MARCH 2018 starting RADIATION
Comments
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Metoo2018 and Paco,
Good to hear your almost ready to get started. I have the tatoos on my back but ink markings on the side of my rib cage with blue ink, then clear tegaderms over the ink with a wider permanent marker ink. Those are almost falling off and I've been begging with the techs to either put new tegaderms over or start with new ones, as I don't want the marks to come off. I had to lay on that hard table for a long time and don't want to repeat that. I guess exercising and moving around a lot they just don't stick for very long Will be talking with the resident before my treatment today about replacement tegaderms.
Metoo2018,
The hospital provides moisturizing lotion in the locker rooms for patients, that's a nice extra.
petey111,
Good luck with your set up app't today.
DoubleBlooming,
I'm scheduling Physical Therapy app'ts to help with the pain from my back/neck being out of alignment. Also, got long acting antiinflammatory meds but it only helps some. Thanks for asking.
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My CT/simulation are tomorrow morning. Guess we will schedule the 20 sessions (15 whole breast, 5 focused on that beastly dirty margin attached to my skin) then? I'm nervous. I have sore spot on my chest near where the incision/s were. The SO told me not to worry about it, but that was weeks ago. Will address that tomorrow, too. I hate when fear raises it's ugly head.
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kaywrite,
Good luck with your simulation in the morning. I was also nervous. The only problem I had was from back pain, otherwise, CT scan and tattoo markings were easy. My radiation doctor decided to do CT scan for both prone and laying on back to document which was the most effective position to save the heart and lungs from a direct of the beam. Came back, prone was. When I scheduled my app'ts they requested it be the same time everyday. So far they have been flexible, like today as I was in the ER sick all night, they rescheduled for later today so I could get some rest this morning.
Definitely have the doctor look at that sore spot tomorrow and let us know. Hopefully, it's nothing serious. Yes, I don't like being fearful all the time, it's so exhausting. You'll do fine tomorrow.
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Hi, Veeder14,
Today was my second session, lying prone with a knee support so my back, which is in the best possible position. When I had my two MRIs (one with biopsy), I was prone and it was extraordinarily uncomfortable for my back and hip, so I can imagine you are in pain during your treatments. So far I have not had any pain during treatment.
I've been told to use the Miaderm >at least 3 times a day<. Love it so far. Not as greasy as other creams. So I imagine I'll do my best to keep the treated area well hydrated. Not looking forward to skin reactions, which are likely due to my very fair and very sensitive skin.
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FelineMum,
Thanks so much for letting me know! I had no idea. Probably will get more Miaderm through Amazon, then.
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Hi Marigold8,
I'm glad to hear your not having back pain during the treatments. My knees are supported however leaning the non affected breast/near the sternum is causing the pain. It's good to know that the Miaderm is less greasy, I ordered it from a specialty pharmacy since I'm staying near the hospital, away form home and can't do an Amazon order. It should be in next week.
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Set up appointment was easy peasy. They didn't say anything about prone position, but I guess I can ask that on Monday. :-) The RO said breath holding isn't necessary because the make sure not to hit any "important" things directly and the scatter is so minimal it doesn't affect heart/lungs/etc. So interesting to see/read different takes on it from across the country and world.
Feline - That helps - thanks so much!!
metoo - I got my markings and tape today. I start Monday. I can't imagine them lasting until the 27th! What kind did they give you?
I start Monday at 9 a.m I'm ready to get moving on it!
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I had three clear round tapes with a sharpie X on each placed Feb 19th after my simulation. They just fell off today (3-15) and the techs said it was "no big deal" because the machine remembers where they were. I love the technology!
I have some bad discs in my spine and laying on the hard table isn't horrible but definitely uncomfortable. I asked if I could put a blanket under my lumbar area and the answer was "no" because it would move me too far out of alignment with the machine and my specific plan. I was told that if I had my simulation done with lumbar support that I could have had the support during treatments. Heads up for those of you who have yet to have a simulation.
