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Medical Forum / Diseases and Disorders / Prostate Cancer / June 2006

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External Beam Radiation

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fred@aol.com - 03 Jun 2006 16:20 GMT
I will be having this done on a schedule of 5 times a week for about
10 weeks.

Can anyone tell me whether I'll be able to drive myself home (about 10
miles) or will I need someone to drive me ??

Thanks

Herb
Steve Kramer - 03 Jun 2006 16:37 GMT
>I will be having this done on a schedule of 5 times a week for about
> 10 weeks.
[quoted text clipped - 5 lines]
>
> Herb

Hi Fred!  Or is it Herb?

You'll be fine.  Literally, you will go there, lay on a table, and get up 20
minutes later and walk out.  It is an absolutely painless process.  I even
fell asleep a couple of times.

However, there are eventual and longer lasting side effects to be wary of
and to minimize.  These may include fatigue, diarrhea, and something that
feels like urinary tract infection.  To combat these, even before I started
my treatments, I walked 3-5 miles a day, 3-5 days a week.  I drank gallons
of water.  I slept and extra hour every night.  I had all three, but they
were all minimal.
Glowing in the Dark - 03 Jun 2006 17:40 GMT
> I will be having this done on a schedule of 5 times a week for about
> 10 weeks.
>
> Can anyone tell me whether I'll be able to drive myself home (about 10
> miles) or will I need someone to drive me ??

I'm beginning my fourth week (of 8) on Monday.  As the man who jumped off the
20 story building said as he passed the 11 floor: "So far, so good."

I have had zero prompt side effects, however time will tell.  I live near the
hospital, drive myself, and spend less than an hour each day from the time I
leave home until the time I return.  The whole thing is done by technicians
who seem quite bored and, I fear, therefore less than rigorous in the
alignment procedure.  In my case, the treatment is preceded by a CAT scan
every day so that, theoretically, they can adjust for any movement of the
prostate.  However, I suspect that any such fine adjustments are rendered
superfluous by the coarse error due to technicians manhandling me into
position.  In fact, I'd be surprised if the accumulated error introduced by
all the discrete elements of the process in any way justifies their claim of
"1 mm accuracy".

Yesterday they accidentally left one of the "cross hair" stickers on me which
they are supposed to put over the tattoos that they pierced into me for
reference.  When I got home and peeled it off, the ink from the tattoo had
bled into the adhesive showing clearly that the tattoo was at least 2-3 mm
outside of the "cross hairs".  Close enough for government work, I suppose.

The doctor in charge of the treatment bragged that "we write all our own
software" (for confining the beam to the target area).  I'm sure he meant
that to impress me but, having spent part of my career in software
development and written code myself, I am not sanguine.

Had the treatment design been left to me, I would have done things
differently but there is only so much you can control.  In the final analysis
all you can do is roll the dice.

Signature

Glowing in the Dark

I.P. Freely - 03 Jun 2006 23:05 GMT
> done by technicians
> who seem quite bored and, I fear, therefore less than rigorous in the
[quoted text clipped - 4 lines]
> "1 mm accuracy". . . .  
> the tattoo was at least 2-3 mm outside of the "cross hairs".

Not to mention that the tattoo is on SKIN, which can move by
CENTIMETERS, if not INCHES as we settle into a chair or body mold.

And to think the rectum is just 2mm from the prostate.

I think I'll insist on gold fiducial beads embedded in my pelvis when
the time comes. And I agree . . . "writing their own software" is scary.

I.P.
Alan Meyer - 04 Jun 2006 05:20 GMT
> ...  The whole thing is done by technicians
> who seem quite bored and, I fear, therefore less than rigorous in the
[quoted text clipped - 6 lines]
> "1 mm accuracy".
> ...

Glowing,

I know it's difficult, but if I were you, I think I'd speak up.  Talk
to the technicians or to the doctor and tell him what happened
and about your concerns.

   Alan
Justin Case - 03 Jun 2006 20:07 GMT
: I will be having this done on a schedule of 5 times a week for about
: 10 weeks.
[quoted text clipped - 5 lines]
:
: Herb

Your question only having to do with your ability to drive yourself, I think
you will have no difficulty at all.  Your exposure time sound a little long,
however; mine was for seven weeks, 35 or maybe 36 exposure periods.  You
will probably experience fatigue or extreme tiredness as the time passes and
you may experience the loss of some pubic hair (I did).

Ken Bland
fred@aol.com - 04 Jun 2006 02:39 GMT
I want to thank everyone for their kind advice.

Much appreciated.

Herb
Alan Meyer - 04 Jun 2006 05:21 GMT
>I will be having this done on a schedule of 5 times a week for about
> 10 weeks.
>
> Can anyone tell me whether I'll be able to drive myself home (about 10
> miles) or will I need someone to drive me ??

I only had 5 weeks of radiation as adjuvant to brachytherapy,
but during those five weeks I drove to the clinic, got the radiation,
went on to drive to work, worked a full day, and drove home.

I think you'll be okay.

   Alan
Beverley - 04 Jun 2006 19:54 GMT
Ditto Alan's scenario here. Hubby had almost a 30 mile drive to work on a
superslab that was always clogged with traffic. Never had a problem from the
radiation.
Bev

> >I will be having this done on a schedule of 5 times a week for about
> > 10 weeks.
[quoted text clipped - 9 lines]
>
>     Alan
fred - 04 Jun 2006 16:17 GMT
.

> Can anyone tell me whether I'll be able to drive myself home (about 10
> miles) or will I need someone to drive me ??

I'm in final week of 8 weeks of IMRT, and I'm sure if you can drive 10
miles now, you'll have no problem with driving during the treatment.

(Another) Fred!
fred@aol.com - 05 Jun 2006 03:19 GMT
I'd like to thank everyone with their advice re driving after
radiation treatments.

They are much appreciated. (advice, not radiation)

Herb
 
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