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#my dentists voice going 'TONGUE CANCER
gibsonwitch · 7 months
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beloved mutuals what are some replacement stims for chewing my cheeks and tongue to bloody shreds
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What are the Common Symptoms of Oral Cancer, and How Can I Reduce My Risk?
Oral cancer is a serious and potentially life-threatening condition that affects millions of people worldwide. Understanding its common symptoms and ways to reduce the risk of developing it is crucial for maintaining good oral health. In this article, we'll explore the key signs of oral cancer and provide valuable insights into preventive measures you can take. Additionally, we'll emphasize the importance of regular dental check-ups with a focus on finding a Dentist in Guildford to ensure your oral health is in top shape.
Introduction
Oral cancer, which includes cancers of the lips, tongue, cheeks, floor of the mouth, and throat, can be a silent threat. It often goes unnoticed until it reaches an advanced stage, making early detection and prevention essential. In this article, we will delve into the common symptoms of oral cancer and discuss effective strategies to reduce your risk. We'll also emphasize the significance of regular dental check-ups and how finding a reliable Dentist Guildford can be a proactive step towards your oral health.
Understanding Oral Cancer
2.1 What is Oral Cancer?
Oral cancer refers to the abnormal growth of cells in the mouth and throat region. These cancerous cells can invade nearby tissues and spread to other parts of the body if left untreated. It can affect anyone, regardless of age or gender.
2.2 Prevalence of Oral Cancer
Oral cancer is more common than you might think. It ranks among the top 15 most diagnosed cancers globally. The good news is that awareness and early detection can significantly improve the chances of successful treatment.
Common Symptoms of Oral Cancer
3.1 Persistent Mouth Sores
One of the most common signs of oral cancer is the presence of mouth sores that do not heal within a few weeks. These sores can be painful and often go unnoticed until they become bothersome.
3.2 Unexplained Bleeding
If you experience unexplained bleeding in your mouth or notice blood in your saliva, it could be an early indicator of oral cancer.
3.3 Chronic Sore Throat
A persistent sore throat that doesn't respond to usual treatments like throat lozenges or antibiotics may be a cause for concern.
3.4 Difficulty Swallowing
Oral cancer can make it difficult to swallow, leading to discomfort and weight loss.
3.5 Changes in Voice
A persistent hoarseness or changes in your voice that last for an extended period should not be ignored.
3.6 Numbness or Pain
Oral cancer can cause numbness or pain in the mouth or throat region, which can affect your ability to eat and speak comfortably.
Risk Factors for Oral Cancer
4.1 Tobacco and Alcohol Use
The most significant risk factors for oral cancer are the use of tobacco products and excessive alcohol consumption.
4.2 HPV Infection
Certain strains of the human papillomavirus (HPV) have been linked to an increased risk of oral cancer.
4.3 Sun Exposure
Prolonged exposure to the sun, especially to the lips, can increase the risk of lip cancer.
4.4 Poor Oral Hygiene
Neglecting oral hygiene can contribute to the development of oral cancer.
Preventive Measures
5.1 Avoid Tobacco and Alcohol
The best way to reduce your risk of oral cancer is to avoid using tobacco products and limit your alcohol intake.
5.2 Practice Safe Oral Sex
Practicing safe oral sex can help reduce the risk of HPV infection, a known risk factor for oral cancer.
5.3 Protect Your Lips from Sun Damage
Using lip balm with sunblock and wearing a wide-brimmed hat can protect your lips from harmful UV rays.
5.4 Maintain Good Oral Hygiene
Brushing and flossing regularly, along with routine dental check-ups, can help maintain good oral health.
The Role of Regular Dental Check-ups
6.1 Importance of Dental Check-ups
Regular dental check-ups are vital for early detection of oral cancer and other oral health issues.
6.2 Finding a Dentist in Guildford
If you reside in Guildford, finding a reliable dentist should be a priority. A local Dentist Guildford can provide personalized care and regular check-ups to ensure your oral health is on the right track.
Early Detection and Treatment
7.1 Self-Examination
Performing self-examinations of your mouth can help detect any abnormalities early on.
7.2 Diagnostic Tests
Dentists may use various diagnostic tests, such as biopsies and imaging, to confirm the presence of oral cancer.
7.3 Treatment Options
Treatment options for oral cancer may include surgery, radiation therapy, chemotherapy, or a combination of these methods.
Living a Healthy Lifestyle
8.1 Balanced Diet
A diet rich in fruits and vegetables can boost your immune system and reduce the risk of oral cancer.
8.2 Stay Hydrated
Proper hydration helps maintain the health of your oral tissues.
8.3 Manage Stress
Stress management techniques can improve your overall health and well-being, indirectly reducing your risk of oral cancer.
8.4 Regular Exercise
Regular physical activity contributes to a healthy immune system and can help prevent various health issues, including oral cancer.
Conclusion
In conclusion, being aware of the common symptoms of oral cancer is essential for early detection and effective treatment. By taking preventive measures such as avoiding tobacco and alcohol, practicing safe oral sex, protecting your lips from sun damage, and maintaining good oral hygiene, you can significantly reduce your risk. Additionally, regular dental check-ups, especially with a Dentist Guildford, play a pivotal role in ensuring your oral health is in optimal condition.
Frequently Asked Questions
10.1 How common is oral cancer?
Oral cancer is among the top 15 most diagnosed cancers globally, making it relatively common.
10.2 Can oral cancer be cured if detected early?
Yes, oral cancer has a higher chance of being cured when detected and treated in its early stages.
10.3 What should I do if I notice persistent mouth sores?
If you have persistent mouth sores, it's essential to consult a healthcare professional for a proper evaluation.
10.4 Is oral cancer only caused by tobacco and alcohol?
No, oral cancer can also be linked to factors like HPV infection and sun exposure.
10.5 Are there any foods that can help prevent oral cancer?
A diet rich in fruits and vegetables can support overall oral health and reduce the risk of oral cancer.
Incorporating these recommendations into your lifestyle and seeking regular dental check-ups will greatly contribute to maintaining your oral health and reducing the risk of oral cancer. Remember, early detection and prevention is key to a healthier future.
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debbie-tanthorey · 4 years
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65 DAYS IN MAY
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CHAPTER ONE
Cosmic irony.  A dentist saved me. You read that correctly – saved my LIFE, albeit inadvertently.  An action as mundane as having one’s teeth cleaned, set fate in motion. Was the week of Thanksgiving 2019, bi-annual check-up.  Dentist does his thing after the hygienist finishes. You know the drill (pun intended).  Only this time he uncustomarily offers me a hand-mirror, tells me to look in my throat, asks me if I've had my tonsils out.
“No”
“You have a white spot back there, see that?” My eyes shift toward the mirror – I LIE – say I see it (don’t have my glasses on, PRIDE won’t let me admit I can’t see any white patch)  He continues, “If you don't mind, am referring you to an oral surgeon for a biopsy.”  The nefarious B-word; brain fires a warning shot.  B-word leads to the C-word. 
Alone now in my car, I fall apart.  Hi, I'm a hypochondriac; I don't handle health challenges well despite the jovial persona folks see.  A paralyzed-with-fear hypochondriac.  Foremost in my thoughts is a long-time friend from high school, currently dealing with a devastating throat cancer diagnosis; I know not to minimize this.  (R.I.P. Grady, August 8, 2020 😔)  Get to my desk, dial my primary physician immediately, which is a big deal for introverted-me; set up an appointment for a second opinion.  The Thanksgiving holiday means I can't be seen until the following week.  What is normally a fun, family-gathering time of year, is effectively fogged in with dread, I go through the motions.  All-consuming thoughts ruminate incessantly - I'm dying.  Yeah, it's what hypochondriacs DO, we ‘dive off into the deep end,’ thrash, drown in ‘what if’s??’
The next week, my doctor smiles after he peers past my tongue into my throat, “Where?” Looks twice, insists I relax, “It's nothing.” He knows me well, adding, “if it would make you feel better, let's follow-up in three months.”  His reassurance tempers my panic . .  life resumes. 
CHAPTER TWO
December 2019, January, February, 2020 the winter that wasn't.  Work that was. Mid-February Housing fair at Ohio University's Walter Hall Rotunda.  Event coordinator, Donna, introduces herself to Dave and me at our display table. Lively-soul, (I admire extroverts) she explains she recently transferred to this area from Columbus and, among other things, is a Stage 4 breast cancer survivor.  Woman is spunky. Piques my interest. I share my sister's email address with her, explaining Cheryl is an 18-month soldier waging the same battle.  
March approaches and the little nagging voice in my head reminds, “3-month follow-up, Deb, just do it.”  Did.  Friday, March 6.  Confirmed, no dumb spot. Ha!! Your basic normal appointment. Crisis debunked. As visit concludes, Hillary, his nurse, scrolls through my medical record, turns to mention it's been more than a couple years since my last mammogram, they’ve all been clear, but I'm due, and would I want to set up one. 
“Sure” 
My youngest, Leah, works in this same medical facility, stop at her desk near the lab to say ‘hello.’  She’s my last to leave home, miss her in my house still. Always good to see and talk to her.  She and Ian were married 18 months ago.  Her desk-mate, Jordan, coincidentally one of Leah’s friends from her high school days, sets up my mammo appointment for Monday.
MONDAY, MARCH 9.  Say ‘hello’ again to the girls at their desk.  Check-in. Take a seat, wait my turn.  Have had plenty of these 'grams in my lifetime, no big deal, no dread.  Bare 'em, squash 'em, and get back to work.  This time though, the tech knows my sister, and as I dress when we are done, from behind the screen she casually asks how old Cheryl was when she got her diagnosis and how’s she doing. (60. She is doing remarkably well, maintaining) 10 minutes later, I’m back at my work desk, phone rings, the mammo-tech is on the phone, needing me to return the next day for “a couple more, 'maybe clearer' pics, and an ultrasound.” That’s never happened before.  A fleeting shot of panic surges, but since my most recent dread has been unfounded, I attempt to not over-react.
