Winter 2013-2014 Rads

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  • rosecal954
    rosecal954 Member Posts: 79
    edited January 2014

    lindacam, Congrats on being finished with your treatments.  I imagine you will not miss the long drive. Very happy for you and hope you will have few SE!

    gilbert, Thank you for your input and for the suggestion of the B-12 injections. I have liquid B-12 at home; it worth it to give it a try. Thanks for reading and replying to my post. I will find out more as far as fatigue goes when I return to work on the 6th. Right now it's not too bad, but feel sleepy in the afternoon and pretty wiped out by 7:00 or 8:00 p.m. even when I have slept in. At times during the day my energy is pretty good, though.

    Cari, I will have to get the book "After Breast Cancer".  Sounds like a good read after what we've been through.

    Happy New Year! -- pray this year of 2014 will be a healthy one for all of us and good things to come.  Stay positive. I know sometime it's hard, but we will get through this. Thank you for this discussion board, TeamKim and everyone.

  • msmaples516
    msmaples516 Member Posts: 54
    edited January 2014

    I have had 9 rad treatments coffee doesn't taste the same.  Other wise i am great I just get very tired at work in morning hours I have 23 more to go

  • batcatlady19
    batcatlady19 Member Posts: 138
    edited January 2014

    re: Aquaphor & clothing - I haven't found it to stain anything yet. I've used it before putting on cotton Tshirts & pjs & occasionally bras. Any residue washes right out (& I wash everything in cold water). Of course there isn't a ton of residue to get on the clothes. The nurses at my radiology office warned me that Aquaphor is sticky & messy, but it soaks right into my skin. Heck, I started using it on my elbows, they get so dry in winter :)

  • TeamKim
    TeamKim Member Posts: 568
    edited January 2014

    msmaples -- bummer about te coffee.... Starbucks is my go to morning routine & pick-me-up....during chemo I had to switch to decaf, since the regular leaded stuff tasted nasty.  

    Des -- your fear is natural, and it is difficult to sort through all of this as a layperson.  I had similar concerns toward the end of my chemo, as I was allergic to one of the drugs and had to think my way through whether to stop or push through one last treatment.  I talked to my PCP and it was really helpful.  Specialists do what they do, and deal with just their specialty.  They have trouble sometimes considering the whole person and the future quality of life issues.  They are focused on killing cancer cells by doing what they do.  Sometimes the techs or the nurses are more compassionate and/or more practical.  I could never have gotten through chemo without the help of my team of infusion nurses -- my MO seems to know this about his practice, and prefers that patients work with the nurses on their questions.  If you have access to a nurse navigator through your breast center or through your insurance, that could be helpful for you to cross check what you are being told about treatment.  Don't be bullied into stopping with your questions -- you have every right to fully and deeply understand your treatment options.

  • sbpop
    sbpop Member Posts: 20
    edited January 2014

    Hello ladies,

    I had a lumpectomy on Dec. 17, 2013, which included removal of sentinel node that showed no cancer cells (I was told this immediately following my surgery). Previous to my surgery I knew that I would have RO. After further pathology tests, the following week my surgeon told me there were microscopic cancer cells in this node, and my medical onc would make the decision as to whether or not RO would be my only treatment. My first appt with MO is not until Jan. 16! I feel like I am back to square one with once again not knowing if my cancer has spread! 

    I just needed to let you know that I will be starting RO soon, but at the rate this is going, it might not be until February!  What an opportunity to learn patience!  Hope to be a member of your RO group soon, although I never thought I would be saying that. Best wishes to everyone in our sisterhood and God bless!

    P.S.   I am told that for now I am Stage 1 pending MO appt. The waiting is nearly excruciating.  


  • TeamKim
    TeamKim Member Posts: 568
    edited January 2014

    sbp, the waiting is SOOOO difficult!  I had a similar situation, sort of.  Nodes were clear, but after the pathology report on my cancer, the cancer cells which were removed were judged to be very differentiated (or "wonky" as my BS said).  So whereas I had planned to go straight to rads, I had to detour through Chemoland (ugh!).  So though I would have started rads in September, now I am starting in January.  I think what bothered me most throughout BC was when I thought I had a plan that I understood well, then the plan got changed.... It has tended to freak me out every time.  Guess I am a control freak!  Lol!

  • sbpop
    sbpop Member Posts: 20
    edited January 2014

    Thanks TeamK!  This was my first post and it's good to know theres another warm body out there who understands. Yeah, I thought I knew the plan, too, but when it changed it took my breath away. I guess it would be wise for me to remember that I  should know the plan, but it is subject to change. I think it's called "rolling with the flow", but its easier said than done!  MY PLAN is to TRY  to focus on all the goodness & blessings in my life, putting one foot in front of the other each day, as usual. With a little help from God & my family, maybe the next two weeks will go fast!  Thank you for caring and sharing! 

