Wednesday, May 18, 2011

Diet - Recommended for Cancer Patients

Hello again,
Finally managed to capture some time to pen a new topic.
This time round, I'm going to emphasize on DIET... the food that I eat.

My findings are based on what Dr Cheung, my Traditional Chinese Medical practitioner shared with me, along with a book which my dear sister had bought for me, titled "The Power of Food - CANCER, Food, Facts & Recipes".
This findings of this book areu by Dr Clare Shaw of the Royal Marsden Hospital, Eupore's largest cancer hospital. 

The cause of cancer is seldom straightforward or attributable to a single factor. But diet has been identified as possible contributing to the risk of a third of all cancers, so eating the right foods can be a great step forward and means that reducing the chance of developing cancer is now a real possibility for us all.

I will cover things like carcinogenic agents(cancer promoters), tumour promoters, protective nutrients (eg. antioxidants), protein, vegetables, fruit, meat, fish, eggs, fats, oils, salt, alcohol & exercise.


1. Causes of Cancer
1. The environment which we live.
Carcinogens can actually cause cancer. Eg. cigarettes smoke, sun rays, radiation, asbestos.
If you are surrounded by this, take preemptive measures to protect yourself.

2. Heredietary
Cancer like colon & breast cancer may run in families. It doesn't mean that all members will develop cancer, but they are at higher risk than the general population.

3. Viral Infections
Some viruses alter our genetic material of cells, in turn becomes more susceptible to developing cancer in future. Eg. Genital wart virus HPV (cancer of the cervix), hepatitis B(liver cancer), Epstein-Barr virus (naso-pharyngeal cancer), tuberculosis (lung cancer).

4. Incidence of Cancer
Normally happens to older people. But nowadays, more and more young people are diagnosed with cancer but have successful treatment and are therefore living with the disease.
Common cancer are breast, large bowel, lung, narsopharynx, prostate, stomach, lymphoma, cervix, blood, ovary, head & neck,

2. How can diet influence the development of cancer?
A damaged cell needs to replicate in order to grow into a group of cancer cells.
Some substances in our diet may either encourage the replication process and promote cancer growth or slow it down, so protecting against cancer.

1. Carcinogenic Agents
These agents may directly influence DNA or protein in cells. Eg. include aflatoxins, which are found in mouldy food, alcohol and certain compounds produced by some cooking and food processing methods.

2. Tumour Promoters
These agents stimulate the genes and encourage replication of cancer cells. Eg. include alcohol, high fat or high energy diet which promotes the production of harmful substances such as free radicals (which influence DNA disorganization).


3. Things to Include into your Diet
a. Protective Nutrients
1. Antioxidants
For DNA cell maintenance and repair, which reduce the production of free radicals, preventing early damage to cells & reducing chance of becoming cancerous. 
Eg. vitamin C, D, E, E-beta carotene, selenium, cartenoids, folic acid
Food Eg. Broccoli, choi sam(vegetable), bread, eggs(steam), fish(wt scales), meat(a bit), nuts, seeds, wholegrains, tomatoes, papayas, persimmons
Brinjal with chicken

Lightly simmer carrots
2. Phytoestrogens
Works similar like oestrogens in our body.
Food eg. beans, lentils, soya, oil seeds, wholegrains


3. Other bioactive compounds
Eg. Allium compounds (chives, onions), flavonoids (broad beans, broccoli, onions, tomatoes), plant sterols (cereals, apple, nuts, seeds, choi sam), terpenoid (oil of citrus fruits), isothiocyanates (broccoli, brussels)


b. Starchy & Protein Rich Foods

Red Bean
Porridge
Starchy foods include cereals (wheat, rye, oats, barley, rice), vegetables(potatoes, sweet potatoes).

