How do you counsel NSCLC patients receiving SBRT on fatigue?
I've noticed that these patients have been having greater than expected fatigue that persists for months after SBRT. This is very different than the fatigue I've been after conventional fractionation where patients improve in a few weeks. Should I be counseling patients on prolonged fatigue?
2 Answers
Mednet MemberInvited Expert
Radiation Oncology · Beaumont Health System
Answered on · Updated on
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...
Join for free or sign in to see the full answer
Mednet MemberInvited Expert
Radiation Oncology · Quillen VA Medical Center
Answered on
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.
Join for free or sign in to see the full answer