Friday, June 19, 2009

I completed the first week of 3DCRT session …

I completed one week of 3DCRT today, the next session begins on next Monday. So, I have at least another 5 weeks of 3DCRT to go.

Come to think of it, 3DCRT is not that awful compared to intravenous drip of chemotherapy where you physically have to endure 2 to 3 hours of slow “dripping” process of chemo drugs into your body. The only inconvenience is, I have to go to the hospital everyday to receive my radiation treatment. In addition, 3DCRT also comes with some side effects. My first week encounter is, after the radiation session, I felt nauseated and vomited a few times. I hope the effects will tapper off from the second weeks onwards.

As advised by the Oncologist, I was prescribed with Xeloda ( Capecitabine ) to go with the radiation therapy. However, due to my taller than average height, my body body surface is bigger, so I was prescribed with a dosage 3 times higher than normal patient. Naturally, the medication costs 3 times more expensive. So, tall people may look more handsome and appealing, but when come to medical care, you are at a disadvantage in terms of treatment costs !!!!!

With Xeloda, I have to take 1500mg per 12 hours basis. The medication comes with its whole list of documented side effects. The most common side effects associated with the consumption of Xeloda are Sore palm, sore foot, ulcer in the mouth, diarrhea, etc. In anticipation of these side effects, the Oncologist also prescribed a another arsenal of medications to be taken daily to counter the side effects. Hmmm.... sometimes, modern medicines can be a real pain. But whatever it is, I hope, as I progress during the treatment period, I would not be over preoccupy with these side effects.

A young lady from Hospice Malaysia visited me yesterday and today to provide me with counseling on pains management and symptom management. One thing surprised me is, the young lady is so well versed with her area of expertise and serve with so much enthusiasm and empathy as compared to our over glorified private hospital. Hospis Malaysia provide me with free medication for symptom and pains such as liquid morphine. They also provide me with Sheepskin to make me comfortable when I lie on hard surface. All these items are provided free of charge. Well, in the midst of commercialism and profit orientation of medical care, at least there are still some NGO's out there who care for the well being of average Malaysians. Mind you, these people really serve with big smile, enthusiasm, dedication, and empathy !

For the next 5 weeks of so, I will have to go through pretty much the same treatment routine. I don't really look forward to, but, I will get around, and hopefully complete the whole treatment protocol with positive results......

Tuesday, June 16, 2009

The 3DCRT session begins....

I attended my “CT Planning” for 3DCRT on Friday, done my first session of radiiation therapy on Monday, and today is my 2nd session of Radiation Therapy. And, there 29 more sessions to go spreading over the next One and a half month !!

The doctor has also prescribed daily intake of 3000mg of Xeloda ( capecitabine) and 15 tablets of Vitamin B6 to go together with the 3DCRT. In additions, there are also some medications to counter side effects.

I was a bit apprehensive about the whole 3DCRT treatment in the beginning, because I do not know what to expect. But Monday session was not so bad, no pain and no discomfort. All I have to do is to make sure I minimized body movement on the table, and let the machine revolves around my body to aim at the preconfigured area. The session lasted slightly less than 15 minutes and I was allow to go home with no discomforts. However, I do felt very tired throughout the day. Compared with the Chemotherapy I had previously, 3DCRT is so much more “comfortable”

Today's 3DCRT is the same compared to yesterday's session. It lasted less than 15 minutes. However, After I got home, In addition to the feeling of tiredness, I felt dizzy ( probably due to the haze), and I also vomited twice.

I do not know whether the vomiting is caused by the side effect of Xeloda or 3DCRT, I will check with the doctor tomorrow when I go for my 3rd session of 3DCRT. I don't feel good at all today with all these vomity feelings. But my main concern for the time being is to resolve my weight lost and constipations issues.

Well, 2 sessions down, and 29 more sessions to go..... I do hope, this new treatment protocol of 3DCRT in combination with Xeloda oral chemo can produce the desired results for the recovery of my health.

Sunday, June 14, 2009

Shooting Birds...............

At the Kuala Lumpur Lake Garden's Bird Park.....

Thursday, June 11, 2009

Life Ain't Rosy ?


My name is Saw Kow
have a house in TAIPING TOWN.
Finished my secondary education
in a school started by ANG MOH KOW.

Obtained a Grade One in MCE
But as a minority, LIFE is not ROSY
My Grade One is not good enough
compared to Grade Three of a BUMI.
So, no Form Six for me !

