May 2011 Radiation
Comments
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I figured for sure it has to be different strengths - I started the same day as TonLee, but only 20 total treatments including 6 boosts. Did 14 regular treatments (2 zaps) to just the breast and had the 3rd boost today (takes only seconds). Only have 3 boosts to go. So far I have no side effects, no redness, no soreness, no blisters, no tiredness, notta (not that I'm complaining). But I also have no healing wounds either. My surgery was in November, lumpectomy, maybe a one inch scar that healed WAY before chemo or radiation. It has to make a difference.
Also, in our local paper on Sunday was an article about a medicine called Aromasin for post menapausal women (I don't fall into that category) but wondered if anyone has heard of it. Says it has fewer side effects than other meds like Arimidex, etc. The article goes on to say that they figured out that if they radiate the whole arm pit when it's spread to the lymph nodes that it "significantly lowered the chances that the cancer would come back."
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I get 4 zaps, I need to take the time tomorrow
But how can you determine where they hit??
I would assume my boosts goes to my armpit, since I had the most lumps there.
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MaggieMc2, ouchy! I had shingles as a kid and it's very unpleasent.
Yes, the treatment SEs are crazy! Anyone else having dry eyes? Hot flashes awaken me every night, but now I have trouble prying opening my eyes, and they're bright red in the morning. My RO suggested eye moisturizing drops, but didn't relate it to BC treatment. Then I had my teeth cleaned, and the oral hygienist asked if I was experiencing dry mouth as a SE of radiation. No, but I told her about the dry eyes and she said it makes sense - salivary glands can dry up during radiation, making the patient more prone to cavities, so why not the eyes? I need to buy those drops.
Then there's the nauseau. My RO believes it's caused by the constant stress to the body from the radiation. She suggested Pepcid AC, which has been working - yeah! I also have an itchy rash on my chest. 1% hydrocortisone cream did not quell the itch, so now I'm trying Benadryl gel.
I am profoundly tired, which makes me irritable and snappy. Usually at the people I love the most, simply by virtue of proximity. Arghh.
My breast hurts, inside and out. I wonder why I saved it? If this is the new "quality" of life, should have had a masectomy?
OK, I'm off the pity pot.
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I have the same major areas as TonLee - chest wall, skin, axilla, and super clav. BUT, my radiation was intensity-modulated (IMRT), so I was on the table for about 20 minutes - about 92 zaps from a variety of positions, none of them lasting more than 3 seconds. Yes, I did count all of them once, but I always fell asleep on subsequent attempts to count!
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Hi Ladies! I've been off the site for a week and there's so much reading to catch up with.
The treatment SEs are really crazy. Anyone else having dry eyes? Hot flashes awaken me every night, but now I have trouble prying opening my eyes, and they're bright red in the morning. My RO suggested eye moisturizing drops, but didn't relate it to BC treatment. Then I had my teeth cleaned, and the oral hygienist asked if I was experiencing dry mouth as a SE of radiation. I told her about the dry eyes and she said it makes sense - salivary glands can dry up during radiation, making the patient more prone to cavities, so why not the eyes? I need to buy those drops.
Following up on my earlier posts re nauseau: My RO believes it's caused by the constant stress to the body from the radiation. She suggested Pepcid AC, which has been working - yeah!
I also have an itchy, blistering rash on my chest. 1% hydrocortisone cream did not quell the itch, so now I'm trying Benadryl gel. My breast remains pink throughout the day but usually returns to normal color the next morning. All structural garments are really iritating me now so I've given up on them. Just cotton tees and hoodies now.
I am profoundly tired in the late afternoon/evening, which makes me irritable and snappy. Usually at the people I love the most, simply by virtue of proximity. I have been apologizing to my family a lot lately! I therefore try to be productive in the a.m., before I crash. Nothing as vigorous as some of you gals, but I am walking/jogging my little terriers at the Rose Bowl after my 9:30 a.m. treatements.
My MO is waiting until I complete radiation before starting me on Tamoxifin. If I recall correctly, his reasoning was simply that he did not want to overwhelm me.
The radiation patients at my facility are scheduled so that I rarely see anyone else besides the next one after me, but I have occasionally seen other patients. Most are significantly older women (I'm 50). And no staff "eye candy" anywhere! But very lovely, kind caregivers. I can see that I'm lucky for that.
