Sonny - IMRT Treatment 2 of 35

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Sonny3
Veteran Member


Date Joined Aug 2009
Total Posts : 2447
   Posted 12/1/2009 6:49 PM (GMT -6)   
It was certainly a very interesting and educational day on day 2.

From drop shorts to raise was 14 minutes. I had a little conversation with the techs about the apparent ease of alignment and delivery of the radiation afterward.

Turns out I am on what they refer to as the latest and the greatest machine for radiation delivery.

TomoTherapy Hi-ART is the machine and they told me the correct terminology for my treatment is IG/IMRT. The first pass of the table through the machine is the alignment verification and internal adjustment for the delivery of the radiation. The second pass is the delivery of the radiation.

Here is where it is really cool, this is the description by Tomo of the process;

* Delivers helical (continuous 360ยบ) IMRT that uses tens of thousands of narrow beamlets, all targeting the tumor and individually-optimized to contribute to the total tumor dose.

* Offers by far the most beamlets of any form of IMRT, which translates to the most precise conformal radiotherapy available.

In my case the tumor is the prostate bed. One of the other things I found out is that the combination of 3D CT Scan information software used by the IG function can even account for movement of the targeted site. If I had a prostate, it may shift somewhat from day to day depending on my bladder, bowels, digestive system and other factors. The IGRT accounts for this and re-calculates the target for exact delivery of the radiation.

Here is the site: http://www.tomotherapy.com/ Use the tool bar at the top of the page and check out the Tab, Difference. It's some really great stuff. At least it is to me.

Tomorrow is Tee-Shirt and cookies day for my wife and I. She is receiving treatment 4 of 13 and I will be receiving number 3. We decided that Wednesday would be cookies day. That is the day that we will take some cookies in for our respective techs to enjoy.

Tomorrow will also be the first day that we will wear our matching Tee Shirts in for treatment for the first time. I took a picture that we had recently taken of the two of us and printed it on the shirt. Surrounding the picture it reads; "We're A Radiant Couple". On the back of each it says; "Radiation Treatment Countdown". Hers has numbers 1 through 13 and mine has 1 through 35. We will cross out each treatment with a sharpie and at the end will have the techs sign the shirts as completed. We plan to vacuum pack them and keep them as mementos.

We figure to wear the shirt in at least once per week. Hey you gotta have some fun with this stuff as long as you can. I'll take a picture of us in the shirts and then figure out some place I can post it if you guys wanna take a look.

We'll let you guys know how the cookies and shirts go over.

Remember; "Every Day is a Bonus", treat it that way.

Sonny
61 years old
PSA 11/07 3.0
PSA 5/09 6.4
Diagnosis confirmed July 9, 2009
12 Needle Biopsy = 9 clear , 3 postive
<5%, 90%, 40%
Gleason Score (3+4) 7 in all positive cores
CT Organ Scan - negative
Nuclear Bone Scan - Negative
da Vinci 9/17/09
Post Surgery Pathology:
Gleason: Changed to (4+3) = 7
Stage: T3a
Tumor Volume 12.5%
NERVES SPARED-positive margin, extra-prostatic extension
30 day PSA 0.4, 50 day psa 0.53, 64 day psa 0.6
IMRT scheduled to begin Nov 30,2009 (74 days post surgery)

Post Edited (Sonny3) : 12/2/2009 7:11:09 AM (GMT-7)


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25380
   Posted 12/1/2009 6:54 PM (GMT -6)   
Glad its going so well for you guys so far. Hope it stays that way. Your machine and how its done is so different from the Novalis IMRT machine I just left.

The T-shirt thing is cool, another slogan could be "Our love glows over time". I know, lame.

I know the cumlative effect of Lynn's treatment in particular may get rough before its over, I hope that her doctor is in real close tune and touch with her throughout the remainder of her RT treatments.

Even in the differences of our two RT programs, its amazes me how nothing is ever the same about our PC world.

My very best to you and lovely Lynn.

