I’ve been reading and re-reading articles and branches and links from those articles and the links from those articles etc and I’d thought, wrongly, that I had all the information I wanted/needed.
im at the stage in the process where I’ve go no symptoms from the Squamous cancer cells in my neck lymph node, except maybe some tiredness, I’ve had various meet the team sessions with the lovely staff at the hospital and have the “experience” of the immobilisation mask on Tuesday direct after this long long long Bank holiday weekend.
I’m somehow ok with the radiotherapy and all the soreness and ulcers and gluey saliva and pain and the follow on constipation from the pain killers, and the laxities to counter the constipation, and the ways to counter the dehydration and tiredness of the laxative - and on and on and on etc… and the fact that those issues and more might not appear for the first two weeks or so of the 6 weeks of radiotherapy but could last for 4-8 weeks after the radiotherapy.
I also thought that I was in a similar frame of mind and acceptance for all the chemotherapy side effects… but yesterday I found a whole cul-de-sac of information web pages which all collaborate a previously well-guarded secret that chemo-brain can be a permanently “self” induced mental disability for the rest of my life.
Yes, there are some places which say the chemo-brain sometimes only lasts a few weeks after the treatment then everyone back to normal.
I was previously somehow ok with signing my consent to all the temporary aches, pains, discomforts and humiliations but signing up for a permanent mental disability is well outside what I previously thought anyone in this situation would have to wrap their head around- while there’s still the brainpower left to wrap any reasoning around anything. I wasn’t Einstein to begin with, but my work is all tied into innovation, spreadsheets, discussion, future planning, and multi-tasking. It’s just typical that I find this unmentioned (verbally) shocking show-stopper just going into a long bank holiday with probably none of the hospital team to talk to before mask fitting on Tuesday.
then again, what would they say ? “Some people, some times, on some occasions, occasionally, in some cases” I wouldn’t be any further forward , in no way reassured. And what’s the alternative, radiotherapy on its own with less effectiveness, don’t bother with any treatment at all - no side effects, no feeding tube, no pain, just a few years of tiredness, or possibly a rapid change at some point but at least I keep being me for a few years longer.
The poison selected for me is Carboplatin. Starting on the same day at radiotherapy day one on the 26th of this month.
I thought I’d got past the “yes / no” decision for the treatment to start but since yesterday - every “ok” , every “I can cope with that” and every “yea, if I must” is now floating around in midair, circling like vultures. Not helped by the reading fact that some cancers may release brain digging chemicals already, even before treatment begins, clouding reasoning already.
I feel they (the doctors and oncologists and support team really made an effort to keep this “permanent “ bombshell as some kind of top secret , never to be mentioned factor.
And none of the “how to live with chemo brain” give any sort of practical reassurance just lots of “how to live with being more thick than you used to be” with tips about smart phone alarms, sticky notes and avoid multi-tasking - if I was retired I wouldn’t mind probably slipping into “forgetful granddad” mode , not that I’m a grandad yet but I’ve got 10 years to go before retirement and shelf stacking doesn’t really appeal - and the thought that I might end up not really knowing that I shouldn’t accept just being a shelf stacker because I can’t remember doing anything that was ever more useful than that.
I’m going to see if there’s someone to talk to in the team when I’ve finished my mask fitting on Tuesday.,
Hi Tunis_Cake, wow you really have done your research, I hadn't heard of most of this. The only thing I would suggest, is to go and get your mask fitted, and like you say have a chat to your team about your concerns, they will be happy to talk to you about them. They say that the chemo is only a backup for the RT as the RT is the main treatment. Good luck whichever way you decide to go.
Regards Ray.
y I found a whole cul-de-sac of information web pages which all collaborate a previously well-guarded secret that chemo-brain can be a permanently “self” induced mental disability for the rest of my life.
I feel they (the doctors and oncologists and support team really made an effort to keep this “permanent “ bombshell as some kind of top secret , never to be mentioned factor.
You need to discuss your feelings with the team and sorry you have all Easter to ruminate on it
Chemo brain is no secret. It's a well known phenomenon. I suspect you haven't had it mentioned because we generally don't get it as we don't get much chemo. I don't think there is much danger of you becoming a forgetful grandad.
There are loads of us here amply illustrating that we have retained our marbles.
I agree with Ray. Get the mask done at least.
If you have no treatment you don't get a few years. Oropharyngeal cancer is aggressive and it kills you pretty nastily and permanently
Google is a pretty useful tool but only if you know where to look and understand what you're looking at.
Don't throw the chance to live away.
