A brief history - It seems hard to believe that this time last year I was feeling swamped by seemingly endless appointments for scans (MRI and CT) biopsy, blood tests, oncologist, ENT consultant, pre op assessment and on. I was 66 years old at the time and had been very fortunate that to that point I had never required any sort of hospital visits. Any thoughts of hospital treatment would have been daunting but add to that the mention of the C word and my anxiety was off the scale. My diagnosis was T2 N1 M0 squamous cell carcinoma of the right tongue base, p16 positive. I had never heard of its existence before but that was now definitely no longer the case.
The treatment was six weeks of daily Radiotherapy plus chemo in week one and week 3, and so after being fitted up with a mask for the radiotherapy treatment and preparation to have a feeding tube inserted we were underway. I made myself a wall chart from a large piece of paper divided up into 30 squares representing each of to 30 days of radiotherapy with a movable sticker (of Iron Man in my case) which was to be moved every day as I moved towards the 30 day target - has anyone else done anything that daft? The idea was to track my progress and encourage me that I was getting there! I'm not sure that succeeded as initially it just highlighted how far I had to go. Anyway, I did get there and the radiotherapy itself was painless, side effects kicked in at about week four and my neck became quite sore, requiring dressings where the skin was breaking open, but was manageable. One of the main unexpected challenges was trying to find a car parking space at the hospital and then driving home in rush hour which tested my sense of humour on quite a few occasions. Also having to find places to store the endless boxes of Fortisip which kept arriving!
A big thank you to the hospital team who cared for and supported me throughout the treatment, the ENT consultant has been absolutely brilliant, his explanations, care and continued encouragement have been amazing but the oncology team, radiographers, dieticians and nursing staff are incredible. Following treatment I underwent a PET scan which showed some avidity in a lymph node and a follow up was arranged. This seemed worse and a neck dissection seemed likely. However an ultrasound guided biopsy and third PET scan was much more encouraging now showing a decrease so I will at this point continue with planned follow ups which is a relief. Thanks though to people who have recorded their experience of undergoing a neck dissection on this site as whilst obviously not pleasant doesn't seem necessarily quite as scary as Dr Google might suggest.
Additional things that have been helpful along my journey are - comments and support on this site, its been a great reminder that I'm not the only one experiencing this and psychologically, often more than physically, we probably find ourselves in some very dark days. The experience of people and the encouraging words they offer are extremely helpful. Also I came across and downloaded a recommended article placed on this site titled After the treatment Finishes - Then what? written by Dr Peter Harvey. For most people, well certainly me, it's a real challenge to return to any sort of normal, and he looks at the rebuilding process after treatment. I found this very helpful. If you enjoy a read, like me I would also recommend (if I'm allowed to on here) a book The leopard in my house by Mark Steel who relates his experience of throat cancer treatment, in an often lighthearted way.
Anyway, one year on and starting to feel more upbeat about things. I don't expect the what if's to disappear anytime soon but they are becoming more spaced out. I have even been brave and booked a holiday, where previously I have felt reluctant to shuffle far outside my comfort zone. Thanks to everyone sharing and enquiring on this site, my best wishes to you all, whatever part of this journey you find yourself on.
congratulations on approaching your 1st anniversary.. it's definitely a milestone in your recovery.. I'm 18 mths out, and still adjusting to my new normal, which over the past couple of months has meant regular visits to the dentist, which are still ongoing.. getting your head around what is, is in itself a battle, whether mentally and/or physically, but here we are, so let's get on with it.. onwards and upwards, eh.. again, congratulations.
Loz (62)
Oropharyngeal right tongue base T2N2bM0 squamous cell carcinoma p16 positive..
2+ years out from Chemoradiotherapy for tonsil and neck cancer. It was a very difficult treatment with many dark days, and some lighter moments, morphine has some mood benefits, withdrawal is not one of them. Things do improve and anxiety lessens giving some of us the urge to consider holidaying again, and why not. I've been on a couple of beach holidays, going on another in a couple of weeks, have enjoyed them enormously, travel insurance was a bit more complex and expensive, but nothing too drastic.
Enjoy your well earned holiday.
