Effects of interuptions in SRT schedule

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Jakester
Regular Member


Date Joined Aug 2009
Total Posts : 288
   Posted 2/8/2010 6:58 PM (GMT -6)   
Thus far my 14 out of 39 treatments have been virtually uneventful with just some loss of energy and a slight burning around the lower abdomen.

But, I just got a call from the radiation clinic saying my scheduled radiation appointment has been canceled for tomorrow due to equipment failure/repair. Ordinarily I would consider this to be like a "snow day" to be enjoyed, but since this is the second cancellation in two weeks, I wonder if this has any impact on the effectiveness of the SRT? The clinic is also closed on holidays so I'll be getting a three day weekend coming up too.

Does anyone know if these short disruptions can alter the SRT effectiveness.

Thanks for the advice,
Jake
Diagnosed 8/2008 Pre-op psa 4.2, Age 60 at dx
7 of 12 biopsies positive 3+3
DaVinci LRP 11/08
Post Op pathology clear margins, confined to prostate, absent extraprostatic extension, vascular or perineural. Gleason 3+4=7, 5-10% of 4 and location in right mid-gland.
3 month psa .1 2/09, 6 month .1 5/09, 9 month .2 8/09
broke ankle bones 6/09
9/21/09 Bone scan clear, psa still .2
11/12/09 chest xray was clear, psa however up to .3,
01/05/10 psa still .3, radiation setup done with tats, 01/19/10 started 39 sessions 70.2gy


Jerry1
Regular Member


Date Joined Mar 2007
Total Posts : 460
   Posted 2/8/2010 7:20 PM (GMT -6)   
 
 
Jake,
 
For what I understand it should not effect your treatment.  A few people I have talked to at the cancer center have had their treatment delayed because of illness etc. and the doctors have said it is not a problems since we are only talking about days.  Glad to hear you are doing well.
 
Jerry1 
Age 70
DX 8/13/08 , PSA 4.0, Biopsy 14 samples 1 positive 12% of sample,
Gleason Score 4+4 =8  Bone scan and MRI negative
Da Vince surgery on Oct 17, 08 Florida Hospital Dr Vipul Patel
Post Gleason report  4+4 = 8 Lymph nodes on both sides negative
margins Negative  Stage II (pt2a) 
Cath out on October 29th left in longer due to small leak.
11/19/08 dry no more pads
12/2/08 first PSA <0.1
 3/6/09 6 Month PSA 0.0
6/3/09 9 month  PSA 0.1
7/14/09  PSA still 0.1
10/15/09 PSA 0.3
10/26/09 surgery to remove 3 clips in bladder neck  
11/16/09 PSA 0.3
12/14/09 PSA 0.4 
12/28/09 PSA 0.5
Start radiation treatments ib January 18th. 


Jakester
Regular Member


Date Joined Aug 2009
Total Posts : 288
   Posted 2/8/2010 7:27 PM (GMT -6)   
Thanks Jerry, that puts my mind at ease and I'll enjoy the time off. Also pleased to see that your treatment continues to be fairly uneventful. 20 years from now we can reminisce and thank our lucky stars that it wasn't so bad after all.

Take care,
Jake
Diagnosed 8/2008 Pre-op psa 4.2, Age 60 at dx
7 of 12 biopsies positive 3+3
DaVinci LRP 11/08
Post Op pathology clear margins, confined to prostate, absent extraprostatic extension, vascular or perineural. Gleason 3+4=7, 5-10% of 4 and location in right mid-gland.
3 month psa .1 2/09, 6 month .1 5/09, 9 month .2 8/09
broke ankle bones 6/09
9/21/09 Bone scan clear, psa still .2
11/12/09 chest xray was clear, psa however up to .3,
01/05/10 psa still .3, radiation setup done with tats, 01/19/10 started 39 sessions 70.2gy


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25393
   Posted 2/8/2010 7:33 PM (GMT -6)   
Jake,

When I went through it, was told that missing one because of something on my end or their end wouldn't effect the value of the treatment. As mentioned, sometimes equip failure or personal sickness can make a person lose a few days. Of course, any missing days have to be made up on the tail end of things. So what you described shouldn't be a problem.

