Here we cover the Paxman Scalp Cooling treatment itself, your hair preparation, cap fitting and the use of the Paxman system.
Preparing the hair
RECOMMENDATION: Prior to fitting the cap, dampen the hair with lukewarm water and apply a small amount of hair conditioner to the dampened hair. This improves scalp contact and reduces the insulation effect of hair. Comb hair back using your Tangle Teezer The Original detangling hairbrush, provided in your Paxman Personal Cap Kit. You can also use a wide-tooth comb or your fingers. Be sure that the front hairline is visible. This is especially important if you have bangs. Position the elasticized headband (included in your kit) below each ear and on the forehead to create a barrier between the edge of the cap and your skin. This will reduce discomfort. To see how simple it is to prepare your hair and fit the cap, watch the instructional videos here.
NOTE: If you have long hair, you do not need to dampen the full length of the hair, just the hair covering the scalp.
Effective cap fitting is crucial to successful outcomes. It is therefore important to ensure the correct cap fit is achieved during the chemotherapy consultation appointment. The cap needs to fit around the entire hairline at the back and must be tight. Good overall contact between the cap and the scalp is essential; any gaps should be eliminated as this could have a detrimental effect on hair retention. The Paxman Scalp Cooling Cap will be fitted to your head for 30 minutes before the infusion of your chemotherapy drugs. The cap will remain in place during the infusion and for a maximum of 90 minutes (depending on your therapy) after completion of the infusion.
Starting scalp cooling
Once the cap is correctly fitted, scalp cooling can begin. The Paxman Scalp Cooling System is operated by a member of your healthcare team, and you will use the same cap during each chemotherapy treatment. It is important to know that you will wear the cap for 30 minutes preinfusion, during the chemotherapy infusion, and for a maximum of 90 minutes after the infusion.
When chemotherapy ends but scalp cooling continues
Sometimes when a center needs the chemotherapy chair for another patient, it may be necessary to move you to another area to continue your scalp cooling. It is fine to disconnect from the machine for a brief period. Paxman works with busy centers, to ensure that there are enough machines for scalp cooling to be continued.
Completion of treatment
Most women will have a maximum of 90 minutes (depending on therapy) of cooling time, and then your cap can be disconnected from the Paxman Scalp Cooling System. The cap must be left in place on the head for 5 more minutes to allow your scalp to warm up. This makes cap removal more comfortable. Be sure to work with your healthcare professional if you have any questions about cap removal. The cap should be removed by gently rocking it from side to side, so as not to pull the hair. If you can feel the hair pulling during cap removal, stop and leave the cap on the head for 5 more minutes before reattempting to remove the cap. Once the cap has been removed, wait 5 minutes before standing up to give yourself time to adjust to the temperature change and the long period of sitting during the treatment.