Choose wholegrain cereals like brown rice or multigrain rice , wholemeal bread rather than white bread.
Muesli with chopped bananas, nuts with sprinkles of sesame or pumpkin seeds are good as well.




c. Vegetables & Fruit
Choy sum pork soup
Light stir fry choy sum
Vegetables & fruit are rich in vitamins, minerals & compounds that help protect against cancer. 
Potatoes, sweet potatoes, pumpkin, choy sum, sweet potatoes leaves.
Fruits are red apples(skin & room temperature) or papaya (room temperature).





d. Meat, Fish & Eggs  
Mayau fish
Avoid intake of red meat. Look into poultry, preferable "Kampung Chicken (free-range)" in small amount.
Teriyaki sauce salmon
Fish with scales like mayau fish (threadfin fish), sek pan (garoupa fish), salmon (but must least fat).
Eggs should be steam or properly cooked. Half boiled eggs are avoided.

Avoid cure meat like ham, sausages, lap cheong(cured sausage) as it contains nitrates and nitrites that preserve the meat or fish against bacteria.

Avoid smoked meat or fish too. It has carbon particles from the burning wood. Its often salted and may represent additional risk for cancer. 

e. Fats & Oils
Economy rice
Oats & carrot cake
Cut down on saturated fats which are mostly animal origin, but also coconut and palm oils. 
These oils tend to be solid at room temperature.
Polyunsaturated are mostly from vegetable origin, tends to be liquid at room temperature. 
Found in oily fish, avocados, nuts, rapeseed, sunflower & corn oils.
Monounsaturated oils are found in olive oil, fish, some nuts & seeds.
These are safe to take in small amount. Cut down on creamy desserts/sauces, crisps, deep fried snacks, salted nuts & chocolate. Avoid chicken/pork skin & fat. 


f. Milk
Avoid dairy products like milk, yogurt, cheese. 
Dairy products causes the body to produce mucus & cancer cell feeds on it. 
Herbal soup
g. Salt
Reduce intake to less than 1 1/4 tablespoons/day.
Anything salty, try to avoid it. Or use sea salt in very small amount.





h. Sugar
Sugar substitutes like nutrasweet, equal are made with aspartame. 
Try avoidning sugar or substitute it with honey in small amounts.
Anything salty, try to avoid it. Cancer cells feed on it.


i. Alcohol
Less concentrated drinks like beer & wine are better choices than spirits. 
But, avoid alcohol if possible. 

j. Can Food
As it has preservatives, avoid it at all times.

k. Cooking - Maximum Freshness 
Potato Tuna salad
Egg Potato salad
Food must be fresh for maximum vitamin & mineral richness. 
Avoid cooking meat & fish at very high temperature. Avoid charred meat & meat juices. 

Steam or bake vegetables.






l. Weight & Exercise 
Always exercise regularly. Practice qiqong or do morning brisk walks for an hour, preferable daily. 
Cancer cells cannot thrive in an oxygenated environment.


m. Cold Food
Suet Yee
Avoid food which are cold in temperature. Let the food rest at room temperature before consumption.



Ultimately, eat sparingly. Do not eat too much on a single food source. 

It could cause the body to automatically repel & make you uncomfortable.
I have tried this when I took too much onion. 
Like Dr Cheung said, be like a dragonfly.
It fly & taps lightly onto every leaves or flower or water surface when on air. 

What I had recommended above is based on my current diet, & does not guarantee or serve as a recommended food source by a dietrician.
But if we eat healthily, it might prevent a recurrence of cancer, why not try it? 
We are what we eat.




Sunday, April 3, 2011

What is Chemotherapy?

CHEMOTHERAPY
Reached the hospital very early. Center wasn't open yet.
I believe you & me are the same. What do you think of 'CHEMOTHERAPY' ?
The word chemotherapy sounds BAD & PAINFUL.
It means tying a bandanna on the head, the feeling of fatigue & leaving scars on the body.
Cancer Day Ward
[4th Apr'11 -  I'm on my 4th chemo cycle now. The recent side effects had changed my view towards chemotherapy. If our body is not up to it, it actually sucks all the fighting power in a person, making it helpless & just wants the whole process to end].

