My radiation journey - Week 3

stevenpepe
stevenpepe Member Posts: 234
edited June 2016 in Head and Neck Cancer #1

I just completed 14 treatments out of 33 and here's my experience to date.

Lost one day to the holiday last week. However, the radiation forgot to celebrate Memorial Day like the rest of us. Sores on my tongue, inside my cheeks, and one near my throat, got pretty serious. Although I'm still eating a regular diet, I have started to avoid the usual suspects like tomato sauce (How? I'm Italian!).

Am I the only one that thinks pancakes smothered in syrup and butter are awesome? Along with watermelon?

Now, after week 3, sores on my front gums and inside my bottom lip are popping up. Really annoying, too. The original sores on my tongue and throat are healing so I can still swallow just fine. I'm noticing a pattern of new and old sores and hoping they don't coincide with one another. It's like playing radiation dodgeball. I just hope I don't get hit with a barrage all at once.

I'm trying to avoid the narcotics even though I have a stash of Liquid Oxy on hand. Gabapentin is my choice of drug and seems to be doing a good job for now.

Plenty of dry mouth, of course. Food is getting more difficult to navigate around my mouth which is frustrating.

Perhaps the most frustrating is my tongue. Not only is it burning, but it has healed really tight and it turns to the left. I absolutely hate how I speak, like I have marbles in my mouth. I cannot see how it can improve when I can barely move it. Like its tied down.

I guess it's better than the alternative. It's just a whole new normal I'm trying to get used to.

Read a post somewhere about a 14 year old boy with tongue cancer. How does someone that young get this? Stories like that keep me grounded. I guess I'm lucky at an old 49!

Steve

Comments

  • wmc
    wmc Member Posts: 1,804
    Still doing good.......

    I'll start with the Watermelon, which is one of the best fruit you can eat. It is full of such great things that are good for the body. Having the heavy pain killer and not needing it is very good also. You have it if needed. I think it was my 2nd or 3dr day after surgery and the nurse came in and asked what was my pain level? So I said 0, I've have no pain. She replied you have no pain? Ok maybe a 1 but that's it.  Well, when the drain tubes came out pain went to a 6+ within minutes but the nurses were right there.  I will say I did have some of the best nurses I have ever had.  Heck, even the lady that came to clean the room was exceptional, and always asked how I was doing and could she do anything for me.  Yes, it is much more than my local hospital which is rated #2 in the entire central valley, but you sure get what you pay fore. The overall services was the best I have ever seen, and sincere as well.

    Again thanks for the update and try to enjoy the weekend.

    Bill

  • Josephwc
    Josephwc Member Posts: 69
    Good luck Steve. Keep up the

    Good luck Steve. Keep up the positivity pain meds so you can eat and heal each day before a new dose. Enjoy your weekends and don't make Ss anymore days. I was warned about that. Wish I had that oxy right about now. Pain is pretty severe even now that it is over. 

     

    I'm being discharged today and right outside my private room door where the masses are separated only by a certain if they are lucky there is a young boy suffering from cancer. This all puts things in perspective and really makes my heart heavy.

     

    Best of luck.

  • LiseA
    LiseA Member Posts: 266
    Steve, even though you are

    Steve, even though you are writing about painful stuff, you're such an entertaining writer that you leave me chuckling :-)

    Does the soda rinse help at all?  What's the Gabapentin for? Pain? Numbing agent?  Have you attempted MuGuard? I'm having a heck of a time getting MD Anderson doc to say okay to it. 

  • Craig_Griffin
    Craig_Griffin Member Posts: 52
    Might I sugest 2 of my

    Might I sugest 2 of my favorite things to eat right after my radiation ended: French toast & scrambles eggs (bacon no-go), Subway meatball marinara not toasted (oops it has tomato sauce) but it really worked for me. Watermellon is great it has the highest PH of any food on earth. Also due to lack of mough and tongue muscles I found it noce to just squish my food with ongue against the roof if the mouth since chewing wasn't working so well. 

    How vividly I recall the salt water swishing. Also my voice totally went so I developed hand signals to help talk. Even folks at the post office could understand what I was "saying". Later when my voice came back I sounded like my tongue was always in the way, but 6 months later that improved.

