Fall 2013 Rads
Comments
-
Today was 17th radiation treatment. I will have last one Jan. 7, 2014.
I am finding it is painful after radiation. Usually put bra into my coat pocket. Because of cancer in lymph nodes, I have 3 scars: from lumpectomy, SNB, and axillary node dissection. These areas the most sore. Have a rash area above my collarbone which the bra strap hits. have. Never owned so many bras! Buy 'me and get new ones when old ones begin causing discomfort.
Although I am halfway through radiation, that fact today is more depressing because just worn out from going through chemo and side effects and Lymphedema - it just gets worse especially in my right hand despite PT with Lymphedema expert, custom glove, sleeve... Manual Lymphedema massages. All around more of a down day. Only thing that has saved me so far is staying in the moment so I don't go down the what if road or just get overwhelmed. But today is hard as so many are when going through cancer treatment. Good luck to all. -
Shalimar: I also just breath normal.
SheliaB330 : I hear ya on tired of all this. It is ok to have a down day. Chin up it is one less day of tx. BIG HUG (( )) . -
Wow this thread has multiplied over the past month. So sorry so many people have had to join. I have read all the pages to see how everyone faired. It appears most of the early group has completed their treatments, including bluebird.
It has been a super busy last few weeks. I managed to get everything done with Mom's passing. I had her memorial service Dec 3rd. So glad to be back home. I had issues trying to find internet while gone. On Friday I picked up the death certificates and was surprised to see they chose cause of death as metastatic breast cancer with contributing health conditions of Alzheimer's dementia. She was never tested for mets. I don't know how they made that diagnosis. I guess they like a reason other than Alzheimer's. When she was diagnosed in Feb. they told me she would die of something other than breast cancer since it was so slow growing. Oh well, it is what it is.
I did really well after rads. The worse it ever got was a slight sunburn under the arm area and a slight tan for the rest of the treated area. I feel so fortunate.
I saw the PS last week and he said see you next year and we will start planning a DIEP reconstruction. At this point I am in no rush to start another long healing process. Maybe I will shoot for March.
We are planning to take our replacement cruise the first week of Feb. This will be the one year anniversary of the cruise from last year that we got stranded on the Gulf of Mexico. We were on that cruise with ten couples that graduated high school with us. 4 couples have been waiting for me to finish treatments so we could go again. We just found out one other lady on the trip with us last year was diagnosed with breast cancer in June and finished a LX and rads in Sept. Guess we will have something to catch up on. They knew I had been diagnosed and was starting chemo when we got back off the cruise. In fact we were still on the boat when I was to have my first MO appt.
For all the new ladies I hope you have an easy time.
Shalimar, I did not have gated or controlled breathing with left breast rads. My tumor bed was near the chest wall at the 5o'clock position. I asked why and they said during my setup my breathing pattern showed I had plenty of room to protect the heart and a very small margin of the upper lung would be in the treatment field. Ask your RO to show you the colored rad field chart it shows the laser areas and the location to your organs. It helped me feel safer After seeing a visual. Good luck. The new machines have very minimal scatter as opposed to older models.
Bounce so glad to see you have finished. So sorry you were so exhausted. I hope everyday gets better and better and you will be strong for the holidays.
MsP thanks for continuing to hang around and be such support to this radiant group.
I will continue to check in and follow each persons journey through the holidays. I wish each one few SE's and quick healing and conquering the emotions of the treatments. -
Hi, Shalimar. Glad you decided to post! Some cancer centers offer gated breathing, especially for left-sided cancers. The whole idea is that when you hold your breath, your heart drops further into your chest and thus out of the field of radiation. But this treatment option would have been specifically determined at the outset of one's radiation set-up, not haphazardly. If you're being told to breathe normally, then that is also a standard method of treatment and most likely, your RO and physicist determined in the initial CT sim that your heart was significantly out of the way with free-breathing and not a cause of concern during rads. In fact, my RO has mentioned that, even if I were doing free-breathing, the configuration of my body/chest is such that my heart would have been out of the way anyway. Probably the same with you. I'm the first patient at my cancer center/hospital to do gated breathing, so this was a real learning opportunity for our radiation team. But the reason I was asked to do it had less to do with the location of my cancer and more to do with the fact that, physically, I met a set of criteria (non-smoker, physically fit, not obese, of a certain age (49), open to the idea).
