George Cheng, M.D. PhD, Radiation Center Medical Group Santa Barbara (805) 682-7300
August 12, 2010
Dad had a visit with Dr. Cheng to explore the possibility of radiation treatment, specifically to the head tumor site. Dr. Cheng has been in communication with Dr. Newman. Both agreed on treatment plan.
Dr. Cheng is a Harvard and MIT grad who grew up in Missouri. This immediately made a good connection with the family. The visit lasted almost two hours.
Head tumor continues to grow and the last few days started to drain clear fluid. Looks irritated. Dr. concerned for future infection, if not treated. Tumor may be growing through skin.
Dr. Cheng showed us (dad, Deanna and I) the CT and MRI images on his large screen computer. This was our first viewing. He confirmed that all tumors are related to the melanoma disease. The best approach is systemic for full body treatment. This is where UCLA specialist can come into play. UCLA studies of newer medications show promise. The data is not mature enough for FDA approval. Drugs administered in trial format. Radiation therapy can be used for superficial tumor sites to control pain and prevent growth into bone.
Dr. Cheng suggested radiation for the head tumor. Radiation will keep the tumor growth in control and to wean off pain medications. This radiation tx should be well tolerated. He will use a moderate level over three weeks (short course). Visits will take approx 30 minutes. Actual radiation time 5-7 minutes. Possible temporary side effects: localized burning, itching and transient pain. The technicians may need to custom fit a mask to aide precise delivery of radiation. This will be delivered to dad’s tumor on a Monday–Friday schedule for three weeks (15 doses).
Radiation planning appointment scheduled for August 13th. Another CT scan will be taken along with measurements for computerized radiation program. Dr. Cheng will need a few days to make the calculated personalized radiation formula.
We were slightly overwhelmed with all the information. I am happy to report dad is doing amazingly well and strong.
8/13
ReplyDeleteRadiation Center in Santa Barbara
The mask and precise location for radiation was completed today. The tumor began to drain more heavily during the night so Dr. Cheng was able to look at it today and prescribed Keflex antibiotic to prevent infection. We are keeping it covered with gauze and paper tape to keep it clean.
Deanna