Help! Was your breast covered for rads? Need to convince RO!

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Hi,

I have to convince my RO to let me be covered, so I thought I would ask you if you are covered to, please, share your experience so I can try and get covered myself.

I don't post much and this is my first topic, but I love how the community helps us overcome our hurdles. That being said I need your help. I just started radiation on Thursday, June 15th, and am feeling very uncomfortable being exposed during the treatments. I am feeling humiliated, defiled and violated and cried the whole first session. On the second day, I asked to be covered, they said it couldn't be done, that it was protocol. I said that other centers cover women up and that I knew that a sheet or pillow case would not interfere with the radiation. The techs said they couldn't do it and advised me to speak with the RO when we meet on Monday and asked me if I was having the treatment or not. I said I would, only because I don't want to delay any further (an infection has delayed the beginning of radiation) since it's already been 128 days since my surgery. Again I cried the whole time and am thinking if they don't agree to cover me up I will just quit radiation altogether. I will do as many as I can take, but I know I will not be able to go through this stress for 33 days.

The humiliation starts when we get a gown and have to walk a long hall with our back exposed. Although they have separate waiting rooms for men and women, the corridor is for everyone. A new version of the walk of shame.

Also, the techs said that I was alone in the room, but they have cameras and have me on the monitor the whole time and I don't know who is outside all the time.

Maybe I'm too modest and I'm making a big thing out of nothing, but I feel really bad. I'm sorry for the outburst, but please, help if you can because I do not want to interrupt the treatment,

You know what I hate the most? The platitudes the techs doled out, you know, "we understand, lot's of women feel like you but get used to it" , "we are here to help" (to what I said then cover me - that we can't do, was the answer), "you can do this" etc

I know they were trying to be nice but it doesn't change how I feel and although the intentions are good, I think they are being dismissive of my right to feel how I do when the say those kind of ready made phrases.

So, I need ammunition to fight for what I need to be able to complete this treatment, in this case your experience.

Thanks for helping me out and for letting me vent!


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Comments

  • Goincrzy8
    Goincrzy8 Member Posts: 387
    edited June 2017

    After all I have been thru Mastectomy, Kidney removal, more doctor visits this past year than I have had in 32 years since the birth of my daughter. I am to point that they are professional they are treating you professionally and sorry that we have to exposed. This is a medical procedure, they do not have strangers lurking around the console looking at the cameras.Your body is also marked with the points to start radiation and other markers for them. If your body is covered they will not be able to get the beam in the correct area to kill those cancer cells. Yes it sucks to be uncovered but I want to make sure they are getting the direct spot and not just guessing it is in the correct area.

    Did you have issues with being exposed during your mammograms or ultrasounds? It can be very stressful having to go thru all these tests with everyone looking at our body.

    I hope you find something that works for you.

  • exbrnxgrl
    exbrnxgrl Member Posts: 12,424
    edited June 2017

    Hi,


    I am so sorry that you are distressed by your exposure during rads. I did not have rads to the breast area, but to my upper femur for bone mets (no panties, groin area exposed). I am a somewhat modest person, but have no issue with any exposure for medical reasons. That, of course, does not not make your feelings any less valid. I hope you can find some resolution after speaking with your RO. That being said try to focus on the fact that those treating you are medical professionals and have no prurient interest in your body. Any man you may run across as you walk down a hallway is probably not looking at you or thinking of you in any sexual context. Yet I understand that this logic may be hard to come by when your emotions say otherwise. Until you can speak with your RO, please try guided imagery (focus on the radiation killing any stray cancer cells, the professionalism of those treating you etc.) as a way to help your emotions keep from ruling your thoughts. I hope you and your RO can come up with a satisfactory solution for you. Take care.
  • ElaineTherese
    ElaineTherese Member Posts: 3,328
    edited June 2017

    I was exposed during rads, but by the time I had rads, I was beyond concerns about modesty. (I even gave permission for a male rads tech intern to work with me during my sessions.) I guess some BC patients are covered, but it may depend on the machine. One thing I learned during rads is that rads machines vary quite a bit. The interns who worked my sessions did rotations across the metropolitan area because each center seemed to have a different machine!

    That said, I agree that rads can be dehumanizing. I remember the techs pushing and pulling at my body to get it into exactly the right position. It made me feel like a piece of meat! But, rads was so quick compared to chemo that it was tolerable to me. Have you thought about taking an anti-anxiety drug like Ativan or Xanax? Such a drug might help you relax and tolerate the sessions better. Of course, Ativan and Xanax can also make you sleepy, so..... Just a thought! Best wishes!