  • Oncearunneralwaysarunner
    Oncearunneralwaysarunner Member Posts: 252
    edited January 2014

    msmaples - thanks for the heads up about coffee. I'll know to expect it now. I found that I could not drink coffee for about a week after my chemo treatments because it tasted awful and just did not sit well. I'm like TeamKim, I stop and pick up a coffee either at Starbucks or at the hospital Tim Hortons before a treatment. The lack of taste buds just might make it a little easier on my wallet :)

    Is anyone using, or been advised to use Glaxal Base cream or calendula cream twice daily during treatment? I have a sample of the Glaxal Base and while unscented it stinks. I'm wondering if anyone found the calendula cream to be the same. 

    sbp - I too don't deal well with changes to plans other unknown for that fact. I usually want things all planned out that done right away. What I found works well for me is to look at a particular situation and see what is within my control. If it's not within my control, I try to not stress over it. That's the hard part. If there is something within my control then I do what ever I can to make things move faster. It makes me feel like I have a little more control and it helps. I'm sharing in the hope that it helps a little.

    Hope everyone is having a good 2014! I know it's early but it's been much better than 2013 so far :)

  • candi07
    candi07 Member Posts: 188
    edited January 2014

    onerunneralwasyrunner, my RO recommended calendula cream, which I will be ordering from Amazon. In the meantime I'm using generic brand of Aquaphor the doc gave me  which is very light and not as thick as the one you purchase in the store. 

  • annika12
    annika12 Member Posts: 433
    edited January 2014

    hi, joining you !! Will be starting radiation, 5 days a week for 6 weeks to breast, armpit and sub clavical :(  Starting last week Jan. I'm so sick of doctors and hospital appointments I wanna go back to live now , oh well I knew it was coming !!! 

  • candi07
    candi07 Member Posts: 188
    edited January 2014

    annika12, welcome! You will find a lot of good information on this thread. Sorry you have to be here with us, but glad to have you. Everyone on here is very supportive and open to share their experiences.

  • rosecal954
    rosecal954 Member Posts: 79
    edited January 2014

    Hello everyone,

    Today I am half-way done with my rads treatments - 15/30.  I'll be finished on the 23rd.  As far as SE's so far, I do notice the fatigue is increasing little by little, but quite manageable  It has been so wonderful to be home from work during the Christmas break. Getting more sleep has given me good energy during the day for the most part.  I seem to hit a wall around 7:00 in the evening and want to turn in a little earlier than usual, although, sometimes it hard to get to sleep even with Ativan.  What I am currently experiencing is a burning sensation on my face and hands.  It started on the sides of my face, has moved around toward my eyes, on my cheeks, even my eyelids burn slightly and feel heavy. Have also noticed when I was doing dishes a small section on my right hand burns, almost a slight reddened.  I do not like being in a warm shower or my hands in hot water or out in the sun.  I've also felt burning on the back of my neck. It seems to move around.  When I saw my RO last week, she said it was incidental, never heard of it, not related to the radiation, that something else is going on with me and suggested I see my primary doctor.  My RO also said it could be an auto-immune disease i.e. lupus, MS. RA. asked if those kinds of things run in the family (they don't). Very frustrated by the whole thing and a little worried too.  Somehow my nerves are being affected by the radiation. I now have a neck shield in place during treatment but don't know if that is helping. I know doctors, even specialists don't have all the answers.  As far as skin changes, I have developed a reddening around and under my breast and one red area under my arm where I am numb from the lumpectomy. It is not painful for the most part. Techs told me more skin changes should be coming soon, but everyone is different. I do apply Miaderm on the redness in the evening. I do not want to scare anyone, but want to share my experience.  Everyone is unique and that is what is so great about this board as we can share and learn from each other. I hope all of you have few SE's during your radiation treatments and are doing well.

  • desalonde
    desalonde Member Posts: 41
    edited January 2014

    Can anyone/everyone share -if you know it- what the dose of your Radiation will be/is/was? Whole breast dose and number of fractions; boost dose and number fractions?

     I have had contradictory info from three different RO docs and I am sooooo confused and anxious as I try to decide where to go for best chance for no ( hopefully) recurrence and lower risk early/late side effects especially to my arm nerves.

    One doc told me he'd advise 5040 in 28 fx to Whole breast with 16 boost in 8 for total 35 fractions for total 6640. Another who read my path reports said he'd go with 5040whole breast and just 1000 boost ( total 6040); at another center, a doc who was well informed about my pathology and reviewed slides said he'd advise 4500 whole breast and 1600 boost for total 6100 dose..... ; a family friend said 4700 and 1400 boost is what her center uses as standard "unless close margins".....

