7 weeks out of treatment fatigue and future plan

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Hello,

I hope everyone is well. I've not been on for a while as I've been trying to recover.

I'm 7 weeks out of my treatment now (33 fractions 5/6 cisplatin) and 1 bout of neutropenic sepsis right at the end of treatment. Just a few questions;

Usually I am managing well I'm still taking 4-6 30/500mg cocodamol a day (my flap feels like it's burning sometimes where it's suture meets my cheek) and I returned to work 3 hours a day 3 days a week from home which has helped my mental health. 

Today I am having one of those exhausted days I have had 10.5 hours sleep and wanted to go back to bed within and hour of getting up... Is that common 7 weeks after treatment? It happens a few days a week. 

My oncologist said to take multivitamins which I am. I am also still quite peg reliant managing to eat some macaroni cheese and porridge/ yoghurt things like that but my jaw opening has now dropped to 29mm despite me doing my exercises I also have a palsy to my right lower lip which makes eating harder. Does anyone have any good exercises for a palsy? My team won't consider botox for another 10 months.

My current treatment plan is 3 monthly MRI head and neck with contrast and 6 monthly CT abdo, chest and pelvis with contrast. I'm grateful to be monitored so closely but I'm not sure how I can overcome my fear of recurrence when I will be thinking and counting down to the next scan.

Any ideas most welcome and thank you all for your support through the journey

Kellie x

  • Hi Kellie. Welcome back. 
    I can say that I suffered bouts of radiation fatigue ( the sort that poleaxes you out of nowhere ) for a good six months. You can’t fight that. Just rest when that happens. 
    I can’t comment on the Palsy. Dies your speech therapist have any ideas?

    7 weeks is really early. I wasn’t right for a year but felt really much better by six months. 

    Dani 

    Base of tongue cancer. T2N0M0 6 weeks Radiotherapy finished January 2019

    I BLOGGED MY TREATMENT 

    Macmillan Support Line -  0808 808 00 00 7 days a week between 8am-8pm

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  • Hi Dani,

    Thank you, that's kind. 

    Okay this is definitely what the fatigue is doing just completely coming out of nowhere so at least I know this is normal. The weird symptoms I get that I didn't during radiotherapy like the husky voice comes and goes makes you wonder when you didn't get it as a symptom in treatment. 

    They've said they wouldn't really recommend exercises for a palsy as they wouldn't want the other parts of the lips doing what they shouldn't and just said to keep trying to purse my lips trouble is without me getting the muscle stronger the palsy will always be as bad as it is now and it impacts nutritional intake. 

    I've looked into a lymphatic drainage massage as I wondered if the extra fluid could also be restricting movement my surgeon said to try although he wasn't overly keen when I asked how often he said once a month.

    Also to update you we are getting a Thor machine I was so very happy to hear this! Thank you for putting us in touch x

  • Also to update you we are getting a Thor machine I was so very happy to hear this! Thank you for putting us in touch x

    Oh that’s wonderful. 
    Do you have a lymphodema clinic attached to the hospital? They might be best place to advise you how often to massage but I must say that I massaged mine away several times a day. 
    Is the palsy due to nerve damage? It takes a long time for nerves to repair so don’t despair just yet. 

    Hugs xx

    Dani 

    Base of tongue cancer. T2N0M0 6 weeks Radiotherapy finished January 2019

    I BLOGGED MY TREATMENT 

    Macmillan Support Line -  0808 808 00 00 7 days a week between 8am-8pm

    Community Champion badge
  • I know a friend of a friend has just had surgery and the team were talking to her about it won't be quick enough for her but they suggested a hand held one like mineBlush

    No it's separate from the hospital a community one but they said wait list is around 8 months. 

    My surgeon cut the nerve that allows feeling but saved my other nerve (cannot remember the names) he said my nerves were likely annoyed and bruised so I can be hopeful then thank you x