  • keepthefaith
    keepthefaith Member Posts: 2,156
    edited June 2017

    Ditto what others have said. I was not covered and it did bother me a little at first. The techs were very professional and I was treated with the utmost respect and compassion. It did make it easier once I trusted them and most of the time I got the same techs. I think our feelings vary depending on how "modest" we are. Try to focus on something else while laying there. Maybe you can even think of a mantra! It really is another medical procedure.. and one that could potentially save your life. I hope you can get it figured out. Best wishes:)

    Good topic, BTW. I'm sure you bringing this up will help a lot of others!

  • Oscarmom355
    Oscarmom355 Member Posts: 20
    edited June 2017

    it doesn't bother me at all to be completely exposed. I am halfway thru treatments. I actually hate the radiation robe you have to change into. Tying it confuses me. I'd rather walk in there top less or my own tank top. But maybe I'm just getting so used to so many doctors seeing my chest

  • Bootscootin
    Bootscootin Member Posts: 70
    edited June 2017

    I was covered during rads every time. I wore a gown to the room and slipped my arm out to be positioned and then the techs covered me up with the gown before leaving the room. I am appalled to hear that so many facilities expect a woman to lay there uncovered when it is not necessary

  • Legomaster225
    Legomaster225 Member Posts: 672
    edited June 2017

    I seem tohave lost my modesty a long time ago. I think now I could walk through the mall topless and not even care. You need to be comfortable your setting though so definitely talk to the RO. You could also get your own robe to wear as you walk down the hallway. I have seen some pretty online.

  • dcdrogers
    dcdrogers Member Posts: 115
    edited June 2017

    I have very small tattoos that are the size of freckles. Once I lay on the table for treatment the techs mark me with a washable light blue marker and then move me around to get me in the correct position. Once I'm positioned correctly, I'm cover up with a warm towel on the areas that will receive rads treatment.

    It doesn't bother me either way to be exposed. Strangely as it may sound, I emotionally detached from my breasts the second I was told I had BC and made up my mind to have a BMX. I know that's probably unusual for most, but I'm weird that way.

    My center has cameras and microphones in the treatment room to monitor my treatment (this was disclosed to me). They also have curtains that can and are drawn closed when someone is in the treatment room. This way if someone walks past/behind the techs they can't see what is going on in the treatment room.

    Maybe as someone posted above you can ask for something for anxiety? Or maybe you can ask about the warm towel that covers the treated area.

    ~Dee


  • lifeb4me
    lifeb4me Member Posts: 39
    edited June 2017

    Thank you all for responding. I am going to talk to my RO tomorrow and try to get her to agree to have me covered. If she doesn't agree, a solution to not doing treatment might be going somewhere else for treatment where I know I will be covered up, like dcdrogers and Bootscootin are during their treatment.

    Please, keep the comments coming so I can discuss the issue with my RO.

  • lifeb4me
    lifeb4me Member Posts: 39
    edited June 2017

    dcdrogers - that is the problem, they will not agree to cover me because of "protocol"

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

    One thing you might consider for the hallways, my center allowed us to take two gowns. Put one on with the opening in the front to be easily accessible for radiation but also easy to pull across. Put the other one on top w/a back opening for modesty in the halls, and that one can be removed in the treatment room.

    After all the treatment, I agree that I am not bothered by the necessity for medical personnel to uncover anything they deem necessary. I'd much rather get the best treatment possible.

  • ShetlandPony
    ShetlandPony Member Posts: 4,924
    edited June 2017

    It doesn't matter how many other women were ok with being uncovered for rads. It doesn't matter what the techs prefer. What matters is that you are the cancer patient, and everything that can make treatment bearable and doable for you should be done. You deserve respect and compassion. If your RO agrees, get an order in writing to have with you to show the techs if necessary. If she does not agree, ask for a stat referral to a better facility. Tell your RO that you are actually considering forgoing treatment because of this issue. The best treatment possible is treatment that gets the job done AND treats you like a person. Not mutually exclusive.

    And you are not being unreasonable or too modest, or overly-anything to want to be covered. When I had breast radiaton, after I was all lined up, the techs would toss a cloth over me on their way to the control room, no problem. I am capable of lying still. And everyone got two gowns for the waiting room like MinusTwo did. This was at a university teaching hospital.

