Fall 2013 Rads
Comments
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LisaSp, yep, 1/2 way through. Last week was pretty good except for the day I saw my RO. I waited 40 minutes. She had forgotten about me.
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summergal - I am doing respiratory gating too. My techs are VERY experienced. The first week was the hardest for me while I learned what was expected of me and what could be done to make it easier. I learned that there are other things that can affect how your breathhold appears to the techs (i.e. table position). I do use the special goggles - I agree that you should demand they get them for you. The goggles show a screen with a blue bar that I am supposed to aim for. My breathing is a yellow bar that goes up and down with my breathing - when I hold my breath it rises into the blue area and I hold it there until the beep ends (if it starts to fall too soon the radiation stops). The techs set the level of the blue bar EVERY DAY to a level that I can achieve - that means we do a few trial breaths and they move the blue bar according to where my breath hold NATURALLY falls. The first couple days I worked hard to get a large breathhold and ended up setting the level at a place that was difficult to do for the whole treatment. Now I go to where I know I can comfortably hold it and it is sooooo much easier to do. I also learned that if we set the level of the blue bar before they align all my tattoos, any table repositioning changes the distance between the yellow and blue bars so it has to be recalibrated again - I realized this early on when I was actively holding my breath perfectly in the blue, they moved the table during my breath hold, and the yellow bar dropped out of the blue because of the table position change. Ask your techs if they can recalibrate the breathing goal each day for you - and remember if they move the table after it is calibrated, you will need to tell them they need to recalibrate it! A perfect breath hold with the table in one position will look like an inadequate breath hold after the table has been moved (it doesn't necessarily mean that YOU have taken a smaller breath). My techs will automatically recheck that my breathing goal is reasonable after everything is aligned but before the first zap. Good luck!
Bluebird - I like the machine name!
Peacestrength - congrats!
I have done 23/26 - next week is my final week! Each day is getting harder. I admire all of those who are coping so well with this! One day at a time!! -
Lorrie, thinking of you today. {{hugs}}
Found out I am getting 2 Gray. I am 48 shades short! Or 150 over! ha..
I normally never swear. I once worked for a Carnegie Hall concert pianist, very classy, well educated lovely woman who swore like a truckdriver. She would sit at her baby grand and play heavenly music and if someone came in who annoyed her, she'd tell them to "f-off". I found it hysterical and now "joke" swear to lighten things up.
Summergal, your treatment sounds similar to mine. I am convinced the inexperienced team places added pressure and stress because they haven't gotten used to how to behave smoothly. My techs make me very nervous. (not to mention the hideous room!) The shrugs, the rushing around, wrong breathing cues, and generally all the questions they have to ask the physicist and dosimistrist and doctor make me uncomfortable. In addition, I know I'm the first guinea pig for the gated breathing at this hospital and combined with the length of time it takes them to get their act together it is almost unbearable. Do NOT blame yourself. I just finished my last regular treatment on Friday. Even after five weeks they still took too long and seem unsure of themselves. My treatment typically lasted an hour. They have gotten done in 35 minutes, but only twice. And I am a champion breather. I've never not held my breath as long as they asked. For the long holds it's typically 35-41 seconds. I do not run and I'm terribly out of shape, but I can hold my breath until the cows come home. But it takes practice and meditation calm. I can hear them whispering in the control room and they are always impressed. The physicist always makes comments like, "Look at her breathe!" And the techs are getting sick of it so they reply back to him, "Yeah, Ray. She's been doing it all her life." Now when he remarks they have come backs like, "She's breathing like her life depended on it."
I'm doing the "coached" breathing with image-guided therapy using a tracking cube picked up by the camera. From what I was told, the goggles mentioned are used in conjunction with the type of machine being used. I don't think you can just buy goggles yourself and use them independently to monitor your breathing. I did a lot of research about the gated technique because it seemed no one else was doing it. Now almost everyone is getting on board! If someone has used the goggles perhaps they could confirm they used them during the CT planning stage. The planning and measuring is very important.
My machine is not compatible with goggles. Some places also use snorkels to force proper breathing. That would make me totally claustrophobic!!
In addition, it is not simply holding your breath at the deepest inhalation. At some point your lungs and tissues shift and wrap around your heart a bit. It would not be advisable to simply breathe as deeply as you can. They do the CT scanning to find the ideal breath hold area and there is a range, not just one cubic volume of air to hold. I did my 4D simulation with a cold. I'm sure my volume was compromised because I felt like I had to cough constantly. But we only have so many things in our control.
