February 2018 Starting RADIATION

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  • Doofuscat
    Doofuscat Member Posts: 37
    edited February 2018

    Thanks for your reply. I just keep getting told that radiation is the "Gold Standard" post lumpectomy. There are other breast clinics I could go to for a second opinion but they are several hours from my home. My husband thinks I should get radiation just to be sure nothing got "seeded" outside the lumpectomy site from the biopsy etc. 

    I am fretting

  • miranda2060
    miranda2060 Member Posts: 281
    edited February 2018

    If you have doubts, that's certainly something you should discuss with your RO. It's easy to feel like you're being "led" into treatments, but it's important to ask questions until you're comfortable that you know the rationale for their recommendations.

    I'm new to all this too, so no expert, but I have read about studies showing significantly less recurrence among women who have radiation.

  • DKK
    DKK Member Posts: 58
    edited February 2018

    Hello all,

    I will be getting my last chemo (Taxol) on Weds. and set up for my first RAD consultation on Feb 19th. I would imagine I will be starting the first week in March.

    I have been reading the posts and I appreciate everyonr sharing your experience and support. I will be joining you all soon.

  • sweetp6217
    sweetp6217 Member Posts: 365
    edited February 2018

    I went to see the new RO (different hospital, etc.) and I really liked her way of thinking. She offered me numerous options but helped me choose using a hand drawn flow chart. She took time with me (just as the previous one did), but she didn't force me like the other one. I decided on more locations for rads since it's difficult if not impossible to know if there are any microscopic remnants or new cancer cells elsewhere in the breast and surrounding areas. She also offered right off the bat the molding session so that it would hold me in place better than without. In addition, she noticed that I didn't have any "folds" meaning the gals weren't sagging to the sides when I was flat on my back. Good news she said, lesser chance of trapping moisture there causing painful spots.

    Now for the bad news, even though the fitting session would be covered, along with that new consult, the rad treatments would not be in network. I have to admit I am in tears thinking about this. The doctor is so sweet and thoughtful, but it would cost me at least 12K for out of network deductibles. How can they have a doctor in a place that isn't connected in that way? I guess it's getting to be like dentists. Now I have to call them to cancel the simulation and fittings. Then call the old doc back to see if he'll go along with the second opinion. IMO he should since it's my decision, not his. His last words to me were when I was being prepped for the simulation and he said (about his opinion), "It's what I want for you". Who crowned him king of all?

  • LEIGH57
    LEIGH57 Member Posts: 6
    edited February 2018

    Hi all- Thought I would join in as I had my first 4 treatments last week out of 26. Using aquaphor but haven't come up with a way to keep the goo contained under my t-shirt layer. Large bandages? What do you use to keep it contained? My only side effects so far have been tightness in the armpit. My lymphedema therapist has me doing daily exercises on the floor with a firm foam roller under the vertical length of my spine.This causes your arms to droop down and helps to extend and stretch the armpit. Feels great too. That's all I've got for now.Thanks~

  • rdeesides
    rdeesides Member Posts: 459
    edited February 2018

    Just had my simulation and will start 28 trearments on Valentine’s Day. I hope that is a good omen. ;-)

    Simulation was a breeze. I have new tattoos, one which I am not so happy with as it is right in my cleavage and I like to wear low cut tops. It’s just a dot though and can probably be easily covered with makeup.

    I’m eager to get this going but a little nervous as I am very fair and burn quite easily. We’ll see what happens.

    Rebekah

  • sweetp6217
    sweetp6217 Member Posts: 365
    edited February 2018

    Rebekah: I hope that it goes easily for you.

    I have an update. Since the billing department at the new RO was open today (closed for snow last Friday and all weekend), I was able to spend the morning finding out if they were in the insurance network. Turns out, all I really needed was the "billing NPI number" which the billing department had and their Tax ID number. Once insurance had those, they looked it up and several minutes later, I got my answer: IN NETWORK, Yippee!

    Also covered is the constraint device or "mold" that I'm going in for tomorrow. The insurance code for that is 77334. I'll let you know how that fitting goes. I'm so happy about this since I didn't like the RO that the BC team told me to go to. I get the feeling that they aren't happy about this change since they won't be on the same "team".

