Friday, January 27, 2012

Tattin' it up

So the first tattoo I ever had was two dots from my core biopsy; which they cut off. My second tattoo is four dots, about the size of a pen tip...sad I KNOW!

How did I get these four dots? Well these are my radiation markers to be used to line me up for the process..wish I could say I got them in a more exciting way..but ..sigh..not so much.

I was quite surprised that I got in to an appointment so soon after my first meeting with the radiation oncologist, but I figured they had a space and I was there to fill it. As per normal, I was slightly late for my appointment, as I spent about 10 minutes roaming around our lovely hospital parking lot with a bunch of other cars before I decided...screw this and found a spot on the street. My tardiness was ok as the doctors/therapists were running behind as well.

I registered at the desk and then waited...what?...it is the first place that I didn't have to take a number first. I sat in a room half filled with people in Johnny shirts and the other half must have been "supporters".

BUT...I did wait 20 minutes before my name was called, and sadly I was the first person to leave the room in that period. I thought, well they are just going to get me changed and then back out I will go...but I was incorrect and was lead to a room down the hallway by one of the therapists. Now I should point out this is a radiation therapist as opposed to one who you lay down on the couch for and tell them all your woes. These therapists lay you on a machine and zap you!

She explained the process which I was about to go through, told me about discounted parking and left the room while I got changed into a johnny shirt..actually 2 -one on with ties in the back and one with ties in the front..guess this department doesn't have robes. As I was finished changing in comes Dr R who is wondering how I am doing and if I have any questions. Nope, let's get this party started.

I am led across the hallway with all of my clothes bundled in my arms and wearing my johnny shirt, knee high socks and dress shoes...maybe I should have thought about this part when getting dressed this morning as this was not the fashion statement I was going for. In the room there are three people <women> all of whom are busy getting the cat scan machine ready for me. They ask me to lay down on the bed...ahh...I am holding a bunch of clothes, my jacket and my purse...oh yeah...just put those over there....I assumed she meant the ledge as opposed to a machine which looked semi important. Then I took off my shoes and laid on the bed.

They asked if I wanted a hot blanket as the room is freezing! Yes please for my legs. This is when Therapist A says..oh I should have told you that you could have left your pants on...NOW YOU TELL ME. I disrobe and take my arms out of the johnny shirt. All three survey the scar and decide how they are going to go about this. The oldest of the three states "When I used to do this we would mark it here" WAIT...what is that word "used to"? I got the impression really quickly that they are not used to seeing breast patients who have had lymph nodes removed as they debated quite some time over how to include that part of the scar. They made a plan of attack and measured me up, made some markings and placed on the wire tape <which had a series of triangle cutouts which looked like arrows>. They eyed up my one breast and "matched" it to the other side. Then outlined the scar...needless to say there was a lot of this tape on me. I looked like a package that said "This way up".

Dr. R came in to survey the outline and ended up ripping half of it off and making the area bigger...ahh...my original breast was not that big..but thanks?! They then attempted to align me...but it was easier when I just said "I'm not aligned...let me just move"..sometimes it is easier to just do it yourself. Then they pressed the magic button and sent me through the cat scan a couple of times. Once they were satisfied with the line up, they came out with transparencies. Two in fact, and drew the outline of the tape and the scar. Is is sad that your scar doesn't fit on one 8.5x11 sheet?

After they were satisfied with their "template" they took off the tape, injected me with a needle filled with ink in four spots and I was done. They left the big room and went into the little room while I got changed..and then came out and took my picture. Apparently I will get an ID tag to let the therapists know that they have the right person. Ok I am sure there are not lots of people out there willing to take my spot but do what you need to do. They told me that my radiation was scheduled to begin in three weeks...ahh ...issue. I still have one more chemo. "You do?" ...did I mention I am not feeling very confident right now? They went out of the room and came back...ok we've rescheduled you until Feb 23rd...that makes more sense.

So the bad news in all of this is that my second tattoo is four little dots and the good news is that I will be finished this phase two weeks earlier than anticipated. That I can handle!

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