External-Beam Radiation

Setting the schedule

Set an appointment schedule that works for you and your life as well as for the radiologist. 

If your appointment is first thing in the morning: (a)  your appointment will likely begin on time and (b) you will not be in a waiting room with other patients in it. The empty waiting room is good for some people because sitting in a room with other people who are not in good physical shape can be depressing.

Planning Session

There will be a planning session at the radiation facility (Generally the department of radiation oncology.) During the planning session, the following generally occurs:

• You will meet the technicians and other personnel who will be involved in giving the treatment. (See the section on Radiation professionals).
• You will lie on a table. The radiation technologist will outline the treatment field and determine the settings of the machine.
• He or she will position you in the position you will be in during the therapy. Molds may be created from plastic or plaster to help you remain in position during treatment.
• The technologist will mark the skin around the treatment site with a pen to help assure the radiation is targeted to the correct area.
  • Do not wash off the mark. Likewise, if the mark begins to fade, rather than make it darker yourself, tell the technician.
  • Ask if the mark can rub off on clothing and other material. If so, wear older undergarments that will cover the mark.
• The therapist may permanently tattoo tiny dots around the field. These are hardly noticeable in size. The purpose is in case you need additional radiation at a later date. Other radiologists will know where the previous radiation was given so the two don't overlap.

In order to combat weakness during treatment and to speed recovery, consider increasing your intake of protein and calories before treatment starts.

Before starting treatment:

Tell:

• The radiation oncologist about all prescription and over-the-counter drugs, vitamins, herbs and supplements you are taking. 

Ask:

• How will I know if I am are having an adverse reaction to radiation?
• At what other times should I call? For instance, should I call if the area becomes infected?
• How should I care for the treated area before and after treatment?
• What should I use on the treated area to reduce possible burning, dryness and discomfort. Generally a moisturizing cream such as Lubriderm, Aloe Vera gels, or Liquid Vitamin E is recommended. It would help if the oncologist gives you the name of specific products.
• What should I not use on the treated area?
• What exercises are okay to do during treatment? 
  • Is there any limit on the amount of exercise I do or how often? 
  • What exercises should I not do?

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