If you are already halfway done, at this point,I think the team would not put you through a redo of your CT sim in order to do gated breathing with you. You CAN ask to see the weekly x-rays that they do (they do them when you're on the table) and ask your RO to show you exactly where your heart is relative to your radiation. This might provide some peace of mind.
I can't believe they forgot to tell you not to come in on Black Friday!! That's terrible! Be sure they give you specific instructions for Christmas Eve and New Year's Eve. My center sort of has a little "party" for the patients who have to come in on those near holidays. As for the break on the weekends, I was told that it is to give your healthy cells a chance to regenerate after the rads bombardment...but sneakily I suspect it's just because it's convenient for the docs/team to be off on the weekends, just like anyone else.
Best wishes!! -
Jeanine, so very, very happy to get this update. What a year, right? But it looks like you can close the chapter on some of the challenging parts and look forward to 2014, a new year. And again, so sorry that you lost your mother this year. I think you are so wise to delay more treatments if you can and have some fun. As I always say, we have to remember to thank our loved ones who have supported us through this crap....and be a support to others when we can.
You have always paid it forward and are loved for that. Best, MsP -
Re: days off from rads. My dr. mentioned this since my treatment goes over Xmas Day, New Year's Day, & Martin Luther King Jr. Day, all federal or state holidays where I live (& thus his office is closed). He said that it's not usually a problem to miss a day or two of treatment in the middle, as long as you don't go too many days in a row without a treatment & the total number is correct for you. The 4-day break over the Thanksgiving holiday was the maximum he was comfortable with. It sounded like there could be cases where that break might even be too long, but definitely not with me. -
I'm done! Last rad today! So glad to be done with active treatment. I have been on this roller coaster since May and this is it (except of course for tamoxifen).
So no more appointments until after Christmas. I see the RO Dec. 27 so I guess I'll be ringing in 2014 with tamoxifen.
I have no pain, but redness in the boost area and tanning in the rest. Fatigue just started for the first time yesterday; so after 5 pm I am just wiped.
Everyone, I will be here to see how you all are and to compare notes as things continue. Have a great weekend, and may your SEs be few and your joys plentiful! -
Thank you all for the responses.
70charger--good to know I'm not the only one. Was worrying a bit there.
jbdayton and summergal--Thanks for all the info. Maybe I will ask to see the films at the next meeting with the RO. I realize they know what they're doing, but when we don't understand everything, it's hard not to worry.
Sheila--we on are the same schedule it looks like, today was also my 17th and Jan 7 should be my last one. I hope your side effects lessen and become more manageable. It is hard to stay upbeat when we feel lousy for sure. I live outside of Portland myself. Hope you are keeping warm.
They were really running late today when I went in for treatment so they gave out gift cards. Bonus! -
Anybody here who is doing radiation after implant exchange? My PS recommends exchange surgery before starting radiation which would delay rads by at least four weeks. If you went this route please share your thoughts. -
Lisasp, congratulations on finishing your treatment and doing so well. Isn't it wonderful to have no doctor appointments for a while?
Love, MsP -
Congratulations Lisa! It is so wonderful to (as my auto spell correct would say) "be done with this shirt!"
On rad breaks: Heck, I had a three week break from rads. I wonder if it wasn't just a money maker for them to bring me back to get in the last three.
-
As far as rad break over the weekend goes I think it saved me. The first 3 treatments of the week were ok. The last 2 days my boob was swollen and sore inside and I felt like something had drained all my energy away - I craved the weekend like fresh air after a smokey room.
Only by the end of the weekend would I start to feel semi normal again.
jbdayton - hi there - may you go from strength to strength.
LisaSp - happy dance - when you get tired drink lots (not vodka) and rest. I swear I got so tired my eyeballs hurt. Not much point in fighting it.