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% cancer, 1 pos margin
Incontinence:  1 Month     ED:  Non issue at any point post surgery
Post Surgery  PSA: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16
Latest: 7/9 met 2 rad. oncl, 7/9 cath #6 - blockage, 8/9 2nd corr surgery, 8/9 cath #7 out  38 days, 9/9 - met 3rd rad. oncl., mapped  9/9, 10/1 - 3rd corr. surgery - SP cath/hard dialation, 10/5 - began IMRT SRT - 39 sess/72 gys cath #8 33 days, 11/2- SP Cath #9 in place


Cajun Jeff
Veteran Member


Date Joined Mar 2009
Total Posts : 4106
   Posted 12/1/2009 7:08 PM (GMT -6)   
Sonny, Pat and I read you post and laughed out loud at the discription of the t-shirt. Must say you sound very up beat and I could not be more pleased for you. Did you get a chance to read my e-mail. If you did not get it let me know and I will resend.

Take care of yourself and Lynn. We are thinking about the 2 of you.

Jeff T
Cajun Country
Jeff T Age 57

9/08 PSA 5.4, referred to Urologist
9/08 Biopsy: GS 3/4=7
10/08 Nerve sparing open RRP- Path Report: GS 3+3=7 Stg. pT2c, margins clear
3 mts: PSA .05 undetectable

10th month PSA <0.01
1year psa <0.01
ED- 5 mg Cialis daily, pump daily, going to try MUSE next. Next step injections.


Bluenose
Regular Member


Date Joined May 2008
Total Posts : 260
   Posted 12/1/2009 7:31 PM (GMT -6)   

 

   ...very cool, great karma...we can feel ya'........


Herophilus
Veteran Member


Date Joined Sep 2009
Total Posts : 663
   Posted 12/1/2009 7:35 PM (GMT -6)   
I'm with Bluenose...
Good Luck Sonny!
Age 51, PSA 08/31/2009= 6.8, DRE Neg.
Biopsy 9/24/09 =10 of 12 positive. Gleason 6. 75% of one core.
da Vinci at Wash U, Barnes on 11/02/09
Pathology Changed Gleason to 4 + 3 = 7. Gleason 7 present in all 4 quadrants
All(4)periprostatic Lymph Nodes Negative, All(10)pelvic Lymph Nodes negative
Seminal Vesicles tumor free. No prostate extension


qjenxu
Regular Member


Date Joined Sep 2009
Total Posts : 187
   Posted 12/1/2009 9:44 PM (GMT -6)   
can't wait to see your pictures with your wife. you can upload to flickr.com or other photo website.

glad you have a teammate on your RT path.

best wishes

jennifer

Sephie
Veteran Member


Date Joined Jun 2008
Total Posts : 1804
   Posted 12/2/2009 7:05 AM (GMT -6)   
Sonny, you and your wife's attitudes are amazing and will get you both through this! I love the T shirts - they're a great way to put a little humor into an otherwise humorless situation.

Keep the posts coming. And please send our regards to your dear wife.

Sephie & John
Husband diagnosed in 2/2008 at age 57 with stage T1c. Robotic surgery performed 3/2008. Stage upgraded to T3a (single small EPE in posterior left). Perineural tumor infiltration present. Apex margin, bladder neck and SV negative. Final Gleason 3+4 SA. PSA: 0.0 til July 2009. August 2009 PSA was 0.1, in September it was 0.3 Met with radiation oncologist, CT scan and bone scan clean. Third PSA on October 16 - PSA BACK TO UNDETECTABLE! Next PSA scheduled for early December. No radiation treatment at this time!


Modelshipwright
Regular Member


Date Joined May 2009
Total Posts : 215
   Posted 12/2/2009 7:23 AM (GMT -6)   
A friend of mine uses a similar expression to yours. He says. "Every day above ground is a bonus".

Keep up the positive frame of mind and keep well,

Regards,
Bill

Sonny3
Veteran Member


Date Joined Aug 2009
Total Posts : 2447
   Posted 12/2/2009 8:20 AM (GMT -6)   
Thank you all for you kind words of support.

I am glad I was able to put a smile of some of your faces with the Tee Shirt plan. Lynn and I are both looking forward to the reactions we get from the MDA folks today. We picked up some really good Swedish cookies for the techs, at the IKEA store yesterday.

I want you folks to know that Lynn is really enjoying your words of support for her. As I have said before, she hasn't had this type of support group during her battles the last 4 years. She does attend a monthly local support group meeting, but there is not the daily activity like I have found here at HW. You guys are marvelous. You really need to know much each of you has touched Lynn and me.

