Winter 2013-2014 Rads

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  • TeamKim
    TeamKim Member Posts: 568
    edited February 2014

    Holeinone (and anyone else I forgot who finished this week) -- congratulations!  You made it!!!  What will you do to celebrate and to reward yourself?  

    Lonnie -- welcome!  If no one on your medical team has mentioned boosts, then you don't need to worry about it.  All of the info everyone has given you here is right on.  Rads are a complex physics kind of thing.  I guess if you are a physicist you could understand some of the detail, but the laywoman's version is that the boosts give a concentrated shot of radiation limited to the spot where the tumor was removed.    The location of the tumor(s) and the size of the clear margins have a lot to do with how radiation is administered.

    RoseCal -- I started Tamoxifen already, and I am postmenopause (age 59) and have mild osteopenia.  To counteract the bone loss effects which are possible from Tamoxifen, I am getting an infusion of Zometa every 6 months.  Zometa, in addition to helping bone density (like Boniva or Actonel), also has a preventative effect for cancers (not just BC, but some others as well).  My MO says I will be on Tamoxifen for 5-10 years.  He encouraged me to chat with some of my other doctors about the pros and cons of this regimen, so I called my BS, my GYN, and also talked to my dentist (Zometa can cause jaw problems if you have diseased teeth, so I needed a thorough dental exam to get the green light).  All the other docs seconded the treatment plan, so I feel pretty comfortable with it.  No SEs from the Tamoxifen so far, except a little mild ovary pain in the first week.

  • TB90
    TB90 Member Posts: 992
    edited February 2014

    Yes Holeinone:  I am unusual in that I am having rads following rx of dcis, however, rads are for the universal purpose of killing off stray cancer cells, and whether or not they are dcis or invasive, does not really matter.  Stray cancer cells can cause a recurrence regardless of their origin.  I only wish that dcis cells were safer in this case.  As there is concern that they were not all removed by mx, albeit unusual, they now present an equal risk.  Ugh 

  • Furfriend2
    Furfriend2 Member Posts: 299
    edited February 2014

    Candi, you go girl your last rad is just 'round the cornerThumbsUp

    I start rads on Feb 17th 30 or 33 rounds.  RO said only Aloe Vera gel to start.

  • Furfriend2
    Furfriend2 Member Posts: 299
    edited February 2014

    Aeryno,

    Whoop Whoop you did it ladyThumbsUpThumbsUpThumbsUp

  • Cari3047
    Cari3047 Member Posts: 25
    edited February 2014

    Just checking in.... it's been 3+ weeks since I've finished rads and my skin has healed nicely.  No scars and just a thin dark line under my arm pit that I'm hoping will fade.  The fatigue is gone and I feel like myself again!  The whole thing is just becoming an unpleasant memory that I think was more mentally than physically upsetting.  Now on to my decision to take Tamoxifen... still debating that, but my bone scan and CT came back clear, so for the moment I'm cancer free.  Think I'll always feel that it is hanging over my head though.  Wish I felt celebratory, but I don't.  Just want to sail back down my "river in Egypt" from here....    DENIAL!    lol!

    Best wishes for all of you still in treatment!  There is light at the end of the tunnel! 

  • Miminiemi
    Miminiemi Member Posts: 340
    edited February 2014

    Happy day.  Done with 8/16 rads.  A friend has invited me to travel (fly) to Arizona (warm and sunny) to celebrate when I'm done and put it behind me.  Since this came up on the weekend I did not have a way to check with the RO.  But my 16th treatment should be Feb 19th, a Wednesday.  That would leave Thuraday and Friday if I need them.  No ody has mentioned boosts or any other thing.  I'll check with him or somebody there Monday. I don't usually see the RO until Wednesday.  the friend is a BC survivor and tuned in to any skin are problems I might develop.  none so far, but only half way.  Any thoughts on the travel plans?  There was only one seat on the plane left so I didn't want to give up the opportunity. No trouble with lymphodema with only one ode removed.

  • ellenkc
    ellenkc Member Posts: 173
    edited February 2014

    Miminiemi -- I had rads 8 years ago, and on the last day of rads I flew to Boston and spent the Memorial Day weekend clearing out my mom's house (she had moved to assisted living) with my siblings.

