Thursday 28 August 2014

ALS awareness

The moment I did my #alsicebucketchallenge #icebucketchallenge#strikeoutals donate www.alsa.org, I was reminded of a friend who died of muscle failure disease, which I remember was cancer or sort, when I know him, he was already at that stage & I didn't ask much about it, as I don't know where to start, had a few dinners with him, even dinner at home, his best friend will always carry him in and out of car, wheeled around. Attended his funeral like 2 years ago. Had seen someone died from it & didn't even realised what disease it was, think I was quite ignorant. Pete Frates is a famous sportsman, my late friend was a famous golfer. No clear known causes for ALS, can I make an assumption of overusing muscle? Hence the fund was for the research of the cure, of course to know the causes would be great help.

Years back, cancer is not a major issue, today, cancer is like getting flu or fever! It's really crazy. I won't be surprised if ALS will be wide spread too. 

My buddy who died of cancer has muscle related prob too.. Having being there with someone so close seeing how they lost one by one of their organ failing is totally devastating as you can't do much but just watching them die. Though I hate big pharma but yes, we still want to have the hope that somehow somewhere the root cause of all these diseases be known and we can e prepared and prevent.

I saw how my friend couldn't speak, not able to control her tears/ water/ mucus from coming off her through 4 holes simultaneously. From eyes, nose, mouth & teach hole. That time I still made some joke out of it with her, as she was sorting out her belongings getting ready to face her death. 

On the final day of her life on April 2013, nothing else move beside weakening heart, slow panting breathing & the very deep of her eyeball.. Eyes not closing, one eye is already gone/blocked/swollen.. The other stare right up to the ceiling of the hospital bed, tears flow out as I read out last messages from her friends from her phone and a birthday card meant for the next few days 

Worse way to lose a friend, having to say goodbye to her, last seen her from body bag in mortuary before sealing up in coffin. Not a scene for anyone, definitely not something imaginable or even expectable.

Those are the diseases I hate and we don't know exactly the causes or cures!

Anyway, here's a video of how this challenge started..

https://m.facebook.com/sharer-dialog.php?sid=829605567072758&ref=bookmark&notif_t=close_friend_activity


Sunday 13 May 2012

AP's chemotherapy treatment

10th Dec - not sure what I did for the whole day, but was worried sick of AP, googling all about chemotherapy, knowing that her treatment will start on Monday and that she will stay alone and not staying with her relatives in Kelana, got me worried sick and I offered to live in with her for awhile until I get a job.

11th Dec- moved in to AP's place. AP lost 6kg prior Chemo.

12th Dec - HUKM. Blood test, blood count were good, but the young Indian doctor in about mid 30s or younger scares the hell out of us. He doesn't sounds convincing, to some point, kept saying he wasn't sure what was the regime, went through his protocol book, closed it and still said unsure, went out to speak to another Chinese doctor, came back and at least sounded more like he knows what to do with AP. Then we have to register for admission, get the medicine from pharmacy, only to know that the anti nausea medicine, Emend that cost RM275 or something like that for only 3 pills to counter each chemo drug injection. The Emend ran out of stock, waited till almost 5pm, what a day in HUKM.. running up and down, getting familiarised with the quite confusing floor plan. The nice food distributor gave an extra tray of dinner to me and we had our dinner together before the first ever chemo jab at around 7ish pm. It was a huge huge needle! AP's ex in law were there too and we all went home together around 9pm. A long day for me, an experience that no one would wish for, but good to be able to somehow be for someone for something, and felt good.

14th Dec - were worrying about another friend who had lung cancer final stage, managed to pull it through with the RFA treatment at Sime Darby Medical Centre which was all good, but unfortunately her own 15 year old daughter was diagnosed with Sarcoma too and was away for some weeks in Singapore and have not heard since. Just keep getting to know someone's friend with cancer, why has this become a trend now?

