Fall Rads 2014

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  • Jaimieh
    Jaimieh Member Posts: 2,373
    edited September 2014

    Sue I am exhausted but it started last week.  I think it's just the taxol catching up to me without steroids.  

    So today I went for the x-rays and then had my first session.  My recommendations so far are when you are having your mold made to not grab the handle bars like you are on a rollercoaster (this is what my tech said to do) and make sure they have your head in the proper position.  Both of those things made my day horrible.  Then when the I got up the tech said you need to stretch your shoulders and I turned and said I have 100% mobility in my shoulders the mold wasn't made properly.  By that point I wanted to smack the crap out of the woman.  My head is turned to the side is a mold that was made for me to be straight on and my shoulders are pulled up like you are grabbing a pull down on a rollercoaster.  

    So 1 down and 32 more to go.......

  • maryland
    maryland Member Posts: 1,298
    edited September 2014

    I'm just wondering, how many of you are on AI's while getting rads?

  • PontiacPeggy
    PontiacPeggy Member Posts: 6,778
    edited September 2014

    Genny5775, my understanding is that most MOs and ROs prefer you not do AIs and rads at the same time.  Apparently they make the other less effective.

  • PontiacPeggy
    PontiacPeggy Member Posts: 6,778
    edited September 2014

    Jaimieh, That's rotten.  I don't hold onto bars - just the wrist of my other arm.  The therapists put a rolled towel under my neck and that helped with the chin in the air discomfort.  They seemed to have made a good mold - at least after 10 tx I have had no problems.

  • MommyQ
    MommyQ Member Posts: 117
    edited September 2014

    I just had my first rad today and it went well. My techs are nice. There is no handlebar for me to grab. My arms are each supported by 2 C-shaped rests that are each about 6" wide, one supporting the upper and one supporting the lower arm.  My hands are dangling with no support, which I found uncomfortable at the simulation, so at the dry run Friday and at today;s treatment, I intertwined my fingers so they could support each other, and that was comfortable. 1 down, 32 to go! :) And then I start Tamoxifen.

  • HomeMom
    HomeMom Member Posts: 1,198
    edited September 2014

    How long is the radiation administration? 

  • MommyQ
    MommyQ Member Posts: 117
    edited September 2014

    There's no clock that I can see during treatment so I'm not positive, but I think the actual time elapsed while radiation is being administered occurs over maybe 10 minutes. The radiation is not continuous during that 10 minutes because the gantry shoots the rads from maybe 10 different locations, so a good part of that 10 minutes is spent repositioning it. 

  • ncollett
    ncollett Member Posts: 862
    edited September 2014

    Heard from my favorite BS today and I have clean margins so no more surgeries!! Yay God!! I am feeling somewhat better today. Each day is better. I just take one day at a time and relax. Im not going to return to work too soon.

  • clarrn
    clarrn Member Posts: 557
    edited September 2014

    How soon after rads approximately do people return to work?  I understand that everyone will be different.  I am just trying to get an idea.   I had 5 months of chemo that I found very difficult and I have mild lymphedema already.  I work as an ICU nurse, am I right to assume it will depend on what happens with my lymphedema? 

  • maryland
    maryland Member Posts: 1,298
    edited September 2014

    My MO and BS both in their 50's "old school" docs told me the old way of thinking when they were taught was not to do rads and AI's together but they both told me the newer younger docs don't necessarily agree and I should ask the RO who is late 30's maybe. She said it was entirely up to me but both have SE's and they would be compounded and we wouldn't know which caused what. So I decided to wait till done with rads, there is a clinical trial I'd like to get in on but not allowed if I'm doing rads. But now with the insurance snafu I don't know when I'll be starting rads and with such close margins, 1 mm and 10 positive nodes and ineffective chemo, I'm getting nervous about no tx for so long. It's been 5 weeks since surgery, 11 weeks since chemo. UH still trying to get insurance to waive the deductible but I went ahead and made an appt with Cleveland Clinic for Thursday at 8am with a new RO. If UH can't get the ins to ok it by tomorrow I'm going to tell my RO that I have to switch. I'm going back to work in 2 weeks and I need to be able to plan my life. This limbo is making me crazy! Anybody else that has to have the VMAT machine? Probably not since I'm one of the weird 1%.

    MommyQ, glad to hear your 1st one went ok, good luck keep us posted.

    PontiacPeg, woohoo, 10 down! 

    Jaimieh, ugghh.. sounds dreadful, hope the next one goes much better, maybe you'll get a different tech, good luck tomorrow.

