Fall Rads 2014

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  • MarieNJ
    MarieNJ Member Posts: 231
    edited October 2014

    Lolis - 

    Mine is numb too.  I thought I was the only one.  It's been numb since the simulation.  My shoulder was in agony when I stretched my arm up.  I finished rads last Monday and hoping the numbness will go away soon.

    Marie

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

    Lolis, interesting how each center has its own way of celebrating the finish of rads!  Hope you don't blister!

    Your SIDE is numb?  My underarm is numb (just maybe a bit of feeling is returning, maybe).  Seems strange, doesn't it?

  • Gilesmt
    Gilesmt Member Posts: 65
    edited October 2014

    hi, everyone, I finished 15/33 today. My skin is a little pink the kids say, of course to me I don't see nothing, it feels fine and seems okay. I use aquaphor and aleo everyday, sometimes multiple times when I remember. As for fatigue, I don't feel any. Maybe because I was so sick with the chemo and had everything and anything go wrong with that, rads has been easy. Or maybe because I had been unable to get out of bed for weeks on chemo that now I feel normal. I find it great that I have any energy. I leave the house at 7:30, rads at 8, pt for lymphodema at 9, blood work for clots at 10, get meds if I have to after, then go to the gym at 10:30 and work out until 12:30 and then come home for lunch. I clean and make dinner after lunch, but since I have no kids and no one to care for, the afternoons and evenings are slow but I am not tired. I sleep from 11 to 6 and ready to do it all over again the next day.hope you all feel better next week and not so tired.

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

    way to go Giles! From what you write you probably wouldn't notice fatigue from the rads. Keep up the good work! 

  • Beachlady28
    Beachlady28 Member Posts: 54
    edited October 2014

    Am new here.  Onc Dr. Visit is next week at which time post surgery treatment will be determined.  Probably will start radiation and hormone pills, maybe chemo-don't know yet.  What is the first radiation like?  What is this SIM I am reading about?  How long do you hold your breathe during radiation?  What if you are very nervous about it?  I am post surgery almost 3 weeks - got the IDC tumor and 2 negative lymph nodes out and the pain is still there so how can I tolerate radiation?  Using warm compresses and Tylenol during the day and can't get comfortable at nite to sleep.  I wish it would all just go away.

    Any advice is appreciated.  Thanks.

  • Gilesmt
    Gilesmt Member Posts: 65
    edited October 2014

    hi beach lady, welcome. They probably won't start rads for a few more weeks, but I had chemo i between so someone who did not will jump in and tell you, but I think they wait about 4 or 5 weeks. The sim is a dry run, the set you all up, they measure everything, and go thru what they would do without actually radiating you. Before that you have a cat scan and a few tatoos, everyone has a little different experience, some have no tatoos, some have visible tattoos, me, I have them that only show in black lights so you can not see them, everyone who can see them say they are very small. Anyway after all that you go for 3 to 7 weeks, and everyone here is a little different on how many treatments also. The last five if you go for the norm are called boost and ar shorter. It can take 5 to 20 minutes under the radiation machine, each person is different. Anyway that is about all in a nut shell. There are different rads I guess also, mine you do not hold your breathe, but there are a few offered a type that you do have to hold your breathe. I do not know what the real difference is, I just heard in an appt that if it was on the left side they would send me across town to do the breathe holding type, but since it is on my right I can have it here. The other advice I would give you is to use aquaphor and aleo, even now would not hurt,I find now using it after three weeks that my scar is lighter and lighter so I will be using it for a while even after rads are over. You can buy it, most places, even Walmart had it, just grease them up before bed and wear an old cotton tee shirt. As for anything else, you can find lots of answers, but it all depends on how rads effect you. I have no fatigue, I have no open sores, so far anyway but some here do. You can read about that when the time comes. I will also say, the time goes by real fast, it feels like just yesterday I started and I am almost half way done, 15 done, 18 to go. In two days, I will be counting down to the finish, passing the half way point.

    Welcome and good luck.

