Another newbie

I want to start by saying thank you to everyone who posts on this site. I've been lurking for a few weeks now and have already learned so much.

I am 'the wife'. Paul was diagnosed with Tonsil cancer, stage 4b SCC in September. Neck dissection followed in October and Cetuximab and radio kicked off two weeks ago. The cetuximab has been great in that it hasn't caused the usual chemo side effects but has caused an almighty acneform rash. He looks like he has smallpox. So, although he is still quite well in himself, he won't really leave the house now. He knows that I love him regardless but his confidence has understandinngly plummeted.

The radio hasn't really taken a full grip yet and I know that it probably will do over the next couple of weeks. I am frustrated that even though he can still eat, taste and swallow, he is ignoring the docs advice to eat like a horse while he still can. I know that makes me sound like an unsympathetic cow but I'm really not. I ache to see this happening to him and if I could take some of the pain, I'd willingly do so. I'm just so fearful that he is going into this underweight and not properly nourished.

I feel as though we’re teetering on the edge of a cliffside and we’re going to have to go down before we can come back up again. And I’m tired already. Between the children, working full-time and trying to keep on top of his reluctance to engage with the things that may help, I’m just tired.

That said, we have a houseful of aloe vera gel and bottled peaches, the children are happy and work are being very supportive, It’s also so helpful to read the comments of all you amazingly brave and inspirational people on this site. So thank you!

 

Comments

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

    Welcome, but sorry you need to be here. First and foremost you are not alone. You do need to set some time aside just for you. This is very hard on the caregiver, and if you get too rundown, you are no good for you or the family. Yes I know it is very hard to do. I learned very fast to take care of my self. Now I did not have chemo, or radiation. My cancer was just above my vocal cords 3cm x 2.5cm and pressing on the left cord. I have stage 3 COPD so the only choise I had was to remove my larynx and 86 lymph glands, and breath out my neck. On the second night I had a mucus plug that blocked my airway. I learned that night I have to do all of this for myself. The nurses were great and I had special trained ones. They just can't be there all the time, and I was 90% blocked airway. It has now been two years and all is clear and good.

    They [the doctors] say Head & Neck is the second worse treatment to go through. But you can survive and beat it, as so many have. It is a rough ride, but some just seem to have less problems then others. We are open 24/7 and there is lots of caregivers, and if you have questions just ask. It is also a good place to just vent when you need to. We do understand what you go through.

    Bill

  • phrannie51
    phrannie51 Member Posts: 4,716
    You don't sound like an...

    unsympathetic cow.....you sound like a concerned wife who's husband isn't following instructions.....and you want him to do everything he can to get passed this, and heal.  I weighed 97 pounds when I started treatment....and weighed 80 when it was over.  Back up to 90 within 3 months of finishing treatment, and there I've hovered since (three years ago).  I didn't lose near the amount of weight that others have lost....as long as he's eating plenty of protein, and drinking lots of water, he'll be ok. 

    Good for having lots of aloe vera in the house....you might want to add a couple tubes of Calendula Cream to the arsenal....I got the kind for baby's butts at the health food store.  Very healing.....I'd put the aloe vera on....let it dry, then put on the Calendula. 

    The acne from the Cetuximab will disappear quickly when treatment is over.  The good thing I've heard is....the more acne, the better it's working!!!

    p

     

  • Barbaraek
    Barbaraek Member Posts: 626
    Amelia

    Welcome and sorry you have to be here. This is a great place to get information and support. There are plenty of caregivers like yourself on the board as well as those fighting the disease. You will have your own unique set of challenges as a caregiver. Oftentimes I feel like such a nag - but try to remember the final goal. Picture yourself as a cheerleader/personal trainer and that will help. When all else fails, collude with the Doctor- I did when I had to. 

    Buckle up for a roller coaster ride and allow friends and family to help you. Let them make soups, run errands, do a chore, and try to take some time each day to do something that brings you joy - whether it's reading, a craft, soaking in a hot tub, just something daily.

