Veterans of Radiation I need your help!
Hi Everyone,
I am just a week out from having had my lumpectomy. My first meet and greet with the Radiation Oncologist is in a week. Just trying to figure out what to expect from radiation. I am a teacher and will be going back to school to work right when my radiation treatments are to begin. I'm hoping to get my treatment before school in the mornings. Will I be comfortable enough to work as I go through this every day 5-6 week process?
Also, not related to Radiation...since my lumpectomy and node removel I have been sweating like crazy under my arm and my arm is very stiff down to my elbow. Can't extend it fully.
Bottom line would just like to hear from those of you that have forged this path before me!
Thank you helping me out with this info.
Jeni
Comments
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Jeni, you won't feel anything after each treatment. Some people get fatigue into their treatments, but it never happened to me. It's good to be active. I think that helps mitigate the effects. One challenge,
, is that you can't use deodorant. You can use powder, but it is messy. I used it and always had to get it off my clothes later.
Explain about your arm to the RO and techs. They do want you to raise your arm over your head. I thought it would be very painful, but it was ok. The daily treatment only takes a couple of minutes so it was bearable. But be sure to discuss your concerns with the experts.
Good luck! The treatments are very short and the days fly by. Before you know it you will be a radiation graduate!
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Radiation was very easy compared to chemo. You will get burned skin but can purchase some salve to help with that. You may also want to buy a silk something to put between your breast and your bra to prevent chaffing. It may make you tired also. But it usually only took me about 15-20 minutes each morning and I went in the morning before work. Never needed to miss work due to rads.
Also the 15-20 minutes was mostly waiting. Once on the table the rads actually only took around 30 seconds.
Anyway, I wish you luck and once rads is over you can go back to living your life! Namaste'.
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I had 8 boosts first and now I have exactly 10 more treatments left (total is 36). I was most worried about the fatigue and was not expecting too many skin problems. I had fatigue one day after the first week, but I think it was the stress and I had a couple days of fatigue this week (feel good today). I'm happy I haven't been super tired. The thing I didn't expect was the skin issues. On treatment 12 it started and has continued to get worse. It's not painful per se, but I am very red/brown everywhere (since I am having whole breast radiation). I'm not able to wear a bra at all and wear a cammy when I'm at work or out in public, otherwise I go without. I was prescribed silvadene last week. My armpit is also discolored and is tender. I think you'll be okay for your radiation and you'll get through it. It becomes routine. I'm doing mine after work. Best of luck to you.
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Jeni, I got my treatments before work every morning. I would put on Tom's of Maine deodorant and powder in the changing room right after my treatments. I would also slather on Udderly Smooth.cream (recommended by Rad Onc) and then head off to work. I had 36 treatments total which included bolus and boost treatments. They were very short sessions after the initial two simulations. I did have difficulty getting my arm into position, but worked with a PT to make things easier. You will do just fine. I didn't have fatigue until the last two weeks, but it was bearable and I didn't miss any work.
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Yes, I teach and I also know several other teachers who worked through rads. At the end of the day might be a good time to schedule your appointments if you can, then it doesn't matter if you had to wait, and you can go home and crash if you need to once you're done.
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Hi Ladies,
Thanks so much for the replies! Always nice to hear from other strong women going through the same issues.
It's helped to ease some of my anxiety of what's to come next.
Again...THANK YOU!! It brightened my day!
With love and light,
Jeni
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Good luck. Let us know how it goes. As a rads veteran told me before I started, "It's only a few weeks out of the rest of your life."
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Jeni-I also work at an elementary school(I'm a para) and I was able to work through rads with only a couple of days off here and there. I took a couple days off about 5 weeks in because I had some skin issues that just weren't very comfortable, and I took a couple of days off after I finished treatment because I was tired. I could have worked if I absolutely had to,but I have a very compassionate administrator who gave me no grief about it whatsoever.
One word of warning, if you work with the age group of kids that likes to give hugs(the little ones) you need to develop the skill of turning your non-radiated side into the hug!