SheilaB330 - Hang in there sweetie. Some days suck and some days don't. Comfort yourself the best way you know how. Walking helps me if I am down but I don't know if you have the energy or the weather to be able to. Listen to your best music. Something with a beat usually helps me perk up. And freeboobing is the best. I still can't wear a bra for more than about 2 hours without ripping it off.
I am quite displeased with my RO - he told me my skin would get worse for the next 4 days after finishing rads - what he didn't tell me is what I should do if some areas have scabs! Am using a variety of creams and lotions. Its not too painful so I guess I don't need to worry - just let time heal it. I am more worried about some skin that is ok but very very dry. Nothing softens it up. I don't want crocodile skin on my breast. -
Done, Done, and Done!!!! When I thought it was never going to end when I looked at the long stretch before me. I do have to admit, now that radiation is over, I feel a little bit anxious. Like this "Being on my own now" feeling. I hope that it passes. Now on to the next hurdle. Anastrozole/Arimidex. But...I won't have to start until after the holidays. My MO wants to see me on January 29. The redness is already fading and the underarm is healing quickly. Hang in there, ladies! It will be OKAY. Have a great weekend break...
-
Candi07 me and you are on the same schedule... I just got my markings on Wednesday, will do the dry run on next Wednesday, and will officially start on Monday the 3rd. My RO said I can really start on next week, but we having our family Christmas on the 21st I want to have fun, and enjoy, not everyone asking me are you ok?!
But yes got my tattoos also was shock of the little pinch but not bad. My team of ladies so far seems great, and friendly. And my RO I think he's going to be alright with me. Also I think it helps that I am also an employee at that hospital. He made it very clear. -
How do you add your oncotype score on your profile? I see some ladies have it and I can't figure where you put it at. -
Oh yea, I am doing normal breathing. No gated breathing either. They told me to breath normal, they put something on my chest to see the movement of it with a camera in front of me. Then I held my breath probably for 20secs as they did the ct scan -
I was told by a tech today that I am getting another CT on Monday to set up for the boost, according to her I will be lying on my side for this to displace the tumor cavity. Does anyone know if this requires more tattoos, I forgot to ask? -
Hi sloyd66'
I made my oncotype part of my signature data. Try that, sweetie and all the best to you for your treatment.
Love, MsP -
Thank goodness for the weekend. I getting redder and redder. My RO will monitor. She advised me what to use for it. My question for whoever can advise me is this: I will have an appointment scheduled next month with MO. What are these appointments typically like? All I was told by the surgeon is that I would see the MO for Tamoxifen. What are some helpful questions for the MO? Thanks!
Wishing everyone peace andrelaxation this weekend.
-
thank you! -
Two more boosts left, but I feel like I'm done because I had my meeting with the RO and nurse to get my discharge instructions yesterday because they do that on Fridays - my schedule is off because of the two holidays for Thanksgiving week. I'm feeling pretty chipper about being (nearly) done. Under my arm and breast are so red right now and I have a lot of itching - especially along my sternum. It's so hard not to scratch.
KR - no tattoos for the boost at my place. Since there are only 5, they marked it with marker and put tape over the marks to protect them from getting washed off. I think they normally use clear stickers, but I had one throughout the rads and mine kept falling off (the tape seems to hold a little better on my skin). I have 5 marks right now covered in tape and I can't wait until the last boost so I can get them off! Especially as they cover so much of the boost area, so there's only some small regions between the markings that I can put any Calendula cream or Aquaphor on.
Really hoping the redness will go down this weekend instead of getting worse like yesterday. -
So glad to see people finishing. I am really glad Tanya is taking the shuttle and not making that drive- it does take longer but you don't have to worry about the other drivers.
I was told to breathe normally myself- my site is 3o-clock left breast- I also saw the field of radiation diagram so one sliver of the top of my lung might be in the field but on x-ray its less than a mm- I would not have seen it if they had not pointed it out.
