Winter rads 2014-2015
Comments
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Does anyone know anything about prone radiation, or how to find a facility that does it? I have a consult with an RO in two weeks and am concerned about radiation damaging my heart. BC is in my left breast. Prone radiation sounds like it might be a better option, but I don't even know where and if it is done in my area (Los Angeles). Since I don't think my hospital offers it, I'm skeptical that the RO would say it's a good idea.
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CoyoteNV
I think a poll would be helpful.
I would participate.
I think it would be helpful to have a list of questions people can respond to, to keep the info consistent.
then, we can look at the results and find out why such a difference.
Also, if there is a list, then people can take the list to their radiation place to ask someone to help give the answers.
an example:
What is the name, model of the machine used to provide the Radiation Treatment?
Is it a TomoTherapy machine?
How many treatments did you have?
total:
boost:
Did you have tattoos?
If yes, how many?
If no, did they use a sharpie?
What lotion/ gel was recommended to you?
What did you use?
I have a feeling this will reveal that there are different machines, approaches, etc.
BUT - if it means that some people are getting very bad skin reactions, NOT because of the person's skin type, but because of how the radiation is given, then this could be something to explore.
Perhaps because we are spread out over the world, there are some things our local centers are doing different, and we can put it all together.
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to kixx,
I was advised that the prone position, for me, would not get to the chest wall and therefore was not suggested (by my 2nd opinion RO).
It is probably that you would need to find a RO that agrees it is an advisable position for you.
In my case, I agreed that reaching my chest wall was important.
Per my sim study, my heart was NOT in the area of direct radiation beams.
I do know of several people that have had recurrence of their breast cancer IN THE CHEST WALL.
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A list of questions and responses, great idea! I'm surprised about the difference in methodologies, treatments, recommendations etc.
yikes1, you have a great idea there! "Moderators" want to weigh in on this?
We're all different and our journeys are unique, but only to a certain degree. Seems to me the standard of treatment and care across the USA is varied and sometimes lacking. I would expect difference across countries.
Like many of you, I've researched countless hours and haven't seen anything like this. Lots of "what to ask" lists but nothing that TRULY addresses the things we must know or the truth about what we may face.
I've seen the supposed research and been told by RO that RAD is pretty non eventful for most. No SE until 2-3 weeks and then minor burns and fatigue. Where's the rest of the information?
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LaRock-I start rads on Monday as well. Are you having 6 weeks of treatment or less?I was given a Mayo Clinic pamphlet on caring for skin with radiation. It says aloe to help with the sunburn sensation, hydrocortisone to help with skin itching, and Vanicream, Aquaphor, Eucerin, Lubriderm, Nivea Cream, and Vaseline Intensive Care Lotion to help with dry skin. There is no mention of skin care if it blisters/opens up.
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Sorry guys....if this is a stupid question just tell me.!!!! People keep talking about seroma....please explain to me...obviousley I must not have a "seroma" I just have no idea what it is...
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Yikes and quiggy - Thank you for responding. You get where I'm headed quite precisely. I like the questions that you suggested Yikes. And quiggy, you are certainly right on when you say that it is supposedly a non-event treatment. If the percentage of Winter Warriors with what I would call "Big" issues is an indicator, it is a bigger deal than indicated. Again - a disclaimer from me - I did not have big skin issues. Honestly, I won't keep repeating that, but I do think it is important because it can't be said that I had a horse in the race. We ask the question, "Why me?" but this one is "Why not me?"We are headed out for the bright lights of Vegas in a little while, so I'll check on y'all tomorrow.
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This is our list of Winter Warriors as of January 31, 2015 - I'll do my best to keep it current. Let me know if it needs a change.
