Fall 2013 Rads

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  • summergal
    summergal Member Posts: 208
    edited November 2013


    Hi, everyone. Okay, I'll admit it - I've been lurking on this board as I get ready to start rads next week...promising myself that I'll go back and read every one of the posts here so that I'll learn all of your secrets for getting through treatment...but this has got to be the most active (and one of the most caring and loving) threads on this site!!! I can't keep up with you! Anyhoo - I had my CT sim last Wednesday and they told me they'd call me in 7-10 days with my rads schedule - so I have about a week left to read everything you've written, and I fully intend to.


    My RO asked me if I wanted to be the first patient at our hospital to try the gated breathing (aka "deep inspirational breath hold") rads method, so I jumped on board. The CT Sim took about an hour and 20 minutes (with arms up over the head in the form the whole time), in and out of the CT machine, so the techs could get everything right for this first attempt at this therapy (I look at it as a shakedown cruise). My fingers started to get tingly and at the one-hour point my left shoulder was really uncomfortable - dealing with that became a "mind over matter" event, except for one tiny moment in the machine where I thought, "I have GOT to move my arms!!!" But that, too, passed, and my tattoos were mostly a non-event (I realized that my right side, where I had two nodes removed, is infinitely more numb than my left, where I could actually feel the tat needle going in). I have always been a non-tattooed person, and now my husand thinks I'm "badass" because I have these six little black dots! He doesn't know I may eventually turn one of my four-inch lumpectomy scar into a flower!


    Bounce - Hope all goes well for you today on your first rads treatment. "You've got to go through it to get through it." As Mlulu always says, we are in your pocket. You give so much support and love to all of us on these threads - hope you can feel it coming back to you bigtime today! Hugs.


    Otterlike - I'm curious about why you can't take Wellbutrin while on T? My Onc didn't mention that to me.


    Bluebird - You're doing gated breathing, too. I've read a couple of your posts and am sorry you've had such a rough time. I welcome any thoughts you have about this treatment as I begin the same thing.


    Has anyone had any throat or swallowing problems during or after rads? I scared myself this morning reading stories about this.


    Okay, here's my addition to the song list - "Invincible" by Pat Benatar? Hugs, all.

  • cider8
    cider8 Member Posts: 832
    edited November 2013


    no throat or swallowing problems and rads hit some of my neck (for supraclavicular nodes and then some).


    4 days out from end of rads and just now I have a couple of small bubbles /blisters. Not popped yet. Skin is just very pink, not red or 'tan.' My PA said my skin would peel and/or slough off, but not yet.


    I'm so glad to be home!! Hubs put down a bamboo floor in the master bedroom while I was gone. He had to disassemble the sleep number bed, found some mold in it and threw it out. It was over 10 years old and I didn't like it anymore. So now I have no bed and am going bed shopping today! The floor does look awesome and I've wanted a new mattress for a while. I just don't get to snuggle up in my own bed just yet!

  • Bounce
    Bounce Member Posts: 574
    edited November 2013


    1 down 24 to go (may have boosts during last five or added on at the end - doctor will decide).


    RO says not to use any cream - "nothing helps" is how he phrased it. Thanks for the encouragement.


    Radiation Nurse who I met today is a very sweet nut job but a nut job none the less.


    She has an opinion about everything.


    She told me to be really careful with my arm on the nodes side - no blood pressure cuff or needles etc. I told her the surgeon said I didn't have to worry about it as only 2 nodes removed. She asked who my surgeon was. I told her. She said: "Wonderful lady. My best friend. We eat lunch together everyday. I am right and she is wrong." She also told me not to lift more than 2 kilos with my right hand/arm.


    I started to write things down when she started speaking and she told me to stop as EVERYTHING is written down for me on a hand out. Tried writing again and she stopped me again. Later on at home looked at the hand out - most of the things she spoke about weren't mentioned!


    Told me not to use any cream. NONE. NOTHING. But to dust my booby twice a day with corn starch.


    I asked her if I could use Vanilla Pudding (it comes in a very similar packet here.) She was not amused.


