#99297 07-12-2009 07:15 AM | Joined: Jul 2009 Posts: 3 Member | OP Member Joined: Jul 2009 Posts: 3 | My husband Steve was diagnosed with tongue cancer in 2005. The radiaton oncologist told us.."I don't expect to see you back" meaning the surgery should have been the end of it for him. He has recurred 3 times now and we just discovered there are no further treatment options for him. He has had radiation twice and chemo with the last radiation back in March 08. Now the cancer is widespread in his oral cavity. My fear is what will finally take his life...no one can give us any answers about this. He is in pain all the time and we are now considering hospice. What can someone tell us about this? Thanks | | | | Joined: Jul 2007 Posts: 939 "Above & Beyond" Member (500+ posts) | "Above & Beyond" Member (500+ posts) Joined: Jul 2007 Posts: 939 | Hi Nancy,
Sunday tends to be a little slow for answers but I will try to guide you to places where you might find answers to some of your questions.
A number of posters will ask you where Steve is being seen/treated as we are big advocates of Comprehensive Cancer Centers...a list which is available here on the Oral Cancer Foundation Main website. You will help us all if you will give us a timeline in your signature (go to My Stuff/Profile/Signature and just type in the major points...see the signature at the bottom of my post)
If in fact Steve's situation is too far along for most types of treatment there are a number of blogs that you can read that will give you insight into the final weeks of OC patients. Remember, though, that everyone's cancer and situation is different. You can read these on the Forum topic "OCF Cancer Blogs." Posters such as Cookie (Walking towards the light), JAM (A caretakers journal), suemarie, and wallyswife, will give you a snapshot of their experiences.
You have found a great site for support and information. Keep posting and we will all help you through this.
Take time to read not only the forums but the main site pages as well....tons of information that might be helpful.
Hugs, 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
| | | | Joined: Aug 2008 Posts: 96 Supporting Member (50+ posts) | Supporting Member (50+ posts) Joined: Aug 2008 Posts: 96 | Hi Nancy, I tried to respond to you via PM but that didn't work, so I will reply here. First, I am so sorry you are facing this horrible outcome. My husband died just over a month ago, and it does not get any easier (at least not yet). There are many different ways that people die from oral cancer, not all of them are gruesome. My husband passed away in his sleep five weeks into palliative chemo. It was a surprise that he left us quite that fast, but when I think of how he could have gone, I am very thankful that he went the way he did. I have a blog also, if you click on my name and select homepage you can read it.I don't know if it will help you any or not, but I know that reading Cookie's blog was very helpful to me at the time. Again, there are many here who know what you are going through and we are here for you. Feel free to PM me if you would like to. One thing I must ask is, why is Steve in so much pain? He should have access to whatever pain meds he needs to be comfortable. At the end my husband was on a Fentanyl patch along with Percocets for breakthrough pain. PLEASE get him adequate pain relief. If Steve is like most men, he will not tell the Drs. how much pain he is really in, so you need to be his advocate. I wish you well, Nancy. You have a hard road ahead, but you can get through it and we are all here to help. Lori
Lori, cg to H Ron, age 56. Stage IV Oral SCC-T1N2. Tongue resected and right ND 8/05. Teeth removed, PORT, PEG, IMRT x33, Cisplatin x3. Tx ended 10/05. Recurrence 7/08 Stage IV. Surgery 8/30/08. 2nd recur. 11/08. 2nd surgery 2/2/09. 3rd recur. 4/9/09. Erbitux wkly. 5/09-? Ron died 6/6/09. Lori also passed away 8/20/11, colon cancer | | | | Joined: Jun 2007 Posts: 5,260 Patient Advocate (old timer, 2000 posts) | Patient Advocate (old timer, 2000 posts) Joined: Jun 2007 Posts: 5,260 | Well Nancy,, the best thing is not to think about death and take your hubby and go to A CCC and see some that understand and know how to be very agressive treating this. I was treated agressively and evne put in a coma for a few days so they could put rad seed implants in my tongue,, Make all of the calls you have to , but get to a CCC and very soon so they can help in this situation. You are in my prayers.
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: Oct 2007 Posts: 104 Senior Member (100+ posts) | Senior Member (100+ posts) Joined: Oct 2007 Posts: 104 | Hello Nancy I am so sorry you are facing this difficult journey. I think it is a good thing for you to connect with hospice as they should be able to provide good symptom control and support for both of you in the days ahead. This is their area of expertise. Your husband should not have to endure pain, get after his doctors to order some stronger pain medication until you get hospice set up. As you have read above not all OC deaths are horrific and good symptom management goes a long way in making a difficult situation bearable. My husband had a peaceful death 3 weeks after being told his cancer had recurred with the help of our family physician, visiting nurses, pharmacy and my family. We were able to care for him at home. You will need good support from family and friends to help ease the load and give you a break. Of course use this forum as often as you need it to vent and seek emotional support, it is an invaluable resource. PM me any time if you wish.
Caregiver to husband Dx. Stage 4 SCC of gingiva with 3 nodes pos. Partial mandiblectomy with bone graft from iliac crest Dec. 2006. IMRT x30, Cisplatin x3. Completed Tx. March 15, 2007. Osteonecrosis & removal of graft & plate Oct. 2007. Recurrence of SCC Dec. 2007. Deceased Jan. 17, 2008.
| | | | Joined: Jan 2008 Posts: 706 "Above & Beyond" Member (500+ posts) | "Above & Beyond" Member (500+ posts) Joined: Jan 2008 Posts: 706 | Nancy- I echo the advice about hospice. I know with ours, my husband's doctor had to sign off on him-stating that he was no longer being treated for the cancer. At that point he was admitted to their inpatient facility because he was too weak to walk and being a tall man, it was difficult for me to help him. They can give you advice about what you can expect depending on how far the cancer has spread and to where. Neil was there for 6 weeks before he passed and they made a horrible experience easier for us. Best wishes and remember to take time for yourself.
Sue
cg to husband, 48 Stage 1V head and neck SCC. First surgery 9/07. Radiation and several rounds of chemo followed. Mets to chest and lungs. "Life isn't about waiting for the storm to pass, it's about learning to dance in the rain." Went home to God on February 22, 2009.
| | | | Joined: Jan 2009 Posts: 1,844 Patient Advocate (1000+ posts) | Patient Advocate (1000+ posts) Joined: Jan 2009 Posts: 1,844 | Hi Nancy, welcome to OCF.
The other posters have given such wonderful advice and support that I really have nothing to add other then a warm welcome and to use these forums and this site for all of its information.
My heart goes out to you.
Be Well
Eric
Young Frack, SCC T4N2M0, Cisplatin,35+ rads,ND, RT Mandiblectomy w fibular free flap, facial paralysis, "He who has a "why" to live can bear with almost any "how"." -Nietzche "WARNING" PG-13 due to Sarcasm & WAY too much attitude, interact at your own risk.
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