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Hi DoubleBlooming,
It sounds like you were marked the exact same way as I am. But the plastic already coming off. I hope the machines they use for me remembers where they were! Yes, the hard surface, and you can't have anything under you for cushioning or it messes up the calculations, so precise. When I had the MRI and MRI Biopsy the techs let me put a strip of memory foam on the edges of the plate.
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Veeder, I keep reminding myself that all of this is temporary. Before we know it, rads will be a blur in our rear view mirrors and I'm optimistic that cancer will be too! It helps me to navigate something challenging if I have something fun to look forward to. I've booked my husband and I for a trip to Vegas at the end of April.
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Hey Petey,
Glad to help. I bought mine off of Walgreen's website. Where I am, Walgreen's doesn't carry it in stores. It's $4.99 for 20 ounces. I price checked on Amazon and it was about $18 there.
I have left side BC. That's the main reason my RO is having me do deep breathing. My targeted area also crosses my breast bone and is supraclavicular. I'm fine with minimizing the risks and it also distracts me from the process. I've had two simulations with deep breathing, a deep breath evaluation and a training session. I use a huge mouthpiece and my nose is pinched shut. I also wear "googles" with a computer screen instead of lenses. I can see my breath there as a chart. I breathe until my inhales and exhales match the desired pattern and then wait for the cue to hold it. A tech told me to put my tongue on the roof of my mouth when holding my breath and it's amazing how much easier that is.
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DoubleBlooming,
Your right, this is temporary. Just wish I was staying at home instead out of town in a hotel. Today, I had my second set of xrays and the markings were changed so I was on that table along time. I have new marking and new tegaderms. I have trip planned to Maui, mid June, I seriously need a vacation! Have a great trip.
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Veeder, Maui will be so sweet!
Felinemum, My targeted area is similar to yours. I don’t have to use a mouthpiece or have my nose pinched though. Thanks for sharing the tip on the tongue placement.I’m going to try that tomorrow.
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How long do you guys have to hold your breath? Just wondering. I'm prone so just have to endure the hard surface.
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The longest I’ve had to hold his 30 seconds. I’ve been told that the machines are so smart that if we can’t hold our breath and start to breathe, the machine will turn itself off.
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Hi Everybody. I'm so glad to hear you are all doing well with your mapping, simulations and radiation treatment.
I had my first of 20 sessions of radiation today. It was so easy I almost fell asleep. Before the actual radiation started, the tech drew more marks on my chest. I noticed he didn't draw anything in my armpit area so I asked him why not. He said they only draw markings in the armpit if someone had node involvement. I told him I had all lymph nodes removed because 3 nodes tested positive for cancer. He was surprised because he didn't see any scar in or near my arm pit. My scar is barely visible thanks to my excellent surgeon. Anyway, he finally found the scar and put markings in that area. Then I asked him how protect the thyroid, heart and lung. He graciously explained how they protect the heart and thyroid. However, he said the upper portion of my lung will receive radiation due to where my tumor was located within my breast. Holy crap!!! My MO, RO & BS never told me this. My point of telling you about this is to emphasize the importance of being your own advocate throughout your treatment. You must assist your medical team even if it drives them nuts. Fortunately, my tech is knowledgeable, kind, and honest. He owned-up to not knowing about the node involvement, and he was honest about the breast tumor proximity to my lung. In spite of these surprises, the radiation treatment itself was like a walk in the park.
Hope you all have a restful night, and please know I appreciate reading your posts everyday. Your experiences and tips have been helpful more than you'll ever know.
Peace out, Meighan
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Meg101,
You said it so well! The various forums on the BCO site have taught me so much. Everything my doctors have said about radiation has been much more vague than chemo or surgery. Our forum on Radiation has been very valuable on educating me and teaching me what questions to ask. Like you, I am grateful to all.
In the end I know I will still have radiation despite the risks because it’s the insurance policy that helps to keep me alive… But it does help to be informed!
I’m so happy that your first treatment went well!
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Can any of you help to clarify something for me?
When counting the number of years we have been cancer free, does ground zero start when we were diagnosed or when treatment ends? I imagine treatment would include chemo, surgery, and radiation, and not necessarily the long term meds that many take for five years or longer. My MO says it is at diagnosis but I've heard different from others.
