HI,   (Priamary page for www.IamFightingCancer.com .)
I have PAROTID GLAND CANCER. It is in my left  facial cheek. The parotid gland is very valuable. It gives you saliva or you couldn't swallow food. The pain problems appeared originally as
Trigeminal Neuralgia,aka. Tic douloreaux  or  TN. In addition I have  Temporomadibular Joint aka TMJ
This page  was last updated   03/19/2006 06:21:45 -0600 By the time this cancer pain cure journal  is over this paragrapyh may turn into a small book. This journal helps to me remember what happened a year ago.  It is valuable to the doctors to know exactly what happened and when.  If you have significant pain and can't find the cause reading things like this on the internet is a good place to start. Other pain sufferers can help you discover the cause of your pain by publishing your story free on my website http://www.briannelsonconsulting.com/trigeminal-neuralgia-tn/patient-painful-stories.html and www.IamFightingCancer.com . A lot of people have written me how much they learned about their pain by reading  about the pain of others.  You can find this site again  by typing  the word "neuralgia" backwards, ie. "aiglaruen" in Google.Brian   Scan way down  past the ads.

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Trigeminal Neuralgia , TN, tic douloreaux, is the trigeminal nerve producing  false signals from the brain sending excruciating lightening strikes of facial pain to one side of the face.  Treatment is by medication, radiosurgery, craniofacial surgery or neurosurgery  or Microvascular Decompression  (MVD) for nerve pain relief. Trigeminal Neuralgia typically is near the nose lips, eyes, or ears.
HI,   (Priamary page for www.IamFightingCancer.com .) Click Brian's TN Story Quick Load  Version No Graphics.  
I have PAROTID GLAND CANCER. It is in my left  facial cheek. The parotid gland is very valuable. It gives you saliva or you couldn't swallow food. The pain problems appeared originally as
Trigeminal Neuralgia,aka. Tic douloreaux  or  TN. In addition I have  Temporomadibular Joint aka TMJ
 By the time this cancer pain cure journal  is over this paragraph may turn into a small book. This journal helps to me remember what happened a year  or  two ago.  It is valuable to the doctors to know exactly what happened and when.  If you have significant pain and can't find the cause reading things like this on the internet is a good place to start. Other pain sufferers can help you discover the cause of your pain by publishing your story free on my website http://www.briannelsonconsulting.com/trigeminal-neuralgia-tn/patient-painful-stories.html and www.IamFightingCancer.com . A lot of people have written me how much they learned about their pain by reading  about the pain of others. 
You can find this site again  by typing  the word " neuralgia1 " backwards which is " 1aiglaruen " in Google.
Brian

Click Slide Show Draft for New TN Patients.   This page is originally at http://partytentcity.com/mytnstory.html


 You can see that some of my hair is growing back after 33 radiations and 3 Chemotherapy treatments. I am the one on the right. Not sure who the person is on the left but he makes me smile.    Brian Nelson,
Houston, TX 
Hi, I have put this  compendium  of data I have located to centralize on the internet about  Trigeminal Neuralgia aka tic douloreaux. It is  also known as TN. When I started this journal I did not know  that I had a cancerous malignant tumor (in my cheek) which is  giving me TN  similar symptoms.    In the beginning in  May 2004 I felt electrical cattle prod  like funny jolts and I also had  a  feeling of water trickling on the left side of my face.  I didn't say anything to anyone. I thought maybe it was stress related. I finally told my wife. She suggested I see the GP. He reviewed me and suggested an MRI. The MRi was negative for anything causing the pain.  He refered me to a neuraologist Dr. R. . You  are at section http://www.PartyTentCity.com/mytnstory.html a BWN  "Include Page04/05/2007 09:55 AM -0500
In July 2004 my dentist Dr. T.R. suggested the I look up trigeminal neuralgia. ......Bingo!  After reading the information about Trigeminal Neuralgia on the web I  felt I finally located something about a problem that had been puzzling me since May 2004. Dr. T.R. never had any TN patients. Fortunately he had been informed about dental patients who had pain very close to feeling like a dental problem but  which is  really caused by something else.  Reading about TN was depressing at first. It was also consoling in that I now felt  " I am  not alone" with these inside the head pains that on one including the doctor can see.Most importantly the jolts were NOT a figment of my imagination.

