Three weeks in to Rads and Chemo

Hi everybody, my husband is three weeks into his Rads and Chemo. He gets his second dose of chemo tomorrow. He is feeling a lot worse than he thought he would. He had to stop working and so far has been driving himself to rads. But based on how he feels right now, I imagine I will have to start driving him. His side effects that bother him the most are the mucus and the dry mouth. He also would like your opinion on how sore his throat is going to get. At this point he has to use the magic mouthwash just to drink water. He has a Peg and we had to start using it full time this weekend. Any and all advise would be greatly appreciated. Thanks.

Comments

  • oldpaint03
    oldpaint03 Member Posts: 27 Member
    Rads and chemo
    Just be prepaired because it will get much worse. Use the peg to make sure that he gets enough calories. And the magic mouth wash for the sore mouth and throat. My husband had to stop working after about 3 weeks also and it has been 15 months and he has still not been able to go back to work. There are many on this site that can give you info on what to use for the dry mouth and there are things that will also thin out the mucus alittle. Maybe try some biotene mouth spray that helped my hubby a little bit.
    Good luck to both of you. Believe it or not it will get better! Prayers going your way.
    Jonni
  • longtermsurvivor
    longtermsurvivor Member Posts: 1,842 Member
    Time to use the PEG
    Make sure you take advantage of the magic mouthwash right now. If he can swallow after using it, power down a bunch of calories (like ensure) and water 4 times a day, after using it. You can get enough down that way that you don't dehydrate and you can actually get a lot of calories down as well.

    He is going to need better pain control soon. make sure you talk to the treament physician about this. I got by with just an occasional pain pill, but many require more than this. there is no shame to needing lots of help. He may need a transddermal patch for adequate pain control.

    There is no way to predict where this goes with him. We are all just too much different. But make sure you get ahead of it. This just requries that you talk to the treatment physician often, and in advance of this type of thhing....

    He will make it. It just takes a lot of work.

    Pat
  • Jennjallen67
    Jennjallen67 Member Posts: 22

    Time to use the PEG
    Make sure you take advantage of the magic mouthwash right now. If he can swallow after using it, power down a bunch of calories (like ensure) and water 4 times a day, after using it. You can get enough down that way that you don't dehydrate and you can actually get a lot of calories down as well.

    He is going to need better pain control soon. make sure you talk to the treament physician about this. I got by with just an occasional pain pill, but many require more than this. there is no shame to needing lots of help. He may need a transddermal patch for adequate pain control.

    There is no way to predict where this goes with him. We are all just too much different. But make sure you get ahead of it. This just requries that you talk to the treatment physician often, and in advance of this type of thhing....

    He will make it. It just takes a lot of work.

    Pat

    Thanks,
    I was hoping you wouldn't say that. When he had SCC in 2006 he only needed radiation. He was able to work the whole time. So this is very different for him. And very frustrating. We will see the doctor right before he gets the chemo, so I will be sure we get better pain medication. Is there something specific that you used to control the mucus?

    Also, we don't have family close by, so I am the sole caregiver. I don't mind at all,(he calls me drill sargeant) but I work full time and am not here for him for a good portion of the day. I found out on Friday that he wasn't getting enough food or liquid, he hadn't been telling me the truth. That is why we started using the peg tube. We had a nurse come on Saturday to show us how to us the pump. We did all of his feedings today through the peg. He was hoping that he would feel a lot better since he was getting the proper nutrition. But he didn't.

    sorry for going on and on, but I don't have anyone who would understand this to talk too. Thanks for listening and giving your support and advise.

    One more thing, How many of you lost your voice and how long did it last? He started losing his voice last week and it is getting weaker by the day.

    Jenn
  • longtermsurvivor
    longtermsurvivor Member Posts: 1,842 Member

    Thanks,
    I was hoping you wouldn't say that. When he had SCC in 2006 he only needed radiation. He was able to work the whole time. So this is very different for him. And very frustrating. We will see the doctor right before he gets the chemo, so I will be sure we get better pain medication. Is there something specific that you used to control the mucus?

    Also, we don't have family close by, so I am the sole caregiver. I don't mind at all,(he calls me drill sargeant) but I work full time and am not here for him for a good portion of the day. I found out on Friday that he wasn't getting enough food or liquid, he hadn't been telling me the truth. That is why we started using the peg tube. We had a nurse come on Saturday to show us how to us the pump. We did all of his feedings today through the peg. He was hoping that he would feel a lot better since he was getting the proper nutrition. But he didn't.

    sorry for going on and on, but I don't have anyone who would understand this to talk too. Thanks for listening and giving your support and advise.

    One more thing, How many of you lost your voice and how long did it last? He started losing his voice last week and it is getting weaker by the day.

    Jenn

    Jenn
    I just completed radiation for the seond time two weeks ago. Not to bore you with details, you can read them if you go to my bio. My two experiences with radiation were entirely different, one from the other. The first time, in 1998, I worked every day, was on solid food, and had no problems whatsoever. I had no pain at all,,and beyond dry mouth and loss of taste, it was no big deal

    This time, I didn't lose my saliva, and maintained some of my taste. But for about 6 weeksnow, my tongue is so thick I can barely talk, let alone be understood. At home, I try not to talk at all, using sign language and written notes to communicate to my wife. This is from acute swelling from radiattion, and should get better with time. How much time? I have no idea, it depends on how long it takes the swelling to go down. I have to laugh about it, because frankly I sound like an idiot.

