Spring 2016 Rads
Comments
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Lovingg - that tendon thing you mentioned might be a surgery side effect. I can't remember what my BS called it, but she told me that it's something that some BC patients get after surgery and I think it goes away on its own. Still, it wouldn't hurt for you to let your BS know about it if it becomes bothersome.
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CCLYYZ - hello. the 16 rads and 5 boosts you mention are the standard ("Canadian/UK") protocol. Pretty much the same dosage overall but in fewer treatments which is to make the process more tolerable for the patient (fewer appointments to get to and usually fewer skin side effects by the end - I have three whole breast treatments left this week and my 5 boosts are Mon-Fri next week and then I'm done! I'm still only the slightest bit pink, no itching, no discomfort unless I wear a bra that digs into the area under my breast if I wear it all day, otherwise I'm perfectly fine). The boosts are at the end and target just the tumor "bed", that's what is happening in my case. Maybe you could fill out your mom's diagnosis/treatments and make it Public in your settings and please come back often to chat and get support! You'll find this site very helpful as your mom goes along, and she will too, I'm sure!
Every single thing your mom is doing is one more layer of protection, and that's a good thing!
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Congrats to all who are finished. I feel like I'm behind the curve--going in for #6 today. :-)
CC--sorry for the long bad news train but I can't imagine there could be anything left in the treatment portfolio for your mom. Re: the boosts, if you trust your RO, I'd say go with his advice. The rads are all about reducing the probability of recurrence, yes? I mean, most of us did not actually need them--we would not have had a recurrence without them--but looking forward we can't know who will and who will not have have it show up again. Your medical team is giving you their best advice in order to reduce the probability your mom's cancer will return.
Re: skin SEs, I ordered two creams based on recommendations from the Winter 2015-2016 Rads group but (1) have not needed them yet and (2) my RO stressed they don't want me to use anything they don't give me. Guess we shall see. . .
(And re: the shooting pains--I feel like I've had a few already, but not bad, right? I mean not terribly painful, and gone quickly. Does that sound familiar?)
Are we all feeling #radiant today??
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Thanks, everyone!
Congrats, Wenrisa!
And, Ingerp, I do feel #radiant today, even though I am now done.
It feels weird to not have a rads appt today.
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But what a great reason to feel weird, Disneygirl. :-)
Saw the nurse/RO today after rads and I'm starting to show some pink/tan (today was #6). I'm to put on the aloe gel they gave me twice a day. They asked about fatigue and headaches, so I guess I know what to expect. . . ;-) (I swear I wouldn't notice most of the SEs if I didn't already know they were coming. Who isn't tired and headachy occasionally?)
And they were giving out roses today. I came home with three lovely apricot-colored ones. :-D #withcanceryougetflowers
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Oh, yeah, I'm radiant today! hahhaaaaa..
About boosts. I think that they are actually a bit better for you because they are focusing the treatment on the area that had the cancer and not the whole breast. I agree with the idea that it's best to do everything that you can to kick cancer's ass if you can tolerate it.
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Just had my 4 week follow up today....although it has actually been 5 weeks! I totally forgot my appt last week, which I guess means it is not constantly on my mind. Everything looked good today...skin back to normal, just a slight trace of tan remaining and some scar tissue over the lumpectomy site. I was able to ask a few crazy questions that have lingered on my mind. For follow up, I'll be alternating seeing the rad onc and breast surgeon every 3 months for the next 2 years. And I am going to a post treatment group that discusses nutrition, exercise, and some other topics for 6 weeks. Other than that I hope to leave "cancerland" forever.
Hang in there ladies....and congrats to those who are done!
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Just curious why you see the RO after radiation is done? Also does anyone else count the zaps each time? I thought I was getting 5 zaps each time and today I swear I counted 6.
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I've had 14 treatments and so far not a hint of a side effect that I can tell--even when I'm tired it seems like normal tired and not the type of evil fatigue chemo brought on. This is probably a stupid question but I seem to have a higher number of treatments than most of you--36 total, with I think 5 boosts at the end--and I'm wondering if more treatments mean the dosage per treatment is lower? And of course they're radiating my chest wall since I had a BMX so that also makes me a bit unusual around here. Just wondering if either of those things plays a role in side effects or lack thereof.
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I was asking about the schedule when this is all over--my BS said I'd be going back there after I was finished with rads but I *think* the RO described something similar to kkubsky--I'll see each one every six months but staggered so I'll be seen by one or the other every three months.
And I get three zaps--two on one side and one on the other. I asked about it yesterday, Newgirl--they said three is pretty typical for breast, but some people get up to six each time. Does it have to do with breast size? Really not sure.
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Ingerp, I don't hear zaps!! Huh... There's a very low key noise like a soft whirring sound. I guess different linear accelerators make different sounds!
