Pregnancy/fathering a child Guide for Patients having
Transcript of Pregnancy/fathering a child Guide for Patients having
a patient’s guide
East
an
d N
ort
h H
ertf
ord
shir
eN
HS
Tru
st
Ch
emo
rad
ioth
erap
yto
th
e h
ead
, nec
k,
mo
uth
an
d t
hro
atPa
tient
Info
rmat
ion
Serie
s PI
24
2
Patie
nt L
abel
Co
nta
cts
My
onco
logi
st is
: ...
......
......
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.....
Onc
olog
ist’s
sec
reta
ry t
el n
o: ..
......
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......
.
Mou
nt V
erno
n H
ospi
tal:
.....
......
......
......
....0
20 3
826
2020
Can
cer
clin
ic n
urse
s: .
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......
......
......
......
..02
0 38
26 2
186
Mac
mill
an s
peci
alis
t nu
rse
(key
wor
ker)
: Aud
rey
Scot
t
..
......
......
......
......
......
...02
0 38
26 2
089
/ 077
68 2
3752
2 Ra
diot
hera
py s
uppo
rt n
urse
s: ..
......
......
......
.078
25 0
2549
9
Spee
ch &
Lan
guag
e Th
erap
y (S
ALT
) dep
artm
ent:
tel n
o: .
......
......
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......
0192
3 84
4457
Die
tetic
dep
artm
ent:
tel n
o: .
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.....
020
3826
212
9
24 h
ou
r A
cute
On
colo
gy
Serv
ice
Mo
un
t V
ern
on
Can
cer
Cen
tre:
078
25 0
2885
5
3
Ch
emo
rad
ioth
erap
y to
th
e h
ead
, nec
k,
mo
uth
an
d t
hro
atC
on
ten
tsC
onta
cts
2In
trod
uctio
n 4
Wha
t is
che
mor
adio
ther
apy?
4
Wha
t ha
ppen
s be
fore
I st
art
my
trea
tmen
t?
5
Wha
t ha
ppen
s at
my
plan
ning
app
oint
men
t?
6
Wha
t w
ill h
appe
n du
ring
my
trea
tmen
t?
8
How
are
the
tre
atm
ents
com
bine
d?
8
Clin
ical
tria
ls
8
Wha
t si
de-e
ffec
ts a
m I
likel
y to
hav
e fr
om m
y ch
emot
hera
py?
9
Wha
t si
de-e
ffec
ts a
m I
likel
y to
hav
e fr
om m
y ra
diot
hera
py?
10
If yo
u no
rmal
ly p
ay f
or N
HS
pres
crip
tions
11
How
sho
uld
I loo
k af
ter
my
skin
? 15
How
sho
uld
I loo
k af
ter
my
mou
th?
16
How
will
my
tast
e be
aff
ecte
d?
17
Wha
t ca
n I e
at o
r dr
ink?
17
How
will
my
mou
th f
eel?
18
Will
I lo
se m
y ha
ir?
19
Wha
t sh
ould
I do
if I
need
to
visi
t th
e de
ntis
t?
19
Can
I ha
ve d
entu
res
or im
plan
ts?
20
Wha
t w
ill h
appe
n if
I sm
oke?
20
Will
I lo
se m
y vo
ice?
21
Wha
t if
I hav
e a
lary
ngec
tom
y?
21
Wha
t ca
n I d
o to
hel
p m
ysel
f?
22
How
will
I fe
el o
nce
my
trea
tmen
t ha
s fi n
ishe
d?
22
Whe
re c
an I
get
help
? 23
Will
I ne
ed t
o ha
ve p
hysi
othe
rapy
?
25
Wha
t is
lym
phoe
dem
a?
25
Whe
n w
ill I
see
the
onco
logi
st a
fter
my
trea
tmen
t ha
s fi n
ishe
d?
26
How
can
I ge
t to
hos
pita
l?
26
Am
I en
title
d to
fi na
nce
help
? 28
Use
ful n
atio
nal i
nfor
mat
ion
29
Oth
er h
elp
and
supp
ort
30
Con
sent
31
Iden
tifi c
atio
n 31
Preg
nanc
y/fa
ther
ing
a ch
ild
314In
tro
du
ctio
nYo
ur o
ncol
ogis
t1 ha
s re
com
men
ded
that
you
r ca
ncer
sho
uld
be t
reat
ed w
ith a
cou
rse
of c
hem
orad
ioth
erap
y at
Mou
nt
Vern
on C
ance
r C
entr
e (M
VC
C).
This
leafl
et
is a
sim
ple
guid
e to
che
mor
adio
ther
apy.
We
hope
it w
ill a
nsw
er s
ome
of y
our
ques
tions
.
If yo
u ha
ve f
urth
er q
uest
ions
bef
ore,
dur
ing
or a
fter
you
r tr
eatm
ent,
ple
ase
cont
act
one
of y
our
heal
th c
are
team
. th
e co
ntac
t te
leph
one
num
bers
are
on
page
2 o
f th
is le
afl e
t.
Dur
ing
your
che
mor
adio
ther
apy
ther
e w
ill b
e a
team
of
onco
logi
sts,
spe
cial
ist
nurs
es, d
ietit
ians
, spe
ech
and
lang
uage
th
erap
ists
(SA
LT),
radi
ogra
pher
s an
d ot
her
hosp
ital s
taff
ca
ring
for
you.
You
coul
d be
see
n by
bot
h m
ale
and/
or f
emal
e ra
diog
raph
ers
whe
n yo
u ha
ve y
our
radi
othe
rapy
pla
nnin
g an
d tr
eatm
ent.
Wh
at is
ch
emo
rad
ioth
erap
y?C
hem
orad
ioth
erap
y is
the
com
bine
d us
e of
che
mot
hera
py
and
radi
othe
rapy
.
Che
mot
hera
py is
the
tre
atm
ent
of c
ance
r w
ith d
rugs
.
Radi
othe
rapy
is t
he t
reat
men
t of
can
cer
with
rad
iatio
n us
ing
x-ra
ys. Y
ou w
ill n
ot f
eel t
he r
adio
ther
apy
whe
n yo
u ha
ve y
our
trea
tmen
t. It
is li
ke h
avin
g a
norm
al x
-ray
.
By c
ombi
ning
the
se t
reat
men
ts, t
he c
hem
othe
rapy
mak
es t
he
radi
othe
rapy
mor
e ef
fect
ive.
Ther
e ar
e tw
o ty
pes
of r
adio
ther
apy
give
n to
pat
ient
s w
ith
head
and
nec
k ca
ncer
s: c
onve
ntio
nal r
adio
ther
apy
and
inte
nsity
-mod
ulat
ed r
adia
tion
ther
apy
(IMRT
).
1 In
thi
s le
afl e
t th
e te
rm ‘o
ncol
ogis
t’ w
ill r
efer
bot
h to
you
r ca
ncer
spe
cial
ist
and
any
doct
ors
wor
king
with
in h
is/h
er t
eam
5
Your
onc
olog
ist
will
dec
ide
the
mos
t su
itabl
e ty
pe o
f ra
diot
hera
py f
or y
ou.
Both
of
thes
e ty
pes
of r
adio
ther
apy
are
care
fully
pla
nned
an
d sh
aped
to
mat
ch t
he p
art
of y
ou t
hat
need
s tr
eatm
ent.
Th
is h
elps
to
redu
ce a
ny s
ide
effe
cts
you
may
get
.
Wh
at h
app
ens
bef
ore
I st
art
my
trea
tmen
t?Be
fore
you
r tr
eatm
ent
begi
ns y
our
onco
logi
st w
ill s
ee y
ou
to e
xpla
in y
our
trea
tmen
t pl
an.
If yo
u ar
e ha
ving
tre
atm
ent
to y
our
mou
th, y
ou w
ill h
ave
a de
ntal
ass
essm
ent
to s
ee if
you
nee
d an
y de
ntal
tre
atm
ent
or
som
e te
eth
rem
oved
. Tee
th a
re r
emov
ed b
efor
e tr
eatm
ent
to
prev
ent
or r
educ
e th
e ris
k of
den
tal p
robl
ems
and
infe
ctio
ns
afte
r yo
ur t
reat
men
t ha
s fi n
ishe
d.
The
num
ber
of t
eeth
to
be r
emov
ed w
ill d
epen
d on
the
co
nditi
on o
f yo
ur t
eeth
. If
they
are
in a
poo
r co
nditi
on, s
ome
or a
ll te
eth
may
nee
d to
be
rem
oved
. Tee
th t
hat
are
heav
ily
fi lle
d or
cro
wne
d m
ay a
lso
need
to
be r
emov
ed.
Your
onc
olog
ist
will
dis
cuss
thi
s w
ith y
ou a
nd a
rran
ge t
his
befo
re y
our
radi
othe
rapy
pla
nnin
g.
Befo
re y
ou c
an h
ave
chem
orad
ioth
erap
y yo
u w
ill n
eed
som
e bl
ood
test
s. If
you
req
uire
an
addi
tiona
l kid
ney
func
tion
test
, yo
u w
ill h
ave
an in
ject
ion
follo
wed
by
a bl
ood
test
tw
o an
d th
ree
hour
s la
ter.