I hope you are all doing as well as possible! I am very glad to have your company.(I have no idea why part of this post is showing up in italicized font (at least on my laptop) but I can't correct that.)
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17/30 down and bupkis again on the scratcher!
TonLee: I've not counted the seconds per se, but I have to hold my breath for treatment since it's my left side so my heart stays out of the field. They shoot me from two positions...and we break each into two breath hold sessions each. First is over my right shoulder at about 1:30 or 2:00 position shooting through the inner part of my left breast. I think the total time on that based on the breath hold countdown is like 20 seconds. Second is behind my field of vision on my left but seems to be at about 8:00 position coming up through the left breast side. That would seem to be about 15 seconds. All the sessions click on and off while the machine changes the shape of the beam and I'm busy focusing on the countdown to when I get to breath again, so I'm not sure of the time!
I'm holding up well. I do have the fatigue...but my skin is doing pretty decent. Pink and swollen after the session but it recovers overnight. I can see the tan line although it's not sharply drawn as yet.
Congrats to slg2130!
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Brenilea~ I had pain, burning etc, on skin surface and sometimes underneath, like a knife jabbing from the inside. The skin hurting I figured out on me was the skin getting tighter and tighter, until this last Sunday when it opened. It seems to have skin already growing underneath in most places except right where the SNB scar is.
My rads were whole breast, super clav and something else, can't remember. The machine was at nine oclock and in my face for about a 30 second zap, then just off of twelve oclock for another 30 seconds, then the darn thing disappeared, maybe 5 oclock or so for another 30 second zap. Sometimes I would start to think they forgot to turn it off....
As for Rads isn't as bad as chemo, I beg to differ too. It kicked my exhausted ass....At least with chemo I was so out of it nothing else mattered, but since I've got all my brain while in rads it likes to mess with me.....lol
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Does anyone have any idea what the exercises are for your arm and lumpectomy side? It's starting to really hurt when I raise my arm over my head. I've heard there are exercises you can do, but I can't find any information on them. My onc is on vacation for another 2 wks. His replacement didn't want to recommend anything.
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Guess it doesn't pay to open ypor mouth. Said just days ago never had trouble with the machine. ........only 4 to go, and got the friggin call this morning that the machine is down..i am so pissed...........almost there and everything goes to shit........told about the extra Rads, got over that...........the f/n lymphedema, and wrapping everyday 2 times a day, and now this news.....when the hell does this shit end, when they close the "lid" I guess. oh well....now where the hell did I put my "big girl panties"
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cb - I found if I copy and paste something it turns grey and italic...
After treatment (#7) yesterday I was nauseous and they gave me a pill to help with it right then and there - if it happens again I guess it will be time to ask what to take... I think it is the xanax I'm taking just before treatment.
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TonLee: I was thinking of you (do you feel special?) and your question about reactions and treatment plans. I wonder if where your tumor is makes a difference. Mine was at the chest wall (eek!) so nowhere near my skin. I've never seen a bolus and only have heard of it here (don't particularly understand it) so I suspect there is a difference in treatment if the mass is near the skin surface??
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Achpurple, It's the last two zaps that seem to be the most draining for me. I can literally feel my energy melt out of me onto the floor.....lol Today the techs commented on how well my skin is holding up..and I think they jinked me!! Now I'm red...but not too bad.
I also read about Aromasin, and my RO said the 5 year study out of Canada about rads is important because up until now it really was all about local recurrence statistically....he said women who have their underarm radiated (any with positive nodes) have a 35% LESS chance of mets as opposed to women who forgo rads. Said the study showed that...I haven't looked at it yet.
Slg, 92 zaps WHOA! My machine is REALLY loud so my ears are ringing when the zaps are done.
CB, I have dry eyes really bad right now...thanks for that info!
Tina, I'm glad your skin is holding up...though I hate to even put that out there...I've forgotten
my scratchers the last two days, so I am going to dig them out and do them in a little while....went to the gym today and lifted....I swear I've gained 2 pounds since upping my calories on rads....lol Oh well, it's prob the Tamoxifen.And yes I feel special, yes I do...buwhahahha. My bolus looks like KY Jelly and is placed in
a clear plastic "bag."It sits over the skin where I had a close margin and "tricks" the radiation into thinking my skin starts higher there, so it disperses sooner and treats the skin...otherwise it doesn't disperse until it goes beneath the skin.