Putting in the IV Line
BUT did you know that the process is not that bad ?
Its only the side effects which kicks in thereafter..... making a person so weak & spiritually low that as a cancer patient, we just hope all will end in a single snap.
Did you know that the process is just intravenous (hereafter referred to as 'IV') drips into the body via the hand?
Taking blood samples
IV line
To me, the only pain is when the nurse poke the IV needle into the vein on the hand.
That's all.


 






Infusion Bags
 
Thereafter its just mixtures of  sodium chloride & medication on the hanging infusion bags of water.
I used to be so scared of syringes & blood... but now, its such a small thing. Courage gets bigger once you been poked around the body for so many times & went under the scalpel.







 
Tomotherapy
However, radiotherapy might hurt. I have not tried that & don't intend to.
You can refer to the below link to know more about the radiotherapy process.
The patient was so brave & went through quite a number of cycles to overcome the odds.
She took the signature "Tomotherapy" which was a very up to date machine.
http://munirah18.blogspot.com/2010/11/radiotherapy-week-1-and-chemotherapy.html





Children's ward
The process of the whole chemotherapy takes about 4 - 5 hours.
Upon arrival at the Oncology Clinic Center in the early morning, I will choose my preferred bed.
I prefer this bed for its privacy and closeness to the children's cancer ward.
Everytime Mimiko hears the children crying, she will cry too.
It is so heart wrecking to hear them scream & cry out " I dont want- ! I dont want-!"
People tell me I'm brave, but in reality these kids are even braver & deep in myself, I really wished that these kids do not suffer what the adults suffer.
Its so painful to see them with IV on their hands & hearing them vomiting...
Their parents are so strong & I salute them for their persistent loving care & iron braveness to see their child grow up normally.


Most of them are leukemia & brain cancer patients.
I really hope to do something for these kids... like when we see these children cries for help in the newspaper. They request for funds for their operation & therapy in order to ease the pain & lead a less painful life.
I have asked one of the nurse pertaining to the medication cost of a leukemia stricken child... it could well be in the region of $300,000 - $400,000 !!!
Half is for the chemotherapy/radiotherapy & the other half is for the bone marrow transplant.


Checking my BP
After getting into bed,  the nurses will come over to check the heartbeat & blood pressure.
Flushing the vein
Then they will insert the IV into the vein, followed by taking 2 veils of blood samples to test whether my white / red blood cells & hemoglobin are sufficient for the chemotherapy.

While waiting for the blood report, the nurses will start to inject the below medication.
These are to control nausea, vomiting, gastric & allergy while the chemo meds feeds into the body.



Controloc, Piriton & Kytril
Dexamethasone - Control certain side effects during chemotherapy
Controloc          - Prevent gastric
Piriton               - Prevent Allergy
Kytril                - Prevent nausea & vomiting







Once done & with the blood report cleared, the nurses will get the chemotherapy drugs ready.
They will perform a double confirmation by 2 nurses that the drug used are correct.
For my case, I'm taking the below drugs to kill the cancer cells( as well as the good cells. That's why the red, white & hemoglobin dive into low levels everytime after the chemotherapy).
Taxotere

Taxotere (extracted from the bark of thee yew tree)
Carboplatin (platinum based compound).

Taxotere is normally used for treatment in breast, ovarian & non-small cell lung cancer.
For my case, I was given a dosage of 120mg.
The response rate is rated as per below.
60% - Medium response. Tumor has gone smaller after chemotherapy
30% - Good response. Tumor is clearly smaller after chemotherapy
10% - Very good response. Tumor is not present after chemotherapy




Carboplatin
Carboplatin is normally used for treatment in ovarian, lung, head & neck cancers.
Its acts to kill or to slow down the cancer cells in the body.
I was given a dosage of 500mg.










