June 2012 Radiation Rads

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  • lmlola59
    lmlola59 Member Posts: 146
    edited May 2012

    Morning ladies,

    Nancy HB Thanks for the tip on the tanks may add some as they will be much cooler, have to see what colors I don't already have.

    I have an appointment today for a recheck of the scans I had done 2 weeks ago and begin rads tomorrow this may be because I am going to a different place then where I had the  original scans.I tried to get it started on Monday but apparently for what ever reason it takes them that long to set things up according to the scans.Or at least that is what they told me.I also read on line somewhere that they like to start 3 days first then the weekend break,so maybe that is really what is going on here.

    Denise have not yet ordered the Emu Oil think I will try to do this today and check out Amazon.Thanks for the tip.

    Planning on opening the pool this weekend and I am sure they will say no pool that is why I am not asking.I figure I am smart enough to know if I have more than slight sunburn feel not to put that part of my body in and to also make sure it doesn't get exposed to the sun.Also think If you wash off the chlorine immediately after should be OK.We will see.

    The chemo brain must be clearing not as many spelling errors Sealed 

    I will keep posted of how everything goes  

    Great day to all 

  • Goodie
    Goodie Member Posts: 244
    edited May 2012

    Imlola - I finally start tomorrow too.  I had to be rescanned and then RO had to make change to plan so she wouldn't hit my lung.  I didn't think I was nervous but I've been waiting for over two weeks to start!

  • Jennt28
    Jennt28 Member Posts: 2,021
    edited May 2012

    Goodie - lucky they are able to avoid your lung...



    My RO has said because I need axilla rads there's no way of avoiding my lung. She thinks about 5% of it will end up in the field. I got the impression that she thinks I may end up with pneumonitis :-(



    I'm 46yrs and the thought of permanent lung damage sucks...



    Jenn

  • Goodie
    Goodie Member Posts: 244
    edited May 2012

    Jenn - I will know more tomorrow about her actual plan.  I think she said she will be radiating more of my arm pit to try to avoid the lung so I might have more damage there.  I hope that is true.  I hope it doesn't affect your lungs too much!  I'm 47 years old now too (was 46 at diagnosis) and the thought of permanent lung damage is a bit scary.  Actually all of this treatment is scary if you think about it.  So, I don't and I focus on being treated!

    Lisa

  • lmlola59
    lmlola59 Member Posts: 146
    edited May 2012

    Goodie wishing you the best tommorow and please try not be too nervous.I also am starting to feel a bit nervous but there is no turning back now. 

  • mckenna
    mckenna Member Posts: 413
    edited May 2012

    just popping in from the may rads thread. a couple of the april ladies chimed in on our thread and it was very kind and helpful, so i thougth i would repay the favor. i am only 7 days in but so far things have been manageable.  my ro gave me my creams and scripts the first day of radiation.  i did not have chemo prior to rads but i can tell you simulation day was very emotional for me.  i cried the whole way home from the appointment.  nothing happened that i was not prepared for, i think it just all hit me at once.  other ladies have said similar things but some think it was not too bad.  just wanted to prepare just in case you get emotional too ;) good luck to you all and i hope the next couple of months pass quickly for you.

  • Goodie
    Goodie Member Posts: 244
    edited May 2012

    Thanks mckenna!  I do seem more emotional since my surgery.  I cry very easily lately.

    Imlola - good luck to you tomorrow too! 

  • Momof2inME
    Momof2inME Member Posts: 683
    edited May 2012

    lmlola & Goodie: Good luck to both of you tomorrow!!!

  • NancyHB
    NancyHB Member Posts: 1,512
    edited May 2012

    So I am not the only one having horrific hot flashes/night sweats?  I haven't made it longer that two or three hours on any given night in the last several weeks without waking up multiple times.  It's as if my body knows what's coming and wakes me up just at the flash starts to hit.  I have fondly taken to referring to them as "Mildred, you b*tch."  I can't abide clothing.  Anything I wear just ends up wet, anyway.