    Why are you gals all using nourishing creams and lotions and oils and I am using drying corn starch!


    Because my nurse is a nut job and that is her opinion which has now been served to me as fact.


    Good thing I am old enough to know the difference.


    I will be using the corn starch for a while - but from tomorrow I will be making discreet inquiries to find out if there is perhaps a second nurse whose opinion I might hear.


    The nurse is actually a very nice lady - she told me to consider her as family from now on. Really? That's what I need now? Another crazy relative.


    From tomorrow I will be starting to ask my techies some serious questions. Lets see if they are up to the challenge.


    I hope the techies understand more about radiation than me because from what I read today about Sievers and Grays and Rads - I would have thought I should be dead already and yet I am obviously very much alive.


    Do you just take the total amount of radiation you are getting (for me 60 Gray) and divide it by the number of treatments (25 for me + 5 boosts - so 25 or 30?) to work out how much radiation you get each day or is it more complicated than that? Anyone know?


    Hugs

  • MsPharoah
    MsPharoah Member Posts: 1,034
    edited November 2013


    Happy Monday, radiant ones!!!


    So much activity this weekend...healing and rest for those in the middle of radiation, celebration for those ending, and anxiousness for those starting.


    Cider, congratulations on your new floor and what a sweetie your husband was to finish that job. Just love wood floors! And fortuitous that he found the mold and chucked the mattress out. I hope you find the most plush, soft and comforting bed there is out there. I am imagining you doing snow angels on it right now.


    Summergal, when I started rads, my throat was scratchy and I was thinking...Gawd, they are radiating me in the wrong place. But in a few days, I got more cold symptions....just a silly cold and no worry. I sure hope you have an easy time with radiation. It is so brave of you to be the first in your rads center to do gated breathing. It is people like you who help push treatment advances forward for the rest of us.


    Bounce, 1 down!!! Just loving your story about your nurse, the nut job! I especially like her telling you to stop writing because she did all that for you, only to find out that was not true. And it was also nice of her to tell you that there is "nothing that helps"! I do think it is possible that some of the skin care regimes are designed to make us feel responsible when we have a tough go......"you just aren't lubing enough, dear!" However, I found the Aquaphor to be very protective and the Aloe Gel soothing. Neither prevented me from turning pink, red then peeling....but I was comfortable throughout treatment, able to go about normal activities, etc. Cornstarch!!! Maybe she is both a nut job and a pudding head???


    I have met so many interesting personalities in the medical community and many have become my "unforgetable characters". For me, these people have been as important to me as the treatment I have received, even when they get a little cray-cray! Just loved my rad techs. Not all had a sense of humor, but they were so efficient.


    Radiant ladies, have a wonderful, cancer-killing week!!


    MsP

  • JeriGrace
    JeriGrace Member Posts: 128
    edited November 2013


    Bounce, my facility also recommends cornstarch during the day and then creams at night. I haven't started the cornstarch yet but I'm using Aquaphor several times a day. Ok so far but I've only had 4 txs.

  • Kruise
    Kruise Member Posts: 330
    edited November 2013


    wow this thread moves along so quickly that it's like picking up a novel to read if you haven't logged on for a week! Lol


    I too am nearing end of my treatment now - just 5 more boost zaps to go. I am surprised the boost treatments seem to take longer - just the setting up and imaging each time.


    My skin is holding up - I am certainly red and have been through a very itchy phase and underneath my breast there is some broken skin but I'm hoping that's the worst of it for me.


    It certainly does become 'normal' going in there every day.


    I have had some laughs with my team over the weeks - mainly my wearing different wigs into treatment! Sometimes they would come looking for me in the waiting area and not realise it was me. Too long a stories to write on here - but making them laugh during their work day made me happy too :-)


    I wish all of you starting out on this radiation journey nothing but love. Be kind to yourselves and know that this too shall pass. Find something to be grateful for and to laugh about each day.


