Does someone literally have to touch your breast every day??
Hi. I'm going to need radiation soon, but haven't yet met with a rad onc, and have no idea what to expect. Is there a website somewhere that has photos of what receiving a radiation treatment is like?? I can't even picture it in my head!
I know that there is a radiation oncologist who will be "in charge" of it all, but there are support staff that would be the ones I'd be dealing with day-to-day, right? Does someone have to literally touch/handle your breast, with their hands, EVERY SINGLE TIME? Is it like mammography, where they have to physically position your breast into some machine, every time?
There is only one radiation oncologist where I'm going, and he's male. I am very uncomfortable having men touch my breasts, and I'm wondering how often he himself would have to be touching my breast... and how often it could be a female staff person doing that instead. Or maybe someone only needs to be touching my breast that first day, to find the correct positioning, and that actual touching won't be necessary on subsequent days??
Comments
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http://www.youtube.com/watch?v=bFyPZgRbyvE
My scrub top was off for my rads, arms over my head. I had one male technician, but it really didn't bother me that he was seeing me topless. By the time I got to rads, I could have cared less who saw my boobs.
As for someone touching your breast every time, my answer is "pretty much". Even though your marks line up as they should, your breast tissue may not be where they need it to be.
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Hi, I've only done 7 out of 33 rad treatments, but so far, none of the all female techs have had to touch my breasts. They try to keep my untreated breast covered, as well.
My rad doc is female. The first time I say her, she did a breast exam but the few times I've met with since, she has just "looked" at the breast. The rad nurse also just examines, without touching.
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My therapists were all female. There was a lot of shifting me around but not really TOUCHING my breast. They used a sheet under me to slide me a little one way or the other, sometimes pushed my ribcage or moved my shoulder. Certainly no one ever touched the nipple area. It got so I knew how to settle in place and there was less shifting around. Nothing like as hands on as a mammogram!
Biggest problem was that I was freezing cold. The room was icy. I wore double socks and long pants or long skirts. Nude from the waist up.
You can do this! Just show up and it will happen.
I thought it was very stressful but I survived and now it is just a memory. Good luck.
pam
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You usually lay on your back (occasionally on the front with your boob dangling thro a gap depending on the type of machine). Google radiotherapy and click on images at the top when the results pop up. You'll see a picture of someone lying under a machine.
The staff will need to either draw lines on you or put small tatooed dots so that the machine can align itself correctly. After the first exam by the rad onc no one should need to manhandle your boob unless you have a problem. Mine is a bit sore inside after 25 sessions and the rad onc did prod it abit today.
The staff could be men or women I guess. Mine were women altho there was a male trainee for the last 3 weeks.
I don't think you should be manhandled too much by anyone there....certainly not compared to a followup with the surgeon who usually does a good bit of manhandling in the whole area.
I hope it all goes well and try not to worry too much about it. I know it's easier said than done, but I hope we have reduced your concerns abit.
All the best, Macc
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Your breasts are exposed......you lie on your back. Your knees are usually supported. I was comfortable.
My techs were female , they did not touch my breasts, they did have to shift me around time to time, to make sure your lined up correctly. You hold really still and....then......ZAP! You done.
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Even when it is a male tech, the touch is so impersonal it doesnt matter. They could be touching your shoulder with the same attitude. Just relax as best you can. Pretty soon, this too will be over.
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I agree, the techs are so busy with their patients for the day, you are literally a number. Now, that I remember, I had a male tech maybe for 1 week out of the 5 weeks I was there.
He was excellent! And he didnt have cold hands like the woman...lol.
They are there to do their job, so you can get rid of this cancer. For me, it hasnt mattered male or female. Just as long as your qualified and know what you are doing.
You'll do fine, and it will be over in no time.
Be well.
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My tattoos were done by a male tech and so he had to touch for markings, etc. All the techs for the 33 rads were nurses and they also put me on a sheet and used that if any adjustments were needed on the table. My rad onc is a guy, older gent, and he didn't touch at all but that may because I didn't have any issues with burning/peeling/soreness.
You can do this. When you get your start date don't forget to join your BCo 'Rad {month/yr}' group. It really helps to commisserate with your sisters also going through at the same time. My April '09 group even planned a "virtual" ice-cream party when the last sister finished. How cool is that!
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The techs are so busy that they don't even look at or speak to you--just mutter numbers at each other and tug and pull on the sheet you are lying on (I never did find out why they did that). It's very impersonal, No one ever speaks to you by name or says anything other than "hold still" or "don't move." If I could have taken my boob off and just sent that in the staff would never have noticed it wasn't attached to a human being. You are not a person to the techs, just a body part.