One of my rad therapists did mention that if women have large breasts they tend to receive more treatments than our standard 16 (+ boosts). 28 treatments plus 5 boosts totaling 33 happens occasionally here, I think, but seems to be the norm for a lot of American treatment centers, although some of the larger US centers/teaching hospitals are beginning to do the "Canadian/UK protocol" from what I understand. It's all the same and yet it's so different!
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I had a bmx in 2012 and this round of radiation is for the recurrence in my right breast near my sternum. I had two tumors removed about 4 inches apart but both very close to the sternum. Even with DIEP reconstruction I am only about a small b cup. Zap may not be the best word but I definitely know when I am getting the radiation so I count each time. They do put some sort of jelly filled shield on me every other time to according to them bring the radiation closer to the surface. I am at a large teaching hospital so I wonder if they will eventually go to the Canadian lower treatment numbers. The drive everyday is tiresome!
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Hey ladies. I'm new to the rads group... Just had #3 of 33 today and do farso good. Nice to see you Jill. Looks like we are on the sand schedule. Looking good!
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Just re: number of treatments, my RO told me at the initial pre-surgery consultation that some women get six weeks and some get four weeks and it depends on breast size. Makes sense. I think quite a few US hospitals are using the Canadian hypofractionation protocol.
And I don't actually hear any zaps--when the equipment is in place I'll hear the low hum that means it's active and then I'm told to take a deep breath and hold. As soon as it turns off I can breathe again.
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hey char!! Nice to see you too!
I get six zaps ( spots where it buzzes), I don't think it's because of my breast size though, I think it's because I had lymph node involvement, so they zap my lymph nodes too. That's three extra spots, one in the underarm, one of the collarbone from the front, and one of the collarbone from the back. Then there's three spots around my actual breast.
I'm having 25 sessions, instead of doing boost afterwards the boosts are during my normal sessions, it's called simultaneous boost. I can tell when they are doing them because the buzzing is twice there.
Iasked why I am doing 25 instead of the typical 20 in Canada, I was told it's because of the lymph node involvement. My breast size has never been brought up with regards to this, however I am quite large!
I had number two today, 23 to go, no problem so far but I know it is still early.
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my question is this, why do we have to go back to see the breast surgeon so often? Especially when I just had lumpectomy and reexcision and there is no need for any reconstruction or anything? I went to MO today and he doesn't want to start tamoxifen until after hysterectomy because it can lower my blood levels, he said. He did give me medicine to help me sleep so I won't be so irritable and tired. When I mentioned antidepressant, he gave me a crazy look and said, "do you really think you need an antidepressant?" And I just shrugged. Then he said well try the sleeping medicine and see how it does. Everyone seems to think because I had stage 1 cancer and didn't need chemo, that everything should be ok and I shouldn't be stressed out. Well I am, because of the MONTHS of worry and waiting and now I worry about it coming back. Of course, as usual, I'm a wuss and didn't argue- now I'm wondering if I will only get worse when I'm stuck at home for WEEKS after surgery with too much time on my hands to think about stuff. Everyone at work thinks my having a hysterectomy is WONDERFUL, and because they had c sections and were getting around great after a week, that I will be too. Isn't a total hysterectomy WAY more surgery since they are Cutting everything out? Hugs to all!
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Hmmm ... my tissue expanders are roughly the same size as my dearly departed breasts, which is to say, B cup-ish. But since I have no breast tissue I wouldn't think the size of the TEs would matter. Also I had no node involvement so .... I guess I could ask my RO if I can think of a way without sounding accusatory, or dumb for not bringing it up earlier.
The jelly-shield thingy is called "bolus." They use it on me every other time. They lay it on my legs until they need it, which helps warm it up; otherwise it's cold and I really try not to flinch off the table.
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Lovinggrouches, I had a hysterectomy 8 years ago. Mine was laprascopic, so recovery wasn't that bad at all. Just tons of gas, ugh. 😀
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They wrap my bolus in a sheet and it is actually nice to lay on my chest so I don't feel so exposed. Over hump day and on Friday I will have finished an entire week! No issues yet but I am putting expensive body butter on every night as per a friend who said it was wonderful and kept her from having issues with her skin.
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great tip regarding the washcloth in the fridge texasminded!
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Hi there!
I'm waiting for my post-op on June 2nd to find out my next steps. The BS said radiation is definite. I'm fortunate that right across my neighborhood there is a medical building owned by Baycare and I can do radiation there. In theory I could walk there but I doubt I will because we live in FL and are going into the 100 degree days soon.
What questions should I ask on the 2nd? I had clear margins on a 6 millimeter lump and the one node they removed was clear. I was told to expect around 6 weeks of radiation after my breasts heal up which would be 4 weeks from the lumpectomy date, right? They are healing well, just the site where they took the node feels lumpy. It is my left breast and I'm a little worried about heart damage. Did anyone see their cardiologist before starting treatment? -
ejmann44 - your post op appointment will be for your BS to check your healing AND to go over your pathology report. Path report confirms several things the initial biopsy measures but path. is more accurate because it's done on the actual tumor, not just a small sample of the tumor. Tumor size, stage, grade and lymph node involvement are all included. If this info isn't discussed, it's a good idea to ask about it.
