IMRT session 2 today

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Tony1951
Regular Member


Date Joined Jul 2008
Total Posts : 50
   Posted 10/23/2008 6:51 PM (GMT -7)   
Today was my second day of radiation treatment.  I'm receiving 1.8 grays each weekday for a total of 43 sessions.  I'm trying to image what this is doing to my insides, but haven't a clue.  Is my prostate being fried, totally destroyed?  Does anyone know a site that has pictures of a prostate at various stages of radiation treatment? 
Name: Tony  Born: 1951
Diagnosed PCA 7/23/2008;  Prostate Volume 19 grams
Cancer Location: Right Mid and Right Apex 2 of 12 cores positive
Percentage of tissue involves 14%  Gleason 3+4=7 4+4=8
PSA levels  6/08/08 7.7;  6/30/08 6.8
Began HT Zoladex 8/26/2008
As of 9/11/08 I am waiting to start IMRT IGRT
September 23, 2008 after one month of Zoladex PSA 2.83
Testosterone 16.


jetguy
Veteran Member


Date Joined Sep 2006
Total Posts : 741
   Posted 10/23/2008 7:13 PM (GMT -7)   

Tony, I don't know exactly what is happening with each and every session.  I do know that at week two, your prostate is swollen and you may need flomax to help urination.  I did.

Since my treatment, I am told that a DRE feels to the Doc almost as though I had a radical prostatectamy.  Virtually no prostate there.  Don't need flowmax any more either!

I had more than 87 gr.  I'm fine.

Regards,

Bill


August of 2006, PSA up to 4.2 from 2.7 one year ago. 
October free and total PSA 12% free and 5.0 total.
A month, or so later, 4.7.
Late in the year decide on Image Guided IMRT.
Begin 43 treatments on January 23, 2007 and finish on March 23.
 


Tony1951
Regular Member


Date Joined Jul 2008
Total Posts : 50
   Posted 10/23/2008 7:44 PM (GMT -7)   
Bill, did the you feel anything during the treatments?  I am completely thrown off center by this disease.  The word cancer is painful to hear and I find myself wondering if I have it in other parts of my body and will I get a form of cancer *because* of the radiation.  Sometimes I feel slightly weak, don't sleep well at night, now I have hot flashes and attractive women don't phase me - that's something I would have thought I'd be saying.  I imagine some of what I'm feeling is depression so I had my doc call me 200 mg of Zoloft. It's like what once was a colorful image has faded to black and white. I wonder how many grays the human body can take over a life time?  If I ever need it again for another part of my body have I had my "just under toxic" dose?  Lots of questions....


Bill, did were you on any anti-testosterone meds?  Would you mind sharing more information about your PSA levels since treatment ended?  I look forward to following your story.
Name: Tony  Born: 1951
Diagnosed PCA 7/23/2008;  Prostate Volume 19 grams
Cancer Location: Right Mid and Right Apex 2 of 12 cores positive
Percentage of tissue involves 14%  Gleason 3+4=7 4+4=8
PSA levels  6/08/08 7.7;  6/30/08 6.8
Began HT Zoladex 8/26/2008
As of 9/11/08 I am waiting to start IMRT IGRT
September 23, 2008 after one month of Zoladex PSA 2.83
Testosterone 16.
 
October 22, 2008: First day of IMRT.  I am receiving 1.8 grays per day over a period of 43 days.

Post Edited (Tony1951) : 10/23/2008 8:48:11 PM (GMT-6)


jetguy
Veteran Member


Date Joined Sep 2006
Total Posts : 741
   Posted 10/23/2008 7:59 PM (GMT -7)   

Hey Tony,

I felt nothing during the treatments.

I don't know if it's in other parts of my body because of my treatment.  I don't worry about it because I can't control it.

I was able to spend all of my treatment time concentrating on my treatment because I couldn't work at that time.  (I'm a pilot and the FAA took away my medical certificate.)  I exercised twice a day.  Aerobic in the morning and lifting in the afternoon.

You may be suffering from depression, but I don't know about that.

Tony, I hope I sound really cool and controlled at this time.  When I first tried coming to grips with my cancer I was a wreck.  A total mess.  Awake in the wee hours worried about things I couldn't control and scared half to death. I thought I was a brave man.  I learned that courage is very selective and doesn't always come to us when we need it. 

I think you are doing an IGRT?  That's what I had. 

Keep Your Mach UP,

Bill

P.S.  I have no idea how many gr.  Don't much give a sierra hotel india ****.


August of 2006, PSA up to 4.2 from 2.7 one year ago. 
October free and total PSA 12% free and 5.0 total.
A month, or so later, 4.7.
Late in the year decide on Image Guided IMRT.
Begin 43 treatments on January 23, 2007 and finish on March 23.
 


don826
Veteran Member


Date Joined May 2008
Total Posts : 1010
   Posted 10/24/2008 11:34 AM (GMT -7)   

Hi Tony,

I am six weeks post IMRT/IGRT. The treatments are painless. The fourth week I jokingly asked the radiation techs if they were just making the machine rattle and hum or were they actually giving me dose of radiation. The fifth week removed my doubts. That week I had diarrhea, difficulty with urination and fatigue. Imodium and flomax cleared up the first two. Clearing up the first two allowed me to rest so the third was taken care of as well. By the sixth week I was feeling good again.