    Blessings, K xx

  • MsPharoah
    MsPharoah Member Posts: 1,034
    edited November 2013


    Hi Kruise!! What I found was that the healing started in the non-boost area before the boosts were done. That was a bit of a happy surprise. I hope that is what you experience.


    I don't have the guts to change out my wigs. I have a "going to work wig", a "weekend wig" and a wig that I wear when we go to our special restaurant for dinner. One time, I made a mistake when we went to dinner, and the hostess went on and on about how she liked my new color and do!!! Then next time, I am back with my old drab "hat". Gladly no comments were made. My hair is growing now and it will be some time before I am out of the wigs, so I have time to figure out how to make that transition.


    I know that many/most women really agonize over chemo-induced hair loss. For me, hair loss was only important because it robbed me of my privacy. If I had to be bald my whole life and get back my sense of well being in return, I would go for that in a minute!


    Shine on ladies!


    MsP

  • kirklandgal
    kirklandgal Member Posts: 63
    edited November 2013


    Bounce - The standard breast cancer daily radiation dose is 180-200cGy/day. For 25 days of radiation + a 5 day boost, you will be getting 50 Gy over the first 25 days at 200 cGy/day (or 2 Gy/day). The last 5 days are the boosts to the lumpectomy site/scar to give you an additional 10 Gy. The boost is usually done with electrons which is more focused. The whole breast radiation is usually done with photons.


    Summergal - I am also doing respiratory gated. My techs are very efficient at it. Getting me into position and getting the respiratory gating bar set to the proper height takes the most time - once the actual treatment starts it takes maybe 5 - 10 minutes.


    I have had some problems with swallowing/throat pain. It began after only a few days of treatment. My RO prescribed a liquid I can drink that includes lidocaine and other ingredients - it works wonderfully! The pain has improved over the past week or two but I do still use the lidocaine drink occasionally.


    15/26 down!

  • JDB53
    JDB53 Member Posts: 166
    edited November 2013


    Hello,


    I will join in a behalf of my wife who starts next week. I will have to read through this thread to catch up. Im sure we have many questions that can be answered by some of you that have started.

  • Bounce
    Bounce Member Posts: 574
    edited November 2013


    kirklandgal - thanks for the info. I wish I had learned physics and statistics - they sure would help make sense of everything.

  • karibari
    karibari Member Posts: 12
    edited November 2013


    Kirkland Gal - I am impressed that you learned all that about the doses - I had no idea. And I didn't even think to ask.


    I agree that nothing has helped my very fair and sensitive skin avoid the constant sunburn feeling. And my nipple is definitely on fire all the time. My RO said to use aloe 3 or 4 times a day, but I don't even feel that good cool feeling I get with a normal sunburn. I asked for a prescription cream (now I can't remember the name - chemo-brain still in effect) last week and he said he didn't want to give it to me unless the skin was breaking. I'm going to insist on it tomorrow because now it has started itching too.


    I like all the ideas for the playlist - wish I had done that for chemo!!


    Finished 24 of 28 today, then 5 boosts next week. I am anxious to finish - I am so tired!!


    <hugs> to everybody - I am filled with gratitude that you are here to listen/support/share/laugh/cry!

  • kika2013
    kika2013 Member Posts: 101
    edited November 2013


    Hi everyone--Just checking in from post-radiation land. I finished last Wed and the itchy rash is finally definitely on its way out. Still pink, and now my nipple hurts (from the boosts, I guess) but I can definitely tell I'm on the other side.


    Bounce, your post was priceless. It reminds me of when my doctor and nurse asked me at our first meeting after I started rads what was I using to moisturize. I said Miaderm, which I learned about here and which was not recommended by them. "Yup. Great stuff." they both said, leaving me to wonder why they had not suggested it themselves??? Too weird!


    I hope everyone continues well. I'm finding LOTS to do with the 3-4 hours per day I no longer spend going to and from radiation. It is very nice.

