Anyone else refuse the tattoo? How did you keep the mark?

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Penner
Penner Member Posts: 12

I started radiation a week ago today. I really don't want the tattoo. They are using a marker and covering it with tape. I am worried that I am going to have problems with the small patch of skin where the tape is, as I can't put the Miaderm on it.

How did other people cope with this? Any help would be appreciated. I was half-thinking of seeing about a henna tattoo and have been speaking to a woman who does them, but I am feeling uncertain.



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Comments

  • Meadow
    Meadow Member Posts: 2,007
    edited December 2016

    Hi Penner, welcome! I can give you my thoughts on the tattoo...I wasn't really crazy about it at first, I thought good grief, I have to have a mastectomy,isn't that enough? Do I really want tattoos to be a reminder too? But I have an aggressive diagnosis, and knew I needed to fight hard, to fight the cancer, not the cure. I was so glad I got the tiny tiny dots...my skin became very crispy by the end of rads, and I did not need or want to be fooling around with tape or markers. I wanted to slather up when I could, to get relief. And honestly I NEVER notice the dots. I have to look for them to see if they are still there. And when I do see them, they make me smile. They make me feel strong Believe it or not, there will be a day come when cancer, and treatments, are not the first thing you think of in the morning, or think of at all that day. And those dots say to me, "I did this!" So, that is my opinion, that they are good, make Rads easy, and we need easy. And we need to let the professionals do their job, to make us well. I hope you get other input, and I really hope you do well in rads. Hang in there!

  • Lovey222
    Lovey222 Member Posts: 11
    edited December 2016

    Hi Penner... My RO does not use tattoos. I went last Friday for my markings/CT scan and have the same sharpie marks covered with clear dressing on my chest and 3 across my stomach. When I got changed I freaked out. I told the nurse I would rather have the tattoos. I have a lot of freckles and feel they would blend right into my skin complexion. She said I would have to make a strong case to the RO to do the tattoos so when I go back next week for simulation I am going to ask. Also, I have the same concern about applying anything near the clear dressing. I will update you after my appointment.



  • Penner
    Penner Member Posts: 12
    edited December 2016

    Thanks for your reply, Meadow! You have a great attitude! And I appreciate the feedback. I'm a little different because I had a lot of medical trauma early in my life so I have a lot of mixed feelings about the medical industry. I was a child in the 1970s, back when doctors had little regard for the psychological needs of hospitalized children. I went through some horrible experiences, so unfortunately I'm not inclined to trust the professionals - I have to take care of myself, because my experience has been that the industry can be very insensitive, to the extent that I have had life-long effects. For me refusing the tattoos is an important part of maintaining my autonomy in the face of having to deal with all of this. But I really appreciate your very kind words and your great perspective!


    Lovey, your story is interesting. I would like to hear how it turns out - I hope that they will do the tattoos for you! That seems unusual that you would have to make a case for the tattoos. I did ask the radiation guy today about the fact that the cream doesn't get under the sticker and he said it usually doesn't cause problems, so I am hoping that it will work out ok. It's stressful, isn't it?

  • Meadow
    Meadow Member Posts: 2,007
    edited December 2016

    Penner, I am so sorry you experienced childhood medical trauma....makes my heart just sick. And now to be in treatment for bc, I so wish it were not so for you. Hoping you have an easy go of this stage of treatment . I hope your medical care this time is great, and helps heal some old wounds. please keep us posted on how you are doing.

    LOVEY, Just goes to show there are so many variations of the standard treatments, and there you go, you want the tattoos and have to make your case to get them. Just as I hope Penner does not get them as she does not want them, I hope you do get them! Keep up the good work ladies!

  • MinusTwo
    MinusTwo Member Posts: 16,634
    edited December 2016

    I got tattoos and they are tiny. The nurses still marked me up with Sharpies and told me to try not to shower off the marks.