    Have him participate in this website. That will give him some control over what's going on. And it is a control issue, you know? We tend to feel like we're not in control of anythning, when we are going through this treatment. He's got choices to make. Use the PEG, or lose 50 lbs. That makes the choice easy, but it is a choice....

    Second treatment is rough. But just a few years ago, it wasn't even available, so that puts things in their proper perspective. I am looking at a fairly lengthy convalescence after whatI just went through. Odds are, so is he. But that's the process, nothing to dobut tighten up the old girdle and carry on. I'd be happy to communicate with him, or with you. Post or PM me if I can be of help.

    Pat
  • Klynten
    Klynten Member Posts: 29

    Jenn
    I just completed radiation for the seond time two weeks ago. Not to bore you with details, you can read them if you go to my bio. My two experiences with radiation were entirely different, one from the other. The first time, in 1998, I worked every day, was on solid food, and had no problems whatsoever. I had no pain at all,,and beyond dry mouth and loss of taste, it was no big deal

    This time, I didn't lose my saliva, and maintained some of my taste. But for about 6 weeksnow, my tongue is so thick I can barely talk, let alone be understood. At home, I try not to talk at all, using sign language and written notes to communicate to my wife. This is from acute swelling from radiattion, and should get better with time. How much time? I have no idea, it depends on how long it takes the swelling to go down. I have to laugh about it, because frankly I sound like an idiot.

    Have him participate in this website. That will give him some control over what's going on. And it is a control issue, you know? We tend to feel like we're not in control of anythning, when we are going through this treatment. He's got choices to make. Use the PEG, or lose 50 lbs. That makes the choice easy, but it is a choice....

    Second treatment is rough. But just a few years ago, it wasn't even available, so that puts things in their proper perspective. I am looking at a fairly lengthy convalescence after whatI just went through. Odds are, so is he. But that's the process, nothing to dobut tighten up the old girdle and carry on. I'd be happy to communicate with him, or with you. Post or PM me if I can be of help.

    Pat

    wishing you the best
    Hello Jenn,

    I just finished treatement for Stage 4 SCC of unknown primary. I too was on a both chemo and radiation, 35 rads and 3 chemo. I am currently hospitalized because everytime I get chemo I can't keep up on my nutrition and hydration, even with the peg tube. So if your husband is tolerating the tube feedings now keep them going, I never really got them going well, I was treated for paralytic ileuss after my peg placement, and they are currently starting slowly getting my tube feeds up to par. But good news is I am now a week out from treatment and every week that goes by is another one away from treatment.
    I have had a lot of side effects and a lot issues, it has been a tough road and I, being a young man all of 35, we have had relationship issues as well. It has been very hard on me and my wife. My wife, god love her, is just what I need most the time and everything I don't want. Let me explain....... My wife is the most honest person I have ever met and during my treatment I hate this about her, I just want to cry, be held, scream at the world.... she doesn't let me, it isn't in her so therefore she doesn't allow it around her. You are so brave and smart for seeking info from this forum, everyone here is loving and caring and willing to give advice, and I have done a lot myself. If I could give any advice to you both it would be, this treatment effects everyone differently, cisplatin is a horrible chemo med, and let your husband feel the way he feels. Also a bit of advice for you is to take care of yourself as well, after all how can you take care of someone else when you neglect yourself, I know that may be hard not having anyone else around and being the only caregiver but like the old commercial says, "Calgone take me away" even a little bubble bath helps.
    If I can be of any help please ask, sorry if I ramble, they keep me pretty medicated on the oncology wing, thank god I am not vomitting any more, I get late term nausea with cisplatin and it just kicks my but, this time I was too proud to complain, after 48 hours, probably 2 hours of sleep during that time, and almost constant dry heaves with intermittent vomiting, no fluid or nutrition, my wife realized I was lying and called the on call and got me admitted, like I said everything I need and nothing I want.
    God bless
    Clinton
  • Hal61
    Hal61 Member Posts: 655
    Hubby on board
    Hi Jenn, I also think it would be a good idea to encourage your husband to participate on the board. I am thinking a lot of your questions might be answered--if you've not been already directed to it--by looking over the SuperThread

    The Superthread was compiled by Sweetblood, one of our survivors, and includes lots of links to past discussions on issues that you and your husband will deal with. Mucous, what to use for mouth sores, voices lost and found. It will be your best single resource during his treatment this time around.

    best to both of you,
    Hal
  • Kent Cass
    Kent Cass Member Posts: 1,898 Member
    Jenn
    Just remember- we are all different in our specifics. Lot depends on where the rads are applied, as well as the specs on the actual C, as for how sore his throat will get.

