Winter 2013-2014 Rads
Comments
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I've always found as a general rule that the more specialized a doc is the less bedside manner. Meaning by bedside manner, the less interest they have in their patient as a whole human being. Not always of course, but most often. My son is an internist and he has told me since med school he almost can tell you what specialty a med student will pick by their personality. An RO is very specialized and is going to see you only for an short time for one specific type of treatment. They are totally focused on that. An MO will be treating you for a longer time and helping you with a variety of problems, so sees you somewhat more as a person. Know what I mean? Most primary care docs, internists and family medicine, have always wanted to be a long term physician to people and most often will look at you as a complete human being. My son will spend 5-10 minutes with a patient when he first walks in the examining room just sitting down and chatting, saying he needs a break so let's just talk for a minute, without even asking why the patient is there. Says he finds out more what really is going on with them before even asking where the pain is. Of course he actually is learning if there are emotional/family/personal problems that may help in diagnosis of a physical problem. Oncologists are geared into one spot on your body and not the emotion you are going through. I always feel rushed with my MO and RO and hate that. They would make terrible primary care doctors.
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Congrats on finishing, Lana! Such a relief, I'm sure.
I had problems with my RO too; she was very nice and upbeat, but did not really listen or believe me when I had unusual side-effects, kept saying "not radiation relaated". I'm thinking she's the expert and she should know even if the SE's are very unusual. I felt she did not want to deal with it or spend the time. It was very frustrating. I've had one meltdown in my MO office. I was with he NP and she was very understanding; this was when I was having the weird side-effects -- neuropathy, burn feelings on other parts of my body.
Dawn -- I meet with my MO on Feb. 12 to discuss Tamoxifen. I want to find out what is my recurrence rate is without taking Tamoxifen. It's 13% with it for 5 years. I very concerned about the eye problems associated with this drug as I am very near-sighted and have astigmatism. I do not want extra eye problems; my eye sight is so important to me. I'm totally on the fence on taking it. I hope I can keep my emotions in check during that visit. Will be thinking of you on your decision.
TeamKim -- Hope your rash clears up very soon. Treatments will be over before you know it. Glad to be of encouragement to others going through this at the same time. This will too will pass!
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Congrats Lana!! WOOT WOOT!!
I'm so sorry to hear so many of you have issues with your RO. I got lucky. My RO spends time with me and encourages me to let her know how I'm feeling and how my breast is reacting.
I'm going to Froedert in Milwaukee for all my treatment except radiation. For that I go to another facility that is affiliated with Froedert but closer to home. However, if Froedert had been closer to home I would have gone there for Rads and still had the same RO. I have found the care at Froedert to be exceptional but the other facility only so-so.
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So interesting to hear that I am not the only one who doesn't click with my RO. My BS had originally referred me to another RO about 12-15 miles away. I love my BS -- she has become more of a friend than a doctor -- really special. When she referred me, she said "Radiation Oncologists are physicists, and they are usually not very normal. I am referring you to this one because she is normal." I had a consultation with that doctor, and I liked her very much. But with traffic, the location would have added an hour to my daily commute during rads.
When I met with my MO, he said "Radiation is radiation. Once the program is figured out, someone just lines you up and turns on the machine." He suggested I go to the center where I have ended up because it is five minutes from home. I do appreciate the convenience, and once the fatigue sets in, I know I will appreciate it A LOT. I am just not impressed with the RO. Oh well, 4 more weeks, 4 more meetings with him, and then I will be done.
Congrats to all who finished this week!!! Let's carry the pocket party over to Super Bowl Sunday. (Hope we aren't making too big of a mess in all of your pockets!)
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I have been very lucky with my RO. He has answered all my questions and takes the time to listen . I was very impressed with him the first time I met him because he knew everything about my case, even minor details and wasn't reading off a chart as he talked to me. Every week I find myself getting depressed as the week goes on but as soon as I meet with my RO on Thursday I feel so much better in regards to how my skin is holding up and that I am doing the right thing by having rads. He has been totally normal and even has a good sense of humor. I must have gotten lucky though because it sounds like others have had a hard time.
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Jmfrankel - I also have been lucky with my RO, who is very patient and easy to talk to. I go to Kaiser, so all of my doctors are in the same buildings and they confer with each other regularly about all their patients. My RO is on the ground floor, my BS is on the first floor, and my MO is on the third floor! The RO and BS were both at my initial meeting to talk about surgery and radiation. Then when they discovered the cancer had spread to a lymph node, they brought in the MO to talk about chemo. I've been very impressed how they all work together. Kaiser also has a great email system, and I can send an email to any of my doctors whenever I have a question and they email right back. It's convenient for me also to just go to one place for all my appointments. My internist and OB-GYN are in the building right next door. And the other great thing about Kaiser is there are no insurance forms to deal with. I just have a $20 co-pay for office visits (no co-pay for chemo or radiation or seeing the RO every week) and $5 co-pay for meds. I love it.