Here is an article just posted about radiation and cardiac issues from BCO -
Congrats to all those who finished this past week or so: lisasp, bluebird (love the sloth pix), bounce and rainy day. Hopefully I didn't forget anyone. Happy dance for you all!
Rainyday, I also felt like you did around the time of finishing, it is a bit scary to feel like you are suddenly on your own, and not sure what to do next. But after I had my follow ups with my MO and BS last week, I feel a bit better. I know I will start tamoxifen next month, and will be monitored through follow ups every 3 to 6 months, etc. Also, even though the "active" part of treatment may be over, you still need time to rest and recover from this whole ordeal. (I am trying to heed my own words, because somehow I feel that now that rads is over, everyone will expect "Business as usual", but my DH and others have told me that is not the case. They are expecting that I still need to recover. I guess I am the only one putting pressure on myself.) You are not really on your own. Besides, you can still be active on the boards here, we can still support each other.
Summergal, so glad to hear from you again. I was beginning to wonder what happened to you!
Happy healing weekend to all! -
Hi Wyo. Didn't you do the shortened treatment? I am still undecided, but was told it will be 18 treatments instead of 33. The thing that worries me is he said it would be the same amount of grays, only over a shorter period of time. If you did the 3 week protocol, do you know how much radiation you received total?
Thanks. -
PRB1956 - Where I did rads - under age 50 do 25 treatments with a simultaneous integrated boost - 50 grays for entire breast 60 grays for boost area.
Over age 50 - same thing but in 15 treatments.
RO said they are both as effective in keeping cancer away no matter which age group given to - but they are not yet sure of the 10 year cosmetic effect for under 50 year olds of the 15 day treatment so therefore they still do the longer one.
L2girl - nice to hear from you - yep. Take it easy. Don't feel you have to live up to anyone's expectations - just listen to your body and do what's right for you.
Despite some heavy rain in my area most of the weekend my husband and I drove to a park and went for a walk this afternoon.
There were about 4 other people in the entire park which is usually crowded on a Saturday.
My husband looked at the other people and said: I bet you they are all cancer survivors! At that moment I felt rather pleased with myself (and with my husband).
Mellie289 - resist the urge to scratch or even to rub hard - and be very careful of towels. That skin might look like its ready to come off but the skin underneath is really in need of still being covered.
Am using shea butter cream today and it seems to be helping keep crocodile skin at bay. -
Hi PRB - I know the question was aimed at wyo, but I thought I would chime in since I was in the position of deciding too. I just finished the 3 week protocol and now I'm finishing 5 boosts (20 treatments total). The protocol is 40 Gy divided into 15 fractions (2.67 Gy per fraction) over 3 weeks followed by 5 treatments for 10 Gy to the surgical site. The alternative was the 6.5 week 33 dose protocol my RO wanted me to have - 28 treatments to the whole breast for a total of 50.4 Gy, followed by the same 5 treatments to the surgical site of 10 Gy. So it is definitely a different total dose.
I pushed for the shorter course because I needed (emotionally) to be done with all this before Christmas so I could travel back home to Canada to spend the holidays with my family. My RO discouraged the idea because there hasn't been a lot published in the USA on the short course and I had done chemo as well. Once I latched onto that idea, I sifted through the literature and found that the shorter protocol is pretty much the standard of care for lymph node negative BC in many countries where medical treatment isn't a for-profit industry and they want to reduce the number of patients visits to get more through. I also found a large study in the UK that included women who were lymph node positive and/or had done chemo first (so women like me!!) and the results of the study (short term and 10 year follow-up) showed the shorter protocol was at least as safe and effective as the longer protocol for early breast cancer. That sold me on the shorter course. -
Bounce - I hadn't heard anything about the cosmetic effects of the shorter versus longer protocols. Interesting. I have gotten very cynical about medical billing in the USA since watching my chemo bills role in and it seemed to me that there would be little incentive for ROs to switch to a similarly effective shorter protocol if they can have patients come for more treatments to bill their insurance companies.
