Radiation Treatment Team: The People You’ll Meet During Treatment

Cancer is an extremely complicated and difficult disease to battle, which is no secret. Accordingly, treatment plans have advanced to match the level of complication, which can create confusion for the patient and their loved ones.

If you or a loved one is battling against cancer, then you already know that you don’t need any unnecessary stress in the process. Since your treatment team will likely include many members, it can be overwhelming knowing who does what and who you need to know.

So, to help a little, we’ve compiled a list of all of the people you are likely to meet during the treatment process to hopefully lessen any confusion. Here it is.

Radiation Oncologist – This is the doctor who will ultimately determine the specific type of treatment you undergo and how often you undergo it to best fit your particular circumstances. The radiation oncologist will work closely with all of the other doctors and health care workers on your health team to make these determinations.

Radiation Physicist – This individual will ensure that the equipment used in your treatments is working properly and they will make sure that the machine is delivering the correct amount of radiation for your treatment. The physicist will work closely with the radiation oncologist who planned your treatment.

Dosimetrist – Working under the direction of both the radiation oncologist and the physicist, the dosimetrist will calculate the amount of radiation to be delivered to the cancerous area and the surrounding healthy tissue.

Radiation Therapist/Radiation Therapy Technologist – Under the direct guidance of the radiation oncologist and with direction from the dosimetrist, the radiation therapy technologist is the person who actually delivers the prescribed dose of radiation.

Radiation Nurse/Oncology Nurse – This nurse will help you directly when it comes to understanding the various steps involved in your treatment and other important information about your cancer. This is also the person who will help you most when it comes to managing side effects. The nurse is most likely the individual who will guide you through setting up the visits with the other members of the health care team when needed.

Other Possible Team Members:

Physician Assistant –  The physician assistant, or PA, is a certified and licensed medical professional with a master’s or doctoral level degree. Physician assistants usually practice and prescribe the medicine on teams with doctors and other health care professionals. They may specialize in certain diseases or fields of medicine depending on their training and experience, but they usually offer a wide range of services on the team.

Dietitian – The dietitian, usually a registered dietitian (RD), is an expert in the area of nutrition, food, and diet. With a bachelor’s degree and certification from a national board exam, the dietitian will help you in areas such as weight management, exercise, and cardiac rehabilitation as well as just ensuring your general health through treatment.

Physical Therapist – Your PT, a licensed health professional who has at least a bachelor’s degree in physical therapy, will help examine, test, and treat any possible physical problems by using exercises, heat, cold, and other methods to restore and/or maintain your body’s strength, mobility, and function.

Social Worker – A social worker in these circumstances is a health professional with special training in dealing with social, emotional, and environmental problems that may come with illness or disability. Your social worker may help you people find community resources and support services while also providing counseling and guidance to help with issues such as insurance coverage, nursing home placement, and emotional distress.

At the end of the day, your treatment team will depend on a few things including where you undergo your treatment and the members of that center as well as your individual circumstances. But, regardless, you will work with a team of various medical professionals and experts similar to the list above.

These specialists will do use their different skills to help you get the best treatment they can. Additionally, despite having different specialties, do not be hesitant when it comes to asking them questions. You can always ask any one of them your different questions along the way, and if they don’t have the answer they can certainly point you in the right direction toward someone who can answer. 

By Russell McBurnie

Side Effects of IMRT Treatments

Cancer is an extremely complicated and problematic disease that causes an immense load of stress and suffering for millions of people and their loved ones. While cancer will always be a difficult experience to endure, understanding what you or a loved one might be going through can help a ton.

One of the specific treatments patients undergo is called intensity-modulated radiation therapy, or IMRT. Not only would it help to understand what IMRT is, it would also help a significant amount to know the side effects associated with IMRT so you can understand what you or a loved one might experience during the treatment period.

What is IMRT?

IMRT is an advanced mode of radiation therapy that uses computer-controlled liner accelerators to deliver very precise radiation doses to a certain area affected by cancer cells, a malignant tumor, or a particular section of the tumor. Additionally, IMRT controls, or modulates, the intensity of the radiation beam in multiple small volumes, which allows the dose the ability to conform more accurately to the specific shape and size of the tumor. This lessens, and sometimes even prevents, the amount of radiation that affects surrounding areas with healthy tissues and organs.

Because of the decreased levels of radiation exposed to the areas adjacent to the area that needs to be treated, there’s less of a risk for side effects to take place compared to the conventional side effects of radiation therapy.

Of course, some side effects still exist, and understanding them can be critical for best preparing for the experience of battling cancer. So, here are the common and possible side effects associated with undergoing IMRT.

