Not4me

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i am a 44 years of age, 6' 2" tall, weigh 205 pounds and had a sore throat, once when I was a kid. I have NEVER been sick so you can only imagine how terrified I was when I heard CANCER. I had what I thought was an ear infection and after 10 days of antibiotic to treat it without any success my wife "made" me go to the doctor.  That doctor sent me to an ENT doctor who on October 29, 2015 confirmed one of my greatest feare. I then went to an oncologist who informed me I had stage IV (a) squamous cell carcinoma on the base of my tongue. After the PET scan he informed me it was also impactping 3 lymph nodes. 

i have had 4 teeth, all on the bottom and in the back, removed. I have had a feeding tube placed and will have my chemo port placed on 11/25/15. After that my first radiation treatment is scheduled for 11/30/15 and my first chemo treatment is scheduled for 12/1/15.  i am not looking forward to starting....I am looking forward to WINNING. I just happened upon this site during one of many searches to further educate myself more about my condition and what i am in store for.

I would appreciate any comments, good or bad, about what is fixing to happen to me physically.  I am not worried about my mental state of being because the Lord is taking care of that part. I have prepared myself for the worst and I am praying for the best. I would value any input that anyone would like to share. 

i am usually a reserved individual who is relatively quiet about personal matters but I simply cannot just not talk about it. Having said that my wife and I talk about everything but I want to hear real life experience. 

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Comments

  • CivilMatt
    CivilMatt Member Posts: 4,722 Member
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    welcome

    Not4me,

    Welcome to the H&N forum, sorry you are here, glad you found us.

    In a nutshell, you may be nauseated, constipated, experience dry mouth, lack of saliva, mouth, throat and tongue discomfort, difficulty swallowing and eating and more….

    On the other hand you may get a close look at yourself and others and if you are lucky like me, you will meet a team of professionals who may come very dear to you.

    Sure there are some icky and scary aspects, but for me it wasn’t unbearable.

    Recommendation 1:  start drinking water and swallowing.

    Matt

  • phrannie51
    phrannie51 Member Posts: 4,716
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    Hi and Welcome Not4me....

    You got lucky when you happened on this place in your search for higher education.  This forum ROCKS!!  Kind, compasionate, informative, and smart folks here to help you get through this rough patch.

    Matt hit on two really important things you'll need to remember all through treatment....drink lots of water, and swallow every single day.  For the next two weeks, list all the things you love to eat and eat them!  You'll need the extra weight, plus once you hit the 3rd week (or less) or radiation, it'll be a while before your favs are again your favs.  I can tell you nobody feels that good during treatment, but there are things that will help you feel better.  As things come up, come here and ask.....I learned that if one idea didn't help, there were 5 other ideas to try....and 99% of the time, something that was suggested on this forum helped me out.

    You are going to get through this...I know you know that....but there are days here and there, when you're in the thick of things that you wonder if there's ever going to be an end.  Good to always prepare for the worst, but chances are you won't be seeing it....as for the best....the chances are very high that's what you'll see. 

    I love these folks so much, I've never left.....LOL. 

    p

  • MrsBD
    MrsBD Member Posts: 615 Member
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    Welcome

     Listen to the advice you got from Phrannie and Matt. Keep swallowing! My oncologists said people tend to go on the PEG completely as soon as they have a little pain and end up taking much longer to swallow normally again. Try to eat something every day. Don't try to tough it out if you are having issues. Contact your doctor or come on this site. The people here gave me great suggestions. The treatment days will fly by, but recovery afterward can take months. You'll get through this.We'll be here for you with advice and prayers. 

  • wmc
    wmc Member Posts: 1,804
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    Welcome to the H&N Group

    Welcome, and truly sorry you need to be here. First off it is beatable and many here have already done so. I allways recomend going to a hospital that has a tumor board. Then all the doctors get together and decide what they want to do to treat you. You get seen by surgeons, oncology, radiation oncology, patholigy and even a nutritionist. Reason is the surgeon wants surgery and radiation wants radiation. For BOT they do chemo and radiation and some even surgery as well. What you ate going to go through, see what Matt said as he nailed it. Head & Neck cancer is said to be the second worse treatment you can go through. But great survivor rates. It will be one heck of a ride and some do much better than others and it is just luck. You just need to take one day at a time. On really bad days go hour by hour. On good days and you have then too. Celabrate every little thing you can. The one thing with finding this site is, you are not alone. We do understand what you are feeling. We have survivors and caregivers, and many going through it now. You need to keep the attitude that you will beat this and you will. Attitude and humor and toss in some prayers and you will get through this. I will add you to my prayer list and keep you in my thoughts.