I also get the full chest wall tx even though it wasn't close to the chest wall. The RO said he's aggressive with rads on the chest wall because it is so hard to "see" if it comes back there. I had a skin sparing MX, but my muscle is still there....he doesn't want it to come back in the muscle.
Sagina...today the RO told me I'm getting the max amount of radiation he can give...and in my cancer center right now there are only three BC patients getting this much rads...Not that it's a competition....I'm just amazed I ever thought we all got the same tx. Though I admit I wasn't looking too much at that aspect when reading....lol
Ducky, so sorry your machine is down today. I know it sucks..I have the calendar all marked up..and when they cancel it screws it!! Hang in there, you're almost done!!
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TonLee - my RO mentioned the study to me on Monday - said it just came out over the weekend. It wasn't due to finish for a while yet, but the results were so overwhelming that it was released early.
rohanna - if your arm is already stiff, the best exercise is to stand facing a wall and "walk" your fingers up the wall until your arms are all the way up. I also lay on a foam roller, lift my arms straight up and drop them to the side; then go about 45 degrees; then straight up.
Ducky - TOTALLY get your frustration. I told me techs that if any surprises came up the last week, I wasn't coming in. Doc would just have to be happy with what he gave me to that point! Of course, my husband would probably argue with me about that!

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i got simulated and marked for boosts today. i am on 23/33 today. boy let me tell ya, only this week did the skin start burning and red and my energy level is completely zapped. i started back to work yesterday. today when i went in i felt like i was going to fall over... then i started sweating and my chest is all irritated now. thank goodness i am only working 4-6 hours a day. they are being pretty lenient with me through the rest of rads....
i got a scrip for silvadene today...... hope it helps!!
having a beer, then going to take a nap!!!!-- Angel
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A cold beer sounds so good right now.....
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Had my 19/30 today and had myself believing it was Friday. I wished the techs a fine weekend and joyfully skipped to my car before I realized it was Thursday . . . oops. I woke up knowing it's Thursday, what the heck happened to my brain???
GmaFoley, I've had nauseau since the first week of radiation. Pepcid AC is working pretty well for me. It's available over the counter, perhaps you may give it a try? I hope you feel better!
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CB : Today went well, think the routine they are setting up for me will work… I think its the xanax I take before treatment is what is causing the nausea but I'm going to test my theory tomorrow by not taking the xanax (I have to drive myself tomorrow).
I do have THE RASH at #8.. today was doctor day so the RO gave me the hydrocortisone cream to use morning and night with the Xclair and aquaphor… I also asked about my hot flashes I am starting to get and he suggested only 400mg of vitamin E a day - something about- IF its going to work, it will work with that dosage not to take any more than that. We ARE all fighters, Its just a big bump in the road...we can do it!!!
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I only receive three zaps, but my upper chest is quite red. After my next rad, I start eight boosts and they are below the area which is stop sign red, so I am hoping that my skin can start to heal. I did not experience the fatigue during rads that some have, so my dose may have been lower. However, I had chemo and double mastectomy before rads. The MRI I had after my mastectomy showed no evidence of the cancer. I looked at radiation as more of an insurance that all the cancer cells had left town. I wanted to throw everything at cancer so I do not have to go down this road again.
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TonLee - very interesting concept about the different doses. I hadn't thought of that, but it makes perfect sense. Sorry to hear you're getting the max, but also sounds like your RO is up to speed and looking out for your long-term best interests.
FWIW - my target area for the whole breast radiation was a triangle over my breast - short side is about 10" right down my breastbone with the two long sides meeting on my back behind my armpit. When they did the whole breast treatments, they did two "zaps". One was from the side and above and the other from below. It was as if the beam was going to the same place, but different directions if that makes sense.
From what we've all shared, I expect the centers we're going to have different types of equipment.
My RO's nurse told me that amount of skin reaction depends on a combination of skin type and amount of surface being treated. Fair skin doesn't necessarily have more reaction. The more surface in the field, the greater the reaction.
I read someplace that the reason you shouldn't put lotions or creams on within 2 hours of treatment is that if you do, the unabsorbed cream can act like a bolus, directing the beam closer to the surface of your skin. Talk about precision.
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brenilea - My Rad tech told me not to lose more than a pound a week while having treatments. It was something to do with the muscle and the fat...seriously...I said okay dont go on a diet and she said absolutely NOT. Not now. diane
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Cb451- I just read your post about walking your terriers around the Rose Bowl after your treatment. My daughter lives very close to the Rose Bowl. We are going out there at the end of the month and plan to walk her maltipoo,, along with our new grand baby, around there. I'll definitely be looking for two terriers walking/jogging with their owner.
