what to do prior to starting treatment

Hi, I have just learned that I have stage 4 SSC of the tongue with 2 lymph nodes affected.  I meet with the surgeon tomorrow to find out if I am a candidate for a hemi-glossectomy and I am assuming that a neck dissection is also in my future.  The Radiation Oncologist told me that radiation treatments would be best after the surgery (assuming I am a good surgical candidate) and depending on how the pathology comes back after surgery, concurrent chemo may also be needed.  I never thought I would be hoping that they only need to take half of my tongue!

I'm a single mom with an elementary aged child and so I definitely want to fight extra hard to make it through this and be around for a long time (which I know everyone wants).  There are so many things to take care of prior to surgery or radiation treatment, or whatever the plan ends up being.  Once that process starts, I know that will take a lot of focus.  For those that have already walked down this road, is there anything that you would recommend taking care of before starting on this journey? (I don't have any real dental issues but I am wondering about flouride treatments or anything to do as a precaution.)

Thanks for any wisdom you have to share.  I know everyone on this site has been where I am right now--feeling frightened yet determined.

CeeCee

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Comments

  • KTeacher
    KTeacher Member Posts: 1,103 Member
    Welcome

    Welcome to our little part of cyberspace.  It is good that you found us before treatment begins (I didn't find this group until after I had treatment).  First, read the Superthread.  Take a notebook with you to appointments.  Have questions written down.  If you can take someone with you to appointment it is helpful.  If you are a single mom, is dad involved in your child's life and is he dependable?  Family and friends and church friends will come in handy.  Have a list ready.  You are in for a fight but it is doable.  There are many on this site that have had the same surgery and they will post soon.  You can also search and bring up old posts to help prepare you for what might happen.  We are all different however the treatment is much the same.  Stick around, we can help, encourage and support you.

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

    Welcome to the group and I'm sorry you need to be here. Mine was SSC just above my vocal cords [Supraglottic ] ended up being T3;N0;M0 and total laryngectomy and neck dissesion on both sides, 86 glands total. I didn't have radiation or chemo but others will answer those questions you might have. I agree with everything Kt said and I would write my questions down and hand it to the doctor. He wrote the answers down and gave it back. The first time I had questions he said something that just through me and I went blank. So I write them down.

    I would recomend getting a dog cliker at petsmart for about $2.00 so if you can't talk you can get the nurses attention, it works great. Also I used a Dry Board to write on and it is the best to use as it is not expencive and you can write and erase. Now for around $50. there is what is called a Boggy-Board to write on and you get it from amazon or some Borders have them as well. You write and when done you push the button and it is all errased so you can write again.

    This can be a very rough road to go down but many have been down befor and do know how you feel and understand. Will add you to my prayer list and we're hear for support. You will get through this.

    Bill  2013

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

    Sorry that you found your way here, but under the circumstances, it's a very good place to be..

    There are a lot of different people here in various phases of survivorship, all are awesome, and helpful. Myself, I was STGIII SCC Tonsils and a lymphnode, HPV+.. Three cycles (nine weeks) of three chemos, and an additional seven weeks of concurrent chemo and daily rads simiar to what you mention.

    No surgery, other than the tonsils coming out and a power port inserted, no PEG, but some swear by them and a few MD's put them in upfront... Hard to say as for the dissection you mention, or at least I presume that it's not a given.

    As for the recommendation of the superthread, there is a lot of good info on there.... If you find some links that no longer work, let me know and I'll fix or delete them.., or stick something on there of value if you find it in your travels.

    The thought of dental is a good one.., ask your dentist if he has experience with patients that have had radiation, post Tx extractions, possibilities of lower jaw bone degradation, and about extra flouride, etc...

    My dentist gives me Colgate PreviDent 5000, which is a Rx strength that has 5000ppm of flouride for extra decay prevention. They have also given me Oral B STOP Flouride Gel, especially if you have dry mouth for awhile after.

    There's a few products that help with that also, Biotene, Stoppers4, etc...

    Again, welcome to the club, and hang on for the ride..