    Keep swallowing, you can forget how, no joke. I was not allowed to swallow anything for 9 days and I had to have a swallow test and relearn how to in only 9 days. It was because of the surgery I had to have. So keep hydrated and swallow or sip all day long and it will make this much easier.

    Bill

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

    Welcome to the H&N Group

    Welcome, and truly sorry you need to be here. First off it is beatable and many here have already done so. I allways recomend going to a hospital that has a tumor board. Then all the doctors get together and decide what they want to do to treat you. You get seen by surgeons, oncology, radiation oncology, patholigy and even a nutritionist. Reason is the surgeon wants surgery and radiation wants radiation. For BOT they do chemo and radiation and some even surgery as well. What you ate going to go through, see what Matt said as he nailed it. Head & Neck cancer is said to be the second worse treatment you can go through. But great survivor rates. It will be one heck of a ride and some do much better than others and it is just luck. You just need to take one day at a time. On really bad days go hour by hour. On good days and you have then too. Celabrate every little thing you can. The one thing with finding this site is, you are not alone. We do understand what you are feeling. We have survivors and caregivers, and many going through it now. You need to keep the attitude that you will beat this and you will. Attitude and humor and toss in some prayers and you will get through this. I will add you to my prayer list and keep you in my thoughts.

    Keep swallowing, you can forget how, no joke. I was not allowed to swallow anything for 9 days and I had to have a swallow test and relearn how to in only 9 days. It was because of the surgery I had to have. So keep hydrated and swallow or sip all day long and it will make this much easier.

    Bill

    Each different

    I did not experience the nausea, had preventative meds and they worked. Worst part for me was sores on my lips but none in my mouth. Mid tx I slept thru most of the day, forcing myself to get up and take a brief walk and use my g tube for nutrition along with shlumping down the street for my tx.. I would say I slept nearly 20 hours a day and soundly. I had dry mouth and used allot of Magic Mouthwash. A couple of bouts of thrush that were rough. As soon as tx finished, I started to improve and 5 weeks post turned the corner.

    Hydration and nutrition are key. Be aware of possible side effects but know you won't get them all and they come in varying degrees.

    Best of luck for an easy road 

  • luv_freedom
    luv_freedom Member Posts: 49
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    Welcome!

    I just finished my rad treatments late Sept. I had the same thing. the people on this forum are wonderful and were very helpful in helping me cope with everything I was going through. It is scary but as you progress through all the things you will go through you will become more at ease and confident that you will be ok. You've already done the most important thing and that was to put all this in God's hands! Try to take walks when you are ready it will help keep your strength and stamina up. The sore throat was the worst for me. So like the others said get the magic mouth wash and use it as much as you want. I was coming back for a refill at one point after only a few days. They ended up giving me a 3 month supply lol. I still have 2 whole bottles left. It's a life saver!

    Good luck! You will beat this. It's very treatable.

    Gary

  • Not4me
    Not4me Member Posts: 7
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    Work concerns

    My chemo port was installed today and other than a little soreness it is OK. 

    At what point did you start missing work?  I plan on working as long as I can but I am not going to do anything crazy. 

    I am going to eat like a hostage through Thanksgiving because the fun starts Monday. 

  • Noellesmom
    Noellesmom Member Posts: 1,859 Member
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    Not4me said:

    Work concerns

    My chemo port was installed today and other than a little soreness it is OK. 

    At what point did you start missing work?  I plan on working as long as I can but I am not going to do anything crazy. 

    I am going to eat like a hostage through Thanksgiving because the fun starts Monday. 

    BOT cancer

    Have you had a PEG for feeding put in place?  

    We did not use for my husband who had late stage BOT and hypopharyngeal cancer and is a 5 year survivor.

    However, so many people on this forum had to have one for survival.

    It was good to know we could keep nutrition and very important hydration as they should be.