    I'll qualify that a bit, as I had very few reactions to the radiation back then -- pink but no blisters or breaks in skin, some fatigue but not enough to take a day off work. So my experience may not generalize.

    Hoping this round is just as uneventful.

    Ellen

  • Miminiemi
    Miminiemi Member Posts: 340
    edited February 2014

    Thanks Ellenkc.  I assume I will be done on the day of 16th treatment since they did not mention anything else.  I want no surprises!  Snow is deep here, but I can get there even in a storm..  Thanks for encouragement from your experience.  .

  • Okpushing60
    Okpushing60 Member Posts: 2
    edited February 2014

    I have had my 6th rad. Started Jan. 29th.  Need 28. Had LD flap recon on L side. Have tissue expander w/ Alloderm. I already have a scaly peeling patch on inner cleavage. Hope that's not a bad start. Worry that worse side effects occur to the recon breast. 

  • MrsDarcy
    MrsDarcy Member Posts: 162
    edited February 2014

    Hi Mimi - I am 2 weeks post-rads.  I can finally wear a regular bra (with underwire) and although it may be a tad uncomfortable at times (minimal), it's all good :)    I started wearing the ol' bra about 1 week after rads - just as an indication as to the healing process. My breast is now an even tanned color - the blackish / brown areas I got from radiation are fading and I my itchies and scratchies seem to have disappeared as well.

    I do feel the occasional "twinge" - but that could be the lumpectomy site healing and not necessarily the rads.  The nipple is still quite sensitive but all seems to be progressing well.

    All that to say, I think you will be "clear and good" to travel.   But do remember that you can NOT expose that skin to the sun at all - especially as it is so soon after rads and it is probably too soon to apply suntan lotion to the radiated area (I am not a doctor, but that's just my two cents ;) ).

    Happy travels to you :) 

  • msmaples516
    msmaples516 Member Posts: 54
    edited February 2014

    I feel your pain I have blisters under my arm it's so dark brown leatherie looking friend told me to get an egg and take the white rub into the burn and will help it heel quicker.  Glad your done 😄 were on the mend!!!

  • Lilyluv
    Lilyluv Member Posts: 160
    edited February 2014

    Congrats to all that have finished! bondsy thanks for letting me know that the yellowing isn't unusual.  I'm on my first weekend break from rads and it feels good to not have to break up the day with treatment.  

    Anyone else doing the 4 wk. treatment?  Maybe they do it just for DCIS?  Maybe my onc is just a rebel. lol!   Med onc said no hormonal treatment for me due to risk of blood clots. Doesn't add a significant enough amount of risk protection for the side effects it can cause anyhow - I would pass on it even if I could take it. I just got off 17 years of estrogen replacement in December, after having a hysterectomy so that should be a big help in itself. 

    RedReading if the machine is calibrated and adjusted correctly there shouldn't be enough scatter to cause any problems.  The beam is very focused and the amount and strength of the radiation that does scatter is insignificant (in theory anyway).  We can't protect ourselves from it. 

  • MrsDarcy
    MrsDarcy Member Posts: 162
    edited February 2014

    Lily - I had a 4 week treatment - but I am in Canada and that could be why.  16 regular and 4 boosts.  I am glad the regular stopped at 16 - my skin went into "trauma" overload for that last one.  Afterwards, the boosts were much easier to handle.  

    To be honest, I sometimes forget that I just went through all this "stuff" .. dx, tests/scans, operation, more tests/scans, radiation ..    Every now and then I will feel a "twinge" and think "oh yeahhhhh ..." ;)    

    Next hurdle is Tamox - which I will be starting shortly - just took a break between rads and the Tamox (upon MO's approval of course).

  • Lilyluv
    Lilyluv Member Posts: 160
    edited February 2014

    Junipergirl, I'll bet that break feels real good! Yes, I heard they've been doing the 4 wk.protocol in Europe and Canada for quite some while.  Things are slow to be accepted in the U.S.  Maybe because of all the litigation here.  Do you think your skin reacted just because of the higher dose?

  • MrsDarcy
    MrsDarcy Member Posts: 162
    edited February 2014

    I am not sure but the 16th day I had swelling at my lymph incision and the lower part of my breast.  I had to meet with a nurse who creamed it all up then bandaged me up with gauze and a "fake" bra.   I was so fed up by then and greatful that I was heading into boosts the next day.   I am also fair skinned with lots of freckles. 

