Don,

The gantry Proton machine is huge, and proton equipment is a city block long, so we'll call that Emerald City lol. Seems this RO was out of the loop, as far as knowing when the treatment plan would be completed, and said it takes three weeks. It probably didn't help I had 18 PET/CT, CT and MRI's discs to give them, and determining dosage from prior radiation. From what I know, the RO has to approve all treatments plans, and is overall in charge. The RO knows the formula the physicist or dosimetrist it's uses, but hear a computer does it now, at least for IMRT. After I saw my RO, different from Proton, last year, he said, now the difficult part of his job begins, treatment planning. He isn't taking orders from no one, and calls all the shots, pleasant enough guy though, and is the Physician in Chief for their 5 hospitals, Chairman of Radiation oncology, Co-director for Head and Neck Cancer, so can't see the physicist being above him. I still would like to meet the Wizard, kind of like, where's Waldo in the picture.


10/09 T1N2bM0 Tonsil
11/09 Taxo Cisp 5-FU, 6 Months Hosp
01/11 35 IMRT 70Gy 7 Wks
06/11 30 HBO
08/11 RND PNI
06/12 SND PNI LVI
08/12 RND Pec Flap IORT 12 Gy
10/12 25 IMRT 50Gy 6 Wks Taxo Erbitux
10/13 SND
10/13 TBO/Angiograph
10/13 RND Carotid Remove IORT 10Gy PNI
12/13 25 Protons 50Gy 6 Wks Carbo
11/14 All Teeth Extract 30 HBO
03/15 Sequestromy Buccal Flap ORN
09/16 Mandibulectomy Fib Flap Sternotomy
04/17 Regraft hypergranulation Donor Site
06/17 Heart Attack Stent
02/19 Finally Cancer Free Took 10 yrs