Thanks for the advice on the itching. I am fighting it and trying to just dab gently with the towel. I used some hydrocortisone cream on the worst area (sternum) and the itching is more tolerable. I don't have any peeling yet, but I think it will come on my nipple soon by the looks of it - a bit like crocodile skin, now that you mention it. I hope I'll be able to ignore the peeling. I'm a picker! -
Thanks Bounce and Mellie. Wouldn't it be nice if there was a damn standard these RO's adhered to? I can't remember the total grays, but I believe it was 50 something. AND... my RO said no boosts for the shorter protocol. Just 18 treatments all the same dosage. I haven't heard of anyone doing 18 on here.
The RO told me I had 3 months from surgery to decide..after that he wouldn't treat me...so technically I guess I have until Jan 21st. I can't help thinking that I will regret doing radiation..it just doesn't seem right...but then, I'm left with doing a mastectomy and the thought of another surgery chills me to the bone (not to mention the possible complications and the reality of living without a breast). I already have lymphedema and cording from the lumpectomy, so which of the 2 evils will cause less fluid retention or cording? No one knows. -
PRB - I'm speechless that he would refuse to treat you if you go past 3 months! Have you thought about getting a second opinion? I did that for my MO and went with the second since I preferred the treatment she suggested (6xTC instead of 6xAC plus 6xT) since it meant a shorter treatment and no risk of permanent heart damage. I hope you have the option to see another RO.
Sorry about your current complications from the lumpectomy. I'm worried about the rads too - I don't have any swelling but I've been going for LE risk assessment and my L-Dex readings went up last month. I'm going again on Monday to see if a month of self-massage and wearing a sleeve+gauntlet has helped, but the effect of the rads and flights I'm going to be taking during the holidays have me really worried about my early LE advancing. Everything we do seems to be a gamble for future complications that can be permanent.
As far as rads go, do you have any information about what areas will be treated? My RO is not doing the area that has my remaining lymph nodes (only two fields), so I expect that the damage shouldn't be as bad as for those who also get their axilla treated and can have the lymph nodes there damaged. -
Mellie - I will be in the prone position, so he has told me twice that no other organs will be in the field. Do I believe him? Not so sure. I will never understand why they don't put a lead pad on us like they do at the dentist office. I keep forgetting to ask that question.
I have met with this RO 2 times and I think he has grown weary of all my questions. I really liked him the first time we met, but over time, I feel like he doesn't like being questioned. I suppose most doctors are like that... they prefer the patients that shake their head yes and do as they're told. At one point during all my questions he said "do you want me to call your surgeon to schedule a mastectomy?"
I've cancelled my simulation twice. I asked him how many more times can I cancel before he kicks me out and he said "one". lol There is another radiologist at the center ... maybe I should talk to him. My current RO acts like he's treating the common cold and never gave me any specifics until I asked (grays / # of treatments / side effects).
My lymphedema is mostly in my hand..and it's actually gotten worse since I started doing lymphedema exercises that the PT wants me to do. She really helped my cording, but the lymphedema has her puzzled because even after a manual lymph massage from her, only a couple of numbers changed.
Yes, it is all a crap shoot and I'm about to jump off the train and just live my life until it ends. I read somewhere that radiation doesn't help survival..just recurrence. WTH? I'm not sure if that's correct, but it seems I read it on a national cancer site. Sometimes I think the doctor's just don't want us to know the truth. If the reduction of recurrence is small, but survival is the same, who would do rads?
Categories
- All Categories
- 679 Advocacy and Fund-Raising
- 289 Advocacy
- 68 I've Donated to Breastcancer.org in honor of....