Michael
Thanks for your reply, but sorry to hear of your ongoing dentist trips. I was wondering did you get prescribed Duraphat toothpaste at the start of your treatment and if that's the case do you still use it. My last one from my last dental appointment is almost used up and I'm not due another trip to the dentist isn't until the end of september. I was wondering if as iv'e been using it for a year I could revert back to normal toothpaste?
Like you say,here we are and determined to get on with it. Best wishes to you Beau.
was wondering if as iv'e been using it for a year I could revert back to normal toothpaste?
Hi. The answer is no. We are on high fluoride toothpaste for life I’m afraid.
I have a fluoride varnish at the hygienist every three months too.
Great update to celebrate a real milestone. Well done .
Dani
Base of tongue cancer. T2N0M0 6 weeks Radiotherapy finished January 2019
Thanks Mickey, glad to hear you are 2+ years out. That's really encouraging. I was fortunate that I only needed morphine for a few days but definitely some dark days and no shortage of tears shared between me and the family. We enjoyed our cruises prior to this and had to cancel one when I was diagnosed but fortunately the insurance covered a fair bit of the cost. yes it's definitely more expensive now to insure but hopefully worth it. I definitely owe it to my wife to go for it, especially after the way she has supported me after what I have put her through over the last year. Hope you enjoy your next holiday too.
Just over 1 year since my neck dissection, and 10 months since last radiotherapy. Seemed to have recovered fairly well, slowly building up my tolerance to spices and sour foods. There is the dry mouth at night that hinders a good sleep and of course the new routine of oral health, and moisturising my neck every day. But I can put up with these slight things knowing life is getting back to as normal as it can be. Here’s to the next year.
as Dani said, we are on it for life.. ring your dentist and ask for a prescription.. and ask for a fluoride varnish at your next visit..
Loz (62)
Oropharyngeal right tongue base T2N2bM0 squamous cell carcinoma p16 positive..
hi
i am at the start of this and reading your blog thankyou.i recognise some of the start of your journey i like the idea of the iron man stickers lol ive started mine on Monday 4th with chemo and radio with the mask,ive been given these Forsips to take which make me gag they want me to take 4 a day..yugh..so far..i go in for the rig fitting today and do not like the idea of that but know it will help.I am going to ask the if theres an alternative i can take to those drinks .I have thrush again and an ulcer and this is only the end of my first weeks cure treatment groan..
Hi Susie. Put the Fortisips through your RIG for gag free sustenance. That's how we got them down my OH when he couldn't take any food or drink orally. He didn't need a pump and it was easy to get everything in via a bolus syringe, as a conduit to his RIG. The nurses will advise on the best method for your needs. xxx
Hi Susie, sorry to hear you are having to go through this treatment. I hope you don't have too tough a time of it. everyone's journey is different but one thing you can be sure of is that the team of people who are looking after you are brilliant so I'm confident that you will receive excellent care. I thought the iron man sticker was appropriate for me when I got fitted for my mask and one of my daughters is a massive Avengers fan (maybe something to do with Chris Hemsworth). Anyway she then bought me multiple pairs of Avenger socks which I wore for my treatment days. I certainly know what you mean about the Fortisips, Had the banana, chocolate, strawberry and vanilla flavours and couldn't give more than a 1 star review for any of them. The main thing is to keep your weight up as much as possible, the dieticians will give you plenty of advice, basically avoiding low fat options and keep eating as much as you can manage. Little and often might be the way forward for a while. I hope the rig fitting went ok. I was really apprehensive about cleaning and adjusting it for the first couple of weeks, covinced I was going to pull it out or damage it but you do get used to it. If it causes a bit of a rash around the site I was given Timodine cream by my GP and that helped.
Anyway my very best wishes to you, I will be thinking of you. Just remind yourself that every week of treatment is a week nearer recovery. As Beau mentioned earlier it's onwards and upwards!
p.s. I kept a diary of my thoughts and experience from diagnosis onwards and am still doing it now. Just a few words most days, It's interesting for me to go back to occasionally and remind myself now far I've come in the space of a year. Maybe give it a go.
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