  • JanerT
    JanerT Member Posts: 8
    edited November 2013


    HI Denilynne, I can relate to the grouchy and irritable. My husband is trying hard but driving me crazy. I was thinking about joining a local support group but they meet on Friday mornings which is when I have appointments. Some days I just want to scream. I hope once I start the rad I will not be as anxious, at least I will know what it feels like. Not knowing is never good for me. Thanks for your reponse.

  • LisaSp
    LisaSp Member Posts: 253
    edited November 2013


    Okay, I'm 6/33. Saw the RO for first checkup, no issues yet. The nurse and doc both wanted to know if I felt fatigue. Already? I'm actually doing much better than during my last 2 rounds of chemo.


    Hope all you radiant ones are doing well. And for those of just starting, it will be over with soon thankfully!

  • cider8
    cider8 Member Posts: 832
    edited November 2013


    regarding care of arm post surgery: even if you 'only' have sentinel node dissection, you are still at risk for lymphedema. Surgeons typically downplay the risk, which really annoys me. You can get LE from MX alone, chemo and rads. Depends on the person, technique, dosage. It all seems vague to me. Check out the lymphedema board here or the Step Up Speak Out website for more info if your doctors did not tell you about risks and precautions.

  • ItIsWhatItIs2013
    ItIsWhatItIs2013 Member Posts: 541
    edited November 2013

    JD.., im encouraged that you have jouned to help your wife! You will find a an lot of helpful on info frome these amazing warriirs! :)

    Summergal... I too held my breath during my first 28 treatments... the physicist at my hospital designed a new "thing" where I could see where I was holding it so I would hit the same mark everytime.

    Im down to just 2 more boosts... wednesday is my last rads treatment...

    As ive said before... chemo was aweful! Physically & a bit emotionally... but rads was totally do-able physically.. but WAY harder emotionally! Since starting the boosts, I feel better and better. This may be because im almost done, but the inner pain is gone! I woke up this morning on my side! Not in 2 months have I been able to lay comfy on my side.

    So... im a baby! And if I can do rads.... you can too!

    Ill be celebrating wednesday night with my hubby at wild buffalo wings.... ill be done with treatments from this pesky dreadful disease.... a about pill for a few years to follow. ?.. but no more hospitals for a while!!!!!!!!!!!!!

  • Imamom
    Imamom Member Posts: 21
    edited November 2013


    I'm done! I brought my techs a beautiful candy and nuts platter which made them reslly happy and had a nice goodbye with the coffee shop register girl at the hospital!


    I was humming the song "what doesn't kill you makes you stronger" throughout my last treatment. Has that been added to te playlist yet?


    Good luck to all the ladies starting or in the middle... Stay strong!


    Yours truly,


    The fully radiant imamom.

  • Kruise
    Kruise Member Posts: 330
    edited November 2013


    hey Imamom - I can see you glowing from here :) Congratulations - I am 4 treatments behind you!

  • MsPharoah
    MsPharoah Member Posts: 1,034
    edited November 2013


    Imamom! Congratulations on achieving your radiance certification! As a radiant lady, you exude love, joy and good health more brightly than ever before.


    Love, MsP

  • summergal
    summergal Member Posts: 208
    edited November 2013


    ItIsWhatItIs - thank you - funny - the physicist at my hospital is doing the same thing for me. They realized when they did the CT Sim for this first-time method they're trying that they needed to give me something to look at so I could attain the same level of inhale each time. Otherwise I was lost in the fog.


    I have another song to add - "Brave" by Sara Bareilles - it's the theme song for our hospital's PinkGloveVideo dance competition this year. Here's a link if anyone's interested. It makes me cry everytime I see these brave women, both survivors and health care team members.


    http://www.pinkglovedance.com/videos/2013-video-contest/reading-health-system/

  • Jo6202
    Jo6202 Member Posts: 372
    edited November 2013


    Imamom, congratulations! You are truly radiant :-) Best of luck with your hormone therapy.

  • MsPharoah
    MsPharoah Member Posts: 1,034
    edited November 2013


    Thought I would add "The Heat is On" (Glenn Fry) to the Fall 2013 Rads playlist. I power walked to that one this morning and I was so fired up!


