December 2011 Rad
Comments
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I hope you are feeling better Michelle. I do not remember if you have any tightness before radiation. I know that they removed your TE, but had you have any problems with your upper arms? The tightness is just on your chest?
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LuvRVing, I never thought about the markers!! They always used the same markers for everyone! Am glad I have had no open areas. Like you I will finish Friday!!
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Ralston - no tightness in my upper arms, just across my chest. And thank you, I'm still pretty sore but it has to get better in a few days. I remember my left upper arm was a little stiff after my BMX but my son's SO is a physical therapist and she helped me loosen it up.
Bgail84 - Thursday...my last treatment is Thursday, woohoo!!! I'll be celebrating on Thursday and I'll do it again for you on Friday!!!
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My PT also helped me with the stifness in my arm, but my upper arm is still numb (they keep saying is because the nerves they cut). I am a little worried that with the rads my arm will get worse. I may bring my own marker
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Ladies, I am so sorry that so many of us are having issues. Geez, this was supposed to be the easy part!!!
As for me, still doing well. Last tx is tomorrow, when I deliver the pumpkin roll to the staff. Never did get around to making fudge......
Skin held up well, no tightness, no LE thank God!
Seems like quite a few of us are done this week, so maybe that warrants a nice big glass of red wine each and every evening in celebration???
HUGS to all
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#23 today, or was it #24?
I'm trying to be more like you gals and feel warm wishes toward the radiation techs (poems and pumpkin rolls?!?) But all I can feel is a numb anger at the whole situation -- and everyone involved in it.
I've gone from being chatty and friendly to the radiation staff to curt and monosyllabic. I can't get away from them or out of there fast enough. So I admire you gals with the better attitudes.
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Windlass: I am totally there... I was just telling my DH that I am tired of everybody looking at my breast and the tecs look like "mechanics"... I felt terrible for saying that, but making jokes while I am naked (even if it is a foob) is a big no for me... Maybe, I also feel unconfortable around men, I feel better around my female nurses... Sorry, this is the way I feel.
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I'm with you guys. The techs ask me how my morning is going and I say fine. They ask how the weather is outside and I say comfortable. I am typically chatty and cracking jokes all the time, but now I feel like I just want to get in and out. I know they mean well, but after dealing with BC for almost 8 months I'm kinda burnt out. My techs are both men and women, but they are all young. If any of them were over 30 I'd be surprised.
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I too am ready to finish; however, I have had great techs who seem to really care. Am so glad they are a good group of people. I am one of those who will be taking a treat to them as a "thank you."
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My techs are all really nice, too. I have one who is well into his 40's, the females all seem to be late 20's. I've probably had 8 different ones over the six weeks...so I'm not bringing food. Plus I have one of the last appts of the day so they are ready to go home when they are done with me.
They'll remember me, though, as the paranoid lady who brought up the issue of using markers on more than one person. My RO and nurse both raised their eyebrows today and said "you've got a very good point." There will likely be a process change at Dana Farber because I brought this up. I guess that is my gift - perhaps making it safer for the patients that follow me.
Two more and I'm done!
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michelle, the radiation therapist came at me today with a marker and i said, 'wait. have you used that on other people?' the look on his face was total shock and he didn't answer for a few seconds and then he said, 'yes.' his face was beet red. i asked him if he could use a new one and he said he would use alcohol on it which he tried to do, but i think he messed up the pen with the alcohol so he left the radiation room and came back with a brand new pen. so your 'gift' reached all the way down to oklahoma!
i have one male therapist who comes out to get me and stands there with his arm out like he's going to walk me down the aisle, and we walk all the way to the back with me holding his arm. it's such a sweet gesture. all of the radiology people are wonderful at my clinic, thank goodness. i couldn't continue doing this to myself if they were rude or unkind.
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YaYa - that is awesome! By the way, if your skin is broken, that alcohol will sting. New pen or bring your own, that is my advice for everyone!!! Glad to help! I love that the tech walks you down the aisle, that's awesome!!!
