Sunday, 23 June 2019

June 2019.

Things are getting serious...

OK kids, I've been diagnosed with cancer at the base of the tongue in my throat. Not a good thing, but every medico I've spoken to has been extremely positive and told me it is totally curable with treatment. 

I'm not shopping for sympathy, but I'm not much of a talker about private stuff (much to Suzanne's dismay) so I'm writing this the keep family and friends up to date, and save you all a bunch of phone calls and emails. Maybe this will also help out someone who might go through the same thing somewhere down the track. It's always good to get the story from the horse's mouth, even if his tongue is a bit munted. 😃


OK, this update is going to take the form of random notes. Firstly because it covers a time period of about four weeks, and my memory is a mess at the moment. Here goes.

Suzanne rolled out the reinforcements to try and get me to check in to hospital. First up Sister Jenny came to visit. She's a sweetie, but I think she understands that I've made up my mind. Next was a surprise visitor. Our next door neighbour, who happens to be a nurse. She didn't have any success either.

I accept that I am malnourished, and dehydrated, and I'm trying to fix this, but I just can't. The sheer volume of liquid food, which makes me want to vomit, and often does, and three litres of water every day, is just too much for my body. I can't do it. Going to hospital doesn't fix this. The food supply is erratic to say the least, but the fluid drip does help. My mental health suffers dramatically because I hate being stuck where I can't do anything. I've also picking up infections, not slept at all, due to the noise on the ward, and constantly being woken from medical reasons. Once I was woken at 5 am to be weighed.

Suzanne got her way. I woke up and my tube was blocked. I refused to go to The Albert so we headed off to Knox Private Emergency. After handing over a $300 payment (not covered by private health) we were in. 

What a difference. The place is spotless, the staff are awesome, and happy, even at the end of their shifts. The nurse had a quick look at my tube, walked over to the Coke machine, bought a can of Coke, and started injecting it into my tube. Coke! Can you believe that the fittings on my tube and equipment are different to the ones Knox have? Neither could I. Luckily, after out last visit to The Alfred, we bought food bags, feeding tubes, syringes, etc. with us. It took two hours, and the nurse said if she could have used her gear it would have been about half an hour. 

We were ready to go, but where? My vote was home, Suzanne's vote was, because Knox was full, another hospital. I submitted, and half an hour later I was snuggled up in a nice, warm bed at Ringwood Private Hospital. I think I was there for four nights.

Once again, it was very nice. I slept extremely well without the noise of The Alfred, and the barking of the dogs at home. It was awesome to see a couple of mates from Perth come over and visit for a few days. There was a of of laughter coming from my room for a few days, and the nurse visits seemed to become more frequent while Dr John and Dr Andrew were there. Thanks guys, you weren't what the doctor ordered, but you were just what I needed.

After a good dose of "Laughter is the best medicine" my doctor showed up and about 7pm and said, "I think you're fine to go home", music to my ears. Suzanne wasn't so happy.

At home on the weekend, another old Victorian friend dropped in for a coffee. It was only a 150 km round trip for him, just to have a chat. Thanks Phil, you're a gem.

Back to the usual grind of visits to The Alfred. My Oncologist is very concerned about my food and fluid intake. She's put me on an antidepressant to help me sleep.

My Radiologist was not happy with me, but admitted I looked better than he thought I would after reading all the notes and phone calls between the doctors and Suzanne.

When Prof Sydney asked my why I wouldn't drink the required amount of water, I explained again that three litres of water a day, when your not exercising, and the temperature is around 15 degrees max, is just way more than I handle. prof paused, then moved onto something else. A few minutes later, he stepped out to take a call. When he returned he explained he'd been talking to my nutritionist and she said I was mistaken, I only had to have THREE LITRES IN TOTAL. So one and a half of the food, and one and a half of water. I've been arguing this with everyone for months. Oh well, at least we're back on track and everyone of happy again...or so you'd think.

I looked in my feeding tube drawer when we got home, and we were getting low. Suzanne made a quick call and we could pick some more up the following day when we visited the hospital. Cool. I was down to my last tube when we left for the hospital. When we got there, there were four tubes for me. I use about three a day. We were promised that some would be posted tomorrow (Thursday) and a box couriered the next day. One of the four tubes I had been given was faulty, so I had enough tubes for Thursday. Guess what? No tubes arrived. Well, they did, they were delivered to the Post Office, and a note put in our mail telling us we had a parcel to pick up. Don't forget, Australia Post can't deliver mail to us, even though we are less than 1,000 metres from the Post Office. Another two days without food. I can see after a few weeks my excuse will be "The dog ate my food".