  • Puffin2014
    Puffin2014 Member Posts: 961
    edited October 2014

    Beachlady: The deep breathe and hold your breath technique is for left sided radiation, it lifts the breast up and away from the heart so that the heart gets as little radiation as possible. Not everyone with left side cancer needs it, they do a chest CT during your sim to determine where your heart is located in relation to where they will be radiating. If you need to do the breath holding, they'll do lots of practice breathing during the sim. They have a screen with minimum and maximum lines so they know if your breath is deep enough or too deep. For the actual radiation sessions, they have me take 3 deep breaths and hold while they do images, then 4 deep breaths and hold for the actual radiations. I've only had to count to 10 while holding my breath, so it isn't that long. Also, if it should happen that I can't hold it and start to breathe, the radiation immediately stops, and they'll resume when I'm ready. Make sure your arm and head are in as comfortable position as possible for the sim, that's the position you will be in for each radiation session, and the sim can last 30" to and hour. Have you ever done yoga or relaxation exercises? I found it very helpful during the sim and the first session to use my yoga breathing and relaxation exercises when I realized I was holding my muscles so tense. After that I haven't been tense in the sessions cuz I know exactly what's going to happen.

  • charusa
    charusa Member Posts: 107
    edited October 2014

    Hi everyone!!! Just wanted to mention that I got a sore raspy throat during rads also, right above my right clavicle which I know was targeted during radiation b/c that spot got the sorest. Also they gave me a cream my very first appointment and told me to start using it 2x's a day but not within 4 hours of treatment. I did graduate from the cream to other things as well. When it really started burning much like sun burn they told me to do dumburo soaks. That helped a lot and is good for poison ivy, insect bites and other things as well and can be found in the first aid section of the drug store. Hope this helps!

    Char

  • Oahu-711
    Oahu-711 Member Posts: 4
    edited October 2014

    Hi Everyone,  

    I have really appreciated reading all of your posts and have checked out the boards a few times during radiation, but this is my first post.  I just finished rads on Tuesday, and my skin has gotten so much worse!  A nurse and my RO checked me each week during rads but theyont have a follow up until January.  I am wondering if any of you might have advice or info for me.

    My skin reaction during radiation varied tremendously day to day, sometimes so hot and red, other times not too bad.  I am a very pink-skinned person living in a very sunny place, so my vast experience in dealing with sunburn really paid off through the first couple weeks of rads.  During the third week I started to peel and the red spots would appear for a few hours.  A very cool shower plus aloe and a fan to cool the skin, and the dots would fade.  Now I am done, but the dots are bright red, angry, itchy, and almost look like pits in the skin.  I have very large breasts, and the red stripe where the band of the bra sits under the breast is so red with small blisters and raw patches.

    Does anyone know what those red dots really are?  Why is it so much worse?  My RO said things would improve as soon as treatment stopped, but that is SO not my situation.  I have been using Aloe and Cetaphil cream throughout treatment and have been using vitamin E cream and recently started using radiagel.    Any help or suggestions?

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

    Oahu-711, I suspect those red spots are called punctated (note the spelling) follicles.  The hair follicles pick up the radiation and turn red.  I had that.  Mostly that and a bit of slight redness.  Just used Aquaphor.  Can't use aloe at all.  I also tan very easily and never burn which I think helped a lot.  I just finished my rads Thursday and the RO said things should start to clear up in 2 weeks but it may take longer for it to go away.  Judging from what others have said, any SEs do NOT clear up immediately after the end of rads, it takes time.  And sometimes even gets worse.  But it will clear up!

  • Oahu-711
    Oahu-711 Member Posts: 4
    edited October 2014

    PontiacPeggy,  thanks so much for the reply and the term.  It is good to have a place to start, but I am not doing too well at finding out any info about punctated follicles online and the nurses and my RO never gave it a name.  it is so much worse than the little spots that came and went during treatment.  the pits are kinda creepy and under my arm a few are raised more like zits.  it would be great to have more info so I know if this is normal or if they might be getting infected.  There is such good info on surgery and meds, but I am finding the radiation info really limited and contradictory.   Any good ideas on where yo look?

    thanks again for the help

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

    Oahu, my punctated follicles were like little spots, not pits like you seem to have (BTW, the nurse practitioner kept spelling it "punctuation" and the doctor gave her a really hard, though smiling, time).  Poor dear!  You sound miserable.  I really don't know where to look.  Assume you've read everything that BSO has here on radiation. 

    All I can suggest is keep using mild soap, no rubbing, slather on the Aquaphor or whatever lotion/cream your RO wants you to use.  I would think you will start clearing up in the next week or so.  It may not be gone but at least improved.  And I think I'd also skip any type of deodorant if you can stand to.  No corn starch either.  To me it makes sense and I have no medical basis for thinking you should avoid them.  I'd also go braless is you can, wearing cotton-rich t-shirts or maybe cutting large squares of old t-shirts to act like a cover over your underarm to prevent seams from irritating.  I'm just throwing out ideas - maybe one will resonate.  

    Finally, if you think the area is not getting better, call your RO and see him/her.  Don't wait. 