I would talk to the techs and doctor and tell them how you are feeling. Xanex or another calming medication might work wonders to alleviate the panic feeling. Once panic or anxiety sets in, there would be no way to hold your breath or follow instructions.
Gated breathing is not hard. But it takes a village to treat a patient. Between the physicist, techs, and me; we all have to be in coordination of timing. More complicated than just two people timing their release during 50 Shades of Gray. lol...
Congratulations to all the Radiant Ones finished!
One week of boosts left for me. I'm going to try to muster through. Beet red and skin is breaking down and open, but I just want to be done!!! -
kirklandgal - hang in there you are almost done - 88% done in fact. And after Monday's treatment you will be 92% done etc.
I discovered my Mom is using this count to help get through my rads.
I'm only 9 out of 25 and I feel like a rhino knocked me over! -
Hi Ladies. 22 down and 3 full rads and 5 boosters to go. The machine wouldnt work again yesterday this whole weeks been full of delays. Bounce my rad onc checks me out everyday my skin and how its reacting as well as when I was down with my asthma and sinus he checked out my breathing and guides me and changes my soap or d cream from aquaphor to Lipikar as mentioned. Yesterday the machine was down and it seems water is an impt element for this machine to work. Strange. He said something like d water pressure was low and due to which d data which goes to the machine and syncs the treatment according to each patient wouldnt go across to the machine. Weird right. Anyways after an hour it was back to normal and the reason they ask us to check(atleast with the hospital where I am treated) that our name appears on d screen before treatment is to make sure that the computer synced to the machine has the right name and therefore radiates the right area. Sorry im not too technical of a person.
It was weird but yesterday while being radiated I actually smelt an odor of something burning. When I got home i realized it was my skin! The area areola looked toasted! What a sight i just layed on a thick layer of goo and had to take an arcoxia for d pain and soreness and swelling! Yuck! The only thought that keeps me going is 8 more to go!
Have a great weekend sisters! Lay on d goo thick n nice to let our skin heal before another week of feeling radiant! -
Hi Lav
I think water is used to cool the machine. I am identified by scanning my fingerprint and assured that that way I can't get someone else's treatment. I still try to see the screen just to make sure. My techies seem to get cross - one told me I wouldn't understand anything on the screen - maybe they get uptight because it adds a second or two on to the time.
I still like to make sure they know who I am by name as my techies are not the chatty type. I intend bombarding them with a beam of positivity to match their photon beam next treatment.
I would speak to your MO before your next treatment about the smell of burning and damaged skin. It doesn't sound too good to me.
To tell you the truth you have scared me rather well. I think my big girl panties shrank a couple of sizes at your story. Actually - they could fit Barbie I am so scared!
I hope you have a good weekend and I hope you have someone to help you with chores - it sounds like you need some extra rest to heal.
Hugs -
Hi Radiant Ladies!
Sorry, have been MIA for a couple of weeks. Trying to finish a paper for my last class!!!
I am 19/34 (last 8 will be boosts) and my skin is holding up well. I put my "boob lube" on 3-4 times a day and take off my sports bra as soon as I get home from work. Skin is just pink. No peeling. Working almost 40 hours/week. I did tell my boss that I want to go part time after Jan. 1st. (enough hours to keep my insurance). I say, live life to the fullest!!! We have all faced down the cancer demon and we are all strong enough to kick its ass! -
bikergirl, so good to see you back here. You're working full time, taking classes, and doing rads? You're not Bikergirl, you're Supergirl! It's great that you're able to go part time. I am 14/30 and just pink and a little sensitive. I'm enjoying being off work this time. It will be hard to go back full time in January.
Stay strong! -
Hi Bounce. When I check in, the techs have me look at the screen and it has my info and picture on it. I have to say my name and birth date. Weird that they don't ask you your name. I guess nobody would have the same fingerprint, but it would be nice if they addressed you by your name. We feel like just another pair of boobs being run through as it is. Geez...
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re the breathing / breath-hold protocols: If you're getting left side radiation, and don't know what you're getting, do ask.
Some treatment centers use machines designed to turn the beam off when your breathing moves the "target" (tumor bed, chest wall, whatever they're aiming for) out of range, and turns it back on when it's back in range. Other protocols are designed to work through normal breathing, keeping the movement from your lungs within the margins of the field.
If you're concerned about which you are getting, ask your RO or techs! My experience is that they're mostly nerds (I mean that as a compliment), and enjoy explaining these things!