    MsP

  • kirklandgal
    kirklandgal Member Posts: 63
    edited November 2013


    Congratulations Imamom!

  • Annie54
    Annie54 Member Posts: 247
    edited November 2013


    Yeh! Another radiant lady. Enjoy being done with the zapper!


    Annie

  • cakes
    cakes Member Posts: 157
    edited November 2013


    Yahoo Imamom! Great sense of humor too!


    Cakes

  • cynthiaintx
    cynthiaintx Member Posts: 99
    edited November 2013


    Hello ladies.... I'm on week 5 (well, really 4-1/2 as I missed 3 treatments last week, 2 for the machine being down, 1 because I was moving that day) and I have a few questions, hopefully y'all can help.


    I have an open, weepy area under my breast. It started just after week 1. I'm convinced it's yeast due to a prolonged pity party/chocolate binge.... it just doesn't want to heal, despite no more sweets. I make sure it's clean and dry, wash it often. Any ideas to help it?


    Also - I think the whole fatigue thing is setting in. Having moved last week (Thursday) and dealing with unpacking, and the "now where did I put that..." doesn't help, but - about when does the fatigue set in? I've been getting 8+ hours of sleep each night, and am still dragging. I do take my vitamins, thyroid supplements (endocrinologist prescribed), and eat well, lots of lean proteins and whole grains and veggies. I'm achy too - wrists, ankles, etc. Other than swallowing a whole bottle of Aleve with a gallon of espresso, any ideas how to combat this?


    My skin is ok, just more tan, like I was out in the sun with one girl showing.


    Thanks!

  • FierceBluebird
    FierceBluebird Member Posts: 758
    edited November 2013


    Congrats to all those finishing up! I need to remember that it is possible to finish!


    Had another breakdown today. They told me they want to make a mold of my breast to create a plate for the boosts and it would add another 15-20 minutes to my table time. The fasted they've been able to get done is 35-40 minutes so that means it will be another hour treatment day. It's just too long. Did anyone else have a mold done so a plate could be made for the machine? I am very close to telling the doctor that I've had enough. I am debating if I want to do the boosts.


    Summergal, the gated breathing can be done with voice command. They place a cube on your sternum and the physicist can tell you when your breath is in the proper position. I hear him say, "ready" then "hold". If you haven't started yet, I would do some breath holding exercises. I have to hold my breath for 30-35 seconds on some of the rads. It can seem like a long time if you aren't used to it. I am glad that I was given the gated breathing option, but I don't know if I'd go with an inexperienced team like I had! I was a true guinea pig and it took them two weeks to get their acts together. I finally had to tell them they had 30 minutes and then I was getting up to leave. That day and every day since they've worked very hard to move quickly. I've yet to actually get a 30 minute session, but 35-40 is doable.


    Today was day 17 and I am so sore. I have an eschar (3rd degree burn) from my flap reconstruction and it is starting to feel crusty and soft at the same time. It's really freaking me out. I'm worried the fresh skin will peel away there and there will be nothing underneath. I plan to make fresh aloe gel today. I am too sore to put a top on. Anyone who comes home early today is in for a rude awakening! Watch out for the red uniboober!

  • summergal
    summergal Member Posts: 208
    edited November 2013


    Bluebird - UNIBOOBER!!!! That cracked me up!! Thanks for the advice on breathing exercises. My team is also inexperienced in this method. Good times!! (imagine me rolling my eyes here). Sorry you're having such a rough time. Just seems so unfair after all you've been through.

  • DeliriumPie
    DeliriumPie Member Posts: 1,370
    edited November 2013


    Cynthia- are you getting your treatments at The Center? I'm 4 tx behind due to the machine being down.

  • cynthiaintx
    cynthiaintx Member Posts: 99
    edited November 2013


    I'm getting everything done at Texas Oncology, over by Harris SW. Very very nice people! Today is doctor day, so I'm going to push for something for the icky-ness. I see all you've been through so far.... {{{gentle hugs!}}}

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