  • Hopeful82014
    Hopeful82014 Member Posts: 3,480
    edited December 2016

    I did not want the tattoos and discussed it with both the ROs I consulted. One offered to have a volunteer show me hers - that only made me more determined that I did not want them. I ended up having the stickers and had no issues with them. They gave me extras to apply in case one became loose in between treatments and they checked them every day. The techs were fine with the stickers and it really didn't seem to present any kind of a challenge. My skin had no problem, either.

    I had numerous reasons to avoid the tattoos. I have very fair skin, no freckles, etc., on my chest and some of the marks would have been visible in a 2 piece bathing suit, much less glaringly obvious in the mirror every day. I dislike tattoos. The idea of medical tattoos really creeps me out, too. Most of all, I did not want to have even one more permanent reminder of my treatment. It's bad enough to have scars - I didn't want anything else that I could avoid.

    Good luck with whatever you decide.


  • ddfair
    ddfair Member Posts: 109
    edited December 2016

    I deeply regret allowing them to do tatoos. First they lied about the number. Said it would 4 total. It was 6. Said it would be black ink. They are navy blue. Said they would just look like freckles. Who has blue freckles? I asked , can't you just use a sharpie? Oh no, they said. We have to tatoo you. Then guess what? They mark you up with a sharpie EVERY stinking day!!! It hurt like hell each time the tech poked me for the tats. That night it felt like someone had kicked me in the chest. About a year later when I had my second mastectomy I had my surgeon use a punch to remove the tat below my neck. It showed in most clothing. I couldn't stand seeing that reminder every day.

  • Penner
    Penner Member Posts: 12
    edited December 2016

    Thank you all for these responses! I am halfway through my 20-session stint, and I have to say the stickers are less of a hassle than I had feared. They seem to last about a week, and while I am getting some irritation it doesn't seem any worse so far on the areas with the stickers. Another thing that at has put my mind at ease is that they told me they have images of where the stickers go, so it's not the biggest deal in the world if they fall off. (Which makes me wonder all the more why they tattoo women, if they can easily reconstruct the markings! Though to each their own - I understand that some people prefer the tattoos!)

    MinusTwo - sounds like your tattoos worked out pretty well. Funny they kept up with the Sharpies as well though!

    Hopeful, that's a good tip about the extra stickers! I was then thinking about asking them for extras, though I seem to be getting on ok. Your thinking on the tattoos is pretty close to mine, so I really relate to your reasoning.

    Ddfair, I'm sorry you went through that. I would have been very, very angry as well. One thing I've noticed is that there are tattoo removal places that will remove the tattoos of ladies like us for free - which makes me think there must be a reasonably large number of women who don't want these tattoos for the rest of their lives!

    I do wish everyone would be given their choice of whether or not they want the tattoos!

  • 1040law
    1040law Member Posts: 4
    edited December 2016

    I refused the tattoos. They marked me with pens and put tape on it. They made a temp plate so that when the tape and / or markings washed off they used the temp plate and marked again. Worked fine for 28 days of radiation. I did try to be careful when washing, but it was just fine.

  • Hopeful82014
    Hopeful82014 Member Posts: 3,480
    edited December 2016

    Penner - thanks for the update on your sticker experience. Congratulations on hitting the home stretch!

  • JenRich
    JenRich Member Posts: 13
    edited January 2017

    It's really interesting seeing the different feelings on here. I was expecting tattoos, and when I got sharpie'd/taped up at simulation, I was just so stressed to have to care for it. I feel like I wish I'd gotten the tattoos, but the grass is always greener, right? I just finished 9 of 22 and I don't have any real skin irritation yet, except for some itching where one of the tapes is. They have told me not to put creams on the marker or tapes, so those spots are going to be neglected until after I'm done. I think I have 8 or 9 taped over marks, and they add extra marker every time. Super sexy. hang in there everyone!

