WBR Debate -- Be Careful

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I read the story on the whole brain radiation nightmare and the many long replies. What struck me is how these posts may discourage people from considering WBR as a legitimate treatment option. All of us (patients) are different and the treatments we elect to have should be individualized in consultation with our physicians. It is good for us to share information on our experiences with treatments and drugs, but I would warn that any post should be considered as "food for thought" and should be read as "input" and not "advice."

I just went through PCI (15 treatments; 2 grays per treatment) without using steroids. I have had no negative side effects that I can detect. My election to have preventative whole brain radiation was made in consultation with both my oncologist.and radiologist. PCI is not currently a "standard of care" for adenocarcinoma but that does not mean that it should not be done or has no benefit. The fact is that it has no PROVEN benefit, but there are no studies on the subject. There is also no agreement on the screening protocol for lung cancer...but that does NOT mean that low-dose CT is NOT a viable screen.

I guess my point is that, when it comes to cancer, there are no absolutes. What works for you may not work for someone else, and what does NOT work for you MAY work for someone else. Remember, most of us posting on this site are NOT doctors or cancer researchers. So take what we blog here into your thinking, but don't rely on it as gospel. Talk to your physcian.

6 replies

Thanks for giving the "other side" of the coin. I am facing more chemo (cycles 7 and 8) and then 10 WBR treatments. After reading on here, I'm scared to death! I have SCLC, mets to liver, brain clear at this point. Do I wait til it's in my brain to have radiation? Quality of life is important to me...Now I'm confused. Guess it all goes with this disease huh.
Susan

This seems to be a "hot button". Mike has sclc, mets to bone and liver, nothing in the brain (I've suspect that for 28 years. HAHA)

Anyway, we chose to have PCI after a friend who was in remission now has multiple brain mets. Mike is now totally bald (from PCI or chemo??) He can't always remember why he went to the kitchen (I do the same thing)

PCI was really hard on him, but we think it was worth it, if it gives him even 3 extra months, but hopefully it will give him much more. Just my opinion.

I think the big thing here is to have a Dr. you truly trust and who has exhausted the testing etc. In my Moms case, we were told she had NUMEROUS brain tumors and WBR was the ONLY option that would be available. Well, further down the road after her 10 WBR and chemo etc., we discover she only had 2 brain tumors and in fact was a perfect canidate for GK or cyberknife INTIALLY and we could have skipped the WBR initally. At the time we did what we felt was best, trusting in our Dr.s opion who in fact had not fully checked into my Moms options, just gave her the standard treatment.

CB,

Despite not being an advocate for WBR in 90% of cases, I agree with the content of your post.
I believe this forum and the personal experiences shared here help people make better informed decisions. Most people have no clue concerning their actual medical care and when confronted with LC even those who do are "shell shocked" and can't think straight...I was!
I spent hours and hours in a medical library reading onc, neuro and neurosurg journals and twice as much time on the 'net because I knew how to research medical studies.
When the large brain met regrew 10 months post- SRS and my eminent neurosurgeon recommended GK we had a major argument in his office, I agreed only after doing more research.
Unfortunately, there are other factors that sometimes influence treatment plans. MONEY. There are those who don't want to lose a customer.
I KNOW of "facilities" that don't suggest GK treatment
options because they don't offer it. I want the guy who actually USES GK to tell me it's not an option.
That's all I'll say in a public forum. I often abstain from many discussions because "if you don't have anything nice to say, don't say anything at all".

G

2mmama,

BINGO!!! That's PRECISELY what "BOILS MY BLOOD"!!!

G

G,
me too!!!!!!!!!!!!!!

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