I will be starting this new thread and as promised will be sharing my experience going through External Radiation Therapy..
As a background and for exiting or new incoming bros the detail of my diagnosis are under thread subject “External Radiation Therapy” but as summery :
66 years old, prostate volume (20.7 cc) also Gleason score of 7 (being 3 out of 12 positive, 3+4, 3+4 and 3+3), confined within prostate and last PSA reading of 12.7.
So decided to go with VMAT Therapy which is kind of more advance technique in comparison with IMRT (that is what I find by Google search).
Today was my CT simulation session and meeting with oncologist first time face to face…had a brief chat, he did one last DRE to see if he feels a bump and suggested 20 sessions of radiation which I asked to be started in two weeks if possible.
The highlight and challenging part of this first simulation session was to keep bladder full as they suggest and try not to pee for a good hour and half…at one point I couldn’t hold any longer while in waiting room and cheated and empty bladder but start drinking another bottle of water right after…(lesson learned is pack couple of bottle water in your bag) and this happened right 15 minutes before the simulation session… and ironically the second bottle and after peeing find it’s way right into bladder and twisting and pee holding dance started again…
The nurse showed up guided me to CT room and I explained the bladder holding situation…she kindly suggested if it helps go to washroom and let a little bit out and we will see if bladder is full or not ( yes try to just let few drops out on full bladder is challenge of its own) …
So they started with positioning me on table and few images and to my surprise handed me a plastic cup with marker and said go and empty bladder up to this marker… wow that moment was the high point of the day for me…so the lessen learned is no matter if they say empty bladder, drink 500ml of water an hour before simulation and hold it the full bladder thing is how fast your body sending the liquids to your bladder possibly few hours before you even started the suggested pee drink and hold pattern..
Also the nurse suggested drinking coffee in the morning of ct scan or in duration of radiation is not a good thing. Also there are few tricks on how to train your bladder are out there.
So the rest of simulation was straight forward they placed 4 ink tattoo around hip and pelvis area for positioning ct machine/ table for incoming radiation, took picture for their file and here you go….
The staff extremely nice and understanding and at least some of the previous fears and what I’m getting myself into thought are kind of gone…at least for today…I’m celebrating this first session with glass of wine and thinking ..hey don’t bitch and complain and why me questions as looking at TV screen these days and you see what real suffering looks like out there…
I will be posting again as my radiation session start.
All the best to every one.