    Good luck tomorrow, Goodie and lmlola59.  I'll be thinking good thoughts for both of you!

  • Bonseye
    Bonseye Member Posts: 193
    edited May 2012

    I go this Thursday to my RO.  I met her a few months ago but was told to come back after chemo and surgery....time to start the planning.  Not sure what to expect.  I am very nervous as I know you have to lie perfectly still.  I am an MRI tech and remember lying on my belly and having trouble breathing and my friend telling me that my 'boobs were bouncing"  I am going to have to make sure I don't move a muscle but it is scarey to me.  I figure after 5 months of chemo and a BMX and then a TRAM this should be a piece of cake??  I hope.......I am suppose to start the beginning of June.  Will check in.....

  • Goodie
    Goodie Member Posts: 244
    edited May 2012

    One down.  27 more to go!  It wasn't bad at all.  I just had to lay still for like 45 straight minutes to get everything all set up.  They said it will be much quicker from here on out!  And I got my regular appointment time to be 8 a.m.  I am thrilled.  I can be the first appointment and have the rest of the day uninterupted.  The nurse also recommended Miaderm and/or California Baby calendula cream.  I bought them both. 

  • Jennt28
    Jennt28 Member Posts: 2,021
    edited May 2012

    Goodie - you're on the way to the end :-)



    Sorry I'm a bit late remembering this... When I was reading one of the rads subjects a few months ago someone made a really valid point. When/If they're marking you with pens ask them how many people have they used that one pen on before you! Ew! Think about it - that pen may have been used on someone with a skin infection! Ask them to only use a new pen on you.



    Jenn

  • mamawells
    mamawells Member Posts: 8
    edited May 2012

    I am starting Rad on June 4th -- had the tattoos and measuring yesterday -- no one said anything at all to me about deodorant or creams -- I love this site and I'm learning a lot.  THANK YOU!  Will be staying in touch -- comforting to go through this with others xoxoxo

  • mamawells
    mamawells Member Posts: 8
    edited May 2012

    I have been taking letrozole for almost 2 weeks now and will start radiation on June 4th

  • lmlola59
    lmlola59 Member Posts: 146
    edited May 2012

    Goodie so glad everything went smoothly

    Had first rad yesterday also only I got stuck with 1130 yuk.I told them as I am not yet back to work that I wanted 900 or 930 since I am still not on a very early schedule since chemo. Don't get up till 6 then read this board to wake up before I exercise,then shower and have breakfast and it is a 1/2 hr ride to the clinic so thought that would be good to start.I did get on a waiting list as she said they have people finishing every week.

    I arrived about 1125 scanned in put on the johnny and they came to get me pretty much right on time.I was out of there before 12 even after changing back and they wanted me to meet with the nurse.It is the same one I just met with 2 weeks ago an we went over everything already so I was right out.I will have to meet with the nurse once a week and the doctor once a week plus have a scan each week so this will also take a bit more time.

    Pretty uneventfull right now,just lay down they position me and measure with a small ruler according to Tuesdays stats and off we go.The actual rads is under 2 minutes I believe.If I didn't see it on the side of me I would think nothing at all is happening.I am sure I will feel different when I begin to turn pink.I did use the Aloe 3 times yesterday even though they told me to wait and see.

    Has anyone else been told not to take any vitamins or supplements during this process? 

    Today I have to go earlier as I have a gyno appointment at 12 to see if all is well in that region before Tamox YIPEE 

    Great day all 

  • NancyHB
    NancyHB Member Posts: 1,512
    edited May 2012

    Jenn - I can't remember if it was on this board or another, but you mentioned something about "Canadian 16" - can you explain that?  I'm trying to gather information as I get ready to meet with the RO for planning next Tuesday and would like a few potential options in my arsenal.  I'm unhappy that they didn't offer me the chance at brachytherapy and plan to ask why.  I wish I knew way back then all that I know now so I would have known what questions to ask - and how to advocat for myself.

    Thanks!