    I am just glad I didn't have to have a longer treatment process and send big hugs to those of you that do.  :)

  • Miminiemi
    Miminiemi Member Posts: 340
    edited February 2014

    Thanks Junipergirl.  Even before this BC episode I cover up in the sun.  I have a special rashguard jacket to prevent sunburn when wearing a swimsuit when swimming.  My dermatologist remarked what a great job I have done on that account.  I appreciate the word of caution! Just tonight some red bumps appeared where breasts meet at top.  Probably a sign of things to come, but in general I heal pretty fast.  My incisions healed quickly.  

  • saddlequeen
    saddlequeen Member Posts: 3
    edited February 2014

    Hello everyone,  I'm new to the board, and am thrilled to find it during my journey.  I had my lumpectomy and sentinel node surgery Jan 10th. Onco Type DX came back 16 so no chemo... Radiation treatment planning CT tomorrow.  Wondering if anyone has had radiation with implants (behind the muscle)?  I am scheduled for 33 treatments.  After the radiation I am scheduled for a hysterectomy ( partial hyster. with ovary removal) so I can start the Arimidex.

  • tonya845
    tonya845 Member Posts: 25
    edited February 2014

    Hi everyone....i'm due to start radiation tomorrow, i'm alittle scared, but hoping all goes well. I have 33 treatments ahead. :)

  • MrsDarcy
    MrsDarcy Member Posts: 162
    edited February 2014

    Hi Tonya - good luck - we are all here for you if you need us .. !!!   

    p.s. - it seems scarier than it really is - you will do just fine - promise !!!!

  • Miminiemi
    Miminiemi Member Posts: 340
    edited February 2014

    Tonya, nothing to be scared of tomorrow.  I get wrapped in lovely warm towels and bring music.  It only takes a few minutes with no pain.  So far I've no skin problems, but won't rule that out.  You are over the worst I think.  Good luck!

  • TeamKim
    TeamKim Member Posts: 568
    edited February 2014

    Welcome to our radiant club, saddlequeen & tonya845!  You will find this a good place to ask questions, vent, rant, offer sympathetic support and generally hang out with some BC sisters who are in the same phase of treatment.  You will find some have finished rads (lucky ducks!), some are halfway through like me, and some are just starting.  We all are different (the BC mantra) but we all "get it," which is priceless.

    Saddlequeen -- Yay for no chemo!!!  You will rock rads!  I don't recall anyone who already has their implants posting here, but if you go back and read from the begin, you might find someone, or check out the fall rads thread to see what you find there.  Good luck with your CT tomorrow -- so I am guessing you will start treatments the following week?

    tonya845 -- I was a little scared at first too, but after the first couple of times I settled into the routine.  The techs are good and making me feel at ease, and it is easier once you know what to expect.  (((Hugs))) You will do great!

  • MinusTwo
    MinusTwo Member Posts: 16,634
    edited February 2014

    Saddlequeen - I had my implants placed Sept 2011.  And I'll be starting radiation Thursday.  They can't guarantee me that the rads will not destroy the skin around the implant or cause a contracture - but they're going to try their best and do only 50 gry and 5 weeks.  Part of that is to "hope" I don't have worse LE since ALND surgery took the Level 1 nodes and rads will be targeted to the Level 2 & level 3 nodes.  The RO did say that there will be scar tissue & probably fibrosis and the implant will probably "pull up" towards my collar bone.  I have 11 stretching exercises I'm supposed to do every day to help prevent that.  Most likely if the right side implant makes it through, I will have to have revisions to the left side to make it match again.  I do know my PS will not do any revisions to skin that has been radiated - other than remove an implant.

    I owe all of you a long post since I ask my RO a ton of questions Thursday that someone might find useful.  Lots of things that were suggested here.  Then I went Friday for the mapping & simulation.  Tomorrow I have other docs all day so I'll try to post these answers by mid week before I start.

  • RedReading
    RedReading Member Posts: 2,143
    edited February 2014

    Hi Saddlequeen, I'm doing my CT planning stuff tomorrow too. We will rock this. The girls here have answered so many of my questions and also given me questions to ask my RO. So helpful. 

    Tonya, you'll do just fine tomorrow. If you have any last minute questions these are the girls to ask.

