It was a long day on Wednesday when we went to discuss my biopsy, X-ray, MRI & CT Scan results
I found out I have stage 1 cancer, so it’s not spread anywhere else and they have caught it early
Bad news, they have to operate and remove the tumour from the side of the tongue and replace it with a ‘flap’ made from the muscle from my arm, they will then use a skin graft from my stomach to mend the arm.
Even though the cancer hasn’t spread to my lymph nodes they still want to remove them from that side of my neck as there is a 20% chance some cancerous cells can be left behind - so I will have an incision from my ear to the middle of my neck to remove them, this will mean I will have a feeding tube for a few days and depending on swelling I may need a tracheotomy.
They have said they might have space Wednesday next week for the op so I had all my pre op stuff done the same day and they have confirmed I’m healthy enough for the operation to go ahead, then I had to see the dentist to see if any teeth needed to be pulled out and thankfully as I have implants all good.
They have had someone who cannot have surgery next Wednesday so they are getting me in instead.
The operation is 8-12hrs long and after it they will keep me sedated for a further 18hrs and I will be in ICU for at least a day & in hospital for a minimum of 1 - 2 weeks depending on outcome.
We met both surgeons and both nurses and they are all amazing people who made us all feel as good as we could for the news we had been given.
I also have to met a speech and language therapist as I will need help with my speech after.
It’s a lot to take in, my mind is frazzled but I can honestly say how amazing all the staff are in there, friendly, helpful, supportive etc which is what I need .
If they do all the above then I should be cancer free but it’s going to be a long road.
as it’s all come about so quick, if anyone has any tips for going into hospital or anything at all I would be really grateful.
Thats exactly the same op I had 5 years ago. Mine took 12 hours. I was only in ICU overnight & in hospital for eleven nights. I had a tracheostomy for a week. I had drains, a catheter & my arm in plaster. The first few days are the worst although I was pain free. Take a notepad or white board if you are having a tracheostomy so you can communicate. Take plenty of reading material and perhaps music or a puzzle book. Ear plugs and an eye mask make sleeping easier.
It all seems a distant memory. You'll be fine
Wendy
Hi Bailey
Good luck for the op. It sounds as though you have all the info from your team that you will need. Further to what Wendy has said. When the physio comes around to get you walking push through with it even if you don't feel like it. After such a long anaesthetic you will find that you are very sleepy and drop off just like that but it wears off over a couple of days. Get walking as soon as you are able as this really helps your recovery and sit out of bed as much as possible. It is difficult to concentrate for a while because of the anaesthetic so I found reading too hard but watching T.V. or using your phone with something like Audible where the story is read to you worked for me. The tracheotomy is only short term but as Wendy has said be prepared with a notepad or whiteboard as this really helps with the communication.
Best wishes for the op. Your team sounds as though they are fantastic.
Lyn
Sophie66
All the best for the op. I have had similar - 2 dissections and an aborted partial glossectomy. The dissections sound horrible, but actually they are relatively easy to recover from. Time is the great healer, especially if they have to disturb the accessory nerve during the dissection. That controls your shoulder and it take a while for movement to return to near normal. In my case around 18 months.
It is great they are doing the lymph nodes as well as the tongue. Hopefully they will get clear margins and confirmation of no spread and you can avoid further treatment.
In my case with the tongue they decided not to rebuild and said I may only need an NG tube for a couple of days max. That surgeon was very good and he had done a prior dissection on me that required no drains etc despite removing all the lymph nodes. In the end the glossectomy was abandoned part way through as the tumour had "disappeared" with no sign in the frozen section despite having been previously biopsied! Don't ask!! Thus I can't really offer any advice post that particular surgery.
Some random thoughts...
I did prepare by having an app on my phone rather than a whiteboard to replace speech I totally support getting mobile ASAP post operation. I greatly aides both physical and mental healing. As a guide allow a month for each hour you are under to fully recover. You will quickly get back on your feet, but fatigue etc will hang around for those following months then, almost unknowingly, you will feel you are close to where you were before the operation.
Definitely keep on top of the painkillers even if you feel you don't need them. Better to keep it at bay then try to knock it down later on.
A wedge pillow may make sleeping at home more comfortable.
I found a massage shower head on hot, playing on the area of my dissection, helped ease the stiffness.
Also try to massage it by hand so you get to know what it feels like and can sense any changes.
Finally, listen to your body and rest when it tells you to. It is a marathon, not a sprint!
My partner has this surgery a few weeks ago now. You will be looked after really well, and a few weeks after the op you will be shocked how much the swelling has gone down. Best wishes x
Thank you for your message that’s really good to know
Hi all, I’m not going to lie when I say the operation and time asleep really took it out of me. I felt battered and bruised all over the skin graft, muscle from arm taken and lymph nodes from neck, not to mention the reason for all the above being my tongue flap. Everything went to plan and they managed to reconstruct one side at the middle to back of tongue so I have my own tip etc. The first few days were pretty bad, I felt I just wasn’t getting better with swelling kicking in but after that I just turned a corner and drains, tubes, etc were gradually removed every day. I’m going home today, yay, first night with not having to buzz for pain relief although cannot wait for my morning dose now. If you had asked me 2 days ago would I be ready to go home today I would have said no chance so anyone else due to go in, I promise you, just get over the first two to three days and you will be improving so quickly every day after. My surgery was this time last week.
Thank for checking in
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