My Journey with Radiation Therapy: What to Expect

Radiation therapy is a powerful tool in cancer treatment. In this personal account, I share my experience with radiation therapy, including the side effects, emotional challenges, and how I navigated my treatment with support and resilience. This story aims to provide guidance and encouragement for those starting their own treatment journey.

My Journey with Radiation Therapy: What to Expect
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Radiation therapy is a common and effective cancer treatment that uses high doses of radiation to kill cancer cells and shrink tumors. I want to share my personal journey with radiation therapy, hoping to provide insights and support for others who are about to start this treatment.
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When I was first diagnosed with cancer, I felt overwhelmed and scared. I had so many questions about what to expect from radiation therapy, the side effects, and how it would impact my daily life. My motivation for sharing my story is to help others feel more prepared and less alone as they begin their own treatment journey.

Discovering the Diagnosis

My journey with cancer began in May 2020, following a series of very unpleasant and highly stressful life events. I started experiencing several alarming symptoms: significant weight loss, loss of appetite, a dramatic decline in energy, and bloody stools. These symptoms became too severe to ignore, prompting my wife to insist that I undergo a colonoscopy.
The colonoscopy revealed a 6 cm malignant tumor in my rectum. The following day, under immense anxiety, I had an abdominal ultrasound, which showed my liver was covered in tumors. This led to the devastating diagnosis of stage IV rectal cancer that had metastasized to my liver, with a tumor marker CEA level over 2000.
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Upon receiving the diagnosis of this advanced cancer, I was engulfed by a wave of despair and hopelessness. I spent a lot of time alone, crying and thinking about all the things I still wanted to do, now seemingly impossible. The fear of the unknown and the severity of my condition left me feeling utterly devastated.

Initial Treatment Plan

My oncologist quickly arranged for my hospitalization to begin an aggressive treatment plan. The initial strategy involved a strong combination of chemotherapy and internal radiation treatment, aiming to treat cancer cells comprehensively.

Mix of Chemotherapy and Radiation Therapy Techniques

Chemotherapy was the first step, intended to shrink the tumors and control the spread of cancer cells. My treatment involved three-day hospital stays for each session, where I received over 48 hours of continuous chemotherapy. This approach was necessary due to the advanced stage of my cancer.
Radiation therapy was also a crucial part of the treatment plan. There are different types of radiation therapy, such as intensity-modulated radiation therapy and stereotactic body radiation therapy, but we opted for external beam radiation therapy, which targets the rectal tumor and reduces bleeding.
The combination of chemotherapy and radiation therapy was explained to me as a way to maximize the effectiveness of the treatment. Chemotherapy would work to kill cancer cells throughout my body, while external beam radiation therapy would focus on the localized tumors, aiming to shrink them and alleviate symptoms.
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The oncologist emphasized the importance of maintaining my weight and strength throughout the treatment. This was crucial for enduring aggressive therapy and maximizing its effectiveness when the radiation beam hits and kills cancer cells. I committed to fully complying with this comprehensive treatment plan, determined to fight the cancer cells with all the available scientific methods.

My Experience of Radiation Therapy

Before I received radiation therapy, I underwent several preparatory steps to ensure the treatment would be as effective as possible. The medical team conducted various imaging tests, including CT scans and MRIs, to precisely locate the tumors. This helped them create a detailed radiation treatment plan tailored to my needs.
I also had a simulation session, during which the radiation oncologist mapped out the exact areas to be treated. They used a special machine to take images and measurements, ensuring the radiation beams used in external beam radiation therapy would target the cancer cells accurately while minimizing exposure to healthy tissues. Small, temporary marks were made on my skin to guide the precise positioning during each session.
The medical team explained the process thoroughly, answering all my questions and addressing my concerns. They walked me through what to expect during each session of external beam radiation therapy, the duration of the radiation treatment, and the importance of staying as still as possible to ensure an accurate prescribed dose of radiation delivery.
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Religiously Following My Radiation Therapy Sessions

My radiation therapy sessions were scheduled five days a week and typically lasted several weeks. Each radiation treatment was relatively quick, about 15-30 minutes from start to finish. However, the preparation and positioning took the most time to ensure the accuracy of the treatment.
During a typical session, I would lie on a treatment table, and the radiation machine, guided by the marks on my skin, delivers radiation beams to the targeted areas. The process was painless, but lying still in the same position every day was challenging. The machine made a humming noise as it moved around me, but the medical staff could see and hear me from the control room, ready to assist if needed.
Physically, I felt a mix of anxiety and hope during each session. Emotionally, it was a roller coaster—some days, I felt determined and optimistic, while others, I felt overwhelmed and fearful of the unknown.

