If working, best time for rad appt?
I live and work within 15 min of my radiation center. I have an appointment with my RO next week and I'm preparing for the appointment by researching as much as I can.
I had planned to schedule my rads appointments first thing in the morning then go into work. I have a desk job and my company has been very supportive.
But I read a few things about "free boobing" after the appointment. Does your skin get very hot?
Any tips from ladies who worked through radiation treatment would be much appreciated!
Thanks in advance!
Comments
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I worked through rads - 28 sessions. I scheduled them at the end of the work day so that I could head home afterwards and rest. My appointment was the last on their shift - most of the times. I would not recommend doing this at the beginning of the day and heading to work right after for a few reasons:
1. You will feel tired, and maybe even exhausted by the end of treatment. It's cumulative.
2. You are likely to get some kind of skin problems and the best remedy is to keep your breast open. I used to apply a thick layer of ointment right after the session - in the changing room - and then head home, change immediately and stay bare breast till going to bed.
3. Your appointments may be delayed for reasons that are beyond your control and you may feel nervous you are running late to work. No one needs that additional stress.
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Allicat, good luck as you start rads. I know the rad techs said many women choose to do them in the morning, then head off to work. I substitute teach, so my work schedule was able to be flexible during my rads treatment. I did not free boob it...actually never have heard of that term, but I like it!. My skin did get very compromised toward the end, I am very fair skinned and I did blister the last few weeks, but I wore a cami most of the time anyway. My Radiologist had a few lotions that he only allows his patients to use, and do not apply the morning of treament, as they do not want the extra moisture interfering with the rads. I kept a constant layer on toward the end, and was pretty crispy, but...I found it all very doable. I hope you will too! The time involved is short once they get you calibrated in, so you get there, change into a gown, lay down on the table, ZAP, adjust the beam ZAP, adjust the beam, ZAP...you are done and out. At least thats how it went for me,in and out in fifteen minutes. your skin does not get hot, but will develop a burn like a sunburn which is cummulative as the days go by. Having the weekends off helps a lot for the skin to recover, and my rads doc jokingly said, "cancer doesnt grow on weekends." ! If you do wear a bra, yes, you will probably have discomfort with that. I had a mastectomy a few weeks before, and did not wear a bra but a cami. I hope my response helps you plan ahead, as I said earlier, I think you will do great.
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muska has brought up some great points, so now you have two opinions, and are properly confused! Each of us are so different, there are so many ideas and ways of dealing with treatment, very individualized. Like muska said, I too put the ointment on in the dressing room, I couldn't wait to get a layer back on. And use it from the start, do not wait till you are having symptoms.
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I'm trying to figure out when to get rads in, too. I just went for my sim on Friday, and the technicians said that mornings were pretty hectic right now. I guess everyone is trying the "first thing in the morning" approach. I could do that, but I could also do rads during the 1:30 -- 2:30 hour every day. That way I'd get them done before I picked the kids up at school.
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I agree with all of Muska's points. I intended to do it first thing in the morning and then go to work but changed to late in the day based on comments on this website. It was a good decision. I felt somewhat tired after treatment for a while and it would have taken time to be ready to get working. Instead, I went home and did not have to do much in the evening. It was a good schedule.
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My appointments were at 3 pm. The middle of the afternoon. Hated the timing of everyone of them--too early to leave work, too late to be lunch, etc. However, the treatment center wouldn't move them--wish I had pushed harder on that one.Last thing of the day would have been best for me.
One thing is you will have marks all over you and ruin whatever clothes you wear--so I went with a cheap bra from Walmart. As Meadow said, applying the ointment right after treatment is advisable and may be best right before you go home, imo.
Overall the appointments are quick and painless-15 minutes tops if your center doesn't get behind.
We're all different--good luck figuring out what is best for you!!
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Work wasn't a factor for me (I teach, but only one day a week in the evening and do all my course prep from home so my scheduling was pretty flexible). But just to share my experiences in relation to prior comments. I did most of mine around 1 PM.
I never had any skin problems - I used 98% aloe first thing in the morning, then worked out, showered (so washed it off before the treatment), reapplied immediately after treatments, and then again before bedtime. I did have some significant swelling and tenderness (whole boob, not skin) towards the end so found a cotton cami with a light shelf bra more comfortable than a "real" bra, but that was true all day, not just immediately after treatments.
In terms of the fatigue, I did have some, but mostly noticed it in the evenings - I felt like I was ready for bed earlier than usual.
I was given tattoos at the simulation, but never had any other marks of any type applied, so had no worries about things rubbing off on clothing. That might be something to ask your center about - what is their protocol, because it is not a given either way.
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I work in an office environment 5 days a week, and my hours are a bit flexible, so I scheduled my rads for 4:00 every day. That way I could go home and rest afterward.
The place where I bought my mastectomy bras and forms had a "radiation" bra that I wore throughout rads. It had a pocket for my breast form, and it was soft, had big bands and shoulder straps, and didn't rub on anything. At the time I was a uni-boober, so I wasn't comfortable with just a camisole or free-boobing.
For the Sharpie art they draw all over your chest, be SURE to use a mild oil--baby oil worked great for me--to get it off. If you use a cleanser that takes much rubbing of the skin, you'll risk a skin breakdown and a big, open sore.
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