My main page is  now  www.IamFightingCancer.com

 Trigeminal neuralgia  is universally known as the most painful affliction know to medical practice. It is not fatal but the nature of it can be suicidal.  If you or a loved one has something similar to this disease share your feeling with others. Write something about it and send it  to me. I will publish your entire story free on my website www.IamFightingCancer.com  or   http://www.BrianNelsonConsulting.com/trigeminal-neuralgia-tn/patient-painful-stories.html  You can post your story at no charge. Send it to me by e-mail  

My first visit to a neurologist Dr.M. R. was in July 2004. A prescription for Flexerel was prescribed. After a week I determined that Flexerel may be the source of a very itchy rash on the right side of my neck. Sure enough. This muscle relaxer may be good for some people but it did not work for me. I stopped taking the medication and the rash went a way.

The next prescribed medication was given Neurontin.  On  9-13-04  my dosage was increased to 1800 mgs of Neurontin per day.  I didn't think the 1,800 mg was  doing me any good. Pains were still there. I called Dr.M. R. office to talk about  getting off of it.  Instead on 9-24-04 he suggested to increase the Neurontin  to 3,000 mg (5  600 mg pills / day). It still  did not seem to be doing any good. I continued to receive  significant jolts to the left side of my face. I decided  to taper off of Neurontin.  I could not  even get  advice on how to taper off  of the drug from the manufacturer or the DR.  so I could test something else.  I  decided to just tapered off the medication over a 2 week period. But, when I got totally off of it  my pain from jolts came in much stronger than before. I was wrong in thinking the Neurontin wasn't doing any good. I went back on 900-1200 Neurontin and the heaviness of the jolts decreased.

I had appointment  with Dr. G R is Oct. 6, 2004. As usual I had to  wait an hour.  I finally had to leave for another commitment without seeing Dr. G.R.  I  had been treated by Dr. G.R. since July  and my pain had not seem to be diminished. He would look at me and say I can't see anything bothering you so why don't you just experiment with these pills for me and see what happens. There was no data base to learn from or to supply information. It appears that this practice of medicine is just practicing and not super diagnostic in  getting to the root of the problem.  Since August of 2004 my neurologists were aware that the left side of my face was numb.   Drs. do not offer a guarantee on anything.  I  located neurologist Dr. J.K   Oct. 20, 2004. He had referred a MVD Patient to a Houston Neurosurgeon who successfully  performed the MVD. I later met her. She was a happy camper in the pain world. I  was then  put on 600 mg of Neurontin and  600 mg of Tegretol.  It  significantly reduced my electrical jabs and I finally got some decent sleep. I was so happy taking the Tegretol. October 28, 2004 I had a dental appointment  for a routine cleaning. I mentioned my TN problems as my jaw ached considerably. I could not open my mouth easily for the hygienist to clean my teeth. 

Dentist Dr. T.R. suggested  I considered us of a NTI device to prevent Bruxism, ie teeth grinding. It may be the cause of my very aching jaw pain which destroyed my will to focus very long on anything. I agreed that this program might  be a good one for me.   I have a theory that the thousands of electrical jabs in the middle of the night  may have overworked those poor 64 year old jaws causing me to tighten down on my teeth. Is that possible?  I purchased the TNI.  You can see a 6 minute video on it at www.HeadachePrevention.com  I think that the lower jaw seems to be much more relaxed and I could  open my mouth wider. The back part of the jaw still was aching pain which may be from getting used to the NTI device. I now have read on the web and heard from a Houston dentist  that the NTI device is a temporary . So how long should I use it? Then I lost the tiny NTI device  so the question of how long to use was taken care of by the man up stairs.


