Hello all - about to get on the roller coaster!

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Hello everyone,

I have been looking at the forum recently and have commented here and there but thought I would do this properly.

I am 52, mother of 2 (15&11) and very happy M&S lady!! (with terrible sense of humor so please excuse me in advance)

A few weeks ago I found a quite large lump in my neck - seemed to spring from nowhere but had just lost a stone so not sure if it had been hiding under fat! 'It' is called Gerald, apologies to anyone with that name but like an unwanted guest at a party that you cant get rid of.

The last few weeks have been:

  • 1 GP at walk in centre
  • 1 ultrasound & fine needle biopsy
  • a consultant telling me I had cancer in neck lumps (there are 3 Geralds) but could not see primary - however he did think possibly right tonsil harder than left?
  • a PET scan
  • a CT scan
  • an MRI scan (why is it not 'a' MRI scan??)
  • another consultant apt - no primary on any scans, weak HPV+ cells so most likely tonsil / base of tongue.
  • a dental / max fax apt, imprints for teeth guards - no teeth need to be removed prior to radiotherapy - yay!!

And I wonder why I am shattered!!

The NHS have been amazing at the speed this has moved.  I think it is so much better now than it would have been last year.

On the whole I have been positive with the very natural emotional upsets.  Funny how you find yourself trying to be positive for other people so they are not upset, or consoling someone who is crying cos you told them you have cancer but you are ok (eye roll emoji!)

So, I have pre-op tomorrow and then all being well (wallace from wallace and grommit face - don't really want it at all of course!) Dr Robot will be removing both tonsils, strip from base of tongue and anything else he takes a shine to whilst he's in there next Wednesday.  Following recovery from this, I will have chemoradiation to kill off b*****d Geralds who are not suitable for surgery as 2 are a bit embedded and 'fuzzy' around the edges.

Phew indeed.

In some ways, I don't think I have really caught up with what is happening to me.  Maybe I am in shock as a lot of the time I feel too OK if that makes sense.  I am appreciating this time as being the best I am going to feel for a while though - I am under no illusions about the brutality of the treatment (very sad face).  I love the fact that everybody on here understands so well and nobody will ask me (early days) if I'm sure it's not mumps - yes really!!

I think I have found it quite interesting how people receive different treatments, levels of surgery etc.  I have decided to just put my faith in the lovely team I have and just let them get on with it - I do question but figure they have more experience of this than I do!  

Have been picking up lots of tips in here and will keep coming back on for help, thank you all so much for being on here to support us who are just beginning this journey, it really is invaluable and so appreciated,

Julie xx

UPDATE 9/4/21

Both tonsils and base of tongue removed last Wednesday by TORS.  One night in hospital then home.  All apparently went as planned.  Original suspicion of right tonsil primary not confirmed at time, hence left tonsil out too though they did state that the right one felt firmer.

Recovery not too bad.  Definitely best day so far today.  Have actually been out to a garden centre and had my first takeaway latte in about 10 days - bliss - made me think of Dani's blog title!  Have managed mostly on paracetamol with just a couple of codine thrown in.  Probably the worst bit for me was the lack of quality sleep, definitely made me a bit low here and there.  I am going to get myself a humidifier ready for radio/chemo, could have done with it for this.  Other than that the earache was a real (pardon the pun) pain, most miserable   Eating and drinking have been tedious but manageable.  Had to adapt a different swallowing technique to allow for slightly disabled tongue but that has really improved too.  Lack of usual copious amounts of talking very challenging though the kids are loving it!  Thank goodness for texts!

Should have had follow up appointment today but will now be next week as not all results were back.  Really hoping that they do find the primary but hey ho.  Know 100% that there will be chemoradiation as lumps in neck need to b****r off but not sure of amount of sessions yet.  All in due course.

till next time!!!

Julie xx

funny how quickly we forget things - just realised I didn't mention the alarming bleed / ambulance called night but it stopped of it's own accord and they were amazing!  Reckoned a scab had come off a bit prematurely 

UPDATE 17/4/21

Had consultant appointment yesterday.  Really happy to say the primary was found and removed during surgery - YAY!!!!!!  Apparently it was right at the back of the tongue where it joins the tonsil (didn't know it did!) and was just 6mm.  When I asked if they had got clear margins he said they had got more than was needed.  Big phew!   Just shows how this way of dealing with these cancers is so good.  Nothing had shown on a scan, the consultant was suspicious of my right tonsil, if I had only had biopsies on my tongue they could have missed it completely, plus it would have involved more than one surgery.

Now waiting for an appointment with the oncologist to plan the chemoradiation to get rid of the neck lumps.  Funny (not really) how huge they are compared to the piddling primary Rolling eyes.  Really hoping the treatment can now be kept away from my throat as much as possible seeing as how technically there is nothing there now.  The consultant did say something about zapping the base of the tongue just to be sure but............ummmm.

