Friday, April 25, 2008

And the Finish Line








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271 days later I am at the finish line, almost like pregnancy. Here is a picture with one of my September Chemo buddies Paxton, she is from Minnesota and came down to FL to visit her parents.

Interestingly I feel almost as good as I started out this whole ordeal,I do not seem to have that much fatigue ( of course I am not going outand doing 60-70 mile rides and am not running ) but day to day activities with 1+ hour exercises are doable.

My mental state has recovered and I have accepted my favorite motto ' Shit happens' and will try to move on.

A lot of people say that they changed after having the c experience. I am not sure whether I changed but for one thing I will not take my health for granted from now on, or any day that I am feeling good either.

Last day of my radiation I went sculling to watch the sunrise, then headed to my last radiation session, did power yoga at college park yoga, got a manicure pedicure then a facial. Major pamper day !

Now is time to move on, we are planning on moving. Well I can say that my life is never boring !

Wednesday, April 9, 2008

Radiation lifestyle

Started the radiation on March 6th I will get 33 sessions 25 to the whole breast, axilla and the back, the last 8 boosts to the tumor site to do a really thorough clean up.

Here is how my daily schedule looked like for a while.

Get up, work for 2 hours, drive 20 miles to the hospital, get zapped, drive 20 miles back. Work .. sometimes take a nap.

I tried to keep up my workout schedule but the driving in the middle of day sapped some energy and time resources even though my mom had been visiting and had relieved me from all housework(shopping! cooking ! tidying) for 3 weeks.

After my 6 weeks post surgery exercise limit was lifted off I changed my radiation session to the mornings and am hoping to go rowing before I get zapped everymorning, since I am already driving all the way up there might as well makethe most of it.

I have been riding thursday evenings with Z and Penny and some of the bobbies in winderemere(27 mile ride) and also try to ride a 30 miler on the weekends. Since my weight is a bit on the heavy side to run, I have been walking ( 163 pounds.. from 146 in August). Started going to weightwatcher meetings that program got me on track always in the past so it should to again now.

No swimming yet since the skin is really sensitive due to radiation I do not want it to blister or act up and have to give a break to radiation.

The sleep problem finally has been resolved by taking Ambien Cr, I hope I am not sleep driving/eating !! It gave me a headache the first day I took it since I had to get up and did not get 8 hours of sleep. But this was the best med so far. Even the nightsweats are not waking me up.


My car is trying to die on me but I am adamant in making it live ! It had poured oil in the driveway changed the gasket cover, changed the spark plugs. Now the gasket chain ?? blew out. I am figuring that if it starts to cost more than 200 usd/month on a regular basis then i am reading to part with it. I can not affort a new one of those and really did not like any of the cars in the market within my price range. If I have to I probably will go with Scion TC. Drove a Scion Xb yesterday, although the boxy look certainly leaves much to be desired the interior was really nice. Road handling and stability though are far off from my dear TG and since they are a high demand car the finance options are not that desirable.

We went to Fort Lauderdale with family and my mom overnight it was really nice, we stayed at the Gallery One Double Tree Guess Suites was perfect with a view of the Marina and the Ocean.




My mom at the terrace:


Radiation - daily tanning sessions start March 6

Radiation - daily tanning sessions from March 6 to April 21st

( had to repost to delete a spam comment)

The radiation suite is covered with murals of lake views, they are trying to make the place look cute since what happens in there is almost illegal and fatal !! nuking people. Well I look at it as scrubbing with Cholorox.

My radiation oncologist (Dr. S) appointment was on the 4th of March. I started the conversation by saying:
'You did a hell of a job convincing me to do rads despite my oncologists opinion that I might not need to'
He was slightly taken back, but then chuckled and shared some interesting information.

Apparently although I was under the impression that he was trying to blow my Plastic Surgeon Dr. P off about taking my case to the hospitals tumor board he actually did so without giving my name. There were several oncologists and surgeons on the board and given the information about my case all aggreed that radiation was the way to go for me, and that if I was going to get radiation there was no point in overkill by removing the remaining axillary nodes. There is something about this radiation oncologist that I like, and I really trust him in his field.

Secondly another study( which I must have missed somehow ) was published after we last talked which proved the benefit of radiation for people in my condition.
So these facts further sealed the deal about being right about choosing this path.

Dr. S was not against supplements when I asked whether I could take Curcumin which according to some research and actually a trial that was started ( but never completed due to financial reasons.. of course turmeric plants do not have $$$ in banks to sponsor this research !! ) by MD Anderson helps protect skin during radiation and could even enhance the efficacy of the radiation. Interestingly curcumin is also said to be good while taken with Adriomycin, but counteracts with Taxol. These things about supplements are really getting confusing, I am almost getting to the point where my oncologist is where I will not mess with them at all. Dr. S's message wa that he believes that radiation is so powerful that it will zap through anything no matter what I do.. hmm that is good and bad to hear, anyways. Shared my skin protection plan with him which was 2 gr curcumin daily, Pure Aloe gel ( with no alcohol) immediately after each treatment, and Aquaphor at night.