    This message board is available 24/7 so feel free to post your questions and don't hesitate to vent or ask for support.

    "another wife"

    barbara

  • CivilMatt
    CivilMatt Member Posts: 4,722 Member
    horse, cow, mule, chicken all are welcome

    Amelia69,

    Welcome to the H&N forum, sorry you are here, but we’ll try and make the best of it.

    Your husband needs to keep his head in the game and stay hydrated and well nourished.  These 2 things alone can make life (during treatment) very bearable.

    I also was given Erbitux, in addition to the acne my eyelashes grew, my fingers cracked and I lost a big toenail.

    Keep your team informed on all changes and side effects, try to move around, be happy and take it as it comes.

    Good luck,

    Matt

  • Amelia69
    Amelia69 Member Posts: 5
    Thanks to you all for your

    Thanks to you all for your messages of support! I'll stock up on calendula cream ASAP.

    Bill, just curious - what is the worst cancer treatment to go through? I've read several times that H&N is the second worse and I'm just curious. Daresay any kind is pretty rotten. My mum was diagnosed with Breast cancer three days after Paul got his diagnosis so I'm in a bizarre situation of watching their treatments in some kind of horrible symmetry. Luckily, they're both being treated at the same hospital so the radiotherapists have been brilliant at giving them similar appointment times when they can. Chemo days are different though. Sigh.

    What is lovely about all your posts is that it has given me some hope that in a year or two or even five, he may still be with me and I'll be able to be as brave and knowledgable as you all are. Three months ago, I honestly didn't hold out much hope at all.

  • ratface
    ratface Member Posts: 1,337 Member
    Barbaraek said:

    Amelia

    Welcome and sorry you have to be here. This is a great place to get information and support. There are plenty of caregivers like yourself on the board as well as those fighting the disease. You will have your own unique set of challenges as a caregiver. Oftentimes I feel like such a nag - but try to remember the final goal. Picture yourself as a cheerleader/personal trainer and that will help. When all else fails, collude with the Doctor- I did when I had to. 

    Buckle up for a roller coaster ride and allow friends and family to help you. Let them make soups, run errands, do a chore, and try to take some time each day to do something that brings you joy - whether it's reading, a craft, soaking in a hot tub, just something daily.

    This message board is available 24/7 so feel free to post your questions and don't hesitate to vent or ask for support.

    "another wife"

    barbara

    Sounds a little depressed

    Hi Amelia, now that conjures up images of a pwerfull human being as you obviouslly are. All those things that you are doing, taking care of the kids, the house, work and the hundreds of other things in running a household all contribute to  taking care of your husband, they all count. Please don't feel inadequate because he won't eat. I would have died without my wifes reminders to eat, short walks around the neiborhood and general support. Colluding with the doctors is fair game in this battle as Barbara advised. Feel free to cheat and add butter to his soup, olive oil to his salad, whipped cream to his ice cream.  He is progressing through some dark times psychologically and depression is part of it. If necessary collude again with the doctors and get him some anti depressents. I was one of those that needed a little help in that area.  Your analogy of going over a cliff is probably spot on, But you folks will climb out one day very soon. Realize it's not personal, just part of his accepting what is happening to him as you do the same. Trust your insticts as he will likely need you to take charge for a brief while. All the best to you both.

  • wmc
    wmc Member Posts: 1,804
    Amelia69 said:

    Thanks to you all for your

    Thanks to you all for your messages of support! I'll stock up on calendula cream ASAP.

    Bill, just curious - what is the worst cancer treatment to go through? I've read several times that H&N is the second worse and I'm just curious. Daresay any kind is pretty rotten. My mum was diagnosed with Breast cancer three days after Paul got his diagnosis so I'm in a bizarre situation of watching their treatments in some kind of horrible symmetry. Luckily, they're both being treated at the same hospital so the radiotherapists have been brilliant at giving them similar appointment times when they can. Chemo days are different though. Sigh.