     

  • phrannie51
    phrannie51 Member Posts: 4,716
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    Not4me said:

    Work concerns

    My chemo port was installed today and other than a little soreness it is OK. 

    At what point did you start missing work?  I plan on working as long as I can but I am not going to do anything crazy. 

    I am going to eat like a hostage through Thanksgiving because the fun starts Monday. 

    When they put in my port, they

    punctured my lung, so I ended up in the hospital for a week.....had that not happened, I could have worked for another couple of weeks.  I had a totally different cancer so treatment extended another 2 1/2 months after rads ended.....IF I'd been done with treatment at the end of radiation, I would have been able to go back within 5 or 6 weeks.

    As it was, I was out for 6 months....between the first error with the port....and the extra months of chemo.

    p

  • MarineE5
    MarineE5 Member Posts: 1,030 Member
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    Not4me

    As Phrannie often says, welcome to the club no one wants to join. Sound advice has been posted above, as Matt and others stated, stay hydrated because if you don't, things start to snowball from there. I am glad that you have the PEG Tube in the event you need it.

    I am a Base of Tongue survivor, surgery to remove the tumor, radiation and neck disection. I did not receive Chemo as the Surgeon and Radiation Oncologist wanted to keep that as a back-up in the event of reoccurance which did not happen. Don't be shy about asking for pain med's when you think you need them and stay ahead of the pain the best that you can.

    On that note, each person reacts to treatments and recovery differently, so basically one size doesn't fit all. Hopefully you will have little discomfort. Again as posted above, if you have a question, ask here because someone will see it and reply.

    My Best to You and Everyone Here

  • ocmark
    ocmark Member Posts: 26
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    Tongue Cancer

    Again, welcome to the board no one wants to join.

    I finished my rads and infusion 3 weeks ago for squamous cell carcinoma on the under right side of my tongue. I guess one thing I'd like to tell you is that, for me, this was much more difficult than I could have imagined. My radiation team were constantly giving me the "best case" scenario, so I wasn't really prepared when things started getting complicated. Having said that, even though it has been difficult, I'm getting through it.

    Here's a brief outline to address some of your questions:

    I was able to work for the first two weeks of treatment. Then, I was able to work from home pretty well for another couple of weeks.

    After that, I was too busy dealing with what was going on to work.

    For me, the last two weeks of treatment were the toughest and the radiation efffects continued to build up right through the end of treatment. I'm told that the effects don't get any worse for some people after they get into the fifth week. One of the slogans here is that everyone is different. I hope you are one of those.

    The biggest problem for me: sore throat. I did not have a feeding tube, so I had to keep eating and swallowing. The magic mouthwash was a lifesaver for me.

    For me, the first two weeks after the treatments ended were the worst, as the effects continued to build, again in my throat. there were times I really kicked myself for not getting the feeding tube. But, in the third week after treatment ended, I noticed that the sores weren't quite as bad. Now I am experimenting with what I can eat, now that the pain is starting to back off. You said you have the tube, so you will not have the nourishment concerns that I have. Keep swallowing and try to eat and drink by mouth as much as possible, because you will have trouble swallowing if you don't keep doing it.

    I told my boss I would be back to work one month after treatments end, but that turned out to be wrong. I've just informed the company that I will need an extra month.

    I hope this helps, especially with regard to the timeline, as I had a hard time trying to find out a real assessment of how long all of this takes.

    I'm glad you have your faith. The good Lord will be with you going through this, as he has been with me.

     

  • jtl
    jtl Member Posts: 456
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    My experience

    Everything said so far is pretty much what I experienced.  I had scc in my oropharynx which is close to base of tongue so the rads should be similar.  I won't kid you, the treament is tough.  I did not have traditional chemo like most on this forum ( I had Erbitux) so I did not experience nausea and some of the things associated with the cisplatin drugs.  Erbitux has its own issues.  The rads are the worst.  Things are good for the first couple of weeks.  First you lose taste and then saliva and then the mother of all sore throats takes over.  The sore throat will last at least a month after your last treatment and I thought that was the worst, but maybe I was just sick of the whole ordeal.  I did not have a port nor did I have a feeding tube.  Some need the tube and some are able to make do without.  Swallowing was difficult but in a sick sort of way I kind of got used to it.  I learned to enjoy bland foods as opposed to my spicey variety.  I was retired but had I been working I really think I could have gone to work on a fairly regular basis.  I was not overly tired and I still had a fair amount of energy, in fact I made very little changes to my normal routine.  I think staying active and positive helped me through these times.  Time will go by quickly and you will have all of this behind you.  Take care and good luck.