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sounds like lots of different ways to confirm its "you" from biometric ID to verbal confirmation. I have a plastic card with a bar code on it and my picture- it goes everywhere I go and I can scan myself in when I arrive with the bar code reader and they know at the machine I have arrived. A pretty horrible picture but hey what can you do it does look like me at 0715 most mornings haha -
Bluebird, thank you!
The fam & my sisters fam met at the beach house last night... made dinner.... and drank wine while we all opened up a few BIG boxes that my mom left us..., thousands of pictures & albums even stuff passed down from my grandparents... my christening gown... lots and lots of laughs while my mom sat on the mantle & was, hopefully, smiling that she brought the family together to have so many nice memories to share about her... funny how quickly I am forgetting the bad memories...
My favorite was hearing my girls' most favorite memories of her. For what she may not have been as a mother, she made up for, in bucket loads, as a grandma to my girls.
A few others drove for hours to be at the dock to join in the spreading of her ashes. Each one scooped a bit of them and said their goodbye while pouring over the side of the boat.. at the end, we all tossed flowers in....
This time of year in OR, you dont want to go out in the ocean, but it was perfect.... no rain.... slight breeze.... I think she would have been/is happy with how everything came together...
I hope everyone has a restful Sunday with you families....
& thanks for all the kind thoughts...
On the boobie front..... I still feel random zaps of pain, but not bad, but ive been aching & feeling like im 80 instead of 45.... im sure its normal & am getting better everyday...... finished rads on 11/6....
Good luck to you all... strong women....! We dont know how string we are until being strong is the only choice we have!
Lorrie
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26 of 33 and I look like a fried turkey leg. The rectangular rad field is from the center of my chest wrapping around to my back. The whole thing is a deep maroon color now and decidedly crispy. Except for weird little pink patches that I suspect are from air pockets on bolus days. I have large blisters on my side. I am just praying that they don't bust before Tuesday. The tech told me that when they so I will have to have a break. But I asked her about it yesterday and she said they may be able to go ahead with the boosts even if the skin on my side opens up. I am so uncomfortable and nothing is really giving me any relief. Boo -
Delirium.
red color is one thing...... blistering & wounds is another. talk to the nurse tomorrow! Thats why they are there!
Im done, but throughout, they were more concerned about breakdown. Not color.i got reaaaaaaly red, but held up thru 34 trearments. When they stop using b the bolus, everything gets better.... like day 1 again.....
Hang in there.... youre almost done. & after...... the healing is like lightning speed! My boobie just looks a littke tan and I just had my last treatment 10 dats ago.
I think ill be wearing an under wire bra about again starting monday. I get a few weird dB zaps of pain now and again, but its quick and gone in no time...
Just stuff weget to remind us of the battle we have WON....
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Jo6202....I got my emu oil over the internet. I made sure to buy the refined kind. It was around $50 for the bottle. I'm still using the Aloe, emu oil topped with Aquaphor. The occasional hydrocortisone helps with the itching. I notice my collar bone area seems to be the darkest. None of my skin hurts at all - it just itches with a mild rash. I haven't really experienced any fatigue yet
Just a side note....There was an 83 year old woman that just finished up her rads for BC and I was talking with her daughter in the waiting room while I was waiting for my treatment. She is still a practicing attorney and her daughter and she own their own practice. Amazing. Such an inspiration!! -
Bounce - Thanks for the encouragement. I needed it!
It is - It is soooo helpful to hear about how quick the healing is - it helps me keep going knowing that when I am done it won't take long to start feeling better!
Delirium - I admire your strength. Hang in there! Tuesday will be here soon! One of the gals I talk to in my waiting room said they gave her something called Mepilex to help the areas that were starting to blister. I don't have any experience with it myself but maybe one of the other gals here does. Apparently they sell it in the hospital pharmacy where I am.
My oncologist has given me narcotics for my pain. Although my skin is still holding up well, it feels much more burnt deep inside than you can tell from the outside - which is, of course, what they are going for. The narcotics help me to sleep at night. I don't take them during the day because I'm worried about how they will affect my driving.
Wow, it does sound like there's quite a variety of ways to ID us. After 5 weeks I feel pretty confident that my techs know who I am (they are very friendly and call me by name). Their official way to identify me is by birthdate which they are required to ask at the beginning of each session. I'm impressed by the high tech methods of fingerprints, scanning yourself in with a card, and confirming identifying information with pic!!!
Bikergirl - Working full time during this is extremely impressive! Amazing! -
I'm molting. I am 17 days out and I hurt. My skin is peeling like crazy and I'm oozing in a few spots. So, DeliriumPie, you are not alone. I try to air it out and I put aloe and a holistic balm on my skin. I'm taking ibuprofen for the pain. But maybe I need to pull out the narcotics for sleep!