TUESDAY, MARCH 10.  Keenly study the radiology-tech’s face for clues when she comes to fetch me from the lobby, I examine her demeanor as if I’m a police detective on a high-profile murder case and she’s my prime suspect.  She's calm.  So I'm cool. Rescan first, ultrasound second.  Not especially pleasant the latter, (idiotic thing to say, was wholly unpleasant ) having your chest unceremoniously smashed in a circular motion against your ribs.  The techs are studious, the room silent, I stare at the ceiling. Last time I had an ultrasound was 26 years ago and I was pregnant. Today, no fun at all. Understand now why my sister mentioned she is not a fan of these during her breast cancer struggles.
CHAPTER THREE
SATURDAY, MARCH 14, a knock on the front door, mailman is standing on my front porch and in the time it takes me to scribble my name on a card, I'm staring down at a certified letter in my palm, the return address of the clinic lunging off the paper at me. There's a low, barely-audible, foreign sound in my head.  It's 'control', in human form, and is protesting/whining as she’s being forcibly dragged away from me.  Remind myself I'm somewhat sane, an adult - just open the envelope.  I do.  And there it is, in black and white, the word -
ABNORMALITY
The rest of the weekend is a blur, debunking the need for concern with my daughters.  Every excuse, every plausible explanation of why a letter like this would be mailed.  A mistake, surely so.  Just a glitch in the system.  “Mom, if it was bad, they wouldn't notify you by letter,” Leah insists.
MONDAY, MARCH 16, my primary physician calls in regard to my somewhat-panicky email fired-off to him on Saturday, the day the letter arrives. He speaks in calm tones, explains he was on vacation the past week, is sorry he could not talk to me before the notice arrived, he's seen the offending spot on the film, offers it's so small, unlikely any cause for concern. “Indistinctive,” he assures. Forwarding to a surgeon for review.
CHAPTER FOUR
TUESDAY, MARCH 17, mama-daughter call . . normal stuff .. she’s working today at the clinic. She mentions the aforementioned surgeon has office hours today, maybe I could be squeezed in.  I’m in luck, they can.  So in a couple hours, I am shaking the hand of the head of surgery.  Personable guy, he tells me he's reviewed my pics, if the radiologist had not circled the area, he would not have noticed it right away.  Optimism duly noted. He thoroughly examines that body part, pokes and prods, asks me if I feel a lump. “I have not.” Today he doesn't either.  Every woman knows about lumps. I absolutely know about lumps. I would never ignore one.  Fact of the matter, there is NO lump! 
We go over my less than stellar immediate family history of C. (HATE that word). Lung, breast, leukemia.  He recommends biopsy to rule out any true problem. The B-word again.  This day I say, ‘ok'. 
Right here is where COVID-19 makes it's bizarro presence known, personally impacts ME. Doctor advises local surgery center is now closed due to the virus and procedures are limited to emergencies only but he is willing to go before the Board to plead my case.  ????  While thankful he is willing to intercede for me; I am tamping down anxiety fighting to rise up, mentally jumping up and down, stomping on it, both feet.
Couple days later I get the call the Medical Board approves me for a needle biopsy.  Control-of-my-life, she is sitting on the floor in a fetal position, rocking, whimpering in a locked padded-room somewhere.
CHAPTER FIVE
TUESDAY, MARCH 24, Jess drives me to Jackson.  I don't need driven. Appreciate my oldest’s company though.  COVID rules necessitate only a patient be permitted to enter any facility; Jess has to wait in the car.  At the door, am screened for symptoms, this is the Twilight Zone.  And it's too quiet in here.  The place is dark and weird and I don't want to be here.  I'm the ONLY person in the entire surgery center, I overhear the staff talking, they weren’t on the schedule today, I’m the only patient. hhmmmm, why am I so important??  Creepy.
Am ushered into the procedure room, nurses are professional, put me at ease.   Entering, it’s impossible to miss my film aglow on the lighted-box on the wall; she asks if I want to see it.  (NO!! I don’t want to see it!!)  In reality, robotically, walk over to look.  There it is, plain as day.  The previously described small-likely-nothing indistinctive spot.  Yikes, it's a glaring, ominous, bright white glob with literal tentacles reaching out, it’s in the middle of my precious flesh.  No denying this now. Thing’s staring back at me.  The only way I know how to describe the rest of the appointment, is that I am having an out-of-body experience, it’s not happening to me.  No . . . is not.
You know the lifts in a garage of an auto repair shop?  That's what this is. Clumsily climb aboard, assume a  face-down position. There's no delicate way to explain the procedure.  There's an enormous hole in the table, chest area, your beloved body part dangles and the table is raised, surgeon accesses it from below.  Area is securely taped, prepped and numbed.  Needles are fun, aren't they??!  (eye roll)  Am told the table will vibrate, surgeon cautions me to lay perfectly still or the laser will slice me.  (no problem, I float away, not even present in the room)  And it begins.  Computer guides a gatling gun of needles as it commences to stab the tumor, withdraw specimens of cells.  Sounds horrific, but it isn't, numbing tends to that. Divert my eyes from the red, fleshy goop siphoning into the container, my eyes clamped shut much of the time. Lasts just a few minutes, dress, then am on my way.  Visit the same surgeon in a week for the results. Will not come back to this location, by then this center will also be closed by the pandemic mandate, next appointment is at a nearby hospital.
CHAPTER SIX
APRIL 1, 2020, APRIL FOOL'S DAY.  First time I have ever visited this hospital, enter alone, virus protocol at the door.  Surgeon’s office on the second floor, take the elevator.  Few folks in the building, those that are, like me, are wearing masks.  As I wait, pilfer on my ipad.  Name is called, off I go.  Today I find out this thing is benign, that I have been spazzing for weeks over nothing, naturally. Don't wait long for the Dr., I remain seated as he enters, greets me.  He begins  talking as he walks across the room, lays down my chart, then turns, making eye-contact, “you are so lucky to have had this test, mammogram did what it was supposed to do; we've caught it early.”  
IT 
“...(I go effectively deaf)  blah-blah-blah-blah-blah CARCINOMA.” A cataclysmic concoction of consonants and vowels strung together into syllables, words, in sentence form, delivered matter-of-factly.  What happens here is nothing short of BIZARRE.  Always imagined if I heard the words, “you have cancer,” I would react BADLY.
I would -
be angry
weep
go to pieces
vomit
all of the above
In reality -
I did not cry
I did not faint
I did not scream
Instead, sit calmly, silently.  Stoic. Utterly, absolutely, wholly dumbfounded. ( this isn’t real - my head hurts - is this a stroke!?)  REALITY  Brain cells scramble to focus, I listen intently to every word, nod occasionally.  Hearing all, absorbing little, during this a crash course on three types of breast cancer and treatment options available.  (drifting off  - I like him, he gestures with his hands as he speaks of surgery options.)  Reconstruction; their plastic surgeon is top notch. The decision is mine.  The doctor adds simply, “you know what will happen if you do nothing.”
I do
Unceremoniously and without a second’s hesitation, I react, “Get it off me,” hand on my chest. (subconscious protesting, “I feel FINE!!!!  THIS. IS. STUPID!!”)
He nods in acknowledgement of my words, continuing, discusses recurrence rates on the opposite breast. Fuzzy math. Right here I interrupt him with the wave of a hand, “Get them both off me!” For good measure, I repeat it.  Decision made, bilateral mastectomy it is, ASAP.  Hands me a print-out with my diagnosis, I roll the paper up like a diploma and slip it in my bag.  Stare down at the bag I take to work everyday . . (new-reality thoughts commence) or did … back when life was normal.  
“Lousy April Fool’s Day, ya gotta admit.” I mutter out-loud to him as I rise to my feet, reach for the door.  (how am I walking??!)
Ah, but COVID-19.  Global pandemic, if it were a person, he’d be a cold-hearted, merciless jerk.  I have to wait 14 days, be symptom-free in order to be permitted in their surgery unit or risk contaminating the whole place.  Condemned to live with my killer for 15 more days, let it sleep with me, go to work with me, hang out with me while I visit my kids, grandkids.   Melodramatic? You betcha, but the truth.  All the while knowing the beast is growing.  
I don’t exit the building until I am pre-registered for surgery, receive copious instructions, am assigned a day, APRIL 16.  Next to the radiology waiting room, there I message my sister, she is the first to know.  I have breast cancer.  There’s lab work, x-ray, EKG.  Am a zombie.  A polite zombie with cancer making idle chitchat with techs who have no freaking clue my unremarkable and average life has evaporated in the last 45 minutes.  
Poked, prodded, scanned and x-rayed - my walk across the parking lot is a 1,000 mile trek.  Open the door, slide into the seat, fasten the seat belt, inhale deeply, fill my lungs with air just so I feel alive and less numb.  Stare at my hands. Wish I could scream without attracting attention.  Vomiting would be a blessing about now.  I seem to be the same person that got out of the vehicle two hours before. No, am not the same at all. HOW do I do this????! Any of this??  
HOW??????????!!!!!
In the days that follow, I will unroll my biopsy report, familiarize myself: invasive lobular carcinoma, 1.6cm, grade 1, ER+PR+HER2-. (translation = hormone fed)  I will become versed about the enemy within, that if left untreated, would put me in the ground. Knowledge is power.
CHAPTER SEVEN
How do you tell the people you love, you have cancer? How do you toss a live emotional-grenade in a room? As terrifying as it is for me, I have to watch the realization sink in, the fear in their faces.  Jess and Leah, my girls, having initiated a video chat with me as I wait for labs at the hospital. “Mom...well, how’d it go??” Not necessary to share details out loud, I crack, my eyes said all there was to say. Tough to hide that.  Awful is the fact I’m in a public waiting room as they ask, am trying to hold it together, not disintegrate, explode into pieces.  Watch them absorb what they now understand.  I can’t help them.