Okay enough of the mushy stuff. Gotta get a few things done before we head off for T-Shirt and cookie day. At least for today, the radiation reason for the trip is secondary. LOL

Will post Treatment 3 later today.

Sonny
61 years old
PSA 11/07 3.0
PSA 5/09 6.4
Diagnosis confirmed July 9, 2009
12 Needle Biopsy = 9 clear , 3 postive
<5%, 90%, 40%
Gleason Score (3+4) 7 in all positive cores
CT Organ Scan - negative
Nuclear Bone Scan - Negative
da Vinci 9/17/09
Post Surgery Pathology:
Gleason: Changed to (4+3) = 7
Stage: T3a
Tumor Volume 12.5%
NERVES SPARED-positive margin, extra-prostatic extension
30 day PSA 0.4, 50 day psa 0.53, 64 day psa 0.6
IMRT scheduled to begin Nov 30,2009 (74 days post surgery)


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25380
   Posted 12/2/2009 8:56 AM (GMT -6)   
Sonny, two things reading your last post.

1. I vote that the maladies of all our spouses be included here at HW Prostate Cancer, whether there is or isn't a seperate support
group for them. That way we can take them under our wings and share our care and concerns. After all, where would any of
us be that have supportive other halves.

Thereby, I nominate Lynn into our midst, with full honor and privelieges.

2. What is a IKEA store? Is that some weird Florida store?

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% cancer, 1 pos margin
Incontinence:  1 Month     ED:  Non issue at any point post surgery
Post Surgery  PSA: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16
Latest: 7/9 met 2 rad. oncl, 7/9 cath #6 - blockage, 8/9 2nd corr surgery, 8/9 cath #7 out  38 days, 9/9 - met 3rd rad. oncl., mapped  9/9, 10/1 - 3rd corr. surgery - SP cath/hard dialation, 10/5 - began IMRT SRT - 39 sess/72 gys cath #8 33 days, 11/2- SP Cath #9 in place


Cajun Jeff
Veteran Member


Date Joined Mar 2009
Total Posts : 4106
   Posted 12/2/2009 9:24 AM (GMT -6)   
Sonny, can't wait to see pics of the t-shirt couple!!!!

Jeff T
Jeff T Age 57

9/08 PSA 5.4, referred to Urologist
9/08 Biopsy: GS 3/4=7
10/08 Nerve sparing open RRP- Path Report: GS 3+3=7 Stg. pT2c, margins clear
3 mts: PSA .05 undetectable

10th month PSA <0.01
1year psa <0.01
ED- 5 mg Cialis daily, pump daily, going to try MUSE next. Next step injections.


Squirm
Veteran Member


Date Joined Sep 2008
Total Posts : 744
   Posted 12/2/2009 10:28 AM (GMT -6)   
Sonny,
Here is a youtube video explaining tomo.

http://tinyurl.com/ylnymbd

Ed C. (Old67)
Veteran Member


Date Joined Jan 2009
Total Posts : 2458
   Posted 12/2/2009 4:43 PM (GMT -6)   
Sonny,
I'm glad your radiation on going on smoothly. The idea of the matching tee-shirts made me laugh. I love your attitude. I wish you the best through out the treatment.
Age: 67 at Dx on 12/30/08
PSA 9/05 1.15; 8/06 1.45; 12/07 2.41; 8/08 3.9; 11/08 3.5 free PSA 11%
2 cores out of 12 were positive Gleason (4+4) and (4+5)
Negative CT scan and bone scan done on 1/16
Robotic surgery performed 2/9/09 Dr Fagin, Austin TX
Pathology report:
Prostate weighed 57 grams size:5.2 x 5.0 x 4.9 cm
Posterior lateral lesions measuring 1.5 x 1.4 x 1.0 cm showing focal capsular penetration over a distance of 3mm.
Prostatic adenocarciroma accounts for approx. 10-20% of the hemisphere.
Gleason 4+4
both nerve bundles removed,
pT3a Nx Mx, Negative margins
seminal vesicles clean, lymph nodes: not dissected
continent after 4 months
8 weeks PSA test 4/7/09 result <0.1
5 months PSA test 7/9/09 result <0.1
8 months PSA test 10/9/09 result <0.1

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