The side effects of these 2 agents are
- loss of hair - [I actually love being bald now. Wanted to keep the head shiny]
- loss of appetite/weight - [ This is bad... every food that you think.. you would want to vomit]
- stomach pain (lots or air) - [Just like an old car with bad exhaust... spitting all the air out & disgusting too]
- diarrhea / constipation - [it does feel good after a good "let out"]
Burst of pimples on my shoulder
- nausea & vomiting - [I hated this... its like a lifetime rocking on a boat]
- changes in taste - [ EVERYTHING tasted like metal. I hated this as well]
- changes in vision
- numbness / redness in fingertips
- mouth blister / ulcer
- fatigue - [gosh... so tired & cant think at all]
- cold - [especially the feet & after a sweaty head]
- reddish urine - [it sticks too & has a burning sensation]
- shortness of breath / wheezing
- black/tarry stools - [& its pretty smelly]
- heaty - [thats where all the pimples pops out on the whole body]
- drastic drop of white cells , red cells & hemoglobin
- waist (side) & back pain [you will feel fragile & old.... all actions slow]

* (I have experience the symptoms highlighted BLUE). 
At this stage, I strongly encourage acupuncture as it helps to ease the side effects & strengthen our body as well.
It really takes a lot of encouragement & very strong will power to get over the side effects. 
My special tribute to those patients whom suffer these side effects as well. 
Especially for those recurrence cases. Tons of will power & courage to face it again)


Terumo Infusion Regulator
During the infusion, I will not feel much side effects due to the pre-medication. The medication will automatically drip into the veins & regulated by a TERUMO machine. 
So, I will normally sit on the bed, read news paper or books, play with my phone, talk to the nurses & take short naps. 
Well, its better than to walk around & see the other patients... most of them have a gloomy look.
Honestly, psychologically not that encouraging. 






Blood Reversing
Each packet of the drug will take 1 hour infusion time. 
That means 2 hours gone. In between after each infusion, it will be flushed with 30mins of sodium chloride water. That's another hour gone.
Another 30 mins is for the for drugs to suppress the allergy, vomiting, nausea & gastric.
Taking the IV out
Plus the waiting time, inserting & taking out the IV line, seeing the doctor.... adds in another 1 - 2 hours.
All in will be 4 - 5 hours. 











3 days after my chemotherapy, I will need to go back to the hospital for 2 days consecutively to have myself injected with Neupogen. Its to promote my bone marrow to increase my white cells so that I won't fall to sickness(eg fever, flu) easily.













Kelly the councilor always tell me I'm full of strength



Many times, the nurses & the hospital personnel told me that I'm always smiling & cheerful. 
I look spiritually & physically strong. 
Whenever I hear it, I feel very happy. 
The urge to share this feeling with the other patients comes rushing into my head. 
This is one of the factors which drives me to move on.
Nurses at the Cancer Daycare ward

















But all of these doesn't come without hard work.
1.  I sleep early around 10pm. 
2.  I try to walk everyday for around 3km in the morning.
3.  I watch my diet... eating nutritiously & avoid many types of food.
4.  I renew my urge to live everyday by flashing back what I have now & 
     living it happily & thankfully.
5.  I encourage other cancer patients whenever I talk to them. 
6   I take my herbs & attend my acupuncture regularly.
7.  I take my mind off from work & stress till I'm better. 
8.  I never stop loving & being loved by my family & friends. 
9.  I plan what I want to do & enjoy every aspect of it. 

Of course once in a while we do tend to run astray with our objectives...
1.  I did eat very little of McD, roast pork, a bit of hawker food... which I'm 
     totally off limits to it.
2.  I took a bit of ice cream & soft drinks
3.  I did sleep late(around 11pm) once in a while watching WWE on the TV. 
4.  I missed the acupuncture appointments by a few days in fear of the needles.
5.  It was too hot outside & I missed my morning walk.
     (I have walked around 65km in 3 mths time)
6.  I got impatient & venged my anger on Mimiko & my mother.
7. I do get very negative & selfish. At times I just want to let God decide my fate... just 
    stop fighting because I am very tired. BUT what will happen to my family whom ran every 
    mile with me?