    HUGS! 

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

    I just started my treatments on Thursday.  When can you put the Aquaphor on? Can you shower in the morning and put it on after? Does it matter if it's still on during treatment? I forgot to ask them and I want to start putting that on to prevent or help any redness that starts.

  • Susug
    Susug Member Posts: 193
    edited October 2014

    Hey Lolis, I'm on 15 I'm not red YET..I am tired its strange how the fatigue hits you one min I'm fine and the next I can hardly put one foot in front of the other. My rads tec warned me that by the middle of this next next week  I will start to have some symptoms. I'm hoping I don't blister but she told me most do.

    Skbrown, so sorry your having a bad year. You will find there are some wonderful women on this forum everyone understands the feeling of getting dx. These women on here are great. They will help you along the way and answer all your questions. Susu 

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

    HomeMom, You can start using Aquaphor anytime.  HOWEVER, they prefer that you not put it on before your treatments, wait until afterwards.  I didn't use it until I had punctation (redness in the hair follicles - looked like freckles) after 19 treatments.  But a lot of women use it sooner.  

    Susu, Not everyone blisters.  I certainly didn't.  I did get sort of reddish or tan, depending on the spot.  Not bothersome at all.  Fatigue is definitely a challenge.  I finished my rads Thursday.  Hope the fatigue leaves quickly.  But it sure is nice to use deodorant again!  Don't anticipate problems - you may never have any!!!

  • Susug
    Susug Member Posts: 193
    edited October 2014

    Peggy,yea that's what I have heard from many who have been through this everyone reacts different 

  • Puffin2014
    Puffin2014 Member Posts: 961
    edited October 2014

    HomeMom: my RO had me start using my cream the week before my rads started, but said not to put it on within 2 hours before my treatments. I've seen other women say they were told not to apply 4 hrs before their treatment, ask yours what he prefers.

  • davida58
    davida58 Member Posts: 23
    edited October 2014

    Hello Everyone

    I'm a "before" rad therapy. I already had initial consult with Rad Onc. My lumpectomy is coming up this Friday and I am understanding that radiation doesn't start until 3 weeks post op.

    I'm concerned (who isn't?) as not only is it left breast, Rad Onc has advised it could cause scarring on top of left lung (left breast has the tumor). I already have reactive asthma - PFTs are good but I don't know about maybe ending up with scarring on the lung? And how do they work around the heart?

    She is aware I have Sjogrens, which is an autoimmune cousin to scleroderma. She basically assured me this some kind of beam radiation therapy? should not be problematic but she did confirm that its contraindicated for connective tissue AI.

    No dx of scleroderma (not tested for it but I do have connective tissue issues).

    Anyone with similar issue going thru or is after Radiation Therapy that wouldn't mind sharing the experience?

    I won't have time this week to call Rad Onc with my questions. Pre-op tomorrow, rest of week tied up with appts errands and surgery Friday.

    I suppose my real question, which may sound redundant or silly, if the risks outweigh the benefits - i.e. if radiation therapy would cause or exacerbate already existing medical issues (and I have a lot of them unfortunately), resulting in increased diminishing of quality of life - is it worth it?

    I should say I am also fully disabled with no caregiver.

    Thanks!!

    P.S. And yes I will call Rad Onc once I get through my surgery and ask a lot more questions.

  • Puffin2014
    Puffin2014 Member Posts: 961
    edited October 2014

    It's my understanding that if you choose lumpectomy, radiation is a given. 

    I can't answer your questions about the connective tissue issue, but I do know some about protecting the heart on the left side. During the simulation session they did a chest CT to check the location of my heart in relation to where they'd be radiating, and then had me take a deep breath and hold it to see if lifting my breast up away from my heart took my heart out of the range of the beam. Lots of deep breaths and holding while they determined the minimum and maximum breaths necessary. Not everyone needs to do the deep breathing technique, depends on what the CT shows. It's not hard, I only have to hold my breath for about 10 seconds each time, 3 times for images and 4 times for the radiation beam with each session.

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

    I was tested, too, for deep breathing since my BC is on the left.  Apparently they decided it wouldn't be necessary since I didn't have to do them during my tx.  I had no trouble with them during the sim, so that wasn't an issue.  I'm just so glad there's something to be done to kill any stray BC cells!  Same with Arimidex, which I just started - anything to make sure it doesn't come back.

  • davida58
    davida58 Member Posts: 23
    edited October 2014

    What is tx? what is the sim?

    Sorry - but this is all so new to me so these acronyms I don't understand.

