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Profile picture for Helen, Volunteer Mentor @naturegirl5

@cmc1 Blood on toilet paper is certainly frightening. Thank goodness you have continued with your cancer follow-up appointments and were seen to evaluate this new symptom.

Are you back at Mayo Rochester? I had radiation therapy, both external and internal (brachytherapy) at Mayo Rochester after a recurrence in 2021. Sedation was never mentioned for brachytherapy. My radiation therapy at Mayo Rochester was almost 5 years ago so perhaps the protocol has changed? Since one cannot have radiation therapy at the same location I am thinking your brachytherapy will target a different spot than what you had in 2023.

When is the brachytherapy scheduled? I would ask the radiation oncologist who will perform this why sedation is recommended. You are the patient and can certainly say you do not want sedation. Just as an example when I have a colonoscopy I have sedation. My husband prefers to be awake and opts out of sedation. The doctors tell him that it is his choice.

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Replies to "@cmc1 Blood on toilet paper is certainly frightening. Thank goodness you have continued with your cancer..."

@naturegirl5 According to the radiology oncology nurse, when I have the brachy therapy, a shield of some sort, will be placed on the top and upper part of the vaginal cylinder, to eliminate radiation to the area of my vagina that previously received brachy radiation. The new lesion is very low in my vagina, just beneath where the 2023 radiation stopped. It was originally suggested that I would be having "targeted radiation", but for some reason that changed and I was not given an explanation. The information that I have been given has been inconsistent and that concerns me. I will have the brachy at Rochester. I am having the external at another Mayo hospital. Near the end of the external, I will have brachy one day and external the next x three brachy treatments. I was originally told I would have the brachy at the completion of the external and that changed with no explanation.