Morning of April 1, the plan was to go back to work after the appointment. I don't. I aim the car toward home.
But first, I stop at my mom's house, to reveal the diagnosis to her and George.  This is the first time I will say the words.  Standing in the middle of her living room, my mouth opens and the emotion-less words fall out, “I have cancer too.” It is weird to hear it voiced and I feel bad for her.  (her sister, my dad, my brother, my sister, now me) Explain to her what I plan to do and comfort that it'll be alright.  She supports my decision: show no mercy to the beast. 
Head home.
Turn onto my county road, Jameson calls, asks how the Dr. visit went.  Avoiding answering, instead, ask if they are home, that I will be right there.  Am thankful I am not them.  He ‘knows’ from my tone, detects from the question.  My son and wife, Patty, live 1/4 mile from my house, I arrive at their place in only a couple minutes, walk into their living room where they both were, learn the kids are upstairs, state the fact to the both of them, and I sit down for a bit.  Just like that. Keep it light and matter of fact.  
Life is insane. 
CHAPTER EIGHT
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What follows is 15 days trapped in a state of in-between.  Desperate for normalcy yet knowing I can’t have it.  What to do. What. To. Do.  Staying right-minded is the aim.  Crave it.  C-word rarely leaving my thoughts. Every day ‘hospital Jessica’ calls me to ask a series of Covid-19 related questions and asks my body temperature that I am tasked with taking each morning upon waking.
What I CAN maintain right now, is routine.
COVID locks my office door in mid-March, am the only one staffing there.  OU student move-in/move-out day is May 3.  I’m the one in charge of this, making sure everything is ready. Can’t cancel it . . it goes on with or without me.  Scheduling surgery mid-April, slashes two weeks off my prep time for this once-a-year event.  Realize the timing could not be better, if there IS such a thing, I have little free time to ponder what’s coming, am too busy.  Every day I plow through my work to-do list.  Go home too tired to indulge doom and gloom.  
Away from the office too, I quickly find another diversion, researching and shopping for items I might need after the surgery.  Soft tops with inner pockets for drains management, ice packs, hot packs, special propping pillow.  A miracle they all arrive on time because Amazon Prime has been waylay-ed by the corona virus.  A sick and twisted ‘Merry Christmas to me’ as each package arrives.  In some small way, gives me a semblance of control.  
Sleeping is not an issue during these days.  It’s my safe place.  Sleep deep and well, courtesy of a little purple pill discovered years ago.  (thank you, menopause) Each and every morning, have about 30 seconds of ‘normal’ before I remember what demon is living in me.  
An entertaining activity during this time is staring in my lingerie drawer at the start of every day, choosing which style, what color bra for one last travel in the rotation.  I waffle.  At first, suffer pangs of melancholy while looking at the neat row of vibrant colors and lace.  Then chuckle, cups are large enough to be made into hats for small children.  No one wants to discuss my boobs, but this is an important part of the process of letting go.  Acknowledgement.  A girl spends what seems like her whole life waiting for these body parts to materialize; coveted, we dress them up, suspend them with steel reinforcement, make the best of them.  They feed our children, we rock our babies/grandbabies against them.  They’re part of who we are.   Mine are set for execution.  It’s them or me.
Time ticks by. 
CHAPTER NINE
WEDNESDAY, APRIL 15.  Mastectomy Eve, am something I have never been, radioactive.  True.  This day go into the hospital ALONE, pass through the covid-19 gauntlet; escorted to a quiet room with a massive machine, bet it was a CT scanner, I don’t ask, I lay down on a metal table and a needle is inserted in my chest region, right side (still find it weird to use the word ‘breast’) and a radioactive tracer is placed in my body at the sight of the tumor.  I’d researched the procedure a little (LIE . . I researched a LOT) beforehand, and read it would be EXCRUCIATING.  So expect the worst.  Naturally.  Tech is kind and reassuring; small talk.  I notice what great hair he has.  Stare at the ceiling as I lay there. Then the doctor comes in, says I’ll feel a stick (had read the area is numbed first)  expect that.  Did.  Not horrendous - that’s an exaggeration, barely felt anything.  Assume we wait for the numbing to take effect before he drills through to the core.  What I DIDN’T expect, is him to say, “you’re done.”  Meaning that tiny prick was it.  Say what now?  Before the morning’s surgery, I’ll come back to this table, and will find out if the cancer has leeched into any lymph nodes.  I dress and exit the building.
ESCAPE! The rest of this day IS MINE. I take my dreary thoughts, my diseased chest, the ‘DD girls’ , and we hit the road, took the long way home.  Gave ‘them’ the best darned last-day-alive you could ask for.  Was the least I could do considering what I was consenting to do to them.  Pitied them and wanted them DEAD at the same time. Them or me.
Flowers waiting for me when I got home, the first time I sobbed in earnest. A torrent of tears.
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CHAPTER TEN
THURSDAY, APRIL 16, 2020.  DtoDD DAY.  Death to DD’s Day.  (and my Mom’s 81st birthday) Eerily calm. I grab my packed bag, stare at my freshly-made bed as I turn to exit the bedroom.  Oh here comes one of those bizarro thoughts I have at times like this. Glancing around, mutter, “when I return, nothing will be the same.  Gee, I hope I come back.”  Melodramatic to a fault I am.  Patty drops me off at the hospital door at a ridiculously early hour.  Did I mention this is during a pandemic so no one can come in and that the hospital is spooky-empty and hushed??  Well, it is.  Apocolyptically-quiet.  Surreal.  Check-in is swift and efficient and a surgery-nurse retrieves me promptly, accompany her to the prep area. this is real?
This unit has a circle of several cubicles, all but three are empty though.  Settled in, changing into hospital gown, then I have three hours to ponder the fact that the last time I had surgery was 26 years ago and I am not as young as I used to be, and nowhere near ready to die, and lordy, I am no fan of pain.   I feel FINE . . how can something deadly be in me yet I feel this HEALTHY??
In the hours I wait, return to scan-room to see if this thing has reached my lymph nodes.  Dark room, humming machine.  Same tech lets me watch the screen, bright lights like tiny fireworks become visible. No clue what I am watching.
My appointed time arrives, was about 9:30 a.m.  Accompanied by a surgical nurse, I walk down the hallway to the O.R., my IV pole in tow. this isn’t real  Three surgical staff are busily prepping. Funny how apprehension makes one awkwardly talkative with strangers, more so than normal.  I greet them and cannot shut up, blather, “you know how kids took home tonsils in a jar?? (clutching my chest)  you have a gallon jug I can take these home with me?”  (yes, I really did say it)  Laughter from them, that’s good. Am offered a stool to climb onto the table.  I do.  My God, to the gallows, ‘girls’
Jettisoned into the Twilight Zone right here.  In the time it takes me to scoot, get comfortably horizontal on the table, sterile people descend on me, all over me doing things.  Arms, legs . .  belt around my abdomen.  Am picturing masked-ants.  Busy, busy.  Big light on the ceiling lowering, settles above my upper torso and head.  I feel FINE  Am here, but not here.  Oh God.  Gentle voice to my right, as a mask is fitted over my nose and mouth, “take a couple deep breaths.”
Blackness.
CHAPTER ELEVEN
I’m struggling in deep water, not diving down - but up, shooting to the surface of the water, I need air.  Regaining consciousness, a jostling, repeating,  “Debbie, wake up.  Can you hear me?”  Awake.  Literal first conscious thought, drenched in relief -
“... NOT DEAD” 
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Body is being tugged, moved, but I’m not doing it.  Realization hits me, where I am and what's happened.  Conscious, I no longer feel fine, unrelenting waves of nausea wash over me.  I give myself over to whichever medical professional wants to tend to me. They can have me, I don’t want me.  Not this me.
End up in a hospital room, no recollection whatsoever how.  Silence interrupted only by BP cuff on an ankle, inflating noisily at intervals reminding me I’m alive.  Not moving.  Lord, what have I done?  Ice packs under both arms.  Detest feeling this gross.  I hang onto the sheets for hours, ride out the nausea.
As terrible as that was, and it was horrendous, it ends abruptly once I am fully awake later in the afternoon. In fact, feel remarkably good - considering. Any pain is well-managed. I can move, even lift my arms. I can walk to the restroom, tend to myself.  Am hungry and eat a good dinner. Pleasantly surprised at this half of the day.
Curious. Here’s where I gingerly lift the blanket to get my first look. DD-girls are gone, replaced by a thick layer of bandage all across my chest, tubing, two drains, and . . . oh my lord . . . HOW long has my belly been that size??????!  God bless boobs, they divert one’s attention from a myriad of flaws. Geez-louise.
Thank you, Covid-19, for the hospital stay’s solitude, I don’t mind, I welcome not having to share this day with visitors.  Am only interrupted intermittently by nurses and the doctor.  No big deal.  Not much to tell.  Post on facebook that I survived.  Was released to go home the very next day with surgeon’s, “no restrictions. See you in a week, will have lab results for you then.”
CHAPTER TWELVE
FRIDAY, APRIL 17. HOME.  Here’s where it gets funny.  Seriously.  Humorous.   Reality.   My youngest, Leah, volunteers to stay for the first few days.  Plan on not needing much in the way of assistance.  Stubborn.  Not too uncomfortable, prop on pillows, watch tv, pain meds.  First-night, decide my bed is where I will sleep, let her have the couch.   Undeterred in the middle of the night, manage to get myself to the bathroom alone. Good for ME!! Ah, but then the sun comes up. Right here I discover Super Woman I am not.  Attempt the same maneuver and the stabbing pain angrily asserts, “NOT THIS TIME, SISTER!”  Ah, bladder is bossy and insistent. But Pain is in charge.  “#*&@*#&$}” a little too loudly (translation) “Leah!! Help!!”  She comes trotting and I’m laughing, trapped in my own bed.   Arms frozen at my sides, literally cannot move under my own power without an instant excruciating reaction.   With urgency (full bladder loudly protesting) instruct her to wring a bed sheet, get to the foot of the bed, hold the ends, let me grab the middle . . . PULL!!   It works!!  Whew, lesson learned, until I could get up and down on my own unaided, I didn’t sleep there again.  
