Her radiation is in the morning so always showers and doesn't put any lotions or creams on until after treatment. Whatever they were using must produce that bolus effect and they just call it a bolus. I believe they said the were using it to make the radiation more effective closer to the surface of the skin so it may have worked essentially like putting a cream on.

She is on the fentanyl patch but just 25mg and still using Oxycodone. She was going to go up to 50mg but also started taking fluconazole for thrush which can react with the fentanyl and make the effect of the fentanyl more intense.

She has been using a surgical scrub to clean the area. I know at first she was using a washcloth and having trouble because the silver sulfadiazine would want to stick. Another patient at the clinic told us that he found it easier on his neck when the person applying it used a vinyl glove, so have always been washing and using gloves.

Thanks for the tips.