    Best,

    John

  • Carolinagal4
    Carolinagal4 Member Posts: 22
    Skiffin16 said:

    Welcome CC

    Sorry that you found your way here, but under the circumstances, it's a very good place to be..

    There are a lot of different people here in various phases of survivorship, all are awesome, and helpful. Myself, I was STGIII SCC Tonsils and a lymphnode, HPV+.. Three cycles (nine weeks) of three chemos, and an additional seven weeks of concurrent chemo and daily rads simiar to what you mention.

    No surgery, other than the tonsils coming out and a power port inserted, no PEG, but some swear by them and a few MD's put them in upfront... Hard to say as for the dissection you mention, or at least I presume that it's not a given.

    As for the recommendation of the superthread, there is a lot of good info on there.... If you find some links that no longer work, let me know and I'll fix or delete them.., or stick something on there of value if you find it in your travels.

    The thought of dental is a good one.., ask your dentist if he has experience with patients that have had radiation, post Tx extractions, possibilities of lower jaw bone degradation, and about extra flouride, etc...

    My dentist gives me Colgate PreviDent 5000, which is a Rx strength that has 5000ppm of flouride for extra decay prevention. They have also given me Oral B STOP Flouride Gel, especially if you have dry mouth for awhile after.

    There's a few products that help with that also, Biotene, Stoppers4, etc...

    Again, welcome to the club, and hang on for the ride..

    Best,

    John

    Thanks for the welcoming

    Thanks for the welcoming words and tips. I will check out the super thread and these tips.

  • MarineE5
    MarineE5 Member Posts: 1,034 Member
    Sound advice already given

    CeeCee,

    As mentioned by the others, welcome to the club no one wants to join, but you have found a good site with knowledgeable people that will guide you thru all this. I too had roughly 1/2 of my tongue removed. A radical neck disection, PEG tube for feeding.

    I had the Surgery, time to heal and then started Radiation. I did not have Chemo as the Surgeon and Radiation Oncologist wanted to keep Chemo as a back-up in the event I had reoccurance which did not happen. I am 10yrs out now.

    Have a Dentist that is familar with Cancer Patients and Radiation check your teeth prior to treatments to repair any little work that needs to be done. I use the Flouride daily, it is an easy routine and has worked well for me. I use the same as Skiffin, PreviDent 5000.

    Ask your questions here, lean on use for support, vent when necessary. If you are up to chatting, jump over to the chat room where there are several other Head and Neck survivors that visit, some recently out of treatments.

    My Best to You and Everyone Here

  • thennies61
    thennies61 Member Posts: 285
    Hi and welcome you really

    Hi and welcome you really have come to right place.As was said before I also had about half of my tounge removed and some nodes also.During surgery they removed all my teeth as my doctor was afraid the radition would destroy them anyway plus medical will help dentures.I didn't gp though chemo but this trail drug.If it worked great if not no harm.Was suppose to highlight anything they didn't get and let the radation zap it.I was just starting to eat alittle but mainly got into power drinks before hand and during my treatments.That lasted around 6 weeks everyday except the weekend.My doctor sent me to a speach and swallowing specialist which worked out great for me.My swolowing has gotten better but still have to chop up alot of the food like meat or the harder veggies and fruit.I guess basically I stay with the comfort food.I did have a peg tube in which I used during the treatment as it was easier to use.And remeber to swallow swallow swallow.Keep those muscles working as much as you can.I also seen a massage person who helped me getting the fluids moving arounf throat.It is very doable but don't get down on yourself this is very new and have to re learn some things along the way.I go at the end of the month to have some bone implanted into my jaw to amke it stronger then in 3 months go back in and will have implants put into the bottoms and dentures on top.Since my tounge is tied down now and don't quite have the movement it once did they are going to make the plate along top of my mouth thicker which will help in swallow alittle solid food and also my speach.Be sure to ask them anything on your mind to learn

  • debbiejeanne
    debbiejeanne Member Posts: 3,102 Member
    welcome to the family but so

    welcome to the family but so sorry you need to be here.  it is rough going through tx but you can do it.  i would say when friends and family offer to help, let them!  you will be very busy with tx and the side effects and will not be able to go as you normally do so let others help.  drink plenty of water and eat as much as you can while you can.  come here any time you want to talk, ask questions, vent, cry or whatever you are feeling.  nothing is off limits and like bill alwasy says, we're open 24/7.  praying for you as you take this journey.  know that we are on the sidelines cheering you on.