As long as we know that is the bottleneck to our own self recovery, we shouldn't indulge ourselves into it constantly. Try to stay away from it. 
Know what is best for your family & yourself (take note self comes in second in priority)

I found this at one of the Sunway Pyramid restroom.


Lastly, I wanted to thank Mimiko for constantly being beside me & my mum, Doris How for constantly taking care of my diet. These 2 ladies are one of my source to a NEW me. 
Not forgetting all my family members & friends whom cheered for me during my journey to full recovery. 
Thank you very much. 

My special tribute to all other cancer patients.




Monday, March 21, 2011

Acupuncture

Acupuncture
I'm wondering how many of us actually tried acupuncture... or tried & continue the therapy?
The mediocre thought which comes to our mind will be needles poking all over the body.




While I was doing my chemotherapy, one of my good buddy introduced me to to a Chinese practitioner whom specializes in acupuncture & herbs medicine. Heard that he was good & many people actually come from far away places to see him.
I have even met Datuk David Arumugam of the famed Alleycats at the center earlier this year.



Dr Zhang Jie

Lady Dr Zhao prepared my herbs
When I first met the doctor, he told me very frankly that he will not be able to help to kill the cancer cells directly. However, he will be able to promote the well being of the body(sleep/rest) & digestion in order to have the body antibodies to fight the cancer cells on its own.
He also did say that nowadays, herbs & other eastern medical practices are being used as a supplement to the western medication.Its widely accepted in China.



He had also explained the basic of our food to the human body functions... basically if we eat a good balanced diet, the nutrients, chi enerygy & everything good will be channeled to the main 5 body organs.
But if we do not, it will cause ailment like fatigue, diarrhea, constipation & even cancer.
Balance Diet Distribution Chart
If you notice, a numeric accompanies each basic food (grain = 1 , meat = 2, vege = 3 & fruits = 4).
The middle box (no. 5) is the distribution point. If this box functions properly, it will channel the nutrients/chi enerygy to the organs.
Eg. 1(grain) + 5(distributor) = 6 (organ) ; 4 (fruit) + 5(distributor) = 9 (organ)

BUT if the distributor is not functioning well, it will cause improper channeling to numeric like eg. 7.8 & 8.2 which are neither in the box of 7 nor 8 nor 9.
This will in turn cause illness in our body.

On my 1st chemo, I had quite a few side effects which really gave me a hard time.
Nausea, muscle & bone pain, fatigue, loss of hair (including facial & pubic hairs), sense of cold(especially the feet), very airy stomach (the air just won't stop coming out from the mouth & fart), vomiting, urge to eat certain food (just like pregnancy), inflammation of the gum caused by wisdom tooth (one of the most painful experience as the whole left cheek was swollen 1wk after chemo), platinum taste on all food & water ( I really really hate this taste), insomnia (wake up & walk around the house), diarrhea & low level of white cell counts/platelet & haemoglobin.
Sounds serious as it seems, but eventually I got used to it by the 3rd cycle.

Cordyceps
Then, I started attending the acupuncture sessions & taking the herbs.
Don't expect immediate effect !
Chinese medication takes time to produce the desired result.
The needles were.....honestly painful.
My most relaxing acupuncture session was last week, 2 wks after my ops.
I guess the pain on the chest was not comparable to the needles. I slept halfway through the extra long session ( 1.5hrs. Normal is abt 45mins)







Powdered Herbs Diluted in Hot Water
It promotes good blood circulation, better digestion, better sleep, better toilet habits & channeling the chi energy into the right area.
Apart from this, I was asked to sleep early, preferably by 10pm & wake up early.
I have to eat my breakfast before 8am, morning toilet routine & taking brisk walks in the morning.
He have also introduced taking cordyceps as a supplement. It helps to strengthen the body for the ops & the chemotherapy. 
Last of all, to take the herb medication on time.



