Friday, December 14, 2018

GO!



As I write this, Christmas is just 11 days away. Christmas feels very different this year, mostly because of the dramatic change in my daily routine. Everything seems to revolve around my daily 45 mile drive to Fort Wayne, Indiana for my radiation treatment. This is followed by the 45 mile drive back home. An hour-and-a-half commute every day is not for me. Since I am only at the cancer center for 30 minutes or less, that drive has developed a non-stop feel to it. I must drink a bottle of water on the way to Fort Wayne, since a full bladder reduces incidental radiation of the bladder. Unlike radiotherapy for other parts of the body, radiation to the prostate also affects the bladder and lower digestive tract by proximity.  

The two preparatory sessions that I was dreading were not quite as expected. Implantation of the markers in my prostate was worse than I thought. The actual mechanics of the procedure were akin to the biopsy, except there was no numbing and rather than removing tissue, two markers were injected into my prostate. I have to say that smarted.

The CT scan was not a biggie. The worst part of that procedure was getting alignment tattoos, and that wasn’t bad at all. I was surprised at how little time it took for my leg casting to set up. The cast seems to be made of a cardboard-type substance.

After one simulated session, it was time for the real McCoy. My first three sessions were the week of Thanksgiving. There is no humility in this process. You get on the table, pull down your pants and place your legs in your custom mold. I am to the point now (18 treatments in) where I don’t think about how awkward it is to pull your pants down in front of young ladies. It is just part of the procedure. I suppose that under different circumstances, one could be arrested for this, or at least sued for harassment.

The radiation technicians are great. They do this all day long, seeing someone different every ten minutes or so. They are just as kind and pleasant as they could possibly be. In fact, everyone at the prostate cancer center is very kind and understanding. They know what you are going through. They know that you are uncomfortable about the fact that you have cancer, and that the treatment and particularly its side effects can be unpleasant.

The sessions aren’t too bad. You verify that those are your leg molds (your name is on them), that the information on the screen is indeed you (the photo is a dead giveaway), and then you lie on the table. After dropping your drawers and getting aligned, the techs then head for a safe area to control the machine for your treatment. Each session starts with x-rays and adjustment of the table. The actual radiation sessions consists of being shot with the beam from seven different positions, each approximately 20 seconds long. I am told that the amount of radiation varies in each position. The entire process from walking into the chamber to leaving the chamber takes approximately 10 minutes.

Wednesday is “doctor day.” After treatment, each patient sees the oncologist. I like the doctor, though he pulls no punches. I am starting to get some skin irritation from the radiation, and he was kind enough to share, “It’s going to get a lot worse before it gets better.”

In addition to the skin issues, fatigue is becoming a concern. I take a nap when I get home, though sometimes life gets in the way. The wife’s car had some mechanical issues this week, so in addition to my 90-mile trip, I had to take her to and from work. This eliminated my nap. Due to holiday activities and other obligations, I have been driving somewhere just about every night.

Because of all of this driving coupled with the fatigue and the usual busy December schedule, I am not feeling very festive. Actually, I am feeling kind of depressed. The focus of my every weekday is that drive and treatment. I do not look forward to it. Now that some side effects are becoming evident with only about a third of my sessions completed, it is more challenging to maintain a positive attitude.

Maybe I am just feeling sorry for myself. What I do know is that I am looking forward to this all being over with. One really nice thing about Christmas this year is that I get four glorious consecutive days where I don’t have to drive to Fort Wayne. Four days without radiation - that is a real gift this year!   

  

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