August 2018 Starting Radiation

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  • Ingerp
    Ingerp Member Posts: 2,624
    edited August 2018

    That's a good question. I haven't met with my RO this time yet to see exactly why I'm going from 20 to 33 (although it might be only stage?).

  • duffyzmom
    duffyzmom Member Posts: 261
    edited August 2018

    Ingerp - today I found an article discussing breast size as a factor in whether or not hypo-fractionated is an option. My list of questions is growing.

  • ColleenS80
    ColleenS80 Member Posts: 271
    edited August 2018

    Hey all!

    I have my first apt with the RO on August 9th. I know not everywhere is exactly the same, but can someone give me a general time frame of how long it will be between when I have this initial apt and when I actually begin my radiation? We have a Disney vacation planned in October, and I’m trying to figure out if I will be finished in time or if I need to reschedule (again-ugh cancer!!!). Thank you

  • Ingerp
    Ingerp Member Posts: 2,624
    edited August 2018

    duffyzmom--actually, now I remember someone posted that on this or another thread. Makes sense--more stuff to get through would take more zaps.

    Colleen--I'm also doing my preliminary stuff on 8/9 and will start rads 8/20. And fist bump on the WDW vacation! I had one scheduled for the last weekend in September but had to move it when I found out I'm going to have 33 sessions rather than 20. I moved it to the end of October, which happens to be my birthday. Cooler weather too! According to my calendar, I *should* have my last one on 10/4 (including a day delay for Labor Day). FWIW, I would absolutely call my RO's office and ask if you can go ahead and schedule your first appt. They couldn't give me an exact time (they do first zaps late in the day, and I know from last time they don't set the exact schedule until the week before), but did tell me I can go ahead and start on the 20th. How many sessions are you doing?

  • MoniThor
    MoniThor Member Posts: 66
    edited August 2018

    Hi Colleen,

    From all the posts I’ve been reading on the radiation threads, it seems people are starting treatment about 1-2 weeks after mapping/measurement appointment. I had first RO consult on July 17th and mapping (CT) appointment on July 20th. I juststarted radiation on July 30th. I am also planning a family Disneyland trip in October! Best wishes at your RO appointment!

  • ColleenS80
    ColleenS80 Member Posts: 271
    edited August 2018

    Ingerp and Moni,

    This is hilarious that we are all going to WDW in october! :) Thank you so much for the info. I am praying I can get done in time and will definitely be asking the RO if it’s at all possible to be finished. My MO said 30 sessions, so I think I’ll have to start by around the 20th to get around Labor Day and still be done before we go (oct 7).

    Ingerp, we were supposed to go in June originally but I ended up being on chemo then. I’m actually excited about October too for the hopefully cooler weather!


  • Ingerp
    Ingerp Member Posts: 2,624
    edited August 2018

    I've been to WDW several times around my bday in late October and it is really pretty (all of the Halloween decorations!) and nice weather. Sounds like Moni is going to Disneyland, where I've never been (and probably would not travel across the country to get to--FL is relatively close!). I'm actually making my husband go. He's never been before--not exactly a theme park kinda guy. When our kids were younger I took each one individually and had the *best* trips. I get a big endorphin rush every time I think about that place. I promised hubs I could make it a fairly adult trip--light on the thrill rides and heavy on the Food & Wine Festival. ;-) Colleen tell your RO about your travel plans--I'm sure they'll work with you. (Just keep it light your first few days down there--you might be a little fatigued following rads. Or better yet send everyone out to the parks and have a pool/spa day for yourself!!)

  • ColleenS80
    ColleenS80 Member Posts: 271
    edited August 2018

    Ah yes, didn't notice Moni was WDL instead. I'm in TN so WDW is much closer for us as well. We haven't been as a family and we are surprising our kids-i can't wait! I hope you all have wonderful trips!

  • Ingerp
    Ingerp Member Posts: 2,624
    edited August 2018

    Oh gosh I *love* those surprise-your-kids-with-a-trip-to-Disney-World videos!!

  • MoniThor
    MoniThor Member Posts: 66
    edited August 2018

    I haven’t been to WDW but would like to go someday. Living in California, I go to Disneyland a couple times a year. As a matter of fact, I had just returned from a trip when I got my dx. I just remember saying to the surgeon, in shock “I don’t understand. I feel so good. I just walked 20 miles in Disneyland!” This trip will be a little slower paced. We are taking my 20 month old granddaughter for her first time. “Adult” trips and “kid” trips are always different, but we always have fun

  • Djt
    Djt Member Posts: 264
    edited August 2018

    Wow!! All this Disney talk is exciting!! Glad to know many have a plan for Fun at the end of the radiation road. I love October and fall, we actually have October plans for a Maine cottage on the ocean, can't wait. For those going to see the Mouse, im excited for you, i have never gone.

