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Hi All,

 

I am a new member based in Singapore introducing myself. I have however been through the discussions and am impressed with the wealth of information and also empathy and caring that shines though.

 

My story in a nutshell was that I was diagnosed with a SCC on the left side of my tongue in early Jan this year. A partial glossectomy and modified neck dissection showed one lymph node involved along with perinureal involvement. All margins on the tongue were clear.

 

This signed me up for 6 weeks of Rads along with 3 doses of Cisplatin at week 1, 4, 7. I have recently completed Tx and am two weeks out tomorrow. I am fully aware that I am still cooking and have found the last two weeks to be almost tougher than Tx. Luckily I could swallow the whole time and have been surviving on milkshakes, ensure and smoothies along with lots and lots of water. I also did not need to go the PEG route but there has been some weight loss. For me the chemo was not fun at all and I would generally feel terrible for a while post infusion.

 

I am keen to find out from other survivors here when they felt a improvement post treatment and when they could start moving onto a soft diet? I am well aware that everyones healing process is unique. Yes, I am suffering from dry mouth / sores but they are slowly healing which is good.

 

Like so many others I am a non smoker, light drinker and also HPV negative. Thanks for reading my post and happy Sunday.

Comments

  • NJShore
    NJShore Member Posts: 429 Member
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    Welcome

    Welcome to the group, sorry we had to meet here, but you could not of found a better place for your recovery. I am a caretaker, my husband was diagnosed with Stage 4a, left tonsil cancer in October, and had surgery in early November, treatment started in early December, ended on January 15th.

    In my opinion, I started to see some improvement at 4 weeks post. My husband also didn't have a peg and started dropping weight at a scary rate the last week of treatment, so I think that really slowed him down. It takes energy and nutrition is key to feeling better - so he was more than likely a late bloomer. It took about 8 weeks before he started seeing 'ah ha' moments where he wasn't "mr. miserable". And now at 12 weeks out, he looks great, its a new normal hes adjusting to, and he's still healing. The painful spots in his mouth are down to just getting very sore at some meals, not all. It's progress. And as everyone will tell you, it's in weeks, not days.

    The good news is that at however slow the uphill climb is, it's up hill!

    Congrats at finishing treatment and getting through the worst of recovery..

    Ask lots of questions.. we are all here to help and see you through to better days.

    Kari (&Dan)

  • longtermsurvivor
    longtermsurvivor Member Posts: 1,842 Member
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    welcome

    You're getting there.  I have had radiation twice.  The first time, I had no real problems.  I was able to eat solid food the whole time, got no mouth sores, lost weight only because of loss of taste.  The second time was more like you describe.  I didn't have  a tube, but was living on esure/boost/whatever by the third week of rads.  THe first two weeks after rads were pretty uncomfortable.  I had mouth sores bad enough that I had to organize my fluid intake carefully.  I'd get up every day and first organize my calories/fluid at the kitchen sink.  I had the boost or whatever open and ready to drink, my magic mouthwash open and ready, and my sodium bicarb/salt solution ready to rinse.  I did all this prep work because I knew drinking the boost was gonna hurt like hell.  So I'd chug down the boost, then rinse with the bicarb solution, then use the magic mouthwash to numb things up.  there would be tears running down my cheeks by the middle of this process.

     

    Two weeks after rads things began to improve.  By three weeks I wasn't teary-eyed any more.  I continued to rinse as above and use the magic mouthwash for about two months.  My mouthsores took a little longer than that to heal.  Soft foods were possible once the acute phase was past.  Sooooo, my bet is you are about to turn the corner and start seeing improvement.

     

    Make sure you don't have thrush.  That can really set you back.  And do you have some form of magic mouthwash?  That is a real blessing at this point of recovery.

     

    best to you

     

    Pat

  • jim and i
    jim and i Member Posts: 1,788 Member
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    Welcome. I am caretaker for

    Welcome. I am caretaker for my husband. He was diagnosed with stage 4a Base of tongue cancer with 2 lyph nodes involved in May of 2011. His recovery was slow and he is still on the PEG which he had inserted prior to treatment. However, he did have two surgeries right after treatment. One for excess fluid on the brain and the other for removal of his appendix and part of his colon. They believe the later was caused by blockage, constipation so make sure you stay on top of that. His taste still comes and goes, however he also has swallowing problems. He probably needs his throat stretched but doesn't want to go through anymore procedures.