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

    There's far too much to learn, isn't there, Davida88?  Tx = Treatment.  Sim = is pre-radiation session that determines what position your body should be in, includes x-rays/CT scans, the need for breath-holding, tattoos or markings so they can align the machine properly.  That usually takes an hour or so while the actual radiation sessions normally last 10-15 minutes.  

    For other abbreviations, look very near to the top left of the screen under all the discussion board listings and the "search" bar.  There's a blue bar that says "Help with Abbreviations."  I got lost in all of them, too.  You'll catch on quickly.

    I'd think you'll wait 3-4 weeks post-lumpectomy before starting your rads.  You need to be able to stretch your arms above your head for the rads.  It's not uncomfortable but if your lymph node incision is still tender you won't be real happy (but it is doable, of course).  

    Since you are having a lumpectomy, you might be interesting in joining that forum.  This link takes you to the last page of postings:  Lumpy Forum You'll find tons of help information there and lots of support.  You also may find ladies who have conditions similar to yours that can tell you what has worked for them.  Lumpies tend to be on that forum and this one as well as the Arimidex or other AI or tamoxifen  forum since our treatments generally follow the same pattern.

    Good luck to you!

  • skbrown
    skbrown Member Posts: 40
    edited October 2014

    thanks Pontiac, just updated profile.  I have a radiation consultation on Nov. 13, HER2 is being repeated and I do not know yet the results.  I am scared and nervous,  but a lot better off than some of these brave women I am reading about on here.  Wow.  You girls are awesome.

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

    SKBrown, just breathe.  You'll do fine.  Definitely scary but it is all doable.  Make sure you explore the forum that covers your type of surgery.  That will give you a lot of help.  We're here for you!!!  Hugs!

  • jhodro
    jhodro Member Posts: 240
    edited October 2014

    Peggy,

    Congrats on finishing rads!! You are such an inspiration - always positive despite all that you are going through. I was emotional on my last day of rads too. Not sure why, maybe it's just getting through one more thing!! Congrats congrats to you!!

    I'm officially 2 weeks past radiation and as of Wednesday I will be 2 months PFC. I am still extremely exhausted. I had hoped to begin exercise today, but unfortunately I have a bit of a cold or something (sore throat) so I'm going to hold off on that plan.

    I hope everyone is doing well. I really enjoy catching up on this thread!!

  • Blownaway
    Blownaway Member Posts: 760
    edited October 2014

    skbrown - Magnolia, Texas !!!! I used to live in Magnolia, then moved to Tomball for many years and now I live in Champion Forest.  Small world we live in...

    So much info has been put out there over the weekend (while I was busy) that I can't think of much else to add.  I thought of the SIM as a practice session.  It was really fairly interesting, the tech's room looks like NASA.  My cancer was on the left and I have to do the deep breathing during rads. I use goggles like for a virtual video game and can see a bar graph inside that shows my breaths.  I have to keep the yellow line over the blue line for about 10 second intervals. Nothing to it.  So far, I don't notice any rad fatigue but chemo fatigue was so bad, I think it's all relative. I've had 10 rads as of today and am just slightly pink but I tan easily. I've used Aquaphor every night since the first rad. I finish the day before Thanksgiving. I had to have chemo because I was HER2+++.  My drugs were Taxotere, Carboplatin and Herceptin. After 4 chemo infusions, my doc stopped everything but the Herceptin which I will continue to get every 3 weeks until June (again because of being HER2+++). I hope you can get by with just radiation.

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

    Jhodro, I'm a week and a half now past my rads.  I'm still fatigued but I think maybe it is easing off somewhat.  So hard to tell with all that's going on with DH.  I think you're right about why we were so emotional.  Now I'm on Arimidex and happy I can do anything I can to keep BC away.

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

    Found this interesting study that could put many of us "left breasters" at ease about the effects of radiation on our hearts.  Radiation & Heart

  • davida58
    davida58 Member Posts: 23
    edited October 2014

    Thank you, PontiacPeggy - reassuring for sure. 

    My RO only mentioned maybe some scarring on top of left lung. I had so much info in such a short period of time flooding me I need to call over there and get more detail.

    I think she said CT, and something about making some kind of shield thing ?? and something about a video to better understand how they do this. But basically I was told the radiation is site specific.

    Speaking of radiation therapy, someone help me remember to get some udder cream!!

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

    Davida58, buy some Aquaphor.  That seems to be the cream recommended by almost all ROs.  it works.  Doesn't stink.  If you can use aloe, that also is helpful. There is far too much info bombarding us in such a short time.  Hard to absorb.  HUGS!!!

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