  • pupmom
    pupmom Member Posts: 5,068
    edited June 2017

    No, and I did feel self-conscious, but not for the usual reason. I felt deformed, at that time, before reconstruction, and didn't like anybody else seeing me.

    I mentioned this to a technician and she reassured me that it's no big deal to them, and she had seen much worse. Anyway, I got used to it after a few treatments. Just something else on this "journey" one has to put up with. Best wishes!

    Edit: I was always covered except in the radiation room, and even there only during treatment. Even then the other breast was always covered.

  • pingpong1953
    pingpong1953 Member Posts: 362
    edited June 2017

    I can't have radiation, so I'm not speaking from personal experience, but it seems to me that they can cover you after they have you properly aligned. Why do those marks/tattoos have to be uncovered once you're in position? How ridiculous of them to disregard how stressful it is for you to be uncovered like that. You don't need this extra burden.

  • brigid_TO
    brigid_TO Member Posts: 75
    edited June 2017

    I am sorry you are having to deal with extra stress of this in addition to the actual treatment. They did leave my breast exposed for the 2 minute treatment but were always quick to cover me up as soon as possible. The monitors were kept in a tech only room.

    I will heartily agree with you on the corridor walk in a gown. My treatment was in the winter so I would march down the hall in my gown, winter coat over that and carrying my clothes and belongings. I truly believe no one was interested in me- they all were dealing with either their own work or troubles but I thought this is not a great "patient experience" and that someone could do a better floor layout-design so the corridor march was removed from the process. Best wishes to you and please let us know how your meeting with the RO goes.

  • lifeb4me
    lifeb4me Member Posts: 39
    edited June 2017

    Thank you Minus Two and Shetland Pony for the double gown idea. I will absolutely bring it up tomorrow.

    Pup mom- I get you, that also has a part in it. I had a lumpectomy but didn't know there are BS that do hidden scars and move the breast tissue around for cosmetic results so I got a big ugly scar with a dent. I have since changed to a marvoulous BS who does oncoplasty and said she will do a revision on my scar after I heal from radiation in about 6 months. So, although my main issue is about being exposed, the deformity is also always on my mind.

    Goincrz8 - yes, I have issues with mammograms and other image exams too. For my MRI, there was a male technician and I asked for a female one. It's crazy, I know, but I knew I probably had cancer for some time before I got it checked out because I moved and couldn't make myself go to a new doctor and couldn't get back home to see my old one.

    My mom went to a nuns boarding school and there you couldn't shower naked, you had to wear a robe. Although she wasn't a prude, she did insist on modesty and I just can't shake it off.

    Shetland Pony, thanks for the encouragement, I really appreciate the support.


  • pupmom
    pupmom Member Posts: 5,068
    edited June 2017

    lifeb4me, I had a central lumpectomy, meaning about 1/3 of my breast in front, including the nipple, was chopped off. For all the usual reasons, I was an emotional wreck at the time I did rads. After I got reconstruction, and also just had time to process everything and heal, physically and emotionally, things were much better. I don't think much about all that now, amazingly.

    That's a strange story about your mom's Catholic school. How on earth does one take a shower with a robe on? My mom and dad were also very modest. Nobody in my childhood home was ever seen unclothed.

  • ksusan
    ksusan Member Posts: 4,505
    edited June 2017

    I wore my own pants and a button-up sleeveless scrub shirt so I wouldn't be messing around with their shorty gowns. Some facilities have longer gowns available, or wrap-arounds that don't expose you as much.

    Before I lay on the table, I unbuttoned and flapped that side open. My treatment was with a bit of sheet over my chest, if I remember correctly.

  • nayda985
    nayda985 Member Posts: 361
    edited June 2017

    Hi life...so sorry you are having a hard time with this part of the process..and you have the right to feel the way that you do...I personally I have a problem just walking into my cancer center..it causes me high anxiety just to walk into the place..lol..I take an ativan before I even walk thru the doors....My RO center is a bit different from a lot of yalls...they gave me a card to scan at the desk to check in..then I would walk to the Radiation part of the center and go this waiting room which had coffee/water/snacks and a tv...they then would call me and they had like this rectangular room setting that had monitors and computers..so only they could see the monitors..i guess..and then I would go into the radiation room...that had a side room with a chair and mirror and basket to put the pillow case in when radiation was finished...I only had to take off my shirt and be naked from top up and kept my pants on and covered my top part with the pillow case and got on the big what I call slab..lol...then the techs would pull the pillow case down and go to work....it didn't bother me...b/c the process was real fast..it took like 5 min if that..then when I was done the techs would pull my pillow case back up to cover me and the techs were 3 men and 1 woman and they were very professional...but I just hated going everyday that was my biggest problem...I think like the others said ..you should take something for your nerves before going to treatment..that helped me a lot.

