Side note - (this is what is going through my head right now) Though she's looking good and doing good, I can't help but worry. Especially because we haven't had a clinic appointment this week. It seems not normal because our normal became being in the clinic on a weekly basis! ((sighs)) Even though it's been over two years that we have been traveling down this road, it doesn't get any easier. When she's sick we worry, and when she's doing good we worry still! All because this beast of a disease just creeps into our live out of nowhere trying to take control of everything: our lives, our normalcy, our baby. And that's the thing with AML- it comes fast without giving a hint that it's there. And when you suspect something, it's already invading and trying to control the body. But no more. You will be stopped. You ARE stopped.Sorry about that. My mind is over working itself over here.
Back to Nayelis and her appointments.
So tomorrow (Friday 8/26) we will be traveling with Nayelis to Sloan Kettering to meet with the radiation oncologist and have the simulation done. What is a simulation you ask? Well:
At the time of Nayelis' first transplant, she did not receive radiation due to her age. With this transplant, she will receive total body radiation (tbi). (Nayelis had to have the radiation therapy head mast last year when she was given radiation for the chloroma (tumor) that was found in her nasal cavity. )A radiation oncologist develops a patient’s treatment plan through a process called treatment planning, which begins with simulation.During simulation, detailed imaging scans show the location of a patient’s tumor and the normal areas around it. These scans are usually computed tomography (CT) scans, but they can also include magnetic resonance imaging (MRI), positron emission tomography (PET), and ultrasoundscans.
Computed Tomography ScannerCT scans are often used in treatment planning for radiation therapy. During CT scanning, pictures of the inside of the body are created by a computer linked to an x-ray machine. During simulation and daily treatments, it is necessary to ensure that the patient will be in exactly the same position every day relative to the machine delivering the treatment or doing the imaging. Body molds, head masks, or other devices may be constructed for an individual patient to make it easier for a patient to stay still. Temporary skin marks and even tattoos are used to help with precise patient positioning.
Radiation Therapy Head MaskPatients getting radiation to the head may need a mask. The mask helps keep the head from moving so that the patient is in the exact same position for each treatment.
Yes. I know how you are feeling right now. OVERWHELMED. No? Well. That's how I am feeling.
But she's strong, brave, and a soldier.You don’t get very far in life without having to be brave an awful lot. Because we all have our frightening moments and difficult trials and we don’t have much of a choice but to get through ‘em, and it takes a lot of bravery to do that. The most important thing about bravery is this — It’s not about not being scared — it’s about being scared and doing it anyway — that’s bravery.Ysabella Brave
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