    As for length of recovery, you said it right when you said everyone is different. I have seen on this board people who recover and are back to normal in 6 weeks and those like my husband who are still dealing with issues. I pray you are in the first group. I belive age has a lot to do with it as the younger ones seem to recover very quickly.

    Debbie

  • MarineE5
    MarineE5 Member Posts: 1,030 Member
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    Echo

    Dunedin,

    I can't add much to what NJShore has mentioned. I seemed to turn the corner around week 4 or 5 as far as improving.

    A little tip if I may, have you tried the Baking Soda and Salt solution to rinse and gargle with to take the edge off of the discomfort of the sores? if not, mix 1 teaspoon of each into 1 quart of room temperature water and rinse and gargle as often as needed.

    Also, read thru the Superthread at the top of this page, allot of great information is there.

    The only place that I was at named Dunedin was in New Zealand on a visit to see my cousin.

    My Best to You and Everyone Here

  • phrannie51
    phrannie51 Member Posts: 4,716
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    As every one said...

    ...and you're discovering....recovery comes in degrees, never in leaps and bounds.  I'm nearly 8 months out of treatment (adjuvent chemo), and almost 10 months out of rads and the improvements are still coming in degrees.  Still have dry mouth, but more saliva than even a month ago....still get taste fatigue, but at 10 bites into a meal rather than 3, mouth totally cleared up of sores at about 12 weeks out. 

    Welcome to the forum.....I very glad you found it.

    p

  • Billie67
    Billie67 Member Posts: 898
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    As every one said...

    ...and you're discovering....recovery comes in degrees, never in leaps and bounds.  I'm nearly 8 months out of treatment (adjuvent chemo), and almost 10 months out of rads and the improvements are still coming in degrees.  Still have dry mouth, but more saliva than even a month ago....still get taste fatigue, but at 10 bites into a meal rather than 3, mouth totally cleared up of sores at about 12 weeks out. 

    Welcome to the forum.....I very glad you found it.

    p

    Welcome
    I'm so glad you found us...sorry you had to but happy that you've come to such a great site. The people here are so amazing and caring and you can ask anything.
    As for the healing process, for me it was at about 5 or 6 weeks where I could finally eat something like mashed potatoes or cream of wheat or something soft like that. Before that point my mouth was so "raw" that the food hurt my mouth. Turns out I had some thrush on a couple of occasions. If your mouth gets sores that keep coming you might want to have it checked for thrush.

    Sounds like you were ahead of me because during treatment I couldn't swallow hardly even water so I had a PEG placed during rads. I'm so impressed by those of you who don't need one.

    I too have never smoked, rarely drink and was HPV negative. My SCC was vocal cord. I am 9 months out of treatment now. I can taste about 90% of my food and my saliva is maybe at 60%....I'm hoping for more.

    The healing takes place over weeks and not days. I know it's hard to be patient but dont expect daily changes...you'll only make yourself crazy.

    Take good care and keep getting rest, drinking water and doing your jaw exercises....so important!

    Billie
  • HobbsDoggy
    HobbsDoggy Member Posts: 276
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    Slow, Sometimes Reverse but Generally Forward

    Sounds like what I and most of us went though post treatment.  One doctor said I would be worse for two to three weeks after treatment stopped.  Didn't believe him as that did not make sense to me.  He was totally right.  The three weeks after treatment were my worst times.  I could just get enough down to keep close to weight, seldom got out of bed and almost, but never totally, wished I would have never started treatment.

    Four months plus two weeks out of treatment I am doing better.  Still very tired and still have side effects.  Improvement is slow but there so hang in it does get better.  Taste very slowly retruning, able to eat sloid foods, almost anythign, even if the food doesn't taste all that great, able to do physical work from 2 to 5 hours a day and paper work about the same amount of time, but not on the same day.  If there is a cancer survior group close I strongly recommend it, very helpful to me.

    This is a great group here, but if you can find a survior group where they meet face to face its a great help.

  • Skiffin16
    Skiffin16 Member Posts: 8,305 Member
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    Welcome...

    A lot of similarities...