October / November Start
MeneK – Oct 24
.................... MagicalBean - Oct 28
......... Mmtagirl - Nov 3
MarieBernice6234 - Nov 4
... Hope50 - Nov 5
.................. dennyvol - Nov 5
CAS4 - Nov 6
........................ Beachbaby65 - Nov 4
.......... CoyoteNV - Nov 10
Lush61 - Nov 13
.................... Rosa54 - Nov 13
................. Beachlady28 – Nov 17
Nomatterwhat - Nov 17
......... LMVerma Nov 18
................ katieC12 – Nov 18
Lorrilynne - Nov 18
.............. Gongshow18 - Nov 20
.........Yikes1 - Nov 20
Birdgirl11 - Nov 23
............. Perfectlyimperfect39 - Nov 23
Singsing1020 -
December Start
Pita119 - Dec 1
.................. SandyLovesLucy - Dec 1
......... AnasNana - Dec 1
HockeyCat - Dec 3
......... . CanuckMom Dec 4
................ MeanMomto3 - Dec 4
JustJean - Dec 5
............... runningcello - Dec 9
............... carynbrit - Dec 10
ForHisGlory - Dec 10
........ Davida58 - Dec 10
....................SCMom - Dec 11
ILCMom - Dec 15........................... eileenpg - Dec 16 ...................... Linzer – Dec 16
WndrWoman - Dec 16 .............. sweetbanker - Dec 16 .................... labelle - Dec 17
Slavrich - Dec 27........................InGodshands - Dec 18 .................... Catie57 - Dec 18
lilactulip - Dec 18?..................... PoppyK - Dec 29 ............................. kpmacmill - Dec 29
Jlynn13 - Dec 29 ...................... gretchy - Dec 29 ............................. Bellegirl - Dec 30
January Start
reader425 - Jan 2..................... Purrrrana99 - Jan 5........................... Cath57 - Jan 5
Proffessor50 - Jan 5 ..................fossf - Jan 7 .....................................Lulubelle1 - Jan 8
lescover - Jan 8 ........................Nancy6540 - Jan 12 ........................ Saltygirl - Jan 12
aj103014 - Jan 12 .................... Fionascottie - Jan 13 ....................... Magdalene51 - Jan 15
quiggy - Jan 19 ........................ Bippy625 - Jan 20 ............................ Dacre - Jan 20
feelingoverwhelmed - Jan 20 ... KYBLUEEYES - Jan 20 .................. Beachbum1023 - Jan 22
Cavalier - Jan 22 ..................... mqt64 - jan 26 ............................. Sjacobs146 - Jan 26
Windgirl - Jan 28
January Start Dates Not Known
KGotThis - Jan ? ..................ckr1956 - Jan ?
February Start
JeniferE - Feb 1 ........................ LARock - Feb 2 ............................. Chrissie29 - Feb 2
ladyb1234 - Feb 9 .................... Texas94 - Feb 16
FebruaryStart Dates Not Known
CassieCat - Feb ? .................... intothewoods - Feb ?
MaggieCat - Feb ?
No Start Date Yet
funthing42 - ?
zjrosenthal - Rads delayed by surgery, until ?
Honorary Winter Warrior
Warriors who stopped for a visit, but for various reasons didn't stick around. No start date determined. We wish them well.
Minnielee; surrrana99; Coloradocancermom; Shuf; bjeaneg, gemmafromlondon, knittingPT, Shayne36
= Reported Completed
= Should be Complete by now.
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Bippy, I hear you.
My burns keep getting worse and worse. Advil doesn't touch the pain. I'm keeping it well covered with Silvadene. It's about 2x6" now of raw flesh, all of it over the boosts area where the tumor bed is. I can't do my PT exercises because I can't make myself go through that pain. So I now have a call in to the Rads center to see if the on-call doc has any words of wisdom. I expect that he'll just be annoyed with me. Bring it on, doc... I'm loaded for bear today and will not lightly take any bs from you or anyone else.
I keep hearing the RO's words... "it'll be just like a little sunburn". Little sunburn my ass... I am not a happy camper today, for sure.