Of course there is always the PROHIBITED list of food.
Take a look into the below. Anything which is cooling to the body is a NO.
I'm also advised to stay away from dairy products for the time being.
List of Prohibited Food
Honestly, initially I was pretty skeptical but glad that I went for it.
Overall, it helped to improved my overall condition, & also contributed to a part of my very positive result in my fight against cancer.
If you have ailments, you can really consider it. It works.
Let me know if you are interested in it. I can introduce the acupuncture doctor & the centre to you.

Till then. Thanx for the time in reading my blog.

Friday, March 11, 2011

Substance X


SUBSTANCE "X"

Before I move on, substance X is just a replacement name for the REAL SUBSTANCE which I believed had helped me on the road to recovery.
Its a traditional herb well known among the chinese medical practitioners.
In view of insufficient proofs & conflicting medical healing properties, I shall keep it anonymous.


When I was on my 1st chemotherapy process, one of my good buddies called me on one of those nauseous side effects afternoon.. I wasn't in much condition to talk nor to have my brain work but I'm glad that I did.
He heard about my condition & he wanted to help in my recovery, in whatever way possible.
He told me that there is a substance which will be able to eliminate the cancer cells.
Yes, you heard me. Eliminate the Cancer Cells.

All the while, I thought it was only the western medicine & our own body antibody which were able to ward & kill the cells. For Western medicine, it kills not only the cancer cells, but also the good cells. That's why you can see a cancer patient being so weak everytime after running a  chemotherapy session.

The white blood cells, platelets & hemoglobin will all drop to a level whereby we cancer patients are to avoid getting sick & going to crowded areas. If we get a cut, it will take a much longer time to stop the bleeding & to heal.  I had this experience when my body was so weak that the bacteria attacked my weakest point.... wisdom tooth.

Back to substance X. After the call with my buddy, I was not content & find it very hard to believe. Its like using my life, as well as my beloved family to gamble on something which I had not heard off, nor any medical proof of its miracle properties. On the 1st try, I have told my buddy that I will consider this option.

After a couple of days, another buddy of mine called & spoke to me about the same substance. He said I should really give it a try. There's no harm trying out whatever options as long as it heals my cancer. After a length of words, I still told him that I will consider it. Then, it was like suddenly, this buddy sent out a mass sms to all my other buddies & shared with them about my condition. They were doing a fund raising activity & had come up with a sum of money to get this substance X.


A capsule of Substance X
When my buddy sent the 12 capsules to me & told me how to consume it, I was awed by the price it carries on each capsule. Small as it is, I am to consume 5 capsules every alternate days, followed by the remaining 7 capsules every week.. These capsules are said to be sufficient & will help in my healing.

On my first capsule, my body excretion was very smelly. The urine was dark brown & don't bother asking about the passing motion. I believe it's enough to topple a herd of cows down.
As far as I know, there wasn't any other side effects.

Honestly, there is no way to trace the effectiveness of substance X.
But I believe it had helped when I went for my CT scan right before the 3rd chemo cycle. The result was very good. It showed that tumour & the lymph node have been reduced to 1/4 of the original size. The doctor said the result was impressive but in truth, I know substance X had helped.
Of course there are also other precautions like acupuncture, chinese herbs, morning brisk walk & early sleeping patterns.
Overall, it had helped me more than I thought.
In short,  miracle works in many ways & I believe this is one of the many miracles which I had come upon.

I would like to take this opportunity to thank the below buddies whom had worked & contributed to my recovery. You do not know how much it meant to me. Guys, I owe you one.
Thank you so much....

