you can, be it water, broth, applesauce, whatever. And like my fellow Margaret said, 16 days out of treatment is nothing! You just went through 7 weeks of being toasted! This is a time when the expression "Patience is a virtue." absolutely applies.
Stage IV SCC lt lateral tongue, surgery 5/19/08 (partial gloss/upper neck dissection left side/radial free flap reconstruction) IMRT w/weekly Cisplatin & Erbitux 6/30/08, PEG 1 6/12/08 - out 7/14 (in abdominal wall, not stomach), PEG 2 7/23/08 - out 11/20/08, Tx done 8/18/08 Second SCC tumor, Stage 1, rt mobile tongue, removed 10/18/2016, right neck dissection 12/9/2016 Third SCC tumor, diagnosed, 4/19/2108, rt submandibular mass, HPV-, IMRT w/ weekly Cisplatin, 5/9 - 6/25/2018, PEG 3 5/31/2018
| | | | 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 | Sandy and wfc,
I think you 2 are in my 10% that breeze Tx so give it a few more weeks and you will see your recovery begin.
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: Mar 2009 Posts: 109 Senior Member (100+ posts) | Senior Member (100+ posts) Joined: Mar 2009 Posts: 109 | Yes, I was very very tired for a couple of weeks post-radiation. Rest as much as you can/want.
Sandy, I never had a PEG, and I had ensure as my main food source for about a month post-tx. I am not two months out of radiation, and I am trying to eat normal food as much as I can, but it is hard. I dropped probably more weight after treatment than during treatment because I am trying to eat normal human food, but it feels like I burn more calories working at it than I consume. I still need to supplement with cans for at least 1/2 of my caloric intake, and it's not easy because I spent so much time on one meal. It's still painful. I have difficulty moving food around my mouth, it still hurts almost with any foods. It's a strong stinging sensation, as if you poured salt on an open wound. I was told that it was normal and would last quite a while. I was expecting to eat steak and chips with salsa by now. And bagels. I looooove bagels. Sigh.
38 yo@dx, female, non-smoker, non-drinker, SCC right lateral tongue. T2N2aMx stage IVa; 1/20/09 bilateral neck dissection, hemiglossectomy, micromets in 2 right nodes, left all clear. 33xIMRT + 3 cisplatins. Tx completed 5/08/09. PET scan 7/29/09 clear, 5/26/10 clear, chest x-ray 5/23/11 clear
| | | | Joined: Apr 2009 Posts: 128 Senior Member (100+ posts) | OP Senior Member (100+ posts) Joined: Apr 2009 Posts: 128 | davidcpa,
Thanks! I hope you are right!
Age 57 at dx on 3/30/2009 by Dentist SCC of R tonsil S2 Poorly Differentiated - 2.5 cm Rad - IMRT 5x a wk for 8 wks starting 5/4/2009 No Chemo Last Rad treatment was 6/26/2009. Two years down as of 3/30/2011! God bless all affected by this monster called cancer!
| | | | 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 | wfc,
Just ask Margaret, I'm always right!
Jenka,
Please be more patient with this recovery. Try and get 2000 to 3000 cals a day no matter how. I drank a can of VHC with every meal until after 1 year post Tx and I still didn't gain a pound until about 16 to 18 months post Tx. This recovery is demanding on our bodies and we burn a lot of calories in the back ground, mentally and physically IMO. The first year is pretty much lost on major improvements as more of mine came in year 2. Not saying don't try new things, just don't be disappointed if nothing changes for a long time.
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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