Thanks!!
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Hi DoubleBloom,
My RO and MO say it starts at diagnosis. When I met my RO for the first time, it was two days after my 1st Dx anniversary. After an exam, he told me "Congratulations on one year NED." I asked what NED meant: No Evidence of Disease.
I think a lot of people have different dates for their anniversaries. Like, when they suspected something was wrong; the day of surgery; when all treatment ended. I've seen the term "mammoversary." (although I don't know which milestone it refers to). I acknowledge the day I found a lump. But I use Dx date as my 1 year, 2 years ... date.
I'm glad it sounds like your rads are going well. I have back problems too. I'm on my back but with a cradle that supports my neck and keeps my arms in position. I also have started being vocal about how I need to be helped backward and then back up when on the table. I realized that if on a bad back day someone offered me a hand to get out of a chair, I'd tell them how to best help me. The wrong help too often hurts.
Right before Thanksgiving, I'd done everything including a dry run and one treatment. But the dry run was horrible and when a machine malfunctioned, I was left on the table for at least an hour without anyone checking on me. The mouthpiece is attacked to a mechanical arm and the googles are taped to it; my feet are rubber banded together; there's a foam wedge under my knees and I had just had carpal tunnel surgery on my non-cancer side arm. i.e. I couldn't move, speak or see. I was in a lot of pain during and afterward. But I said nothing and even came in the next day. The day after that, I had an emergency appointment at my orthopedic practice that was followed by two more appointments in less than two weeks.
My saying nothing after the dry run or the next day was used as "proof" that I was exaggerating. No one expected me to come back. The severe back probs lasted for about 3 weeks. And then it was the holidays and I got a second opinion at U of Michigan in early January. I started Xeloda (oral chemo for TNBC) in August, so I chose to finish that before resuming rads.
Meg101, you couldn't be more right when you say to be your own advocate. No one else can do that as well as you can. You know yourself and your body better than anyone. Period. You are the expert on you. Ask lots of questions. If the answer doesn't make sense, say so. If you can't get an answer, ask someone else. If your gut says "No!" listen to it.
I wish I had listened to mine sooner. My chemo didn't include "A" just C + Taxotere because my former SO (who says she's also an MO) saw no need for it. I didn't know that until months later, but something always seemed off. Questions and concerns were treated like the silly worries of a silly girl or absolutely everything will be just fine.
This time, I'm approaching rads as an active participant who has fully functional vocal cords. When my spine flares up, I have muscle spasms from my lower back to left hip down to the toes on my left foot. Rads isn't possible if that happens. If needed, I'll happily make the consequences of aggravating my back probs clear. But I hope I don't need to.
Um, thanks for letting me vent!
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Hi Everyone, I had my scan and marks put on March 2 for my 6 weeks of radiation. I'm still waiting for my start date and I'm getting a little anxious. I just want to get it over with already.
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FelineMum,
Thank you for sharing your experiences. I love your term "active participant". I used to be a nurse a long time ago and I come from a family of many physicians and this year will celebrate 25 years of being married to one too! I have a deep respect for the profession and value a good doctor or nurse with ample clinical experience, however being on the patient side of the medical field changes everything and hubby wholeheartedly agrees. Especially during chemo, I had a lot of atypical symptoms and had two hospital stays. I learned to interact with doctors and nurse and other staff so I wouldn't just sit there and be told! I asked what every pill or treatment was for and why my care was the way it was. I was careful not to sound questioning or threatening but made it clear I wanted to be aware and educated. Trust but verify! Though medicine is an imperfect science patients have a right to have their questions answered as best as possible. My husband who was already an empathetic doctor (okay... I'm biased!) says he has become an even better patient advocate since he's now been on the receiving end of medical care.
I learned something new from you regarding Xeloda for TNBC. I was treated with the typical AC followed by Taxol. I'm so happy that you are NED! So far I am too.
It is remarkable how many of us have back problems!
