Emotions vs Radio Dermatitis

One of the most under looked side of radiation treatments, is the the emotional turmoil brought on by the treatment. I have tried to observe and document the entire process of my wife's cancer treatment from discovery through to her final treatment. I decided to do this because once she had been diagnosed, I began to research any and all information i could get to learn as much as I could. My attempts found most of the normal info we had already received from her various caregivers. Although I did find some information about emotional and mental support, I did not find much in the area of actual first hand observations of a patient and close family member.

I'll first start by saying my wife is very strong person with a normally upbeat attitude. When the treatments began she was excited at the thought of just six more weeks and she would be clear of all treatments and could resume a normal pace without daily office visits. The first week went by without much change at all both physically or mentally, she had noted that right after the treatment she would feel slightly nauseous, but only momentarily. At this point we're assuming maybe it won't be so bad. I then started researching the side effects, some were fairly intense looking burns some were somewhat superficial. I am still at this point trying to believe that hers will be of the more superficial type.

The second week was for the most part the same as last. I have noticed a little darkening of the skin from the bottom of her breast up to underneath her arm. She is still in a great state of mind at this point still her only complaint is the light nausea she is experiencing. We have noticed the darkening is around fifty percent darker on her actual incision than anywhere else. We asked the doctor and he told her that the radiation had a tendency to "bounce" in folds. I will research this further and try to bring more on this at a later date.


Week three finds the visual effect more noticeable as is the emotional. At this point more so than the pain she has become very concerned with the outside effect of the radiation, it looks similar to an extreme sun burn on the verge of peeling. The areas that look moist and ready to peel is the areas she says burns and tingles almost constantly. She was given a product made from aloe and lidocaine  this seemed to soothe it but only after an initial burst of pain and stinging lasting about two to two and a half minutes each time she applied it. She reported to me that it did indeed help some but that she didn't think it was really worth the pain it caused for the good it did.


When we began week four was the first time she told me how she dreaded the thought of going for the treatments. She knew all this was going to become worse as the treatments progress and it really began to weigh heavy on her mind. I can only imagine having to face on a daily basis the very thing that was causing a great amount of discomfort. It was at this point we decided to start counting down the treatment just to be able to visualize some end in sight. This is the first time throughout the entire cancer treatment process she seems to have problems with the emotional side of herself. I do know at least in the case of my wife, she has come to think of herself as Superwoman and now that she has to face the fact she is indeed human and has emotions and feels pain makes it hard. I would think a lot of others have to face these same hurdles. I see a lot of these ladies go through so very much and they just go head strong into all of it, I know it must be very demanding emotionally. I must say I have met some truly amazing people during this journey.

A brand new friend/ Silver Sulfadiazine 
She has  just wrapped up week fives treatments and the effects are far beyond where we had hoped they would ever reach. The darkening has become a lot larger area covering the entire upper quarter of her torso. She has also begun to open up in small places where the "burn" is at it's worst point. The area of the original surgery incision is open and pink, with two areas that appear to go beyond her skin and into the actual flesh. Her doctor prescribed a topical cream Silver Sulfadiazine  that is specifically for the open areas that she is encountering. The cream seems to help over ll but only after brief moment of excruciating burning and stinging, she says it's far worse than the prior aloe based product but does a far better job so she has used it accordingly and it does indeed ease the pain  thus relieving some of her stress.

We are now entering the final week of treatments, the underside of her breast is open and weeping in an area about twelve square inches. She still has only two actual open places, I do hope this stays like this. During this last week of treatments they will "dial in" the radiations path to only cover the are that contained the original cancerous mass. I hope this will restrict the progression of the overall burn but I fear the treated area will become much worse. I have to say I don't know this to be a fact, but I still have some fears. The open areas are requiring treatment with the cream around four to six times a day now. When the the final treatments are done I will report back here with the overall appearance of everything. I will also continue to keep a record of the effects after all the treatments are done. They said she will continue to react for six to eight weeks after the final treatment.