    Everyone else, good luck, one day at a time I guess... sweet dreams to all

  • PontiacPeggy
    PontiacPeggy Member Posts: 6,778
    edited September 2014

    Nancy, That's fantastic.  You have to be relieved.  NOW BREATHE!!!!!

    HomeMom, most days I am in and out in 15 minutes, 20 at the most.  That's walking in the door and walking out that same door.  Days when I meet with the RO or NP take longer of course.  If you mean how many tx, I am getting a total of 33.

    Clarrn, bless you for being an ICU nurse.  DH is in ICU after his surgery (but that's due to his heart problems, not the surgery).  I think a lot of people work right through their rads, just rest more when they get home.  Having had chemo, you are probably quite exhausted anyway, so may need more time to regain your stamina.

    Genny5775, good luck!  You deserve to have something go smoothly with your attempt to get the best radiation therapy possible!

  • HomeMom
    HomeMom Member Posts: 1,198
    edited September 2014

    Peggy I meant the appointment, so thank you! I thought it was a quick appt compared to chemo, just wanted to get a better idea.

  • Puffin2014
    Puffin2014 Member Posts: 961
    edited September 2014

    Nancy: congrats on clear margins!

  • ncollett
    ncollett Member Posts: 862
    edited September 2014

    I am so relieved. Now I am going to go visit my cousin in Arizona for a week and then have my Radiation sims on the 29 and start Radiation. I am not sure when to go back to work either. I am a Respiratory Therapist and I work in DME with my brother, we have our own business but we are approaching our most busiest time of the year with flu season and pneumonia RSV and now there is the new virus out there so Im not sure what to do.Especially since they are predicting I will have SE with Radiation.

  • PontiacPeggy
    PontiacPeggy Member Posts: 6,778
    edited September 2014

    Nancy, why are you so sure you'll have SE from radiation?  Maybe some fatigue.  But remember that not everyone gets SEs and, even if they do, not all of them are debilitating, sometimes just annoying.  It's possible you'll be able to work and do radiation with little difficulty.  Maybe you'll want to rest a bit more.  Think positive!!!

  • Psalm34-4
    Psalm34-4 Member Posts: 66
    edited September 2014

    congrats Nancy, so happy to hear, I am assuming the seizure issue is better controlled now too?! Hope you have wonderful time vacationing!

    PontP.. glad to hear you can get a little rest while hubby is recuperating in hospital... take advantage of your ME time!

  • PontiacPeggy
    PontiacPeggy Member Posts: 6,778
    edited September 2014

    Psalm I am tryingto get me time and sleep. Hubby having reaction to the pain pill and hallucinating. He's of it now but not back to normal. It's been another long day. I'll help him eat dinner then go home. Thanks for the kind thoughts. 

  • ncollett
    ncollett Member Posts: 862
    edited September 2014

    Peggy they told me I would most likely burn because of my vitiligo. I have no pigment on my chest  and the RO is afraid because I get sunburns very easy that this may be an issue with rads too. Im sure it will all be ok. Im just not sure what to do about working yet. Ill know better once I go back for my follow up.

    I hope your doing better. 

  • PontiacPeggy
    PontiacPeggy Member Posts: 6,778
    edited September 2014

    Oh, Nancy, I had forgotten about your vitiligo.  Damn.  That must be a challenge to deal with along with everything else.  Let's hope it doesn't become an issue!!

    You're just a week out from your 2nd lumpy so take it easy.  One step at a time.  But I understand wanting to get on with the rads.

    I'm doing okay.  DH had a bad reaction to his pain med (very common with him) and was hallucinating this afternoon, didn't know who I was or where he was and thought it was about 7 years ago and that he was at work.  That finally wore off late this afternoon.  He's on Tylenol now.  Can't win sometimes!

  • MommyQ
    MommyQ Member Posts: 117
    edited September 2014

    Had my 2nd rad treatment today and was immediately feeling tired as soon as I reached my car in the hospital parking lot! I got home and laid down on the couch with my dog for about 45 minutes before I felt ready to get up. Felt a little nauseated. Might be because I ate a chocolate chip cookie on the drive from work to the hospital! No snack tomorrow!

    ncollett: That's excellent news on clean margins. Yay! Regarding SEs, you might not even get any, like Peggy said. But you could consider working part time and having your treatments in the afternoon (towards the end of the work day), so afterwards, you can go home and nap if you need to. That's what I'm doing. Most of my treatments are at 3pm.

    clarrn: I am working part time (25hrs/wk) while doing radiation. Not sure if it's a good idea or not yet...too early to tell. I took short term disability time off during my 5 months of surgery rehab and chemo, so I was ready to go back. I just hope the fatigue doesn't make even part time difficult.

    genny5775: Sorry to hear of the insurance woes. Insurance can be a royal pain sometimes. Wish it were simpler. 