I looked up my treatment info; I got 66 grays! Lots! No wonder I feel this way. I find my body to be very tense, especially my shoulders. I stretch often. But I scrunch up fast. I'm hoping for much improvement in the next week!
Lorrie, what a great way to honor your mother. -
Rainyday, yes to the sleep problems you are experiencing for me as well. Can fall asleep but unable to remain asleep. Thankfully, my last treatment will be next Tuesday...28 in all.
Taking radiation is a nightmare for all of us. It had better do its job and kick our cancer to the curb.
Wishing everyone a good week. -
I need help on which technique to choose. My bc was on the left side. Does anyone know if the deep breath hold is more effective than the regular technique? The facility close to me doesn't offer breath hold because they don't have the equipment. The facility across town from me does. The Rads Mo feel the end result will be the same. The decision is mine to make. -
I am 10 done and can see my field clearly tonight. Am surprised by how much of my armpit and my side is getting zapped.
Tips for feeling better - things that work for me -
I have not been diagnosed with lymphedema but my booby is very swollen and heavy.
I looked for "self lymphatic massage for breast" on Youtube and am using the technique and it helps with the pain. I think the swelling was causing some of the pain and the massage technique seems to help a bit.
Can only do it as long as my skin holds up.
Also lying on my back a bit tilted to the side feels good for the internal discomfort.
Wishing us all a good week. I hope we have enough music and humor and love and support and attitude and faith and strength and (wait a minute I have to breathe) fortitude to get through this week.
Lav - how are you doing? -
Hi Candi07...You want to know whether to choose the gated breathing or not. In my case, my RO was the one who suggested it because he did not feel comfortable enough.because my tumor was on the bottom close to my heart. Too close for comfort, I guess. He explained that the breath holding moves your heart lower, hence moving it out of the treatment field. I don't know where your tumor was located. I would think that would influence the decision. . Ask your RO, he should be the one to advise you if it is necessary or not.
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Lorrie, that sounds like a beautiful day. Your mom will always be watching over you and her grandkids.
DeliriumPie, I also am fried to a crisp. I am missing skin and have open wounds and every time I take off my shirt or bandages I am missing more. Today it began bleeding.
I'm just so discouraged. This was to be my last week of 5 boosts, but I can't see continuing with open bleeding skin. Nothing has helped. I've used pure aloe, Aquaphor, calendula cream/ointment, Silvadine, cornstarch.
Have Ambien for tonight and will ask for pain meds script tomorrow. I'm not sure I can do this anymore. -
Bluebird- virtual hugs it sounds like a frustrating and painful situation How long do you have left to go? Is it possible you need to take a "radiation vacation" and allow your skin to regenerate a bit then continue?
Hope you get info and pain control tomorrow -
Dear Bluebird, I am so sad to hear about the breakdown of your skin. It sounds so painful. I will pray that it heals quickly. We all try to be so upbeat and brave but when things like this happen, it is almost too much to bear. -
Thanks. I'm just so sad about the whole thing. I've been looking forward to finishing, but I'm just so miserable and I am dreading tomorrow. I can't see that a break would even help at this point.
Here's a photo of me last Friday. It's already gotten worse over the weekend. Even more open areas.
Hope this isn't too graphic for everyone. If so, let me know and I'll delete it.
I hate having to look at the wall of mummies and faces! -
Oh my goodness Bluebird. You must take a break! They wouldn't actually radiate you with that much skin breakdown. ... .. .. ..would they? -
P. S. Those mummies and faces are creepy. That's a very bad place to store them. How thoughtless! -
I agree. I plan to write a letter and let them know of my experience there. This hospital is very proud of their new affiliation with MD Anderson, but they have a long way to go! -
Oh Bluebird! I am so sad and tearful for your pain and suffering. Surely your doctor will have some comfort for you tomorrow. We're all here for you.
Love, MsP -
Bluebird- If anyone can handle it- we can -speaking for myself its quite startling to see that much skin compromise but it helps put your words into a visual and you are still having boost treatments
- as we all know from the physician that had that excellent post here- its that the healthy skin has rapidly dividing cells the radiation passes through so what we are really seeing is the "absence" of new skin cells forming hence these areas where the skin integrity is compromised. If taking a break would allow your skin cells to "catch up" possibly that is a good course of action
are you in a lot of pain?
I reviewed my radiation instructions which advised against using cornstarch on any open skin.
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