Mary
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Don't have much to add to what everyone has said except: Consider your wardrobe. What do you have that would be OK for work if you need to be braless towards the end of treatment.
I had my treatments at the end of the day so I could slather on the grease and go home. I worked everyday of radiation treatment, I missed parts of days with other appts., and the RO wanted to send me home to bed the last couple of days (I had a skin breakdown) but I managed just fine.
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Jeni1962... with your node removal and uncomfortable arm, I would highly suggest you jump over to the lymphedema thread and post your experience. You might get some great guidance to make your arm more comfortable, and help you understand what to look for since you are at higher risk (like myself ; ), of lymphedema.
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And you might want to get script for some pt before that rads starts you will need tobe able to extend your arm all the way up and hold it. It was longer than 30 sec for me. One first visit, is a planning session. I amnottalking about the first meetand greet. But on your first day of rads, the first part for me was a long ct planning session. I had to holdmy arm up in position for a hour. But keep in mind I am complicated. TE &mastectomy, i am sure you wouldnt have to hold yours up as long...just talk to you sx, keep doing those stretching exercises they told you
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Hello: )...I didn't read each post but here's my two pennies...keep in mind I had aggressive chemo and Rad treatments:
I began to burn significantly at the end of week three.
Bought over 30 lotions...but there are only two that I fell in love with (BagBalm and coconut oil....go on like butter and you have to wrap yourself up).
I worked the entire time and took vacation at the end...bad Burns.
I finished rads in October and I am still healing.
The swelling sounds like LE....be sure to go to a specialist...massaging Really does work and you can train your system to redirect the fluid...kinda cool really.
Best wishes: ) -
Hello Again,
I just love forums like this. Times like these make me so much more grateful for having the internet and being able to reach out to so many that I would never be able to encounter in every day life.
My arm is sore but I will be able to hold it above my head if need be. It's just that I can't extend it at all. I have to walk around with it bent all of the time. I went yesterday to watch the LPGA ladies golf and wished I had had a sling to keep it in. Holding it in that position is tiring.
I have thought about lymphedema and researched it quite a bit. Not sure if that's what it is or just being sore after surgery. I will talk to my RO about it when I see him on the 27th. I have had others advise me about P.T. as well that that may help me. I will be talking to my Dr. about that as well. I even thought of maybe having some accupuncture. I've had accupuncture in the past for other pain and it has helped me.
As far as work and going braless....I would not feel comfortable doing that. I am not large chested so it's not that "big" a deal. But I will be working with middle school special needs children and to be honest a bra would be helpful for protection. If it comes to the point in Rads that I am so sore that I need to go braless then I will take the time off.
Working with special needs children is challenging on the body even when your body is healthy. So I will have to take it one day at a time to see how it goes. I too am a (para)...said teacher up above because it's just easier to say and I do consider myself a teacher as well.
So being a Para and working with this population of children there is a lot of physical contact at times...hugs for sure! We do "side-hugs" anyway so I will for sure be turning to the good side!
Thanks again for all of your wisdom and advice ladies!
Every little bit helps!!
Make today a day of joy and sunshine even if it's raining outside!
Jeni
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Hi Jeni:
I had 35 treatments and the only issues I had towards the end, I had some fatigue and my underarm got a "sunburn" and peeled. Mr RO gave me Radigel early on to use after treatments and at bedtime. I also used Cetaphil after the "sunburn".
I had to quit wearing a bra after about 25 treatments but wore "wife beater" undershirts under my blouse and you couldn't tell I didn't have a bra on and I am a "fluffy" size woman.
A friend of a friend suggested I drink a glass of Carnation Breakfast Essentials (used to be called Instant Breakfast) or Ensure to help keep my energy up. I did drink the Carnation stuff and seemed it worked as I was not as fatigued as some of my friends were. I figured it wouldn't hurt and I still drink it from time to time today.
Before applying anything to your skin, check with your RO. When you go for your "meet and greet" you can ask what you can use before you need it. I saw the RO nurse practitioner every week of my treatment so that they could stay on top of any issues that I may have.
