Skipping one SRT session?

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compiler
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Date Joined Nov 2009
Total Posts : 7205
   Posted 4/21/2011 10:04 PM (GMT -6)   
OK, I have a quick question for you SRT guys.
 
After tomorrow, I will have completed 24 sessions.
 
The week after next is final exams week (I teach at a University).
 
My schedule will be different that week.
 
Anyway, there is one day (Wednesday, May 4th) where I need to be in class from about noon to 5:30 PM, so I can't do my afternoon session. I can reschedule in the morning, but I have been having some SE (burning bladdder at times, as mentioned in my other thread). This starts about 15 minutes-4 hours after the session and often lasts until the next day, when it occurs.
 
So, I really don't want to do it that day as I don't want to be in pain when I'm working. I asked the technicians, "what about just skipping that one day."
 
They all indicated it should not be a problem at all, but I have to check with my RO at my next appointment. At that point I will be about a week away from completing the SRT. I do not want to do anything that will compromise the tx. So, folks, have you had to cancel a session and was there any indication that it would be a problem? Frankly, I think I deserve a break! <g>
 
Mel

Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25380
   Posted 4/21/2011 10:40 PM (GMT -6)   
skipping a single treatment by a day shouldn't present a problem or compromise your treatments, my last one was skipped because of thanksgiving day at the time. i see no reason why this should present a problem to you.
Age: 58, 56 dx, PSA: 7/07 5.8, 10/08 16.3
3rd Biopsy: 9/08 7 of 7 Positive, 40-90%, Gleason 4+3
open RP: 11/08, on catheters for 101 days
Path Rpt: Gleason 3+4, pT2c, 42g, 20% cancer, 1 pos margin
Incont & ED: None
Post Surgery PSA: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16
Post SRT PSA: 1/10 .12, 4/8 .04, 8/6 .06, 2/11 1.24, 4/11 3.81
Latest: 6 Corr Surgeries to Bladder Neck, SP Catheter since 10/1/9, SRT 39 Sess/72 gy ended 11/09, 21 Catheters, Ileal Conduit Surgery 9/10

Sonny3
Veteran Member


Date Joined Aug 2009
Total Posts : 2447
   Posted 4/21/2011 10:44 PM (GMT -6)   
Mel, when I was going through RT both Christmas and New Years fell on Friday. Their plan was that I would just skip both of those days and add them at the end.

That would mean I would go into another week just for 2 days. I talked with my RO and we decided that I would instead do 2 treatments on Monday of each of those weeks. I went first thing in the morning and then last appt of the day. Worked with my schedule and I got done in the 7 weeks.

So I don't see any problem with missing a day. See what your RO has to say.

FWIW,

Sonny

English Alf
Veteran Member


Date Joined Oct 2009
Total Posts : 2215
   Posted 4/22/2011 12:22 AM (GMT -6)   
Mel,
Skipping a session should not be a problem, especially as it is midweek with a session the day before and the day after as normal. I understand people are always having to skip a session if/when there is a public holiday during their RT.

I'd also be wanting to talk to the RO about the burning bladder SE. Have you tried taking any pain relief to make it go away?

I was also wondering if you are eating/drinking anything thay might make this happen. I was put on a special diet during my SRT, have you been told to avoid anything?
(Sorry if I've missed the answers to these questions if you've already given them in your other thread.)

Alf
Age dx 48
Apr 09 PSA 8.6
DRE neg
Biop 2/12 pos
Gleason 3+3
Jul 09 DaVinci AVL-NKI Amsterdam
6 Aug 09 Cath out
PostOp Gleason 3+4 Bladder neck & Left SVI -T3b
No perin’l No vasc invasion Clear margins
Dry at night
21 Sep 09 No pads daytime
Nov 09 PSA 0.1
Mar 10 PSA 0.4 sent to RT
13 Apr CT
RT 66Gy ends 11 Jun 10
Tired + weird BMs
Sep 10 PSA <0.1
Jan 11 PSA <0.1
Apr 11 PSA <0.1
Erection OK

Magaboo
Veteran Member


Date Joined Oct 2006
Total Posts : 1210
   Posted 4/22/2011 12:43 AM (GMT -6)   
Hi Mel. I too had to skip a session because the machine was broken. They just added a day at the end. Doesn't seem to be a problem.
Mag
Born 1936
PSA 7.9, Gleason Score 3+4=7, 2 of 8 positive
open RP Nov 06, T3a, Gleasons 3+4=7, Seminal vesicles and lymph nodes clear
Catheter out 15 Dec 06, Dry since 11 Feb 07
All PSA tests in 2007 (4) <.04
PSA tests in 2008: Mar.=.04; Jun.=.05; Sept.=.08; at SRT Start=0.1,
Salvage RT completed (33 days-66Gy) 19 Dec 08
PSA: in Jan 09 =.05, all tests to date (Jan 11) <.04

142
Forum Moderator


Date Joined Jan 2010
Total Posts : 6949
   Posted 4/22/2011 7:40 AM (GMT -6)   
Mel,
 
My clinic said that there were cases such as Thanksgiving & Christmas falling in the treatment range. They said that they try to be sure that there is only one day like that, but that two happen on occasion.
 
I only had one skip day. There was one more "almost", as they had to do equipment repair. Most patients skipped that day as well, but I went in at the end of the day .

compiler
Veteran Member


Date Joined Nov 2009
Total Posts : 7205
   Posted 4/22/2011 11:06 AM (GMT -6)   
Good!
 
Sounds like missing a day won't be a problem. I imagine my RO will go along with it.
 
Alf, as I said I've mentioned the burning bladder to him and he seems to be without a clue. I still suspect it is related somehow to how much I drink, although I definitely do drink plenty of water in advance. I'm still experimenting a tad with the timing, but who knows. Some days it doesn't happen at all and other days it is minor. The worst was after 4 days. I was miserable for almost a week until I figured out that maybe I should drink the water earlier. That seemed to solve the problem completely...for a week or two.
 
I will be done with session # 24 in 2 hours. Basically, 5 weeks done. So far, none of the SE they emphasized (rectal/bleeding/bowel problems, extreme urinary urgency, extreme fatigue) have happened. I'm keeping my fingers crossed, hoping the shoe doesn't drop. I still have 3 weeks to go.
 
Mel
 

Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25380
   Posted 4/22/2011 12:03 PM (GMT -6)   
Mel,

You can imagine that if you have had burning bladder problems with the water you have been drinking, you can only think how mine felt being zapped dry, with the irratation of a suprapubic catheter in place, rubbing back and forth with all that enflamed tissue getting more and more burned by the day.

glad you are approaching the home streatch.

david
Age: 58, 56 dx, PSA: 7/07 5.8, 10/08 16.3
3rd Biopsy: 9/08 7 of 7 Positive, 40-90%, Gleason 4+3
open RP: 11/08, on catheters for 101 days
Path Rpt: Gleason 3+4, pT2c, 42g, 20% cancer, 1 pos margin
Incont & ED: None
Post Surgery PSA: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16
Post SRT PSA: 1/10 .12, 4/8 .04, 8/6 .06, 2/11 1.24, 4/11 3.81
Latest: 6 Corr Surgeries to Bladder Neck, SP Catheter since 10/1/9, SRT 39 Sess/72 gy ended 11/09, 21 Catheters, Ileal Conduit Surgery 9/10

compiler
Veteran Member


Date Joined Nov 2009
Total Posts : 7205
   Posted 4/22/2011 4:25 PM (GMT -6)   
David:
 
I do understand. That was horrible.
 
Mel
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