Apr 06, 2013 - 8:13 pm
ABout ready to start radiation. Mask is made and they ran the sim verification yesterday so cleared to start radiation on Monday. I told them I am delaying a week to get more recovered from the remaining chemo mouth sores. My MO felt I was good to go on Monday but was fine with my request to delay so I called the rad techs to inform them not to expect me on Monday.
After a lot of soul searching it finally dawned on me that I have very little specific detail about what is likely the most significant and crititcal battle in my war on cancer -- KILLing the beast with radiation. After searching here on physicist and dosimetrist and getting a total of 11 hits, this is clearly not discussed much at all.
I'm looking for insight as to how many of you either wanted or had a consulation where the RO staff described and showed the actual IMRT radiation 3D treatment plan. I saw only one or two references where this sort of detail information was given to the patient but for me to feel comfortable going forward I really need to have this all explained so I not only fully understand the defined plan but also the factors and considerations that went into the development of my specific plan.
How many of you know the thought behind your rad plan? How much and what consideration was given to sparing the parotid gland(s) for example. Where is the dosage is greatest, what is affected, where it is less, are all 70 grays really needed or are they just spread around since the standard of care states 70 gY. It sure seems to me like there should be more latitude in varying from 70 and doing less if that makes sense.