PacNW or anyone else close to starting rads in 2013?

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I'm meeting with my RO on 1.22 to get the process going through Seattle Cancer Care Alliance. I'm wondering if there'sanyone who's gone through rads here or used the Calypso system somewhere else? SCCA is one of three according to the website so I was interested in how it's gone for you? Or if side effects are any different?

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  • CarolynVM
    CarolynVM Member Posts: 137
    edited December 2012

    I'm meeting with my RO January 10 to make plans for my radiation therapy.  I had a lumpectomy on November 21 and a sentinel node biopsy.  Everything was good.  Clear margins on both tiny lumps, no lymph node involvement.  I'm only stage 1 although it's grade 2/3.  ER+, HER2-.  (I don't know how to make the descriptive footnote people seem to use.)  I wish I could have gotten started sooner on radiation but we moved from Michigan to our winter home in Florida and the Florida people put me at the back of the line.  I'll be at Space Coast Cancer Center and don't know yet what kind of rads.

  • Robin_Brooke
    Robin_Brooke Member Posts: 30
    edited December 2012

    You can get the signature through your profile I believe

  • SwgeeWi
    SwgeeWi Member Posts: 315
    edited January 2013

    I'm hoping to get my CT scan tomorrow so I can start rads on Monday. I had a lumpectomy on the 29th of Nov. so I'm ready to get on with the next phase of treatment. I need to decide whether to join a phase lll study comparing the standard 6 week treatment for early stage BC to a 3 week course of treatment which uses the same total amt. of radiation as in the standard but in larger doses to finish in 3 weeks instead of 6. My RO will discuss it in more detail tomorrow. It would be nice not to have to drive 45 min. into Madison and back, but I'm concerned about the side effects at the higher dose, especially being on my left side.

  • QueenKong
    QueenKong Member Posts: 154
    edited January 2013

    I am but not sure when yet. I might go back on chemo first.

  • Robin_Brooke
    Robin_Brooke Member Posts: 30
    edited January 2013

    Queenkong you are going back on chemo or getting ready to start it?

    Swgeewi how did you scans go? Rads all set up?

  • SwgeeWi
    SwgeeWi Member Posts: 315
    edited January 2013

    i had my scan on Monday.  (it was so much nicer than the breast MRI!)   got my "Tattoos".  I don't know what I was expecting, but I have freckles larger than these dots! I joined the phase lll study. I had a 50/50 chance of doing the 3 week rad. therapy but the computer put me in the standard 6 week group. (Bummer!)  I'm waiting for them to put my plan together, then they'll call to schedule my start date/time.  Def. no sense of urgency on their part.  More hurry up and wait for me.  I am glad they're waiting to start my Tamoxifen until after rads are done though.  I've been reading other posts from some women who are really weepy  from the Tamoxifen.  Really?  Aren't there enough side effects from Tamoxifen?  Isn't this journey emotional enough?  Sorry, my sarcasm is showing!  Did you find out about the Calypso system? Is it a different kind of machine?

  • SwgeeWi
    SwgeeWi Member Posts: 315
    edited January 2013

    I just got a call and have my first rads scheduled for the week of the 21st.  I'm starting o the 22nd (because of MLK day?) but my times are all over the place.  Hopefully they will be a little more consistent the following weeks.  Wow, that will take me into March!

  • Robin_Brooke
    Robin_Brooke Member Posts: 30
    edited January 2013

    I haven't heard from anyone on the Calypso system but from reading up on it looks pretty damn impressive! I'm happy you finally have dates for your rads. I just want to get this next treatment portion rolling. I started tamoxifen on the 9th reluctantly. Reading about the se's on this drug kinda flip me out but we'll see how it goes...keep ya posted. My MO offered to have me wait but after explaining many of the common se's and realizing I already am having many of them I figured if I waited I might end up feeling normal (ish) and never go on it.

  • josie123
    josie123 Member Posts: 1,817
    edited January 2013

    Have appt with my RO on 1-23-13 .I really didn't want to spend my Feb in radiation .My daughter's share birthday s in Feb 21,27 .Got a question for anyone Is anyone else not vaccinated for Flu ?I never have ever had the flu shot.I heard radiation lowers your immunity.

  • Spookiesmom
    Spookiesmom Member Posts: 9,568
    edited January 2013

    I was a school bus driver before I retired. I wouldn't dare not get one being around all those kids. So before I started chemo I asked MO about it, he said NO!



    Now I'm worried that after all I've been through, to catch the flu would be awful. Chemo really lowered my rest stance, had 3-4 infections. I don't think rads do that.



    I start rads in a week or so.