Dani
Base of tongue cancer. T2N0M0 6 weeks Radiotherapy finished January 2019
Hi Tunis cake . I had 2 of s planned 3 chemo. Our chemo is carbo platin or cisplatin carbo platin is gentler than the one I had there’s far far worse ones out tgerd. Please discuss with consultants get mark jadf. As Dani says sadly tge alternative death. Out cancers if left to run are very aggressive . As always it’s your good r. But to give you my experience we ghee ti spsin week 8 of received and week 10 I cycled 22 lm not far but I did it. I’ve just completed a cognitive test as part of research into oropharangheal cancer and I can assure you I’ve no chemo brain ny results were in consultants words outstanding g. I can remember a 6 digit number backwards as an example. Now why dud I walk i kitchen. Lol.
I was fatigued yes but that was more radio thrn chemo. Tidsy I’m on a 60 km bije ride living my life that without treatment I woujd t he. Excuse typos wanted to reply sat having a coffee o reading glasses with me. Please discuss luje we have all ssud.
Hazel x
Hazel aka RadioactiveRaz
My blog is www.radioactiveraz.wordpress.com HPV 16+ tonsil cancer Now 6 years post treatment. 35 radiotherapy 2 chemo T2N2NM.Happily getting on with living always happy to help
2 videos I’ve been involved with raising awareness of HNC and HPV cancers
Hi TC. I had 1 session of Cisplatin followed by 4 of Carboplatin on top of 30 sessions of RT. My experience was that I suffered no side effects from the Carboplatin at all. The infusion only took an hour and was simply to help the radiotherapy work better. Of course only you can decide, but as Dani says, alongside the RT it stands a very good chance of curing you. I’m 2 years on after treatment and if I had to have the treatment again I’d grasp it with both hands. The only difference it might have made to me mentally, that I’ve noticed anyway, is that it takes me longer to complete the daily crossword. But even then I can’t be sure. It may equally be due to ageing!
Hello. I also had Carboplatin (preferred if you are prone to tinnitus and also slightly gentler than Cisplatin). Had to have a sleep for an hour after the 2 sessions but, no further complications. As others have said, the chemo is not the main treatment, just there to bolster the RT and I figured if it gave me a better chance, then why not. I have been on/off tired (not brain fog), but then I have had Covid and I think, like any other treatments/surgery, your body needs time to recover. I had SCC in neck with cancerous lump all treated 3 1/2 years ago, am a Gran who looks after 2 toddlers a lot...and notice the difference if I am not playing all sorts of games or doing the school runs, so I guess I am pleasantly exhausted but also greatful for breaks. I questioned my team every which way if there was something bothering me and (though I know they can't be 100% every time), took on board their comments and made a judgement. Talk to them. Your mental state (I think) has as much to do with your recovery as anything pumped into you. Good luck
Tricia
Hi Tunis cake As with any treatment there is a risk involved. I have had radio and chemo treatment . I got tinnitus , Barber chair syndrome and heart failure which maybe down to the chemo . This treatment saved my life. I since got the all clear for about 9 months until a car ran into the back of my van. I have since had a salvage neck dissection which involved shifting a load of stuff from my leg to my neck which saved my life again. I have cancer in two places where they can t operate on. I just got my first scan results and it says I am all clear and in remission. The were no other options on the table . All the Best regards minmax
Great news that you got the all clear Min! I’m so pleased for you, especially since we were treatment mates 2 years ago. We are extremely fortunate that this treatment is available to us and you are testament to the fact that it does work. Wishing you well. M
Thank you for all the replies.
I will go ahead with the mask fitting on Tuesday as it’s for the radiotherapy rather than the chemotherapy.
I can’t bring myself to do the chemotherapy at this point though. The idea that just a simple IV drip could possibly give me permanent chemo brain, permanently unable to multitask, remember information, perform tasks slower and generally lose cognitive ability has scared me senseless
the idea of any time in the future me forgetting my bank pin or my postcode or either of my children’s names is then something I will blame on those few weeks of chemotherapy is terrifying. Worse still, in the future, what if I DONT have the recollection to pin the blame on the chemotherapy.
there’s also the thought process which says that there’s no point in being cognitively 100% intact but dead due to cancer.
I need to talk with someone on the team, alone, without my wife finding out this whole shocking potential outcome. She’s only just holding onto the situation as it is, without this whole new possibly permanent twist of nastiness.
yes, a lot of places mention that chemo side effects end a few weeks after chemo ends but some places say that some of the side effects can be6 to 12 months after treatment or even permanent
The radiotherapy is the main treatment. If you are going to stress badly about cognitive dysfunction you won't get through the radiotherapy. It's hard enough as it is.
Treatment of any kind is always our decision. Nobody will force you. You've talked to a few people here who are OK though.
Good luck. Let us know how you get on.
Dani
Base of tongue cancer. T2N0M0 6 weeks Radiotherapy finished January 2019
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