The radiation consult went... well? Hard to say when we still have so many questions. I need to set up a second opinion/pick your brain session with my local doc here who did my photon radiation the first time around.
I was impressed with both the research student and Dr J. They were upfront about there being very little longitudinal data because proton therapy, which they are recommending, is a newer technique. They've been doing it for awhile at their location but just opened it up a few months ago to breast cancer patients, so I'd be part of something... new? Fresh? Exciting? Terrifying?
"All of it, Frank." (That's from "Father Goose", another childhood favorite which stars Cary Grant and Leslie Caron and comes highly recommended! We use a TON of the lines from that one on a regular basis.)
As my charming husband likes to remind me on every possible occasion, I was four chapters behind in my college physics class my freshman year when he visited. Therefore, I'm probably not the ideal person to spell this out, but if I have the general gist of the science, then photon therapy (that I had the first time) is essentially the same dose over designated area. I had 33 sessions, once per day, of that over several weeks.
I claim ZERO understanding as to how a photon torpedo works, which is what I keep hearing in my head thanks to years of my mother watching "Star Trek"...
Proton therapy, I guess, targets more specifically and then the energy drops off more quickly, in theory sparing some damage. That's a good thing because what is under where they're targeting? Oh you know, my heart and my lungs. No big. 😏Again, I THINK I have that right. They can focus it like a mountain versus a plateau. Yeah, let's go with that. All I need to do now is write "Radiation for Dummies", hehe.
Dr. J recommends the proton therapy this time over photon therapy and that would be twice a day with at least a six hour window between sessions because in that window healthy cells can repair themselves but cancer cells can't. I think that is fascinating! How cool is that? Because it would be twice a day, I'd be done in about 3 work weeks.
"But I thought... but we'd been told multiple times that you can't re-radiate an area that had already been radiated. Won't that damage the bypass surgery that I just had? Will insurance cover any of this? Why is one better than the other? Would either work? Why do you recommend one over the other? What SHOULD we be asking that we don't know to ask? Argh, why isn't there statistical data yet?"
Those questions and more swirled around the room as we chatted. Dr. J seemed very knowledgeable and earnest and asked great questions. It sounds like he was on the tumor board so he's already heard of and talked over my case. As always, I marveled at how I felt seen as myself and not simply a patient number on a file somewhere. Truly these medical professionals have callings and not just occupations. I'm so thankful for their passion as well as their compassion. I also appreciated his earnestness.
I'll keep you posted but that's really all I know right now. No studies to really compare, so until I talk with my local rads doc, we'll just bounce that beach ball of photon versus proton around... *doink doink doink*