Thes
e w
ill n
eed
to b
e do
ne a
t M
ount
Ver
non
Hos
pita
l. Yo
u m
ay n
eed
addi
tiona
l blo
od t
ests
dur
ing
the
cour
se o
f ch
emor
adio
ther
apy.
If y
ou
are
dia
bet
ic, a
nd t
akin
g M
etfo
rmin
ple
ase
call
020
3826
262
2 as
soo
n as
pos
sibl
e. W
e m
ay n
eed
to
arra
nge
for
you
to h
ave
a bl
ood
test
prio
r to
you
r pl
anni
ng a
ppoi
ntm
ent.
6Wh
at h
app
ens
at m
y p
lan
nin
g a
pp
oin
tmen
t?A
ll pa
tient
s ha
ving
rad
ioth
erap
y to
the
hea
d, m
outh
or
thro
at
will
nee
d to
hav
e a
spec
ial m
ask
calle
d an
‘im
mob
ilisa
tion
shel
l’ m
ade.
Thi
s sh
ell i
s m
ade
spec
ially
for
you
. It
will
hol
d yo
u in
the
cor
rect
pos
ition
whi
le y
ou a
re ly
ing
fl at.
It w
ill h
elp
you
to k
eep
still
, and
hel
p en
sure
you
r tr
eatm
ent
is a
ccur
ate.
The
radi
ogra
pher
s w
ill s
how
you
an
imm
obili
satio
n sh
ell a
nd
expl
ain
how
you
rs w
ill b
e m
ade.
The
re is
a v
ideo
tha
t yo
u ca
n w
atch
on
the
Lynd
a Ja
ckso
n M
acm
illan
Cen
tre
(LJM
C)
web
site
. Ple
ase
see
page
24
for
deta
ils.
You
will
be
aske
d to
tak
e of
f yo
ur c
loth
es f
rom
abo
veyo
ur w
aist
. We
will
mai
ntai
n yo
ur d
igni
ty a
t al
l tim
es.
Aft
er y
our
shel
l is
mad
e, y
ou w
ill h
ave
a co
mpu
teris
ed
tom
ogra
phy
scan
(CT)
whi
le y
ou a
re w
earin
g it.
You
may
ne
ed a
n in
ject
ion
of a
spe
cial
dye
dur
ing
this
sca
n. T
his
will
be
expl
aine
d to
you
if it
is n
eede
d.
Whi
le y
ou a
re h
avin
g yo
ur s
can
you
will
be
alon
e in
the
roo
m
for
20-2
5 m
inut
es. D
urin
g th
is t
ime
you
are
wat
ched
thr
ough
a
win
dow
. The
rad
iogr
aphe
rs w
ill t
ell y
ou h
ow y
ou c
an le
t th
em k
now
if y
ou h
ave
any
prob
lem
s. Y
ou w
ill n
ot h
ave
any
radi
othe
rapy
dur
ing
your
pla
nnin
g ap
poin
tmen
t.
You
may
hav
e so
me
pen
mar
ks d
raw
n on
you
r sk
in. D
on’t
w
orry
if t
hese
fad
e or
was
h of
f. W
ith y
our
perm
issi
on, t
he
radi
ogra
pher
s w
ill m
ake
a tin
y pe
rman
ent
mar
k on
you
r ch
est
(tat
too)
. Thi
s is
ver
y sm
all a
nd is
don
e by
pin
pric
king
the
ski
n w
ith s
ome
spec
ial d
ye. T
he p
erm
anen
t do
t is
impo
rtan
t as
it
enab
les
accu
rate
pos
ition
ing
and
trea
tmen
t de
liver
y ea
ch d
ay.
7
Your
pla
nnin
g ap
poin
tmen
t m
ay t
ake
betw
een
one
to t
hree
ho
urs,
so
expe
ct t
o be
at
the
hosp
ital f
or m
ost
of t
he m
orni
ng
or a
fter
noon
on
that
day
. You
r ra
diot
hera
py w
ill u
sual
ly s
tart
ab
out
two
to t
hree
wee
ks a
fter
you
r pl
anni
ng a
ppoi
ntm
ent.
Th
is a
llow
s tim
e fo
r yo
ur o
ncol
ogis
t an
d pl
anni
ng p
hysi
cist
to
calc
ulat
e yo
ur t
reat
men
t do
ses.
Befo
re s
tart
ing
your
rad
ioth
erap
y yo
u w
ill h
ave
an
appo
intm
ent
at M
ount
Ver
non
Can
cer
Cen
tre
with
the
he
ad a
nd n
eck
spec
ialis
t nu
rse.
It is
ver
y im
po
rtan
t th
at
you
atte
nd t
his
appo
intm
ent
so t
hat
you
can
be g
iven
the
m
outh
was
h to
use
dur
ing
your
rad
ioth
erap
y. T
his
sess
ion
is
also
a c
hanc
e to
ask
abo
ut y
our
trea
tmen
t, y
our
care
and
any
ot
her
ques
tions
you
hav
e.
Man
y pe
ople
fi nd
it h
elpf
ul t
o at
tend
the
Hea
d an
d N
eck
Can
cer
Supp
ort
Gro
up b
efor
e st
artin
g th
eir
trea
tmen
t. T
his
is
a ch
ance
to
mee
t pe
ople
who
hav
e ha
d si
mila
r tr
eatm
ents
and
ca
n sh
are
usef
ul in
form
atio
n an
d ad
vice
(see
pag
e 23
).
Your
key
wor
ker
durin
g tr
eatm
ent
is
____
____
____
____
____
____
____
____
__
Your
tre
atm
ent
will
last
:
____
____
____
____
____
____
____
____
__
8Wh
at w
ill h
app
en d
uri
ng
my
trea
tmen
t?O
n yo
ur fi
rst
day,
the
rad
ioth
erap
y m
ay t
ake
up t
o 30
min
utes
. A
fter
tha
t yo
ur r
adio
ther
apy
appo
intm
ent
norm
ally
last
s fo
r ab
out
10-3
0 m
inut
es. T
he r
adio
grap
hers
will
get
you
in t
he
corr
ect
posi
tion;
it t
hen
take
s ab
out
10-2
0 m
inut
es f
or y
our
trea
tmen
t to
be
give
n. Y
ou w
ill b
e al
one
in t
he r
oom
dur
ing
that
tim
e, b
ut t
he r
adio
grap
hers
can
see
you
all
the
time
by
usin
g cl
osed
circ
uit
tele
visi
on. T
hey
will
tel
l you
how
you
can
le
t th
em k
now
if y
ou h
ave
any
prob
lem
s w
hile
you
are
hav
ing
the
trea
tmen
t.
The
num
ber
of t
reat
men
ts y
ou h
ave
depe
nds
on a
few
fa
ctor
s w
hich
the
onc
olog
ist
will
dis
cuss
with
you
.
Ho
w a
re t
he
trea
tmen
ts c
om
bin
ed?
Radi
othe
rapy
is g
iven
as
an o
ut-p
atie
nt, e
ach
day
of t
he w
eek
from
Mon
day
to F
riday
for
six
wee
ks.
If yo
u ar
e re
ceiv
ing
cisp
latin
che
mot
hera
py it
is g
iven
to
you
as a
n in
patie
nt f
or o
ne d
ay d
urin
g sp
ecifi
c w
eeks
of
your
ra
diot
hera
py. Y
ou w
ill b
e st
ayin
g as
an
inpa
tient
at
MV
CC
on
eac
h oc
casi
on f
or o
ne n
ight
.
If yo
u ar
e re
ceiv
ing
carb
opla
tin c
hem
othe
rapy
it is
giv
en a
s a
day
case
in t
he C
hem
o Su
ite f
or 1
-2 h
ours
.
Clin
ical
tri
als
If yo
ur t
reat
men
t is
par
t of
a c
linic
al t
rial y
our
trea
tmen
t m
ay d
iffer
, you
r he
alth
care
tea
m w
ill d
iscu
ss t
his
with
you
. Th
is m
ay c
onsi
st o
f a
7 w
eek
radi
othe
rapy
sch
edul
e w
ith
chem
othe
rapy
giv
en o
n w
eeks
1, 4
and
7.
9
Wh
at s
ide-
effe
cts
am I
likel
y to
hav
e fr
om
m
y ch
emo
ther
apy?
The
deta
ils o
f th
e ch
emot
hera
py d
rug
you
will
be
havi
ng,
alon
g w
ith it
s sp
ecifi
c si
de-e
ffec
ts, w
ill b
e di
scus
sed
with
yo
u at
you
r cl
inic
vis
it.
Befo
re e
ach
chem
othe
rapy
you
will
usu
ally
hav
e a
bloo
d te
st. T
his
is a
rou
tine
chec
k as
the
se d
rugs
aff
ect
bloo
d ce
lls,
part
icul
arly
the
‘whi
te c
ells
’ whi
ch p
rote
ct o
ur b
odie
s fr
om
infe
ctio
n. If
the
num
ber
of b
lood
cel
ls b
ecom
es t
oo lo
w, y
our
chem
othe
rapy
may
nee
d to
be
dela
yed
for
up t
o a
wee
k, t
o al
low
the
blo
od c
ells
to
reco
ver.