NTI Device

Based on my pain circulating from the top of  the left side of my head to the deep part of my throat Dr. K thinks  I have Atypical Facial Pain, ATFP . What is ATFP?. It is is a syndrome encompassing a wide group of facial pain problems.  The outlook seems  even worse than Trigeminal Neuralgia as some experts say that MVD surgery is NOT usually a successful option for ATFP. It is usually treated with medication. Darn! The rest of my life on pills?  You will find details about ATFP on website no. 4 of this compendium. If TN was a fatal disease it would be a whole lot easier to get research money.
I learned from the web about the Trigeminal Neuralgia Association  based in Florida.  Every 2 years they have a national conference. Rosemary and I attended
the TNA  Conference in Florida Nov 10-14, 2004  Dr. P.J.  said atypical facial pain may mean that that  there is more than one blood vessel compressing more than one nerve. You have to be  skilled in looking for it.  All should be corrected during the same time if one chooses an MVD procedure. Another Dr. TK.  states that he has never  seen more than one blood vessel causing a problem.  Now, who do I believe?

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As I mentioned my wife Rosemary and I attended the TNA  National Conference on Trigeminal Neuralgia November 11-14, 2004  at the Walt Disney World Orlando Hilton in Florida.  It  consisted of  some long days listening to the very informative presentations  provided by about 50 doctors.  En-route I discovered how true the information I had read about altitude change on an airplane can bring on more  intensity of TN problems. That is true. Pain enroute was excruciating in the pressurized cabin. Unfortunately it was a 1 stop trip. I would suggest  that if you are traveling that you get a non stop ticket.

 November 12, 2004 while I was at the conference I developed a full body rash. YUK   It was not painful. On my return trip I increased my Tegretol dosage the day before and the day of travel as advised at the conference.  It decreased the head pressure and gave me traveling comfort.  En-route the  hearing on my left side  went out at the same time the altitude was affecting my TN pain.  My hearing resumed after a nights sleep but 2 days later went out again prior to the return flight and did not return to normal in about 30 days when  I visited a ENT specialist DR. V  who determined that my pressure was not correct in my left ear and was affecting my hearing. Holding my nose and blowing heavily  with a closed mouth did not discharge the liquid in the ear area.  DR. V did a lancing procedure  which restored my left ear hearing.

On  Nov. 16, 2004 I reported the full blown body rash to Dr. JK. His response was to immediately  get off the Tegretol and up the Neurontin to cover this loss. When the rash disappeared  a different  drug  Amytriptyline was prescribed starting with 10mg and increased to 30 mg. The Neurontin was raised  to 1200 mg/day.

Jan. 7, 2005 while flossing my teeth I discovered that my top teeth would not line up with my bottom teeth. A dental visit on Jan. 11, 2005 with Dr. TR determined that  there is a good chance  that I have TMJ   (Temporomandibular Joint Disorder).  Yuk?  More pain and expense.  Phone calls to my insurance  company and a TMJ specialist office determined that it is not very likely that TMJ would be covered by any insurance. 

 Someone advised me that TMJ was a muscle only problem. She referred me to a Health and Wellness. After an hour of massaging my shoulder, neck and face muscles
I could open my mouth to 1 and a half fingers compared to a single finger wide opening. I had many therapy sessions but the jaw would not open wider. Dr. TK did not think  the TMJ was related to the TN but could have been caused by the TN. I had a half dozen therapy sessions. I was not sure they were doing that much good.

While I attended a TNA Houston Support group meeting Jan 30, 2005 I mentioned to the meeting speaker  neurosurgeon DR. WH that I have had for a long time a numbness on the left side of my face. It is the side that my TN is on. I asked him "What is the basis of the numbing?" since I have had  no TN treatment  other than meds.   He wondered if I had had a MRI. I have had several.  He felt that it is something he has not seen in handling over 100 TN patients a year. It could be something very serious. Darn!! Another road block to a cure. Dr. TK's nurse thought that this  numbness is occurring including half my tongue because my brain is getting pain signals from other parts of my head relative to the TN. DR. TK said that an MVD could be done  without any effects from the TMJ. To this point no neurologist or neurosurgeon  had considered that I might have a tumor in the head outside the brain. Why was there no effort to immediately located the cause of the  numbness and tongue burning?

  The next TNA  conference on TN will be in November  2006 in Seattle.  If you have Trigeminal Neuralgia symptoms I would highly  recommend that you and your spouse attend. Whether you attend or not be sure you buy and read ahead of the the 2004 500 page  book on TN called "Striking Back". $ 24.95 plus shipping from Florida.  I guarantee that if you are having facial pain this book  will be invaluable to you. The book is usually best purchased from the TNA Association. There are 5 books reviews on it including mine.  Click here.