Like you I have tried in vain to find a picture or a description of a radiated prostate. My uro says that is mostly scar tissue and does shrink up. The onco says that there is still some viable prostate tissue left and that is why your PSA will never be zero like with surgery. If you find a picture or a description please post the link.

Secondary cancer of the bladder and colon are about 1.5% as I recall and takes about five years to show up. Seems to me to be an acceptable risk. My heart surgery was 5% chance of not making it off the table so these odds look pretty good.

During my treatment I kept up my exercise program for all but the fifth week. Hard to run three miles when you can't get too far from the commode. :-)   And, admittedly, all those trips to the can at night had me worn out. I would suggest that you try to walk for 30 minutes a day. It will help to lift your mood as well.

I am also taking a course of Lupron. Two shots down and four to go. But whose counting? Libido (whatever that is) was gone by the 6th week. I still appreciate a nice looking lady but just don't get a revved up as I used to. Hot flashes? You bet... starting to enjoy them. Weight gain? Put on ten pounds that I am desperately trying to lose.

Like Bill I do not obsess over the disease. I cannot control it. I can only react as necessary. Can" recall the exact phrase but the poem says "to have strength to change the things you can, endure those you cannot change, and wisdom to know the difference."

Tony, focus on the future and not the temporary discomfort. It will pass rapidly. I feel as good now as I did before my treatment. You will too.

I wish you an uneventful treatment and a complete recovery. Keep us posted on your progress or just a note if you are down and need an ear.

Take care,

Don


Diagnosed 04/10/08
Age 58
PSA 21.5 (first and only test resulted from follow up visit to emergency room for kidney stone. first time for kidney stone too)
Gleason 4 + 3
DRE palpable tumor on left side
100% of 12 cores positive for PCa range 35% to 85%
Bone scan clear
Chest x ray clear
CT scan shows potential lymph node involvement in pelvic region
Started Casodex on May 2 and stopped on June 1, 2008
Lupron injection on May 15 and every four months for next two years
PSA test on July 14, 08 after 8 weeks hormone .82
Started IMRT/IGRT on July 10, 2008. 45 treatments scheduled
First 25 to be full pelvic for a total dose of 45 Gray to lymph nodes.
Last 20 to prostate only. Total dose to prostate 81 Gray.
Completed IMRT/IGRT 09/11/08.
Second Lupron shot 09/11/08
Next PSA test by oncologist 03/09
 
 


Tony1951
Regular Member


Date Joined Jul 2008
Total Posts : 50
   Posted 10/24/2008 1:36 PM (GMT -7)   
Thanks Bill and Don, the feedback and suggestions were much appreciated. I had my third treatment today and as Don quipped to his Rad techs,  I did/do expect to feel something to tell me the radiation is working -- kind of pictures a prostate in a microwave oven - I understand that's not the case.   Do either of you - or anyone else - know how they are able to able to radiate something 2 or more inches inside of you without doing just as much damage to the tissue it passes through on its way?

Name: Tony  Born: 1951
Diagnosed PCA 7/23/2008;  Prostate Volume 19 grams
Cancer Location: Right Mid and Right Apex 2 of 12 cores positive
Percentage of tissue involves 14%  Gleason 3+4=7 4+4=8
PSA levels  6/08/08 7.7;  6/30/08 6.8
Began HT Zoladex 8/26/2008
As of 9/11/08 I am waiting to start IMRT IGRT
September 23, 2008 after one month of Zoladex PSA 2.83
Testosterone 16.
 
October 22, 2008: First day of IMRT.  I am receiving 1.8 grays per day over a period of 43 days.


don826
Veteran Member


Date Joined May 2008
Total Posts : 1010
   Posted 10/24/2008 6:40 PM (GMT -7)   

Hi Tony,

I asked the rad tech the same question. How does the radiation differnetiate between good tissue and cancerous. As I understood the answer the radiation does affect the good tissue as well as the cancerous tissue. The non cancerous cells are able to recover and repair themselves. The cancerous cells have an abnormal DNA and the radiation destroys the cancerous cell's ability to regenerate. The dosage stops just short of doing permanent damage to the good cells.

Take care,

Don 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 


Diagnosed 04/10/08
Age 58
PSA 21.5 (first and only test resulted from follow up visit to emergency room for kidney stone. first time for kidney stone too)
Gleason 4 + 3
DRE palpable tumor on left side
100% of 12 cores positive for PCa range 35% to 85%
Bone scan clear
Chest x ray clear
CT scan shows potential lymph node involvement in pelvic region
Started Casodex on May 2 and stopped on June 1, 2008
Lupron injection on May 15 and every four months for next two years
PSA test on July 14, 08 after 8 weeks hormone .82
Started IMRT/IGRT on July 10, 2008. 45 treatments scheduled
First 25 to be full pelvic for a total dose of 45 Gray to lymph nodes.
Last 20 to prostate only. Total dose to prostate 81 Gray.
Completed IMRT/IGRT 09/11/08.
Second Lupron shot 09/11/08
Next PSA test by oncologist 03/09
 
 

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