    -Craig

  • stevenpepe
    stevenpepe Member Posts: 234
    LiseA said:

    Steve, even though you are

    Steve, even though you are writing about painful stuff, you're such an entertaining writer that you leave me chuckling :-)

    Does the soda rinse help at all?  What's the Gabapentin for? Pain? Numbing agent?  Have you attempted MuGuard? I'm having a heck of a time getting MD Anderson doc to say okay to it. 

    Glad I can keep you

    Glad I can keep you entertained lol. If I don't laugh, I'm gonna cry!

  • stevenpepe
    stevenpepe Member Posts: 234
    Well, another expected side

    Well, another expected side effect is occurring. My beard is falling out. How depressing. I hate shaving my neck but it looks like I'm losing my goatee.

  • kdot2003
    kdot2003 Member Posts: 143
    Steve, 

    Steve, 

    You are so awesome.  I am serious.  You are pushing through and you are doing great.  

    Karen

  • Bart T
    Bart T Member Posts: 62 Member
    YOU ARE ME FOUR YEARS AGO

    Hi Steve. Sounds like you’re a carbon copy of me four years ago. Tongue cancer, hemiglossectomy, radiation, treatment at Sloan in New York City.

    Sounds like you’re handling everything about as good as anyone can handle it. I think a good attitude and a positive outlook is 90% of the battle, so stay strong and stay positive. I finished my radiation in July 2012, and cancer free since then, but I do have to admit to a batch of very annoying side effects. Hopefully you new normal will be not be far from your old normal.

    I didn’t keep a detailed log of what exactly I got when, but  I recall that I continued working until about 4 weeks into the radiation and was able to manage the pain without narcotic meds until about that time. I do recall due to the sores in my mouth, there were days starting around week three of four where talking in more that single words became too painful. Once I started on the narcotics, at about week 5, I stopped being able to drive, so that made a big difference to my sense of normalcy.

    At the end of my fourth week, I made a slide presentation as my way of communicating with my friends, and here is the link on youtube if you want to view it. https://www.youtube.com/watch?v=7kHMNmIaPqg

    If you view it, (warning – I have a very sick sense of humor which didn’t get any less sick as the treatment progressed) you can probably tell I was starting to have difficulty talking. Also shortly after that the skin on my neck which appears red on the video broke through. I noted your concern regarding the marbles in your mouth. During my treatment, I did get some speech therapy at Sloan, and that did help. My speech has returned to about what it was prior to the cancer, although toward the end of my radiation speech was painful and very slurred. In fact I was starting to communicate by writing notes. Things will get better.

    I do remember one of the highlights of each day was a visit to the nurses station before the treatment. The mouth rinses they gave me were a big help, and they were all so nice I always left feeling good.

    Like you, I set objectives for concluding my treatment. I wanted avoid a feeding tube, narcotic addiction, and any complication requiring hospitalization - mission successful on all three counts. 

    I wish you all the best. Keep in mind that as bad as you may feel on certain days, have patience, as thing will get better. That was true in my case (although the recovery wasn’t quick enough to suit me) and I’m sure it will be true in your case. Even your beard will eventaully grow back (emphasis on eventually).

  • donfoo
    donfoo Member Posts: 1,773 Member
    eep on marching

    Glad to hear you are doing well handling the typical crap delivered by treatment. Stay strong and battle every day. You've got a bit of road ahead but strength and determination will fuel your march to the finish line. Hang in there.

  • stevenpepe
    stevenpepe Member Posts: 234
    edited June 2016 #11
    Bart T said:

    YOU ARE ME FOUR YEARS AGO

    Hi Steve. Sounds like you’re a carbon copy of me four years ago. Tongue cancer, hemiglossectomy, radiation, treatment at Sloan in New York City.

    Sounds like you’re handling everything about as good as anyone can handle it. I think a good attitude and a positive outlook is 90% of the battle, so stay strong and stay positive. I finished my radiation in July 2012, and cancer free since then, but I do have to admit to a batch of very annoying side effects. Hopefully you new normal will be not be far from your old normal.

    I didn’t keep a detailed log of what exactly I got when, but  I recall that I continued working until about 4 weeks into the radiation and was able to manage the pain without narcotic meds until about that time. I do recall due to the sores in my mouth, there were days starting around week three of four where talking in more that single words became too painful. Once I started on the narcotics, at about week 5, I stopped being able to drive, so that made a big difference to my sense of normalcy.