 If you attend a local support group meeting or a national conference you will meet many others with your similar problems and will hear many Doctors speak about the latest research and treatment in TN.  Another book that is very interesting  reading is called "Working in a Small Place" . It is about the originator of the first MVD microvasular decompression, Dr. Peter Jannetta. What a wonderful book on the leader in the TN area.  Both books can be ordered from the TNA at a reasonable price.

As I write this  the left side of my face is  still in a constant burning pain which seems to get tighter as the sun goes down. The left side of my tongue half the time feels as if it got scaled drinking hot McDonald's coffee. The left side of my lip is swollen and has increased in size. I think I sometimes bite it because I can't feel the pain because  it is numb.  I think my speech is affected so I am not as anxious to speak for long period of time as in the past. This is not a good thing when you make your income from sales over the internet.

I have determined that I also have a possibly unrelated TMJ problems.   It has been that way for over several months. I have been receiving  special massage treatments twice a week which involves pressing of the shoulder and face muscles to get them to be more relaxed. I have seen improvement from Jim B. and Victoria W.  When I started with the TMJ wellness problem I could open my mouth to 1 finger insertion.  Several weeks later I am up to 2 fingers and a little bit. My  tongue still  feels burned. It seems like it is on the left side. I found one article on the internet that mentioned that this could be caused by an anti-depression drug Amytriptyline which I am taking 30mg / day. On 3-18-05 / Dr. K. suggested I drop from 30 to 20 Mg of Amytriptyline.  I do not like this hyper anxiety  feeling which is also preventing me from getting to sleep until  2 or 3 in the morning.
Click image for a larger view.
On Tuesday March 22, 2005 I took another MRI at the request of Dr. J K.  This time it was with thin slices as so many recommend. Dr. K  called  that afternoon and advised that there was some excess soft tissue near the lower jaw. This may have some relationship with my numbness on the left side, the numb tongue, puffed lip and very sore jaws when talking for more than 5 minutes. He advised me to see EMT Dr. RP at Methodist Hospital.  Dr.RP decided that the MRI was not very  valuable in determining the pain problems around my neck.  He ordered a CT SCAN WITH CONTRAST for me for Tuesday March 29, 2005  at 8am  to be followed by an appointment with him at 11: 15 to review the film. As before,  the left side of my face continues to feel as tight as a drum.  My tongue still burns half the time. Dr. RP thought my head was asymmetrical. Could be a sign of something?  It doesn't surprise me since when I have nothing else to do with my hands they  go to my head  for pain comfort. Dr. RP thought that it is possible that I do not have  typical TN all.

3-29-05  I took a CT Scan at Methodist Hospital today. The lady in her late 20's  running the scanning machine had no hands but very skillfully did everything with what she had at the end of her wrists. I was impressed. Thank God for the  people who gave her a job and someone to teach her how to work with her handicap. The scan took  only  about 5 minutes.  I waited for the film and took it to Dr.RP on the 17th floor. He did see some foreign items on the film. He ordered a lab test, to get some cells of it to learn more about it. 2 pathologists prepped me. Then  Dr. RP came down and inserted very small needles through my skin to get to the mass  for a biopsy. It is called a FNA  (Fine needle aspiration. )

While waiting for Dr.RP I discussed TN with  pathologist Dr. S.  We discussed the MVD developed by Dr. J. She stated that  her neurosurgeon husband said the DR. J procedure was "old" and they use other things now including medication. WOW  Either I am very ill informed  on TN or her husband was. One of us is wrong. I want to find out for sure find out. 3 calls to her voice mail have not succeed in getting an opportunity to speak with her about that  statement.   My  TN studies has persuasively led me to believe that an MVD has the  best  chance for no pain for an average TN problem.  I understood it was the state of the art.  I will pursue my calls as I feel a responsibility here. I am re-reading this on 7-17-05 and realized that I never did get though to her to find what she was referring to. Just one of my many procrastinations.

  3-29-05 Lab reports A Fine needle aspiration biopsy of the left parotid  gland  showed a general diagnostic category  positive for malignancy. A descriptive diagnosis, Cytoliogic features of poorly differentiated high grade nonsmall cel carcinoma. Focal features suggestive of poorly differentiated adenocarcinoma.

