Introduction

Welcome to our little part of computerland.  Again sorry for the need to be here.  I also go to Stanford for my surgeries.

nobody wants to be part of.  Sounds like you've been moving right along....tho it seems to take a LONG time to get the show on the road, it appears you are almost there.  Yes....regardless of what they have in store for you, getting on the bus and finally getting to participate in in the fight does wonders for our mental health.....waiting is the worst part.

I was diagnosed with almost exactly what you were.....NPC, Stage III T3,N2, M0.....not EBV or HPV that I know of, tho.  Sending you huge Mojo and prayers.....you will get thru this, that's a fact.....and as my ENT says....this bump in the road will soon be in your rearview mirror.

p

Skiffin16 said:

Lettum...

LTW

First, now that you have found a good, informative, and supporting froum..., minimize your internet searching, it'll scare the crap from you, LOL...

Once you get started, you won't have a chance to look back for a few months..., so even though it's dragging a little, they get you going soon...

Hang in there, check the SuperThread like mentioned... Oh, and hang on for the ride...

Best,

John

Sorry you have to join our club....but I agree, they are a great bunch.

We're with you on this journey....keep us posted and know we care.  Whispered a prayer before I hit submit that your treatments go well and you will be well at the end of them all.

Best,

Tim

letumwork said:

Thanks

Thanks for the warm welcome. I have already utilized some of the recommendations in the superthread and began to build an arsenal of supplies. I appreciate the hard work that must have gone into compiling the list. I will keep everyone posted on my progress and will try to remain positive throughout the process. Looks like I'll be getting Cisplatin every 3 weeks concurrent with radiation to the Tumor and neck and then a bonus round of Cisplatin and 5FU with a pump after the radiation. Sounds fun! I hear it's a grueling regimen and difficult to complete. We'll see soon enough! Take care everyone!

i've read its a tough but doable road.  you will do it.  i will keep u n my prayers.

God bless,

deb

letumwork,

Welcome to the H&N forum, sorry that you qualify.  Lurking or not , glean what you can from us, radiation has given us super powers (not really I am just full of it).

Anyway, you sound ready, but you should check out the superthread for recommended items to have prior to going into battle.  The scary stuff will calm down soon as your body adjusts to the treatment regime. Drop in anytime to ask questions.

Wishing you a smooth ride,

Matt

Welcome letum,

Between the 2nd opinions, surgeries etc, it was 3.5 months until treatment actually started treatment. I did the same thing concerning research but still got hit upside the head Now that I'm on the front lines (2nd week of 6 starting tomorrow), I'm a bit more battle hardened

Positive thoughts and prayers.

"T"

fishmanpa said:

Before you know it....

Welcome letum,

Between the 2nd opinions, surgeries etc, it was 3.5 months until treatment actually started treatment. I did the same thing concerning research but still got hit upside the head Now that I'm on the front lines (2nd week of 6 starting tomorrow), I'm a bit more battle hardened

Positive thoughts and prayers.

"T"

Yup..., we are all (at least the rads people), are ummm, a bit more thick skinned than before...

JG

My husband will be starting his treatment just a few days after you. He had robotic surgery and a neck dissection at Stanford two weeks ago, healing nicely. However, he will be getting treatments at UCSF since it's consderably closer. 

I want to share an interesting tip that our radiation oncologist gave us. She said that a recent patient of hers kept a tight schedule of eating, swishing, etc. He wrote it all dwon and had some method of reminding himself. But the most interesting thing was that he brought a thermal container with him filled with crushed ice and held ice and ice water in his mouth until the minute before he had radiation. I think he then took more ice water in his mouth afterwar as well. The doctor said that chilling the mouth tissue before and after really made a difference. This patient developed no sores! 

I have never heard of doing that on this board and I love the idea of it! It's practically free! We will certainly try it.

Are you in the bay area?

Helen

letumwork said:

Ice

That's an interesting tip- I haven't heard of doing this but it's worth a try! I'm located in Clayton which is next to Walnut Creek. I will be getting my Chemo and Radiation at John Muir Hospital since the plan and all of the scans are already complete except for one more MRI needed which will happen Monday and it's 20 minutes from my house. Stanford reviewed the plan and agrees with the treatment as it is pretty standard. Stanford offered a clinical trial that puts the Chemo before the concurrent chemo and radiation but I would have to start the whole process over at their facility thus creating another 3 week delay plus having to either battle hours of traffic each way for treatment or find temporary housing in the area away from my Wife and Daughter and Dog and support group as well as creating issues with my insurance to redo everything that has already been done. I will be receiving follow up treatment at Stanford after the initial treatment is completed since they are better equipped to do surgery for secondaries or recurrence if needed. I guess we're lucky we have so many quality Hospitals in the Bay area. I feel for those that have to travel hundreds of miles to receive the care they need. That would add an extra hardship to the battle that would be difficult to deal with on any level let alone while fighting Cancer.

John

Not sure on the "trial" you mention...

That is somewhat how my treatment played out four years ago...

Tonsils out, nine weeks of chemo, (Cisplatin, Taxotere and 5FU) in three weeks cycles. Then seven weeks of concurrent with weekly Carboplatin and daily Amifostine Injections just prior to the 35 daily radiation treatment..

From my understanding there is no specific standard, just what is best currently at the facility. My facility has offered the treatment concuurent first at times, but during the time I had it, chemo before concurrent was their protocul.

JG

letumwork said:

Trial

The trial they were offering was a phase 2 trial designed to study if the trial treatment was easier for patients to complete than the standard therapy. It is now a standard therapy for BOT cancer but hasn't been proven to be better for NPC yet. They also indicated that the trial was designed for more advanced cases than mine but they were confident I could participate because my type of Cancer is so rare and they were having problems finding participants. It would have been Neoadjuvant Chemotherapy with TPF(Taxotere, Cisplatin and 5FU) followed by concurrent Cisplatin weekly with radiation. It is probably the same as what you received. I would have done it if it didn't require me to start over creating more delays and the whole logistics aspect of moving the treatment over to Stanford. I can feel the lump on my neck getting bigger so at this point I really want to get going with treatment. Hopefully it is the right choice!

I am 3 years out of treatment and had all my treatment at john muir also.  They do a great job.  Just get started, stay focused, be positive and you will do fine.

all the best,

steve