  • Robin_Brooke
    Robin_Brooke Member Posts: 30
    edited January 2013

    Hi Josie and spookiest mom, I hadn't heard that about rads. I have not gotten a flu shot, although I did ask my MO about it in the fall to see if I should have one. She said it was up to me but not more necessary for me than anyone else. Have you asked your RO or MO about getting the flu shot?

  • SwgeeWi
    SwgeeWi Member Posts: 315
    edited January 2013

    I got my flu shot the day I went in for my clinical breast exam after I felt a lump (which turned out to be fibrous tissue and my doctor found this tiny lump in the other breast which turned out to be cancer!)  I substitute teach, so I too, always get the shot.  I've never been sick from a flu shot.  I am paranoid about this year's flu, so I'm turning down sub positions because our school district is just now getting hit.  People recieving Chemo are obviously considered immunocompromised and I wondered about those getting rads.  When you are receiving rads you are considered immunocompromised. The American Cancer Society website suggests cancer patients-no matter when you had cancer- get the inactivated vaccine in October/November and their family members be vaccinated as well.  There are anti-viral medicines that you can take within one or two days of coming down with the flu if you do get it, but you need to call your doctor right away so you can start it.  It says cancer patients and survivors are at greater risk for having serious problems if they get the flu, even if they are cancer free now.  If you didn't get vaccinated this year, remember those anti-virals that can help if you do happen to get the flu. Everyone's situation is a little different, so you should check with your doctor before getting the flu vaccine.  Good luck, and don't forget your hand sanitizer!!:)

  • Robin_Brooke
    Robin_Brooke Member Posts: 30
    edited January 2013

    Did my simulation and got my tattoos yesterday. I should find out what my plan is in the next week or so, but she told me to expect about 5.5 weeks. I will be doing breath hold and my RO was very pleased with how that looked on the scans.

    Side effects down the road worry me more than the immediate but I guess I'll cross that bridge when I have to. Hope you all are well.

  • CarolynVM
    CarolynVM Member Posts: 137
    edited January 2013

    I might be starting radiation in mid-February.

  • shianne29
    shianne29 Member Posts: 452
    edited February 2013

    I will be starting my rads soon. I had skin sparing mast with diep on Jan 12 and neoadjuvant chemo. My RO appt is Feb 12 so not sure when I'll actually start.

    I was told not to get the flu shot during treatment. As for tamoxifen, the taxol made me weepy enough!!! I had to start Effexor 37.5 mg for all the side effects (chemopause) and I'm actually doing ok now. My moods are more stable and hot flashes went from about 25-30 a day to maybe 5. I sure hope Tamoxifen doesn't increase those again!!!

  • Robin_Brooke
    Robin_Brooke Member Posts: 30
    edited February 2013

    Hot flashes have been better on tamoxifen for me, although moods still seem to be out of whack. I sure miss feeling somewhat "normal"!!!

  • carpe_diem
    carpe_diem Member Posts: 1,256
    edited February 2013

    I just finished my first week of radiation (5 down 23 to go!) after mx, with TE.  I was filled to 640 cc before radiation.  I'm slathering on cream (Aquaphor at first, then switched to Remedy which feels and smells much better) after rads and additional twice per day. I think maybe the area on the side of my breast up to the axilla is a little darker, but certainly no burn yet. I'm back to walking, biking, and exercise classes and haven't noticed any additional fatigue.  I still need an afternoon nap, but that's been true since I started anastrozole.  Since I haven't had any other SEs, I figure I'm pretty lucky, but it's early on with the rads.

  • shianne29
    shianne29 Member Posts: 452
    edited February 2013

    I hope I don't get to much irritation on the side of breast and under arm. I'm still sore and tender from SLN removal. Anyone else having this issue? Is there anything to do for it? I'm supposed to wear a bra almost 24/7 but it is so annoying!!

    I know I'm only 3 weeks out of surgery but between the infection in my tummy incision and the irritation I'm so uncomfortable.... This is worse than chemo SE!!!!

  • Sickofpink
    Sickofpink Member Posts: 190
    edited February 2013

    How tired do rads make u? My DH wants anniversary weekend 3 hours away the first weekend of rads plus I have to schedule book signings right at end of the 5 weeks here in town but also could go to NY two weeks later - but not sure i want to travel cross country during or soon after - especially if immune system is weak. But spent years on this book, bad timing i guess.. Not sure if its worth it.

    Thoughts?

  • carpe_diem
    carpe_diem Member Posts: 1,256
    edited February 2013

    I don't think you'll have any problems the first week or two.  I'm just into my second week with no SEs.  The friends I've talked to generally agree that what problems there are usually come later, but some weren't bothered by it much.  It seems to help if you continue exercising, use lots of cream, and eat more protein.  Congrats on your book, and good luck with your treatment.

  • CarolynVM
    CarolynVM Member Posts: 137
    edited February 2013

    I get my set-up this afternoon and first treatment tomorrow.  I'm SO relieved to finally have this happen.  Will they give me advice this afternoon about creams and care or should I try to pick it up here?