    John

  • ocmark
    ocmark Member Posts: 26
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    jtl said:

    My experience

    Everything said so far is pretty much what I experienced.  I had scc in my oropharynx which is close to base of tongue so the rads should be similar.  I won't kid you, the treament is tough.  I did not have traditional chemo like most on this forum ( I had Erbitux) so I did not experience nausea and some of the things associated with the cisplatin drugs.  Erbitux has its own issues.  The rads are the worst.  Things are good for the first couple of weeks.  First you lose taste and then saliva and then the mother of all sore throats takes over.  The sore throat will last at least a month after your last treatment and I thought that was the worst, but maybe I was just sick of the whole ordeal.  I did not have a port nor did I have a feeding tube.  Some need the tube and some are able to make do without.  Swallowing was difficult but in a sick sort of way I kind of got used to it.  I learned to enjoy bland foods as opposed to my spicey variety.  I was retired but had I been working I really think I could have gone to work on a fairly regular basis.  I was not overly tired and I still had a fair amount of energy, in fact I made very little changes to my normal routine.  I think staying active and positive helped me through these times.  Time will go by quickly and you will have all of this behind you.  Take care and good luck.

    John

    How everyone responds differently.

    I find it kind of interesting how everyone responds so differently to the treatments. I'm sure some it it can be accounted for by the variations in the radiation program the doctor sts up. I'm guessing that even  minor variations in the location and duration of the radiation beams in certain areas of the mouth and neck could provide diffferent results. And, of course, different people just respond differently.

  • the_wife
    the_wife Member Posts: 184
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    Good luck with your first treatments!

    Good luck today and tomorrow, Not4me! It sounds like you have a good attitude and that will help a lot!!

    One piece of advice if you have the tube - others have said it before, but keep swallowing. I made my hubby swallow all his meds instead of crushing them and putting them in the tube like some do. He had a lot of meds to take during the day so he was doing a lot of swallowing, plus drinking water. It really saved him, I think. His swallow study was excellent - the SP was very impressed. So for him, the problem is not the swallowing....it's the sores on his tongue, the throat pain, plus having no taste or NO appetite - none whatsoever. Be prepared for that.

    For him, the chemo was the worst. Lots of weird side effects....

    I'm thinking the 3 month mark will be the turning point for when he goes back to work. I'd heard that many don't go back for 6 to 8 weeks. The docs had given him some general guidelines that were optimistic and didn't apply to him. Everything is taking much longer than they said it would. He gets really discouraged by that.

    This is a rough journey. Keep in touch with friends and family who are supportive. Generally, that's hard to find!

    My husband liked to have a calendar where he could mark off the days. He went through 7 weeks of chemoradiation - a long time, but just take it day by day and you'll make it through.

     

  • Hondo
    Hondo Member Posts: 6,636 Member
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    Welcome to CSN H&N

     

    To begin with you are in the right place for any help in dealing with cancer. I was like you never sick one day of my life, even during school all my brothers would get the flu and poor me had to go to school because I never got sick. Anyway I am NPC so I will leave it to others who had your same cancer to explain the good and bad. I do hope you will stay and become a part of our family here on CSN

     

     

     

    Tim

     

  • Raddude
    Raddude Member Posts: 84
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    I am new here as well

     

    I have just been diagnosed with stage IV Supragalottic. I will not begin my treatments until the first week of January because I won’t have any insurance until then. The doctors aren’t thrilled, but it’s what I have to do. They have told me I should have either erbitrux or cisplatin chemo in conjunction. However I am opting for radiation only. I just don’t understand how destroying your immune system to kill cancer is an effective way. I realize many on here will not agree, but after much research and prayer I believe this is the right path for me.

     

    I have found some videos of a man named Peter and his caregiver Wieteke Koolhof and how he got through radiation using natural remedies and suffered very few side effects. Just thought I would pass these along. If they work for you, great! If you choose not to try, that’s ok too. Everyone is different. Good luck and I pray your healing and recovery are quick and painless as possible.