    So today was my7th radiation treatment, and I finish on August 30th. I believe I read that the body size has something to do with how many days, and how they divide up the strength of the prescribed individual dose of radiation.

    I'm fortunate to be a 12 minute drive from my treatment center, so it already has become kind of routine, ( after last week's panics I had) they set me up with an ID card that I scan when I come into the waiting room, they call me in within 3 minutes and I leave 10 minutes later, i get coffee, and this week have picked up my walks again. My center has the onco Dr seeing me once a week, and after every 5 treatments, they take an x ray to be sure the original markings are still accurate as any swelling, etc, can alter the angles and precision of the treatment. So far, still using the ice packs for an hour immediate after treatment, then aloe, cornstarch powder to stay dry. I can now just start to detect a bit of achyness, and swelling, but its not bad.

  • Ingerp
    Ingerp Member Posts: 2,624
    edited August 2018

    That’s all good news, Djt. You’ll be out the other side before you know it. :-)

  • moth
    moth Member Posts: 4,800
    edited August 2018

    I just got home from my mapping & tattoo & practicing the breathe in + hold thing to protect my heart during the treatments. It all went ok & was mostly just tedious.
    Still no word on when I will actually start - closest anyone would commit is "probably in 2-3 weeks"

  • NVDobie
    NVDobie Member Posts: 184
    edited August 2018

    Hi, everyone

    Joining you ladies in Aug group as I started my radiation on July 30. I had a re excision in June after finishing chemo on May. 16 + 4 boost,

    Have been driving myself to and from the rad appointments. So far ok, just keep on practicing the breath in and hold exercise. 3 down and 17 more to go.

    Was hoping to use Mepitel film to prevent rad burns but unfortunately had allergy to the film itself. So kind of patiently waited for the rad burn moments to come in the days to come.

    Start to wonder whether I could go to the rad without bra without being self conscious about it as bra start to feel uncomfortable with my rash from allergy and rads

    Also was told fatigue and other side effects including skin could hit more so 3 weeks after the last treatment. So mentally prep for that.

    Moth

    I did CT mapping and tattoo on 17, rad started on 30. But I was calling them every few days to check. One good thing I learned in 1st session is the new machine they use is very precise, they will aim to replicate your position with the mapping session, with tolerance of mm, the machine will not work or shut down automatically if position is not matching or if you cough etc. I was relieved somewhat as I wasn’t sure How the tech controls the machines to ensure accuracy.

    First session went about 40 as they explains everything, then 15-20 min each session after. Boost is even shorter I was told. Officially they say plan for 60 min for 1st session and future sessions 30 min, 15 for boost.


  • Kidogo
    Kidogo Member Posts: 20
    edited August 2018

    I had my first treatment today. Took about 40 mins I'd guess. CT first to get position confirmed. Then 7.7 mins of treatment. I had some questions and they were great about answering and explaining.

    I'm having 16 treatments with 5 boosts incorporated within the treatments. The boosts are targeted at the location of the Tumor and in my case are due to a narrow, although clear margin of .5 mm as opposed to 1 mm.

    The machine I'm utilizing to a huge donut thing, a Tomography machine. Supposedly more accurate and able to do the simultaneous boosts. Apparently there is a new study coming out soon about this new method. My RO was involved and he suggested it as an option even though the results have not been released. His comment was “radiation is radiation is radiation."

    I'm also using a barrier film on the radiated area. Applied 2X/week. No other creams to be used. It's a 3M product and I forget the name. Will advise later.

    Today I got a headache shortly after finishing my treatment. For now I'm assuming it was a coincidence.

    I purchased 2 Ameona camisoles today to wear during this time. I had tried them on a couple weeks ago. They are not inexpensive ($80 CDN) so I looked around and couldn't find anything similar, even though I have purchased years ago just in regular shops. I like them and will be able to wear anytime, anywhere. And super comfy. I’m all about the comfort!

    My treatment times vary quite a bit. I have a schedule for the first 10 days but it is subject to change. So you have to take the paper in everyday. They mark off the current day and update it with any changes. My treatment in the morning is at 8:10, and I'm wide awake at almost midnight. It's nice that I live 5 mins from the hospital....


  • MoniThor
    MoniThor Member Posts: 66
    edited August 2018

    Djt-I’m glad everything is going well for you so far. How great that you live so close to your radiation center! I also see my RO every week. I didn’t know I would be doing that, so when the radiation tech told me to stay in my gown after treatment today because “the doctor wants to see you”. Of course I panicked and said “what?? Why??” LOL They need to explain these things better!

    Moth- yay! Mapping appointment done! Did they tell you how many treatments you would be having? Hopefully you will be starting soon!

