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Scripps, Dr. T, RT Patients
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10/10/2013 02:41
nanshands 
10/10/2013 02:41
nanshands 
Scripps, Dr. T, RT Patients

Hello,

I have been searching the Forum to ask some questions of those that have been to Scripps, Dr.T. for RT. So far I have not received any responses, therefore composing this thread. I called Scripps to get information on protocol, etc. and was surprised to be told Dr.T only does one extremity at a time, regardless of if you have DC in other hand or LD in feet. Plus, he just does one treatment of 3 x 5 GY's, then evaluates you a month later to see if you need more. I asked, "How often do people need more?" The answer, "Just depends."

I understand he is an excellent doctor, so I am wondering if he is discovering that less is enough? But also have not read any research that supports success with just 15 GY's.

My question is if you have been to Dr.T did you receive more than 15 GY's? And, if you don't mind please share your experience.

Thanks!

10/10/2013 06:54
spanishbuddha 

Administrator

10/10/2013 06:54
spanishbuddha 

Administrator

Re: Scripps, Dr. T, RT Patients

I have not been to Scripps so cannot help.

But, I have just had one hand radiated with one series of 15 x Gy, and was astounded at the result. Instant reduction in symptoms. Took me by surprise as after treating my other hand a couple of years ago, 2 x 15 Gy, I have been less than impressed by the results and even unsure as to whether it made any difference.

So I asked ProfS in Germany whether I would need to do the second series in November/December. Still time for things to change and make a choice. He said that in a study done a few years ago with those only having 1 series of 15GY there was a 35% relapse rate within 3 years. The other way of looking at it I suppose is for 65% there was no relapse and they joined the pool of 85% or more for who RT has slowed/stopped progresssion after 5 years.

He will leave the decision to me but suggests a consultation at the time.

10/10/2013 12:47
nanshands 
10/10/2013 12:47
nanshands 
Re: Scripps, Dr. T, RT Patients

spanishbuddha:
I have not been to Scripps so cannot help.

But, I have just had one hand radiated with one series of 15 x Gy, and was astounded at the result. Instant reduction in symptoms. Took me by surprise as after treating my other hand a couple of years ago, 2 x 15 Gy, I have been less than impressed by the results and even unsure as to whether it made any difference.

So I asked ProfS in Germany whether I would need to do the second series in November/December. Still time for things to change and make a choice. He said that in a study done a few years ago with those only having 1 series of 15GY there was a 35% relapse rate within 3 years. The other way of looking at it I suppose is for 65% there was no relapse and they joined the pool of 85% or more for who RT has slowed/stopped progresssion after 5 years.

He will leave the decision to me but suggests a consultation at the time.


So glad you weighed in on this for several reasons. One, it was my intention to shoot off a question about this to Prof.S, this gives me an idea of what he would have said. But, I may still speak with him in that in his UTube video towards the end he makes mention of the next study with radiation would be to see what kind of results they get with less radiation. My concern with the "2 x 15 Gy" radiation are not any possible long-term effects, but how many people I hear from and that post who have painful side effects for six months or longer. Many of those people are women, that leads me to believe women may not tolerate the RT treatments as well. Especially those with other health issues.

There is also the perspective of if you did do less and you did relapse you could do more?

Curious though, did you go to Prof. S for first RT two years ago?

Thanks again for your input!

10/10/2013 14:17
spanishbuddha 

Administrator

10/10/2013 14:17
spanishbuddha 

Administrator

Re: Scripps, Dr. T, RT Patients

nanshands:

There is also the perspective of if you did do less and you did relapse you could do more?

Curious though, did you go to Prof. S for first RT two years ago?

Thanks again for your input!
Yes and yes! But I do not think there are studies of patients who had one round 15Gy, relapsed after a few years and had another round.

For my own decision I will take into account age and likelihood of recurrence with the normal course of two rounds. My thinking, although a bit pessimistic, is 'live for now' as at my age, in a few years I might have some other worse health condition and care less. Or care not at all!

10/10/2013 16:58
ell 
10/10/2013 16:58
ell 
Re: Scripps, Dr. T, RT Patients

Hi, Nan - are there really that many women who report painful side effects for 6 months after RT? Most of what I've read is in line with my own experience - slightly dry skin and maybe the hands feeling a little 'hot' for a week or so. My hands were really achy before RT and that calmed down considerably afterwards. I do have on & off episodes of sore nodules but I think that's more due to the disease being active than the RT. My nodules popped up and grew fast over the 8 weeks between the time I was diagnosed and the time I started RT, and if there's been any progression since, it's been very, very little. I'm encouraged to hear Spanish Buddah's story, as I'd definitely have one more round of RT during an active phase once a year has passed.

Hope you're getting closer to making a decision about having RT!

10/10/2013 19:20
nanshands 
10/10/2013 19:20
nanshands 
Re: Scripps, Dr. T, RT Patients

ell:
Hi, Nan - are there really that many women who report painful side effects for 6 months after RT? Most of what I've read is in line with my own experience - slightly dry skin and maybe the hands feeling a little 'hot' for a week or so. My hands were really achy before RT and that calmed down considerably afterwards. I do have on & off episodes of sore nodules but I think that's more due to the disease being active than the RT. My nodules popped up and grew fast over the 8 weeks between the time I was diagnosed and the time I started RT, and if there's been any progression since, it's been very, very little. I'm encouraged to hear Spanish Buddah's story, as I'd definitely have one more round of RT during an active phase once a year has passed.

Hope you're getting closer to making a decision about having RT!


Hi Ell,

In response to your question as to what I wrote: "...but how many people I hear from and that post who have painful side effects for six months or longer. Many of those people are women, that leads me to believe women may not tolerate the RT treatments as well. Especially those with other health issues."

The short answer would be I wish I had not posted that! It could be misleading to others, and I never want to mislead others especially those considering RT. Plus, now I have to explain myself. But, that' okay.

My radar has been focused intently on research statistics and Forum postings where people have experienced poor results and/or painful side effects to the RT. Reason being mainly because I have lived, suffered through SO MUCH pain this past year with health problems, still suffering, that the thought of anymore pain has been a HUGE obstacle to overcome in my mind. I have had to weigh the MANY positive outcomes and lack of significant side effects, next to how much more can I handle pain wise if I fall into the category of people that have problems. Of course, coupled with that is the reality of letting my DD and LD continue in this early, aggressive stage knowing that NOW is the time to do RT for best possible outcome.

All to say, yes, I have read and corresponded with probably some of the worse case scenarios, and mostly they have been women. BUT, that number is still relatively very small compared to the many, once again, that have done quite well with RT.

Conclusion: I will be getting RT as soon as I am able to get a couple of other health issues under control, hopefully within the next two months.

I am VERY grateful to the discovery of the I.D.S web site and this Forum in helping me to arrive at that decision. That includes you!

Nan

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