Peased to say I have had a good recovery from the surgery.  Tongue feels completely normal, swallowing is great, ear pain has gone.  Only thing I still can't really do is yawn but sure that will come.  Eating is back to normal (oh dear) so the weight I did lose (and needed to) is now back on - oops.  Going to try and have a bit of a health kick between now and mid May to be as fit as possible for the chemoradiation!

Julie xxxx

UPDATE 1/5/21

Have had my appointment with such a lovely oncologist, seemed to have all the time in the world for me!  Went through the scans to look at where neck lumps are and discussed how the radiation will target them, affect nearby tissue etc.  He completely got me and also showed me the photos of my surgery being done!  Not for everyone I know but I found it really interesting!  I will be having the usual 6 weeks of radio starting 12/5 but will be having my chemo in just 2 doses - eek!!!!

Last Tuesday I went and had my mask made and my planning scan done.  Had a right wobble before the appointment, phoned my friend who is a nurse and basically cried down the phone at her Grimacing!!  Felt much better afterwards and got through the whole thing no problems.  I think it was just the fear of the unknown.  I knew that if I had problems wearing the mask it was going to be really tricky for the radio.  As it is I now know I can do that bit of it - phew!  A bit underwhelmed with my much anticipated tattoo.  Suffice to say I wont be getting it turned into a marvelous work of art as I can hardly see it Laughing

Next step, appointment on Weds with the oncology nurse before starting treatment the following week.  Have to say if I'm honest, I am really fearful of the chemo, especially in such a large dose.  I know it's irrational, as fear often can be, but hoping I don't just have a massive heart attack on the spot or such like.  My nurse friend assures me it's highly unlikey and I will be very well monitored - hey ho!!!!!!   Any reassurance very welcome indeed! 

  • So sorry to have taken so long to reply. In answer to your question, my surgery was on Oct 8th and Chemoradiation started November 23rd. So that’s about 7 weeks? It was delayed by a week, which I found stressful but my team seemed very relaxed about it. 
    Please feel free to ask any more questions. M

  • No worries. Glad you found it helpful. 

  • Hi Julie. I’m so sorry to have taken so long to reply.

    My op was 8 Oct and my chemoradiation started 23 November. so about 7 weeks. It was delayed by a week, which put the wind up me however my team were very relaxed about it! Please feel free to ask any more questions. 

  • Thanks so much markel,  I think there must be a 6 week minimum. I think I am probably pushing it but have a holiday booked for August that I would really like to go on!! It involves a balcony overlooking Mevagissey and will be just what I need after this year! We shall see, not sure the oncology department will take my holiday plans as their main decider :-) 

  • Hi Julie. Don’t give up hope on Cornwall. I managed at 8 weeks post recovery s flight to our apartment in Spain !!Oncologist gave new permission it was hard but I did it.
    All you can do is 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 

    https://www.instagram.com/merckhealthcare/reel/DBs8Y0niJ8N/

  • Hi Julie

    Thanks for the update on your rollercoaster ride it sounds your are doing well with all the bumps you have encountered. I empathise with the earache and lack of sleep as I had this but glad to say it went away.  I think we all find are own ways round the speech situation.  I started clapping for attention and my own way of signing to rest my jaw.  It was amazing how my partner and son adapted to me. I like how using the modern text writing comes in handy  as a sort of short hand if I needed to write things to communicate when needed. We learn to adapt when going through these things when necessary.

    Good to know your swallowing is improving and you enjoyed your latte and your outing to the garden center.

    All the very best 

    Nicky

  • Certainly they need you to heal up to some degree before starting RT. I couldn’t imagine what it’d be like if they went straight on with it! 

  • Thanks Nicky, funny how much you can appreciate a trip to a garden centre after being stuck in the house!

  • Hi Julie 

    Sounds like you are doing really well in your recovery. I bet it was scary for a while when you had your bleed!! Thank goodness it wasn’t anything to worry about.

    I only had the tonsillectomy and many biopsies so your op was more intrusive having some of your tongue taken away. I am keeping everything crossed that the primary is hiding in your tonsil, mine was and it was a relief to know it had been removed.

    Hold on to that holiday in August, that will be something to really look forward to.

     I hope your care team have the results soon so that you know the plan of action. I had my op 29.1.21 and my treatment started 8.3.21 so around the 6 week mark.

     I know exactly how you feel about dealing with the lumps. The op was part of the fact finding and wasn’t actually dealing with the cancer so I wasn’t satisfied until my treatment started and the one thing that makes me turn up at the hospital each day is the satisfaction that the treatment should be obliterating my enemy.

    Let us know how you get on and if the primary is found. Got everything crossed for you Fingers crossedFingers crossedFingers crossed xx

  • FormerMember
    FormerMember

    This also sounds similar to what I've been diagnosed with, it started in my throat with an inconsistent stinging in my throat and because of the inconsistency I didn't do anything about it until I found a lump in my neck and the hospital thinks the neck lump is a secondary cancer, let's hope everything pans out well for both of us.(I also have a strange sense of humor)