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michelle, as i recall, you have only TWO treatments left. is that right?? i'm sure i'll hear you celebrating all the way down here!!
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Two it is!!!!!!!!!!!!!!!!!!!!!!!!!!!!
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Tomorrow is my last tx!!!! What a long strange trip it has been.
I am so sorry for the bad experiences some of you are having, and I am SO grateful that my radiation journey has been so uneventful. I had a bad time with chemo and this truly was a walk in the park for me in comparison. I really don't mean to downplay anyone else's negative experiences, I just have to be honest and say that I was blessed with skin that held up and all female techs (all 4 of them that rotated), and a great (but young!) RO. I asked the techs this morning about the pen stuff and they said that when they get a patient with open skin issues they get a new pen, put the patient's name on it, and then keep it for just that patient.
So, pumpkin roll it is. And I will get to ring the bell, and will be giving hugs to anyone who will accept one. Thank you, ladies, for the continued support. I don't know how I would have done this all without each and every one of you.
HUGS....
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Congrats, Shelley! Time to kick up your heels and celebrate!!!
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congratulations, shelley!!! have a wonderful day tomorrow.
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Michelle: Hopefuly you are feeling better. Could you ask Dr. Harris if he can point us to some data about the benefits to boost the scar after mastectomy? I have researched for days without any luck. Any help you can provide is greatly appreciated. Thank you~
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Ralston - I see you're posting on the Jan rads group too, where I am because I start next week. I'm interested in this discussion about boost to the scar. I already asked RO whether it is valid since my scar has been revised twice with TE removals. He said he'd check my operative reports and pathology again. With no tumor after complete response to chemo and with a revised scar, what's to aim at for the boost? My incision line is curvy and bumpy now that PS gathered up the expanded skin to benefit later reconstruction. I wonder what boosts (or even the other rads) will do to the wrinkles and creases PS left on my skin. RO indicated that skin against skin will cause intensifying of the radiation.
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Maybe my sick-of-it-all attitude comes from the fact that I've been dealing with breast cancer since January of last year, and have been in continual treatment ever since -- with six more months to go. Radiation feels like just more heavy straws being piled on the camel's back.
I shouldn't complain, really, since the radiation itself has been pretty easy on my body, aside from extreme fatigue and hellacious neck and shoulder pain. (Hmm, maybe it is not so easy, now that I think about it.)
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Ladies - I saw Dr. Harris last night, and I am not scheduled to see him again until June. However, he is very good at responding to email. So I will pose your question to him and let you know when he responds.
I did find this, which may answer your question and may be the basis for Harris's opinion:
http://abcnews.go.com/Health/OnCallPlusTreatment/story?id=3791844&page=1
The article quotes an assistant professor from Harvard, and Harris is on faculty at Harvard, so I suspect that would explain the use of boosts.
The other thing to keep in mind is that my particular breast cancer was especially virulent. He may be "throwing the book" at me.
I'll let you know what I find out.
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Hi ladies, although i am very far away from rads, just had my 3rd AC last week, to be followed by 12 taxol, I was drawn to this thread today.
I want to congratulate and wish the best to all of you who have almost or completed your treatments and wish you healing and health.
I noticed that at least 2 of you, Michelle and AnnAlive had your TEs removed prior to rads. May I ask if that was at the request of your RO? I do not intend on completing reconstruction and am hoping that removal prior to radiation is possible, but am concerned that the effects of chemo would greatly reduce healing. I am also concerned that the TEs would interfere with rads.
I also wanted to ask how far in advance did most begin meeting with potential ROs?
Thank you for listening ladies, and take good care,
Hugs, Laura -
Hi everyone - I am DONE!
I had my last treatment today. After 11 months of continous treatment including neoadjunct chemo, surgery, more chemo, and then radiation, I am finished.
However, followup appointments start tommorrow. While I may be done, I have a doc appointment every day for the next two weeks so as far as I can tell - business as usual. At some point I know that the never ending appointments will stop and then I need to start thinking about life after this.
But, I get to say WOO-HOO!