Was out with an old friend, getting interviewed for her column in NST re solo travel. Both her parents were diagnosed with cancer final stage last year and she got married in quite of a hurry, most of us friends only came to know when we saw her wedding pictures posted up in FB :)

Her mum with colon cancer didn't make it. She restricted her diet, avoiding the acidic food i.e. meat, dairy, egg, no fried food and so on. Whereas her husband eats everything and did well. On the final day, she told my friend that she wished she didn't restrict her diet, now that she wanted to eat, she can't. From this, I strongly feel like telling AP not to restrict her diet, but from how I had confused her before her surgery, I'm now very confused too. Information overloaded is sure not helping! Only know that each time I was asked, can I eat this, that? I'll just say, eat la...

15th Dec - AP discharged. Reading back my old message to my buddy A, to recall my memory, A asked for lunch on this day and I replied this:
 *Err..dun tink so
 *Really wanna try to b wit her all d time, At least until mon
 *I was too worried & distress of AP home alone..so rather than having it haunting me..at least being wit her making me better,much better

Friends and families got worried with me, exposing myself to risk (minimal, but chemo drug do stays in the body of the patient for the next 72 hours), so long as I do not get in contact with my skin from any fluid..I should be fine. Back then, I thought only for December, just to give AP a head up, hopefully she knows how to handle on the 2nd cycle onwards.

Oops, suddenly found out that I have to go to hospital the next 5 days for AP's booster jabs. I wish I can do it for her, but I better not be too smart, let the nurse do the job.

Another old friend is recently involved with a new treatment called Gendicine
http://www.genetherapyhospitals.com/PatientSto
ry2.html
Made the appointment for AP and cancelled it after when found out that it was quite costly.

16th Dec - took leave off AP, went fixing car tinted film, had my Hokkien mee fix, after having too healthy food for sometimes, I need some oily food! LOL.. went home after that. It's weekend anyway, AP has friends and families around, I should not worried too much.

17th Dec - fetch uncle for hospital follow up. Then Thermomix demo lady is coming in for demo. I called her, wanting to cancel but she said she had prepared all the stuff. Thinking that I need to learn how to use this to cook for AP anyway, since she got it already, so I gave that lady a chance to drop by and lucky thing I did! I finally found my new love again ;)
Went back to AP place, could not sleep the whole night, thinking of Thermomix, can't wait to get my own unit soon.

18th Dec - AP weight dropped to 39.5kg! Only been away from her for a day and I can see that she lost weight, got really dried and tired look.

19th Dec- My cousin is back from Cambodia, gotta pick her out from LCCT since she had a 10-11hours transit and didn't want her to be too bored sitting inside the airport, I promised to bring her out. Sent AP to hospital, had her blood test, but result was not out yet, and I have to go off, thinking that she should be getting her Chemo jab today, so off I go. Out with my cousin for a day, went home and had dinner with my family and sent cousin back to airport, off she went to Melbourne. Texted AP only to find out that she did not had her Chemo jab today due to low blood count! Drove back to AP place again.

20th Dec- AP's health is deteriorating, sent AP to hospital again for daily booster jab, busy hospital, parking is a huge issue there and getting a wheelchair is another problem. Was disturbing the doctor while AP has her jab, told doc that AP was having constipation and fever. Only then did he get the nurse to check her temperature and man she was in high fever at 39°C! Doctor said go arrange admission to monitor. I went and settle the admission, then off to AP's house to cook lunch and barley water.