Lim Kian Koon                          Yam Voon Foong
Yan Kai Hoe                               Cheah Wei Meng
William Chan Kai Wah             Edward Lee Chun Yok
Benny Cheong Chee Khan    Melving Chong
Kenneth Leong Wai Noon      Eric Chen 
Terence Toh                               Wee Chin Bee
Foo Chiew Wai                          Ryan Long Hian Yee

Tuesday, March 8, 2011

My Operation in Singapore

My Tag


Mt Elizabeth Medical Centre

8 Mar'11
It's exactly a week after my operation at Mt Elizabeth Hospital by Dr T. Agasthian.
I had my white chest slit open, rib bone cage sawn half, the fragile windpipe cut & reconstructed, rib cage closed with tiny binding wires & my chest sew back with a long 1ft slit... body feels just like a Frankenstein.

8am - Before Going to Ops
Yeah, sounds like I went through a lot.
But I amaze myself judging by the rate of my recovery..... a week ago, I was in the operation theater for 4+ hours.
I came to Singapore very well prepared for this operation. Waited so long for it. After weeks of chemo, exercising & protecting the health of my body.


Come the day of the ops, both my wife & buddy, Yap Chee Send had accompanied me since 6am at the hospital. My special thanx to GH Ye (Han)  for sending me down to the hospital so early in the morning.
The moment I see anesthetist injects into one of my three IV(intravenous) lines (needle for injection, 2 on my left hand & 1 on my neck), I set myself to go through this courageously & I will see them all again. That was the promise to myself. I have set my subconscious mind to determine for any fight if it were to head my way.


Day 1 - HDU Unit
I was told by my wife that the operation went very well when Dr Agasthain & Dr Mark Chow were seen talking & grinning to each upon, pushing me out of the ops theater into the High Dependency Unit.
On that day itself, I had only open my eyes for 3 times. First was to see my wife & Chee Seng in front of me asking me everything went well. I was shaking all over at that time. I only had a vague 30sec memory recall on that day.
Second when I open my eyes to see my Cousin Kim & Roy. I just extended to a hand shake & slept again.
Third was when I saw Alan & Felicia in front of me. I waved at them & fell back to sleep again. 
I thank the miracles of the morphine, the pain killer & anesthetics for making all the pain bearable. Not forgetting the nurses whom had constantly taken good care of me during my critical period.


Day 2


On the 2nd day, I was transferred to the normal ward. Thank heavens I was allocated to a 2-person room even though I opt for a 4-persons room. I was bed ridden for 3 days without much movement.
On the 4th day, I attempted to sit up on the bed with the help of the nurses.
Needed to sit up & get some blood running down my head & shoulders. It was so stiff & it hurts especially with the long tube running in my chest while pumping the water out.
Mimiko helped to rub down some of those ache out of the feeble muscles.
Weeks of preparing the muscles was wiped out in just 4-days.
I lost about 2kg just on this ops.


Neck IV Line

Chest Tube
Apart from the big chest tube, I have 2 IV line on the hand & neck, & a urinal tube stuck onto my genitals.
The urinal tube along with the hand IV line was taken out on the 4th day. The nurse was ruthless when she pulled the long urinal tube out.
Believe me, it was definately a sharp pain & not just "going to be a little bit pain" as claimed by her.
Imagine the tube running from the penis hole right into the bladder.... just imagine how long the tube is.
The pain is like scratching your penis onto a fine sand paper. You can even see some dry skin after that on the forehead. Eventually I did ignore the pain as the chest pain was more painful.
The pain struck like a needle across the abdomen till the back of the shoulders.


Day 3
I was able to talk better on the 4th day once the morphine had worn down. The IV line was taken out.
Started to climb out of bed to pee at the toilet. Even though the toilet is located only 7-8 steps away, it took quite an effort to walk there with my chest drain box on my hands. It weights around 1-1.5kg but it was really quite a task to carry it around with my torn chest muscle.
By this time, my breathing got a bit steadier. My lungs & abdomen were weak & couldn't produce the oxygen which I needed. It was like running up a hill & having abdomen muscle cramps after the run.
I even had the experience of having an abdomen muscle spasm on the 2nd nite.
I just can't breathe & made several attempts to cut as many short breathe as possible. Got scared at that time when my body went cold with sweat. Luckily the nurses were able to calm me down & I managed to doze off to sleep.