Drains.  Grateful to only require two.  Three times a day they need emptying.  Unceremoniously, Leah’s job.  When large portions of flesh are removed, one’s body compensates by attempting to fill the space with fluid, drains are typically inserted to draw off this fluid, speeding recovery.  These ‘things’ (drain hoses) are just under my skin across the width of my chest, a stitch holding them in place at the hole (yikes) where they exit on either side.  The bulbs at the end of the 12 inch lines are clear grenade-shaped receptacles collecting wound-juice.   (you winched at the visual, didn’t you?  haha)  They get full.  Necessary to milk the line first, with sterile gloved fingers of one hand, she grasps and steadies the line where it exits my body, with the other, she slides her pinched fingers down the tubing, pushes the ooze and any clots to the end. Pops the top of the bulb, empties 'ick' into a measuring cup, and logs the amount and color.  Squeezes the bulb as she closes the lid so siphon will commence. My only job is to 'enjoy' the vigorous suction.   eek
I sit dutifully still on a stool while she goes about her ‘work’, chit-chatting about this and that, am intentionally not watching the gore slipping, dripping into the bulb. She's not hurting me but every now and then will feel a subtle tug, a movement of the tubing.  (shudder)  Sunday evening she taps the bulb’s bottom on the table, remarking, “darned clot won’t fall through.”  (rap, rap, smack)  “Eww, that’s gross,” she says, “clot (tap) won’t (tap) let go ( jiggling it, the dangling, stringing bloody blob just hanging there, swaying back and forth).”  My skin is warming . . . interesting sensation . . getting hot.  Really HOT.  She is sitting right next to me, is talking but her voice is fading.  Am looking her direction, but she is drifting away in a misty vapor . . . waaaaaaaaaaaay over there now, voice, can’t hear her.  Vision going and the room is moving ever so slightly.
I see my girl in slo-mo, she realizes what is happening, "Mom, Mom ... MOM!" (my mouth no longer works, cannot respond) hear her excited, “DAD!!!! Come quick!! Help! Mom’s passing out!!!”
Didn't. (did get to the couch . . sat still for an hour, feet up . . w/ice pack alternating on my neck, forehead) Didn’t vomit, so that's a 'WIN" for the day.
I learn to do it myself once she goes home. No big deal.
CHAPTER THIRTEEN
THURSDAY, APRIL 23.  A week passes, mostly uneventful.  Sick leave, lounging, medicating, tracking excretion of Deb-juice, healing.  Tough to remember the days in March and early April when I felt GOOD.  I feel terrible.  Blah - which to me, IS terrible.  No fever, no signs of infection, just a general feeling of malaise. (such a descriptive word, ‘malaise’)  Post-op visit, a follow-up with the surgeon. Oldest daughter Jess, chauffeur for the day.  The entire drive down to Gallipolis, I imagine they’ll take one look at my sorry self, react in horror, re-admit me immediately.  I have to be dying, something has to be terribly wrong. No one can feel this bleak and survive. 
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Mull my life over for that hour drive, did I live it adequately, what is left that I have not done, am I going to throw up IN or OUT of her car . . oh woe is me . . my thoughts are rambling, disjointed, grim.  (BEYOND melodramatic) LOL  Get to the hospital, I have to admit I cannot even walk in under my own power.  I have no power, drained dry.  Jess requests a wheelchair and I feel how I imagine being 150 years old and feeble feels, reliant on a stranger for transport up to the waiting area.  Pitiful.  I hate this.  Too puny to care.
And remember COVID . . Jessica can’t come in with me.  My mummified remains parked in a desolate waiting room.  sigh  I need a transfusion.  I need a transplant, I need SOMETHING . . want my life back.  Where’d Debbie go??!! 
Eventually wheeled into the exam room (decrepit thing that I am) to wait.  Surgeon enters, his normal perky self, smiles my direction.  I lament the state of (absence of) well-being and inability to go to the bathroom for DAYS.  (how embarrassing)  “Sweetheart (NO, he did not say 'Sweetheart’) it’s your pain meds doing this to you.  STOP THEM.” 
huh?????! 
Examines the 12-inch incisions on either side of my torso. Both doing well. No stitches to remove, interior stitches will dissolve on their own. Exterior sterie strips will fall off in the next week. He studies my drain-log, then simply remarks, “looks great, amounts are decreasing steadily. You want them (drains) out today?” (glimmer of hope) Instantly agree, so without ceremony and with a quick snip of a stitch and a wiggle of the tube and a firm TUG, one Jackson Pratt drain is out. Nasty thing now coiled on the exam table. OUT!!! The other follows swiftly. Oh dear lord . . feels soooooooo good to be rid of those things. Best part . . expected to have them at least another week, that the extrication of same, would be horrendous. Wasn’t. Didn’t hurt actually. Bandaids applied to my newest holes. No stitch, no nothing. “See ya in a month. No restrictions.”  Surprised he didn’t pat me on my sorry head.
Trip home is infinitely better, envision the tunnel and light shining in the distance. aaaahhhhh
Not another pain pill crosses these lips . . the man is a genius.  (epilogue: my decline was indeed induced by the pain meds . . out of my system - recovering was a breeze.  TIP: get off them as soon as you can)
P.S. Almost forgot the most important part!!!!! Lab results!!!  Geez . .the tunnel, the light . .  THIS IS WHY!!!  TODAY I learn I am CANCER-FREE‼️‼️‼️ Well, I would hope so!!  Nearly six pounds of flesh sacrificed / removed . . CLEAN MARGINS around the tumor. Lymph nodes are CLEAR!!! Sentinel node removal a bit messy, seven others unable to be separated from it, come out as well.  Sobering fact is that I, nor the surgeon, felt a telltale lump - but it was there.  In black and white, sobering words, “STAGE TWO”. Appointment  with oncologist in May to discuss options.  Why???  Here's the thing about breast cancer, sometimes IT COMES BACK. 
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CHAPTER FOURTEEN
Want to tell you the euphoria was warmly welcome and long-lasting.  Yes and no, in that order.  Sharing with friends that surgeon ‘got it all’ was met with copious genuine exclamations of ‘thank God!’ and ‘hallelujah’.  For good reason.  Pathology report of clean margins and clear nodes is a positive outcome. IT’S GONE!!  And like me at this juncture, believe that’s the end of it.  Too few days of relief pass swiftly -  the reality that it may not be over, steadily seeps back in as I educate myself.  But with a stubborn childlike optimism, trust the oncologist will study my diagnosis, pronounce my journey with this evil thing over. “Deborah, congrats, you’re finished with it and it with you. Have a nice life.” Let’s go with that.  I want it.
Just a couple more weeks to find out.
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CHAPTER FIFTEEN
In the meantime, at home I’m getting bored.  ‘Bored’ is WONDERFUL.  It’s normalcy.  And a strong signal that it’s time for life to go on.
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I am well enough to attend to work emails, becoming more frequent as students prepare to leave Athens officially, the stalwart diehards who came back after Spring Break despite the lockdown that commenced mid-March.  Boredom, the impetus, that gets me out of the house.
TUESDAY, APRIL 28, 12 days post-op, several days free from pain-killers and feeling almost back to my old self, I slide behind the wheel of my car, new precious pillow between sensitive chest and the seatbelt and drive to work.  Man oh man, how I missed 70′s radio . . sing all the way.  I last at my desk for 4 hours this first day, mindful to recognize limitations, cut the day short, but go home triumphant.
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CHAPTER SIXTEEN 
THURSDAY, APRIL 30.  Meet-my-oncologist day.  (mentally mark off THAT on my ‘Life’s List-of-Dreads’) First things first, why am I here??!  Surgeon recommends I have a chat with the man . . rule out the need for anything further.  Youbetcha. Today is THE. DAY!!  Fully expect to be ‘blessed’ and sent on my way . . “Debbie, you were lucky, it’s all gone.  Your cancer journey was intense and brief and now it’s over. Go live your life, girl.”
Check in.  Hunker down at the back of the vast lobby, comfy chair.  I absorb the room.  Oh you know I don’t want to, but I do.  A few patients are here.  One unhealthy looking older lady on a hospital stretcher over there.  Another slightly-weathered woman near the wall, wearing a turban.  And there’s me.  Odd-man out, pain-killers now out of my system: (yes yes, am minus the ‘girls’) full head of thick hair, kinda sorta minimally wrinkly, feeling strong and healthy . . . like me again.  
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Name called.  BP and weight.  Perks of the day . .  bp is good, especially good for me.  Literally-asked-the-nurse-to-repeat-the-numbers good. And am down 10 lbs.  I’ll take it!!  Gee, this visit is headed in the right direction! 
Lead to an exam room, given a questionnaire.  Ugh.  Bottom of the page.  Please list details of immediate family members . . . health issues, explanation.  Here we go . .  Melvin / dad / died in 2000 @64 / lung cancer (scribble to the side ‘life time smoker’ . . like it somehow negates the dying)  Tim / brother / died in 2000 @39 / leukemia (again, the scribbling, master mechanic, hands in chemicals)  Stephen / brother / died in 1957 @6 weeks / S.I.D.S.  Bottom of this page is an OCD nightmare, ink scribbles in every direction, sad that I ran of space. Add, “Cheryl / sister / is 61 / @60 stage IV breast cancer (’maintaining’ . . didn’t add, but wanted to, “THANK YOU VERY MUCH!!”)   Janice / mom / is 81.  Terry / brother / is 55.”  Finishing up, as MY oncologist enters the room.
Brief introductions . .  Cursory physical exam of surgical site.