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pebee, CONGRATULATIONS!! must be an awesome feeling!
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CONGRATULATIONS Pebee !!!!!!!!
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I'll second that, Pebee! Woohoo, indeed!!!!!!!!
Laura - yes, my RO requested that my left TE be removed and I figured if one was going, they both were going. I hated them and plan to have DIEP reconstruction later this year, so I didn't mind at all. The surgery was very easy and I had no problem healing even though I had finished chemo just four weeks earlier and I am diabetic. As a matter of fact, I never even took a Tylenol once I left the hospital one hour after being moved from recovery.
I highly recommend having them removed before radiation if you're planning on not completing reconstruction. Everything I read about TEs and radiation made me believe that unless they are totally filled in a way that would prevent the solution from moving around, it would be difficult to get consistent measurements. Think about a water balloon and how it changes shape depending on how you hold it. After I read about this issue, I was angry that I let myself be talked into TEs at all. And I was relieved when the RO told me that the left one "had to go."
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pebee, I am done too!!!!!! last one was this morning.
The planned 'graduation ceremony" was me reading a poem and then getting to ring a bell.
Thought you might all like to see the words:
"Surrounded here by family and friends
One journey has ended, another begins
I ring this bell for wounds now mended
For those who listen, my story I tell
I celebrate life by ringing this bell".
Of course I cried, but they were certainly good tears!!!
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Congratulations Pebee and Shelley2011!!! What an awesome feeling that must be. Love your poem Shelley!
My RO is STILL out of the country! Maybe he's not coming back! Mind you, he has to be at least 75...so maybe he's decided to retire!! LOL -
Pebee, that's fabulous! Congratulations to you and Shelley too.
Laura - The idea of having TEs before radiation is that because expansion isn't possible (or is difficult) after rads, completing it before rads permits expansion that can lead to exchange to implants several months after completion of rads. The TE on the rads side is purposely filled more than the other side to allow for some shrinkage caused by rads. It is a first step in reconstruction that allows a filled look during the months of waiting for implants. I was going that route until my TE on the rads-to-be side became infected (skin turned pink) and was replaced with a new one by my PS. Three weeks later I appeared to be back on track, but a fill caused a new flare-up of pink skin, leading to removal of the TE, with no replacement. I had 2 months of oral and IV antibiotics through all that. My opinion is that it was the same infection all along, and wouldn't respond to antibiotics with a TE still in there!
To answer your question, No, my RO didn't request removal. He wasn't consulted on it and it was all over before I returned to him. I had my first consult with the RO three weeks after BMX & TEs, before my TE troubles began. So, you see, all of this has caused my rads to be greatly delayed to about 3.5 months after BMX. RO says it will still be effective. Also, supposedly the presence of TEs does not interfere with rads, and it is being done more now (my friend breezed through chemo and rads with TEs in place, and went on to successful exchange). But of course, if you plan not to have any reconstruction, the surgery will heal better with skin that has not been irradiated, so it sounds like a good idea for you to consider having them removed. (I'm no expert; everthing I have said is what I picked up listening to my PS.) I still have my other TE because it has caused no trouble and my PS said the expanded skin will be useful in future reconstruction (I'm hoping for bilateral DIEP). So I'll be lopsided for a long while. If this TE causes any trouble, out it goes.
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I got an answer back from Dr. Harris at Dana Farber concerning boosts to the mastectomy scar area:
"It is correct that we don't have level I evidence for the use of a boost in mastectomy patients. As noted, we do have strong evidence for a boost after lumpectomy. I tend to use the boost in 'high risk' post-mastectomy patients or patients with recurrence."
I am definitely a high risk patient with a recurrence, so that explains my boosts!
Shelley - your graduation poem is beautiful!
No bell-ringing or "ceremony" at Dana Farber. I'm really OK with that. When I finished Mammosite last year, the techs played "Pomp and Circumstance" and presented me with a diploma signed by all of them. Having now done traditional radiation in addition to brachytherapy, I now have earned my "Masters" in Radiation Therapy...LOL!
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