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Juniper: I do not blame you at all for not liking your RO. She sounds very disrespectful and not filling in your forms in a timely fashion is inexcusable. Glad that you have a great MO. On top of everything else, sometimes it is our drs caring and understanding that gets us through this. You deserve that. I have become very intolerant of drs who are disrespectful and do not even bother to prepare for appts by having your file present. You earned that rant!
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Amen to that, TB90!
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Juniper, I totally agree with TB90 and TeamKim. Caring doctors are very important. And you can rant whenever you want, we're here for that too!
Jmfrankel I'm pleased you have found a caring RO. They seem to be a rare breed.
Peaches12, what you said about specialization makes sense. I'm kind of looking at it as, it's only 5 weeks. I can put up with anything if he's good and there is a light at the end of the tunnel.
My back is really hurting today. I'm creaking like I'm 104. Can't decide if standing or sitting hurts less. Wondering if it's the Tamoxifen I started taking last week or if I've just overdone it. Oh well, this too shall pass, I hope. Lol
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Just popping in with hopefully some good news - 10 days post final rads & my boob almost looks & feels back to normal! Ok, normal after surgery, but still not bad
The "tan" has almost all peeled off, it's only a shade or two darker on the nipple & the boost area. Feels fine too - I can even wear underwire bras again. I still use Aquaphor after showering to keep the skin soft; my dr said to keep using it for at least 2 weeks after. Oh & I only used that. The other creams were so expensive & this one worked well.
If you're just starting out, take it easy! You'll get thru this none the worse for wear
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Me and radiation therapy: first let me say how happy I am to found this thread !!
I first had 4 weeks of RT in 1997 when I was first diagnosed with BC. I had a bout of anemia and took a week off until my numbers went up. I had my second experience with bone mets this winter> The RO recommended Steriotactic RT and this was an experience. The radiation is directly focused on the site - something like gamma knife and given in higher doses in a lower period of time. I had 3 doses with each session lasting for an hour. I ended up in the ER the first time with vomiting dark blood. the second time was event free and the third time vomiting again but knew what was coming so gulped my Zofran after vomiting twice.. not me again.
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My wonderful family & friends threw me a surprise party last night to celebrate that I'm finished with all of my cancer treatment & have officially kicked cancer to the curb! I'm truly blessed to have such wonderful people in my life. Now hopefully the skin will heal quickly from radiation!
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Lana, thanks for sharing the happy picture. What a terrific group!
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Lana,
How wonderful !
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Once again, YAY LANA!!!! Great family and friends you've got!
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I will be starting radiation in a few weeks and plan on working for those 6 weeks if all goes well. I had a lumpectomy in Dec. What kind of bra can you wear if your skin is irritated? I know sports bras are comfortable but don't look so good with the way my clothes hang. I never have had the greatest figure anyway!
Thanks to all of you precious ladies for sharing.
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Lana -- great picture! What a blessing to have all that support!!
Activern -- welcome! You have certainly bee through it! The stereotactic RT sounds scary -- hope to heck it worked!
Sbp1952 -- I bought a few camisoles, the shaping kind, sort of like spanks, but less expensive. I bought three to try out, and I like the Jockey brand best, very silky but gives a little support too -- but that is a matter of personal taste. Free boobing is good, but my girls are a little too droopy for that, so the shaping camisoles, which are seamless, work for me. Depends on the size of your girls, others say they just wear a cotton undershirt beneath clothes. If you choose to wear a bra, definitely no underwire, and I even found that bras with seams where the underwires would be are irritating too. But then I have a scar in exactly the place where the underwire would be. So I suppose it depends a bit on your surgery site and whether you have SNB scars, etc.
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Hi! I'm not sure if I was on this thread before or not. So I might or might not be new here. LOL There's so many relevant topics, I can't remember which ones I've posted on already. I will be starting treatment tomorrow. I have really bad neck, shoulder and arm problems and couldn't maintain the arm position over my head on the brick pillow and they had to redo a few things. The worst thing is going to be coping with being in that position for 10 minutes or so. Going to take an nsaid before going tomorrow (forgot to take anything before the dry run and was miserable). Just bought my Tom's of Maine deoderant today so I feel official now. :-) Time to get this show on the road and over with! Doing the 4 week Canadian protocol.
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Lana, so happy you are done! What a great group of family and frends.