  • Penner
    Penner Member Posts: 12
    edited January 2017

    Hi everyone, I just wanted to give an account of my experience, now that it's over! Maybe this will be helpful for other ladies who feel similarly to how I did.

    I did great without the tattoos! I had been worried that the parts under the tape would be problematic, that the skin would be very damaged because I couldn't put the cream on. But this didn't happen - the parts under the tape did fine, and looked no redder than the rest of me. I was even wondering if the tape was having some kind of protective effect, but it was hard to tell. In any case, I can say that I had no additional skin irritation from the tape.

    Another thing was that I was so worried about losing the tapes that I was marking the area up with markers constantly. Then one of the tech people told me that it wouldn't be the biggest deal in the world if one fell off as they have pictures and can just re-mark me from that! (Which made me be like, er, then why all this hullabaloo about tattoos??, but anyway!). I had this one episode where my tapes seemed to be slipping, so they did use the pictures to correct the positioning. This only took about a minute and seemed not a big deal at all. (I think the tapes slipped that time as it had been more than a week since they had been changed and I started using a new cream - not sure which of those factors were more important, or if it was something else.)

    Anyway, it was extremely important for me not to have the tattoos, and I am glad to report that this was not a problem. I would definitely encourage people who don't want the tattoo to speak up. It worked out really well for me, and the little bit of care I had to take with the marks was worth it for me.

    ------

    Thanks for your comments, everyone! Appreciate the feedback and the encouragement.

    JenRich, I hope you are not finding it too stressful to mind your marks! I am surprised you have 8 or 9 marks - I only had three!


    Good luck everyone! I really hope everybody can get to make their own choices about the tattoos! It seems like such a personal decision and for some of us it seems very important!



  • sbelizabeth
    sbelizabeth Member Posts: 2,889
    edited January 2017

    A word of caution for removing Sharpie ink, when it's time for it to come off. Use baby oil, or some other very oily substance, to gently rub into the ink and then gently wipe it off. Don't scrub, don't use a washcloth or a pouf. The radiated skin can break down very easily with rough handling and turn into an open, oozing radiation wound that can take months to heal.

  • Hopeful82014
    Hopeful82014 Member Posts: 3,480
    edited January 2017

    Penner, thanks for the update. I'm glad that worked out so well for you.

    I agree that we should all have the opportunity to make our own decisions about the tattoos. I find it troubling that ROs don't inform their patients of such a possibility. I first learned of that option from a comment on this board and will be forever grateful to whoever it was that posted.

    Regarding the Sharpie marks - yes, be gentle. And keep in mind that they'll wear off eventually (sooner rather than later, in my experience) so if they're not bothering you, don't stress about about removing them.

  • Penner
    Penner Member Posts: 12
    edited January 2017

    Yes, I didn't need to try to get rid of the Sharpie marks- they just wore off themselves between the little bit of rinsing I was doing and the ointment I was putting on. (I had also bought some markers designed for skin (used mainly by athletes and such - I used those myself to mark the spot so I worried less about losing the stickers- that also just took a couple of days to wear off by itself.) Good advice, sbelizabeth - I hate to even imagine someone trying to scrub off the markings!

    I agree with you, Hopeful - I think it would be better if ROs told people they could make choices about the tattooing. I suspect there is too little research done on the psychological effects of this kind of thing, so they underestimate the potential effects among those of us who might be troubled by the tattoo.

  • Mamasha
    Mamasha Member Posts: 104
    edited January 2017

    can tattoos be refused with all ro?

  • MinusTwo
    MinusTwo Member Posts: 16,634
    edited January 2017

    I think it depends on your doc. I have 3 tiny dots that really aren't visible. Most of the marking were with stick ons and sharpies. They lasted several days before they had to re-draw if you only wash below the waist. Or if you cover your top 1/2 with Glad Press N Seal.

  • Penner
    Penner Member Posts: 12
    edited January 2017

    Mamasha, I think it's important to remember that it's your body, and you can refuse permission if there is something you don't want done. I think it's easy to forget that!