     

    Healthy Nutrition and Keeping up your immune system during radiation

     

    www.youtube.com/watch?v=I05vEd-MrOo

     

    Skin Care Tips during Radiation

     

    https://www.youtube.com/watch?v=wuHx34zwL0A

     

    Natural Mouth Care during and after radiation

     

    https://www.youtube.com/watch?v=OGieHbK8kdk

     

  • wmc
    wmc Member Posts: 1,804
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    Raddude said:

    I am new here as well

     

    I have just been diagnosed with stage IV Supragalottic. I will not begin my treatments until the first week of January because I won’t have any insurance until then. The doctors aren’t thrilled, but it’s what I have to do. They have told me I should have either erbitrux or cisplatin chemo in conjunction. However I am opting for radiation only. I just don’t understand how destroying your immune system to kill cancer is an effective way. I realize many on here will not agree, but after much research and prayer I believe this is the right path for me.

     

    I have found some videos of a man named Peter and his caregiver Wieteke Koolhof and how he got through radiation using natural remedies and suffered very few side effects. Just thought I would pass these along. If they work for you, great! If you choose not to try, that’s ok too. Everyone is different. Good luck and I pray your healing and recovery are quick and painless as possible.

     

    Healthy Nutrition and Keeping up your immune system during radiation

     

    www.youtube.com/watch?v=I05vEd-MrOo

     

    Skin Care Tips during Radiation

     

    https://www.youtube.com/watch?v=wuHx34zwL0A

     

    Natural Mouth Care during and after radiation

     

    https://www.youtube.com/watch?v=OGieHbK8kdk

     

    Welcome to the H&N Group

    Welcome to the group and also sorry you need to be here. I was stage 4 before my surgery but it didn't spread to the lymph gland so it was T3,N0,M0 Supergalottic 3cm x 2.5 and in my case [bad lungs] surgery was the only option with a neck dissection on both sides and 86 glande removed.. Most do both radiation and chemo which gets all the small stuff so it won't return as easy. I wish you the best with your decision not to do the chemo also. I have seen many over the years have it comeback and then they loose there larynx. I'll keep you in my prayers.

    Bill

  • MJ70
    MJ70 Member Posts: 75
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    wmc said:

    Welcome to the H&N Group

    Welcome to the group and also sorry you need to be here. I was stage 4 before my surgery but it didn't spread to the lymph gland so it was T3,N0,M0 Supergalottic 3cm x 2.5 and in my case [bad lungs] surgery was the only option with a neck dissection on both sides and 86 glande removed.. Most do both radiation and chemo which gets all the small stuff so it won't return as easy. I wish you the best with your decision not to do the chemo also. I have seen many over the years have it comeback and then they loose there larynx. I'll keep you in my prayers.

    Bill

    not 4 me

    I too have been through the same as you are goling through today...My treatment was in march of 2004 ....You will go through lots of tough times but you will have great support ... I also do not know why i got scc base of my tough ....They say alot of the blame is on a virus as you have  probably read//

    Pray alot and keep the faith... You will be around  to enjoy life for years to come..

     

    Mel

  • Not4me
    Not4me Member Posts: 7
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    Started Today

    My first radiation treatment.....done

    My first chemo....done

    I know it will get worse but I have to say....the mask worn during radiation is HORRIBLE.  I sure don't like being fastened down. Seems like forever. They say I will get accustom to it....I guess we'll see  

    My doctor did introduce me to a 75 year old man who completed his treatments for the exact same type of cancer as mine and he is doing very well. He gave me some pointers and what to expect. It is easy for me to say that I am ready but I am READY.

    I have found that the power of prayer is miraculous and it is preparing me for the rough times ahead. 

  • Not4me
    Not4me Member Posts: 7
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    MJ70 said:

    not 4 me

    I too have been through the same as you are goling through today...My treatment was in march of 2004 ....You will go through lots of tough times but you will have great support ... I also do not know why i got scc base of my tough ....They say alot of the blame is on a virus as you have  probably read//

    Pray alot and keep the faith... You will be around  to enjoy life for years to come..

     

    Mel

    Scc

    mine was due to the HPV virus. 

    I have never smoked and consumed alcohol very little.