Managing Side Effects

Radiation treatment brought with it several side effects. Here are some of the most common ones I experienced:
  • Skin Irritation: The treated skin became red, dry, and itchy.
  • Fatigue: I experienced significant tiredness and lack of energy.
  • Nausea and Appetite Loss: The radiation treatments affected my appetite, making eating hard.
  • Mouth Sores and Dryness: The radiation caused soreness and dryness in my mouth.
  • Changes in Bowel Movements: I experienced diarrhea and abdominal cramps.

Strategies to Manage Side Effects

To cope with the radiation therapy side effects, I used the following strategies during my radiation treatment:
  • Skin Irritation: I used gentle, fragrance-free moisturizers recommended by my radiation oncologist and wore loose-fitting clothing to avoid further irritation.
  • Fatigue: I listened to my body and rested whenever needed, balancing activity with ample rest. Light exercises like walking also helped improve my energy levels.
  • Nausea and Appetite Loss: Eating small, frequent meals and staying hydrated helped. I also avoided strong-smelling foods that triggered nausea.
  • Mouth Sores and Dryness: To minimize discomfort, I used prescribed mouth rinses, stayed hydrated, and avoided spicy or acidic foods.
  • Changes in Bowel Movements: Following a low-fiber diet, staying hydrated, and taking medications prescribed by my doctor helped ease cancer symptoms.
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Impact of Radiation Therapy on Daily Life

Radiation therapy had a significant impact on my daily life and routine. Here are some detailed changes and adjustments I had to make:

Changes in Daily Routine and Lifestyle

  • Daily Treatment Schedule: I had to visit the hospital five days a week for several weeks, which became a major part of my daily routine.
  • Energy Levels: Fatigue from the treatment meant I needed more rest and had less energy for regular activities.
  • Dietary Adjustments: I shifted to eating small, frequent meals and avoiding foods with strong smells to manage nausea and appetite loss.
  • Exercise: I incorporated light exercises like walking into my routine to help combat fatigue and maintain some physical activity.
  • Skin Care: Due to skin irritation, I had to apply moisturizers regularly and wear loose-fitting clothing to stay comfortable.
  • Hydration: Staying hydrated became a priority to help manage side effects like mouth sores and changes in bowel movements.
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Balancing Treatment with Personal and Professional Responsibilities

Balancing radiation therapy with personal and professional responsibilities required careful planning and flexibility:
  • Work Adjustments: I had to quit my job when my treatment began, as the intensity and frequency of the sessions, along with the side effects, made it impossible to continue working.
  • Scheduling: I coordinated my treatment schedule with my family's routine to ensure I had support when needed, such as rides to the hospital and help with daily tasks.
  • Delegating Responsibilities: I relied more on my wife and family members to handle household chores and errands, allowing me to focus on my treatment and recovery.
  • Prioritizing Rest: I learned to listen to my body and prioritize rest, which sometimes meant missing social events or delaying non-essential tasks.
  • Emotional Support: I sought emotional support from friends, family, and support groups, which helped me stay positive and manage stress.
Radiation therapy required significant lifestyle adjustments, but with careful planning and support from my loved ones, I was able to balance my treatment with my personal responsibilities. This period has taught me the importance of self-care, the value of support systems, and the need to adapt and stay resilient in the face of challenging circumstances.