Whi
le y
ou a
re r
ecei
ving
che
mot
hera
py, i
f yo
u fe
el p
ain
or
stin
ging
at
the
cann
ula
site
, tel
l the
nur
se s
trai
ght
away
. If
at a
ny t
ime
durin
g yo
ur c
hem
orad
ioth
erap
y yo
u de
velo
p a
feve
r or
bec
ome
unw
ell,
cont
act
the
war
d or
you
r sp
ecia
list
nurs
e im
med
iate
ly (s
ee p
age
2).
Bef
ore
sta
rtin
g t
reat
men
t, p
leas
e re
ad ‘A
pat
ien
t’s
gu
ide
to c
hem
oth
erap
y at
Mo
un
t V
ern
on
Can
cer
Cen
tre’
, av
aila
ble
from
the
LJM
C.
10
Wh
at s
ide-
effe
cts
am I
likel
y to
hav
e fr
om
my
rad
ioth
erap
y?Ra
diot
hera
py k
ills
canc
er c
ells
, but
can
als
o da
mag
e so
me
norm
al c
ells
cau
sing
sid
e-ef
fect
s. T
he s
ide-
effe
cts
you
may
ha
ve w
ill d
epen
d on
whi
ch p
art
of y
our
head
, nec
k, m
outh
or
thr
oat
is b
eing
tre
ated
.
Plea
se r
emem
ber
not
ever
yone
will
hav
e ev
ery
side
eff
ect.
The
mos
t co
mm
on s
ide-
effe
cts
are
liste
d in
the
tab
les
on
page
s 12
-14.
Thes
e si
de-e
ffec
ts d
evel
op g
radu
ally
ove
r th
e co
urse
of
the
trea
tmen
ts a
nd f
or t
he t
wo
wee
ks f
ollo
win
g tr
eatm
ent.
A
fter
thi
s m
ost
will
gra
dual
ly r
educ
e ov
er t
he n
ext
6-12
w
eeks
. But
som
e ch
ange
s m
ay n
ever
go
(may
be
perm
anen
t).
Thes
e w
ill b
e di
scus
sed
in m
ore
deta
il by
you
r on
colo
gist
or
spec
ialis
t nu
rse.
Dur
ing
your
tre
atm
ent,
you
will
be
revi
ewed
wee
kly
by
your
onc
olog
ist,
nur
se, d
ietit
ian
and
som
etim
es a
SA
LT.
At
thes
e ap
poin
tmen
ts y
ou w
ill b
e gi
ven
med
icin
es a
nd a
dvic
e to
hel
p yo
u co
pe w
ith s
ide-
effe
cts.
11
The
day
for
your
rev
iew
clin
ic is
:
____
____
____
____
____
____
____
____
Plea
se b
ring
a lis
t of
any
med
icin
es y
ou n
eed
so t
hat
a ne
w p
resc
riptio
n ca
n be
giv
en. T
ry t
o pl
an a
head
so
tha
t yo
u do
not
run
out
of
med
icin
es. Y
ou c
an le
ave
your
pr
escr
iptio
n at
Pha
rmac
y an
d co
llect
the
nex
t da
y. T
his
help
s to
avo
id lo
ng w
aits
at
Phar
mac
y.
You
will
nee
d to
hav
e a
bloo
d te
st e
very
wee
k du
ring
radi
othe
rapy
.
Ever
yone
rea
cts
and
resp
onds
diff
eren
tly t
o tr
eatm
ent.
Yo
ur h
ealth
car
e te
am w
ill a
dvis
e yo
u ab
out
wha
t yo
u sh
ould
ex
pect
. The
fol
low
ing
page
s gi
ve s
ome
tips
to h
elp
you
man
age
your
sid
e-ef
fect
s.
If y
ou
no
rmal
ly p
ay f
or
NH
S p
resc
rip
tio
ns
Peop
le u
nder
goin
g tr
eatm
ent
for
canc
er d
o no
t ha
ve t
o pa
y N
HS
pres
crip
tion
char
ges
if th
ey h
ave
a va
lid m
edic
al e
xem
ptio
n ce
rtifi
cate
. To
get
an e
xem
ptio
n ce
rtifi
cate
, ask
you
r G
P fo
r an
appl
icat
ion
form
.
12
Sym
pto
mW
hen
will
it
occ
ur?
Ho
w t
o m
anag
e it
?W
hen
will
it
get
bet
ter?
Red/
sore
ul
cera
ted
skin
on
nec
k, f
ace,
up
per
ches
t an
d sh
ould
er(s
ee p
age
15)
Redn
ess
- ar
ound
w
eek
2-3
Ulc
erat
ed/
sore
-
arou
nd
wee
k 4
onw
ards
plea
se d
iscu
ss
the
use
of
crea
ms
with
you
r he
alth
car
e te
am
el
ectr
ic s
have
on
ly
av
oid
perf
umes
, m
ake-
up, t
alcs
et
c
dr
essi
ngs
daily
w
hen
skin
is
ulce
rate
d
Mos
t re
actio
ns
will
hav
e he
aled
by
abou
t 2
wee
ks
afte
r fi n
ishi
ng
trea
tmen
t.
Any
red
ness
or
dark
enin
g of
th
e sk
in w
ill g
et
bett
er o
ver
the
next
8-
12 w
eeks
.
Ulc
erat
ed
mou
th/t
hroa
t/lip
s(s
ee p
age
16)
Abo
ut
wee
k 3
use
your
m
outh
was
h as
pr
escr
ibed
regu
lar
pain
kille
rs
Slow
ly s
ettle
s ov
er
6-10
wee
ks
afte
r fi n
ishi
ng
trea
tmen
t.
Pain
ful
swal
low
ing
(see
pag
e 16
)
Abo
ut
wee
k 2-
3
av
oid
citr
us/s
picy
/sa
lty f
ood
soft
tex
ture
foo
d
us
e re
gula
r pa
inki
llers
revi
ew b
y di
etiti
an
re
view
by
SALT
poss
ible
PEG
tu
be s
uppo
rt
Aft
er fi
nish
ing
trea
tmen
t,
swal
low
ing
impr
oves
and
tu
be f
eedi
ng
is n
ot n
eede
d.
Regu
lar
revi
ew
by d
ietit
ian
and
SALT
are
ne
cess
ary.
Thi
s w
ill a
lso
depe
nd
on w
hat
your
sw
allo
win
g fu
nctio
n w
as
like
befo
re
radi
othe
rapy
.
If yo
u ar
e ha
ving
diffi
cul
ties
with
any
of
the
follo
win
g sy
mpt
oms
plea
se t
ell y
our
head
and
nec
k sp
ecia
list
nurs
e. N
ot e
very
one
will
ha
ve e
very
sid
e ef
fect
.
13
Sym
pto
mW
hen
will
it
occ
ur?
Ho
w t
o m
anag
e it
?W
hen
will
it g
et
bet
ter?
Tast
e ch
ange
(see
pag
e 17
)Fo
r so
me,
ar
ound
w
eek
2 on
war
ds
regu
lar
mou
th
was
h
us
e of
her
bs,
hone
y, s
auce
s to
fl a
vour
foo
ds
Ther
e m
ay b
e so
me
impr
ovem
ents
in
tast
e, a
few
wee
ks
to a
few
mon
ths
afte
r fi n
ishi
ng
trea
tmen
t.
How
ever
for
som
e pa
tient
s th
eir
tast
e ch
ange
s m
ay n
ever
go
aw
ay (t
hey
will
be
per
man
ent)
.
Exce
ss
prod
uctio
n of
muc
us
(thi
ck s
aliv
a)(s
ee p
age
18)
Abo
ut
wee
k 3
regu
lar
mou
th
care
drin
k pl
enty
of
fl uid
s
ne
bulis
ed s
alin
e 6-
8 tim
es a
day
8-12
wee
ks a
fter
fi n
ishi
ng t
reat
men
t.So
me
patie
nts
may
ha
ve c
hang
es t
o th
eir
saliv
a fo
r go
od
(per
man
ently
), ie
. stic
ky o
r th
icke
r sa
liva.
Cha
nge
in
voic
e(s
ee p
age
21)
Wee
k 3-
4
re
view
by
SALT
avoi
d st
rain
ing
to s
peak
depe
nds
on
loca
tion
of
tum
our
8-12
wee
ks a
fter
fi n
ishi
ng t
reat
men
t.So
me
chan
ges
take
man
y m
onth
s to
set
tle. S
ome
stay
for
goo
d (p
erm
anen
t).
Tris
mus
(res
tric
ted
mou
th
open
ing)
Wee
k 3-
4Th
is d
epen
ds o
n w
here
you
r ca
ncer
is
. You
will
be
give
n sp
ecifi
c m
outh
ex
erci
ses
by
your
SA
LT.
