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Profile picture for woodsy1 @woodsy1

I'll chime in for what its worth.
Now 6 months out of chemoradiation treatment, no surgery , for HPV P16+ tonsil cancer with 1 lymph node and feel as though I've come out of it mostly unscathed in comparison to some others that have been through treatments for a similar cancer diagnosis, T2N1M0 was mine.
Was probably closer to T3 by the time treatments actually started as 3 mos. elapsed between diagnosis and start of treatment.
Long story there but got handed off from the VA to the public sector..
It may sound gross but the tumor was midway across and down my throat quite a bit.
Was getting very anxious from the long wait as the tumor was growing fast.
My extensive research into this particular cancer and the many many trials for it led me to believe
that the full treatment of 7 chemo and 35 radiation sessions was no longer relevant in todays world for my case in particular. And 7/35 was the oncologist's plan for me.
I let my oncoligists know I was aware of these trials and didn't want one more treatments than absolutely necessary.
That and was also aware of the rather new NavDx blood test which I wanted to make use of in the event treatments became too difficult as I wouldn't be going the feeding tube route.
So , after 3 chemo cesplatin days and 24 (48gy) radiation sessions my goose was cooked and stopped treatments ,asked for the blood test. The cesplatin really took a toll on me.
After a week out of treatments took the NavDx blood test, waited a couple weeks , called and found out the test came back negative for cancer.
I am grateful for the treatments and care I received.
However, had I not took a stand my story would probably be like so many others who had the standard of care 7/35 treatments.
Not sure about chemo but after 25 radiation (50gy) the damage adds up quick from my research, especially for folks 65 or older.
I no longer need a bottle of water by my side or lozenges in my pocket, saliva is flowing again, most everything tastes normal and swallowing is effortless. Have some cognitive things going on, short attention span, word searching , mood swings .
Can't gain any weight back and my jaw aches when I yawn but overall
not too bad for only 6 mos. out. Did keep active throughout the treatments except for a week or so during the worst of it.
Trials going on today showing if caught early only 1/2 the treatments are needed to cure this particular cancer.
Like I said in the beginning, for what its worth.
Best to you simplygrand and others embarking on this journey.

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Replies to "I'll chime in for what its worth. Now 6 months out of chemoradiation treatment, no surgery..."

@woodsy1
Thanks, Woodsy1, Interesting perspective and I have researched things myself in great detail. I'm like you HPVP 16 +, T2N1M0. I did have NavDx before treatment started and of course it was positive. It was described as an opportunity to keep an eye on things going forward after treatment to make sure it hasn't returned. It was never positioned as a mid-treatment option to ease up on radiation or chemo.
I have not been given much opportunity to influence how many radiation treatments ...and they're proposing the standard 7-week course. The one opportunity that I have to limit the cisplatin will be because I'm already hard of hearing, they agreed that after four treatments they would reassess my hearing loss and perhaps cut it off at that point.
Two questions: one: did they give you anything for pain? I ask that because I want to try to keep the swallowing exercises going throughout. Second: Did you also do a swallowing exercise regimen?
Finally, I would say that every time I've raised a deescalated treatment plan they've come back and said that the complications of having to go back in a second time if the cancer reappears are very risky. So that is their rationale I guess, because their job is to kill cancer cells and not have you come back a second time.

@woodsy1 My husband was lucky to get in to a clinical condition trial,he had tonsil. Cancer, this was removed, but 1 lymph node was affected. He had 4 cisplatin infusions and 15 radiation treatments. So far so good!