  • Jennt28
    Jennt28 Member Posts: 2,021
    edited May 2012

    I'll hunt out my piece of paper with the details on it (how many Gy etc) in the morning Nancy and put them on here for you. It's pretty much the standard in Canada which is why you see most of them only doing 16days or 25days (with the boost).



    Jenn

  • Denise-G
    Denise-G Member Posts: 1,777
    edited May 2012

    Goodie - so glad your first rad went so well.  Thanks for sharing.  Helps the fear!

    lmlola59 - thanks so much for sharing your experience.  It helped me today!

    mckenna - thanks for popping in and telling us your experience.  I so much appreciate it.

    I had my mapping session today - start rads June 11th.  Mapping and CT was easy, breezy, and

    quick.  I was in and out in less than 35 minutes.  RO and Nurse were great.  Had no problem lying still,

    put 2 cough drops in my mouth so I wouldn't cough, and all was well.   I know she did 3 tats, but I haven't seen them yet.  Must be really tiny.   They gave me a list of creams and info answered any questions, and I was out the door and relieved!  It was 90% better than I had imagined.  

  • Momof2inME
    Momof2inME Member Posts: 683
    edited May 2012

    Yes thank youn lmlola for sharing your experience. it really does help to hear from others.

    Thank you Denise for sharing as well. I haven't really thought much about the tattoos. Did it hurt? That is something I'm not looking forward to.

    Jenn thanks for the info about the pen. Never thought about that. Ewww.

  • Denise-G
    Denise-G Member Posts: 1,777
    edited May 2012

    Heck, pain from tattoos was about 3 seconds. 

  • Nel138281
    Nel138281 Member Posts: 2,124
    edited May 2012

    Hi All,

    New to this thread.  Wonderful info above.  I have my mapping 5/30 and then will get my schedule fofr 30 rads.  Anxious to have it begin and over.  The journey has been long.  I had my last chemo on May 18th and was told I would have to wait at least two weeks bfore RO would begin rads, so I am hoping June 4th.  We will see. 

    I will be receiving Herceptin  every 3 weeks , so twice during rads.  Has anyone else.  I had herceptin at the beginging of my treatment with little SE"s so hoping the two will be OMK together.  My MO and RO assure me they will. 

    Gentle Day

    Nel

  • Jennt28
    Jennt28 Member Posts: 2,021
    edited May 2012

    Hi Nel, Yes I'm getting Herceptin too. Haven't had it by itself yet so I don't know which SEs it's causing, if any...



    Jenn

  • lmlola59
    lmlola59 Member Posts: 146
    edited May 2012

    Hi ladies,

    Tats as Denise said is just a 3 second pain but made me realize there is no way I could do this in a large area.So today when I had my rads I paid more attention and realized when there are 2 red lights (might be a word it is on the sides and I can't see it but can see that it is lit)that turn on as it is delivering and was shocked that I am only getting two doses that last about 20 seconds each.I am going to count it out tommorrow and see for sure I asked the woman doing it and she  said they don't show any times. Its extremely fast for me as position is basically nothing also.I suppose if they have to work harder at this it takes more time.

    Denise did they mention whether they are ok with you continuing vitamins and supplements?  

  • Denise-G
    Denise-G Member Posts: 1,777
    edited May 2012

    LMLOLA59 - me too about the tats.  Never wanted a tattoo, but now I really don't!  WOW about the two doses 20 seconds each.  When I get to that point I am going to check that out.

    I didn't ask about vitamins and supplements  - did you?  I only take Vitamin B and a Multivitamin right now as MO had me cut out quite a few during chemo.

  • Goodie
    Goodie Member Posts: 244
    edited May 2012

    Day two was even easier.  They just line you up with all the markers and then start and it's over before you know it.  I'm going to count tomorrow too and see exactly what they are doing.  I think I have three zaps.

    Ugh - the tatoo.  I really don't like tatoos and I was going to refuse it but I didn't feel like fighting that battle.  It's just a tiny dot for me between my foobs and like a 3 second pain. 

    I haven't talked about supplements lately either.  Would like to hear what people are "allowed" to take. 