    God bless you,

    dj

  • avisemi
    avisemi Member Posts: 172
    Hi CeeCee,
    welcome to a place

    Hi CeeCee,

    welcome to a place you rather not be! As you can see, there are some great folks here to support you. Come anytime you need to bent, ask questions, deal with emotions, etc.

    I agree with what everyone has said. Try to have someone come to you to at least the major appointments. You may not remeber/may feel bad/overwhelmed/etc. so it would be very helpful to have someone with you.

    Folks have said to let others help you. I didn't know how to do this until mid treatment for my husband. People would say "let me know if there is anythign I can do to help". It just seemed so broad a statement that I would say okay and that was that. Later on I learned to have a list ready of specific things folks could do for me: cook a meal, help taking Dima to the treatments, babysitting, mow the lawn, etc. Don't feel shy about telling them specifically what you want/need. 

    Are you going to continue working? If you are, there might get a point where you will not be able to (too tired, pain issues, etc.). I hope you have a very supportive boss/company. Have a conversation up front about your tentative plan. My husband worked until he could not anymore, came back for a month, and was gone for several months before finally returning full time this April. We were blessed with an amazingly supportive employer. I know it made Dima feel better creating the plan with his boss about his schedule.

    I'll be praying for you!

     

  • Carolinagal4
    Carolinagal4 Member Posts: 22
    avisemi said:

    Hi CeeCee,
    welcome to a place

    Hi CeeCee,

    welcome to a place you rather not be! As you can see, there are some great folks here to support you. Come anytime you need to bent, ask questions, deal with emotions, etc.

    I agree with what everyone has said. Try to have someone come to you to at least the major appointments. You may not remeber/may feel bad/overwhelmed/etc. so it would be very helpful to have someone with you.

    Folks have said to let others help you. I didn't know how to do this until mid treatment for my husband. People would say "let me know if there is anythign I can do to help". It just seemed so broad a statement that I would say okay and that was that. Later on I learned to have a list ready of specific things folks could do for me: cook a meal, help taking Dima to the treatments, babysitting, mow the lawn, etc. Don't feel shy about telling them specifically what you want/need. 

    Are you going to continue working? If you are, there might get a point where you will not be able to (too tired, pain issues, etc.). I hope you have a very supportive boss/company. Have a conversation up front about your tentative plan. My husband worked until he could not anymore, came back for a month, and was gone for several months before finally returning full time this April. We were blessed with an amazingly supportive employer. I know it made Dima feel better creating the plan with his boss about his schedule.

    I'll be praying for you!

     

    I am so thankful to have

    I am so thankful to have found this place as I can tell that the resouces (all of you wonderful people) will be a lifesaver!  As an update to my earlier post, I have now had my appointment with the surgeon and I am a good surgical candidate for a hemi-glossectomy with tongue flap from forearm, along with neck dissection.  Radiation will follow and won't know about chemo until pathology comes back after surgery.

    I have been reading the superthread and looking at old posts on this site and just trying to absorb all of the info.  In terms of working, I do plan to work up until the surgery.  My company will allow the 3 months off (as required by law) but I am unsure about additional time.  I know there is the possibility that I may be able to work in some capacity during the recovery time after surgery and before radiation--I am just worried about talking as I do a lot of talking in my job.  I am wondering if returning to work for a few weeks during this time might buy me more time (that they would hold my job) after the radiation.  Does anyone have any feedback on whether returning to work a few weeks after surgery (but before radiation) worked out for them and any comments on speaking ability during this time?