3-31-05 It is not April fools day until tomorrow.  Doctor RP  just called  with the results of the pathology tests on Monday. No Joking now.  There is a tumor in my cheek. The question is  " Are the other tumors else where since they tend to run in groups? ( I guess they get lonely.)

 I advised him that we did have a lot of cancer in my Dads family. My father had multiple myloma.  His dad died of cancer possibly related to a lack of iodine in the area. His sister died of breast cancer. His brother  dies of facial cancer involving the removal of one eye.  Dr. RP's   said I may have to see a Oncologist ( A Doctor specializing it the study and diagnosis of cancerous tumors.) Dr. P  meets on  Monday's with a group of doctors to review together tumors, Two heads are better than one when  looking at a difficult problem.  

 I had PET Scan April 7th. (See Box no. 92  for PET Scan Info  on web page http://www.BrianNelsonConsulting.com/trigeminal-neuralgia-tn/faq-info4.html   Dr. P advised  said it most likely  be treated with Chemo Radio Therapy and would not be surgery.

April 7th I had the PET Scan at Methodist Hospital.  I was given an injection of glucose. I had to lay without moving  for an hour while it properly dispersed itself through my body. Then I was taken to the The PET Scan room. The actual scan  itself took 28 minutes.  All of the people I run into at Methodist are helpful and friendly.  The place is always immaculate with floor polished so that you feel you could eat off them.

The pain in my throat areas gets worse each night. I am taking Tylenol for it as well as bathing in a over the counter suave  CapzasinP I use disposable plastic gloves when I put it on. The CT Scan report showed a history of a Parotid mass. Axial computed tomography of the sot tissues of the neck was perform with intravenous material and is correlated with the MRI of the brain dated March 22, 2005.  The findings are: There is an ill-defined areas of increased density, involving the medial two-thirds of the parotid gland including the deep lobe of the gland. There are smaller level B Lymph notes on the left 13mm. max. diameter. There is not definitive skull base invasion. The finds would suggest a malignant parotid lesion with infiltration of the masticator space and with associated lymphadenopathy on the left.   The Impression is:  Malignant parotid tumor with involvement of the masticator space, specifically the pterygoid musculature, and with associated lymphadenopathy.  Dictated by MES  MD.

4-7-05 A Pet/CT Skull Base-Mid Thigh  was performed. The CT Scan and the Pet scan were  performed after an intravenous feeding followed by a 60-90 minute rest. Tracer uptake is present throughout most of the large mass seen in the left masticator space and extending to the medial left parotid gland both seen on the CT Scan of March 29. Mild vascular uptake is noted in the mediastinum at several locations possibly secondary to atherosclerotic disease.
The impression:
1 Marked tracer uptake within the large soft tissue mass in the left masticator space, extending to the medial left parotid gland, as also seen on recent CT Scan  is consistent with malignancy.
2. Lymphadenopay, ver suspicious for metastic disease is present with 3 nodes in the left posterior  cervical triangle as well as 3 left submandibular lump notes and 2 left supraclavicular lymph nodes.
3. Mild uptake at the gastroesophageal junction most likely represents a normal variant. Some focal inflammation is possible.
4. No evidence of malignancy in the lungs , abdomen, pelvis or osseous structures.
My wife
accompanied me to my visit with Dr. R.P. April  12, 2005 to discuss the result of the April 7 PET Scan . Based on the reports and condition surgery would leave a possibility that not all the cancer could be removed and could continue to grow.  Surgery options include some risks because DR. P. thought he might not be able to get it all because the tumor could be embedded in part of the tissue. Radiation and chemo are possible treatments.  

 
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 A 2nd opinion is scheduled for April 26 at 7am with Dr.RW. at  the MD Anderson Cancer Center. Dr. R. W. yeas ago  was a student of Dr. RP. My particular case is very rare. There may be only about 25 cases  occurring at one time in the USA . If you have any knowledge of cancer doctors who might be interested in talking to me about this,  please have them call me.
Back to normal TN Talk.   Do I have TN?  I do have a problem with the trigeminal nerve.  Most likely it was caused by the cancerous malignant  tumor in my neck and cheek. That  friendly little fellow probably also is the cause of my TMJ problems. Dr. RP thought the  tumor has been there at least 6 to 8 months but less than 10 years. It supposedly grows slowly. My question is  " Why couldn't they have determined this earlier?"  Thanks for your prayers. 
4-21-05 OK Sportsfans. If you want to really know the down dirty medical review by one group of professionals on the East Coast here is  what they told me today. It just made my day.  Yuk.