  • MiniMacsMom
    MiniMacsMom Member Posts: 595
    edited May 2012

    Hi ladies. I have rads simulation on 6/12 andstart rads at mda on 6/18. I have to say i am a little confused. I read the docs clinical note and i guess i dont understand my timeline. Originally he say 33 consecutive weekdays, but the note says 25 treatments and 10-16 boosts. So how many days does that actually end up being. I would love to only have 25 days.



    T3 N3 invasive carcinoma. The important role radiation plays as an adjuvant treatment modality following her surgical redo axillary dissection was reviewed with the patient and her husband today. I have recommended a course of treatment to 50 Gy in 25 fractions followed by a 10-16 Gy boost. The details of treatment as well as side effects and risks were reviewed with the patient today. We have tentatively given her appointment to retur for n simulation in early June.

  • Jennt28
    Jennt28 Member Posts: 2,021
    edited May 2012

    WOW MiniMacsMom, that would mean 25 days plus another 10-16 days so a potential of 41 days. I have never heard of anyone having that much radiotherapy. The 25 standard is normal but the usual number of boosts is 8 or very rarely 10.



    Maybe start a new thread titled "Has anyone else had 35-41 days of rads?" and see if anyone has had this number?



    I'd be asking the reason for this high number of boosts and ask for the safety profile to be explained to you properly. The usual max number of Grays (Gy) to the boost area at the end of treatment is somewhere between 72Gy (Canadian 16day protocol with boosts) and 64.4Gy to 66Gy (for standard 25days plus boosts).



    I'm having 28 days of full breast and axilla at 1.8Gy/day giving a total of 50.4Gy in those areas. I am getting IMRT radiation which allows them to have different amounts in the field so during that whole 28 days the area of my tumor bed will be targeted (boosted) with 2.3Gy/day instead of the lower amount to the rest of the breast etc. That means that boost area will actually have gotten 64.4Gy total. It's called concurrant (at the same time) boosts. So my breast and axilla will get 50.4Gy and the boost area will get 64.4Gy.



    Nancy - I think you asked about the Canadian protocol? The details for that my RO wrote down for me was that it added up to 72Gy to the boost area over 16days whole breast plus 8 days of boosts. She really wasn't happy to go for that option for me.



    Jenn

  • Jennt28
    Jennt28 Member Posts: 2,021
    edited May 2012

    PS: the academic paper describing concurrent boosts is:



    Trombetta et al, 2010, Reduction in Radiation-Induced Morbidity by Use of an Intercurrent Boost in the Management of Early Stage Breast Cancer, International J of Radiation Oncology Biological Physics, Volume 77 No 5 pages 1303-1308



    Conclusion: Patients treated with intercurrent boost developed less Grade III dermatitis and unplanned treatment interruptions with similar local control.



    Jenn

  • lmlola59
    lmlola59 Member Posts: 146
    edited May 2012

    Denise I was told by the RO no vitamins or supplements during the rads because as you know from Chemo they don't want you to do antioxidants.But I continued during chemo my B12,calcium,D3 and Glucosamine (for my joints).I wanted to also start the Biotin and Curcumin but he objects to all.I may continue with what I was taking as  these are not antioxidants so I am also checking with you girls to see what you were told.I hate to stop taking these and then have to start from scratch.I feel it takes a while to get them into your system.

    Minimacmoms Wow that does sound like a lot.I was just told that the longer regimen has the same amount it is spread out more that is all.But the boost is definitely significant.I would thnk you will be seeing him again so I would definitely ask for  more of an explanation.As Jennt28 suggest a new thread may help here.Sorry I can't be of any help. 

  • lmlola59
    lmlola59 Member Posts: 146
    edited May 2012

    So today I walked through the door at 1125 and was on my way out the door at 1140 can't beat that.So from getting there to leaving 15 minutes.

    I counted as I was taught back in grmmer school 1thousand1, 1thousand2,etc and it was exactly 20 seconds for each of 2 rounds.Also was given my perscription and it will total 33 rounds,26 normal and 7 boost. 

    Great weekend to all 

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