    At the end of my fourth week, I made a slide presentation as my way of communicating with my friends, and here is the link on youtube if you want to view it. https://www.youtube.com/watch?v=7kHMNmIaPqg

    If you view it, (warning – I have a very sick sense of humor which didn’t get any less sick as the treatment progressed) you can probably tell I was starting to have difficulty talking. Also shortly after that the skin on my neck which appears red on the video broke through. I noted your concern regarding the marbles in your mouth. During my treatment, I did get some speech therapy at Sloan, and that did help. My speech has returned to about what it was prior to the cancer, although toward the end of my radiation speech was painful and very slurred. In fact I was starting to communicate by writing notes. Things will get better.

    I do remember one of the highlights of each day was a visit to the nurses station before the treatment. The mouth rinses they gave me were a big help, and they were all so nice I always left feeling good.

    Like you, I set objectives for concluding my treatment. I wanted avoid a feeding tube, narcotic addiction, and any complication requiring hospitalization - mission successful on all three counts. 

    I wish you all the best. Keep in mind that as bad as you may feel on certain days, have patience, as thing will get better. That was true in my case (although the recovery wasn’t quick enough to suit me) and I’m sure it will be true in your case. Even your beard will eventaully grow back (emphasis on eventually).

    Yes, I see we have a lot in

    Yes, I see we have a lot in common. That video was funny as ****. I haven't seen Amber during my treatments. Did she relocate? Too bad for me.

    My girlfriend's name is Linda, as well. Too funny. My treatments take place in a new facility in West Harrison. I had my surgery in the NYC campus. Thanks for the advice. It will come in handy, I'm sure.

  • CivilMatt
    CivilMatt Member Posts: 4,724 Member
    week 3

     

    stevenpepe,

     

    I embraced the Magic Mouth Wash of course the Oregon vintage I had was exceptional.  I went through 6 bottles and sipped, swished and swallowed every drop…..

     

    Week 3 was when my taste buds checked out, but they are mostly back (but different) 4+ years later.

     

    Go ahead and eat anything you like, maybe you will be a lucky one, but be prepared for any food or taste obstacle thrown at you.

     

    Matt

     

  • SusanUES
    SusanUES Member Posts: 125
    Bart, your video is hilarious!!!

    Loved it, watched it twice.  When I was three weeks into rads, my oncologist very solemnly asked me how I was getting back and forth to work and rads each day.  I was surprised by the question and said, by subway, like I do every day.  And he replied, you know you don't have to worry...the radiation to your body is of no danger to anyone.  And I burst out laughing and said, I never would have thought that in a million years!  Anyway, your vid reminded me of that so thanks for the laughs, Bart.

    Steven, you're doing great.  Don't worry about the hair loss.  I lost a lot in the back but it's pretty much all grown back a year later.  Most of the women I met at MSK undergoing chemo cut their hair short so as to minimize the trauma of seeing hair fall out on the pillow and in the shower each day.  I admired them so much...Warrior Women!

  • Raddude
    Raddude Member Posts: 84
    edited June 2016 #14
    Steve

    I posted this on another thread but thought I would share here. BTW I haven't shaved my neck in a long while. It's like a babys bottom. Tried growing my mustache back but it stuck out like a porcupine. Hang in there and your sense of humor will actually help you tremendously. 

    L-glutamine. I swish and swallow it still and never had a mouth sore or oral thrush. You can buy it at most health food stores or amazon.

    Glutamine is the most abundant amino acid in the human body.  Taking extra glutamine can help replenish depleted body levels and prevent adverse health effects. For example, glutamine is the major fuel source of the cells that line the intestinal tract, and is therefore important in maintaining GI function. It is also the major fuel source for lymphocytes and macrophages, which are a vital part of the body’s immune defense. It acts both as a precursor for protein synthesis and a means by which excess toxic ammonia can be eliminated from the body. Finally, glutamine is important in the synthesis of glutathione, a molecule that helps detoxify foreign substances in the liver. One recent study says It also appears that glutamine may significantly reduce the duration and severity of objective oral mucositis during and after radiotherapy.Link to paper

  • LiseA
    LiseA Member Posts: 266
    edited June 2016 #15
    Did you drink the L Glutamine

    Did you drink the L Glutamine Raddude, or used it to swish and swallow?