    He has a "pump" PEG? Know of others who used such, including Sweet. He is doing better than me- I started exclusive PEG intake at the end of week #1. Yes, odds are his throat will get sore, but some people like John have been able to swallow good enough thru it all, and didn't even get a PEG. It will get as it will get, Jenn. VERY IMPORTANT that he keeps the swallowing function going- even if it's just with melting ice, and doing actual swallows, or sipping ice water.

    Magic Mouthwash- yes. Also was given a Nystatin (?) to combat the potential of Thrush.

    Was he given chemo with the rads 6-years ago? And what exact C did he have? I ask, because of a recent NPC C Specialist forum I was able to see on YouTube, and one of the conclusions was that the best results are had with Concurrent use of Chemo and Rads. Also, know of a man who had it come back on him in a major way, ended-up going out to the U of Iowa- where he was told he should have gotten that Concurrent C&R, instead of just the rads.

    Remind your hubby, Jenn- this is not the time to play Clint Eastwood- stress can be a negative factor, and the body suffering with pain that is avoidable might be making the treatment less affective, which is contrary to the goal. In other words- get whatever help he can for the pain, as well as symptoms he's experiencing.

    Hope you'll keep us updated on how he's doing. Prayers are with you and him.

    kcass
  • jtl
    jtl Member Posts: 456
    Everything that has been
    Everything that has been said so far is very true and good advice. I just want to emphasize the importance of not losing the ability to swallow because if you don't use those muscles recovery will be more difficult. My ENT actually wrote a paper during his residency about this very subject and according to him it is extremely important to use those muscles. I did not have a PEG and like another John (Skiffin)I just fought through it. I will say that I tolerate pain very well and only needed to take a daily pain pill for a couple of weeks, usually in the evening but most are not so fortunate. Tell your husband to take all the paid meds he needs but keep swallowing.
    John
  • Jennjallen67
    Jennjallen67 Member Posts: 22
    jtl said:

    Everything that has been
    Everything that has been said so far is very true and good advice. I just want to emphasize the importance of not losing the ability to swallow because if you don't use those muscles recovery will be more difficult. My ENT actually wrote a paper during his residency about this very subject and according to him it is extremely important to use those muscles. I did not have a PEG and like another John (Skiffin)I just fought through it. I will say that I tolerate pain very well and only needed to take a daily pain pill for a couple of weeks, usually in the evening but most are not so fortunate. Tell your husband to take all the paid meds he needs but keep swallowing.
    John

    Thanks everyone
    I would love to get him to come here. He has lurked a few times, but he hasn't done that in a few weeks. I told today that everyone suggests he come here himself and get support. He said he would think about it. He knows about continuing to swallow. He trys to eat peaches each day and he takes sips of water. He still has to take his meds by mouth.

    Bill had SCC of the tonsil stage II back in 2006. They did surgery and radiation only. It was a very small tumor. This time around the cancer presented in his lymph nodes. They did a biopsy of the base of tongue and found insitu carcinoma. The doctors are considering that the primary source. It's the tumor in his lymph nodes that is quite large. It is about the size of a lemon and is wrapped around the coratid artery. Surgery wasn't an option this go round.

    We just returned from the hospital for his second dose and his rads. The doctor did give us better pain meds. Hoping it works. He is currently sleeping. I'm not sure I'll get anymore food in him today. He's not feeling good. To say the least.

    Well, thanks everyone. Hopefully I can get him on here soon so you can meet him. His screen name is Buellman91.

    Jenn
  • Jennjallen67
    Jennjallen67 Member Posts: 22

    Thanks everyone
    I would love to get him to come here. He has lurked a few times, but he hasn't done that in a few weeks. I told today that everyone suggests he come here himself and get support. He said he would think about it. He knows about continuing to swallow. He trys to eat peaches each day and he takes sips of water. He still has to take his meds by mouth.

    Bill had SCC of the tonsil stage II back in 2006. They did surgery and radiation only. It was a very small tumor. This time around the cancer presented in his lymph nodes. They did a biopsy of the base of tongue and found insitu carcinoma. The doctors are considering that the primary source. It's the tumor in his lymph nodes that is quite large. It is about the size of a lemon and is wrapped around the coratid artery. Surgery wasn't an option this go round.

    We just returned from the hospital for his second dose and his rads. The doctor did give us better pain meds. Hoping it works. He is currently sleeping. I'm not sure I'll get anymore food in him today. He's not feeling good. To say the least.

    Well, thanks everyone. Hopefully I can get him on here soon so you can meet him. His screen name is Buellman91.

    Jenn

    Mucus on superthread
    One other thing. I've been looking through the superthread for information on how to deal with the mucus problem. I can't seem to find anything. Can someone send me in the right direction. I know I read something about mucus treatment on here, but I just can't seem to find it. Thanks,

    Jenn
  • Spider1man
    Spider1man Member Posts: 1
    base tongue cancer stage 4
    I had kemo and radiation 18 months ago and did not get a feeding tube. I now drink 3 (360 boost and a pind of Haagen-Dazs with each boost. Cand eat, no saliva and lots of different feelings in my mouth all the time but I feel good and have not goten sick in 18 months.
    Robert