Nancy,
I've heard it can take the hospital's physics department up to two weeks to formulate your unique plan. You're right at that juncture. Would it fee appropriate to call them for an update?
Hoping everyone has a happy weekend!
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Today was 5 of 20 for me - 1/4 done! I'm feeling very little from it so far. I had a little tenderness one evening. Then yesterday and today something that I had a little chuckle over (hope you do too!) - I had a sensation as though I had cracker crumbs in my bra! (I didn't - I checked!)
Nancy - I totally understand you wanting a start date and just get it done. My anxiety level went down quite a bit as soon as I got my start date.
Hope everyone has a good weekend.
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Thank you for listening DoubleBlooming. My RO told me 1-2 weeks and I heard from them today. I have a second round of planning on Monday. I guess I'm getting a little impatient, but al least I'm back on track now. Stay strong everyone.
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I had the 2nd of 20 rads today. So far, so good. I haven't felt any discomfort or fatigue. I wore a sleeping mask for today's session which was finished in less than 10 minutes. Afterwards I went shopping, then drove home. This must be the calm before the storm of burning and blistering. I still haven't used any lotion or ointment on the treated area. It's now the weekend so that means 2 days for my skin to heal from damage that hasn't happened yet. Next week will probably be a different story.
Have a good weekend everybody.
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I had the 2nd of 20 rads today. So far, so good. I haven't felt any discomfort or fatigue. I wore a sleeping mask for today's session which was finished in less than 10 minutes. Afterwards I went shopping, then drove home. This must be the calm before the storm of burning and blistering. I still haven't used any lotion or ointment on the treated area. It's now the weekend so that means 2 days for my skin to heal from damage that hasn't happened yet. Next week will probably be a different story.
Have a good weekend everybody.
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Hi All,
Today was 7 of 21 and my skin is just a little pink. Today's treatment was quite fast but yesterday was long due to having xrays and getting remarked. My doctor had me start moisturizing on day one. I'm using plain coconut oil until the Miaderm I ordered comes. My biggest problem continues back/neck/rib pain. I'm so glad it's the weekend and 2 days off. Checked out of the hotel this morning before treatment. It's so nice to be home for the weekend!
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hey kaywrite,
Just checking in with you and how the simulation went yesterday!
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Hi Paco, everyone - thank you for checking in. Xox. So it went fine, I got all marked up and taped up, am now schedules for 22 treatments starting Thursday the 22nd, at 1:00 p.m. 15 days whole breast, then 5 or more days focused on that .02 mm margin of skin. My left arm, above my head, was uncomfortably numb in its position, they gave me a rubber ball to squeeze. I can live with that. I pointed out that bump on my chest, lumpectomy side, that I was told would go probably go away but has not, so I get to have an ultrasound on Monday a.m. At 8:00 in Atlanta rush hour traffic! Yeah!!!
I think my magic marker stomach, chest and breasts are amazing. If I can figure out how to cover my nipples (for decency), I'll post this extraordinary road map taped onto my body.
I have been having little bouts of fear off and on, due to the bump that has not gone away, and I guess just the impending beginning of treatment. All I have to do is look in the mirror now - it just got real (er).
I picked up Aquaphor yesterday. How is that working for any of you? Better suggestions?
I have been offline, need to go read up on where everyone is, I'll be back
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Paco - I jumped ahead of you on treatment by chance. I had a choice between 22 and 27th, which is I think when you are starting. I looked down at my new roadmap and told them the sooner the better - so the 22nd it is! Are you as "tatted-up" as me?
I think I am going to start a Radiation burn creams and magic elixirs thread. I'm on an old iPad with crappy wifi this week and it's agonizing scrolling for specific conversation on what feels and works best....
thank you, all who have begun, for sharing. I'll be spilling over into the April group for Rads as soon as Veeder starts it.
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kaywrite, they gave me the choice of the 23rd or the 27th and since my daughter is visting for 2 weeks from Vienna, I opted.for the later date. I am anxious to start and be done with it.
Ugh, the markings! There are these horrible green crosses on my chest, ribs and underarms.
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