    Hope your RO respects your wishes:)

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

    My center had long gowns that wrapped around me 2.5 times (!) as well as heavy (spa-type) robes available. You could take as many gowns as you needed each day, so using two wouldn't have been a problem; that would be the easiest way to address that issue.

    I did ask for only female technicians and they definitely complied with that. I had the same 2 or 3 all the way through. I noticed, however, that the male techs were very gentle, thoughtful types and probably wouldn't have had an issue if it had been necessary to swap techs one day, once I'd gotten used to the whole process.

    I think i was covered during the actual treatment but honestly can't remember. I do know that the facility worked with me to address concerns and tried to make it as comfortable as possible for all the patients. You have to speak out, however, and to someone who has the authority to fix things. I don't believe the techs have any authority to make any changes to the treatment protocols.

    Radiation's pretty scary to contemplate and turning up each and every day can be hard to face sometimes. Do what you need to do to be o.k. with the process and know that it WILL end, probably sooner than seems possible at this point.

  • Racy
    Racy Member Posts: 2,651
    edited June 2017

    It is 6 years since my rads and I can't remember much but I think we had wrap around gowns, not hospital gowns.

    I definitely support you in raising this issue as it concerns you so much. Would you feel more comfortable with female techs?

  • Tappermom383
    Tappermom383 Member Posts: 643
    edited June 2017

    I was going to suggest the double gowns but that's already been suggested. I'm lucky that the dressing room is right across from the waiting room and the treatment room is next to the dressing room. No long walk in the gown, except for when I see the RO on Thursdays. I just tie it closed.

    I pull the gown down to my waist when I get up on the table. The therapists pull me this way and that to get me lined up. It's over before I know it.

    I've never been one to expose myself to others (and don't have much to expose!). But since October, so many people have seen my breasts that I just don't care anymore. My surgeon always has medical students in his office. On my first visit he asked if I minded if they sat in on the exam. As it turned out, their rotation included that visit, my diagnostic visit, my surgery and my post-op visit. I thought it was very cool that they got to see the whole process. One of the med students assisted at my surgery. I like that he has the students there (and that he teaches) as that tells me he is up on the latest info.

    But you're talking about you, lifeb4me. If you are uncomfortable, talk with your RO and see what can be done. This phase of treatment will end soon. I hope your team can help ease your discomfort.

    MJ

  • Kicks
    Kicks Member Posts: 4,131
    edited June 2017

    The Facility I went to gave you 'super woman capes' and terrycloth robes to wear. There is no way anyone would have been allowed to walk down an aisle with their 'shinney hinney' hanging out. The only area 'exposed' during rads was the area being 'hit' (mastectomy).

  • Artista928
    Artista928 Member Posts: 2,753
    edited June 2017

    They should have robes so you aren't walking to the tx room with back exposed. You may have to ask for it. I would ask why it's protocol. I had a bolus most of the way through which was some kind of plastic type thing they taped over my left one to enhance the rads. The last 3 was exposed. I didn't ask why as it didn't bother me. I had bmx by a male surgeon, te's placed by a male plastic surgeon and am continually followed up by both where there is no covering up the breasts. They always come in with a female staff member without any request from me because they know you can feel uncomfortable with a male checking out female parts.

    I hope you can become comfortable or at least find out why it's protocol. We don't know enough about why some do it this way or that way. I hope you don't drop rads altogether soley for this reason. I knew I was going to have antihormonals and was still told really should do rads. GL to you.

  • Spookiesmom
    Spookiesmom Member Posts: 9,568
    edited June 2017

    I just wore something I could pull off over my head. I was called into the machine room, yanked the shirt off, grabbed a towel, stretched out on table. Once or twice there was a male tech, possibly a student. I was always asked if I minded that. No I didn't, he was there to learn. Was covered with towel while positioned, until they needed to line up the tats. Then the machine would change track, and I knew I was almost done.

    By the time I did rads, so many medics had poked, felt, seen, what was left of me, I was numb. It didn't matter anymore. 5 years later, it still doesn't. Had to do an EKG at cardiologist I thought the tech would hit the floor when I pulled my shirt off. 😜

    It's the line up with the tats that's important. And they constantly check to make sure it's all good, which is why the need to be uncovered.