    OK, got my questions, got my DH as a second set of ears, got my courage up. Will not let the doc intimidate me into ignorance! I need to know, I will ask!

    How'd I do? Did I sound determined and confident? Good. I can do this. 

    Night ladies.

  • TB90
    TB90 Member Posts: 992
    edited February 2014

    I have decided to have the radiation therapy and start on Feb. 20th ( I know, a Thursday...?).  Have five weeks and even though my radiation oncologist was prepared to do the condensed three week protocol, he preferred the five week.  For anyone having the three week protocol, do not worry, he stated that it was just as effective, but blah blah blah.  I have had so many difficult decisions to make that I asked him to make this one for me.  At first I thought, five weeks!  But really, what are two extra weeks in the course of a life time and although I have a 1.5 hour commute each way, I am off work and have my DH to drive me.  We also have a 4wheel drive for storms (live north of Winnipeg, MB).  My husband is a trained chef and I am a want-to-be, so we have decided that each day we commute to Wpg. we drop in the Italian markets to purchase superb ingredients for each dinner and "pretend" we are in Italy.  Guess  I will leave out the wine except for a weekend treat though.  We canceled our trip to Jamaica due to my dx.  Boo.  Just in case you think that I am having a pity party, YOU should try to get through a Manitoba winter and this one has broken all kinds of records for coldest. 

    You ladies have already helped me so much by sharing your experiences. 

    As I had a mx without reconstruction, the radiation is to my chest wall.  Others with this experience?  I have been warned that skin reaction could be more severe.  I will have a bolius (sp?) made of bees wax ( how cool) on my chest to fool the beams into thinking they have hit my skin at the bolius so that the exact right amount hits my skin and chest.  Most women have breast tissue to perform this function, but I will have to be thankful to the bees for helping me out. 

    So very relieved to me amongst all you wonderful ladies who I know will carry me through this.  "Just like the bees"  xxxxxx

     

  • Miminiemi
    Miminiemi Member Posts: 340
    edited February 2014

    TB 90 - How very interesting about beeswax reacting like skin to the rads.  We learn every day.  Hope your trips to Italy daily are fun for you both.  What a splendid idea.  Oh, and welcome.

  • simplypoised
    simplypoised Member Posts: 21
    edited February 2014

    Congratulations to all who have finished their treatments. I go for my simulation on Tuesday (2/11). I have six weeks. My oncologist wants me to also take a bone density test. He wants me to take Arimidex after radiation for five years. Now I am only dealing with radiation-"One day at a time sweet Jesus," as an old friend of mine would say. Take care everyone.

  • bondsy
    bondsy Member Posts: 94
    edited February 2014

    simply poise, I finished rads last Thursday, and started on Arimidex today. I also did the bone density test which showed that I have strong bones. My oncologist said that if the bone density test wasn't good then I'd do tamoxifen instead. Praying for minimal side effects from the arimidex!

  • checkers
    checkers Member Posts: 95
    edited February 2014

    Did anyone get tattoos for boosts?  I go for my boost sim today. I wound up getting 9 for whole breast because during the first sim they tatted me (3 down my spine and 1 under each underarm) and then later found out I had to be flipped on my back (heart was in the way on my stomach). So they tatted me again during the second sim (3 down the center of my chest and 1 under each underarm.  If they want to tattoo me again can I tell them no, just to mark the spot?  I can do a sponge bath for 5 days while getting the boosts if necessary. The little blue tattoos are really annoying to me!  Also, if they tattoo around my scar it will be noticeable when I wear a low cut top because my lump was so high up on my breast.

  • Rlsteadman
    Rlsteadman Member Posts: 76
    edited February 2014

    Starting my last full week of radiation. I am on 23/30. Skin rash is itchy,and getting larger.  Struggling to stay positive even though I am almost done.  Guess it is the Monday blues.

  • ellenkc
    ellenkc Member Posts: 173
    edited February 2014

    Checkers: I had 3 old tats from radiation two years ago. This time around they can use 2 of them. On the new 3rd, they gave me the option of either a new tattoo or them marking me and putting a see-through round sticker/bandaid on top of the marked X. Because it was close to something from another procedure (and this one is on my stomach, almost to my waist) I opted for the sticker. Hasn't bothered me at all. -- Ellen

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