Lilyluv, I know what you mean about the pain from holding your arms above your head! I can't take NSAIDs so I pop a tramadol before I go. Barely does anything. What helps is stretching before hand. I also have been doing my PT exercises 2x a day when I am not in awful pain too. Good luck tomorrow.
This weekend I officially turned red all over (15/28 done). The small patch that turned red after 10 days has actually gotten better with the steroid cream or perhaps it just looks better compared to the rest of my red chest and neck. What is really strange is I got a big red patch that appeared on my left arm ( neither on the tricep side or bicep side but in between). It's in a place that shoudn't be getting any radiation and in fact is probably leaning in the mold every day. Can't explain this one but I think I will ask tomorrow.
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anyone had any muscle issues ??? Only had 5 but my neck and shoulder muscles are wacky.....better tonight after two days off !!
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Lana, So sweet you had a celebration; you deserve it. Thanks for sharing your photo. All the best to you in 2014 and beyond!
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Hi Annika. I finished rads on Jan. 24. I was pretty sore from the radiation bed and all the twisting and positioning of my body. But I would either have a camomile tea before bed or take a Tylenol Muscle Aches pill. It at least helped me sleep with little muscle pain
I went to my chiro last week and she did some magic. I will have to go back soon to see her - the soreness is creeping back again.
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Had my simulation today, and start 25 rad days tomorrow! Hey TeamKim, we're back together again: seems like our lumpiness days were a very long time ago. I finally got to sit down with the RO and ask questions today. Found out that the Canadian protocol just doesn't work for the big-boobed among us, cause I wanted to know why I had to have such a long course despite IORT. He reassured me that my size does not mean I will have a deformed girl when it's all done, he said he'd be really surprised if I did. Whew! I think he does kinda expects burning, since although he's a no creams, just cornstarch guy, he said he'd be giving me sliver cream probably in the near future. Given that my post-op was REALLY REALLY rough, and chemo has resulted in severe muscle spasms and pain (dilaudid-level), he did say that rads should be relatively easy for me. I think that means that given my particular history, horrible burns won't be so bad LOL :>} Oh well, this is certainly going to be a year to remember (or possibly try to forget)!
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Hey Pat -- We are just one day apart! I got my first rad today. I'll be going for 21 rad days -- Canadian protocol plus 5 boosts -- so we won't be all that different. -- Ellen
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Hi Pat! Our paths cross once again!!! You have really had a rough time of it, so I certainly hope rads is an easier part of the journey for you.
Lilyluv -- I get achy from the position too sometimes. I have found that consciously relaxing during the tx helps (like RMlulu advises -- think of it as "healing light"), as do stretching exercises in between. I have been taking Tylenol before bed, and that helps me sleep.
Ellen -- you are on your way! One step closer to the end.... Wishing you smooth sailing!
Today was zap 11 of 30 for me -- getting a bit pink around the areola, and developing a suntan in my armpit (which is sort of interesting!), but otherwise it has fallen into a routine. My RO said he expects me to blister -- but I am not too confident in the other things he has said, so I am choosing to believe that won't happen (perhaps I am taking the ostrich approach -- we'll see).
Wishing you a great week, Winter Radiant ladies!
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Hi Ladies - I finished rads on Jan 27. I supposed to have whole breast radiation, most of my breast is dark red with little red bumps, except the inner lower quadrant, the skin looks completely normal... They told me the skin will continue to get worse after rads so I thought that area will eventually change color too but it never did. Did any of you have area of the breast where the skin looks normal? Thanks
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I am married to Chiropractor and in the 25+ years he has felt my muscles.....he says they never felt like this. They changed during chemo but the are rock hard and twitching in my neck.....my bones are in place !!! Will talk to my doc on Thursday !!! Other then that I'm chugging olong , #7 today !!!
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Had 9th treatment today out of 33 total. Everything seems to be going well and my skin is holding up. I do get a rash with little bumps on occasion that itches horribly on my neck and I'm not sure if that is a SE of the rads. I mentioned it to the RO and he said it sounded like an allergic reaction to the rads. He recommended hydrocortiscone cream and Benadryl.
Have an appt toward the end of treatment to discuss hormone therapy following the radiation.
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1.5 wks down...skin still doing good. anyone weaing lymphadema sleeve and glove?
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Hello everybody. Got my confirmation in the mail today that Monday is my rads planning appointment. I have a problem with authority figures sometimes and docs fall into that class. I nod in all the right places, but can't think of a thing to say when I get the question 'any questions?' So, I want to get this right. Anything you ladies wish you had asked but didn't. Anything you think I should ask for sure? I'll write them down and just read them off cuz as a second set of ears, my darling, dearest DH sucks. All he hears is 'it'll all be fine' and since that's all he wants to hear, he's happy.
Please help a bit.
Thank you,
Deb
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