Emotional and Psychological Journey

Radiation therapy, like other cancer treatments, brought with it significant emotional challenges. The fear and uncertainty of my diagnosis, coupled with the physical side effects of the treatment, often left me feeling overwhelmed and anxious.
The routine of daily hospital visits and the cumulative fatigue added to the emotional burden. The initial diagnosis of stage IV rectal cancer and the subsequent realization of its severity plunged me into despair. I grappled with the uncertainty of my future and the potential impact on my loved ones.
To cope with the emotional toll, I developed several strategies to maintain my mental and general health and well-being:
  • Staying Informed: Understanding the details of my treatment plan and knowing what to expect helped reduce anxiety and gave me a sense of control.
  • Mindfulness and Relaxation Techniques: Mindfulness, meditation, and deep breathing exercises helped manage stress and calm my mind.
  • Staying Connected: Regular communication with friends and family provided emotional support and helped me feel less isolated.
  • Setting Small Goals: Setting achievable daily goals, such as a short walk or completing a puzzle, helped keep my mind focused and provided a sense of accomplishment.
  • Engaging in Hobbies: Keeping myself occupied with hobbies I enjoyed, like reading and listening to music, provided a distraction from the constant stress of treatment.

Support Systems

My family, friends, and various support groups played a crucial role in my emotional and psychological journey through radiation therapy.

Friends and Family

My wife was my primary caregiver, offering unwavering support by handling household chores, preparing meals, and accompanying me to medical appointments. Her presence provided immense emotional comfort. My extended family also stepped in to help with practical needs, allowing me to focus on my recovery. Their encouragement and understanding helped me stay positive.
Friends frequently checked in on me, offering encouragement and practical help. They understood when I needed space and company, striking a balance that lifted my spirits. Their visits and messages reminded me I was not alone in this battle.
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Counseling and Support Groups

In addition to the support from family and friends, I also sought professional psychological support. I engaged in regular counseling sessions with a therapist experienced in dealing with cancer patients. These sessions provided a safe space to express my fears and anxieties. My therapist helped me develop coping strategies and offered valuable insights into managing the emotional roller coaster that came with my diagnosis and treatment.
Participating in cancer support groups, both online and in-person, was incredibly therapeutic. Sharing my experiences and hearing others' stories provided a sense of understanding and solidarity. These support systems had a profound impact on my emotional well-being, helping me navigate the complexities of my treatment with resilience and hope.

My Supplementary Information

Although most cancer patients receive radiation therapy five days a week for several weeks, I only received five radiation therapy sessions for the rectal tumor. The main purpose was to prevent continued bleeding caused by the tumor. After five radiation treatments, the bleeding caused by the tumor was indeed stopped, providing much-needed relief.
Combining radiation therapy with chemotherapy significantly increased physical discomfort. I experienced extreme weakness, frequent vomiting, and difficulty eating. These side effects were challenging, but the dual approach was necessary for effectively targeting and killing cancer cells.
To help slow down the damage caused by radiation therapy and enhance the effectiveness of the treatment, I incorporated several natural supplements and strategies into my regimen:
  • Apigenin
  • Epigallocatechin-gallate (EGCG)
  • Quercetin
  • Silibinin
  • Resveratrol
  • Curcumin
Other strategies included:
  • High-dose intravenous vitamin C: This therapy involves the administration of high levels of vitamin C directly into the bloodstream, potentially reducing inflammation and improving the body's ability to repair damaged tissues.
  • Fasting: Fasting periods before and during treatment can make cancer cells more vulnerable to radiation while protecting healthy cells. This approach also helps reduce side effects and improve the overall effectiveness of the therapy.

Results and Reflections

The results of my radiation therapy were encouraging. The initial rounds of external beam radiation therapy significantly shrank the tumors in my rectum and liver, reducing the size and number of cancer cells. Combined with chemotherapy, the treatment was effective in managing and controlling the spread of my cancer.