By the way--the techs do not wear name tags. I think it's part of the impersonal atmosphere the rads center tries to create.
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Raili, my experience has been different from those of some of the people here. My clinic is not a very busy one at this time, so the techs are not rushed. They do wear name tags, and they call me by name, and we have time to exchange a little chitchat just before and after each treatment -- just a few sentences, but it's friendly. They always wish me a good day or weekend as I leave.
I lie face-up on a sheet, which they use it to make fine adjustments to my position, so that the radiation hits only the spots it's supposed to hit. Some people get rads in the face-down position. So far, the techs haven't touched my breasts, except for a light touch with a ruler, as they make one last measurement to make sure I'm in the right position. They do keep my other breast covered, and in all ways treat me with respect.
My techs are female, but it won't matter to me if a male shows up some day. I've been through mammograms, ultrasounds, a biopsy, a wire location, injection of radioactive dye, and two surgeries: by now so many people, both male and female, have seen and touched my breast that I am not even slightly "shy"
The treatments themselves are very fast and painless. You'll be surprised just how quickly you are done each day.
Good luck with your treatments. Be sure to join one of the "Month 2010 Rads" threads, so you can help and be helped by others as you go through treatment together.
adrienne
16 rads treatments down, 17 to go
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Thanks for the replies, everyone! theprettiestmess, that YouTube video is very helpful!
I found out that the place I'm going to has 3 female techs and one male, and when my doctor called to set up an appointment for me with the rads onc, she put in my request for only female techs... so I'm assuming the onc (male, and he's the only onc at the hospital) will only have to touch me that first day and then it will be the female techs from then on.
It's not helpful for me to hear that these men touching me will be "no big deal" because it's "so impersonal" to them...I don't care what it feels like to them. Maybe to them, a breast is as impersonal as an elbow, but to me, it's very personal...for reasons I won't get into on a public message board. I know most women don't have a problem with male doctors having to touch their breasts, but I really DO, and it's not because I'm "shy." I'm not seeking information about how to relax when men are touching me, I was seeking information about how frequently a radiation oncologist has to touch a patient's breast so that I can get treated elsewhere if that is what is necessary to avoid being touched by men.
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Raili, I apologize for not being sensitive to your situation. I did not in any way mean to be unhelpful. I'm glad that you were able to put in a request for only female techs.
I don't believe that my rad oncologist touched me on that first day: I think that was all done by my techs, as they drew on me and gave me the tattoos. The techs have never touched my breast since, except with the ruler.
adrienne
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Raili, if your rads center is like mine, your radiation oncologist will do a breast exam once a week during your treatment. I don't know if everyone sees their onco once a week, or if they all do exams each time. After the first "staging," the techs only touch a little of my healthy breast to tape it down under my robe to keep it out of the radiation field. They never touch my radiated breast. My techs are also primarily women.
I'm glad your doctor respected your wishes and requested only female techs. I've found that they are more considerate about keeping your covered than male techs. And if the idea of a male onco touching you will make you uncomfortable, you should definitely seek out a female doctor or ask if it is possible for a female nurse practitioner to perform your exams. You have every right to have care that makes you comfortable and fits your beliefs.
Be well, Sido
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I'm sorry, I misunderstood your question, too. Both of my breasts where uncovered and handled at every treatment. I requested no male technicians, but was told that it "was the luck of the draw" which technicians were assigned to the room and there is no control. The Rad Onc physically examined both breasts once a week. I asked him not to do the unaffected breast, but he said it was standard of care so I had to put up with it. As to how to deal with all this breast handling, I just closed my eyes and cried. I couldn't get used to it. I finally had to ask for a sedative to take an hour before treatment to help get through that part of it.
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Thank you, Adrienne and Sido...
NativeMainer, I'm sorry you had to go through that.
But thank you for telling me that. Sometimes it feels like I'm the only one who is bothered by male doctors touching my breasts and no one understands!
I will have to interview this rad onc extensively before committing to treatment at this place... I wonder if, like Sido suggested, I could have the physical exams performed by a Nurse Practitioner instead. Or, if the rad onc insists he himself must examine my breasts regularly, maybe there's some kind of form I can sign saying that I'm refusing that part of treatment but won't hold him/the facility liable for anything. If there is no way around having him touch me that much, and/or if they won't honor my request for female techs only, then I'll have to decide between taking those sedatives and crying my way through it, or doing the 6 weeks of rads at the affiliated cancer center that would be a 3-hour round trip each way - there are no female oncs closer than that within this hospital network. Neither option would be good. But I'm at a point in my treatment where I really NEED to re-gain more control of who is touching my breasts. I "put up with" having a male doctor do the initial biopsy (because the ultrasound guy lied to me and said there was no female doctor of that type within a 2-hr radius), and when I went for my lumpectomy, a male resident was the one to do the horrible wire localization/dye injection procedure, and no one had told me about him ahead of time, and I put up with it because my only other option at that point would have been to reschedule surgery and emotionally I couldn't handle putting it off any longer.