JJ
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To CoyoteNV: I think everyone currently on this website would concur that you are soooo inspirational, kind, caring, knowledgable and a source of info! I know I find a tremendous amount of comfort from your posts....and that isn't meant to diminish other posts....I just think that CoyoteNV encourages everyone to be comfortable sharing and/or posting. Even though I have never, and probably never will, actually have met any of you guys on this website, I feel such a closeness. I don't feel so isolated. It's so difficult to try explain to "the others" what I'm feeling on any given day...much less explain dx, size, grades, location, treatments....chemo, radiation, just plain exhaustion.
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To JustJean: May I ask how far along you are in the rad treatment?
I have only just begun....(my apologies to the Carpenter's for changing their lyrics) but I definitely feel a burning sensation during the treatments. I've been asked if I "sunburn" easily.....YES!!!! "Oh then use the 100% Aloe Vera gel." Well, guess what??? Living in upstate NY, there is not a big demand for aloe vera gel in general....but certainly not 100% pure aloe vera gel!! After researching for hours ( and my bff the "Queen of Google") we could not find anything that was either local or reasonably affordable. I told the nurse at the RO's office and her response was "this isn't the time of year to be able to find this easily".......SERIOUSLEY??? Had I known last July I would be going through this, I certainly would've stocked up.
Okay done venting for the moment...which really means until I come up with something else to vent about!!! LOL
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to dacre,
I went back and found my previous post, and am copying and pasting it for you:
Dec 17, 2014 04:49PM yikes1 wrote:
Hi InGodshands,
I was told to use ONLY the brand Fruit of the Earth, Aloe Vera 100%gel.
no color added.
I just want you to know - it does have some preservative and other yucky sounding stuff, but after spending over two hours one night in a store looking at many, many products I just had to give in.
Products that advertised all natural had tons of ingredients.
This gel product is clear. I do not know where you live, but it was available in a small, 2 ounce size at target, a bigger size in local grocery store, and looks like available at walmart.
Other similar products had tons of more stuff in them.
I ended up ordering from Amazon because they had larger size (24 ounces) and it came with a pump --- the pump is the thing. After one time of trying to get it out of the 2 ounce size I could not squeeze it out. It is a gel and just did not come out.
the pump has made it easy to use. It is possible that you could put a pump from something else in the smaller size sold (I think 12 ounce).
It is cooling, easy to apply.
For me the aquafor ointment was difficult to spread on my skin.
BUT - I am not sure it will not wash off your markings.
I have tattoos.
Dec 17, 2014 04:54PM yikes1 wrote:
just to be clear - I do not know if it exists, but this gel is not 100% aloe vera, and nothing I found was. they all had some type of preservative.
it is 100% gel. Some reviewers on Amazon felt that was misleading.
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JustJean,
How much Advil are you taking?
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Hi everyone;
I found the 24 oz pump Fruit of the Earth, Aloe Vera 100%gel. no color added. at Target. I live in Salem Oregon.
Yikes1, you're right, it's stated as pure but there are some other chemicals in there. I'm not aware of any without because the plant extract needs preservatives the way we use it and straight from the plant isn't practical.
I've been using it and aquafor , twice a day (min) and it doesn't seem to cause problems. It's cooling. I'm still pink and feeling like a fireball under my skin. So not sure if my plan is working or not. I also use the Spand-Gel pads. They are a hydrogel sheet specifically for radiation burns. They really pull down the burning but difficult to use unless you're at home.
I take 2-4 Advil 4-6 hours. Doesn't stop the pain, maybe less, easier to function.
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JustJean, I hope something works for you. I have 100% Aloe Gel, I found it at Drug Mart and it was pretty cheap for the bottle I bought. I went big, I sure I hope I don't use it all! Geez this is creepy. Makes chemo sound easy, rads seem to sneak up on us. And it does keep on giving WTH!
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All done!!!! I'm tired, sore, and itchy but I survived! I'm ready for a rest before tackling tamoxifen....taking a couple weeks off! My underarm area is the most sore and it is tight. I had a total of 36 treatments. 28 whole breast and 8 boosts. I rang the bell but what I really wanted to do is break down and just have a good cry! I was able to work a modified schedule of 6 hour days and my job is really busy (RN unit manager). I supposed to follow up in 2 weeks and after that I'm not sure I will keep seeing this RO. The visits just seem pointless anyway. All she wants to do is see my skin.
