Reported to the radiation center at 0900 this morning. After undressing, they took me to one room, where they made a form that covererd from the back of my thighs to my ankles. Took them awhile to get that right. Yes, there was a mix up, the doc. didn't mean to tell me not to drink water on the phone call. So I had to drink 1/2 liter, and some waiting time to let that pass through to my bladder. Gee, I was only doing what the doctor told me herself. Next, it was off to the IMRT machine, impressive looking, pastel yellow and white and they said it cost 5.5 million USD. Took them a lot of attempts to get the seven marking dots in place. A higher up came in and made them take them off and start all over again. Then a bunch of runs through the machine for alignment.
Next, we went to the CAT scan room, and can honestly say, never had that many done at one time. Halfway through, they got me back out of the machine and casually said "Now we have to put a catheter in you", and I went nuts, and put a halt to the whole procedure. Told them what I had been through, and how nothing was ever mentioned about this. So after a wait, my new rad. oncl. herself came in, and told me why they needed to do it, and how they would etc, and that it would only be temp. In the end, the only way I agreed was to have the doctor herself insert it, which hurt like hades (it was a rigid metal one), and they pumped some kind of contrasting isotope up me, and then put a clamp in the end of my weiner to hold it in. More scans were done.
Finally, they tatooed the temporary marks. I didn't know nor was I told that they were literal real tatoos. BTW, I don't have any, nor never desired to have one. So now I have 7 black freckles in my lower regions that I never had before. The first 6 didnt hurt much, but the operatory jerked on the 7th and it tore into my inner thigh, still throbbing from that one.
I am scheduled for the first real zap on Monday October 5, said it will take the rad. oncl. that long to examine all the scans and determine a final plan, but still looking at 35-40 zaps, somewhere in the 70-75 gy area, so if there are no delays, could be all over a day or two before thanksgiving.
I don't like surprises, made that abundantly clear to my new doctor. Tell me in advance, not as you go along. Too gun shy after all the torment I have been through in the past 10 months.
Now, off to my Uro/Surgeon, to let him know that his last laser mini-surgery isn't working well, barely a month since his attempt.
But that's a whole other issue. Prostate cancer is the most fun I have ever had in my life, and thus is continues.
David in SC
Age: 57, 56 dx, PSA: 7/07 5.8, 7/08 12.3, 9/08 14.5, 10/08 16.3
3rd Biopsy: 9/08 - 7/7 Positive, 40-90% Cancer, Gleason 4+3
Open RP: 11/08, Rht nerves saved, 4 days in hospt, on catheters for 63 days, 5th one out 1/09
Path Rpt: Gleason 3+4, pT2c, 42g, 20%, Contained in capsule, 1 pos margin
2009 PSA: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16
Latest: 7/09 met 2 rad. oncl, 7/09 cath #6 - blockage, 8/09 2nd corr surgery, 8/9 cath #7 - out 38 days, 9/14/9 - met 3rd rad. oncl., agreed to start radiation, does not rec. HT at this time, mapping on 9/21/9