Last week, I went in for my radiation therapy setup appointment. This was a bit involved; after an initial meeting with my Radiation Oncologist, Dr. Poppe (pronounced poppy) and a young doctor (forget if he was a resident or actual doctor) who saw me for a few minutes prior to Poppe’s visit, the staff showed me to a dressing room. I of course received two breast exams.
As always, I requested a plus size gown. I’m so glad this place has them. Makes wearing the suckers much less troublesome and embarrassing (for other people; I don’t really care all that much who sees my breasts, and I’m usually required to wear them while my bottom half is still dressed in street clothes). Anyway, I took my happy little plus size gown into the changing room. This had three or four curtained-off changing areas, each with a bench and a mirror, and about five or six lockers. My boobs are good for something; after donning the robe open in front, I overlapped the edges and tucked the sucker up under my breasts to keep it closed while I stowed my removed clothing and satchel in locker #3.
Back in the corridor, I met the nurse who’d showed me to the dressing room and she led me to the prep chamber. Here, they had me lay on a PET scanner bed and uncovered my right breast, having me remove my arm from the hole. Then, Female Tech went over to prep a mixture which would harden to serve as a guide for my radiation visits. While she did this, Male Tech described the procedure. When FT came back, she had me sit up enough to put the plastic-bagged substance beneath where I lay and told me to rest with my arms up around my head and my head turned to face to the left with the explanation I was to remain in this position until the substance in the large square of blue plastic solidified to make a mold of me laying this way. After they had me organized so they could put me into the machine, they taped the edges of the molding stuff around my arms so I’d have some support. This does not mean they wrapped the corners and edges of the blue bag with the molding agent up over my arms, but that they ensured it would provide support so I wouldn’t grow weary and thus possibly interfere with my future radiation treatments. The molding agent was exothermic, and it grew almost unbearably hot while I lay on it, but even that wasn’t too hot; the room we were in was quite chilled due to efforts to keep the scanner from overheating.
Thus trussed, the techs then marked my skin with ink and stuck little metal stickers on me. These were all meant to guide their scanning and other procedures which I’ll describe a bit later. After applying these things, they scanned me, using the stickers as pointers to plan where to put the majority of the radiation, I guess. I couldn’t see anything as my head was still turned to face to the left. Scanning done, they pulled me out of the machine and paged Dr. Poppe.
When Dr. Poppe arrived shortly, he came with the young doctor who’d seen me earlier. Poppe checked over everything, then noticed my porta-cath was still in. This displeased him a great deal, because he dislikes them being in place during radiation, apparently because they cause some interference with correct dosage hitting the spot; see, my breasts are so large, the breast tissue goes right up to my collarbone, particularly with the right breast, which is about one or two sizes larger than the left. I asked Dr. Poppe if he wanted me to see if I could get the port removed prior to treatment, and he fervently agreed with that plan, discussed things with the techs some more, then departed.
Female Tech remained, announcing she would tattoo me next. I asked what this was for. Apparently, they use little dot-tattoos as guides for radiation treatment. After explaining the tattoos would only look like little moles or skin blemishes, she put one on each side under my arms and one in the center of my chest between my breasts. This involved very little. She inked my skin, then I felt a little pinprick she warned me I’d feel so the ink would enter my skin. I didn’t even bleed.
After, Male Tech came back and they removed the stickers and mold, which had solidified at last, and helped me sit up and cover myself. I returned to the changing room and dressed once more, then saw the head of the Radiation Research Study, Crelley, who had me sign a form to join, then made sure I had the okay to go before leaving.
Have talked to Crelley since, and she said I was randomized into the 3-week arm of the research study, where I’ll be getting a higher dose of radiation. This pleased me, especially since Dr. Poppe expressed concern I may not be able to get into the study at all due to consistency of breast tissue and breast size.