Chemo and Radiation: The Dynamic Duo Nobody Wants

They’re the classic “good cop, bad cop” routine—but both are kind of jerks. Still, they’re aimed at one thing: slowing down or shrinking the tumor, ideally knocking it back enough to give you more time and quality of life.

⸻ Radiation • What it is: High-energy beams (often X-rays) targeted right at the tumor site—usually over 6 weeks, 5 days a week. • What it does: Damages the DNA in tumor cells so they can’t keep multiplying. • What you might feel: Fatigue, headaches, possible hair loss (especially in the area being zapped), some skin changes. • What it doesn’t do: Turn you into Spider-Man. Disappointing, I know.

⸻ Chemotherapy • What it is: Usually oral Temozolomide (TMZ) taken daily during radiation, then in cycles afterward (e.g., 5 days on, 23 off). • What it does: Works systemically to stop fast-growing tumor cells from doing their thing. • Side effects: Nausea, fatigue, low blood counts—possibly hair thinning, but less than with other cancers. Everyone reacts differently.

⸻ The Real Stuff: How It Feels

• Emotionally: You’re showing up every day to get zapped and take meds that mess with your insides. It’s exhausting in more ways than one. People might say, “You’re so strong,” but inside, you might feel scared, pissed off, or just plain tired of fighting. That’s human. You’re allowed to hate this.

• Physically: The fatigue can sneak up on you. It’s not just being sleepy—it’s a deep, soul-dragging exhaustion. But some days are better than others. And naps are a perfectly valid lifestyle choice.

• Mentally: “Chemo brain” and radiation fatigue can mess with memory, focus, and word-finding. It’s frustrating—but also, it’s not you being lazy or forgetful. Your brain’s under siege. ⸻ Some Tips That Help (Sometimes) • Keep a routine, but make it gentle.

• Stay hydrated and eat what you can (small, frequent meals help with nausea). • Lean on support—family, friends, pets, or people who get it (whether in person or online). • Ask your care team about anti-nausea meds, fatigue management, and mental health support.

• Bring gallows humor if that’s your style. It doesn’t cure cancer, but it sure helps endure it.

Thank you for stopping by!
~Bruce