Early Side Effects – depending on the area being treated and the number of treatments you undergo, some of the early side effects that you might experience are:

·       Issues with the skin including increased sensitivity, redness, irritations, rashes, swelling, blistering, peeling, itching, and dryness,

·       Tiredness, exhaustion, and general fatigue,

·       Soreness, swelling, and possible numbness in and around the treatment area,

·       Headaches, nausea, diarrhea, and vomiting,

·       Suppressed appetite, eating problems, and digestion issues,

·       Hair loss in and around the treatment area,

·       Mouth problems and difficulties with swallowing,

·       Urinary problems and bladder problems,

·       And dry eyes, dry mouth, and dry throat.

Later Side Effects – also depending on the area being treated, later side effects occur months or years after the treatments and often times are permanent, but certainly rarer than early side effects. Later side effects include:

·       Changes to the brain, spinal cord, lungs, kidneys, or the colon and rectal systems,

·       Changes to the mouth and digestive system,

·       Changes to joints affected by radiation,

·       Infertility,

·       Lymphedema,

·       And in rare cases, a secondary cancer.

At the end of the day, the side effects depend on many individual factors such as your specific medical condition, your general health, other treatments you may receive during the same time frame, and how sessions of IMRT you undergo. So, each individual patient will have slightly different risks and side effects from their treatment depending on their particular circumstances.

Additionally, it is important to remember that you will be under the supervision and guidance of a doctor, or team of doctors, that are there to help you through the process. You will most likely meet with them at least once every week in order to assess your progress as you undergo your treatments, so don’t be scared to take that opportunity to tell the doctor about any possible side effects that concern you. Battling cancer is a very tough experience, and understanding what’s going on might help a little with the stress, which can make a huge difference – so, don’t be hesitant when it comes to asking for help! 

By Russell McBurnie

Side Effects of Tomotherapy Treatments

As cancer is such an intense, complicated, and just overall difficult disease to cure, the treatment plans have also become very intense and complicated. Among the more advanced treatments is tomotherapy, which is one of the most advanced forms of radiation therapy as well as a revolutionary way to treat cancer.

One of the major cons of typical radiation treatments is the risks of damaging the surrounding tissues. However, by combining very accurate 3-D imaging from CT scanning, or computerizing tomography (hence the name) with precisely targeted radiation beams, tomotherapy minimizes the damage done to the surrounding tissue.

Now, just because one of the major roots of the risks is minimized, it does not mean that there are no side effects from tomotherapy. Regardless of how much fewer side effects are involved, understanding what the side effects are before undergoing any procedure is a necessity, especially for a treatment as intense as radiation. So, here are the most common side effects of tomotherapy.

Side Effects:

Since less radiation reaches the healthy tissues and organs, there are certainly fewer side effects with tomotherapy radiation treatments than there are with other radiation treatments. But, it’s important to be aware of the possible side effects of radiation so you can report them to your doctor if necessary as soon as possible.

·       Early Signs of Radiation – Again, despite the increased precision of the radiation beams in tomotherapy, it is still possible to suffer from the effects of radiation reaching healthy areas in your body, so here are the signals:

o   Skin irritation and skin rashes,

o   Loss of appetite and difficulties with eating and digesting,

o   Changes in your urinary and bladder systems,

o   Dry mouth, eyes, and throat,

o   Difficulty eating and swallowing,

o   And headaches, nausea, and vomiting

Other Side Effects

Here are some other side effects on may also experience while undergoing tomotherapy:

o   Soreness, pain, and sometimes numbness in and around the treated area,

o   Diarrhea and issues associated with the bladder,

o   Hair loss in and around the treated area,

o   Light sensitivity If the treated area is in and around the face, such as the neck,

o   And general exhaustion, tiredness, and fatigue.

At the end of the day, the side effects depend on many individual factors such as your specific medical condition, your general health, other treatments you may receive during the same time frame, and how many tomotherapy sessions you undergo. So, each individual patient with have slightly different risks and side effects depending on their particular circumstances.

Additionally, it is important to remember that you will be under the direct supervision and guidance of a doctor, or team of doctors, that are there to help you through the process. You will most likely meet with them at least once per week to assess your progress while undergoing a certain treatment, so don’t be scared to take that opportunity to let the doctor know about any possible side effects that you are concerned about. Battling cancer is a very tough experience, and understanding what’s going on might help a little with the stress, which can make a huge difference – so, don’t be hesitant when it comes to asking for help! 

By Russell McBurnie