Treatment Notes:

– Today is my last day of “regular” radiation therapy, and next Monday begins my “boost” radiation therapy.  Up until now the radiation has been spread over my whole boob, which actual tissue is farther and wider than one might think (the delineated soon-to-be radiation “no fly zone” stretches – measured laying on my back with both arms bent back up over my head – from the center of my sternum all the way around to the center of the left side of my body, and from a point along the outside edge of my boob level with the top of my sternum down to an inch and a half under my inframammary fold.).  Starting Monday, the 1.8 Gy fractionation per treatment spread across the whole boob becomes a 2.0 Gy fractionation per treatment concentrated in the tumor bed only.  Where the whole boob deal was administered from above-and-down-from-the-bottom-right (the machine emitting the radiation was positioned basically above my stomach and pointed just “south” of my armpit) and from below-and-from-the-top-left (the machine is slightly below me angled up from just “south” of my armpit pointing basically toward my stomach) (both of which angles if the depth were miscalculated would harmlessly shoot away from my body into the open air, the boost part will be straight down into my body from above (I’m imaging from somewhere above the left side of my body angled some top-to-bottom, left-to-right way entirely through my body front to back – I’ll know more on Monday when it actually happens), carefully (I sure fucking hope!) calculated to hit the bottom of the tumor bed, but no farther down into my body.

– Oddly enough, with the first blast of down-from-above today, I got some pain where the my ribs connect to the top of my sternum.  Also, as I’m wearing a bra today for the first time in more than a couple days (since the increased pain lately made me wonder if I should be dealing with gravity more deliberately), but I’m finding it generally uncomfortable, slighty cutting into me on the side where I’m more swollen, and then there’s the rubbing on the nipple.  Welcome back to damned-if-I-do, damned-if-I-don’t.

Side Effects:

– Fatigue/lightheadedness – Seems to be a regular deal these days having this hit me while I’m walking from treatment out into the parking lot to go to work.  I’m not sure if it’s one or the other, or both.  I can’t always necessarily separate them (not that I’m trying so hard to do so.)  Thankfully, when I sit down in the car to drive to work, my mind is all there and I’ve not felt like I would be a danger to myself or anyone else (or I’d not drive until I was safe).

– Just plain fatigue – yeah, I’m typing this and it’s only 12:35pm.  Seriously?  That’s it?  Time’s now going backwards, right?

– When I got home and got ready to do my evening gooping, I stopped at the exposing the boob part, since mine had (guess I wasn’t going to get away without it after all) gone full red – like lobster colored.  Fabulous, my last mother-fucking day of full-boob radiation.  Plus…

– more numbness (means more swelling, or more concentrated swelling is now interfering with nerve conduction) and more overt swelling/pain in my axilla

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