     

  • avisemi
    avisemi Member Posts: 172

    I am so thankful to have

    I am so thankful to have found this place as I can tell that the resouces (all of you wonderful people) will be a lifesaver!  As an update to my earlier post, I have now had my appointment with the surgeon and I am a good surgical candidate for a hemi-glossectomy with tongue flap from forearm, along with neck dissection.  Radiation will follow and won't know about chemo until pathology comes back after surgery.

    I have been reading the superthread and looking at old posts on this site and just trying to absorb all of the info.  In terms of working, I do plan to work up until the surgery.  My company will allow the 3 months off (as required by law) but I am unsure about additional time.  I know there is the possibility that I may be able to work in some capacity during the recovery time after surgery and before radiation--I am just worried about talking as I do a lot of talking in my job.  I am wondering if returning to work for a few weeks during this time might buy me more time (that they would hold my job) after the radiation.  Does anyone have any feedback on whether returning to work a few weeks after surgery (but before radiation) worked out for them and any comments on speaking ability during this time?

     

    glad you are a good candidate

    glad you are a good candidate for the surgery!

    Don't know about the recovery time for the surgery. Dima had induction chemo and started radiation (with more chemo almost a month later). He went back to work 3 weeks after induction chemo and worked until the end of week 4 of radiation. Up front the rad onc had told us that most people do okay until week 3 or 4 before all the side effects accumulate. He really wanted to go back to work so that he would have more FML for the last part of the treatment and because it just made him feel good/normal to be back at work. 

     

  • MrsBD
    MrsBD Member Posts: 617 Member
    Ditto

    Welcome to the close knit CSN family. This people on this site were very helpful to me as they will be for you. There is really not much more to add to the advice you've been given so far. Working after you've recovered from surgery but before the radiation side effects begin to bother you is a good plan. Once your radiation treatment is finished, you will still have side effects for several weeks. Some people have been able to work almost steadily. Be patient with yourself, stay as well-nourished and hydrated as possible, and come here for support whenever you need it.

  • pkzmf
    pkzmf Member Posts: 5
    welcome aboard

    hello ceecee and welcome aboard a ship you didnt want on but found there are many very good people aflote here as we all try to help one another first thing first get someone to hepl with child as it will be hard on them as well i had a 12yr old when i was first di and he took it bad was a straight a student down to ds before anyone at school noticed so give the right people a heads up with whats going on and when someone wants to help take it even if you think you dont need it you will find that if you didnt you wish that you have again welcome aboard and if you need anything from any of the wonderful people here just shoot this is a great site with great people wishing you well and you and child are in my prayers paul 

     

  • Carolinagal4
    Carolinagal4 Member Posts: 22
    pkzmf said:

    welcome aboard

    hello ceecee and welcome aboard a ship you didnt want on but found there are many very good people aflote here as we all try to help one another first thing first get someone to hepl with child as it will be hard on them as well i had a 12yr old when i was first di and he took it bad was a straight a student down to ds before anyone at school noticed so give the right people a heads up with whats going on and when someone wants to help take it even if you think you dont need it you will find that if you didnt you wish that you have again welcome aboard and if you need anything from any of the wonderful people here just shoot this is a great site with great people wishing you well and you and child are in my prayers paul 

     

    How much to tell child

    I am worried how my 11 year old will take the news--I haven't told her yet (but plan to do so soon). I want her to know enough about what is happening to feel included without necessarily feeling scared--not sure if that is possible or not. 

     

  • KTeacher
    KTeacher Member Posts: 1,103 Member

    How much to tell child

    I am worried how my 11 year old will take the news--I haven't told her yet (but plan to do so soon). I want her to know enough about what is happening to feel included without necessarily feeling scared--not sure if that is possible or not. 