But I am very LUCKY
"You go Canada to STUDY"
That what my DADDY told me.
After three years of undergraduate STUDIES
I came back with a DEGREE and my HONEY

Life ahead is very ROSY ?
After one year working for some lousy MONEY
Daddy found out I already have a STEADY
Everyday he asked me to MARRY
Or else he won't talk to ME
No choice, but to propose to my HONEY

Yeh, Life ain't ROSY !
The Marriage ceremony depleted all MY MONEY.
To survive, everyday I eat CHAPFUN or CHAPATY.
For entertainment, everyday I watch TV or pirated VCD.
While other drive Mercedes, I drove a 3rd hand Datsun SUNNY
Married life ain't that ROSY
In less than 12 months I have a BABY
Suddenly I became a DADDY.

Yeh, Life Ain't ROSY !
After many years of working for lousy CRONIES
When I worked HARD, he said it is my DUTY
When I submit MC, he said I am LAZY
Paying me peanut
and yet expect me not to behave like MONKEY
When I am short of MONEY,
he asked me to "Chiak Kar Key"
I almost gone CRAZY.


Yeh, Life ain't ROSY !
Now, I have to support my HONEY
and I have to feed my BABY
Have to pay installments for my old Datsun Sunny
Every week have to buy Dutch Baby
Everyday my petrol tank is EMPTY
Go to work JALAN KAKI
ATM told me my account got no MONEY

Yeh, Life ain't ROSY
Seek HELP from government,
but they said I ain't BUMI.
Seek HELP from MCA,
but was told Life ain't CHARITY
and I am not their LIABILITY.
Sometimes, I really want to CARI MATI
But who is gonna feed my HONEY and BABY
Susah nak HIDUP, susah nak MATI.

Yeh, Life ain't ROSY !
Nevermind, every dog has his DAY.
Now, I made my own MONEY.
Life has become a bit ROSY.
Sipping my favorite Coffee in LUXURY,
Should I show SYMPATHY
to those who rejected ME ?

Yeh, Life ain't ROSY ?
Believe me, when you are in troubles,
the rest will conveniently
suffered from Avian's Flu.
They are all quite capable
of talking cock's languages to you !

Yeh, Life ain't Rosy ?
But who say Life is EASY ?
When the going gets tough,
the tough gets going.
Go hit the road
and make your OWN MONEY...........

On the road again.....

Finally, I had a good night sleep yesterday. It's been a while I never had such luxury of uninterrupted sleep for such a long time. I think, the pain killer, OxyContin, prescribed by the good doctor did the wonder for me yesterday evening.

I woke up this morning feeling very refresh and in good mood. My appetite for breakfast was also extremely good. I managed to finished one big bowl of Pan Mee !! Hmmmm... yummy, yummy....

After the breakfast, I seek my wife's assistance to arrange the 3D Conformal Radiation Therapy treatment sessions for me with the hospital. Tomorrow, I will have to check into the hospital to do the “CT Planning” for the 3DCRT. Tomorrow session, if I understand it correctly, is for the doctor and lab technicians to do mapping of treatment area ( tumor and its vicinity) using the CT scan result which was done 2 days ago.

After the mapping, my first 3DCRT session will start on Monday. All together, there will be a minimum of 31 sessions of 3DCRT on daily basis except Saturday & Sunday. During the treatment period, I will have to take on twice a day basis oral chemo tablet of Capecitabine ( Xeloda ) to complement the radiation therapies. I was told, the Xeloda will act as radiosensitizer to make the 3DCRT more effective. I do hope these sessions of 3DCRT can help to target correct dosages of radiation precisely into the tumor to trigger remission, and thereby improve my chances of recovery.

It has been a long and winding road for the previous 10 months in my quest to restore my health. Honestly, it has been also a very frustrating experience for me dealing with previous failed attempts and the emotional ups and downs of trying to stay positive and maintain my sanity over the whole process. I have nothing else to lose to chart into this unknown territory of radiation therapy. I am confident, I can overcome this illness and restore my health in due course. I will do whatever that are necessary and within my control, the rest, I leave it to the Almighty to guide the good doctor and his medical team to perform healing miracles on me.

Well, I am on the road again to fight for my survival.............. “Yea, though I walk through the valley of the shadow of death, I will fear no evil: for thou art with me; thy rod and thy staff they comfort me.” ( Psalm 23:4) Praise the Lord.