I also had (and continue to have) instructions from my RO and MO to call if I had any concerns or questions.
God bless you,
LaDonna
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After surgery, my arm became increasingly difficult to extend, too. My doctor told me that it was cording (aka axillary cording or axillary web syndrome). I've still got it 5 or 6 weeks after surgery, but it's getting better as a result of gentle stretching exercises. For me, this had nothing to do with radiation.
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i have only had my initial meet and greet and my simulation so far- was tld to use Tom's of Maine as deod...and given some cream to use 2X a day (minimum) afterwards..am hoping to have my rads after work also so i can throw on a tank top and go home to do whatever...also in case there is any kindof backup at the facility-i would rather sit there after work than have to work later because of issues in the morning!(my work is flexible so long as i have 40 hours in my week)
someone mentioned that they were in and out basically in a flash -my RO told me that since i am left side TX it would take longer so they can radiate around the heart--right sided's go more quickly on the table
i would def look into PT for that arm extension...my MO and surgeon both stressed exercise and my RO stressed it even more...as well as friends who have btdt...
good luck! keep us posted!
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Jeni - You really will be able to work and do rads. I teach high school special needs students and found rads to be so much easier than chemo. I worked through both txs. However, you should follow up with your arm issue. I regained most of my range of motion after surgery with the help of exercises given to me by an OT that my PS ordered. My RO warned that rads can cause me to loose some of my range of motion in the treated side. Once I was finished, he sent me to a PT to get evaluated and treated. I am doing my exercises again to regain strength and range.
I scheduled my rads for after work so I could rest once finished. I often stopped on the way home to pick up pre-made food for dinner and went to bed shortly after dinner. Not the most nutrious plan, but it got me through the whole ordeal.
I also found that sport bras worked nicely for when my skin became sensitive. I bought some inexpensive sport bras, a few sizes too big, at Walmart. They were perfect!
One more thing - I bought myself a few cheap hospital gowns on ebay and used them instead of the rad center ones. That way I always had a fresh gown that was clean and smelled nice during treatments.
Good luck!
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Jeni1962, I was fortunate - I did not have fatigue with rads. My skin did get red after about 3 weeks. My RO gave me Aquafor, but then I read rave reviews on these message boards about Emu oil, so I ordered it on Amazon (after checking with my RO). It worked very well.
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check this out for stretching exercises:
http://www.cancer.org/Cancer/BreastCancer/MoreInformation/exercises-after-breast-surgery
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I had 35 (I think, DH knows better, LOL!) tx and what I felt about a week in was:
Extreme fatigue. I would fall asleep on the table and go back to sleep when I got home from tx. I slept for at least 12 hours a day for about 3 weeks.
Itchy skin at tx site, but also in other places.
Lack of appetite. But I forced myself to eat, and I ate calorie concentrated foods as instructed.
After about 2 weeks, swallowing was very difficult and sometimes hurt. I had a lot of esophageal inflammation, so some food would come back up almost in original form, other food would drag on its way down. But this was where I was being treated - chest. I was given a scrip for "Magic Mouthwash" but that stuff scared the shit out of me after using it once, so I never used it again. I just toughed out the bad feeling in my esophagus and it eventually went away. The MM has MOM, Benadryl and Lidocaine in it. You are supposed to put it at the back of your throat with a straw then swallow. It is supposed to numb your esophagus so you can swallow, at least according to my RO nurse. Well, that shit didn't just numb my esophagus, it DEADENED it! I could not tell if I was swallowing, I could not tell if my throat was narrowing, but it felt like it. I was afraid to eat while using it. RO nurse said some people are just more sensitive to it.
Now, 6 weeks after my LAST rads tx, I feel great! I feel so much better than I did before I started rads. Rads can keep killing cancer cells months after your last tx. I think this is what is happening in my case, as I continue to gain more strength. Even though I went through a bunch of crap for it, it was worth it to feel a lot better like I do now.
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I am almost 2 yrs.out from the rads but i do have some info that no one posted.