  • rosecal954
    rosecal954 Member Posts: 79
    edited January 2014

    desalonde,

    My RO told me I am getting the standard amount for my type of cancer, 60 grey which is believe is 6000.  The last five of those are boosts which are included in the 60 grey.  As I understand that comes out to 2 grey a day x 30 treatments = 60 grey. I am only assuming the boosts are 2 grey a treatment. The regular 25 treatments, 2 grey or 200 rads = 50 grey or 5,000. I don't know if that will help you or not, but this is my course of treatment. I did have clean margins for my lumpectomy.

  • TeamKim
    TeamKim Member Posts: 568
    edited January 2014

    Welcome Annika -- you have found your way to a group who are radiant, strong, and supportive.  Keep us posted and ask any questions which come up as you move through treatment.  

    Desalonde -- I meet with my RO to plan treatment on January 10, so I will ask that question.  I think a lot may have to do with the margins and whether. Odes are clear, but I will see what I can find out.  Glad you are getting a number of opinions so you can choose the best fit for you.

  • Cari3047
    Cari3047 Member Posts: 25
    edited January 2014

    spb1952 the exact same thing happened to me.  SO didn't see anything in lymph node and then path report showed 1mm tumor.  Have they ordered an oncotype dx test?  It's a test they do on the tumors and you get a score between 1 and 100.  My score was 10, so I don't need chemo only rads.  You might want to call your SO and see if it's ordered.  It takes about 2 weeks to do and I was called by my SO's nurse and given the score before I even saw my MO.  Hope this helps.

  • sbpop
    sbpop Member Posts: 20
    edited January 2014

    Thanks everyone for your help. This was my first post on the discussion board and I so appreciate the input and knowledge. I posted at 1 in the morning when I couldnt sleep. After hearing from you all, I didnt feel so alone. Then sleep followed . ...zzzzzzzzzzz............

  • hobbesla4
    hobbesla4 Member Posts: 72
    edited January 2014

    Finished rads today.  All in all, it was an uneventful day.  I think that I will feel more confident and better about it once I have the follow up with the RO next month and also when I see the MO for the first time this month.

    WIshing everyone a great weekend.  

  • Moving-Forward
    Moving-Forward Member Posts: 11
    edited January 2014

    Hobbesla4 - Congratulations! That's awesome. You did it!!!

  • barbola
    barbola Member Posts: 1
    edited January 2014

    Just finished 7 weeks of radiation.  The worst part was getting there everyday for 5 to 10 minutes of treatment.  Did really good until maybe the 4 - 6 week and felt like I was in a fog and so tired, went to bed at 6:30.  But at the last 7 treatments I gained my energy back.  You will do great!!!!

  • TeamKim
    TeamKim Member Posts: 568
    edited January 2014

    Hobbesla & Barbola -- Congrats on completing rads!!  You did it!!!  It gives all of us the confidence that we will persevere to the end of this leg of our BC journey.  Happy dance for you!!

  • lovewins
    lovewins Member Posts: 881
    edited January 2014

    yes thank you both for sharing I go see my ro on 1/6!

  • BethF7
    BethF7 Member Posts: 16
    edited January 2014

    This fatigue is making me one lazy, grumpy soul...and I'm almost three weeks post infusion!!  Anyway, I'm less than a week from my first "lighting up" and I'm so ready to get this show on the road.

    Hole in One:  Bone pain...nasty stuff.  Mine just started about two weeks ago and it's in the hip and knee of my left leg and it just won't quit.  Last night was the first night the pain woke me up from sleep!  I hope mine goes away in another couple of weeks!

    Smrivr:  The side effects from Taxol have been crazy for me.  I started with a crusty, bloody dry nose.  Then progressed to pain when I urinated and thought it was a UTI but after two samples tested both came back clean and told it was a side effect of the Taxol.  On top of all that, around week 10 of Taxol, I started breaking out in a rash starting on my hands and forearms.  After going to the dermatologist, he took a skin sample and sent it off to see exactly what it was.  The path report came back positive for chemo related rash.  It has just started going away on my hands but it seems to be taking longer on my arms, back and legs.  About two weeks ago, I started have pain in my left leg (hip and knee) - another wonderful side effect from Taxol.  So...today...the nose issues have started to clear up, the pain when going to the bathroom is still around but not as intense, rash is still visible on my arms, back, chest, and legs but getting better, and the leg pain is quite debilitating.  Oh, and also have neuropathy on the bottom of both feet.  Nice.

    I hope you aren't experiencing any of these but if you do...soldier on, you will get through it!  My mantra has been this whole journey has been "It is what it is."  And...I'm alive to testify!

  • Cari3047
    Cari3047 Member Posts: 25
    edited January 2014

    desalone, I'm getting 266c gray per day for a total of 4,788 c gray in 18 fractions.  No boost.  My RO said this is the Canadian protocol, which has the same effectiveness for stage 1 as the American, but shorter period of time.  I wanted it over to take a trip at the end of the month.