    What is lovely about all your posts is that it has given me some hope that in a year or two or even five, he may still be with me and I'll be able to be as brave and knowledgable as you all are. Three months ago, I honestly didn't hold out much hope at all.

    I am told the worst is...........

    I was told leukemia is the worst. With my research I found the same, but some have said Pancreatic. With Head & Neck it covers so much area and several different cancers. Some are very rare where there has only been just over 1000 cases having it going back to 1924. We have had around four at least in the two years i've been here, and so far all have beaten it. The radiation is the gift that keeps on giving side effects and some it is harder on. Chemo can be a tough ride as well and many have lost some hearing. Having HPV+ responds well but does seem to come back somethmes.

    The best is H&N is beatable and has the best and most active support group you can ever find , and you did. You are never alone, and we all do understand. 

    Bill

  • wmc
    wmc Member Posts: 1,804
    What helped me the most...

    I had already been told I would lose my larynx but could still talk but would have to learn all over to swallow, eat, and even need therapy to speak before I had my surgery. I was coughing up large amounts of blood, ounces at a time and not many thought I would make it through this. I knew if they remove the tumor I would be ok, so I believed and only four others, and that includes my wife and doctors. When I came out of surgery I did not go to ICU, I went to my rome so I knew I was going to be fine as most have to have one or two days in ICU when they remove the larynx. I learned very fast this was a major life change so I had to learn all I could to take care of myself. When you become a neck breather everything changes. You have no smell, cold air hurts to breath in and you see your breath coming out your neck. Then you are told you can't blow out candles, food will always tast different because you can't smell. If you get a mucus plug way down your stoma you can stop breathing, so you learn hao to prevent it and what to do if it does happen. Don't use spray cans as it will go right in your lungs and if you don't cover the hole in your neck you can inhale a fly, no joke. You can't whistle and so many you can't do. You first need to accept it. Then you need to know you were just given a second chance on life, and it is up to you to make the most. So for me it why can't I do some of those things. If I block off my opening I can talk because I have a prosthesis valve that lets the air go through to my neck and I can talk. So why can't I whistle? I worked on that every day all day long and it took two months, but I can whistle. I told my SPL and she said no you cant whistle with a laryngectomee. So I told her I can and I can also blow out the candles on a cake. So I took a tissue and set it on the table and then blew it off the table, then whistled. Thought she was going to fall over. She has been doing this for close to 35 years. So I pulled out a balloon and said I was going to blow it up, [ I also have stage 3 COPD] she said wait, I need ti film this because this has never been done. So I blew up the balloon. Now if I can I know others can as well. so she asked if I would make a video on YouTube so she could leagley use it to show others. So I have found a new purpose in life for me. 

    Celabrate evere little thing he acomplishment as what is little to others is big to survivors. Do your best to enjoy each day and get a sence of humor helps too.

    https://www.youtube.com/watch?v=sL-ZuyhSMEM  Blowing up a balloon. The videos are really for ones who lost there larynx. They have now been seen in 45 countrys and have helped many get a lung function test they say can not be done with neck breathers, but it can.

    He will beat this, just be paitent as it is a slow process with chemo and radiation. You both will get through this and enjoy life once again.

    Bill

  • swopoe
    swopoe Member Posts: 492
    I am a wife too...

    and welcome to this group. My husband was diagnosed with stage 1 oral tongue cancer in October. He had surgery in early November and he started chemo and radiation today (6 weeks of rads and 6 cisplatin treatments, 1 per week). I know how you feel, and I spend a lot of time crying and feeling frustrated. I should have a box of tissues permanently attached to my hip. We also have three young children, and I am also already tired, and I know it is only going to get worse. I just don't know what to expect, and no one can tell me. And I hate that. Anyway, I just wanted to commiserate. I am sorry you had to join this group, but we can make it through to the other side together. Keeping you and your family in my thoughts and prayers.