Oncologist reviews the information I provide, studies my chart.  Two verbal inquires of me - 
do you or have you ever smoked? “no”
do you drink alcohol and how much? “rarely” 
He pauses.  He can ascertain I’m not fudging the details.  “Never?” he queries again.  Shake my head in the negative.  Sincerely he adds, “this makes NO sense. Risk factors are not there for breast cancer.  No sense at all.” 
Dr. Hamid relates there is a genetic test that can be performed using my tumor tissue, (eewwww, they still have it!!)  the results determining whether or not chemo therapy would be of any benefit to me.  Again - I am confused why a person who is now disease-free, minus seven pounds of her best flesh, needs ANYTHING additionally.  I consent.  He jots down for me the chemo recipe that I would receive if it’s indicated.  Metaphysically burns my fingertips as I take the slip from him. (chemo??! stifling a scream)  If not, I would be prescribed a pill to stop my body's remaining production of estrogen.  Anastrazole is the drug of choice, there are a few common side effects: bone/joint pain, fatigue, etc.  Majority of women experience no side effects of any kind, he assures.  (mental note of an over-achiever: I will be one of THOSE)  Dr. adds, “Lab work takes about two weeks to get back.  Come see me in two weeks please.   Oh wait . .  you drive quite a distance to get here, right?  Just call my office on May 13, we can handle this over the phone.”
uh huh  . . .  so much for being blessed and sent on my merry way.  CHEMO, sub-set item under 1. CANCER on  ‘Life’s List-of-Dreads’.  TRULY . . . there is nothing I enjoy MORE, than waiting on test results.   (epic eye-roll right here, stomach twists in knot)
CHAPTER SEVENTEEN
This is the last chapter of ‘65 DAYS IN MAY’ (today it’s February 25, 2021) I am a procrastinator.  Am still me, after all.  My instructions were to call oncologist’s office on Wednesday, May 13, 2020, to learn whether or not chemo therapy was the next step in my cancer treatment.  By now I have little recollection of the blur of days between April 30 and when Dr. Hamid called me with my genetic testing results, my Oncotype score.  Every day seemed endless, recovering well, feeling progressively more like myself.  I let work duties bulldoze me through those days, thoroughly occupied. I was thankful to have nearly 300 college students moving-out and moving-in on May 3rd.  Grateful to be bone weary at the end of each day, having little time to thrash about the prospect of chemo - that, and staying safe as COVID rampaged.
TUESDAY, MAY 12, at my desk, alone in a pandemic-locked-down office.  One last day not having to call, know anything.  Ignorant bliss.  Phone rings, spy caller I.D., uh-oh, cancer center.  I stop breathing.  Lift receiver, ‘Hello, this is Debbie.’  Not breathing.   HERE WE GO  (9+ months later now, still recall the catch of my breath and pounding heart.  Am not exaggerating when I tell you time froze.)  Dr. Hamid’s voice was soft, he wasted no time relating my Oncotype score plus chance of recurrence is low and chemo is not necessary in my situation. He’ll call in an Anastrazole script for me, it cuts my chance of recurrence to less-than 5%.  Only question I had, “what exactly was my number?”  17    “See you again in 6 months,” as he ends the call.  Stare at the phone receiver clenched in my hand.
NO CHEMO . .  with exorbitant gusto, I EXHALE
Celebration fireworks in my head, both hands in the air, stifle an audible, triumphant HALLELUJAH!   For the moment, issued a reprieve.  I soak it up.  Once composed, swivel chair to my right, run my palms slowly, purposefully over the desk calendar, lift the pages, studying, absorbing.  Begin to count . . . .
STINT IN PURGATORY - 65 DAYS IN MAY
EPILOGUE
(stay tuned)
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migleefulmoments · 5 years
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Debunking
We’ve talked about this scene before- the Kurt rant given by Santana. Naya just said she was uncomfortable and she mentioned that Chris was upset.  sugdendingle just posted that Chris “liked” her Tweet where she called out how much she didn’t like it.  She added a second comment that includes: 
sugdendingle
None of the other cast were personally attacked in the ways Chris was and to the extent Chris was. I don’t know what Ryan Murphy’s issues were with Chris but he clearly he had some....I’m talking about real life here. About how Ryan Murphy and his writers used the character of Kurt to personally attack Chris Colfer on a regular basis and it’s clear Chris agrees to some extent as he liked my tweet.
That scene in season six was one of the worst examples but hardly the only one. Chris not being traditionally masculine was like a running joke on that show. As was remarks about his voice, his appearance, his sexuality, how he danced, etc. Yes other characters faced insults but it never got as personal as it did with Chris and it wasn’t as extensive either. The insults to Kurt went on right to the end of the show you can’t say the same for the other characters. It’s just really sad that Chris had to endure a work enivorment like this especially considering he was bullied when he was younger.
Abby adds: 
My opinion. The poor treatment stems from extreme jealousy. For many, many reasons. And of course c’s refusal to do as he’s told.(X)
Debunk #1 
None of the other cast were personally attacked in the ways Chris was and to the extent Chris was. Was Chris harassed by the writers “more than any other character”?  I spent a few minutes looking at Santana’s rants-and Santana seems to be the ranter on Glee. I don’t believe her rants about Chris’s failings is any worse than she she said about Finn’s weight. Rachel or really Lea’s nose being too big had an entire episode-and several comments through the years- and Kurt staged a flashmob at the mall to talk her out of plastic surgery. Sam was called Trouty Mouth as a running joke including a song “Trouty Mouth” sang by Santana. 
“Every time you open your humongous mouth to do an impression or to moisten a enormous stamp for a lazy giant you take on step closer to everyone seeing that you’re actually a dork” (X)
“I just heard the news that Trouty Mouth was back in town. I’ve been keeping a notebook, just in case this day ever came. Welcome back, Lisa Rinna. I’ve missed you so much since your family packed their bags, loaded them in your mouth and skipped town. Can’t tell you how many times I’ve wanted to enjoy a crisp pickle, but couldn’t find anyone to suck the lid off the jar. I assume you’ve been working as a baby polisher where young mothers place their infants’ heads in your mouth to get back that newborn shine. So glad you’re back. I haven’t seen a smile that big since the acclamation abominable snowman got his teeth pulled by that little gay elf dentist. Love, Santana” (X)
This gets loooonnnngggg so under a cut 
This one she also hit at Tina’s Asian eyes and Rachels nose- though I didn’t include that part. 
Santana: Hold up, could we all just get real here for a second? I hear that Rachel has a bit of a schnoz. I mean I wouldn't know because like Medusa I try to avoid eye contact with her. But can we all just stop lying about how there aren't things we don't want to change about ourselves? I'm sure that Sam has been at the doctor's office and riffled through pamphlets on mouth reductions. I'll bet Artie's thought about getting his legs removed since he's not really using them anyway. And I'm definitely sure Tina has looked into eye de-slanting. Tina: That's extraordinarily racist. Santana: Just keeping it real. Tina: Sorry Santana, I'm a beautiful person. I'm in love with myself and I would never change a thing. Mike: Is that why you're wearing blue contacts today, Tina? [whispers] Self hating Asian. Tina: Not too many Asian sex symbols, Mike. I'm just trying to mirror what I see in magazines. Finn: My dancing kind of bothers me. It almost killed Rachel but I like the way I look. Santana: Oh please. You have weird puffy pyramid nipples. Sam: [tries to look at Finn's nipples] Finn: [slaps Sam's hand away] Santana: They look like they're filled with custard. Or you could dust them off with powdered sugar and pass it off as some sort of dessert. Look, maybe Rachel is fine with having an enormous beak. Maybe she needs it to crack hard seeds. All I'm saying is if you look in the mirror and you don't like what you see, you should change it.”(X)
“I’ve kissed Finn, and can I just say… not worth a buck. I would, however, pay a hundred dollars to jiggle one of his man boobs”. (X)
Santana: “Please stick a sock in it or ship yourself back to Scotland. I’m trying to apologize to Lumps The Clown. I am sorry, Finn. I mean, really, I’m sorry that the New Directions are gonna get crushed by the Troubletones. And I’m also sorry that you have no talent. Sorry that you sing like you’re getting your prostate checked, and you dance like you’ve been asleep for years and someone just woke you up. Have fun riding on Rachel’s coattails for the rest of your life, although, you know what, I would just watch out for her come holiday time if I were him, because if I were her, I’d stick a stent in one of those boobs and let the Finn blubber light the Hanukkah lamp for eight magical nights.” (X)
Santana: “Why is everyone staring at me like I’m Finn and I just won a butter eating contest” (X)
She even hit him during The Quarterback “Okay, I know that Finn had his doubts about God but I am convinced that Squishy Teets is up in heaven right now plopped down next to his new best friend Fat Elvis helping themselves to a picnic of baby back ribs smothered in butterscotch pudding and TaterTot grease so this is for you Hudson” (X)
She also did a combo Finn/Sam rant “Not only am I giving you full visitation rights to the set of rambunctious twins that live on my rig cage, you get the chance to show that pastry bag Finn that he can’t mess with Sam Evans. And not just because you can unlock your humongous jaw and swallow him whole like a python…” (X)
The Kurt rant 
“Kurt I took what you said to heart, and I thought long and hard about it, and it occurred to me that you may have a point. Okay, maybe Brittany and I are too young to get married. I mean, after all, that's why it didn't work out with you and Blaine, right? Or maybe it didn't work out because you're a judgmental little gentrophile with a mouth like a cat's ass. Maybe Blaine got tired of hearing your shrill, self-aggrandizing lecture about how you felt the two of you were at the very apex of the gay rights movement every time you so much as cooked macaroni and cheese together or farted. Maybe Blaine didn't want to be with someone who looks like they just removed their top row of dentures every time they smile or someone who doesn't dress like an extra out of one of Andy Dick's more elaborate wet dreams. Maybe Blaine grew weary of dating a breathier, more feminine Quinn Fabray. Maybe he finally got freaked out about your strange obsession with old people that causes you to skulk around nursing homes like one of those cats that can smell cancer. Maybe he got tired of watching you drape yourself on every piano you happen to pass to entertain exactly no one with, say, some song that Judy Garland choked on her tongue in the middle of or some sassy old Broadway standard made famous by another dead alcoholic crone. Maybe Blaine woke up one day and said, "You know what I don't want to marry a sexless, self-centered baton twirler. Maybe I need someone who knows more than three dance moves: "the finger wag", "the shoulder shimmy" and the one where you pretend to twirl two invisible rainbow-colored ribbons attached to your hips. So, you know what, maybe that's why it didn't work out. Maybe it has nothing to do with me and Brittany. Maybe it's just that you are utterly, utterly intolerable. Maybe that has something to do with it."(X)
Conclusion: Chris was not attacked more than other actors on Glee.  The writers were pretty vicious about the physical characteristics of Rachel’s nose, Finn’s weight and man boobs and Sam’s nose. They also wrote about Damian’s height referring to as Leprechaun. All are very personal attacks about the actor; not the character.  Finn’s boobs were used as fodder for humor after he died so the idea that no other character was humiliated throughout the show is untrue.  