    Hobbesla & Barbola,  congrats on completing rads!  I can't wait to get there!

  • Holeinone
    Holeinone Member Posts: 2,478
    edited January 2014

    Hobbesla & Barbola, Congrats to you both....if you check back in, lets us know if towards the end of tx, if you had any blistering or skin issues...

    BethF7,  My last infusion was 5 weeks ago...the bone pain really eased up on week 4- 5. Your symptoms are exactly what I was experiencing, also had a slight rash, MO asked me several times if it felt like I had a UTI...still battling the fatigue, my Taxol was 4 dose dense. Mo suggested breaking the last tx into thirds, 3 weeks, once a week...I opted for the full dose, was wanting to get on with it...still stressed out over the pain & nightmare of the chemo...Rads are easy, but my fatigue is depressing...it will get better...

  • Cari3047
    Cari3047 Member Posts: 25
    edited January 2014

    Just wondering if anyone else who is doing rads, no chemo is experiencing splitting, paper thin nails and hair loss.  I didnt think this was a SE of rads only...

  • rosie9037
    rosie9037 Member Posts: 12
    edited January 2014

    I have lots of questions and hope some can be answered here.   I had my simulation over two weeks ago; when I didn't hear from the hospital, I called Thursday morning.  In the afternoon, I received a call to come in the next day for verification and my first treatment.  But I had a surprise waiting for me.  Surgery was Nov 26; Rads started Jan. 3  I was supposed to be done before Feb 5, (more on that later).  My surgeon said I would have three weeks of radiation and they said the same at the simulation.  But when I came there on Friday, they had me scheduled for five weeks (which runs over my deadline).  I was also told I would be getting a slightly higher dose because the normal length is seven weeks.

    First question--does anyone know the criteria for choosing length of time for radiation?

    Second question--has anyone had two doses in a day?  The tech said to meet my deadline they might have to do that?

    I am confused and frustrated over this whole process, especially the waiting as others have mentioned.

  • hobbesla4
    hobbesla4 Member Posts: 72
    edited January 2014

    Rosie,

    When I had my simulation, it took them about a week to start the actual radiation.  They explained to me that the treatment plan takes about a week to formulate, at least that is how it was done in my case.  I would think that the length of treatment would be decided by the radiation oncologist.  I have not had two treatments in one day.  I had one per day.

    Best of luck to you.

  • wyo
    wyo Member Posts: 541
    edited January 2014

    hi all

    I finished rads the day before thanksgiving so happy to give you the "skinny" on that experience from one person's lens.

    I had 16 total treatments which was called the "Canadian" protocol by my RO.  I would go monday-friday and saw the RO once/week and had x-rays once/week.  The nurses asked every day about my skin and provided written info on what products to use/not use etc. 

    The treatment itself took less than 5 minutes- takes more time to dress and undress.  By the end of the first week I did not even tie the back of the gown to walk to the machine lol. 

    I did not feel anything or have any skin issues during rads- I did develop this very strange itchy rash the last day of rads and it lasted about 3 weeks and I treated it with steroid creme prescribed by my MO. It was annoying kind of like poison ivy is and just on the top of my radiation field and down my sternum on the radiated side- weird.

    To me radiation is a head game- I say that because when the machine started whirring I visualized all these radiation beams targeting my surgical area and just zapping the heck out of everything.  Some people really hate the idea of something you can't see or feel but to me I created an image of bright white healing light covering my treatment field and finding and getting rid of any "stray" cells after surgery.  

    The techs can be impersonal they treat lots of people for lots of things all day but the good ones reassure you, make eye contact and respect your privacy when exposing your skin etc.  

    I did not have fatigue issues to the point it affected my daily activity and my doc said I might feel it more afterward which was true- the first couple weeks after treatment I made really sure to get enough sleep and try not to run all over the place with the holidays.  

    I started Tamoxifen 2 weeks after finishing Rads and just finished my period which did seem shorter than usual but not really lighter flow (hope that is not TMI) I am thinking maybe if enough estrogen is blocked I will stop having periods but I was having hot flashed early this fall before diagnosis and have only had a couple since )-: 

    Whoever said if you eat "normal" you feel crappy sounds like my experience.  I wanted to have an omelette, hash browns and toast the other morning after my 2 mile walk- oh wow I felt like I was dragging around a cement ball all day- I have cut back on carbs which I love and for some reason eating protein seems to make me feel less sluggish and "perkier".  

  • candi07
    candi07 Member Posts: 188
    edited January 2014

    Rosie9037 my rads also started about 1 week after my simulation. I was told that my treatment was 33 rads because BC was triple negative. I haven't heard of 2 doses a day. I'm praying that everything works out for you...take care!

    Hobbesla and Barbola, congrats on finishing Rads. 

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