    NVDobie-Welcome! I also started on July 30th. I’m scheduled for 15 whole breast treatments so should finish on August 17th. That is interesting you mentioned SE (fatigue, skin issues) could occur 3 weeks after treatments are over. I will also watch for that.

  • Kidogo
    Kidogo Member Posts: 20
    edited August 2018

    Djt, with regards to no underwire bras, do you have a store near you that specializes in post mastectomy bras? There is one quite near me and they have lots of bras that are shaped and have no underwires. You’d never know by looking. I have purchased bras at this shop in the past, as they carry regular bras as well.

    Something for everyone, including a large selection of wigs, should they be required. I have read that Nordstrom’s carries post mastectomy bra needs as well. The term post mastectomy is used to refer to all types of breast surgery, including lumpectomies.

    I hope you were able to find something that is comfortable for you. I have in the past, when my wires poked me just pulled them out and continued to wear the bra especially if it was a favourite. I am mostly a D now, although I used to be an E. sadly I got rid of my larger bras before diagnosis and don’t want to deconstruct any of my newer bras as they still fit me post surgery. A pleasant surprise.


  • moth
    moth Member Posts: 4,800
    edited August 2018

    MoniThor - the plan we have is 16 whole breast + 4 boosts. They apparently can't do the boosts at the same time so it will be 20 days total.

    About symptoms developing later, they talked about that today in my radiation teach & I also read it on one of the previous rad month threads. Some ladies were reminding newbies to keep using the creams and lotions afterwards as several developed problems (especially in the armpit I recall reading) after treatment ended.

    Ugh poor you having panic feeling about having to see the RO; I totally agree they should have explained that!

    Kidogo - go to bed! :)

    NVDobie - bummer about the allergy to the mepitel film. Curious - did you have to buy it yourself or did they provide it?

  • lg10
    lg10 Member Posts: 71
    edited August 2018

    I just got done with my radiation consult. Looks like I will be getting 33 treatments (5 boosts to incision site). The other 28 will be chest wall, nodes, and regional nodes. I am a little surprised about the treatments to my clavicle area, but the RO pointed to studies that say this is beneficial for high risk patients. I think my age (32) makes me high risk throughout this whole process, but also the grade 3/Her2 status. Just wondering if anyone else will or has had treatments to the neck area..

    My CT will be on Monday and I bet I start the 13th or 20th.

  • ColleenS80
    ColleenS80 Member Posts: 271
    edited August 2018

    djt a cottage in Maine sounds amazing as well! I can just picture it.

    Glad to hear everyone is moving along ok and hope things are going well.

    My first apt isn’t until Thursday but I’m hoping I can get started ASAP and get done for Disney! If not, we’ll reschedule, but I really hope we don’t have to. Fingers crossed.

  • Marymc86
    Marymc86 Member Posts: 102
    edited August 2018

    I finished radiation on July 20th. They told me no lotion 2 hours prior to tx. They saI'd they didn't want the area wet. They also told me go ahead and lotion up in the dressing room before I left. I read somewhere "lube the boob " and it made me chuckle as I did so. I needed a little humor.

    I was happy how well tx went. No burn for me at all until I was already finished. Then I had a little reaction. Its going away pretty fast now.

  • Micahmom
    Micahmom Member Posts: 19
    edited August 2018

    I started my radiation treatments today. I have to have 16 treatments. I lost 11 pounds in one week and super tired and worn out. Also I’m trying to organize my and my husbands wedding vow renewal. I live in Nc but I have friends and family coming from Ga. I’ll still be doing radiation treatments when my renewal vows happen . I pray I’m strong enough to have to stand up for the vows.

  • Marymc86
    Marymc86 Member Posts: 102
    edited August 2018

    HI Micahmom. I live in NC. Treatment was in Asheville

  • NVDobie
    NVDobie Member Posts: 184
    edited August 2018

    4 done, 16 more to go. Today was faster as no longer need to do x Ray pic which was done each time her last 3 days. They just said Doc is happy with the pic so no more X-ray today.

    So far it has been painless and quick, just basically two or three deep breath and hold, then I am done. I am lotioning the area after as told friends who has been thru it and advice from this site.

    Moth

    Mepitel Film is out of my own pocket, and they don’t help to put it on. My hubby researched said some hospital in Ontario actually started to help patient with application, but not providing the film. But not in BC. But did hear the tech say that some surgeons here start to prescribe to the patients. Since the study is only done in New Zealand, also not cheap. BcCa may need some time to adopt. I should mention I got them from regency prescription pharmacy at Richmond location but not all size in stock. takes a week to get specific size. Down town location needs two weeks for some reason.


