I was at NUH today for my 1st session of radiotherapy.
As the radiotherapy simulation/planning was done about 4 weeks ago before I got warded for the duodenum and bile duct obstruction, the Radiotherapy Centre’s folks did a dry run just to determine if the therapy could proceed. Sadly, as I had lost too much weight in the interim (7kg) which is more that 10% differential and I got 2 stents near the region of interest for the therapy, therefore, the previous planning is no longer accurate. I will have to go back to NUH tomorrow at 11:30am for another round of CT simulation/planning to be done and for the radiotherapy to be restarted on Thursday, 18th April. I had expected as much that re-simulation and re-planning had to be done but I went today to NUH in the hope that the therapy could proceed anyway.
My Radio-Oncologist and the staff at the Radiotherapy were quite appreciative of the situation that I am in and that my therapy should not be delayed further. As such, the re-simulation slot tomorrow was a forced-in as well as the actual therapy on Thursday. My Radio-Oncology would able be working “overdrive” to get the planning done in time for the therapy done on Thursday. I will provide further updates after the session tomorrow.
The pain is not too bad with the pain medication but I ask that you continue to pray for speedy recovery for the stomach as it is churning a lot and causing a lot of discomfort.
As a note of thanks to God, the situation described in the paragraphs above can be said to be extra-ordinary and out of the norm. While warded in TTSH and precisely because I was in TTSH, my Radio-oncologist’s team sent a doctor from NUH to TTSH to assess my condition before my discharge. While warded in TTSH, the bile duct stenting was done by the most experienced Radiologist that they have for the procedure. My duodenum stenting was done by the Director of the Endoscopy Center. The In-house Gastroenterology doctor who is taking care of me had experience in palliative and pain management and managed my pain pretty well when I was there and prescribed pain medication for my home use that is very handy now. God is good and despite me been a subsidised patient, I got great care.
In God We Trust
Hebrews 11:1
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