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
Post SRT PSA: 1/10 .12
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 - 11/27 IMRT SRT 39 sess/72 gys ,cath #8 33 days, Cath #9 35 days, 12/7 - Cath #10 43 days, 1/19 - Corr Surgery #4,  Caths #11 and #12 in at the same time, 2/8-Cath #11 out - 21 days


60Michael
Veteran Member


Date Joined Jan 2009
Total Posts : 2243
   Posted 2/8/2010 8:18 PM (GMT -6)   
Jake and Jerry,
Glad you guys are doing well and thanks for posting because I wonder how it's going for each of you on a daily basis. Mine is about the same and this coming Friday I will be at the 20 mark, so 19 left after that. That is interesting what you said about the burning in the lower stomach Jake, as I just thought that was part of my neuropathy, but yes the fatigue does get me later in the day. Probably no problem in missing an occasional tx, for me it would just be dealing with postponment of the end date and I am ready to have this behind me. Yes, lets' look back and talk about all of this in 20 years, that is a great idea.
Michael
Dx with PCA 12/08 2 out of 12 cores positive 4.5 psa
59 yo when diagnosed
Robotic surgery 5/09 Atlanta, Ga
Catheter out after 10 days
Gleason upgraded to 3+5, volume less than 10%
Margin slightly involved
2 pads per day, 1 depends but getting better,
8/5 1 depend at night only, now none
 started ED tx 7/17, slow go
Post op dx of neuropathy
3 months psa.01, 6 month psa.4, 6 1/2 month psa.5
Starting IMRT on 1/18/10
Great family and friends
Michael


Jakester
Regular Member


Date Joined Aug 2009
Total Posts : 288
   Posted 2/8/2010 8:19 PM (GMT -6)   
Thanks David for the info, I think about you and others that have been through so much... very humbling. Keep the faith!

Take care,
Jake
Diagnosed 8/2008 Pre-op psa 4.2, Age 60 at dx
7 of 12 biopsies positive 3+3
DaVinci LRP 11/08
Post Op pathology clear margins, confined to prostate, absent extraprostatic extension, vascular or perineural. Gleason 3+4=7, 5-10% of 4 and location in right mid-gland.
3 month psa .1 2/09, 6 month .1 5/09, 9 month .2 8/09
broke ankle bones 6/09
9/21/09 Bone scan clear, psa still .2
11/12/09 chest xray was clear, psa however up to .3,
01/05/10 psa still .3, radiation setup done with tats, 01/19/10 started 39 sessions 70.2gy


Jakester
Regular Member


Date Joined Aug 2009
Total Posts : 288
   Posted 2/8/2010 8:33 PM (GMT -6)   
Michael, wow almost half finished... I'm thinking in fractions like Purgatory.... 14/39 just a shade over 1/3. I looked up neuropathy and can see that some of the symptoms are similar to the SE's of SRT. Last Friday I remarked to the rad oncologist that my gut felt like I did one too many sit-ups and I see that is also a symptom of neuropathy. about the sunburn feeling, the rad guy said the radiation agitates the capillaries and therefore the slight burning.

I'm hopeful you continue to do well with the SRT (especially since I seem to be lock-step with you and Jerry on mild SEs).

Looking forward to that 20 year reunion!

Jake
Diagnosed 8/2008 Pre-op psa 4.2, Age 60 at dx
7 of 12 biopsies positive 3+3
DaVinci LRP 11/08
Post Op pathology clear margins, confined to prostate, absent extraprostatic extension, vascular or perineural. Gleason 3+4=7, 5-10% of 4 and location in right mid-gland.
3 month psa .1 2/09, 6 month .1 5/09, 9 month .2 8/09
broke ankle bones 6/09
9/21/09 Bone scan clear, psa still .2
11/12/09 chest xray was clear, psa however up to .3,
01/05/10 psa still .3, radiation setup done with tats, 01/19/10 started 39 sessions 70.2gy

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