  • Doofuscat
    Doofuscat Member Posts: 37
    edited February 2018

    Had my simulation today. I was told I am not big enough for a prone position. I guess your girl has to be able to "hang" a certain amount. However I discovered that the position they put my arms and head in on my back have really kicked up my arthritis in my neck. Right now my right arm is numb. Of course it didn't start going numb until I was home. Don't know what to do. I am also fretting over this breath holding technique. Freaking out that my lungs and heart are going to be damaged. I'm so sorry for being such a "baby" about all this. Thanks everyone for being so supportive.

  • Georgia1
    Georgia1 Member Posts: 1,321
    edited February 2018

    Hi there Doofuscat and you are not being a baby - this is tough stuff. But the good news is that the simulation is much harder, and much longer, than the actual radiation sessions will be. You'll be in position for less than ten minutes total during the treatments so it will be much easier on your neck.

    Is your BC in your left breast? Radiology is so good now that they take all kinds of precautions to avoid your heart, so try not to worry too much about that. You might want to ask the radiologist to show you the image of where they are radiating; both so you will know where to apply your calendula cream and so you can ask your RO about the distance from your heart and lungs when you see her next.

    On the numbness in your arm, do your stretching and be sure to continue it twice a day during radiation. I only did super simple stretches and they helped a lot!


  • Doofuscat
    Doofuscat Member Posts: 37
    edited February 2018

    Thanks Georgia1. I am feeling better after a couple of Advil and a hot pack. And yes it's my left breast. I'm trying to be mature and rational about this whole process but I find myself failing at both fairly often. I can't wait to see what hormones do to my already wacked out state. When I told my daughter I was going on hormones that would basically slam me back into menopause (had it 7 years ago), her response was "wow, now won't that be FUN for everyone since it was such a joyful experience for all of us the first time". I'm thinking she's not looking forward to that!!

    I will definitely take your advice Georgia1 and do my stretches and I am going to practice my breath holding. Thanks again for your input.

  • Georgia1
    Georgia1 Member Posts: 1,321
    edited February 2018

    Ha, that is so funny! My husband and I has exactly the same conversation!

  • Billb464
    Billb464 Member Posts: 62
    edited February 2018

    I have my appointment Tuesday with the radiologist. Hoping therange of motion with my arm is good enough to get the CT and get ready for radiation. I will be looking at 6 weeks of treatment and hoping for the best. Of course my Hair decided to grow back under my arm like crazy since i haven’t had to shave at all during chemo!!!

  • Roaming_Star
    Roaming_Star Member Posts: 103
    edited February 2018

    sweetp6217 That is awesome that your new treatment centre is covered by insurance! I am happy for you:-) What a weight off of your shoulders!

    Doofuscat - I feel the same way. I try and handle all this but it can take just one word and I am bawling my eyes out and can't seem to stop. So embarrassing sometimes. I keep thinking, "it's been months now I should be used to this," but it just seems like I am grieving over so many things that this disease has taken from me. I know in my head that in time it will get easier to deal with the grief and as one stranger said to me as I was crying my eyes out, "Its better out than in!" (Sweet stranger lady who gave me a hug:-))

  • Dectoremember
    Dectoremember Member Posts: 21
    edited February 2018

    Hi all,

    I had my lumpectomy with oncoplasty on 12/26. Today I am scheduled to do the mapping for radiation. I haven't been told much about what to expect. They told me it would take about an hour. I have no idea when actual radiation treatment begins. I do know it will be 5.5-6 weeks every day. There will be no "boost" treatments she said. I'm actually nervous, not sure why. I'm told "this will be a piece of cake". Whereas others have told me how tired they were, redness, peeling, etc. Everyone is different and responds differently. I also read here of the "tattoos" I'm assuming these will be permanent. So much unknown and all has happened so fast. I keep saying to myself (as everyone keeps telling me), this won't be so bad, be strong, you'll be so glad once it's over. Easier said than done.

