Evening all - So, here's an interesting one to ponder around feeding tubes -- the "to intubate or not to intubate" debate!
I questioned having a RIG inserted during treatment (week 3) due to the discomfort I've read about from others on here. My head & neck specialist nurse says they do fit them during treatment (while others have them before it starts) and while there can be some discomfort (bloating, wind) most people are fine with them this way.
Duration of RIG/ PEG - I asked how long they have to remain in - she said usually until after the post-treatment scan. I think this seems rather too long! But the nurse reassured me that they could be removed earlier only so long as the team (dieticians, oncologist, nurses) are happy with oral eating and I've maintained weight. So it all depends on the person, which makes sense.
NG Tube - I asked whether I could have an elective NG tube: to my great surprise, in north Wales they will agree to having the NG tube but I would be admitted and have to stay in hospital for the duration of treatment and until oral eating commences! Seriously?! I questioned this (obviously) but was told this is how they do it in N-Wales. (She added later that if the team/ dieticians agreed then there is a 'possibility' I may be able to manage at home). I would NOT be happy going in staying in hospital for potentially weeks. Nope! Seems quite strange to me considering most people on here that had an NG went home and managed perfectly well...
NO tube at all! - I understand some hospitals (e.g. Royal Marsden) do not do tubes unless absolutely essential, and prefer to encourage normal eating as far as possible. Also make sense to me.
It does seem like a bit of a postcode lottery in terms of what is given (or not).
Anyway, thought this would be food for thought (pun intended!)
Helen x
I could add that both Hazel and I know somebody who had her treatment privately and she ran into the same problems. Her care was quite disjointed and she had to chase a lot up. Her treatment was spot on though
Dani
Base of tongue cancer. T2N0M0 6 weeks Radiotherapy finished January 2019
I wrote a blog about my cancer. just click on the link below
It was always emphasised to me Helen, on both occasions, that getting the right treatment was more important than getting quick treatment; my second go was actually delayed by a few weeks because my wife died and I had to arrange her funeral.....I must've been reeeeally bad in a previous life!
Difficult to be a patient patient I know but it'll fall into place soon I'm sure.
Metastatic SCC diagnosed 8th October 2013. Modified radical neck dissection November, thirty-five radiotherapy fractions with 2xCisplatin chemo Jan/Feb 2014. Recurrence on larynx diagnosed July 2020 so salvage laryngectomy in September 2020.
Hi Mike. You’re a diamond . Changing subject did you watch Paul McCartney last night.
Debbie was proud of you always remember that.
hugs Hazel x
Hazel aka RadioactiveRaz
My blog is www.radioactiveraz.wordpress.com HPV 16+ tonsil cancer Now 5 years post treatment. 35 radiotherapy 2 chemo T2N2NM.Happily getting on with living always happy to help
Thanks Hazel x
I didn't watch the whole McCartney set because it went past my bedtime. Hopefully it'll get put online at some stage in the near future; we actually lived three miles away from Worthy farm for a while in the nineties but never went. Always found it amusing that the festival site is actually much closer to Shepton Mallet than it is to Glastonbury, but "Shepton Mallet festival" doesn't quite have the mysticism of a Glastonbury connection.
Thing that made me laugh was watching Noel Gallagher's band before Macca came on and they had some woman playing the scissors. What? My son told me she's some sort of French avant garde performance artist who specialises in the scissors....mad.
I was lucky enough to see McCartney play at Wembley arena in 1990 though, a great experience...was also at Live Aid in 1985 so saw him briefly there.
Metastatic SCC diagnosed 8th October 2013. Modified radical neck dissection November, thirty-five radiotherapy fractions with 2xCisplatin chemo Jan/Feb 2014. Recurrence on larynx diagnosed July 2020 so salvage laryngectomy in September 2020.
it's on iplayer
Dani
Base of tongue cancer. T2N0M0 6 weeks Radiotherapy finished January 2019
I wrote a blog about my cancer. just click on the link below
Thanks Dani, it wasn't there earlier when I checked, I'll have a watch.
Metastatic SCC diagnosed 8th October 2013. Modified radical neck dissection November, thirty-five radiotherapy fractions with 2xCisplatin chemo Jan/Feb 2014. Recurrence on larynx diagnosed July 2020 so salvage laryngectomy in September 2020.
Hi Mike. It’s ot on i player yet !!! The community is up in arms the bbc haven’t yet out it on well not in England we’ve just been looking for it as we managed until 0100 missed last bit as they didn’t broadcast it live it’s was an hour late he started 2130 but bbc didn’t have it in until 2230. Dina Ross on from today but nit last nights yet! but not Paul Macartney . Wow seeing live Aid live we taped it on v h s player .Thought I remembered you saying at one point you were near Glastonbury.
Hope you enjoy it when you can get to see it we did.
Hazel,x
Hazel aka RadioactiveRaz
My blog is www.radioactiveraz.wordpress.com HPV 16+ tonsil cancer Now 5 years post treatment. 35 radiotherapy 2 chemo T2N2NM.Happily getting on with living always happy to help
Hi Mike it’s on now
Hazel x
Hazel aka RadioactiveRaz
My blog is www.radioactiveraz.wordpress.com HPV 16+ tonsil cancer Now 5 years post treatment. 35 radiotherapy 2 chemo T2N2NM.Happily getting on with living always happy to help
Hi Dani - I agree, I'm not planning on getting a 2nd opinion, I was just wondering whether my timeline was a bit too chaotic, but on send thoughts I have had a huge amount organised in a very short space of time compared with most on here and I think it was just too much for them to fit in (plus wisdom tooth healing) to sort out - their 20th start date was quite ambitious!
There has been constant contact but only by phone - the nurse in Wrexham sorted out all of the appointments (dental, oncologist, mask, 2 scans, pre-op for RIG) fairly quickly - but these changed due to timescale having to be adjusted to a later start date. I suppose this is why it's felt a bit patchy. I've not met her in person yet as when I had my diagnosis with my consultant she wasn't in.
My oncologist appointment was in the N-Wales Cancer Centre, a completely different hospital. Of course, as all RT is done at the N-Wales Cancer Centre, it means that there are 2 hospitals involved; So, I have a Wrexham nurse (who is organising all appointments) and a Glan Clwyd nurse (who I will see regularly once I start treatment) and both nurses work in tandem.
There are just not enough days ion the week to fit in so many appointments (plus holidays, sick leave to navigate!).
Once I get started I'm sure it'll slot into place - it's all the prep that's quite full on and making me impatient!
Helen x
Hi Helen. I have 2 hospitals working in tandem Leeds Cancer centre where oncologist and all treatment and mid Yorkshire trust where I see consultants do yes sometimes there’s a cross over holidays etc. i was 63 days from being put on cancer pathway to treatment starting. My Macmillan nurse is based at mid Yorkshire trust but she attend every oncologist appointment they have a system in place that works.
lije you say it’s all in the preparation.Thus tk snd t week day 1 understand your weather not brill this week my sister in law on Anglesey did wrk. We’re in Caernarfon mid July hoping Ed can get out cycling
I used the lead in time to make hubby dinners for freezer for those weeks I couldn’t eat .
Hazel x
Hazel aka RadioactiveRaz
My blog is www.radioactiveraz.wordpress.com HPV 16+ tonsil cancer Now 5 years post treatment. 35 radiotherapy 2 chemo T2N2NM.Happily getting on with living always happy to help
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