Contrary to what everyone else did, I didn't use a lot of creams. I had to use hydrocortisone cream for the itching and was told to use aquaphor. I found that my skin was more irritated when I ised the aquaphor so unless I was itchy I usually just went dry. No open areas here, but Iay have developed a seroma? Nothing is leaking but I can feel a huge lump undery node incision. Definitely have two cords that are tight that I'm trying to keep stretched
I have three small tattoos and so excited to rip off the last stickers covering my sharpie marks!
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dacre, I'm on #9 of 33. I'm burning, not horrible yet but like you, I'm worried how I'll make it to the last one. RO said I should have no symptoms yet, sorry I disappointed her! I burn in the sun, very fair skin. My RO said that's not related but I can't see how it isn't.
Ask your RO for the Spand-Gel pads (by Medi-tech). They are sterile and seem to help by cooling and hydrating the skin.
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Dacre, I've been done for a week and a half.
Yikes, I've been taking prescription strength, 800 mg every 4 hours. Takes the edge off but that's about it. I talked to two pharmacists today who both said that if the typical script pain reliever doesn't work for me (and they don't - they just make me stupid but do nothing for the pain) that they didn't have any other advice for me.
And the rads clinic has not returned my call. Nice, eh?
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jean, i just....have no words. You are amazing.
Yup, i will do the survey.
I was so debilitated with fatigue today. Barely could do anything. I am airing out my arm, applying cool compresses, aloe. Now I am going to bed.
Sleep well and long my friends! Tomorrow is anotha day
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Coyote I would be happy to participate in a poll.
Bras - I had a lumpectomy and am a 46 D. While the original RO said go without, the nurse said I would want one. She said look for cotton, seamless and front closure. The trick is to avoid friction and moisture like sweat. Support helps if you have sore areas or achy muscles. I love the Dale post surgical bra for sleeping but it is too stretchy for daytime support. Depending on swelling, I alternate between no bra for air, cotton bra, or cotton bra over t-shirt. Nurse also said stay with mostly white tops to avoid dyes. The one problem with the cotton bras has been lack of cup sizes. I just don't do up all the hooks at the top. Sorry to repeat but trying to respond to bra question.
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Beachbum, I like the puppy idea! As far as I know I'm doing 30 straight treatments with no boosts. If I don't miss any due to weather or whatever I should be done March 6.
As far as the belly thing goes, it's what my RO recommended because of where my tumor was. I think I am more comfortable that way than I would have been on my back. I am a lefty. Not quite sure what kind of machine it is but I am going to ask.
PoppyK, thanks for the pillow idea and the seatbelt cover ideas.
I' m all for the poll idea too. It is amazing the difference in care plans.
Good luck everyone on the new week of "experiences" .
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Hi - I'm new to the thread but am finishing rads - only 3 boost treatments left. I did the Canadian 4 week regimen. I'm just wondering if anyone has had terrible headaches and sore neck pain since rads? I had horrible headaches since starting radiation. I'm also getting herceptin every 3 weeks. My MO insists the headaches are not related to herceptin. She made me see a neurologist. He said the headaches were probably from herceptin. The RO agrees but the headaches and neck pain started with radiation.
Of course I'm thinking the worst even though I'm stage 1 and low risk. Someone please calm me down and tell me headaches and sore neck is normal.
Hope everyone is well this evening.
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Hi JustJean,
Just so you know:
http://www.rxlist.com/ibuprofen-drug/indications-dosage.htm
Do not exceed 3200 mg total daily dose.
No, not nice at all.
I think you should call the rads clinic back, explain you are in pain, the Advil is not helping, and you need something else, and you are waiting for a call back, or again we will discuss a conference call!!
I am not sure what the pharmacists were referring to, the "typical pain reliever"?