Debunk #2 
I don’t know what Ryan Murphy’s issues were with Chris but he clearly he had some. Ryan didn’t write Santana’s vicious lines-Brad Falchuk did.  I spent enough time researching this and finding late-season interview is hard but earlier interviews show that Ryan really respected Chris and Kurt.
Ryan did an interview with NYT in 2010  Q:Is this story in any way autobiographical or a reflection on your own experiences growing up?
A:It wasn’t really true to my experience at all. But I know so many people that it was true to. It was very true to Chris Colfer’s experience, and working with him for the past year, he would tell me stories. It’s amazing to me — last year when we did the “Glee” tour, every time Chris Colfer came out on that stage for his bows, 100 percent, he got the loudest cheers and applause, from all groups of people. Little girls, parents. A lot of people have embraced him and he’s part of their television-going family, so to see an episode in which he’s physically threatened is very upsetting for people, I think. But it puts a face on it. 
Q: It’s still rare to see gay characters on prime-time network programs, let alone one who is out in the way that Kurt is, and at a young age. Is there ever any pressure on you to tone down the portrayal of that character?
A: No, surprisingly not. Three episodes into the series last year, when we did the “Single Ladies” football number with him, he became an audience favorite and people started to write about that character and Chris Colfer. I think that character is in many ways the most important character on television, particularly for kids. When I was growing up, there was nobody like that. I think that character changes lives. I think that character launches conversation, both good and bad, and that’s a very powerful thing. I’ve done shows where if a character is a little bit controversial, the network and the studio are like, “Could you please tone that down?” They never did that at all with this character, and they were all very supportive of the story line. (X)
“Growing up in Indianapolis, Murphy sang in his church choir and immersed himself in high school musicals. His father was a semi-pro hockey player who was baffled by a son who requested a Vogue subscription when he was 5 years old and performed in his bedroom, holding a hairbrush in front of a mirror. He may not have understood his son, but he accepted him, even when Murphy revealed that he was gay at 15″.
“Having a dad that loves you as a young man is a very powerful thing that you carry into the world,” Murphy said. “Because no matter what you do, in some weird, unconscious way, if you’re a guy, you always try to please your dad. I think it’s a great thing to put on television. You’ve seen the gay character that gets kicked out of the house or is beaten up. You haven’t seen the gay character that is teased a little bit, but wins and triumphs.”
“The scene in which he tells his father was taken verbatim from Murphy's own life. Murphy felt that the scene was "a great thing to put on television", because, while gay characters are often isolated and attacked, audiences have rarely seen an openly gay character who "wins and triumphs". He further explained, "The show is about making you feel good in the end. It's about happy endings and optimism and the power of your personal journey and making you feel that the weird thing about me is the great thing about me. I've done other shows with gay characters, and I will say that in many of those cases, the gay characters didn't have a happy ending. And I thought you know what? Enough."(X)(X)
We also know that Ryan created the role of Kurt specifically for Chris. 
We don’t know what happened with the fall out(s) on set. Chris said he wouldn’t work for Ryan and 
“To this day, I'm devastated by everything that happened with that show." (X)
Other interring things I found:
“Over the course of six seasons of Glee, which petered out earlier this year, there was plenty written about backstage drama, fractured relationships and the death of star Cory Monteith from a drug overdose. All Murphy will offer are his own misgivings about his role on the show. "I was there with them all day long, and then we'd finish work and we'd go out and have fun all night, and I guess in a weird, twisted way, I was trying to relive the childhood I never had," he says. "I thought they wanted a parent, and they didn't. They didn't want me to tell them what to f—ing do. They didn't want me to tell them how to treat each other or what the world was like at the end of the day. I wish I could go back and do that differently with a lot of those actors. Some of them I'm still very close to: Lea Michele, Chord Overstreet, Darren Criss — but there were some that didn't work out well, and I regret that. I guess I just wish I had been able to let them figure it out for themselves."(X)
Conclusion: Ryan is a grown man and didn’t have it out for Chris. He respected Chris and used the Kurt role to tell his story of being a gay boy in small midwest town.   
Debunk #3
The poor treatment stems from extreme jealousy. For many, many reasons. 
Abby has claimed Ryan is jealous of Chris many times over the years-it still isnt’ true.  Ryan is a very successful producer, writer, creator.  I found a few quotes to back that up.  
“It's a peculiar thing to be asked by Murphy, 50, the closest thing the TV industry has to a proven hitmaker, save, perhaps, for Shonda Rhimes. Over the past decade and a half, he's made pop-culture juggernauts out of plastic surgeons on Nip/Tuck, high school misfits on Glee and witches, nuns and nymphomaniacs on American Horror Story. And in that time, he's become a name brand himself, more famous than all but the biggest stars in his sprawling casts. The showrunner, both pop savant and provocateur, has one of the richest eight-figure deals in television and a coterie of loyalists that includes Gwyneth Paltrow(with whom he's about to pitch a musical dramedy), Julia Roberts, Jessica Lange and now Lady Gaga. He's hosted President Obama at his home for a $40,000-a-couple fundraiser, and when he mentions his friends Norman, Barbra and David, he's referring to Lear, Streisand and Geffen.(X)
"There's a limited number of creators in film or TV where if you put the title plus their name — if you say, 'Steven Spielberg's blah blah blah' or 'Marvel's blah blah blah' — you're going to get a different answer than if you don't," Landgraf says, "and Ryan is one of those guys."(X)
Chris is a successful writer and if he is successful in writing and directing the TLOS movie, he could be a power player in Hollywood. But right now- even with his Time 100 award, he isn’t anywhere near Ryan Murphy.  I suppose Ryan could be jealous of something other than Chris’s success but I have seen no evidence of that. 
Conclusion: Nope. 
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blankasolun · 4 years
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source: Metal Hammer 7th May 2020
How Dave Mustaine Took on Cancer and Won
By James Blaine (Metal Hammer) 21 hours ago
Megadeth mainman Dave Mustaine opens up exclusively about staring down cancer and what the future holds
The whole world is coming apart at the seams.
At least that’s the way it seems in Nashville, Tennessee this week. A T6 tornado tore the hell out of town just as the coronavirus hit the Volunteer State. Even President Trump is in Music City today, surveying the damage from Marine Helicopter One, hovering above us as we step into a dark, downtown studio to meet with local resident, Dave Mustaine.
The Apocalypse’s first and second horsemen take a back seat, at least for the moment. Right now, we’re more concerned about Dave’s dog. Oblivious to its diminutive size, the long-haired Chihuahua descends upon us like some high-pitched Hound of Hell, menacingly baring his teeth and threatening to devour our very soul if we step any closer to his master. 
“Easy, Romeo. Easy,” Dave says, reaching to save us from the snarling beast. We coil back, cautiously offering the back of our hand. Dave laughs gruffly. “Oh, no,” he says. “That doesn’t work with him.”
As the Megadeth frontman corrals his pup, it gives us a chance to check out the legend after his recent health crisis. Mass of fiery mane – intact. Black jacket, jeans, black t-shirt, white sneakers. Honestly? Well, he looks like Dave Mustaine, like the hellraiser still not sold on cheap or easy peace. He moves a bit slow, but not creakily – more like a man who’s fought the Devil bare-fisted and lived to tell the tale. 
With the hound at bay, he turns to greet us. It’s difficult to know what’s appropriate in this season of paranoia and mutant pandemic, especially for a man who’s just had his immune system nuked. Do we fist bump? Nod and touch elbows? “Nah, I ain’t worried, man,” Dave assures us, shaking hands with a vice grip. “I’m healthy now.” 
The backstory: March 2019. After being bounced from doctor to doctor, Dave gets an official diagnosis that sounds like some dystopian speed metal verse. Squamous cell carcinoma on the base of your tongue. 
  Hold up. Cancer? Mustaine? No way. 
    If anyone seemed indestructible, it was Dave Mustaine. Bad ass, bad attitude, snarling, spitting, raging, red-headed, black belt-carrying soldier in God’s Army, Godfather Of Thrash. That cancer could sink its claws into someone like Dave sent shockwaves through the metal community. Now, one year after the diagnosis, Metal Hammer comes to Music City to hear his testimony first-hand. Because Dave Mustaine kicked cancer’s ass. 
  “Yeah, I’m pretty stoked about that,” he says, grinning as he grabs a bottle of water and motions for us to have a seat in a private, black- walled dressing room. The obvious first question: So, how do you feel? “I’m a little run down, but a lot of that’s from the medication and all the stuff that goes along with treatment. They hit the cancer really hard, nine doses of chemo and 51 radiation treatments, which just beats the hell out of you. My mouth is still messed up but overall, I feel really good.”
