Approximately 2-3 weeks after your first radiation treatment, you may experience changes to skin areas of the chest wall and breast. These changes are an expected part of your therapy and are temporary. The following instructions are intended to help you care for these areas and minimize the effects of radiation.

• Do not remove the colored ink marks from your skin unless the radiation therapist instructs you to do so. These outline the area to be treated and must remain in place until treatments are completed. Wash with lukewarm water only and blot dry. Do not scrub.

• Avoid all soaps, lotions, ointments, cosmetics, and perfumed powders on the treatment area.

• Do not shave or use deodorant under the arm on the side being treated. You may dust the area with Johnson's baby powder or cornstarch.

• Avoid exposing treatment area to the sun.

• Wear a loose-fitting bra with no underwire or boning. Check with your doctor or nurse about wearing your prosthesis.

• Do not use heating pads or ice bags on the area being treated.

• Skin changes such as redness, drying, peeling, and tanning are to be expected. Itching and dryness may occur, but do not scratch the affected area. Specific instructions will be given to you. Please report any break in the skin to the doctor or nurse.

• Use Thera-Care as directed.

Continue to exercise with post-mastectomy exercises.

Adequate caloric and protein intake are an essential part of your therapy so that you maintain your weight and benefit most from your treatment. You may experience a "lump in your throat," "heartburn," or difficulty swallowing after 2-3 weeks of treatments. Mention this to your therapist or nurse. This is an expected part of your treatment and will disappear after treatments are completed.

You are encouraged to discuss any problems concerning side effects, diet, or any other aspect of your therapy with your physician, nurse, or therapist.