After another consult with my primary Hematologist I went back to Radiology to start the mapping process today. Basically they take a CT scan and fuse that with the first and last PET scans to determine where to target the radiation. While I was on the table after getting the scan the Radiation Onc. came in and filled me in a little bit more. BTW, how is it that doctors have this peculiar trick of timing conversations while you're in the middle of a procedure? I think the tech was busy giving me the reference tatoo marks (poke, poke) when the doc was talking to me. Apparently he has at this point spoken with my primary doc. and they are in agreement that this is the right course of action. He caught up again with me after I was off the table, and I did mention that I had concerns about my heart being in the targeted field. That's a big concern. I've got a family history of heart disease, but I'm also anxious to get by bike fitness back. It would be a big deal if this treatment was likely to damage the heart muscle. He said it was unlikely that the heart would be involved. If there was a legitimate risk of cardiac damage I'd be likely to forgo the rads and take my chances that the chemo did its job.
I'm still not thrilled about getting the rads, but with both docs on board (especially considering my Hematologist has a bias against radiation) it seems like the smart decision. The scheduling is going to be a pain, since the treatment is daily for 5 weeks and my ability to ride my bike to the subway is going to be nil while in treatment. Plus, I'm feeling pretty close to normal now, getting my fitness back, and this is going to be a step back. Of course in the grand scheme of things, it's a blip on the timeline. But it is an inconvenience in the immediate future. I've been enjoying PRETENDING I was finished with treatment, but I had come to realize that that probably wasn't the case.
Going back to see him and get the details of the treatment next friday. That seems more important now than I think it will ultimately be. Bottom line on this stuff is "show up on this schedule and we'll do our thing." So I guess my latest finsh date is early January.