  • NVDobie
    NVDobie Member Posts: 184
    edited August 2018

    MoniThor

    Cool you and I started on the same day. A friend recently just finished radiation, in her last session, her radiation nurse said to her “ the worst is yet to come, good luck” while sending her on her way. So her radiation burns got worse the week after and she then understood what nurse meant. Another patient I run into said she was fine thru the sessions, but fatigue hit her bad at 3 weeks.

    So I am kind wait and see how will it be for me.

    Let’s keep sharing.


  • Kidogo
    Kidogo Member Posts: 20
    edited August 2018

    Hmmm, as I lay here awake for the second night in a row, I’m wondering if insomnia is a side effect of radiation.... I don’t sleep well at all since perimenopause, but ironically I’ve been sleeping fabulously since diagnosis. Till now. So tired but just can’t sleep.

    No headache today after treatment so I think that was just a coincidence.

    The spray film I’m using is Cavalon. So far so good. You reapply twice weekly. No lotions at all during treatment. Of course I bought some lotions in advance. Calendula cream that was 50% off at the fancy spa where I get my hair done. It was at the front counter when I was paying for my hair last time. This place does all the high end treatments including Botox, all of which are above my pay grade. 🤔 Biafine which my daughter had a friend send from France, along with another one I’m not familiar with, apparently what they use there for radiation treatment. A lifetime supply of lotions and potions!

    Ok, so now I’ve given up on sleeping altogether and migrated to the family room sofa, Louise Penney in hand. It’s going to be a long day cause if I sleep between now and bedtime tonight I’ll for sure be awake again. This may just be the longest 3 weeks of my life. 😏

    M

  • moth
    moth Member Posts: 4,800
    edited August 2018

    NVDobie - thanks for the info about the Mepitel. I'm indecisive. (actually, I'm indecisive about *everything*. It's a really common symptom of stress for me; I grind to a halt and just stand around going "hm, this? or maybe that? Or maybe these?' over and over again... At least I recognize it now lol). I ordered some lotion from Triderma.com (it was recommended by someone on this site) and I'll have aloe lotion from Jason & maybe that's enough. I hope so.

    kidogo - I posted on another thread about the sleepwithme podcast. I never had problems sleeping in my life until I was wired from steroids and stress during chemo. Now that I finished taxol I often turn it on in the evening even though I don't have much troubles falling or staying asleep anymore - I just like listening to my 'borefriend' (that's what he calls himself lol) for a few minutes before I zonk out... I'm cutting & pasting what I wrote there:

    "How about trying the Sleep with Me podcast? I really didn't think this could work but it does. It's just a guy telling really really really pointless boring stories. New podcast lands every few days but there are some that I just listen to over and over again. I fall asleep within about 10 min.

    Set the volume so you can just barely hear it. You can set your app to turn off automatically at the end of the episode or let it continue to the next episode. When wired on steroids during chemo I once went through 6 episodes in one night - I'd just lightly wake up, hear him muttering on and on, roll over and go back to sleep.

    The first 20-25 min of the podcast is him talking to the audience, talking about his advertisers & sponsors, and responding to questions from listeners etc. I recommend you skip all that and just get to the story.

    of the recent episodes, 678 The Lemonade Experience has been one of the most reliable ones at putting me to sleep but I've also liked 681 Bernie the Butterfly & 685 Cloud Tower

    https://www.sleepwithmepodcast.com/episodes/


  • Marymc86
    Marymc86 Member Posts: 102
    edited August 2018

    I finished 2 weeks ago. Yes, week after was the worst, but I'm on the mend now. The "worst" was better than I thought the worst would be at the beginning. So, it'll be fine!


  • MoniThor
    MoniThor Member Posts: 66
    edited August 2018

    Hi NVDobie,

    I’ve been reading, too, that the SE from radiation treatment can be worse in the weeks following treatment. Besides aloe Vera and calendula cream, I have decided to keep drinking lots of water. I got into the habit of keeping super hydrated during chemo, and I’m thinking about how good drinking a lot of water is for the skin. And since radiation burn come from the inside, drinking lots of water must help. So I carry around my liter bottle of water and refill it several times a day.

    Time will tell if it helps, but I figure it can’t hurt, right? After today, we will be one week down. Yay!

    Monic

  • Kidogo
    Kidogo Member Posts: 20
    edited August 2018

    moth, thanks for the podcast info. Might be just the ticket. I’m in bed now and very tired as I only slept < 2 hours last night. Hoping for a good night.

    Just iced my breast as it feels hot tonight after #3. Feels better. I asked today if insomnia is an issue and they said no. But I can be difficult to pigeonhole. 🤷♀️

    Monday is the Civic Holiday weekend here in Ontario so next treatment is Tuesday.

    Oooops, never posted last night! The good news is I slept 7 hours! Whoo Hoo!!!!!

    M

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