  • rdeesides
    rdeesides Member Posts: 459
    edited February 2018

    Does anyone know what is the optimal time period post surgery to do radiation?

    I got a call back yesterday post my mapping appointment from my RO saying that on the CT Scan they could see that there was air in my tissue expander. I guess that is a no no and he asked me to call my PS and have my TE deflated to let the air out, then reinflated with only saline. I have no idea why there was air in the TE, we had done several saline fills, so I'm not clear if the air was in there from when she did surgery or what. Anyway, I have to see the PS and then reschedule a CT Scan with the RO and then I can start radiation. This pushes me out another week and a half. I am currently 4 weeks post surgery. I'm wondering if I need to call back and push to get quicker appointments.

    Thank you all! I wish you all easy treatments with minimal SE's.

    Rebekah

  • Dectoremember
    Dectoremember Member Posts: 21
    edited February 2018

    Hi rdeesides,

    I had complications from my surgery as well. I am actually 7 weeks post op and have not begun my radiation as of yet. Today is mapping. I just spoke to them and found out my radiation won't start till week of 19th or 26th. So that will make it 8-9 weeks. Sure seems like a long time. My PS wondered why it wasn't started at 4 weeks. It was the RO who has postponed it till now. This based on infection, fair skin, incisions didn't look ready etc.

  • BellWAMissy
    BellWAMissy Member Posts: 17
    edited February 2018

    Dectoremember- I was totally freaked out with my simulation. After it, I sobbed for about 90 minutes. It was easy and the techs were great, but it was so surreal. There were more CT scans and people drawing on me with Sharpie and then the tattoos, which are just pinpoints, but I didn't want them.

    I'm into my second week of sessions and it does get easier. I had to ask myself what was bothering me about it and what I could do to fix it. I decided that I needed to know more about the techs working with me. If they were more personal in my brain, I could handle the sessions.

    Doofuscat- as for breath holds, a physical therapist once taught me a breathing technique that has helped immensely with this. Breathe in as far as you can. Now take another inhalation and hold it. Start with 5 seconds if you can. Then release all the air. When your lungs feel empty, push with your abdominals and squeeze out the rest. Hold for 5. Repeat. Gradually increase the hold times as your able

  • rdeesides
    rdeesides Member Posts: 459
    edited February 2018

    Dectoremember -

    That is so frustrating! But I guess if the RO has delayed it then it must be ok. What did he say about your fair skin? I also have very fair skin so I'm pretty concerned about how this is all going to go.

    I understand that there are inevitable delays, but I worry that the people doing the scheduling don't realize how urgent our cases may be. I can almost never get in to see any doctor without waiting at least a week, so every little issue adds another week to treatment. I may email the doctor and ask him if the timing is ok.

    Rebekah

  • VL22
    VL22 Member Posts: 851
    edited February 2018

    I read that after mastectomy, radiation usually place in a window of 4-8 weeks, but can be delayed. It's so hard not to stress with every delay, but so many of us have them at one or multiple points. It is exhausting.

    I've had issues at every turn, but I am 21/33 and my skin doesn't hurt and it is just pink. I'm pretty fair and these boobs have never seen the sun! I have 3 more whole breast, then 7 boosts. I truly hope you ladies don’t have skin issues

    My RO said the tiredness would be like “nah, I don't want to go out to dinner". So not true for me. I'm more fatigued than I was during chemo. I could seriously nap for over an hour every day. I think those who do chemo prior to rads suffer from more fatigue.

    Anyone else so over this crap

  • sweetp6217
    sweetp6217 Member Posts: 365
    edited February 2018

    I had my second simulation appt. today. My left shoulder and most of that left arm were numb when I got up from the table. Of course, the mold is set and there's nothing to be done. At least the treatment itself will be shorter that the scans and simulations were today. There were able to use my previous "tattoos" after adjusting me a bit on the table. I guess my treatment begins Wednesday the 21st, if all goes well. What I don't know is if I should "prep" my skin by moisturizing it prior to that day. I know they don't want that when you come for treatment; just wondering about the week leading up to it. I tried some Aquaphor the other day and was it ever slick. I think I'll have to get some cheap t-shirts and wear a sport bra like they suggest. We shall see.