    Peggy: Hang in there. I hope your hubby gets better soon.

  • PontiacPeggy
    PontiacPeggy Member Posts: 6,778
    edited September 2014

    Thanks, MommyQ - all these good thoughts from you wonderful people on these forums mean so much to me.  THANK YOU!!!

  • mortmain
    mortmain Member Posts: 63
    edited September 2014

    Hello, all:

    I've just passed the halfway point with my rads. Main side effect is the expected: fatigue like a wall, fuzzy-headed when I try to resist, started by the third treatment, and on the increase. I'm trying to continue working, but I'm finding I need to leave early (rads in the morning, p.m. not an option as my clinic stops giving them by 4:00) often and need a day off every so often. Skin beginning to seriously discolor, no pain, but nipple sore from the start and sorer now. I've been doing the aquafor and the T-shirt patches  recommended here (thanks jhodro).

    My set up uses cushioned C-shaped rests for head and arms like MommyQ, and between set up and radiation, I'm done in about ten minutes, HomeMom (I love your 'We Can Do It' logo, by the way). I've tried counting the seconds of the actual radiation (there's a sound) and I get @ 25 seconds each, one on a side. I'm interested in MommyQ's "10 different locations". What is this type of treatment called?

    The radiation doesn't bother me much because I read so much I feel like I know what to expect. Not fond of the fatigue, but it's not pain. 

    It's the prospect of the hormone suppressant treatment that scares me.

    I'm with HomeMom -- good wishes that we all "Can Do It". Having the support of folks on this forum certainly helps!

  • HomeMom
    HomeMom Member Posts: 1,198
    edited September 2014
  • MommyQ
    MommyQ Member Posts: 117
    edited September 2014

    mortmain: I'm like you. I tried counting the seconds for each radiation beam today! :) I found that the beams were being shot for between about 10 and 25 seconds each, in 10 different locations, as the gantry rotated around me in an arc for about 200 degrees of rotation. You asked what type of rads I am getting. It is the Intensity-modulated radiation therapy (IMRT) variety. I don't know about the different types. What type are you getting? 

  • maryland
    maryland Member Posts: 1,298
    edited September 2014

    Hi all, finally got approved by ins co, they are waving the out of network deductible thru the end of Oct. I have to go at 8 this morning for education and sims again. I have to learn a breathing technique, I'm pretty confused about the whole thing, hoping I'll understand it better after today. RO says each rads round will take 45 minutes. Said I will start towards the end of next week.

  • PontiacPeggy
    PontiacPeggy Member Posts: 6,778
    edited September 2014

    YEAH Genny5775!!  About time things started going your way.  When you are doing that special breathing technique, my RO says it does take longer.  Anyway, glad you can go where you want to go for your rads!!!!!

  • jhodro
    jhodro Member Posts: 240
    edited September 2014

    Hey there everyone! Sounds like things are moving along and in a good way for most. That's fantastic! I just finished #20, so I'm getting there. I also got another tattoo this morning for the placement for my last 8 boosts. So I'll have 25 regular and 8 boosts, which is great because I'm not sure how much longer the rest of the girl will hold up. So I think I'll finish the full exposure next wednesday and then start the boosts Thursday. I'm so looking forward to getting done with this. Way too many emotions. 

    Peggy - hope you're getting a little more rest and your husband is feeling better quick!

    For those of you discussing the fatigue - I take a nap almost every day, definitely not by choice :). If I don't I regret it. I've been lucky that I'm not working right now, so it's helped to be able to nap in the afternoon. I have treatments early in the morning.

    Happy Wednesday!

  • HomeMom
    HomeMom Member Posts: 1,198
    edited September 2014

    MommyQ you seem to have the same dx as I do and the same surgery etc. Are they just radiating your arm pit?

  • MommyQ
    MommyQ Member Posts: 117
    edited September 2014

    HomeMom: you're right. We DO have a similar diagnosis & surgery! They're radiating my armpit and left breast/chest.

  • HomeMom
    HomeMom Member Posts: 1,198
    edited September 2014

    That is what I was told they would do to me. What did they tell you about the increased chance of LE radiating your arm pit? 

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