This
can
be
a lo
ng
term
pro
blem
. It
is im
port
ant
to d
o re
gula
r m
outh
exe
rcis
es t
o im
prov
e an
d ke
ep
your
abi
lity
to o
pen
your
mou
th. T
hese
ex
erci
ses
are
a lif
etim
e ac
tivity
.
14Sym
pto
mW
hen
will
it
occ
ur?
Ho
w t
o m
anag
e it
?W
hen
will
it
get
bet
ter?
Extr
eme
tired
ness
(see
pag
e 23
)
Wee
k 4-
5
fo
llow
nut
ritio
n pl
an f
rom
di
etiti
an
pl
an r
est
perio
ds
durin
g th
e da
y.
Try
to d
o so
me
gent
le e
xerc
ise
(sho
rt w
alks
) w
hen
you
feel
ab
le t
o
8-12
wee
ks
afte
r fi n
ishi
ng
trea
tmen
t.Tr
y ge
ntle
non
-st
renu
ous
daily
ex
erci
se, g
radu
ally
in
crea
sing
ov
er t
he n
ext
few
mon
ths,
e.
g. w
alki
ng,
swim
min
g. It
may
ta
ke u
p to
12
mon
ths
to f
ully
re
cove
r.
Hai
r lo
ss(s
ee p
age
19)
Wee
k 5
Faci
al h
air
loss
Hai
r at
sid
e/ba
ck o
f he
ad
Elec
tric
Sha
ve. Y
ou
may
fi nd
you
do
not
need
to
shav
e af
ter
a fe
w w
eeks
.Te
mpo
rary
- k
eep
hair
long
er t
o hi
de
if po
ssib
le.
Usu
ally
re-
grow
s w
ithin
3 m
onth
s.
Hai
r m
ay n
ot
grow
bac
k in
th
e ar
ea t
hat
has
been
tre
ated
.
Dry
mou
th(s
ee p
age
16)
Usu
ally
as
soon
as
radi
othe
rapy
ha
s fi n
ishe
d
Wat
er s
pray
.C
arry
a b
ottle
of
wat
er.
Man
y sa
liva
repl
acem
ent
prod
ucts
are
av
aila
ble
(you
r nu
rse
will
hel
p to
fi nd
the
be
st o
ne f
or y
ou).
Som
e pa
tient
s w
ill h
ave
som
e dr
ynes
s fo
r up
to
2 ye
ars
afte
r fi n
ishi
ng
trea
tmen
t.
For
othe
rs t
his
may
sta
y fo
r go
od
(be
perm
anen
t).
Lym
phoe
dem
a(f
acia
l and
ne
ck s
wel
ling)
(see
pag
e 25
)
Som
etim
es
this
can
occ
ur
tow
ards
th
e en
d of
tr
eatm
ent.
U
sual
ly
occu
rs 8
-12
wee
ks a
fter
fi n
ishi
ng
trea
tmen
t
You
will
be
show
n ho
w t
o m
assa
ge
the
area
by
a ly
mph
oede
ma
nurs
e.So
met
imes
you
may
ne
ed a
cou
rse
of
mas
sage
tre
atm
ent.
This
usu
ally
get
s be
tter
bet
wee
n 6-
12 m
onth
s af
ter
your
tre
atm
ent
has
fi nis
hed.
You
may
nee
d to
ca
rry
on d
oing
se
lf m
assa
ge f
or
long
er t
han
12
mon
ths.
15
Ho
w s
ho
uld
I lo
ok
afte
r m
y sk
in?
Your
ski
n m
ay b
ecom
e re
d an
d itc
hy d
urin
g yo
ur r
adio
ther
apy.
Yo
u sh
ould
fol
low
thi
s ad
vice
to
help
you
cop
e w
ith a
ny s
kin
chan
ges:
was
h th
e tr
eate
d ar
ea v
ery
gent
ly u
sing
tep
id w
ater
(war
m
but
not
hot)
and
a m
ild u
nper
fum
ed s
oap.
Pa
t yo
ur s
kin
dry,
usi
ng a
sof
t to
wel
do n
ot u
se m
ake-
up, c
ream
s, p
erfu
mes
, lot
ions
or
afte
rsha
ve in
the
are
a be
ing
trea
ted
try
to le
t th
e ar
ea b
eing
tre
ated
get
as
muc
h ai
r as
pos
sibl
e.
Avo
id w
earin
g tig
ht c
olla
rs
us
e a
moi
stur
iser
. Do
not
put
anyt
hing
els
e on
you
r sk
in in
th
e tr
eate
d ar
ea u
nles
s yo
ur o
ncol
ogis
t ha
s re
com
men
ded
it. If
you
are
in a
ny d
oubt
, ask
you
r he
alth
car
e te
am
ther
e m
ay b
e a
time
in y
our
trea
tmen
t w
hen
your
ski
n be
com
es u
lcer
ated
and
sor
e. If
thi
s ha
ppen
s yo
u w
ill n
eed
dres
sing
s w
hich
will
be
give
n to
you
by
your
hea
d an
d ne
ck
spec
ialis
t nu
rse
your
ski
n w
ill h
eal a
bout
tw
o w
eeks
aft
er y
ou h
ave
fi nis
hed
your
tre
atm
ent.
The
red
ness
will
fad
e ov
er t
he n
ext
few
w
eeks
. Dis
tric
t nu
rse
supp
ort
can
be a
rran
ged
for
afte
r yo
ur
trea
tmen
t, t
o he
lp y
ou w
ith t
he d
ress
ings
men
wis
hing
to
shav
e sh
ould
tak
e ex
tra
care
. Onc
e th
e sk
in
beco
mes
pin
k or
dar
ker
tone
d yo
u sh
ould
sto
p sh
avin
g.
You
will
fi nd
tha
t yo
ur b
eard
sto
ps g
row
ing
at t
his
stag
e
do
not
exp
ose
the
trea
ted
area
to
stro
ng s
unlig
ht b
oth
durin
g an
d af
ter
your
rad
ioth
erap
y. T
his
is b
ecau
se y
our
skin
will
be
mor
e ea
sily
sun
burn
t an
d w
ill t
ake
long
er
to h
eal
in t
he s
umm
er, w
e re
com
men
d th
at y
ou w
ear
a w
ide
brim
med
sun
hat
to
shad
e yo
u fr
om s
tron
g su
nlig
ht
in
the
fut
ure
you
mus
t al
way
s pr
otec
t th
is a
rea
from
the
su
n an
d us
e a
high
fac
tor
sun
crea
m
16
Ho
w s
ho
uld
I lo
ok
afte
r m
y m
ou
th?
you
will
be
give
n ‘T
ello
dont
’ mou
thw
ash
whi
ch w
ill lo
osen
m
ucus
and
ref
resh
you
r m
outh
. You
can
use
thi
s as
oft
en
as y
ou n
eed
if yo
ur m
outh
is b
eing
tre
ated
you
may
als
o be
giv
en
‘Cap
hoso
l’ m
outh
was
h. T
his
will
hel
p to
pre
vent
ulc
ers
from
dev
elop
ing.
It m
ust
be
used
fou
r tim
es a
day
fr
om t
he fi
rst
day
of r
adio
ther
apy.
If y
our
mou
th s
tart
s to
ulc
erat
e yo
ur o
ncol
ogis
t or
nur
se w
ill a
dvis
e yo
u to
in
crea
se u
p to
eig
ht t
imes
a d
ay. A
fter
rin
sing
you
mus
t no
t ea
t or
drin
k fo
r 15
min
utes
brus
h yo
ur t
eeth
with
a s
oft
toot
hbru
sh a
fter
foo
d.
You
may
fi nd
thi
s ge
ts m
ore
diffi
cul
t af
ter
a nu
mbe
r of
tr
eatm
ents
. If
so, s
top
brus
hing
you
r te
eth
and
use
mou
thw
ashe
s
do
not
use
mou
thw
ashe
s w
hich
con
tain
alc
ohol
brus
h de
ntur
es a
fter
foo
d an
d so
ak t
hem
ove
rnig
ht
in d
entu
re c
lean
ing
solu
tion
if po
ssib
le d
o no
t us
e de
ntur
e ad
hesi
ve
use
your
pai
nkill
ers
as t
his
will
mak
e yo
ur m
outh
fee
l mor
e co
mfo
rtab
le. T
hey
wor
k be
tter
if y
ou t
ake
them
reg
ular
ly.
The
spec
ialis
t nu
rse
will
giv
e yo
u ad
vice
and
sup
port
(see
pa
ge 2
2)
av
oid
hot
spic
y fo
ods,
citr
us a
nd t
omat
o ba
sed
food
s.
Als
o av
oid
dry
food
s (m
oist
foo
ds a
re e
asie
r to
man
age)
do n
ot d
rink
any
alco
hol.