When I got back, AP was put into quarantined room, towards the evening around 5ish, AP felt chilly and asked for extra set of blanket even in her already very warm room (air condition was off). I did and she was already shivering when I brought in. Quickly wrapped her up and still in very very bad condition, her face turning pale, eyes rolling up, lips turning purple. I was walking in and out the room, unsure what to do, was at lost. The one and only doctor was busy attending to another patient who just got out from surgery room, seems critical too. Finally got the doctor in, all he did was put his hand on AP's face and said, "That's normal, fever symptom", asked me not to worry. I just hugged and rubbed AP's hands to give her more warmth while her cold chilly breath kept exhaling right onto my face. I felt bad for myself but yet that is the only thing I can do. Then Angel, AP's ex sis in law came and pass me the waiver form to redeem back my deposit for ward admission fees paid up and I quickly run to the counter. Not that I was worried about the money, it was like the good chance for me to take a break. It was like the most craziest thing I ever did in my life, hugging someone who seems like dying. Anyway, she passed out for awhile and when I got back to the room, she already sit up and having her dinner. Was so glad it was over. Her blood count dropped badly. Normal people, had a reading of 4-10 for White Blood Cell (WBC) and AP's dropped to 0.1, anyone with 1 is already very critical.

I left and went to meet an old friend who got back from Canada. Busy busy schedule. No wonder I don't even have time to think of work, worse, how to manage my bills. Let's just let the credit card bill piled up first.

21st Dec- Visited AP, won't discharge till Xmas eve. I get my day off, yay!

23rd Dec- demo lady came to deliver my Thermomix, looking forward <3

24th Dec- hospital, AP got better, much better, discharged. Rushed home, A needed help to cook spaghetti for pot luck with her boyfriend and his friends. I was drop dead tired and a wedding dinner to attend, and have not pack for tomorrow's family trip to Cameron. Hmm.. Lucky thing with Thermomix (Bimby), all is easy, but I have not tried cooking for 10 peoples before and because of rushing time and have to fetch A from her place and back to her place, should I know earlier, I would have bring my Bimby out and cook at her place, save some time from driving here and there waiting for traffic lights.


25th-26th Dec- family outing

27th Dec- sis texted me that her ex colleague's daughter died of cheek cancer, was diagnosed 3 years ago at 6 years old and now only 9 years old, didn't make it even though the mum took full control on her diet and invested some thousands on good juicer. Sometimes in life, it is always better to take action now, before accumulating too much rubbish and too late to undo what have been done badly to the body.

Went bank to settle the big hospital bill for my uncle and lost my patience with the bank's teller. It was a miscommunication after waited at the wrong counter. Felt bad after hitting hard on the desk and apologized :P

Went visited AP, passed her some vege I bought from Cameron.

30th Dec- supposed to pick AP, discharge from her Chemoport insertion operation but brother took my car as his car's battery went flat.

2nd Jan 2012- Day 15th Cycle 1, AP's chemo jab

5th Jan- discharged

6th Jan- back to Klang and then another old friend, SY wanted to visit AP and said pick me from Klang since I've got home, off I went, back to AP place and we went out to Alexis, Great Eastern Mall to listen to live band ;)


7th Jan- play cooking at home, went out shopping and temple. We all went real hungry and had great meals at Eco Green Organics, TTDI. Grocery shopped and went home to make more meals.. We made meat buns and sushi rolls. Then we went off.


8th Jan- laze around at home, got a call from a friend in NST that my solo traveler story is out, cycled out to get a copy. Ooh, I appeared in the news ;)
Leaving on a Jet Plane

11th-13th Jan- Cycle 2 Day 1-3 chemo

12th Jan- My lovely cousin, Jo from Melbourne came for a stopover


14th Jan- AP discharged. Cooked steamboat with homemade vege stock, thanks to Thermomix.

15th Jan- home made siu mai, skin was a bit too thick, quite good for my first attempt I'll say, some more, we don't have corn starch.


16th Jan- getting radiotherapy mould done up. Had a read at their notice board and told AP to check it out. Said that she should eat seafood including prawns. We both were so happy, we went to Jusco right away and purchased about 800g of prawns. Took me 3 hours to wash and cook us a yummy Prawn noodles, my very first time trial. It was actually quite good ;)    *I felt so good that now I can cook, I previously really can't cook. Thank you Bimby.. I love you more and more!


17th Jan- Steamed salmon with asparagus over pumpkin+Beetroot mashed, with over browned hashbrown. It was yummy! And a too generous size of fruit salad.