     

    On line

    There must be something online to help with telling your child.  My grandsons were 5 when I had to have my eye removed.  We talked about bad cells in our body called cancer.  They both dealt with it differently (just like my first surgery when they were  2 1/2).  One had no problem looking and would ask questions that mordified their parents (is your eye going to grow back?).  The other would call down the hall that he wass coming to see me and at the door he would say, Grandma, do that (He held his hand up at his eye)  It was still to early for me to patch and he couldn't look at it and I understood.  I would rather they ask questions as we go along rather than think that we don't talk about it.  I just paint my lense with nail polish now and if you are on my side you can see that there is something different.  2nd grandson will say he likes my patch better.  You will have to go with how she handles the news and be ready to talk about what will be going on.  11 is old enough to read and write your notes when you first come home.  She needs to be prepared but as you talk to her you will see if she is following or just lost.  I am sure as the time progresses that she will have more questions.  I will look for the book that we used to start our conversation.  Former teacher, there is a story book for everything!

  • wmc
    wmc Member Posts: 1,804

    How much to tell child

    I am worried how my 11 year old will take the news--I haven't told her yet (but plan to do so soon). I want her to know enough about what is happening to feel included without necessarily feeling scared--not sure if that is possible or not. 

     

    I'm not sure..........

    My son is 29 and he took it very hard because he saw me coughing up lots of blood, so he knew what was happening. I had to tell him I was going to have my larynx removed and breath through my neck. My grandsons [4&5] were told I was sick and would have to go to a doctor and stay in the hospital for awhile. When I come back I will have a hole in my neck so I can breathe. They took it very well but never knew anything about cancer. I have always been very open about illness and my COPD and what it has done to me. I have even told him if there any questions he has for me, this is the time to ask. Later might be to late. Your 11 year old will know something is wrong and it might be better if they hear it from you then guessing. My insurance had a nurse assigned to me and was there if my wife or son ever needed to talk.  I did talk to her several times. I remember once I called and she said it's not even six am where I was. She knew I needed to talk and it did help me get through it. My son did go to my brother a lot and talk to him, that he was scared I would not make it.  I came through fine and my grandsons looked and said that hole is getting better and smaller. I laughed and said it won't get any smaller, I need it to breathe, and thet never thought of it again. I just did not want to come home and scare them when they saw me. So, I don't know the answer, you just go with how you feel is best, but I think I would just be honest and let her know it all.

    Let her know she is welcome to come here and get support as well. Best of luck and we will add you all to my prayer list.

    Bill  10.02.2013

  • Skiffin16
    Skiffin16 Member Posts: 8,305 Member

    I am so thankful to have

    I am so thankful to have found this place as I can tell that the resouces (all of you wonderful people) will be a lifesaver!  As an update to my earlier post, I have now had my appointment with the surgeon and I am a good surgical candidate for a hemi-glossectomy with tongue flap from forearm, along with neck dissection.  Radiation will follow and won't know about chemo until pathology comes back after surgery.

    I have been reading the superthread and looking at old posts on this site and just trying to absorb all of the info.  In terms of working, I do plan to work up until the surgery.  My company will allow the 3 months off (as required by law) but I am unsure about additional time.  I know there is the possibility that I may be able to work in some capacity during the recovery time after surgery and before radiation--I am just worried about talking as I do a lot of talking in my job.  I am wondering if returning to work for a few weeks during this time might buy me more time (that they would hold my job) after the radiation.  Does anyone have any feedback on whether returning to work a few weeks after surgery (but before radiation) worked out for them and any comments on speaking ability during this time?

     

    Working...

    It really depends on your job, and how you feel...

    I mainly do computer work, I was also able to work from home connecting to my work computers.. So for me working from home was easy. I had few side effects most of the time, amd my office was liberal with me as far as non-standard working hours.

    John

  • Sailor123
    Sailor123 Member Posts: 97

    How much to tell child

    I am worried how my 11 year old will take the news--I haven't told her yet (but plan to do so soon). I want her to know enough about what is happening to feel included without necessarily feeling scared--not sure if that is possible or not. 

     

    You should private message

    You should private message Bunnymom.  I think you two might really help each other.