The Efficacy of Radiation Therapy Brought Promising Outcomes

Regular imaging and follow-up appointments showed a marked improvement in my condition, with the largest liver tumors shrinking from 12 cm to 4 cm. While the cancer was not entirely eradicated, the progress was significant enough to allow for subsequent surgeries and additional treatments that further targeted and destroy cancer cells.
Reflecting on the overall experience, I realize the immense impact radiation therapy had on my journey. The physical and emotional challenges were substantial, but the support from my medical team, family, and friends made a critical difference. The combination of scientific treatment and personal resilience played a vital role in my battle against cancer. Despite the hardships, I emerged from the experience with a deeper understanding of my strengths and the importance of a comprehensive support system.
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Lessons Learned

Key lessons and insights gained from my experience with radiation therapy include:
  • Importance of a Support System: Family, friends, and professional support is crucial for emotional and practical assistance.
  • Staying Informed: Understanding the treatment process and potential side effects helps reduce anxiety and allows for better preparation.
  • Listening to Your Body: Prioritizing rest and self-care is essential, as treatment can be physically exhausting.
  • Balancing Hope and Realism: Maintaining optimism while being realistic about the challenges helps navigate the emotional roller coaster.
  • Adapting and Being Flexible: Being open to adjusting routines and seeking help when needed can make the treatment journey more manageable.
  • Seeking Professional Help: Engaging with counselors and support groups provides a safe space to express fears and gain insights from others' experiences.
For others about to undergo radiation-targeted therapy, my advice is to stay strong and lean on your support network. Take care of your physical and emotional well-being, stay informed about your treatment, and don't hesitate to seek professional help when needed. Remember that while the journey is arduous, you are not alone; every step forward is progress.

My Journey with Radiation Therapy

Sharing my journey with radiation therapy has been a deeply personal and meaningful experience. I hope to provide valuable insights and support to others facing similar battles by recounting the challenges and triumphs. Cancer patients must stay informed about their treatment options and actively seek the support of family, friends, and professional counselors.
Remember, you are not alone in this fight. Embrace the strength within you, lean on your support systems, and take each step with hope and determination. Every shared experience and knowledge gained can make a significant difference in navigating cancer treatment.

References:

  1. 1. Pignatta, S., Cortesi, M., Arienti, C., Zanoni, M., Cocchi, C., Sarnelli, A., Arpa, D., Piccinini, F., & Tesei, A. (2020). Effects of radiotherapy and short-term starvation combination on metastatic and non-tumor cell lines. DNA Repair, 95, 102949. https://doi.org/10.1016/j.dnarep.2020.102949
  1. 2. Valayer, S., Kim, D., Fogtman, A., Straube, U., Winnard, A., Caplan, N., Green, D. A., Van Leeuwen, F. H. P., & Weber, T. (2020). The Potential of Fasting and Caloric Restriction to Mitigate Radiation Damage—A Systematic Review. Frontiers in Nutrition, 7. https://doi.org/10.3389/fnut.2020.584543
  1. 3. Park, H., Kang, J., Choi, J., Heo, S., & Lee, D. H. (2020). The Effect of High Dose Intravenous Vitamin C During Radiotherapy on Breast Cancer Patients’ Neutrophil–Lymphocyte Ratio. The Journal of Alternative and Complementary Medicine/Journal of Alternative and Complementary Medicine, 26(11), 1039–1046. https://doi.org/10.1089/acm.2020.0138
  1. 4. Böttger, F., Vallés-Martí, A., Cahn, L. et al. High-dose intravenous vitamin C, a promising multi-targeting agent in the treatment of cancer. J Exp Clin Cancer Res 40, 343 (2021). https://doi.org/10.1186/s13046-021-02134-y
  1. 5. Altomare, A., Fiore, M., D’Ercole, G., Imperia, E., Nicolosi, R. M., Della Posta, S., Pasqua, G., Cicala, M., De Gara, L., Ramella, S., & Guarino, M. P. L. (2022). Protective Role of Natural Compounds under Radiation-Induced Injury. Nutrients, 14(24), 5374. https://doi.org/10.3390/nu14245374
  1. 6. Zhang, Y., Huang, Y., Li, Z., Wu, H., Zou, B., & Xu, Y. (2023). Exploring Natural Products as Radioprotective Agents for Cancer Therapy: Mechanisms, Challenges, and Opportunities. Cancers, 15(14), 3585. https://doi.org/10.3390/cancers15143585

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Written by

Jack Wang

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