Day 5
The following days went by as I get lesser sleep & spent more time walking around the hospital & reading a book.
I still need to be careful with my neck & not make any sudden jerks or movement which might hurt the reconstructed windpipe. My head was kept down for the first few days & was very careful with it. If it breaks, it will mean another round of ops just to mend the connection again. With the head bowed, it looks odd & feels just like a turtle.






The Daytime Nurse Team at Mt E
Sometimes, I would just wake up at 4am or 5am to walk around & talk to the nurses.
It seems the nurses were either Malaysians or Filipinos. All of them were very friendly & had helped me alot.
Drinking the cordyceps which my sister had bought for me & forcing myself to have have proper meals, I healed very fast & it feels great upon discharging on Monday, 6days upon my admittance to the hospital.
Being in the hospital is getting on my nerves & my neighbor had given me 2 sleepless nights with self murmuring  in the middle of the night. At one time, I had to get out of the room & the nurses urged me to go to one of the empty beds for 2 hours sleep before the next patient comes. Thank goodness for it.

 

Day 6
Now, I can see the long slit on my chest, with a bit of yellowish bruise on the top which is the most painful part. I hope that it will develop into a good scar to remind myself of the events & continue my drive for awareness.
Still very short of breath, couldn't walk 10m without having my lungs pumping for air. Stamina & concentration are at all time low. The bald head of mine keep spinning at certain times... after watching a bit of TV or lap top or anything which runs in motion.
Its very tiring & I'm glad its over. I just need to proceed with my next challenge.





Fr Left : Audrey, myself, Dr T. Agasthian
Since the 1st chemo & ops went very well, the doctor advised me to for another 2-3 rounds of chemotherapy. He had arranged to meet the oncologist at SDMC again next Friday.
This was rather surprising as I thought all was over. But if it acts as an assurance and my body could take it, why not?
Anyway, I have faced the worst of it. Just a bit more before I can share my experience on this war & proudly say that I had seen it & lived it.

I just booked my flight back on this coming Thursday afternoon. Need to go home & get proper rest.
Can't have it neither at the hospital nor hotel. Kept having fictional dreams which disrupt my night rest.
The body is really drain of energy now. Small coughs & sneeze tears at my chest whenever I have it.
It takes some seconds to calm the pain down.

Right from the start, Mimiko had been beside me to take care of my every needs & I'm very very thankful for all the sacrifices made for me. My son is in KL waiting for us to go home. Both my parents & in-laws are helping me to take care of him during his school days.

My sincere thank you to Dr T. Agasthian whom had given me a new lease of breathing organ in my body.
Not forgetting nurse Audrey whom had helped to arrange the details in admission & discharge from the hospital.
My thanx to Dr Mark Chow whom had administered the anesthetics & thanx to the other members of the operating team during my ops.
Thank you nurses of ward 6A(not forgetting food auntie/lady) whom had see to my every needs during my recovery.

Alan & Felicia
My special thanx to my buddy, Alan Tan & Felicia, whom had helped to cook all the delicious good soup, porridge, tempura for Mimiko right after I was discharged from the hospital.
They have really helped me a lot during this stage and I'm thankful to have friends like them. Couldn't ask for anyone better.
Thanx to my school buddy Chee Seng, for being there on the ops day & all the help extended to my wife.
Thanx to my buddy Han for ferrying me to the hospital.
Thanx to my buddy David for the soup & ferrying me to the follow check-up & to the airport too.
Thanx to all the family & friends whom came to visit me during my stay in Singapore.
I'm truly blessed  with so many of you all.

Mimiko at the Airport
Well, Its not exactly a perfect vacation but still a happy "Medical Vacation".
Mimiko loves Singapore as well... so convenient, safe & well oriented with proper planning.
Would surely love to spend a few nites there vacationing again.


Need to rest now.. feel so giddy.