  • MrsBD
    MrsBD Member Posts: 615 Member
    Welcome

    It's a little late, but I wanted to add my welcome as well. Although your husband isn't very far along into his treatment and his sense of taste may be intact,  I will attest to the fact that his appetite may already be affected. I had radiation with cetuximab and started to lose the desire to eat after the first chemo. For the first time in my life, people were pleading with me to eat! Whatever your husband eats should be high in protein and calories because he won't feel like eating much for quite a while. His doctor or nutritionist should be alerted that his appetite is poor so they can give you suggestions. 

    Many times people want to help cancer patients, but don't really know how. Don't be afraid to ask for help, even if it's just to give you a little time to recharge. Come here anytime for practical advice and emotional support. I'll be praying for your family too.

  • the_wife
    the_wife Member Posts: 184
    Hello and welcome

    Amelia,

    I'm a newbie caregiver, too, and my husband has the same diagnosis. He did not have surgery and was treated with weekly Cisplatin along with radiation for 7 weeks. To say this is a rough ride is an understatement. Even though our docs warned us, I had NO IDEA just how hard it would be for so long. I had the same experience with him ignoring advice. Everything goes in one ear and out the other. Right from the start of the first chemo he started having such severe nausea he could not eat. 

    It was actually nice having the tube in place because I didn't have the constant running back and forth to the kitchen trying in vain to find something he could stomach. Now that we're 3 months out and weaning off the tube, I'm back in the same place with trying a million different things. 

    He is very depressed because he has NO appetite and his taste buds are gone. He's sick and tired of being sick and tired. He keeps getting that look on his face and I fear one day he truly will give up. I keep trying to point out how far he's come and that he's through the worst of it. I am so weary of hearing myself nag and "coach" him, but what can you do? I keep going....trying different tacks. It is just heartbreaking to see what he has to go through. 

    I know what you mean by being tired already. I started out tired and I'm STILL tired. But I know for a fact that he wouldn't have made it without my efforts. Maybe I don't have to say this, but you are in for the fight of your life. Do what you can to get yourself in shape mentally and physically. Be sure that you take of yourself first so that you won't fall apart later. I hope you've got a strong support system because it's really hard doing it alone. Use all the resources that are available to you at your clinic. And yes, collude with the docs, if needed. We didn't have any support from family so that didn't help.

    Not everyone has the same experience, so don't let me scare you too much. It sounds like you have a positive attitude and that will get you through.

    My recommendation for your hubby would be to get on antidepressants now even if you think he may not need them. Mine doesn't believe in "all that." That reminds me, I need to call my doc tomorrow for a little something for myself, lol!

    All the best to you!

     

     

  • Amelia69
    Amelia69 Member Posts: 5
    MrsBD said:

    Welcome

    It's a little late, but I wanted to add my welcome as well. Although your husband isn't very far along into his treatment and his sense of taste may be intact,  I will attest to the fact that his appetite may already be affected. I had radiation with cetuximab and started to lose the desire to eat after the first chemo. For the first time in my life, people were pleading with me to eat! Whatever your husband eats should be high in protein and calories because he won't feel like eating much for quite a while. His doctor or nutritionist should be alerted that his appetite is poor so they can give you suggestions. 

    Many times people want to help cancer patients, but don't really know how. Don't be afraid to ask for help, even if it's just to give you a little time to recharge. Come here anytime for practical advice and emotional support. I'll be praying for your family too.

    Caregivers

    I took the advice given to me by several of the lovely people here and had a 'quiet' word with the doctor today while hubby was attached to the chemo pump (basically so he couldn't follow me :-)

    Doctor was very supportive and within 20 minutes the nutritionist appeared and convinced Paul that some supplement drinks would be a wise idea. I sat by and acted innocent.....

     

    So am feeling a little better that at least I will be able to get something nutritional into him. To be honest, I'm a rubbish cook so I don't really blame him for going on hunger strike.

     

    Am going to raise a glass tonight to all you brave people who are battling this sodding disease and also to us caregivers. 

  • Skiffin16
    Skiffin16 Member Posts: 8,305 Member
    Welcome

    There's some excellent advice and people here giving it... Bottled Peaches huh..., I like that, LOL..

    Best,
    John