    STGIII Tonsil Cancer & a lymphnode... Three cycles of chemo, 35 daily or Ensures..., my first realy meal was creamy shrimp pasta..., and it was good... Though I could only taste a few bites here and there...

    Four years out now, all taste, nearly all saliva, and life is good...

    Best

    John

  • cureitall66
    cureitall66 Member Posts: 913
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    Welcome....

    Glad you found this site. This was the best thing I ever fell into on the internet! These people on here are absolutely wonderful and caring people. 

    My loved one was very similar to your dx. He was BOT, 2 lymph nodes involved, Stage IV, HPV16+. He did not have any surgery. His tx consisted of 7 weeks Rads and Chemo (Carboplatin & Paclitaxel). He is now little over 4 months out of tx. The few weeks after tx were pretty rough. He did have a PEG tube and that came out about 2 months after tx. He still continued the Ensure and Boost with very little solids for several weeks after tx. He still continues the Ensure/Boost to keep his calorie consumption up, but does eat some solid foods now with it. I believe it was around week 6-7 he was eating things like pudding/jello/soups. Then about week 10-12 he bumped up to mashed potatoes, scrambled eggs, noodles etc. He still, at 4 months out, does not care to eat chicken or a burger unless it is really finely chopped up in a dish. He does not eat breads either. They seem to be too dry and feel like they get caught at the back of his mouth....but it's getting better.

    My advice would be to continue to be patient and all will gradually come back. It's a tough journey, but definitely worth killing this beast. Please continue to stay with us on this forum. You will find that so many of your questions can be answered right here. Surely someone has had an experience close to something you may encounter.

    Best to you,

    ~C 

  • hwt
    hwt Member Posts: 2,328 Member
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    Skiffin16 said:

    Welcome...

    A lot of similarities...

    STGIII Tonsil Cancer & a lymphnode... Three cycles of chemo, 35 daily or Ensures..., my first realy meal was creamy shrimp pasta..., and it was good... Though I could only taste a few bites here and there...

    Four years out now, all taste, nearly all saliva, and life is good...

    Best

    John

    Hard part

    Hopefully, the hard part is behind you.  By week 3 post tx, I lost hair ( about 3 inches at back between my ears) of course that didn't hurt and I had another bout of thrush but otherwise, everything continued to improve. At week 5, I felt like I turned the corner in every aspect and week 6 had all of my energy back. Like you, I had rads and Cisplatin.

    I hope the same for you! 

  • CivilMatt
    CivilMatt Member Posts: 4,722 Member
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    howdy

    Duneditech,

    Big Singapore welcome to you.

    I started to feel improvements from the moment treatments ended, whew.  I am still feeling improvements today (13 months post).  When did I start on soft foods?  I tried immediately, but since I could not stand the texture and feel and taste I struggled with down right eating and chose to (happily) drink smoothies for 7 months.  That is the past and I now eat anything I want.  My taster is hitting at about 20%, sometimes better sometimes worse.

    All in all, I am feeling and eating good and tasting fair.

    Matt

    I was stage Iva, scc, bot, 1 lymph node, hpv+ (surgery,rads,Erbitux)

  • dunedintech
    dunedintech Member Posts: 90
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    CivilMatt said:

    howdy

    Duneditech,

    Big Singapore welcome to you.

    I started to feel improvements from the moment treatments ended, whew.  I am still feeling improvements today (13 months post).  When did I start on soft foods?  I tried immediately, but since I could not stand the texture and feel and taste I struggled with down right eating and chose to (happily) drink smoothies for 7 months.  That is the past and I now eat anything I want.  My taster is hitting at about 20%, sometimes better sometimes worse.

    All in all, I am feeling and eating good and tasting fair.

    Matt

    I was stage Iva, scc, bot, 1 lymph node, hpv+ (surgery,rads,Erbitux)

    Thanks

    Hi guys - many thanks for the responses and kind words. Yes, I spend a fair amount of time rinising with the bicarb, salt solution. I also have a magic mouthwash Singapore version which is very handy indeed. Echo, nice spot. I am indeed from Dunedin, New Zealand originally so a kiwi boy living in Singapore. As for support groups they are more or less non existent here so this board is very, very useful indeed. I also have medication for thrush and I am picking that is a common occurance in the recovery period.