  • MrsBD
    MrsBD Member Posts: 617 Member
    Telling your children is hard

    Telling your children is hard no matter what the age. As with any topic, it is important that your daughter gets accurate information. Eleven year old girls are social and dramatic  so she will also need to be able to share facts to correct any misinformation her friends tell her. As KTeacher said, books are a great idea. Check with your cancer center social worker and local librarian or bookstore for suggestions. As a teacher myself, I recommend letting your daughter's school know about your situation. Her teacher can be alert to any difficulties your daughter might experience. One thing I told my children is  that unlike years ago, cancer does not mean you will die. Therapy today is still difficult to get through, but it is more successful and cured people are everywhere. 

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

    Telling your children is hard

    Telling your children is hard no matter what the age. As with any topic, it is important that your daughter gets accurate information. Eleven year old girls are social and dramatic  so she will also need to be able to share facts to correct any misinformation her friends tell her. As KTeacher said, books are a great idea. Check with your cancer center social worker and local librarian or bookstore for suggestions. As a teacher myself, I recommend letting your daughter's school know about your situation. Her teacher can be alert to any difficulties your daughter might experience. One thing I told my children is  that unlike years ago, cancer does not mean you will die. Therapy today is still difficult to get through, but it is more successful and cured people are everywhere. 

    Cee Cee

    Sorry for your situation. My first suggestion is to get a calendar if you don't already keep one. Also a second set of ears at doctor appts. kids are resilient. Let your daughter know you know it can be scary and that is ok. cancer is a scary word. There are many types of cancer so she may hear things different from your situation. Encourage her to ask you personally and if you don't know the answer you have a very good team of doctors that you will ask. Tell her no question is stupid or unimportant.  I think kids associate loss of hair with cancer. My first chemo was Cisplatin and there was no hair loss Plus you don't even Know if you will need chemo yet.

    Have a dry erase board on hand. You can find them at the dollar store small enough to carry in your purse. Very handy if speech or dry mouth are difficult for awhile.

    I had cancer of jaw and talked on phone a lot. I did work between surgery and chemo/rads. the middle of chemo/rads was my hardest time. I slept almost nonstop. Do you have family members/friends to step in so your daughter does not need to become caretaker? If not, inquire about home health with your hospital social worker. 

    I suggest you do not read a lot of scary stuff on the web. Tell your daughter you do not want her reading things on the internet either because there are just too many types of cancer and you dont want her to get any misinformation. She can also write down her questions for doctor. Take it as it comes and deal with it. Don't waste time with worry of side effects that may or may not happen. If they do happen, you can get lots of good suggestions on this site. Gain weight now. Take your daughter out for a banana split. 

    Candi

  • Duggie88
    Duggie88 Member Posts: 760 Member
    CeeCee

    Welcome to our little corner of the world. I had stage 4 base of tongue so they removed part of my tongue, epiglottis, a few lymph nodes, and my uvula. I did 30 radiation treatments which started 2 months after the surgery. I had a full neck dissection so the lack of mobility in my neck prevented me from driving for a period of time. I was able to work from home and because I am a V.P. for the greatest union in the world FMLA for as long as I needed wasn’t a problem.  Depending on the time frame from surgery to radiation you may be able to get some work time in between the two.  I say this because of the driving issue but if you can use public transportation or a co-worker can help out, this will not be an issue. Talking was a problem for me so I always had a pad and pen. Another guy from the union did my talking and leg work while I worked at home on the computer.   Once you start radiation your time at work may go downhill but keep in mind you can take FMLA in partial days which will extend the time.  Also, we all react to radiation treatment differently meaning , issues for some folks never come about for others.  

    I would have a heart to heart with your daughter ASAP, more than likely she will have many questions leading up to the start of treatment and communication will play a big part on her adjusting.

    I am a 5 year survivor and was recently told I am officially cured. I am a true believer in positive thinking, and acquiring the mindset that you can beat cancer. Many on here use other terms for cancer, I prefer to call it what it is using no camouflage but that’s just me. I have told many in this room and out on the street…………If I can do it anybody can do it.  

    There are many fine people on this site with hearts of gold who can help you throughout your battle.  Don’t be afraid to ask questions, this room is filled with experience.  I don't always have the time I would like to monitor this site but I will check in with hopes in seeing your positive posts.

          Jeff