Things we were never told

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Late effects that you need to be aware of

That RT can cause hypothyroidism so you should have thyroid function monitored regularly

That RT can accelerate atheroma in the carotid arteries increasing risk of stroke so a Carotid Doppler might not be a bad idea at the start of treatment and three or four years later. 

That both chemo and RT can cause hearing issues ranging from tinnitus to partial deafness so a base line audiogram and another some time after treatment end is a good idea. 

Please add any others you can think of  

  • The biggest one for me was the potential to change my ability to eat which in my case was a huge thing. Trismus was never mentioned either and the need to do regular jaw exercises. It only came up when I mentioned the issue to my doctor. 

    Sophie66

  • Dear Beesuit, 

    Thank you for starting this thread. Extremely useful. 

    I would add fibrosis to the list. I had radiotherapy on my left tonsil and it affected the muscles of my neck (side of my cancer) and the stiffness is now also affecting my shoulder blade. I need to do regular exercice but also need to have some physiotherapy to help release the tension and the "knots" in my muscles. 

    Fab1

  • Swallow and Jaw exercises are like getting a puppy they are for life not just a few week's at Christmas.
    I was lucky that was drilled into me but not everyone gets told this. 
    plus the treatment does continue to work there’s no magic  switch once treatment finishes

    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/

  • It’s the gift that keeps on giving. My husband had HPV tonsil cancer in 2017 and was successfully treated. His neck still gets very stiff. He had a tooth out 3 weeks ago and the socket is not healing at normal speed plus it provoked enormous ulcers near the site of the extraction and the radiotherapy. It’s awful. 

    Keep the Faith

    Ruth

  • Hi Ruth

    What meds is the hospital  giving him for this? 

    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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  • I find I get like a knot or cramp feeling sometime when I yawn - it hits suddenly and make me flinch or say OW! People think I’m strange 

    June 14 surgery for Carcinoma in sublingual salivary gland. Partial glossectomy, left neck dissection, reconstruction with left radial forearm free. flap. Postoperative radiotherapy 6 weeks.

    My blog

  • Hi Dani

    we have not managed to see the hospital yet. GP has given stronger painkillers and bonjela (!) and says she’ll refer to hospital next week if no improvement. I could not go with him to that appointment and am not happy with this. I’m not convinced this GP gets it. It’s been 3 weeks, nearly 4 and it’s gone on too long. Michael accepted it and says I am too pushy. I would say assertive and concerned - he is also scared and reluctant to go back to the hospital. 

    Keep the Faith

    Ruth

  • he is also scared and reluctant to go back to the hospital. 

    I can understand that but non healing socket, ORN, and recurrence have to be considered and honestly the first is by far the most likely and needs attention. This is not the GP’s responsibility. In any case the average family doctor is not versed in RT late effects. Get him back to the dental hospital. At least you can both be reassured. 
    Oh and you’re not pushy. These days we have to be on the ball. 

    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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  • I totally agree and this is why I have been pushing for a hospital appointment. Thank you for the support… xxx

    Keep the Faith

    Ruth

  • Good luck Ruth. Ring his CNS and let us know how you get on. 

    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