Hi all.
I came her a few weeks ago as my husband had just been told that he had cancer at the back of his tongue. After a long few weeks of tests we went to the MDT meeting on Thursday. He has stage 2 hpv+ with 2 lymph nodes on the same side affected. They are going to do radiotherapy on both sides of his neck though as belt and braces. They said the cancer is too large and in the wrong place to operate on as quality of life in terms of swallow and speech will be too significant. So they are going to do 6 weeks off radiotherapy and chemo. He was going to have chemo 3 times but they are going to do it every week as he already has tinnitus and moderate hearing loss so they want to keep it to once a week in smaller doses and if his hearing is more impacted they will pull the plug on chemo. Just telling you guys all this so you know a bit of the background, but that's not really why I'm here. I just wondered what partners, husbands and wives of people undergoing treatment do about having time of work. My work are amazingly supportive but they want to know roughly how much time off I will need. I have no idea what to expect. I know people say the treatment is rough and the professionals we met on Thursday didn't sugarcoat how tough this is going to be for him. Should I be thinking time off during treatment and some time after as well?
Any advice would be great.
Sorry for rambling! My head is in such a spin and I'm trying so hard to keep it together for my husband and for our family. It's so hard though isn't it.
Thank you
Hi Rachel
Age 69....I was lucky enough to have retired when tonsil cancer struck, my wife had given up work a few years back....would I have needed support if my wife was still working?....Yes
Treatment is tough on patients and carers, mentally and physically....my wife did all of the driving to Chemoradio appointments as I was on morphine pain meds....sometimes driving to hospital twice a day....laundry...gardening.....cooking ....helping with meds....hygiene issues...finance....keeping up my morale....list goes on and on.
Challenging....very challenging for patients and carers....you will need to be flexible during treatment and recovery.
Weekends are when things can go wrong ...no support readily available....Murphy's Law.
Things do improve a couple of months after treatment finishes....hard work ahead.....make sure you find time for yourself....I made sure my wife had happy-time with friends and family...and Cava.
Take care and best of luck
Peter
Thanks Peter. That's really helpful to know. My husband is incredibly independent and thinks he'll be fine at home on his own. He reckons he's going to get the bus in for treatment! That's a 2 hour round trip on the bus. I'm more realistic about what's to come I think and will absolutely not be letting him get the bus in. He'll find it hard to ask for help but I guess he won't have much of a choice when it comes to it. I hope you are doing well now and enjoying retirement.
Hi Rachel
Yes....I felt bad leaving my wife to do most things.... things are improving daily ....both off to Canaries in three weeks....welcome wee break for both of us.
Peter
Hi Rachel we all react differently but I know no way could I have got to treatment on the bus with the best will in the world. He needs to limit his contact with others as well having chemo either weekly or like me every 3 weeks only had 2 we cancelled last one. I would prepare your work for ( possibly you being iff a good few weeks either side if treatment plus take any offer if help you can get. Iff you can take him to radiotherapy and in chemo days which are longer then still get to work all well and good. Some days the timings are very quick in and out within z0 mins other days if yiuve dietician oncolo and radio it can take a good few hours. So yiur work would need to ne flexible. My hubby and me had retired and he did everything he drive me cooked was he dId everything for etc for me from recording my medication to doing my feeding tube. First few weeks i was ok pottering but when thjngs change as Peter said it’s often a Friday night when there’s no one available to contact. Make sure you've plenty of medication when time is needed, plus if he’s nauseous there’s other medication he can be given. We’ve all found it helps being pro active.
I had 35 radiotherapy session and 2 chemo tonsil cancer 7 affected lymph nodes HPV positive. Remember HNC HPV driven tumours do have good response rates. Yes it’s brutal but I did it.
Any questions just ask
Hazel
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
Thank you Hazel. He definitely won't be going on a bus. My work are good it's just I don't know what to tell them right now but I'm sure they will be flexible so it's good to get an idea from you. So thank you.
Hi Racheal , last year my hubby went through radio therapy and spent 3 and a half weeks in hospital after mandibular cancer. My boss was great and i changed my working hours and went in early left early as just over hour on bus to visit him . When he come home i took some time of and took some leave for rt. I must admit Paul did most of hes rt alone but hes was adamant he wanted that. Maybe speak to rt as they will arrange hospital transport if necesary but this could mean he will be hanging about for a while. Wishing you all the best xx
Getting the bus for the first four weeks should be ok. It’s the last two weeks where he may need you due to the fatigue that kicks in .
I forgot to add , he needs to limit his time around people due to infection worries. A friend of mine kept working and ended up in hospital with sepsis due to infection. Just something to keep in mind.
Yes, I agree. I could quite happily have either driven myself to the hospital…or indeed gone on the bus if there had been one…for pretty much the entire duration of treatment …the only stressor would have been finding a parking spot at the hospital which my husband who insisted that I didn’t go on my own navigated every day. I was lucky in that fatigue didn’t kick in until about a week after the end of my RT and it was short lived. I was also lucky that apart from in the immediate aftermath of surgery, I experienced no pain at all.
Liz. That’s wonderful but exceptional. The reason why PEGs are on the menu is that most of us end up on morphine unable to swallow. For some of us Photobiomodulation may well change that.
Dani
Base of tongue cancer. T2N0M0 6 weeks Radiotherapy finished January 2019
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