- Test
- 322 Walks, Runs and Fundraising Events for Breastcancer.org
- 5.6K Community Connections
- 282 Middle Age 40-60(ish) Years Old With Breast Cancer
- 53 Australians and New Zealanders Affected by Breast Cancer
- 208 Black Women or Men With Breast Cancer
- 684 Canadians Affected by Breast Cancer
- 1.5K Caring for Someone with Breast cancer
- 455 Caring for Someone with Stage IV or Mets
- 260 High Risk of Recurrence or Second Breast Cancer
- 22 International, Non-English Speakers With Breast Cancer
- 16 Latinas/Hispanics With Breast Cancer
- 189 LGBTQA+ With Breast Cancer
- 152 May Their Memory Live On
- 85 Member Matchup & Virtual Support Meetups
- 375 Members by Location
- 291 Older Than 60 Years Old With Breast Cancer
- 177 Singles With Breast Cancer
- 869 Young With Breast Cancer
- 50.4K Connecting With Others Who Have a Similar Diagnosis
- 204 Breast Cancer with Another Diagnosis or Comorbidity
- 4K DCIS (Ductal Carcinoma In Situ)
- 79 DCIS plus HER2-positive Microinvasion
- 529 Genetic Testing
- 2.2K HER2+ (Positive) Breast Cancer
- 1.5K IBC (Inflammatory Breast Cancer)
- 3.4K IDC (Invasive Ductal Carcinoma)
- 1.5K ILC (Invasive Lobular Carcinoma)
- 999 Just Diagnosed With a Recurrence or Metastasis
- 652 LCIS (Lobular Carcinoma In Situ)
- 193 Less Common Types of Breast Cancer
- 252 Male Breast Cancer
- 86 Mixed Type Breast Cancer
- 3.1K Not Diagnosed With a Recurrence or Metastases but Concerned
- 189 Palliative Therapy/Hospice Care
- 488 Second or Third Breast Cancer
- 1.2K Stage I Breast Cancer
- 313 Stage II Breast Cancer
- 3.8K Stage III Breast Cancer
- 2.5K Triple-Negative Breast Cancer
- 13.1K Day-to-Day Matters
- 132 All things COVID-19 or coronavirus
- 87 BCO Free-Cycle: Give or Trade Items Related to Breast Cancer
- 5.9K Clinical Trials, Research News, Podcasts, and Study Results
- 86 Coping with Holidays, Special Days and Anniversaries
- 828 Employment, Insurance, and Other Financial Issues
- 101 Family and Family Planning Matters
- Family Issues for Those Who Have Breast Cancer
- 26 Furry friends
- 1.8K Humor and Games
- 1.6K Mental Health: Because Cancer Doesn't Just Affect Your Breasts
- 706 Recipe Swap for Healthy Living
- 704 Recommend Your Resources
- 171 Sex & Relationship Matters
- 9 The Political Corner
- 874 Working on Your Fitness
- 4.5K Moving On & Finding Inspiration After Breast Cancer
- 394 Bonded by Breast Cancer
- 3.1K Life After Breast Cancer
- 806 Prayers and Spiritual Support
- 285 Who or What Inspires You?
- 28.7K Not Diagnosed But Concerned
- 1K Benign Breast Conditions
- 2.3K High Risk for Breast Cancer
- 18K Not Diagnosed But Worried
- 7.4K Waiting for Test Results
- 603 Site News and Announcements
- 560 Comments, Suggestions, Feature Requests
- 39 Mod Announcements, Breastcancer.org News, Blog Entries, Podcasts
- 4 Survey, Interview and Participant Requests: Need your Help!
- 61.9K Tests, Treatments & Side Effects
- 586 Alternative Medicine
- 255 Bone Health and Bone Loss
- 11.4K Breast Reconstruction
- 7.9K Chemotherapy - Before, During, and After
- 2.7K Complementary and Holistic Medicine and Treatment
- 775 Diagnosed and Waiting for Test Results
- 7.8K Hormonal Therapy - Before, During, and After
- 50 Immunotherapy - Before, During, and After
- 7.4K Just Diagnosed
- 1.4K Living Without Reconstruction After a Mastectomy
- 5.2K Lymphedema
- 3.6K Managing Side Effects of Breast Cancer and Its Treatment
- 591 Pain
- 3.9K Radiation Therapy - Before, During, and After
- 8.4K Surgery - Before, During, and After
- 109 Welcome to Breastcancer.org
- 98 Acknowledging and honoring our Community
- 11 Info & Resources for New Patients & Members From the Team