Plea
se s
peak
with
a m
embe
r of
yo
ur h
ealth
car
e te
am if
you
fee
l thi
s w
ill b
e di
ffi c
ult
do n
ot s
mok
e. If
thi
s is
a p
robl
em p
leas
e di
scus
s it
with
a
mem
ber
of y
our
heal
th c
are
team
smok
ing
durin
g tr
eatm
ent
will
mak
e yo
ur s
ide-
effe
cts
wor
se, a
nd m
ake
your
rec
over
y tim
e lo
nger
. Sm
okin
g w
ill
also
red
uce
the
effe
ct o
f yo
ur t
reat
men
t on
you
r ca
ncer
(s
ee p
age
20)
17
if yo
u ha
ve b
een
told
to
do ja
w o
peni
ng e
xerc
ises
, it
is
impo
rtan
t yo
u do
the
se. I
f th
is b
ecom
es p
ainf
ul p
leas
e as
k th
e SA
LT f
or a
dvic
e. T
hese
exe
rcis
es w
ill h
elp
to p
reve
nt
futu
re p
robl
ems
with
mou
th o
peni
ng
Ho
w w
ill m
y ta
ste
be
affe
cted
?Yo
ur s
ense
of
tast
e w
ill c
hang
e. P
leas
e se
e th
e LJ
MC
fac
tshe
et
‘Man
agin
g ta
ste
chan
ges’
(see
pag
e 25
). It
may
impr
ove
afte
r yo
ur r
adio
ther
apy
has
fi nis
hed
but
this
may
tak
e se
vera
l m
onth
s. F
or s
ome
patie
nts
thes
e ch
ange
s in
tas
te m
ay n
ever
re
turn
to
how
you
wer
e be
fore
sta
rtin
g tr
eatm
ent.
Wh
at c
an I
eat
or
dri
nk?
It is
impo
rtan
t th
at y
ou a
re w
ell n
ouris
hed
and
do n
ot lo
se
wei
ght
durin
g yo
ur t
reat
men
t. Y
our
trea
tmen
t m
ask
is fi
tted
cl
osel
y. W
eigh
t lo
ss c
an c
ause
the
mas
k to
bec
ome
loos
e an
d m
ay m
ean
that
you
r tr
eatm
ent
need
s to
be
repl
anne
d. T
his
can
caus
e a
dela
y in
you
r tr
eatm
ent.
The
diet
itian
will
tal
k to
you
abo
ut w
ays
to k
eep
your
wei
ght
the
sam
e to
hel
p av
oid
any
dela
ys in
tre
atm
ent.
If y
ou h
ave
a fe
edin
g tu
be, t
he d
ietit
ian
will
adv
ise
you
on h
ow m
uch
pres
crip
tion
feed
and
fl ui
ds y
ou w
ill n
eed.
Fol
low
ing
thei
r in
stru
ctio
ns w
ill h
elp
you
not
to lo
se w
eigh
t.
You
may
hav
e di
ffi c
ulty
che
win
g an
d sw
allo
win
g yo
ur f
ood
beca
use
of t
he p
ain.
A S
ALT
will
be
able
to
offe
r ad
vice
on
cons
iste
ncie
s an
d te
xtur
es o
f fo
od. S
ee t
he L
JMC
fac
tshe
et o
n ‘C
hew
ing
and
swal
low
ing
prob
lem
s’ (s
ee p
age
25).
It is
ver
y im
port
ant
that
you
con
tinue
to
swal
low
dur
ing
the
trea
tmen
t an
d th
e re
cove
ry p
erio
d, e
ven
if it
is o
nly
smal
l sip
s of
tep
id w
ater
or
milk
. Thi
s ke
eps
your
abi
lity
to s
wal
low
, and
he
lps
with
the
reh
abili
tatio
n of
you
r sp
eech
and
sw
allo
win
g.
Plea
se t
alk
to a
SA
LT f
or f
urth
er a
dvic
e, if
you
are
con
cern
ed
or h
avin
g pr
oble
ms.
18
In s
ome
circ
umst
ance
s yo
u m
ay b
e ad
vise
d no
t to
tak
e an
ythi
ng b
y m
outh
and
be
depe
nden
t on
tub
e fe
edin
g.
Your
tea
m w
ill d
iscu
ss t
his
with
you
.
Ho
w w
ill m
y m
ou
th f
eel?
This
dep
ends
on
how
muc
h of
you
r m
outh
is r
ecei
ving
ra
diot
hera
py.
Whe
n yo
u ar
e ab
out
half
way
thr
ough
you
r tr
eatm
ent
you
will
beg
in t
o pr
oduc
e th
ick
muc
us a
nd s
aliv
a. T
here
are
no
med
icin
es a
vaila
ble
to s
top
this
sid
e-ef
fect
hap
peni
ng. S
ome
peop
le m
ay a
lso
feel
sic
k (n
ause
ous)
due
to
the
thic
k m
ucus
. So
met
imes
pat
ient
s fi n
d th
at r
insi
ng t
heir
mou
th c
an h
elp
prev
ent
the
muc
us b
uild
ing
up a
nd r
educ
e so
me
of t
hese
si
de e
ffec
ts.
Spra
ying
wat
er (f
rom
a w
ater
spr
ay b
ottle
) can
hel
p to
lo
osen
the
muc
us. W
hen
you
have
exc
ess
saliv
a or
muc
us
you
may
nee
d to
rin
se y
our
mou
th f
requ
ently
(i.e
. eve
ry
10-1
5 m
inut
es).
Neb
ulis
ed s
alin
e (s
alt
wat
er) o
r st
eam
inha
latio
ns c
an h
elp
to
clea
r th
is m
ucus
and
mak
e yo
u fe
el b
ette
r. Yo
ur h
ealth
car
e te
am m
ay le
nd y
ou a
neb
ulis
er m
achi
ne if
one
is a
vaila
ble.
Pl
ease
ret
urn
it as
soo
n as
you
no
long
er n
eed
it. W
e do
not
al
way
s ha
ve a
neb
ulis
er m
achi
ne a
vaila
ble.
Som
etim
es w
e m
ay
need
to
advi
se y
ou t
o bu
y on
e.
The
radi
othe
rapy
can
aff
ect
the
saliv
ary
glan
ds if
the
y ar
e in
th
e ar
ea b
eing
tre
ated
. If
your
mou
th b
ecom
es d
ry, y
ou m
ay
fi nd
regu
lar
sips
of
wat
er h
elpf
ul.
Do
not
drin
k al
coho
l dur
ing
this
tim
e as
it w
ill in
crea
se t
he
dryn
ess
in y
our
mou
th, a
nd it
will
als
o be
pai
nful
to
swal
low
. M
any
patie
nts
will
alw
ays
have
som
e dr
ynes
s in
the
ir m
outh
. H
owev
er s
ome
patie
nts
fi nd
this
gra
dual
ly g
ets
bett
er f
or u
p to
tw
o ye
ars
afte
r th
ey fi
nish
ed t
heir
trea
tmen
t.
19
Will
I lo
se m
y h
air?
Som
e of
the
hai
r on
you
r fa
ce m
ay s
top
grow
ing.
Thi
s w
ill
depe
nd o
n th
e ex
act
area
you
are
hav
ing
trea
ted.
For
som
e pe
ople
thi
s ha
ir m
ay n
ot g
row
bac
k (m
ay b
e pe
rman
ent)
.
Som
e pe
ople
may
lose
hai
r at
the
bac
k or
sid
e of
the
ir he
ad.
This
hai
r us
ually
sta
rts
to g
row
bac
k a
few
mon
ths
afte
r fi n
ishi
ng t
reat
men
t.
Your
onc
olog
ist
will
tel
l you
whe
ther
you
will
lose
any
hai
r, an
d if
it is
like
ly t
o re
grow
aft
er t
he t
reat
men
t ha
s fi n
ishe
d.
This
will
dep
end
on t
he d
ose
of r
adia
tion
you
will
rec
eive
.
Wh
at s
ho
uld
I d
o if
I n
eed
to
vis
it t
he
den
tist
?A
fter
you
r ra
diot
hera
py, y
ou m
ay b
e m
ore
pron
e to
too
th
deca
y. It
is v
ery
impo
rtan
t to
tel
l you
r de
ntis
t ab
out
your
ra
diot
hera
py, a
nd a
ny o
ther
tre
atm
ent
you
have
had
.
Onc
e yo
ur t
reat
men
t is
fi ni
shed
, it
is im
port
ant
to b
rush
you
r te
eth
thre
e tim
es a
day
aft
er m
eals
with
a fl
uorid
e to
othp
aste
. A
fl uo
ride
gum
tra
y m
ay b
e us
ed, y
ou c
an g
et t
his
from
you
r de
ntis
t/hy
gien
ist.
You
are
stro
ngly
adv
ised
to
see
your
den
tist
and
oral
hyg
ieni
st
ever
y th
ree
to s
ix m
onth
s. In
the
fut
ure
if yo
u ne
ed a
ny
dent
al w
ork
to t
he t
reat
ed ja
w a
rea,
the
bon
e m
ay n
ot h
eal
prop
erly
and
thi
s m
ay c
ause
oth
er p
robl
ems.
For
thi
s re
ason
it
is im
port
ant
that
you
ask
you
r on
colo
gist
bef
ore
havi
ng a
ny
dent
al t
reat
men
t to
thi
s ar
ea.