    My RO assumed I would be getting the tattoos, as did the nurse who came in with the permission form for me to sign - I was very glad I spoke up and refused them. I would have a problem with a doctor who didn't allow me to make my own choices about my body.

  • Hopeful82014
    Hopeful82014 Member Posts: 3,480
    edited January 2017


    Mamasha, Penner's point is important; it's YOUR body. If you don't want tattoos, stand your ground. I was prepared to tell my RO that I had religious objections but, fortunately, she was cooperative. Her assistant wasn't very happy about it but the techs were the ones dealing with positioning every day and they were supportive of my decision.

    Re: caring for the stickers, etc. - I showered every day and had no trouble keeping either the marks or the stickies. I didn't let much water hit that area directly but I never used coverings, either, and did fine.

  • Mamasha
    Mamasha Member Posts: 104
    edited January 2017

    thank you Penner and hopeful8201!!!

    My first consult with ro is 1/31. I just can't handle tattoos on top of the everything else. I guess I feel better that I have some control over this decision since every other one has been made for me. I truly appreciate your input and will let you know what happens next week.

  • Leydi
    Leydi Member Posts: 146
    edited January 2017

    I wasn't even offered tattoos so I don't think my RO uses them. They don't seem concerned about me showering like normal or using products right over the top of the marks/tape. The radiation therapist was sure to tell me that it wasn't a big deal to lose one. She'd just replace it. I'm having both sides radiated so I am marked up like a tic-tac-toe board. I just counted: 15 marks with 15 little round clear tapes over the top. Maybe that will make some of you feel better!

  • Mamasha
    Mamasha Member Posts: 104
    edited January 2017

    no tattoos! RO said they like to have them because they can have permanent reference if additional radiation is ever need but he could gladly just use sharpie!

  • Hopeful82014
    Hopeful82014 Member Posts: 3,480
    edited January 2017

    That's good news, Mamasha! I'm glad your RO was cooperative. (Mine gave me that line about future reference, too, but didn't push it. Personally, I don't buy it; what are the chances that we'll have radiation to the same side of our chest twice? Besides which, the imaging records are so detailed that I suspect the tattoos are just an old habit that's never been discarded.)

  • Midwest_Laura
    Midwest_Laura Member Posts: 168
    edited February 2017

    Why would they radiate the same location twice?  I thought that was a no-no.  Does that rule only apply to bone mets?

  • Hopeful82014
    Hopeful82014 Member Posts: 3,480
    edited February 2017

    No, Laura, in general it's very unusual to radiate the same area twice. I suspect that what the ROs are actually thinking is that in the event that they needed to radiate another area of the chest they would be able to plan the treatment field to avoid those areas previously treated.

  • nye1980
    nye1980 Member Posts: 69
    edited February 2017

    Here in Bangkok they don't do tattoos so lots of markers, with tape covering the really important ones. They'd touch them up everyday and weren't too fussed if anything faded since I was there...everyday. At first I was super paranoid about them disappearing, but they do stick around, especially when you can't scrub the area.

  • Midwest_Laura
    Midwest_Laura Member Posts: 168
    edited February 2017

    Ah.  Leveraging the tattoos to know what area NOT to radiate in the future.  Got it.  Thank you, Hopeful.

  • Hopeful82014
    Hopeful82014 Member Posts: 3,480
    edited February 2017
    You're welcome, Laura. Glad to be helpful.
  • Mamasha
    Mamasha Member Posts: 104
    edited February 2017

    I got my ct and stickers today. So glad that I didn't tattoo. One of the spots is right above where my cleavage would start. Not that I wear anything low cut but even a bathing suit would be tough going forward. My tumor was at the 1:00 position so nice and high.


  • Hopeful82014
    Hopeful82014 Member Posts: 3,480
    edited February 2017

    Good luck with your course of radiation, Mamasha!

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