But now the tumor is out of my body and I'm going to slow down and make careful decisions about who to let touch me/treat me. It's been over 2 months and I still sometimes lie awake in bed having flashbacks of how awful and nauseating it felt to have the male doctor examining my breasts before the biopsy. It's not even memories of the core needle that get to me - it's his hands on me. I'm not going to go through that again.
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I consider gender to be only one factor and a minor one compared to many others, but it is a personal decision. Considering the feelings you are describing, I think you should go to a female doctor. The frequency of breast physical exams may be as little as the initial consult and follow-up after treatment is done, but doing the breast exam is part of the doctor's job. If you have any problems with your breasts during treatment, assessment including a breast exam is necessary. It seems unlikely that you are going to be able to establish a good doctor-patient relationship if you dread having him touch you.
As for the techs the only time they touched my breasts at all was with a marker, not directly. The goal is to define a position for you such that the breast falls in exactly the same position every day once they have you correctly aligned. Alignment involved pushing and nudging the body but not the breasts. If you have very large breasts there may be more need to touch them to get them in the correct position. It is not at all like the process of getting a mammogram.
Most facilities will have a mix of male and female techs and two are involved with your treatment each day. At least one will usually be female and you can ask for that one to do the positioning. That may mean you are sometimes choosing the less experienced or less skilled over a better option.
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Aside from puting marks and lines with markers on my breast and stickers no one Ever touches my breast when I go. I am small breasted though so they don't move around much. Definitely Nothing like the man handling you get for mammograms ~ I HATE those!
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If I remember correctly, the only time my breast was touched was during the markings. I always had male techs and they were young men. They were always very professional and a gown covered the non radiated breast. They always called me by name and even with the language barrier it went very well. They knew some english and along with my limited spanish the time sped by. I actually felt sorry for them having to look at my old lady scarred up breast, but you could tell they were there to help get rid of those cancer cells. The whole procedure took 5 minutes max, except for the initial measuring sessions. I would bring goodies once a week for the staff and patients and the time went very fast. The nearly seven weeks went by very fast. I will pray for you that your time goes by quickly and they make it as comfortable as possible for you. God Bless, Kathy
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Hey Raili!
I was covered the whole time, except for set-up (when they position you and line up your markings). When they positioned me they didn't touch me. The two techs pulled the sheet underneath me to scoot me into place. The only time anyone touched me was when the tape circle came off of one of my sharpie markings in the shower and they had to re-mark me.
If you want to be covered during treatment you should be able to request it. There's no reason why you shouldn't be covered. The rays penetrate through lots of things and they certainly won't be stopped by a sheet or a hospital gown. Besides, it's cold in there!
My techs were very kind and friendly and we chatted every day during set-up. One was a man. I didn't like that at first but by the end I was used to him. I wanted to request all female techs but I was so freaked out in the beginning I forgot to... and then I was afraid I'd hurt my male tech's feelings or something. I know that's dumb.
I'm PMing you about what I wore to treatment. It helped me get through it with less anxiety.
Hang in there, Raili!
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Raili,
I am preparing for radiation treatments, too. I realize my feelings about male docs and techs are different from yours, but I respect your feelings and hear your anxiety. I live in an area where the women I work with are of a faith group different from mine. A co-worker said her husband strongly objected to other men handling her breast during treatment. Caregivers respected his feelings, but I suspect it was because they were of the same faith. Whatever the root cause of your concerns, find someone involved in your care who will listen to you and take you seriously. I'm anxious about the radiation as well, because of the unknown. Your "sisters" care.
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Raili,
I admire your conviction to take back control over who touches you during your treatments. I'm lucky to have all female doctors (by chance, not design), but my rad oncologist just left for Thailand and I'm left with one male colleague who is very nice and another who makes me feel very uncomfortable because he's older and keeps insisting that I'll be "cured" if I have a positive attitude. (But that is a rant for another thread). I feel abandoned and as though I just have no choice over who I see each week now. Then again, I don't feel like I had a choice over anything in my treatment.
Keep standing up for your convictions and putting your needs over what is just convienient.
Be well, Sido
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