1-please talk to your DR about SHINGLES before you start the rads.It a shot that everyone needs.You get the shingles when your immune system is down...Shingles are very very painful and you can get them over and over again.
2- drink lots of water....lots and lots of sleep and rest and be sure to eat lots of protein for energy.
when you are done or if you want you can check out MY thread AFTER RADS....lots of good info on there too.
You can do this!!!!!All you have to do is show up!!!!
good luck and do keep us posted
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OMG...I LOVE you ladies!! Love all of the comments...advice and just general caring that you have all provided to me.
I'm laughing when I am reading this because everyone is using abbreviations for everything and I don't know what half of them mean...YET! I figured out RO = Radiation Oncologist...TX=?...DH=?...OT= Occupational Therapist...PS=?...etc...I guess I'll get the lingo down once I start going through everything.
Believe me I read EVERYTHING and feel more knowledgeable when I go in for my first meet and greet. As far as my arm...thank you for the different articles and advice on that. I will be researching it all!
Seriously...Love this...you ladies are wonderful!
Love,
Jeni
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I'm sorry, Jeni! Here you go:
TX = treatment
DH - Dear husband
MOM - Milk of Magnsesia
DX = Diagnosed or diagnosis
Good luck!
Effcancer!
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Jeni1962,
As usual, the members are provided a lot of insights. To help decipher all the abbreviations, there is a Discussion Board Abbreviation Key.
We hope this helps!
The Mods
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Thanks EffCancer....love the name...by the way!
Also, Moderator...thanks. It helps!
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I had 30 radiation treatments and never missed a day of work. I did use an over-the-counter product that the doctor recommended right after the treatment and at night before bed. I didn't particularly like the product, but I guess it did its job. At some point, I changed to Vitamin E creme that I got from Sams, and I actually liked that one.
I don't know if I was the unusual patient or not, but I didn't have any extraordinary symptoms. Compared to chemotherapy it was easy. I did have some burn the last two weeks but less than the Dr. thought I would have. I'm very fair skinned. I will say that during the entire cancer treatment, I took liquid vitamins, minerals and liquid CoQ10. I think I fared pretty well. Now I'm on Femara . . . no significant side effects yet. Everyone's experience is different.
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I was teaching college when I went through rads, and for professional reasons I was NOT comfortable not wearing a bra. I looked online and found a rather thin but soft cotton one (Hanes, I think) and then I bought some blouses that had medium-small patterns on them so my nipples would be less noticeable.
I always seemed to get more energy when I walked into the classroom - I think I drew it from them. I got a little behind in grading, but I worked every day.
I didn't burn bad until the week after rads ended, and I only had a few evenings of fatigue.
My rads were early in the morning, and the benefit of that, is that they are rarely "running late."
Good luck with the kiddos.
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Hi Ladies,
Well...I'm on my second day of radiation. I have to say...it's kind of weird laying there allowing a machine to zap something into your body we have been told for so many years to stay away from. Remember the Amana Radar Range when it came out? I laid their yesterday...in my first treatment....and thought about, "Stay away from the door of the microwave. It shoots out radiation!" So here I am...laying here...breast waiting to be radiated. Just felt kind of wrong. Something so dangerous for us is going to help me? Just a strange moment.
The question I want to ask you all...did anyone feel anything on their first visit? I swear I have felt tingling in my breast from yesterday...day 1 and today...day 2. Am I imagining it? I don't think so...I know I'm feeling it. I didn't think I'd feel anything for a few weeks.
I just want to know if anyone else felt that...or am I just weird? haha...ok..you don't know me..but maybe I'm just weird.
Thanks for the advice ladies!
Jeni
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ya gotta check the rads threads...they go month by month.lots of info there
also come and visit after rads when you are done
we are here for you
And yes i have heard after the first tx.you could have weird things happen....
post on all the threads...you will see exactly what everyone is goin throu but remember everyone is different.
I was told because i was large breasted i would probably burn under my breast...WRONG!!!!!!
The sistas here know betta then the drs.ya gotta do your homework!!!
good luck.hugggggggs K
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Thanks Grannydukes!!
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