How do you counsel NSCLC patients receiving SBRT on fatigue?

The first thing is to warn the patient and their family that fatigue is possible, and that it peaks about 2 weeks after treatment ends. I also remind them that SBRT is like surgery in that it causes some damage that requires energy to repair, so some fatigue is to be expected. Finally, I tell them t...

I’ve noticed the opposite. The main complaint from our patients is “achy shoulders” from arms overhead allowing arcs. Very few say they are more tired than baseline. A few report breathing changes, almost all after treatment.