Wednesday, 1 May 2013

Radiotherapy: Update #11

This is a belated entry as I was really tired yesterday and thought that I’ll just skip one day and post this entry today. No real hoo-ha yesterday and it was just a regular radiotherapy session. On schedule I was supposed to the Rad-Oncologist yesterday but this was postponed till tomorrow.

I had another appointment yesterday in TTSH with my General Medicine Consultant for my diabetes. Told him I was not putting on weight and based on the information I gave him, he says it is most likely because I am not taking in sufficient nutrients (i.e. not eating sufficiently). This he derived as the amount of insulin that I am injecting now is 5 units less than what I used to give myself. I am trying to eat more but my appetite nowadays is not really big although given a choice, I can still consume more. Told my Consultant about the pain killer patch and the morphine and he was “ok” with me consuming more if it helps to alleviate the pain but from an overall management perspective, we both agree that it should be managed on a regular basis by my Med-Oncologist. On another issue, I told him that my stool is getting lighter I colour although not white. He thought that maybe the bilirubin was not excreted out but then I am not jaundice either and so it was kind of strange and since I will be having an appointment with my Med-Oncologist on 13 May, I was advised to monitor the situation until then and if the stool turn white to get an immediate appointment with the Gastroenterologist or my Med-Oncologist.

Other than this appointment, I went to the Chemotherapy Clinic to arrange for a blood test and chemotherapy as suggested by my Med-Oncologist. The clinic staff called him immediately and was told to have my blood taken for tests and that’s was it at TTSH. A couple of hours later I received a call from my Med-Oncologist and was told that my liver panel looks good and I could actually resume my chemotherapy but on oral form rather than by infusion. In my mind, I was thus very curious as to the colour of my stool but I did not mention this to my Med-Oncologist over the phone. The lab test is a far more accurate assessment of the health status of my liver.

For the chemotherapy, he said that he do not see any real benefit for the chemotherapy at this point and would rather wait for the radiotherapy to be completed first as he was also concerned about the possible combined side-effects from radiotherapy and chemotherapy. I told him that so far I feel well and would rather have the chemotherapy. If nothing happens, then so be it but if there is a possibility no matter how small of possible benefit, I rather go for it then. He was ok with it and asked me to call the Chemotherapy Clinic on Thursday to have the nurses there call him and arrange for the therapy. He was also ok with me consuming more of the morphine in order to alleviate the pain.

So that’s it. I’ll see what happens tomorrow with regards to my chemotherapy.

In God We Trust and in Christ alone my hope is found.
Hebrews 11:1

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