" Review was completed today-all the films will be returned via FEdEx  tomorrow. We found that the origin of the mass is in doubt (parotid, tonsil, aerodigestive tract) but impact on treatment is negligible. Difficult situation, but without any treatment there would most likely be increasing pain, both locally and in upper chest. With chemotherapy and radiation, there may be some lessening of the pain, but not a lot as radiation will add a bit to the burden. A procedure to remove the bulk of the cancer will be tough and challenging-it will involve removal of the parotid, tonsil area, part of the jaw, a bit of the floor of the mouth, and deep tissues. It may involve removal of the facial nerve as it is usually involved within the gland/soft tissue.
As to the local pain, there are a variety of fifth nerve procedures to consider (none are the traditional operative approaches) but can ,and perhaps should be considered at the time of any major operative procedure.  Our local team can be available. We are truly sorry that you have these tough choices-let me know how else I can help."

April 26, 2005 Rosemary and I  showed up at the  Houston Anderson Cancer Clinic for an appointment with Dr. R.W  The visit took almost 10 hours. Rather exhausting.  The day included new patient registration, vital signs, blood specimen, chest X-Ray/a review by a Anderson Fellow Dr. N  preceding a visit with  DR.R.W.  the ENT Specialist.  His Initial questioning including concern if there  was a previous medical situation in the head area.  I recalled removal some skin growth on the face but had no recall of when or exactly what as it was a very minor thing. Dr. RW said it would be extremely valuable to know as much about it as possible as it would help to diagnose  the origin of  the existing malignancy.

In the afternoon  we visited was with a PA.( Physicans Asst. )  who did  for extensive interview concerning my TN story history.  This was followed by another interview by an Anderson Oncologist DR. BG who was assigned to review the case. She was about the 6th person that day to ask me about the history of my case. Unfortunately the film and photos I brought in in the morning were still not available to her at the time of our meeting.

On April 27,2005 I returned for a visit with the Radiologist DR. M assigned to me. A resident MD reviewed my case and then DR. M came in and had a few questions for  me.  He was  to advise how radiation would play a role in  my case. Regrettably he also was not able to review the film I brought with me but withheld comments until he could see a new biopsy, ultra sound and the new MRI.  He also was very quiet during the brief exam. Surprise.  A male RN GS who was very medical savvy  said that although DR. M was very quiet he was one of the top 3 radiologists in the country and all 3 are at Anderson.  Good for Anderson. Maybe other hospitals say the same thing about their staff.. Who knows.

 On May 3rd I  met with a DDS Dr. JM in Dental Oncology.  If radiation is used there can be no loose teeth because they could be damaged by the radiation. An Panoramic X Ray revealed that 3 molar teeth will have to be removed if radiation is used.   In addition I  will be fitted with a orthopedic device to protect the tongue in radiation and a cap to assist in fluoride treatment for the rest of my life. This was my first day on Medicare as my  primary  health care provider.  No daily co-pay. Sounds good to me. Just show your Medicare card. That also means you are getting old.
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After the Dental Oncology review I  took a 3/4 mile interior tour shuttle electric cart ride of the giant Cancer Complex to the ACB building. That Anderson campus is awesome. I had another ultrasound of my neck along with a FNA Fine Needle Aspiration (Biopsy) this time guided by an ultrasound computer for  selection of  more cells for the pathologist to study prior to make decisions about chemo, radiation and surgery. Radiologist Dr. J. had excellent bedside manner and made me aware of all that would take place. I signed the proper documents thinking if would be a simple poke in the face. Away he went with the FNA. OUCH!!!
He did all the local area numbing but once the needle hit my left parotid gland I felt the most excruciating pain I have ever felt. It was a long 60 seconds. I am sure they heard me 3 rooms away. Dr. J continued to repeat  compassionately " I am very sorry Sir!" . I described the pain afterward that it was like someone grabbing a sensitive boil on your skin and twisting it in an unrelenting manner until you said "Uncle". Since I am writing this at  11:04pm I must have survived it . 