  • ChiSandy
    ChiSandy Member Posts: 12,133
    edited June 2017

    I was given two gowns—open-back first, then open-front over it. No tying necessary. Got on the table, slipped my R arm out of both, revealed my R breast (I had partial-breast rads) and they covered the rest of me with a warm blanket. At my age (at the time, 64), I had long since decided that health concerns outweigh modesty every time, and that a female practitioner may not be available or the best one available. Of course, I have also been in bands & shows, having had to share a single dressing-room & quick-change area with guys. Trust me, all anyone cares about there is getting into & out of their costumes in time for the next scene. No voyeurs there—and certainly none in treatment areas either.

  • Mariangel43
    Mariangel43 Member Posts: 136
    edited June 2017

    Hi, ladies, I've been reading all the comments about the issue. And I know how Lifeb4me feels. I rejected RT for several reasons; rad dose (too high), coldness in the RT room, position of the body (radiculopathies), cost, tattoos (no tattoos for me, not negotiable), rad to my armpit (lymphedema risk), rotation and experience (no information) of techs, and the modesty issue. The two centers I went to used gowns for patients with closure at the front. I looked at Internet for rad gowns which are uncovered and covered with velcro tapes on the site of rad. They were so cute. But the centers do not let anything on only a mold just because the tattoo marks. I said no. The cold temperature in the centers, hospitals and RO are infernally cold. When I go to an appointment I get sick afterwards.

    Every time I thought I had to be uncovered about one and half hour during simulation my BP went up. The only good thing at the second center was that they used a mold during RT but the machines were older than those in the first center. It was also less expensive. But that did not minimize the anxiety. Anyway, since last year, I have been seen by so many doctors and I still feel and felt uncomfortable. My general physician and second MO were female, all the others were male (BS, PS, first MO, etc.). I decided to go to all appointments with front closure bra and shirt with buttons on the front that I unbutton during the check. I don't wear the small paper gowns at the doctor's office because the mixing of latex, betadine, tape and bandages and something else (which I should remember) gave me a large allergy reaction. I don't even resist the paper gown. The OR is different, but I maintained myself covered with the LX gown they give me the most I could while I was awake.

    I also was raised in a Catholic school and modesty was a high standard. I don't like being exposed. High blood pressure sets and I become very upset. When that is profoundly ingrained in our brain, it is not easy to dismiss. As many of you have said, medical procedures have become dehumanizing and painful for patients that physicians and technicians should be revising their protocols. They can cover us while rad tx after they place you on the slab and set you with the measure and the RX or CT.

    Lifeb4me, talk to your RO and tell her how uncomfortable you feel. I guess that you have both breasts radiated. I think an agreement can be made in written form. Good luck.

    Maria

  • Kicks
    Kicks Member Posts: 4,131
    edited June 2017

    I was given a locker in the 'changing room' with a key. It was my locker throughtout Rads. They always had piles of clean 'capes' and robes there. There was private areas at your locker to change in. There was a shower if you chose to use it. There was a waiting area just outside the changing area for the women waiting for rads. There was a really nice table just before walking through the large open door into the circular rad. room to take your wig off and put it on til finished.

    My IBC TX was outsourced to the by VA to the local Cancer Care Center. Even in VA Facilities, I have NEVER had issues of being told to go down a hall with my 'shinney-hinney' exposed.

  • ceanna
    ceanna Member Posts: 5,270
    edited June 2017

    Granted, I had multi-catheter brachytherapy, but the techs still needed access to my one breast to make the connections to the device. I wore only a cottony stretchy breast binder without a bra and a fleece jacket on top to each treatment and never had to change to a hospital gown. I walked to the treatment room fully dressed, laid on the table, then unzipped the jacket and, finally, opened the Velcro on the front of the breast binder and pulled aside just one side. I'm pretty modest, but this worked for me.

  • rainnyc
    rainnyc Member Posts: 1,289
    edited June 2017

    I'm so sorry that this situation is making you so uncomfortable. I too am modest and found this a very difficult part of the process. What helped me was 1. I knew rads were absolutely necessary (my diagnosis was similar to yours). 2. After months of chemo and surgery, I could see the finish line, with the exception of the targeted therapy that would continue after rads were over. 3. The techs really were so very decent. 4. I brought in an iPad with music loaded onto it and a speaker, which I'd turn on every day before climbing onto the table. The music really helped me to disassociate a bit and not be so acutely uncomfortable with what was happening.

    But was I counting down every single day? You'd better believe it! I was so glad to be done. Good luck to you!

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