Had Major Surgeries For Head And Neck Cancers. On Effexor And Having Black Tarry Stools. Anaemia Caused Edema And Cellulitis. Suggest Cure?
HATE YOUR FORM...JUSGT LOST 30 MIN OF NY LIFE TRYING TO POST.
ABDOMINALK PAIN LEAST OIF MY WORRIES---- NO SELECTION FOR OTOTLARYNGOLOGY OR HEAD AND NECK SURGERY.....NOR PHYSICIAN CALLOUSNESS.
Work to improve the quality of life
Detailed Answer:
Hi! Thanks for the query.
I have gone through your history. I must admit that you are a very brave and determined person to have undergone 4 surgeries and the radiations for cancer of the head and neck. I did not understand the surgical details fully. You mention that your cheek tumour has been removed and PMMF was not done. Then how did they reconstruct the defect? You also mentioned that the tongue biopsy was clean and that you are waiting for the final histology. Was the entire tumour removed or only a biopsy taken for confirmation? As far as your leg swelling is concerned, the swelling will reduce once the infection subsides. But in patients with gastrostomy tubes, under nutrition is a problem and a part of the leg swelling is due to under nutrition.
I therefore suggest that you take the help of a dietician who can advise you as to how you can XXXXXXX your caloric requirements. As far as treatment of your cancer is concerned, given the poor nutritional status and low hemoglobin, any further aggresive treatment in the form of a major surgery would be a very risky undertaking and is not advisable. There are alternate treatments available. One of them is Stereotactic Radiation (Cyberknife) which you have already mentioned.
New drugs known as targeted agents are now available which can be combined with radiation to enhance its effect. You can discuss with your doctor regarding these therapies. For you at this point of time, aiming at improving your quality of life is more important than attempting to eradicate your disease. You have fought a very brave battle and you deserve XXXXXXX appreciation for the strength and determination that you have shown.
My suggestion would be to go for a treatment modality that is least toxic because no therapy will completely cure your disease. That way you can minimise the suffering and at the same time prolong survival. My best wishes are with you.
Please feel free to contact me for any further queries.