  Dave settles in on the couch to tell us how he got the news that he was cancer-free. “I was here in Nashville, at my doctor’s office. He had to reach down the back of my throat, which was really unpleasant, but it was important for him to feel and make sure. And he said my progress was amazing, that both sides felt the same. I’ve got a metal plate in my neck that I figured might cause problems, but the doc told me, “Dave, you are in perfect health, 100%. You’re free to go.” 
  Dave pauses to slide a piece of Big Red gum into his mouth, twisting the foil between his fingers, reflecting before he continues. “It sounds bizarre, but I kind of knew. I took good care of myself. I’d done everything my doctors told me to do. I had tons of support from family and friends. And I had lots of prayer. I don’t want to sound arrogant, but I expected it. I had faith that I was going to be healed.”  
At this point, Dave rewinds to early 2019, explaining how he received the grim verdict. While out shredding with Joe Satriani and Zakk Wylde on the Experience Hendrix tour, severe mouth pain struck. “I’d gone in to get some dental work,” he says. “And after, it felt like the dentist had broken a piece of scraper off in my gums. I went back and he sent me to an oral surgeon who checked me out and said, ‘You need to see an ear, nose and throat doctor. I don’t want to say anything bad, but it looks like the Big C.’ Well, fuck, dude! Why’d you say that, then?” 
Dave shakes his head, still pissed, taking a long pull of water. “Anyway, I figured I’d take care of myself once the Hendrix tour was over. While out on the road, a friend of mine knew an ENT at the local emergency room. He came over, took a look, and said it wasn’t anything to worry about. But I knew something was wrong with me. It was just too far down for anybody to see.
“We had a day off and I was home in Nashville, so I saw a local specialist who suggested a scope. I don’t do good with scopes, so they had to knock me out to get the tube in. But yeah, they confirmed that it was cancer in the side of my throat that had spread to two lymph nodes.
  “Initially, they wanted to send me to MD Anderson in Houston for 11 weeks and I said no. fucking. way. I’m not gonna be away from my family for that long. So, they set me up at Vanderbilt, with Dr. Cmelak, who’s actually one of the best radiation oncologists in the country. I had a good team.”
  Fortunately for Mustaine, Music City is also the healthcare capital of the United States. The band cancelled tour dates and put the brakes on a new record so Dave could begin a brutal treatment regime, resting at his farm in the rolling hills of nearby Franklin between blasts of radiation and IV chemo drips. The worst, he says, is over.
  “I’ll have to do another MRI soon and check in with the doctor regularly, three years, five years. But the cool thing is, my voice came back even better than before. I think the treatment shrunk whatever was on my vocal cord that was making it hard to sing. I’d seen pictures of my voice box and there was some kind of bubble on the flap that was giving me trouble. Cyst, tumour, nodule, whatever the fuck it was. But that’s gone now, and they say long as I don’t do anything stupid, I should be good for the rest of my career. I know once you get cancer you’re never really out of the woods, but if the process doesn’t scare you into changing your lifestyle, then shame on you.”
Dave is no stranger to injuries and pain. He suffered career-threatening nerve damage to his left arm during a 2002 stint in a Texas rehab, and a decade later, underwent emergency surgery for spinal stenosis – whiplash, if you will – resulting in titanium implants in his neck. Flashing his trademark maniacal smile, Dave insists he felt no fear in the face of death.
  “I already died once,” he says, referencing his 1993 overdose on Valium. “I don’t remember anything, though. No light or tunnel or any of that shit. I respect death but I’m not living my life in fear. There was a little when I first found out that I had cancer, but it wasn’t so much about dying, as not being able to use my gift anymore, to play guitar or sing. That really shook me. To be inconvenienced is one thing. It’s something else to lose your gift.”
  Dave leans in. His steely glare, coupled with the white beard and wild hair, gives him the appearance of some Old Testament prophet of doom. “When they told me that my arm was 80% and I would never play guitar again, I thought, ‘You have no idea who you’re talking to. I will absolutely play again, and it’ll be a matter of days, not weeks.’ There’s a couple things I still can’t do, but I feel like I can play almost as good as I used to. Going through that thing with my arm was helpful. It gave me the courage to face any kind of medical problem I might have down the road. I’m going to do everything they say and if there’s blood, I can handle it. I’ve seen my own blood before.” 
  We ask about the darkest days, if his reputation causes people to expect an unrealistic level of strength. Dave fidgets with his shoelace. Ruffles the pup sweetly. Reaches for another piece of gum before the reply.
  “I think people do expect me to be invincible. It is a lot of pressure,” he admits. “But when you come out on the other side victorious, they cheer even louder. I like being a man of the people. That might sound corny, but it’s true. The hardest part was having to let others take care of me. I’ve always been so independent that even if I do need help, I’m not going to let anyone know. But overall, chemo wasn’t as ugly for me as it is for a lot of people. I had a couple of days where I got really sick and threw up, but that was it. I tried to be upbeat. When I would go in for treatment, I’d talk with the other patients, try to be encouraging.”
  The thrash titan was forced to miss the band’s inaugural MegaCruise in October, with his daughter, Electra, stepping in to represent the family. Upon completion of treatment, Dave was able to return for the Killing Road tour with Five Finger Death Punch in January. While on stage at the SSE Arena in Wembley, he announced that the cancer was in complete remission. 
  “Actually, I think I mentioned it from the first show of the tour,” says Dave. “If not Helsinki, then Stockholm for sure. I wanted the fans to know that I’m OK and how great the crew has been. And for sure, I want to tell the truth and let everyone know how much I prayed through this whole ordeal. Not just like, ‘Oh, yeah, thanks, God.’ But that I really, seriously prayed.”
Christian for nearly two decades, Dave has always been vocal about his beliefs. While discussing the role faith played in his recovery, he pauses, raking fingers through his beard, measuring his words.
“After growing up as a Jehovah’s Witness, there was a time that I hated the concept of anything that I had to answer to. The church disfellowshipped my sister, Debbie, and I was the only one who would sit and listen to her cry. It flipped me out and all I wanted to do was get back at the people who hurt my sister,” Dave explains. “But now, I try to keep my prayers pretty gentle. I don’t pray for anyone to get hurt or get what’s coming to them, only for God’s will and that he would help me do what I need to do. To me, prayer is just an open, honest, easy conversation like you’re talking to your dad. Essentially, that’s what God is supposed to be, our Father, right? So that makes it easy for me to engage in prayer.”
Asked to elaborate, Dave adds, “In the Bible, the Pharisees liked to pray in public so everybody could see them. They thought the louder they prayed, the more pious they would seem, like it’s an indication of their righteousness. For me, righteousness is something that’s exhibited through consistent behaviour that’s Godly in nature. You sum up the gospels with the Golden Rule. Helping others, no matter what. There’s this old song by the Circle Jerks called Wonderful.” 
  He sings the chorus of the 80s punk classic. Romeo perks up, cocking an ear in his master’s direction. “It’s a great song that talks about how it’s really not so hard to do something nice for someone else. Help a stranger. Smile. If you see a homeless person, give them something to eat. I was homeless once. It was the worst, man. Scrounging for food, living in [bassist] David Ellefson’s van…”  
  Dave apologises for losing his train of thought, blaming the lingering effects of “chemo brain”. After a break, he switches gears, discussing the positive changes that have come from his battle with the disease. “My wife and I are getting along tremendously, and things are really good with my son and daughter right now, too. I’ve got a better relationship with my band. The other day, Kiko [Loureiro, guitarist] says to me, ‘I really like this new Dave!’ What he was talking about, is when you’re dealing with pain, you drink, you smoke, you bitch, because you don’t know what’s going on. But soon as I found out what was wrong with me, I attacked it. Once I did, I could feel myself getting happier too.
Support also came from outside Dave’s immediate circle. His old band brother, James Hetfield, reached out, as did Kiss’s Paul Stanley and Ozzy, who was at war with his own medical demons in 2019.
“Everybody’s treatment is different, but Bruce Dickinson had been through throat cancer about five years ago, so he was able to give me a lot of insight into what to expect. His biggest advice was to listen to the doctors and don’t rush to get back onstage. They told him to hold off, but he went back out to perform and nothing came out. Well, OK. I get it. Bruce waited a month before his first show, so I held off a little longer. My last treatment was in September and I made plenty of time to rest, exercise and eat right before we went back out on tour. We did 22 dates overseas, and I feel great now, except for the fatigue. But I think a lot of that might be due to um, extracurricular activities. Staying up late. Not sleeping. Maybe a little, you know…” 
Thumb and forefinger to his lips, Dave inhales sharply, making the universal symbol for partaking of the herb. Could he be referring to the alleged medicinal benefits of CBD oil? “Don’t screw around with the oil, man,” he growls in the same gravel baritone as his crushing thrash classics. Our eyes go wide as the voice from sixth grade Headbangers Ball comes to life.
  Dave cackles at our reaction, pushing back a wayward strand of hair. “If you’re gonna do it, get the good stuff. I think the world is just now finding out the beauty of cannabis and everything it can do for you. I hear people talk how it’s good for cancer patients. C’mon, it’s good for any fucking patient! The radiation zapped my salivary glands so I couldn’t make spit, which made it really hard to swallow and get food down. They gave me this crazy mouthwash to use that had Benadryl and lidocaine in it, but I still couldn’t eat. So cannabis helped with that, except I got a terrible craving for kiddie cereal. I went to the store and got, like, 20 boxes.” 
  The thought of the Tornado Of Souls singer devouring countless bowls of cereal is a pretty cool picture and we can’t help but inquire about his favourite fix. “Trix with marshmallows. Froot Loops with marshmallows. Frosted Flakes. The kind with little marshmallows. You get the idea. My cancer team told me to try and watch the sugar intake, but they said, ‘Dave, if you can eat – then eat.’ The doctor threatened to put a feeding tube in my gut if I lost too much weight. Well, they scared the shit out of me with that one, but it worked.”