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Yeah, Yikes, I know that figure well because this is pretty much the only med that does me good. I'm at 2400 for the day right now.
Typical as in whatever it is they prescribe these days, like percocet and that sort of thing. They don't work for me. And the docs don't believe me when I say they don't, and won't prescribe me something that WOULD work, so I don't even ask any more. I just take my Advil and whatever else works, like arnica or cold/heat.
I will make my displeasure at the lack of a callback known. It won't do any good, of course, but I'm a loud-mouthed woman at times, LOL!
It will be a bit better tomorrow. It will be a bit better tomorrow. It will be a bit better tomorrow. It will be a bit better tomorrow.
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justjean, I get the meds thing, the "typical" narcotics don't do much for me either, except make my skin feel crawly. And of course, docs are certain I'm full of @#!&. There's got to be pain meds that work! I do 2400+ mg of Advil and sometimes mix it up with aspirin too. I have autoimmune issues including Crohn's disease and the meds are a problem for that. What's a girl to do?
I'm sorry you are suffering today. Tomorrow will be better! ((((hugs))))
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kixx - I am getting rads in the prone position. They have to check with a sim if they can get all areas they want (the way your breast falls) in that position. In my case they were able to, and I was told the beam will not touch my heart and lung. That was my main concern and I am very relieved I will get through this with no heart or lung damage (I was a smoker which puts me in high risk if it did touch my lung). The position itself is very easy, I just lie on my belly and extend my arms to hold the handles, not uncomfortable at all, plus it takes 5 minutes anyway.
I think this should be be provided at all facilities as I would imagine the machine itself should be the same. They set the table to have a gap where my left breast would be, so it seems it would be something that can be done anywhere. Let me know if you have any questions. I got 3 done I have 30 more to go
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Coyote is fortunate enough to be treated with tomotherapy radiation. This means the radiation is directed to her tumor or the area where the tumor was. This is MUCH more precise than traditional radiation, which would account for fewer skin or tissue issues.
My facility offers proton radiation as well as tomotherapy. Proton therapy is extremely precise. If I was a candidate for either of these treatments, I would have chosen them. If you are in the southern California area, you should consider treatment at Loma Linda University Medical Center. They also have housing available if you are out of the area.
The main issue with the bras seems to be that the band compresses the skin under the breast. Due to the rads treatment, this skin is damaged so the pressure of the bra causes problems. I have 40Ds and am not comfortable without a bra. (After the cancer surgery, my breasts don't sag but they sure do giggle!) I took advice I read on this forum and stuffed a soft, fuzzy sock between my bad girl and the bra band.
I have Silvadene at home. One of my sons flipped his bike, which removed all of the skin and exposed the muscle tissue on his knee. We put Silvadene on the wound as a topical antibiotic. It is very creamy and stays in place well, but I was told by my MO that it is only to be used on open areas, such as when our skin opens or blisters pop.
Since the aloe gel doesn't seem to be penetrating my crispy, dead skin, I put coconut oil on the bad girl today. It seems to be doing a very good job of hydrating the skin. Aloe has a good cooling effect.
Wishing you all relief!
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poppy - proton therapy is for partial radiation of the breast only, which most of is are not eligible for. Also my understanding from talking to RO and researching on the internet is that the efficacy as well as cosmetic outcome is still being tested. I am not sure about tomotherapy, although RO told me the difference in machines is the imagining used and the beam is the same beam, so maybe with tomotherapy they see it better. My facility has a tomo machine but I don't think that's what they are using for me, I will ask though. Either way if you need full breast radiation and not partial, the whole breast tissue will be radiated
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Yes, windgirl. Proton therapy is only appropriate for early stage bc. If I was node negative and my tumor pocket wasn't destroyed during the reconstructive portion of my surgery, I would have been a candidate for proton therapy. Both proton and tomotherapy reduce the amount of radiation given to other areas of the breast. While most of us may not be eligible for these treatments, I think it's important that we know about the treatments that are out there- so we can ask our docs about them as they relate to our cases.
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