May 4, 2005  I showed up on time at 6:30am at Anderson  for my  4th  MRI. The waiting room had numerous recliner chairs. Viola!  These could be handy.  I think this MRI  was focused on my cheek and throat area.  I asked about the equipment cost of this latest GE MRI. The tech thought this model was  $8,000,000. ( In round figures of course. ) I guess it had a few more  gold plated wires than the other models. The process took about a 45 minute process.
I then went to the Anderson pain specialist where I had a 1:00 p.m. appointment.  Thankfully the very considerate staff agreed to work me in to see Dr. JM   2 hours earlier. It had entered my mind to go back to MRI and use the recliners if there was  going to be a 4 hour wait but fortunately I didn't have to do that. 

A breast cancer patient waiting with me gave the highest regards for her assigned doctor DR. LD. That was good news  since  the Dr. LD was assigned to me.   I had separate in-depth  interviews with a nurse and PA. Both were well trained and compassionate.  They collaborated  with   Dr. LD  who then  saw me.  Based on other medications and my  complications he prescribed 2.5 mg or methadone twice a day to start with. Methadone belongs to the group of drugs known as opioids. OH OH.   Opioids are drugs (naturally occurring and synthetic) with chemical structures and actions similar to morphine. I  WILL HAVE TO BE VERY CAREFUL.

 I took my first  methadone  when I got home. Very interestingly enough I noticed about 3 hours later that what had become normal for me of  "Forced Thinking" , changed to "Voluntary Thinking." I went to a search engine study meeting and ability to think creatively and analytically was more present than it had been  for a long time.  I was not feeling high but decisions just seemed to move easier. It is hard to explain.  I went to bed around 11:30 and slept through most of the night except for a visits the bano. (That is Bath in Espanola.) Have a good nites sleep and being able to think better was a  great  feeling. I thought I should journal it here because I am very capable of selective memory.  I can easily   forget  about what is non essential at the time and then it can be lost forever.  I am finding these notes become more valuable daily as visits with new medical people ask a lot of questions  that require answers with dates.

While  I was waiting for DR. LD another nurse was interviewing me about being a part of a research on an external  patch medicine. She was pre-empted by the PA's visit.  I did not see her again.  Research is so valuable but who wants to do it when  you there are other pressing things in the business and the patient world.  
It will be interesting to see what effect the methadone will have on me.  I will journal it here  at www.PartyTentCity.com/mytnstory.html  which is  uploaded as an "include page"  automatically  in about 8 of my medical recording sites.

My appointment  with  ENT DR. RW was  moved  to be on my  65th Birthday May 10, 2005 1045am. We celebrated singing OH Happy Days Are Here Again." After a hour delay we were thankful to have received an appointment a week earlier than originally expected.  The final fine needle biopsy and ultrasound provided information about my cancerous condition. The tumor in my cheek has deeply invaded a lot of the cranial nerves and tissue of the parotid gland. Surgery is not  an option at this point. It is too large and too deep. Surgery would most likely not remove all the cancer.  Other cases of tumors in the parotid gland  at  Anderson are usually taken out by surgery to be followed by chemo and radiation.

A initial visit was followed by a trip to the radiation therapist DR., M.  Arrangements have been made to see dentist Dr. M at 8:30 May 11, 2005  who will very soon remove 3 teeth that would not hold up in radiation. A 3 week rest will be needed for the mouth to heal from the teeth removed.  This will be followed by schedules with  the Oncologist Dr. BG, the dentist Dr. ___ to make a mouth deflector to save the tongue during radiation and the Oncology nutritionist. A  mouth splint would also be made and test runs will be made with the therapy procedures. I will be able to provide better details later. 

May 13 Visit to Anderson with St. Paul, MN  Cousin Jim Radford . Had cat scan. Had another chest x-ray and blood draw. Anderson  policy is not to accept a chest x-ray more than 2 weeks old. I guess cancer can grow very rapidly in some parts of the body.

May 15, 2005  9:30 to 3pm at Anderson with my brother Dean Nelson from Madison, WI.> Had pre-op  review by  Internal Med Dr. and by Anesthesiologist.  for preparation  for dental  surgery on May 16, 2005 scheduled to start  6am.