One of the things I asked my BS at post op was exactly what she saw when she opened me up. Interestingly I learned that she didn't see anything but healthy tissue. Since she's working to get margins of clean tissue all around the tumor, she doesn't actually see the tumor. She locates it based on ultra sound imaging and the wire they inserted the morning of surgery. She said she didn't see the actual tumor until after she removed the tissue, sent it to pathology and they brought it back to the OR after they had "breadloafed" it - meaning pathology sliced it up like a loaf of bread. It was then that she saw the actual tumor, a grayish-white mass of tissue. In that mass, they found the tiny little metal clip that was left there during the biopsy as a locator. (In my case the clip was shaped exactly like a Breast Cancer lapel ribbon only VERY tiny.)Finding that tiny clip confirms that the BS removed the tumor that had been biopsied.
Yes, I started radiation exactly one month after surgery.
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LG--re: the BS, you were told you'll be getting mammos every six months for 3-5 years, right? I like the close attention following this ordeal. And everybody I know who's had a hysterectomy was up and around in a few days.
LTF--that makes total sense with the lymph nodes. I chose not to have any looked at.
ejmann--sounds like you have a good idea of what to expect. My rads started three weeks after surgery and you'll probably get either four or six weeks of treatment. And google "deep inspiration breath hold." It's a technique that's typically used when it's the left breast and you're on your back for treatment. It moves the breast even farther away from the heart to avoid that area while you're getting zapped. I've been doing it and it's no big deal and gives me another level of comfort.
sunny--just re: visual inspection, my BS told me several times that DCIS is kind of squirrely--you can't feel it, you can't see it visually. I have a feeling it has a higher second-surgery rate than some others where there's a definite lump. FWIW--I still have three clips in me. :-)
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ejmann44, mine was left breast at the 9:00 position. ended up 8mm on surgical path (7mm on mammo, 5mm on biopsy). I started rads 6 wks from surgery. I was on my back but did not have the breath hold technique. Finished last week !!! I also was worried about heart damage. RO said technology is so advanced now they can precisely target the area they want missing the heart and lungs or was so in my case. Good luck on the rest of this journey. I am getting ready to start tamoxifen now
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Hi friends,
Thankfully, my mom has finished her last session of chemo (Taxol weekly for 12 wks) this week. Since she chose to go with BCS, she will need to undergo RT. Today, we had the appointment with radiation oncologist. Doctor mentioned about various treatment methods that are available in the hospital - IGRT, IMRT, RapidArc etc. IGRT is coming out to be the most expensive option. I am now in a fix which one to go for. Can someone throw some light on the advantages/disadvantages for each of these options?
Thanks,
Sid
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I had left breast rads and didn't do the breathe and hold technique either. I even asked my RO if I should hold my breath during rad delivery but she said no. Just breath normally. Told me the same thing kbutler said - that they can precisely place angle of rads. She showed me the computer rendering of exactly where my rads hit when in my body (amazing what they can do with CGI).
Distance from chest wall of irradiated area might make a difference but I don't know - just guessing.
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One month today since my last rads! My skin is completely healed, and I had two bad areas of burn on my upper chest and underarm. They are only slightly pink now and tender, but that is something I can live with easily. I will be starting anastrozole as soon as I get through my colonoscopy tomorrow (had diverticulitis during chemo plus it's been 10 years.) I will be moving over to that thread. Good luck to all those in radiation - this too will pass!
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Gosh...so much has happened in the last week! First, my port became extremely infected with bacteria all in my bloodstream! Had to have emergency surgery Saturday to have it removed! Spent 4 days in the hospital, and was released with a PICC line now since I have to be on IV antibiotics for the next 2 weeks that I administer myself.
This caused my final radiation treatment to be delayed until this past Tuesday! I had it and rang the bell! I also cried like a baby! It's just so emotional after having gone through the crap over the weekend! It feels good to have one thing down and done, over and gone!
Good luck ladies!! You will be done soon! It goes a lot faster than I could have ever imagined! Take care!
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igay1ord - oh my gosh, what a terrible ordeal you went through!! So glad you came through it okay, finished up treatment and rang that bell. Congratulations on finishing!
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Igay1ord- So glad you finished !!! What a tough time! Congratulations!
Chiming in on the left breast rads. I am doing the the hold with breathing attachment and goggles. It looks worse than it is! Was freaked out at first but now no big deal.
Brithael always good to hear from those who are done. Thanks for posting.
In the crazy world of hospital affiliations my RO will be done next week and a new group will be coming in. Not happy to change docs halfway through. My RO told me the day I started. Hopefully I will like the new one. Didn't realize about all the follow up. Should have told them to "Radiant this!"
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