We're keeping close tabs on my calorie intake and it's going OK. I'm still not up to the required amount, but I'm getting very close. Another week or so and I should have this nailed.

I'm also nibbling and some solid food at last. It's been three months without solids. They're only very small bites, but a little every day. My taste buds are still only at about 10%, and I'm not producing much saliva yet, so it's a dry, bland nibble, but it's a start.
24 May 2019.

LOTS OF CATCHING UP TO DO. 

HERE GOES...

So things are supposed to get easier?

OK kids, I've been diagnosed with cancer at the base of the tongue in my throat. Not a good thing, but every medico I've spoken to has been extremely positive and told me it is totally curable with treatment.

I'm not shopping for sympathy, but I'm not much of a talker about private stuff (much to Suzanne's dismay) so I'm writing this the keep family and friends up to date, and save you all a bunch of phone calls and emails. Maybe this will also help out someone who might go through the same thing somewhere down the track. It's always good to get the story from the horse's mouth, even if his tongue is a bit munted. 😃

It's been a while since my past update, but I just haven't felt kike doing anything but sleeping for a while.

All of my treatment is now complete. No more chemotherapy, and no more radiotherapy. I walked out of the last session feeling pretty pleased with myself.

I still can't swallow anything, water included, because of the pain so I'm still getting all my nutrients from my naso-gastric tube, a tube that goes up my nose and down into my stomach.

That's great idea...but if the tube gets blocked, it has to be replaced, not a very nice experience.

I woke up one morning, disconnected my feed bag, and went to the toilet. I would normally run two or three large syringes of water through the tube to keep it clear when I take the food gag off. As I walked back past the bed I decided I just have a little nap. I woke up a few hours later, and the tube was blocked. We tried a number of things to clear the tube and even Goggled for a few more options, but there was no way the blockage was being cleared. Back to hospital for a replacement.

It was here that I got sprung. I'd lost more weight (about 15kg now) and was dehydrated. They admitted me to "take care of me". It was from this point that things went down hill.

Firstly, I didn't get any feed for two days because they forgot to order it, so I lived on water.

There were one or two nurses on the ward who were amazing, but the rest were very, very ordinary. Their level of care was nowhere near good enough.

I woke up one night and wanted to go to the toilet, no big deal you say. I had three tubes connected to me, so I got out of bed to disconnect them, but the tubes stopped me reaching the connections so I couldn't undo them. By the time the nurse got there it was too late. While waiting I'd actually pulled my cannula (Tube inserted into a vein to administer medication) and my temperature was through the roof, again. Yes, another infection. Thank you.

My naso-gastric tube has small, plastic fittings on it. They are fragile, so you have to be very careful with it. You guessed it, a nurse twisted it t tight, and broke it. She disappeared very quickly. So I had to go through the whole tube process again complete with X-Rays etc. Number three.

I was also being given increased levels of a Morphine based medication, which I just don't cope with. It makes me go loopy. I was totally paranoid. I imagined I was in a basement ward with no windows and the exits were guarded (I was on fourth floor with a window) and at night the nurses were having secret meetings about keeping us all under control with drugs. When I was awake, and closed my eyes, I could see a computer screen in my head, and I could log on to web sites and so on. I found I was typing away with my fingers when this was happening. Suzanne told me the best thing was when I threw an imaginary item across the room. Note to self, no more morphine for me.

Yup, I was really out of it for a few days. I was bombarding Suzanne with texts to come and get me. I wanted out.

It took me two weeks, but I finally bluffed my way out of hospital by telling the doctors I'd do everything that they asked and showed them that I could swallow water and pureed food just fine. It was a real struggle and incredibly painful, but I had to do it to get out of there. I won't go back to hospital unless it's a private hospital FULL STOP.

Of course once I got home things were different. I can't swallow anything, not even water, without it burning my throat. I'm supposed to have three litres of liquid food through my nasal tube, and drink three litres of water. THREE LITRES? I'm struggling with one bag of food and about a litre of water. This of course leads to "discussions" between Suzanne and I and she's not happy. It's bloody hard to put that stuff into my stomach when it makes me fee sick, even when I take the anti nausea medication. When I try the result is I start coughing, which hurts my throat, then dry retching, which really hurts the area where they have burned the cancer away, and we're back to stage one.

I really have had enough.

The doctors are all telling me how good it is, I'm healing really well, and I should really notice a difference and start feeling better in a few weeks. I've been hearing this for as while now, and I'm really not feeling much better at all. I need to see some results so I can tell myself this has all been worthwhile.

Right now, if I had my choice to undergo this treatment again, or ignore it, I'm not sure what I'd choose.

23/7/19 Some great news at last. I've been diagnosed with cancer at the base of the tongue in my throat. Not a good thing, but every m...