Aft
er y
our
trea
tmen
t ha
s fi n
ishe
d yo
ur o
ncol
ogis
t w
ill b
e pl
ease
d to
ans
wer
any
que
ries
from
you
r de
ntis
t. P
leas
e gi
ve
your
den
tist
your
onc
olog
ist’s
sec
reta
ry’s
phon
e nu
mbe
r (s
ee
page
2).
20
Can
I h
ave
den
ture
s o
r im
pla
nts
?Yo
u m
ay n
ot b
e ab
le t
o w
ear
dent
ures
for
a f
ew m
onth
s af
ter
trea
tmen
t. T
his
will
dep
end
on h
ow m
uch
of y
our
mou
th is
tr
eate
d. U
sual
ly n
ew d
entu
res
shou
ld n
ot b
e m
ade
until
six
m
onth
s af
ter
your
tre
atm
ent.
Thi
s is
to
allo
w t
ime
for
your
gu
ms
to h
eal a
nd f
or a
ny c
hang
es in
you
r m
outh
to
sett
le.
Den
tal i
mpl
ants
are
not
sui
tabl
e fo
r al
l pat
ient
s. Y
ou w
ill n
eed
an a
sses
smen
t by
a h
ead
and
neck
(max
illof
acia
l) su
rgeo
n to
fi n
d ou
t if
impl
ants
are
sui
tabl
e fo
r yo
u.
Wh
at w
ill h
app
en if
I sm
oke
?Yo
ur o
ncol
ogis
t or
spe
cial
ist
nurs
e w
ill d
iscu
ss t
his
with
you
. W
e re
com
men
d th
at y
ou s
top
sm
okin
g co
mpl
etel
y. T
his
is
beca
use
smok
ing
incr
ease
s th
e ul
cera
tion
and
pain
.
Your
onc
olog
ist
will
dis
cuss
thi
s w
ith y
ou a
nd w
ill r
ecom
men
d th
at y
ou g
ive
up s
mok
ing
both
dur
ing
trea
tmen
t an
d af
terw
ards
.
Giv
ing
up s
mok
ing
will
ens
ure
you
give
you
rsel
f th
e be
st
chan
ce t
o re
cove
r fr
om c
ance
r. Th
is is
bec
ause
nic
otin
e in
ci
gare
ttes
cau
ses
the
bloo
d ve
ssel
s to
shr
ink
(vas
ocon
stric
tion)
an
d th
is m
ay m
ake
your
tre
atm
ent
less
eff
ectiv
e.
Mak
e ev
ery
effo
rt n
ot t
o re
-sta
rt s
mok
ing
afte
r yo
ur t
reat
men
t ha
s fi n
ishe
d. If
you
do
smok
e th
ere
may
be
an in
crea
sed
risk
of s
ome
long
ter
m s
ide
effe
cts.
If y
ou w
ant
mor
e in
form
atio
n,
plea
se a
sk y
our
onco
logi
st o
r nu
rse.
If y
ou
sm
oke
yo
ur
can
cer
is m
ore
like
ly t
o r
etu
rn.
Nic
otin
e re
plac
emen
t tr
eatm
ents
are
ava
ilabl
e on
pre
scrip
tion.
Yo
ur o
ncol
ogis
t or
GP
will
be
able
to
pres
crib
e th
em f
or
you.
Ple
ase
ask
at t
he L
JMC
for
leafl
ets
to
help
you
giv
e up
sm
okin
g. Y
ou c
an a
lso
cont
act
the
NH
S sm
okin
g he
lplin
e (s
ee
page
29)
.
21
Will
I lo
se m
y vo
ice?
If yo
u ar
e ha
ving
rad
ioth
erap
y to
you
r th
roat
, it
is li
kely
tha
t yo
ur v
oice
will
get
hoa
rse.
You
may
als
o lo
se y
our
voic
e co
mpl
etel
y at
som
e st
age.
Bec
ause
of
this
it is
bes
t to
:
rest
you
r vo
ice
as m
uch
as p
ossi
ble
durin
g yo
ur t
reat
men
t
do
n’t
stra
in t
o m
ake
it lo
uder
whe
n it
is q
uiet
do
n’t
over
-tal
k w
hen
it se
ems
stro
nger
Aft
er y
our
trea
tmen
t ha
s fi n
ishe
d, it
may
be
a fe
w w
eeks
be
fore
you
r vo
ice
star
ts t
o re
cove
r. It
may
rem
ain
husk
y fo
r so
me
time.
The
SA
LT w
ill b
e ab
le t
o of
fer
advi
ce a
nd s
uppo
rt.
Wh
at if
I h
ave
a la
ryn
gec
tom
y?If
you
have
had
a la
ryng
ecto
my
and
are
usin
g a
spea
king
val
ve
you
will
not
be
able
to
wea
r yo
ur b
ase
plat
e du
ring
trea
tmen
t.
This
is b
ecau
se it
will
irrit
ate
the
skin
aro
und
your
sto
ma.
We
advi
se y
ou t
o w
ear
a st
oma
butt
on a
nd a
spe
cial
bib
.
You
will
nee
d to
neb
ulis
e re
gula
rly (s
ix t
o ei
ght
times
per
day
) to
kee
p yo
ur s
ecre
tions
loos
e an
d ea
sy t
o cl
ear.
It is
impo
rtan
t yo
u al
way
s w
ear
the
spec
ial b
ib p
rovi
ded
to
help
kee
p yo
ur s
ecre
tion
moi
st a
nd a
irway
cle
ar. Y
ou m
ay a
lso
fi nd
it ea
sier
to
use
suct
ion
to c
lear
you
r se
cret
ions
.
Your
hea
d an
d ne
ck s
peci
alis
t nu
rses
will
sho
w y
ou h
ow
to d
o th
is.
22
Wh
at c
an I
do
to
hel
p m
ysel
f?
yo
u w
ill b
e gi
ven
med
icin
es t
o he
lp m
anag
e so
me
of y
our
side
eff
ects
. The
se w
ill in
clud
e pa
inki
llers
to
help
you
fe
el c
omfo
rtab
le w
hile
eat
ing
and
drin
king
. It
is u
sual
for
pa
tient
s to
be
on s
tron
g pa
inki
llers
by
the
end
of t
reat
men
t an
d fo
r so
me
wee
ks a
fter
tre
atm
ent
whi
le t
he t
issu
es h
eal.
Your
hea
lth c
are
team
will
dis
cuss
how
to
take
pai
nkill
ers
regu
larly
so
that
the
y ar
e m
ost
effe
ctiv
e, h
elpi
ng t
o ke
ep
any
pain
und
er c
ontr
ol. P
leas
e us
e yo
ur p
aink
iller
s as
ad
vise
d an
d te
ll on
e of
you
r he
alth
car
e te
am if
you
are
ha
ving
any
sid
e ef
fect
s fr
om t
hem
. The
se s
ide
effe
cts
can
be m
anag
ed s
o th
at y
ou s
tay
com
fort
able
and
abl
e to
car
ry
on w
ith d
aily
act
iviti
es
at
ten
d t
he
wee
kly
Mo
nd
ay r
evie
w c
linic
dur
ing
your
tr
eatm
ent.
You
will
be
seen
by
the
onco
logi
st, s
peci
alis
t nu
rse,
die
titia
n an
d SA
LT. T
his
may
mea
n yo
u ar
e in
the
cl
inic
for
a f
ew h
ours
follo
w y
our
nutr
ition
pla
n fr
om t
he d
ietit
ian.
If y
ou n
eed
mor
e ad
vice
ple
ase
ask
it is
ver
y im
port
ant
that
you
fol
low
the
adv
ice
for
look
ing
afte
r yo
ur m
outh
. Reg
ular
mou
th c
are
will
hel
p w
ith y
our
com
fort
and
the
pre
vent
ion
of in
fect
ion
if yo
u ha
ve a
ny c
once
rns
or q
uest
ions
tal
k to
you
r he
alth
ca
re t
eam
Ho
w w
ill I
feel
on
ce m
y tr
eatm
ent
has
fi n
ish
ed?
With
in 8
-12
wee
ks o
f fi n
ishi
ng y
our
radi
othe
rapy
, mos
t of
you
r si
de-e
ffec
ts w
ill h
ave
sett
led.
Som
e w
ill c
arry
on
to im
prov
e ov
er m
any
mon
ths,
but
som
e ch
ange
s m
ay s
tay.
You
may
hav
e on
goin
g di
ffi c
ulty
che
win
g an
d sw
allo
win
g yo
ur
food
. If
this
hap
pens
a S
ALT
will
giv
e yo
u ad
vice
on
cons
iste
ncy
and
text
ures
of
food
. The
y w
ill s
ugge
st s
wal
low
ing
tech
niqu
es
whi
ch m
ay b
e ea
sier
for
you
. The
die
titia
n w
ill a
dvis
e yo
u ab
out
wha
t fo
ods
to e
at s
o th
at y
ou g
et t
he r
ight
nut
ritio
n to
he
lp y
ou r
ecov
er f
rom
you
r tr
eatm
ent.