I will be seeing the Radiation Oncologist Dr. S every Monday throughout my treatment they have not done any bloodwork I guess they get it from my Oncologists lab.

In my mapping session(where they take multiple films and determine the position I will be on during every session) I went into treatment room 1 and was taken care by extremely nice radiation technicians and another person who I am suspecting is a supervisor or another rad doctor who was responsible for the mapping of the zap site.

I laid down on a narrow table ( I cannot believe how narrow these scanning, treatment tables are, what happens when a really large person comes it could be hard for them to balance on it I am no twiggie but I am sure there are more impressive butts out there than mine!) there is a round contraption as big as a car/truck tire that is attached to the base that rotates around me. There is a glass window from which the rays are directed for scanning or zapping. In the glass window of that contraption there are multiple leads(which reminded me of hundres of allen wrenches) which open and close, limiting the field of radiation given (OK I am making this up but it certainly looks like the scenario) They make a funny clicking noise as they are aligning between scans/zaps.

They made me lay on an air pillow and raise my right arm above my head to a - as comfortable as one can be when laying beneath a radiation bombardment line - and the air pillow molded to my shape using some kind of vacumming technique, hi Aylin meet your pillow for the next 33 days wonder if they'll let me take it home as a souvenir although I am highly suspecting that I will be more tempted to throw it in a bonfire.

The round contraption zoomed whirred around me technicians going in and out of the sealed room ( there is a curtain that they pass out from but behind the curtain is a lead door - they probably have the curtain so one does not freak out or get claustrophobic of being sealed in a lead room ) they told me that they had a camera in the room and when they go out they see me and can hear me. There were red laser beams aligning the machine with the wall ( I was looking to the left where there was a cross like opening in the wall which matched with the laser that was coming from the machine). I was not allowed to move a muscle or twitch !! for about 50 minutes, I wish I had known this, then I would have worked up to keeping my arm up for that long, it only had been 3 weeks since my exchange surgery and my shoulder mobility was not quite there. They were taking scans marking my chest with sharpies ( my chest looked like an elementary student geometry notebook !) my shoulder started aching, and despite all efforts of trying to relax I started tensing up. they told me to breathe normally so they could do the mapping of the radiation to avoid my heart and lungs but it was really hard to keep a relaxed state while on the verge of having a hissy fit. I almost felt like I was having a panick attack (like I did in my Ironman Swim in Austria last July) hyperventilating, I was sooo close to jumping off that table. If I meet anyone that will be going through radiation my first suggestion would be for them to ask whether it is ok to get something before the session to relax them like Xanax.

It took a lot of willpower to stay in that position for that long my shoulder was aching I was freaking out.. but it was finally over ! And my first treatment was also done at the same time. Usually I hear that they first do the mapping one day, then they do a dry run, then they start treatment, well we got all 3 in 1 ! That must have been because I was freaking out that my radiation should start latest 8 weeks from last chemo which was on March 6th exactly.

The radiation therapists/tech's are really nice with sense of humors I guess you have to be extremely nice to your patients if you are going to see them every single workday for 33 days and nuke them! Almost like working together on a temporary job.

As stated the following sessions were a lot quicker, I would be in and out in about 10 minutes. They did take xrays everyday, I was worried about the increased radiation exposure but my rad oncologist said that all the exposure was accounted for and the total mattered. He said I was getting about 61 greys ?? ( do not know what that means)

I started getting to know the radiation therapists and some patients that come at the same time as I did, everybody is so nice. This place is a lot different than the chemo ward, patients are not as sick, and they are at almost the end of their treatments which is making a huge impact on their morales. The only thing I do not like is being exposed to cookies that are in the waiting room everyday, even if I sit at the other end of the waiting room the vapors of those chocolate chips and vanilla travel across the room directly to my nose. Do not know how much more I can resist without taking a handful. Eating dessert should be fun, and doing something in moderation is NOT fun.. so if I want to have fun with cookies I have to have a lot of them. Warped thinking I know but thats how my brain seems to operate, so I do not take any cookies.

The drive to the hospital is about 20 miles, so I have been taking long lunch breaks from work. It is actually a nice break during the day I like going out listening to good/loud music and driving TG and the traffic is not bad.

The first couple of days I felt a lot of fatigue then figured it was really psychological. About 2 hours after each session I have a feeling similar to that of a 'coming cold/flu' and if I hydrate enough and eat a lot of fruits veggies, basically 'be a good girl' the fatigue goes away in a couple of hours.

My skin is holding up well as of end of the 12th session ( have 21 more to go), and I do not seem to have any nausea either.

In my 3rd day of rads I do not know where that idea came from but I decided that I would try fasting, giving the body a break and a chance to recover on a weekly basis. What a totally stupid thought, I can not believe that I even considered doing it during radiation treatment, I guess all the chemicals got to my brain and are impacting my judgment too. I crashed so badly that day took 2 days to recover from it.

But once the rads are over and my body is recovered from the wars I will do some kind of fasting on a periodic basis cause it certainly makes sense. 2