    VL22: what is your favorite skin moisturizer, or is it a combination?

  • Blair2
    Blair2 Member Posts: 495
    edited February 2018

    Good morning ladies. I’m new here and was a chemo sister with Elizabeth for the last two months and thought I would follow along side everyone here as we start our new adventure of radiation treatments.

    Yesterday was my first visit with my RO, and this morning I will have a mapping done. I actually start the treatments, I believe next Wednesday. I’m 68 years old, had a bypass three years ago. I can’t tell you how shocked I was to develop breast cancer on top of having heart disease (which was a shock as I was a silent case), so both chemo and radiation was like a death sentence to me. From the get go, I made sure my heart and lungs were going to be protected. My RO was very understanding of my concerns.

    I will be getting two types of radiation - External in face down position, and Accuboost. They explained to me that Accuboost is sort of like a mammogram that targets where the tumor once was. In my case it was just behind the nipple. I’ll be more nervous with the external machine that will beam underneath me.

    Chemo was especially hard for me, actually missed last treatment due to bad side effects, my biggest one was I’m having very bad back pain. It’s inflammation that is going on it’s 5th week after my last chemo. I still can’t bend or even stand long without it hurting. Never ever had back problems. I’ve been on muscle relaxers, and at present out of pain pills, but trying to see if I can live without them because of my heart disease. I shouldn’t be taking NSAIDS on a daily basis. So, I don’t care how painful it will be to lay down on that machine table - I don’t want my heart or lungs beamed!

    Anyway, I’m looking forward to hearing all of your experiences with radiation. I hope we don’t all end up “glowing” in the dark!

  • VL22
    VL22 Member Posts: 851
    edited February 2018

    Sweetp - I am only using the basic lotion the nurse gives me once a week - I’m very fortunate that I’m ok with just that. I probably don’t moisturize enough to be honest. My RO said no need to do anything prior to treatment starting. I hope your treatment goes well.

    Blair2 - sorry you have to deal with so much. I understand the frustration of haveing SEs that are not the “normal” - it is scary and annoying! I hope your radiation treatments are very uneventful

  • rdeesides
    rdeesides Member Posts: 459
    edited February 2018

    VL22 - good to know. If 4-8 weeks is an appropriate window then I will hopefully just slide in there. Glad to hear your skin is holding up. Gives me hope.

    Rebekah

  • Anonymous
    Anonymous Member Posts: 1,376
    edited February 2018

    Hey Ladies,

    Just had 2nd of 20 rads today. I'm surprised how short the radiation actually lasts-I bet it's only 90 seconds! Kind of anticlimactic. It's the drive to the cancer center that takes the most time! ;-)

    Blair~welcome, girl! I hope you are feeling better. For the record, I'm still having some fatigue leftover from chemo-which was four weeks ago today. We'll get there..

  • LittleLori
    LittleLori Member Posts: 16
    edited February 2018

    rdeesides, sorry you’ve been delayed, but hopefully the next week or two go fast for you. I am also very fair and my RO and the techs during my simulation said that doesn’t mean I’m predisposed to have A bad skin reaction. Hope they are correct! My sister went through rads in July/August and said the Calendula lotion recommended by the RO worked well, and she had little redness. I start rads tomorrow and I’m equal parts “happy to get things moving” and anxious. Best of luck to you and all of our February sisters.

  • Blair2
    Blair2 Member Posts: 495
    edited February 2018

    Hi Girls,

    Yesterday was my simulation session that lasted a good hour. What a process. I was in the prone position and the only thing that was hard was that my left arm fell asleep. I hope I can keep that from happening in the future. Then whenever they touched the middle of my back it was so ticklish that I kept laughing. I couldn’t help it - I was horrible controlling myself. I’m also confused why they left some clear tape on my lower back with black marker X’es. Didn’t see that until I was ready to shower last night. I think they did 4-5 tattoos, but I lost count.

