Tuesday, July 18, 2017

7 weeks out and gearing up for radiation july 18, 2017

Hello! Radiation is taking longer to get started then we expected. My Marquette radiation oncologist was out of town so things got backed up but we now have the ball rollin!


I went down 3 weeks ago and met with a nurse and went over my health history, I watched a movie about radiation and she explained everything we were going to do. Then the doctor came in and we had a little chat. His name is Dr Baer and he was very nice!

The next weekend was the 4th of July and I had all kinds of family in town. It was so nice to be able to see everyone and get together! Some days I needed to sneak away for a little nap and then come back to all the action. Luckily the weather held out for everyone!




Dr Baer had told me that I need to see the dentist first because the radiation is going into my jaw area so it can affect my mouth and everything needs to be in prime shape before we start. I was told that after a couple weeks of radiation I will see a pink burn (like a sunburn) on my cheek and it will get brighter as radiation goes on and a few weeks after it is over it should go away. Because of this I need to use a certain soap to wash my face and be very careful about putting any chemicals on it. I also need to use baby shampoo to wash my hair too. Nothing with chemicals there either. And also no sun on my face!  I already wear a hat outside so that is no problem. I will probably develop mouth sores which I dread because that was a problem for me when I went through chemo and it is very hard to deal with! I will probably get tired over time but I won't be sick feeling from the radiation. I am also able to drive myself to and from if I want.

That Friday the kids, my brother Kent and my parents went to Mackinac Island for the weekend. We were supposed to go the first weekend of June and it was to celebrate my parents 35 anniversary but one of my surgeries pushed it off.  We all had a great time and it was a nice get away! Our weather was amazing and it all worked out perfectly!


As you can see I am smiling with
my teeth but it is not even.

Love my family



The next Tuesday I had my dentist appointment and then Wednesday I went back down to Marquette to meet with the technician who was doing the mask. She explained that making the mask would be about 45 minutes, she showed me the waiting room and the area to change into my gown. Every appointment for radiation I will go in there, change into the gown and then they will bring me back. I should be in and out of the hospital in about 30 minutes total. She explained that when we make the mask I will be on a table, the mask will get made and then I will go through the CT machine. Once everything is done, the 'planning' starts. About 10 days after I will begin radiation.


On Monday, I went back down to Marquette and had the mask made. I changed into the gown and the girls brought me back right away. They had my lay on the table and made sure I was perfectly straight.  No legs crossed, arms directly at my sides. My head was resting on this little stand and she tucked my hair underneath me. She put a pillow under my legs and then we waited for the mask to finish heating up. The mask is going to go to the middle of my chest. This way I don't move my neck around at all while getting the treatment. Once the mask was heated up, 3 girls worked together to get it on me. One was holding my hair down, and the other two were on each side of me holding ends of the mask. They pulled it down over me and snapped it into place around my head on the table I was laying on. The mask at first is warm, gooey and kind of wet feeling. One of the girls then makes sure it is forming to my face. She would softly push on areas around my face like my nose, chin,  my neck, the shoulder area to help it mold to me. The mask has little holes all over it so you can breath through it no problem. Your mouth is closed, but not clenched shut. Your eyes are closed too. This was probably on for a good half hour to make sure it was completely cooled. She marked areas on the mask and put little pieces of tape on it too. She took many pictures also. Even of where my hands were positioned on the table. This is the exact position I will be laying in every day.  Then it was time for the CT scan. This is the scan that they use to map out the exact route they are going to take with radiation. I met the girl who does the mapping - or planning, as I had said before. This takes them a few days to figure out and then it is time to get started. Once the CT was done, they removed the mask. She said it can kind of feel like it is stuck to your skin as they pull it off but we didn't have any problems with it. The only thing uncomfortable for me was my left jaw. The mask pushes my jaw in a little and after being like that for so many minutes it was sore. The right jaw is made of titanium so I didn't have any problems on that side.

The table I laid on to get the mask
made and the CT scan.
Always gotta do a gown photo!


This is obviously not me, haha, but this is exactly what
my mask looks like. And you can see it is pinned
to the table. 

They are kind of hard to
see in this little picture but I
have an imprint from the
mask on my face.I forgot I had it
and went into the beauty supply
afterwards. I wonder if they noticed!

So now we are back to the waiting game. The technician had said on average, long average, it's ten days before we start, which puts us at the middle of next week. I will get a call probably just the day before I need to be there for it. I am hoping to get my appointment time around 10:30/11. That way I can leave here around 8:30/9, get there, have the scan, and be home around 1/1:30. Then we still have the rest of our day to do what we want. I am at the bottom of the totem pole though so at first my appointments will be whenever they have an opening and as people finish and I climb my way up, I will get closer to the time that I want.  Every Friday we plan out the next weeks schedule and on every Tuesday I meet with Dr Baer.  Some days I will bring the kids with me and we can make a day of it, other days, when they are with their dad, I may stay down there with my sis-in-law to be.

Overall, things are going good. I can tell that I am getting more and more energy back. I have been able to get out and do some fun things! And my face is continuing to make improvements. I still need to use a straw with everything and eating certain foods is hard to do. I have zero movement in my bottom right lip but the muscles around it help to make it move for smiling. The right eyebrow isn't moving at all yet either. But we will just keep hoping for improvement!

Trying to smile with my teeth. It
is getting there, but not to my
likings quite yet!
Still no puckering my lips
Got the closed mouth smile down
though!

 The incision is doing good, I have no problems with it except for the neck area. A lot of the time it feels super tight and the only position that feels good is to have my head straight forward. The good news is, I can finally sleep on the bad ear! It doesn't feel normal, but it is now doable at night. I have no hearing in that ear yet, and it is still draining. I think I need to go see an ENT to make sure the tube is where it is supposed to be. My right nostril has a little bit of movement to it now, and my right eye closes all they way. It moves slower then the other and I continue to deal with water not draining properly out of that eye, so it still gets blurry but I am just happy that it is closing. Baby steps right!

 

I am grateful to be where I am in recovery. It has been a slow process but I am trying to be patient. I found a photo in my phone of me the day I was going in to get the fiducials put on. (Right before the May 1st surgery.)  I am being silly because I know I am about to go get these stickers put all over me. I look at my mouth and the way I have it open and I wonder if I will ever be able to do that again. I know its just a silly face, but it is the full blown, teeth smile that I am missing. I let myself smile with my mouth open now but unless it's a picture taken far away, I don't like it. It is not my normal, and I just wish it could go back to that. (This brings us back to the comment I have made before that what was once your normal, is no longer normal.)  I can't even look normal when I talk. All because that bottom lip doesn't move right. Everything is moving on the left side but not so much on the right. And I know, I am probably being hard on myself, but that is what everyone does right! I have my days that I just don't care what it looks like and then I have days that I am pretty self conscious about it.

The photo of me goofing around
before the fiducials went on.
I'm trying very hard to open my
mouth the exact same way as the
picture above.
I have just been enjoying family time and taking it easy. The kids and I have had a decent amount of days out in Twin Lakes and enjoying the nice weather when we have it! I know the drive to and from Marquette is going to get old, because it already is. But, it's a step in the direction of living a long and healthy life.