My wife has P16 squamous cell carcinoma,

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Hello everyone

My wife has begun Radiotherapy every week day for 7 weeks with 3 sessions of Chemotherapy which occur every 21 days and are 2 days x 6 hours work of treatment. 2 hours hydration (2 liters) then 2 hours chemo then 2 hours hydration (again 2 liters)

We are in week 2 of treatment and all the effects that should have occurred from week 3 happened from week 1.

My wife has an enteral feeding tube due to quick weight loss and difficulty eating.

The feeding tube works fine and she gets nourishment over a 12 hour period. She has been in hospital - In Paris i should add - for 8 days due to the implantation of the permanent catheter central line and the gastro-enteral tube, she is feeling better and has restarted eating normally as well as the tube.

My question; As she is on a feeding bag for 8 hours 3 times a day, how can she go to the hospital for her treatments seeing as she has to carry the feed bag and pump. Is there a backpack she can get to make the travelling easier?

Also, how long is she expected to keep the enteral tube after treatment finishes in 5 weeks?

Thanks

Greg 

  • Hi Greg ( and welcome to the community and the chat group.

    You haven’t mentioned your wife’s cancer type specifically but I will assume from your post that it’s a head and neck cancer. If this is correct, we have a specific support group you can join to connect with patients and carers for different types of h&n cancer.

    This is the link

    Head and Neck Cancer Forum

    Once you click on the link, it will take you straight to the group and you can join and copy your post there. It’s a very helpful and active group, and the members there should be able to help you.

    I wish your wife all the best with her continuing treatment, and hope it goes a bit more smoothly for her.

    Sarah xx


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  • Hi Greg, in case you are still visiting the forum 

    Yes you can get a backpack which the hospital should supply. The alternative is to feed at night while your wife sleeps. This is what I did. 
    Her feeding tube is likely to stay in until she is eating and maintaining her weight. This can be anything from around six months onward.

    Dani 

    Base of tongue cancer. T2N0M0 6 weeks Radiotherapy finished January 2019

    I BLOGGED MY TREATMENT 

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  • Hello Dani, Thanks for getting back to me. I am at my wits end, My wife has stopped eating and drinking via the mouth as the ulcers are too painful, Everything goes via the gastric feeding tube that is implanted in her stomach wall. Over here in Paris it seems the mental side of things is very important to them. They are talking about reeducation for eating after the treatment is finished and maybe getting back to eating normally 6 months after the end of radio & Chemotherapy. Was this the cas with you? I will read your blog later, Thanks for sharing

    Have a magical Disney day as they say here in Paris

    Greg

  • Hi Greg. I know how you feel. In some ways it’s worse for a carer. Us patients get all the attention and care leaving our spouses behind. Have faith. The treatment is awful but it doesn’t last forever and your wife will get better. 
    I don’t know about the reeducation bit but I can tell you I didn’t swallow anything at all for eight weeks and I didn’t need to re learn to swallow. I did my exercises every day and by 12 weeks I was eating. I couldn’t taste it but it was fuel and it went down. Recovery is a marathon and most of us get there sometimes steps back but generally forward. 
    Day by Day and time flies… it really does. 
    Make sure her analgesia is right. I had long acting morphine twice a day with oramorph for breakthrough pain. There’s nothing on earth that deals completely with the acute pain of swallowing so I stopped swallowing but the morphine kept me comfortable. I also gave up “eating” in the day and pump fed at night. That left my days clear to try to find where I had lost myself and to be as normal as possible. 
    Plod on. You’ll both get there. 

    Dani 

    Base of tongue cancer. T2N0M0 6 weeks Radiotherapy finished January 2019

    I BLOGGED MY TREATMENT 

    Macmillan Support Line -  0808 808 00 00 7 days a week between 8am-8pm

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