With Dave healthy and back onstage, the follow-up to 2016’s Grammy Award-winning Dystopia is on every Megafan’s brain. Late last year, Dave teased songs that were “heavy as hell” with titles such as Rattlehead, Part Two and The Dogs Of Chernobyl. 
  “I don’t know if any of those titles are still holding up,” he says, revealing that the band has been tracking at Nashville’s Sound Kitchen with co-producer Chris Rakestraw at the controls again. “Whenever I make a record, the names of the songs change so many times. I think we’ve got 14 songs for this album and another folder with six. The songs are constantly evolving and as they do, we change the title to be more reflective of what makes the song distinct.”
  So, will we see a new Megadeth album before 2020 ends? “I hope so, yeah,” says Dave. “We’ll start back in a couple of days and keep plowing until it’s done. Metal Tour Of The Year starts this summer, but that should be fun and easy [Editor’s note – we spoke to Dave before COVID-19 outbreak]. We’ve got a week’s vacation coming up soon and I’m going to go rest up and get ready to come back and make a brilliant record.”
  Nashville traffic is anarchy these days and Romeo looks like he needs to hike his leg. As the sun sets over the Cumberland River, Dave stands and slides an arm around our shoulder, recruiting Metal Hammer to thank the fans for all their thoughts and prayers. It strikes us, how we expect legends to be carved from granite. On one hand, we understand that our heroes are human. But on the other, we never want to see them frail, or sick, or down. And that must be a hell of a burden sometimes. But perhaps, it’s also what keeps them moving. If our heroes can keep pushing, then that gives us the courage to keep pushing too, through all the shitstorms of life, disasters both natural and manufactured, even the ones we bring upon ourselves. Decades later, they still inspire perseverance, hope, and the determination to never let the bastards grind you down. Maybe even a little 21st century metal up your ass. 
  Still, we have to ask one last thing. Dave’s been on the road almost 40 years. Dues paid; the mark has been made. Was he ever tempted to call it a day, sit back on the farm and enjoy a slow, simple life? 
  “Yeah, I guess I could do that,” he admits, shrugging like it’s no big deal. “But I love what I do, and I like helping the band and crew make money. Playing music makes people happy. A lot of times while we’re out there, they share stuff with us, some good, some bad, but we get to bring our own little brand of panacea to people and somehow, that makes them feel beautiful. Even if it’s for just one night.” 
Published in Metal Hammer #334
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Dave Mustaine Talks About His Fight With Cancer source: Metal Hammer 7th May 2020 How Dave Mustaine Took on Cancer and Won By James Blaine…
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Oral Cancer
Oral cancer is divided into two categories – those occurring in the oral cavity (your lips, the inside of your lips and cheeks, teeth, gums, the front two-thirds of your tongue and the floor and roof of your mouth) and those occurring in the oropharynx (middle region of the throat, including the tonsils and base of the tongue). Early detection may result in better treatment outcomes and may help keep you or someone you love from becoming one of the 10,030 people whose lives may be claimed this year by the disease. The 5-year survival rate of those diagnosed is approximately 60 percent. Where Can Oral Cancer Appear? The oral cavity includes your lips, cheek lining, gums, front part of your tongue, floor of the mouth beneath the tongue and the hard palate that makes up the roof of your mouth. The throat (pharynx) starts at the soft part of the roof of your mouth and continues back into your throat. It includes the back section of your tongue, as well as the base where the tongue attaches to the floor of your mouth. What Are the Symptoms of Oral Cancer? It’s important to be aware of the following signs and symptoms and to see your dentist if they do not disappear after two weeks. • A sore or irritation that doesn't go away • Red or white patches • Pain, tenderness or numbness in mouth or lips • A lump, thickening, rough spot, crust or small eroded area • Difficulty chewing, swallowing, speaking or moving your tongue or jaw • A change in the way your teeth fit together when you close your mouth
Some people complain of a sore throat, feeling like something is caught in their throat, numbness, hoarseness or a change in voice. If you have any of these symptoms, let your dentist know, especially if you’ve had them for two weeks or more. What Are the Risk Factors for Oral Cancer? Research has identified a number of factors that increase the risk of developing oral cancers. Men are twice more likely to get oral cancer than women. Smokers and excessive alcohol drinkers older than 50 are the most at-risk. The human papilloma virus (HPV), which is sexually transmitted, has also been associated with throat cancers at the back of the mouth. HPV-positive head and neck cancers are related to the rise in throat cancers in non-smoking adults. HPV-positive head and neck cancers typically develop in the throat at the base of the tongue and in the folds of the tonsils making them difficult to detect. Although people with HPV-positive cancers have a lower risk of dying or having recurrence than those with HPV-negative cancers, early diagnosis is associated with the best outcomes. Regular dental check-ups that include an examination of the entire head and neck can be vital in detecting cancer early.   How Can My Dentist Help Detect Oral Cancer Early? During your regular exam, your dentist will ask you about changes in your medical history and whether you’ve been having any new or unusual symptoms. Then, your dentist will check your oral cavity. This includes your lips, cheek lining, gums, the front part of your tongue, the floor of your mouth and the roof of your mouth. Your dentist will also examine your throat (pharynx) at the soft part at the roof of your mouth, including your tonsils, the back section of your tongue and where your tongue attaches to the bottom of your mouth. The dentist will then feel your jaw and neck for any lumps or abnormalities. What Happens If My Dentist Finds Something Suspicious? Stay calm. Your dentist won’t be able to tell right away if what he or she is looking at is cancerous, so he or she may refer you for testing. Your dentist might also reexamine you a week or two later to see if questionable spots are healing on their own before recommending additional follow-up. Together, you and your dentist can create the best strategy for diagnosis, treatment and prevention. What Can I Do to Prevent Oral Cancer? The most important thing is to be aware of your risk factors. Men are twice more likely to get oral cancer as they get older. If you smoke, drink excessive amounts of alcohol or have a poor diet, changing these habits can decrease the chances of developing oral cancer. Certain strains of HPV can also put you at risk. The CDC recommends that 11- to 12-year-old boys and girls get two doses of HPV vaccine to prevent cervical and other less common genital cancers. It is possible that the HPV vaccine might also prevent head and neck cancers – since the vaccine prevents an initial infection with HPV types that can cause head and neck cancers – but the studies currently underway do not yet have sufficient data to say whether the HPV vaccine will prevent these cancers. If you have had oral cancer before, you may be more likely to develop it again so keep up those regular visits. For more details on our products and services, please feel free to visit us at lumineers dentist, Sedation Dentistry, Cosmetic dentistry, dentist near me & tricare dentist
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kms-office · 7 years
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The Simple Cancer Screening Your Dentist Can Do
You probably know that your dentist likes to see you every six months. That way, he or she can routinely watch for cavities and gum problems. But your dentist also is your first line of defense against something more serious: oral cancer.
The American Dental Association recommends twice-a-year dental checkups so you can have your teeth cleaned professionally and get a check for early signs of tooth decay and gum issues. But many dentists also use these routine visits to check for signs of cancer.
Oral cancer, which often appears as a growth or sore that does not go away, includes cancers of the lips, tongue, cheek, floor of the mouth, hard and soft palate, and throat. It can become life-threatening if you don’t find it and treat it early.
That’s why a cancer screening is an important part of each checkup, says Todd Coy, DMD, Director of Cleveland Clinic’s Department of Dentistry.
“Evaluation of the oral cavity, including the soft tissues, is part of my exam when patients are in the office for a checkup,” he says. “There are very few downsides to more frequent screening.”
What happens during a dental cancer screening
Before the exam, a dental hygienist will update your medical history. This is to find out if you have a new disease diagnosis or are taking any new medications since your last visit.
The medical history likely will ask questions about risk factors for oral cancer, which include smoking and excessive alcohol consumption. People who smoke and drink alcohol have an even higher risk of oral cancer.
Men are twice as likely to develop oral cancer as women, making it the sixth most common cancer among men.
The hygienist or dentist also will want to know about your current overall health, including any dental concerns. Don’t hesitate to share any questions or concerns you have.
During the cancer screening, your dentist will exam areas that are both inside and outside your mouth.
“A screening exam should include an extra-oral exam of the head and neck as well as an intra-oral exam of the lips, cheeks, tongue, palate, floor of mouth and gum tissues,” Dr. Coy says.
The dentist is looking for any lumps, sores or irregular tissue changes, including discoloration. If he or she finds anything suspicious, such as a lesion, the dentist may recommend a biopsy or refer you to an oral surgeon.
What signs should you watch for?
Common signs and symptoms of oral cancer include:
Lumps or bumps, rough spots/crusts/or eroded areas on the lips, gums or other areas inside the mouthVelvety white, red, or speckled white-and-red patches in the mouthUnexplained bleeding in the mouthUnexplained numbness or pain/tenderness in any area of the face, mouth or neckPersistent sores on the face, neck or mouth that bleed easily and do not heal within two weeksSoreness or a feeling that something is caught in the back of the throatDifficulty chewing or swallowing, speaking, or moving the jaw or tongueChronic sore throat, hoarseness or voice changesEar painChanges in your “bite”Dramatic weight loss Don’t wait for your checkup
A good rule of thumb is to see a dentist about lesions that do not clear up within two weeks. Dr. Coy says. “Examples would include red or white patches, ulcers, lumps or other growths,” he says.
Difficulty chewing, swallowing or speaking as well as any pain, numbness or change in your bite should also prompt a visit with your dentist or a physician right away.
Don’t wait for a symptom to become painful, Dr. Coy says.
“It is important to understand that pain is not a predictable indicator. So don’t assume that because it doesn’t hurt that it isn’t a problem,” he says.
Having regular dental checkups will help you head off problems with your teeth. But your dentist is also in a good position to catch signs of oral cancer so you can get early treatment. Scheduling dentist appointments every six months is a good routine to follow.
This article originally appeared on Cleveland Clinic’s Health Essentials, health.clevelandclinic.org, as “Does Your Dentist Screen for Oral Cancer? Why It’s a Good Idea.”
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