May 16, 2005 6am  Showed up at Anderson for oral surgery.  Dr. JM ,a Anderson Dental,  surgeon  was preparted to remove 4 molar teeth  because they were not deemed strong enough to handle  upcoming radiation and chemo without creating many risky future problems. The TMJ forced me to be totally out under anesthesia because I can not open my mouth wider than 2 fingers. I currently have TMJ,  Tempormandiular Joint.  Surgery was  a little over an hour starting around 7am.  Anderson starts 30 surgeries at one time. A very interetesting behive of activity.   I remained sleepy after surgery until 2 pm when we checked out and Dean drove me home.

May 17, 2005 Near supper time I complained to my wife Rosemary of a stomach hurting from an inability to urinate.  Rosemary suggested I call Anderson ER. I spoke to a male nurse on duty. The nurse suggested that I come in  and have it checked because by morning I could come in doubled over. I agreed and we took the 14 mile journey to Anderson Emergency Room.

Plumbing not working is something that one should take seriously.   Checks and tests taken included  urine, blood, blood pressure, temperature, heart and  rectum. The evening ended with a catheter to drain the bladder.  Not a significant amount  was removed.  Dr H did not know what could be causing the problem and discharged me. Oh Happy Day.

Their computer connection with the patient records did not allow them to access my medical records from other parts of the campus. That was depressing. They were not able to pull up what pain medicine I was taking for a hard to remember constipation prevention powder. The medicine was  Glycolax also known as Merilax. I left with more pain than when I went in.  Not a good report on Anderson. On arriving home I asked Rosemary to immediately check the computer for Glycolax  side effects. She came up with bloating. I thought I also recalled that on the bottle and sure enough it was there. This problem was probably caused by a real gas.  The logical decision would be to discontinue the Glycolax. I did not take before going to bed and did not take it in the morning. By noon  my plumbing was feeling and operating normally.
 
So now what do I feel like. A bit 't-d off". I feel that the Medical community needs to present each problematic case with  and through a data base Click here to see my research on this.. 

 Prior to seeing the Doctor significant data should be fed into the computer where the computer can ask for more info about specific problem areas which may be indicative of problems arising  out of similar circumstances in its historical data base. Then the doctor can proceed cautiously  looking for all possible combinations which could pull together the symptoms that caused you to be there in the first place. I will write more on my data base page in the future as soon as I have time.
 

May 24, 2005 12:40  I met with oncologist DR. G. Her feeling about my medical status is that I should start with chemotherapy only and try to get any possible chance of the cancer spreading because it is on my neck lymph nodes  on the left and the right areas of the neck.  She received favorable  concurrence from Dr. M.  The previous week  she had met with 26,000 oncologists at a convention. Could be there is new evidence on that therapy concept. Therefore  she suggested that the chemo can start immediately.
Click image for a larger view.
May 25, 2005  5:30pm Rosemary  was with me to Anderson Ambulatory Treatment center where over 100 people can be treated at one time. The evening times were more conveniently available.   A great lobby computer video tutorial was available which explained almost every aspect of what was about to be done and why. 
Each patient had a private room. After viewing that a few preliminary steps were done and about 6:15 pm an hour of non-chemo  medications were fed intravenously for successful adaptation of the chemo to the body. These  included for me:
Diphenhydramine  50ml (Benedryl) 
Cimetidine
Ondannsetron
Dexamethasone

From 7:15 to  12:15 am I stayed tethered to the IV for the chemo which included 2 drugs for a combination.  It  created maximum effectiveness.
Paclitaxel  500 ML (Taxol, Onxal)
Carboplatin 150 ML

They also provided a very good supper with a wide selection from the Anderson Kitchen. Although tethered to tubes and bags of solution I was able to get up and walk around, go to the restroom, operate my laptop computer and watch cable TV and write. I took 2 good naps during this  6 hour ordeal. The  majority of the nursing staff had 20 and 30 years of experience. Most  were from the Philippines.  They convey a very good serious  and positive friendly attitude.

The next chemotherapy will be 3 weeks later. I guess that there will be requests to come in for a blood count to see  how the white blood cell count is holding up. The white blood cells fight of infec