    Rdeesides - I’m trying to back read where everybody is with their treatments, but it sounds like they delayed your treatment. I too understand how you feel as far as time is concerned with these treatments. It seems like the time alone would open new or bad opportunities to happen. If the doctors aren’t rushing things, I guess it’s ok. I sort of feel like a guinea pig getting through this whole mess - you have to trust them. I’ll never forget the first words that came out of my breast surgeon - “this is not an emergency”. Meaning - there’s no rush to my situation. However, as fast as these tumors grow, you have to wonder. I didn’t like anything my bs told me - she seemed aloof

    Littlelori - good luck with your first rad - keep us posted how it goes.

    VL22 - I wonder what lotion will work best too. I asked my RO what she recommended and she mentioned Aquaphor, Miaderm (which is quite pricey) and I think Alveeno, but I can’t remember fir sure on that one. I know they said not to have lotions on you before each treatment.

    Elizabeth - I’m still tired and now have a pesky cough. My back bothers me mostly at night. Not on pain pills, just muscle relaxers that don’t do a whole lot. Last night, I almost got up in the middle of the night to take a Tylenol, but didn’t. It sounds like your short 90 sec. beaming will not burn your skin too badly. That would be good. I’m sure we will all vary some with our beaming time. I’ll soon find out what mine will be. I start Monday the 26th.


  • littlebee72
    littlebee72 Member Posts: 40
    edited February 2018

    Hi Ladies!

    I had my simulation session yesterday and boy was it not what I expected. After being scanned and marked multiple times, it was determined that my heart was in the way. So they had me sit up, put a nose plug on and breathe through a mouth piece attached to a tube. I will have to press and hold a button, take a deep breath and hold it for 25 seconds, then release my breath and the button. I believe the button is a fail safe for when I am getting the actual beam of radiation. if at any time I can't continue to hold my breath, I release the button and the beam stops. After practicing this sitting up, they put me back in the CT scanner and had me do this and re-scanned me. My heart will now be out of the way and I will be able to have radiation on my full breast.

    I have a practice session on Monday and I start treatments Tuesday. 20 total (16 regular and 4 boosts). I was told I should be fine for the first 2 weeks, but will start seeing redness after that, perhaps some burning and itching as well. I was also told that my ribs on that side have a greater chance of fracturing if I have trauma to my rib cage at any time, and my lungs will show scarring, but I will not notice anything as far as my breathing. My breast, I was told will feel more firm than the other and will have a slight tan look to it.

    As far as creams, I was told to use Aquafor after treatment, nothing before, and to get deodorant without aluminum in it.

    Why does this freak me out more than the chemo did?? I felt like crying yesterday while they were marking me.......

  • Blair2
    Blair2 Member Posts: 495
    edited February 2018

    Littlebee - I’ve heard of this type of process where you hold your breath during treatment. I can see where that would be hard to do. Did they consider putting you face down for treatment? I have heart disease, and I demanded a face down position just to avoid the heart and lungs. Maybe they can’t do that with you because of the way the beams have to go. However, the breathing technique is suppose to avoid the heart and lungs. It just seems that it would beeasier if you could be in the prone position.

  • Doofuscat
    Doofuscat Member Posts: 37
    edited February 2018

    Blair2 can I ask a personal question? Are you large busted? My RO told me I was two small for the prone position. I am a B/C cup but my breast tissue spreads all the way over to my underarm area. I didn't push hard for the prone but I too think it is a better set up to avoid heart and lungs. At my simulation Monday they had me do the breath hold while on my back. They keep telling me that the machine will shut off if my lungs aren't expanded enough to move my heart out of the way. Of course they have not really addressed my lungs getting nuked. I'm not sure insurance will allow another simulation/planning if I throw a fit and demand the prone position. I am freaked out about the radiation. Maybe its the word itself that scares us all. 


  • miranda2060
    miranda2060 Member Posts: 281
    edited February 2018

    Doofuscat, I agree that the word sounds very scary. I think "radiotherapy" sounds much better.

    My treatments start tomorrow, and right afterward I meet with my MO about oncotype results. Nervous about all of it.

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