  • Robin_Brooke
    Robin_Brooke Member Posts: 30
    edited February 2013

    Wow! Congrats to you on the book Sickofpink! Very cool. I've also heard any SE are cumulative and depending on many factors, such as activity level and skin readiness, some women hardly have a problem or often not until the end or even after. Here is to hoping we all come through with flying colors.

    Carolyn, I would ask your RO but I've gone through some of the other posts in the rads section here and there are some really good suggestions. I think personally I will try to use as much chemical free as possible like aloe or coconut oil. My sister in law went through rads a couple years ago and what felt great for her (very light skinned) was to use a cold pack or small bag of veggies as soon after as possible to draw the heat out. Probably will try that too.

  • Robin_Brooke
    Robin_Brooke Member Posts: 30
    edited February 2013

    I got the call from the scheduler yesterday afternoon and am starting radiation today. I'm a little nervous because its an unknown, but I'm sure it will all go fine. 28 days with a possibility of 5 boosts.

    How are the rest of you doing? Anyone doing the breath hold technique?

  • andy7
    andy7 Member Posts: 17
    edited February 2013

    I'm starting accelerated hypofractionated radiation on March 11,2013. My RO would not have suggested it but I did alot of homework and felt this was best. More per day(2.65gys) but less overall (42.5gys instead of 50gys & a boost). Done in 16 days. The studies 12 years out all say as good or sometimes better for cosmetic results, and as good at prevention. I knew I couldn't handle 61/2 weeks-I would have cut and run at the first sign of anything bad. 3 weeks I can be brave for. Please ladies, at least bring this up. They are doing them according to new guidelines, but ARE NOT OFFERING THEM unless the patient asks. ALOT less side effects during treatment. God bless and good luck to all of us! BTW, I'm stage 2A lobular invasive, er+pr+her-, no nodes,clean margins TWICE, and post menapausal.

  • andy7
    andy7 Member Posts: 17
    edited February 2013

    They gave me samples of all the cream I can use. Ask them, and good luck!

  • SwgeeWi
    SwgeeWi Member Posts: 315
    edited February 2013

    andy7, I think your treatment will become the standard in a few years.  I joined the national study but unfortunately was put into the regular treatment group.  Had 15/31 yesterday and am holding up okay so far.  My breast is red and my chest is itchy.  I've had very minor peeling around my nipple area.  I'm using Aloe and Aveeno.

    Robin, what is the breath hold technique?

    Carolyn, how are your treatments going?  (I was kind of surprised at how easy and smooth the whole treatment was my first time. I guess i imagined visible beams or something. My DH laughed at that!)

    Good luck ladies! ((Hugs))

  • new2bc
    new2bc Member Posts: 559
    edited February 2013

    Hi Carpe_diem,

    you mentioned Remedy cream in your post. I tried to find it online but saw 2 kinds that have Remedy in their name. What is the exact name of it? I will be starting on radiation next week and I am also scared of the side effects. I am also scared of the side effects from Tamoxifen. Good luck to all of us!

  • Robin_Brooke
    Robin_Brooke Member Posts: 30
    edited February 2013

    Breath hold technique is used to pull the heart down and out of the way during radiation. How it works here is you go to a simulation where they take X-rays both holding your breath and not to see the positioning of the heart, some people's hearts are already sort of out of the way. They but GPS transponders on your chest and take latitude, longitude, and lateral measurements at each treatment to precisely fix the beam of radiation and lessen the risk of any collateral damage. Pretty nifty really. They're also using a bollus (sp?) to maximize the radiation on 2/3 areas targeted.

  • carpe_diem
    carpe_diem Member Posts: 1,256
    edited February 2013

    new2bc,

    The cream I'm using is Medline Remedy with Olivamine Skin Repair Cream.  The active ingredient is listed as Dimethicone 1.5%, but the Olivamine is supposed to be "a blend of potent antioxidants, amino acids, and MSM." It has a pleasant texture and odor, with tones of citrus and vanilla - it smells good enough to eat, but I wouldn't try that!Wink 

    Aquaphor, in comparison, seems to be mostly petroleum jelly and is fairly thick and greasy.  I find Remedy easier to spread and figure that would be important if I do develop skin irritation.

  • pacools
    pacools Member Posts: 53
    edited February 2013

    Robin - thank you for explaining the breath hold technique.  The RO explained they may have to use this techique depending on the heart placement. I see you have the left breast involvement as well.  My measurements are scheduled for February 26th so I will learn more after the assessment.  Very helpful.

    My RO warned that some of the SE may come after the rads are finished. Thanks for the encouragement.

    Are any of you wearing special bras for radiation? If so where did you find them?

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