23
Mos
t pa
tient
s fe
el t
ired
and
leth
argi
c at
som
e st
age
durin
g an
d af
ter
thei
r ra
diot
hera
py. T
his
is t
o be
exp
ecte
d. F
or s
ome
patie
nts
this
can
last
man
y m
onth
s or
eve
n ye
ars.
Try
to
pace
yo
urse
lf an
d no
t do
too
muc
h. S
ome
gent
le e
xerc
ise
can
help
w
ith t
iredn
ess.
See
the
LJM
C f
acts
heet
‘Liv
ing
with
tire
dnes
s (f
atig
ue)’
(see
pag
e 25
).
It is
unw
ise
to b
ecom
e su
nbur
nt o
n an
y pa
rt o
f yo
ur b
ody.
Tr
y no
t to
exp
ose
the
trea
ted
area
to
the
sun
at a
ny t
ime.
Yo
u w
ill n
eed
to a
pply
a h
igh
prot
ectiv
e fa
ctor
sun
cre
am t
o th
e tr
eate
d ar
ea f
or t
he fi
rst
year
aft
er y
our
trea
tmen
t if
you
cann
ot k
eep
it co
vere
d w
hen
you
are
in t
he s
un.
Plea
se a
sk y
our
onco
logi
st o
r sp
ecia
list
nurs
e fo
r ad
vice
on
how
to
deal
with
long
-ter
m s
ympt
oms.
Wh
ere
can
I g
et h
elp
?O
ften
peo
ple
who
hav
e ha
d ca
ncer
say
tha
t du
ring
thei
r ill
ness
th
ey h
ave
a ra
nge
of e
mot
ions
, exp
ecte
d an
d un
expe
cted
. M
any
peop
le fi
nd it
a s
tres
sful
, anx
ious
and
con
fusi
ng t
ime,
fo
r th
emse
lves
and
the
ir fa
mily
and
frie
nds.
So
me
patie
nts
fi nd
it he
lpfu
l to
mee
t an
d di
scus
s th
eir
expe
rienc
es w
ith o
ther
pat
ient
s w
ho h
ave
been
thr
ough
si
mila
r tr
eatm
ent.
If y
ou w
ould
like
us
to a
rran
ge f
or y
ou
to m
eet
anot
her
patie
nt p
leas
e sp
eak
to a
mem
ber
of y
our
heal
th c
are
team
.
Furt
her
supp
ort/
info
rmat
ion
avai
labl
e:
the
Hea
d a
nd
Nec
k C
ance
r Su
pp
ort
Gro
up
mee
ts o
n th
e se
cond
Tue
sday
of
each
mon
th a
t 4p
m a
t th
e Po
st
Gra
duat
e C
entr
e at
Mou
nt V
erno
n H
ospi
tal.
You
do n
ot
need
to
book
, jus
t tu
rn u
p. It
off
ers
a ch
ance
for
pat
ient
s an
d ca
rers
to
shar
e th
eir
expe
rienc
es, d
iscu
ss c
once
rns
and
get
prac
tical
adv
ice.
A h
ead
and
neck
spe
cial
ist
nurs
e is
al
way
s at
thi
s gr
oup
24
go t
o w
ww
.ljm
c.or
g an
d fo
llow
the
link
s to
info
rmat
ion
for
patie
nts
with
can
cer
to t
he h
ead,
nec
k, m
outh
or
thro
at
w
ebsi
te: M
ovin
g on
fro
m H
ead
and
Nec
k C
ance
rFa
cebo
ok p
age:
Mov
ing
on f
rom
Hea
d an
d N
eck
Can
cer.
Thes
e ha
ve b
een
deve
lope
d by
our
pat
ient
sup
port
gro
up
to h
elp
info
rm a
nd s
uppo
rt y
ou
‘M
ovi
ng
on
fro
m H
ead
an
d N
eck
Can
cer’
is a
tw
o da
y se
lf-he
lp w
orks
hop
for
patie
nts
and
care
rs. W
e re
com
men
d th
at a
ll ou
r pa
tient
s at
tend
. Car
ers
are
also
wel
com
e. Y
ou
will
be
give
n im
port
ant
info
rmat
ion
abou
t liv
ing
wel
l aft
er
head
and
nec
k ca
ncer
tre
atm
ent
and
how
to
cope
with
any
si
de-e
ffec
ts. P
leas
e ca
ll th
e he
ad a
nd n
eck
nurs
es o
n 02
0 38
26 2
089
for
mor
e in
form
atio
n ab
out
this
wor
ksho
p
H
ead
an
d N
eck
Can
cer
‘Wh
at c
an I
tell
You
’ vid
eos.
Th
is is
a s
erie
s of
sho
rt v
ideo
s de
velo
ped
by t
he h
ead
and
neck
pat
ient
gro
up a
t M
ount
Ver
non
Can
cer
Cen
tre.
The
y gi
ve a
n in
sigh
t in
to s
ome
conc
erns
you
may
hav
e be
fore
, du
ring
and
afte
r tr
eatm
ent.
Go
to w
ww
.ljm
c.or
g an
d fo
llow
the
link
s to
info
rmat
ion
for
patie
nts
with
can
cer
to
the
head
, nec
k, m
outh
or
thro
atSo
me
patie
nts
fi nd
it ha
rder
to
mak
e de
cisi
ons
or t
o fa
ce u
p to
thi
ngs.
Som
e fe
el o
verw
helm
ed a
nd a
re u
nabl
e to
foc
us
on p
ositi
ve a
spec
ts in
the
ir liv
es. I
f yo
u ha
ve d
iffi c
ulty
mak
ing
sens
e of
you
r fe
elin
gs o
r ca
n re
late
to
any
of t
hese
fee
lings
, yo
u m
ay fi
nd it
hel
pful
to
talk
to
a tr
aine
d he
alth
pro
fess
iona
l. Yo
u ca
n be
ref
erre
d fo
r co
unse
lling
if y
ou f
eel t
his
wou
ld b
e he
lpfu
l.
The
LJM
C p
rovi
des
supp
ort
and
info
rmat
ion.
It o
ffer
s a
rang
e of
ser
vice
s in
clud
ing
coun
selli
ng, c
ompl
emen
tary
the
rapi
es,
rela
xatio
n se
ssio
ns a
nd b
enefi
ts
advi
ce. T
here
are
mor
e de
tails
ab
out
the
LJM
C o
n th
e ba
ck o
f th
is le
afl e
t.
The
LJM
C a
lso
prod
uces
a s
erie
s of
fac
tshe
ets
on a
var
iety
of
topi
cs in
clud
ing
side
-eff
ects
of
radi
othe
rapy
.
25
List
ed b
elow
are
som
e of
the
titl
es w
hich
you
may
fi nd
hel
pful
:
Alc
ohol
issu
es
C
hew
ing
and
swal
low
ing
prob
lem
s
Li
ving
with
tire
dnes
s (f
atig
ue)
Loss
of
appe
tite
Man
agin
g ta
ste
chan
ges
LJM
C a
lso
has
a ra
nge
of le
afl e
ts f
rom
oth
er o
rgan
isat
ions
, and
ca
n gi
ve y
ou a
dvic
e ab
out
furt
her
info
rmat
ion.
Plea
se d
rop
in t
o th
e LJ
MC
for
a c
opy
of a
ny o
f th
ese
or
dow
nloa
d th
em f
rom
the
LJM
C w
ebsi
te: w
ww
.ljm
c.or
g.
Will
I n
eed
to
hav
e p
hys
ioth
erap
y?
We
advi
se p
atie
nts
who
hav
e ha
d su
rger
y an
d/or
rad
ioth
erap
y to
att
end
for
phys
ioth
erap
y. Y
ou w
ill b
e gi
ven
inst
ruct
ions
on
exe
rcis
es t
o im
prov
e ne
ck a
nd s
houl
der
mov
emen
t.
Your
doc
tors
, spe
cial
ist
nurs
e or
SA
LT w
ill r
efer
you
to
the
phys
ioth
erap
ist.
Wh
at is
lym
ph
oed
ema?
Whe
n yo
ur in
itial
sid
e-ef
fect
s of
tre
atm
ent
have
eas
ed, y
ou
may
not
ice
swel
ling
arou
nd t
he n
eck
area
or
unde
r th
e ch
in.
This
hap
pens
bec
ause
the
fl ui
d fr
om t
he h
ead
and
neck
are
a m
ay n
ot b
e ab
le t
o dr
ain
away
fro
m t
he t
issu
es in
tha
t ar
ea.
This
is a
n ef
fect
of
surg
ery
and/
or r
adio
ther
apy.
It is
cal
led
lym
phoe
dem
a. It
may
hap
pen
6-12
wee
ks a
fter
fi ni
shin
g ra
diot
hera
py.
If th
is h
appe
ns t
o yo
u pl
ease
tel
l you
r on
colo
gist
or
nurs
e.