    I do find it amazing that the DRS gloss over the end of treatment part. You are so geared up to getting though it that the final day is almost anti-climactic and you are left to get on with it. Still, the fact that you don't have to attend the Cancer Centre for that daily appointment is a great feeling. As highlighed slow steps and making sure the focus is day by day knowing it will get better in time!

     

     

     

  • Tim6003
    Tim6003 Member Posts: 1,514 Member
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    Thanks

    Hi guys - many thanks for the responses and kind words. Yes, I spend a fair amount of time rinising with the bicarb, salt solution. I also have a magic mouthwash Singapore version which is very handy indeed. Echo, nice spot. I am indeed from Dunedin, New Zealand originally so a kiwi boy living in Singapore. As for support groups they are more or less non existent here so this board is very, very useful indeed. I also have medication for thrush and I am picking that is a common occurance in the recovery period.

    I do find it amazing that the DRS gloss over the end of treatment part. You are so geared up to getting though it that the final day is almost anti-climactic and you are left to get on with it. Still, the fact that you don't have to attend the Cancer Centre for that daily appointment is a great feeling. As highlighed slow steps and making sure the focus is day by day knowing it will get better in time!

     

     

     

    Hi Dune ...

    I can't add anything to what everybody has said (they got it all covered) ...so just wanted to say welcome, sorry of course you have to join our club...but you found a great bunch of folks, they sure help / helped me out ...

    Keep us posted ...whispered a prayer all will go well / be well for you guys..

     

    Tim

  • fishmanpa
    fishmanpa Member Posts: 1,227 Member
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    Almost There

    Hi D,

    Welcome to the club no one wants to join. The folks here are great. They helped me through boot camp and armed me with the knowlege to beat the beast.
    I can say I'm officially post Tx on Wednesday. One more chemo and three more rads and I'm done! I already feel like road kill and I figure I'll be run over a few more times for good measure with this final treatment. As of today, I can still do a soft diet (eggs, mashed potatoes etc.) as well as shakes/liquids. I avoided the PEG too although post Tx may change things depending on my weight (I've lost 18lbs). If I maintain within 5 pounds I'm good to go. I lost a lot of my taste but I still have some foods that I taste just fine (odd I know), Saliva? Ha! Lawrence of Arabia couldn't get through my mouth! I fully expect to be pretty beat up the next few weeks but I'm looking forward to it as I'll be done treatment! 

    Diagnosed 11-30 SCC Head and Neck, unknown primary. Tx N2b MO Stage IV HPV+  ex smoker, light drinker. Two tonsillectomies (palatine and lingual), biopsies and larygoscopies and they didn't find the primary site. Selective neck dissection on Feb 7th (lingual tonsils removed also). 


    Hang tough D! Here's to turning the corner! 

    "T"

  • dunedintech
    dunedintech Member Posts: 90
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    fishmanpa said:

    Almost There

    Hi D,

    Welcome to the club no one wants to join. The folks here are great. They helped me through boot camp and armed me with the knowlege to beat the beast.
    I can say I'm officially post Tx on Wednesday. One more chemo and three more rads and I'm done! I already feel like road kill and I figure I'll be run over a few more times for good measure with this final treatment. As of today, I can still do a soft diet (eggs, mashed potatoes etc.) as well as shakes/liquids. I avoided the PEG too although post Tx may change things depending on my weight (I've lost 18lbs). If I maintain within 5 pounds I'm good to go. I lost a lot of my taste but I still have some foods that I taste just fine (odd I know), Saliva? Ha! Lawrence of Arabia couldn't get through my mouth! I fully expect to be pretty beat up the next few weeks but I'm looking forward to it as I'll be done treatment! 

    Diagnosed 11-30 SCC Head and Neck, unknown primary. Tx N2b MO Stage IV HPV+  ex smoker, light drinker. Two tonsillectomies (palatine and lingual), biopsies and larygoscopies and they didn't find the primary site. Selective neck dissection on Feb 7th (lingual tonsils removed also). 


    Hang tough D! Here's to turning the corner! 

    "T"

    Finish Line

    T - thanks for your words. However my thoughts are with you as you reach the Wednesday finish line. Go well !!