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Edwards,
The reason losing weight during chemo and rads is bad (generally) is because your body needs extra protein to repair the good cells damaged during txs. If it can't get it from the food you eat, then it takes it from muscle. Protein is the building block of all cellular repair so we feed it to our bodies through food, or our body compromises healthy muscles to repair damaged cells.
Even women who are over-weight and in tx. If they are losing weight it's not fat they're losing, it's mostly muscle..which means when txs are over, they will burn even less metabolic calories than before (unless they do some serious resistance/weight training to regain that lost muscle), add age, chemopause, Tamox/AI on top of it..and you have a prescription for significant weight gain.
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Today was the first day the machine was down for me. I only have 6 more to go. That means I will finish next Friday instead of Thursday. My whole breast area is bright red, but it doesn't hurt yet. Under the arm is blackened and kind of gross, but so numb from the axillary node dissection, that I can't feel that either. I am really tired, but it's June and every day one of my four kids has a graduation or a recital or something or other, and I have not been able to rest, even on the weekends. This is the last weekend of insanity for my house. (6 soccer games, 2 dance recitals, 1 birthday party, and a partridge in a pear tree....). Next weekend rads better be done! No more machine breakdowns will be tolerated. I plan on a very big margarita and a lot of sleep.
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Well the machine did stay down all day. It was a part, and they actually had to wait for it........I told my kids....;when I wanted off Memorial weekend and not do Friday before, I got shit for it, and was told........no 4 days off in a row.............well if this friggin machine isn't fixed tomorrow if I count right Thursday to MOnday is 4 days, but I guess its ok when they need the days.............said if I have to I will tell them to forget the final 4..........I'm tired of all the bullshit.
On the upside my son bought me 3 more lottery tickets, and I won $40.00. Guess the whole day wasn't a loss...................hugs to all whose machines breakdown.
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Ok, so I've consistently been losing a significant amount of weight through the BC process...to the tune of 49lbs since diagnosis. I can honestly say that I'm not trying. It's just falling off. Mostly due to terrible diarrhea. I expected to have gained 5lbs at TCH #6 today, but I lost 3lbs.
I really don't see me staying within 1lb of my starting weight through 6 weeks of rads.
And bulking up on protein would seem to be a recipe for weight loss. If most of your diet comes from lean protein and fruits/veggies - well, that's a recipe for weightloss.
I'm eating better than I have in my entire LIFE. So it makes sense that I would be losing big weight. -
Holy cow I feel like a radiation overachiever! My tx consists of 5 different machine positions, but I'm getting the whole breast, supra clavicle and axilla treated. I think I get zapped about 12 times with the longest being about 20 seconds. I had #12 today and it feels like I have razor burn, but no redness, peeling or swelling. I've been putting the aloe in the refrigerator and then putting it on. Oh my ...it feels so good

I was very happy to read the information about the new Canadian study for those of us in the "gray" area for rads. My MO said MD Anderson has also recently published a paper regarding rads after BMX with patients having 1-3 positive nodes. Same conclusion ....lots fewer recurrences!
Tammy -
I was told not to lose weight for the simple reason that it would change my breast too much and they would need to re-scan me and re-do the plan for the rads. I have a good 25 pounds that I need to take off, but I'm holding off getting serious about that until July 6th.
My treatment consists of 4 zaps in each of two positions of the machine -- both through the breast from above at about the 2 o'clock position and then below from about the 8 o'clock position. The first zap in each position is about 10 seconds and then the next three zaps in each position are only 1 second each. Tomorrow I'll be half way through. I have some pinkness and tenderness, but so far so good.
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MaggieMc2, it would be delightful to meet up with you at the Rose Bowl! Just let me know when you plan to walk and I will do my best to rendezvous. ;-)
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Howdy everyone,
I finished my radiation treatments on May 26th...and now on June 8th, my skin looks worse then it ever has...I have developed quite a rash....strange...I was fine until now. Hopefully it goes away soon. I wonder if this is normal?
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JulieH-my treatment sounds llike yours except the zaps are two at each position but are about 25 seconds . I confuses me why everyones plan always seems so different. Tho, i am happy that we aren't all treating with a standard, since no one's cancer is exactly the same.
happy friday everyone!
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