They
will
arr
ange
for
you
to
be s
een
by a
lym
phoe
dem
a th
erap
ist
who
will
use
spe
cial
mas
sage
tec
hniq
ues
to im
prov
e th
e ci
rcul
atio
n of
fl ui
d in
the
se a
reas
. Thi
s w
ill u
sual
ly s
ettle
ov
er t
ime.
26
Wh
en w
ill I
see
the
on
colo
gis
t af
ter
my
trea
tmen
t h
as fi
nis
hed
?Yo
u w
ill b
e se
en w
eekl
y fo
r ab
out
six
to e
ight
wee
ks a
fter
yo
ur t
reat
men
t ha
s fi n
ishe
d. T
his
will
dep
end
on t
he t
ype
of
trea
tmen
t an
d th
e si
de e
ffec
ts y
ou h
ave.
You
r sp
ecia
list
nurs
e or
rad
iogr
aphe
r w
ill a
dvis
e yo
u w
hen
you
will
be
seen
.
As
soon
as
your
sid
e-ef
fect
s ha
ve s
ettle
d yo
u w
ill b
e re
ferr
ed
back
to
your
orig
inal
hos
pita
l or
clin
ic t
o se
e yo
ur o
ncol
ogis
t,
surg
eon,
SA
LT, d
ietit
ian
and
nurs
e.
To s
tart
with
you
will
be
seen
the
re e
very
fou
r to
six
wee
ks.
As
time
pass
es t
hese
app
oint
men
ts w
ill b
e le
ss f
requ
ent
i.e.
ever
y tw
o to
six
mon
ths.
The
rea
son
for
thes
e ap
poin
tmen
ts
is t
o ch
eck
that
you
r si
de-e
ffec
ts h
ave
sett
led
and
that
you
r ca
ncer
is n
ot r
etur
ning
.
You
shou
ld b
e co
ntac
ted
with
a d
ate
for
the
fi rst
of
thes
e ap
poin
tmen
ts w
ithin
tw
o w
eeks
of
your
last
app
oint
men
t at
M
ount
Ver
non.
If y
ou h
ave
not
hear
d fr
om u
s, p
leas
e co
ntac
t yo
ur c
onsu
ltant
’s se
cret
ary
(see
pag
e 2)
.
Ho
w c
an I
get
to
ho
spit
al?
If po
ssib
le p
atie
nts
shou
ld p
rovi
de t
heir
own
tran
spor
t to
ho
spita
l. Th
is m
ay m
ean
that
you
sta
rt y
our
trea
tmen
t so
oner
an
d th
at y
ou w
ill n
ot h
ave
long
wai
ts f
or y
our
tran
spor
t to
tak
e yo
u ba
ck h
ome.
You
mig
ht li
ke t
o ha
ve a
frie
nd o
r re
lativ
e co
me
with
you
.
If yo
u pr
ovid
e yo
ur o
wn
tran
spor
t, y
ou c
an g
et h
elp
with
you
r tr
avel
cos
ts (b
us, t
rain
or
car
mile
age)
if y
ou a
re g
ettin
g an
y of
th
e fo
llow
ing
bene
fi ts:
Inco
me
Supp
ort
Inco
me-
base
d Jo
bsee
ker’s
Allo
wan
ce
In
com
e-ba
sed
Empl
oym
ent
and
Supp
ort
Allo
wan
ce
U
nive
rsal
cre
dit
27
the
Gua
rant
ee C
redi
t pa
rt o
f Pe
nsio
n C
redi
t
or
if y
ou h
ave
an H
C2
or H
C3
cert
ifi ca
te.
If yo
u ar
e el
igib
le, t
he P
atie
nt A
ffai
rs D
epar
tmen
t w
ill p
ay
your
tra
velli
ng e
xpen
ses.
The
y w
ill a
lso
prov
ide
you
with
a
toke
n fo
r th
e ca
r pa
rk. Y
ou w
ill n
eed
to b
ring
proo
f th
at y
ou
rece
ive
one
of t
he b
enefi
ts,
you
r tr
avel
rec
eipt
s an
d yo
ur
appo
intm
ent
lett
er. P
atie
nt A
ffai
rs is
loca
ted
at t
he m
ain
hosp
ital r
ecep
tion
near
the
res
taur
ant
and
is o
pen
Mon
day
- Fr
iday
, 8.3
0am
- 4
.30p
m.
Dep
artm
ent
of W
ork
and
Pens
ions
(DW
P) r
ules
sta
te t
hat
we
cann
ot r
efun
d ta
xi f
ares
. You
r he
ad a
nd n
eck
nurs
e ca
n ap
ply
for
a M
acm
illan
gra
nt w
hich
can
be
used
tow
ards
tra
vel c
osts
. Th
is is
mea
ns t
este
d.
If yo
u ar
e on
a lo
w in
com
e, o
r tr
avel
ling
long
dis
tanc
es b
ut
not
gett
ing
any
of t
he a
bove
ben
efi t
s, y
ou m
ay s
till b
e ab
le
to g
et s
ome
help
. Get
the
HC
1 cl
aim
for
m f
rom
you
r lo
cal
DW
P of
fi ce
or P
atie
nt A
ffai
rs D
epar
tmen
t. T
his
gran
t is
mea
ns
test
ed.
If yo
u ar
e un
able
to
prov
ide
your
ow
n tr
ansp
ort,
hos
pita
l tr
ansp
ort
can
be r
eque
sted
but
48
hour
s no
tice
is r
equi
red.
Pl
ease
spe
ak t
o a
mem
ber
of y
our
heal
th c
are
team
if y
ou
need
tra
nspo
rt. I
f yo
u w
ish
to c
ance
l you
r tr
ansp
ort,
ple
ase
give
as
muc
h no
tice
as p
ossi
ble.
If yo
u ha
ve a
mor
ning
rad
ioth
erap
y ap
poin
tmen
t yo
u w
ould
ne
ed t
o be
rea
dy f
or p
ick
up f
rom
7.0
0 am
onw
ards
. If
you
have
an
afte
rnoo
n ap
poin
tmen
t yo
u ne
ed t
o be
ava
ilabl
e fr
om
12.0
0pm
onw
ards
. We
cann
ot g
ive
an e
xact
pic
k up
tim
e.
28
Am
I en
titl
ed t
o fi
nan
ce h
elp
?If
you
wor
k, it
is a
dvis
able
to
info
rm y
our
empl
oyer
tha
t yo
u m
ay n
eed
up t
o si
x to
nin
e m
onth
s of
f w
ork.
We
know
tha
t th
is w
ill im
pact
upo
n yo
ur h
ouse
hold
inco
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he b
enefi
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enefi
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Your
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Use
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info
rmat
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Let’
s Fa
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n or
gani
satio
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r pe
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with
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gur
emen
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ctiv
ities
, re
sour
ces
and
a ne
wsl
ette
r. It
also
pro
vide
s in
form
atio
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ca
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fl age
mak
e-up
. C
onta
ct 0
1843
833
724
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uk
Ch
ang
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Fac
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urem
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onta
ct 0
300
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w
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ngin
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Mac
mill
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ance
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pp
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rvic
es t
o pa
tient
s an
d ca
rers
. Inc
lude
s be
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Con
tact
080
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00
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Can
cer
Res
earc
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K -
info
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for
patie
nts
and
care
rs.
Con
tact
080
0 80
0 40
40
ww
w.c
ance
rres
earc
h.or
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Can
cer
Bla
ck C
are
- in
form
atio
n an
d su
ppor
t to
all
mem
bers
of
the
com
mun
ity w
ho a
re a
ffec
ted
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ance
r.C
onta
ct 0
20 8
961
4151
w
ww
.can
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lack
care
.org
.uk
NH
S Sm
oki
ng
Hel
p li
ne
Con
tact
030
0 12
3 10
44
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w.n
hs.u
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30
Oth
er h
elp
an
d s
up
po
rtTh
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son
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an C
entr
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JMC
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nts
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es a
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xt t
o C
hem
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Sui
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ften
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a ra
nge
of e
mot
ions
. Man
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Ple
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31
Co
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It is
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gal r
equi
rem
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to h
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gned
con
sent
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m
from
you
bef
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If yo
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en g
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of
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rms,
ple
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e co
mpl
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for
m w
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com
e fo
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ur fi
rst
appo
intm
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If yo
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een
give
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form
, thi
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sed
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yo
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you
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st a
ppoi
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Iden
tifi
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Plea
se n
ote
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gal r
equi
rem
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for
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che
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your
nam
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d de
tails
aga
inst
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r tr
eatm
ent
shee
t ev
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time
you
atte
nd.
Preg
nan
cy/f
ath
erin
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ch
ildFe
mal
e pa
tient
s m
ust
not
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regn
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or b
ecom
e pr
egna
nt
and
mal
e pa
tient
s m
ust
not
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er a
chi
ld d
urin
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hera
py o
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r so
me
mon
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leas
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ink
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hanc
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mal
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Fem
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will
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aske
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ir pr
egna
ncy
stat
us
prio
r to
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ioth
erap
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his
appl
ies
to a
ll w
omen
bet
wee
n th
e ag
es o
f 12
- 5
5 ye
ars.
Thi
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gal r
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