Driving to and fro from Setia Alam to Connaught, 40+km apart with the crazy jam, not very fun, but have to juggle between my family and AP, totally no me time :-(

20th-26th Jan- AP balik kampung to Penang

20th Jan- buddy, YB came back from Netherlands with her cheeky baby


23rd Jan- CNY day 1 ;)

7th Feb- 10th Feb - Cycle 3, day 1 could not start due to chemo port blockage, clear off and continue chemo. Was a busy time for me, buddy YB is here, CNY, then parting with YB, another friend from Melbourne was back too, and was invited to her younger sister's Hen's night and I offered to cook, thinking that I am already a pro with Thermomix but having to cook party dishes with limited time, rushing to hospital, since I'm nearby, also offered to cook for AP is quite a bit of a task. Silly me but all went well, only overly stressed out myself. And then rushing to Thermomix training in Kota Damansara, finished at 5pm, rushed to Connaught cooked a few more meals for AP and rush back to Klang, I was quite worn out.

22nd Feb- my first ever demo appointment secured, super happy but I couldn't estimate the time and I need to rush to pick up AP and ended up my prospect came late to my place and all the schedule went bad. Finished around 2pm and when I was leaving house entering NKVE tol from my house I texted AP and at the same time I received text that AP only just discharging. The timing was all good except that me & her were too far apart and traffic is beyond my control. With or without traffic, we are 40+km apart. As AP has not been taking her lunch, not that I was aware of, was too hungry and got pissed with me that I am only leaving home at that moment. All the same, I was too quite pissed as I was just about to start my career, especially for a person who has not been working since July 2011, my hole in my pocket was really really big, especially driving up and down for the past 4 months, petrol, buying vege that I normally don't buy when I stay with my parents, spending while unemployed is really scary. Having accumulating some amount in my credit cards is another big worry. Anyway, I still rushed out even though I felt like turning back home and continue to plan for my next demo since I have got the ingredients prepared and ready when I got a reply within minutes that AP will be fetched by her friend. I do at times felt that, was it my fault for simply offering when my offer wasn't really that in need. I could have been nicer to myself sometimes.

1-2nd Mar- Full day Thermomix training. Since I have only decided to only help out AP for December and having gone through 4 months (end Oct-end Feb), I think I've done my best and all I could, at times I felt that AP has become my lifetime partner and I worried unnecessarily. I finally decided to be nice to myself. Got myself started to concentrate on my new career.

Went out and demo on 3rd Mar, another demo on 4th and I have successfully got my 1st unit sold to my ex lady boss. Now, I'm quite motivated and happy that sharing is really caring.

1st Mar- me & AP had quite some tense going on but I took the initiative to write to her to thank her for introducing Thermomix to me, and it really changed my life, as I've been saying this over and over again, I'm back into love ;)

We were all good, and I have positioned myself back as only friends and not to get myself overly committed to a friend, ex housemate, ex uni coursemates whom not quite in touch ever since we left uni, only met occasionally, perhaps once or twice a year friend. I still care for her of course, but not as much as I've lost myself, starving at times but only to make sure she get all her meals sorted, and sending her to & fro hospital, fighting for a space in car park, paying ongoing parking fees, my petrol, my grocery spending. Well, that will make me appreciate others more in a way. Cause sometimes I too, never thought that every single mean of caring does count.

All good for her Chemo 3 cycles. Her radiotherapy cycles were not that bad, she can still drive herself around, and cook her own meals, at times, it's good not to pamper her so that she can be independent.

But I do worry that in the next 2 weeks or so, when her chemo cycles were to start again. All this worries thanks to my other cancer friend who had been through 2 cycles of oral chemo and told me that it was during treatment times that patients will give up their lives. I am still worried sick, yet, I know pretty sure I shouldn't be too overly committed myself to AP when sometimes I really can't make it, I might just as well, don't commit. Make effort to help out only when I'm free is better than promised and then couldn't make it in time.









Unexpected..

22nd Nov - I just got up and were still in bed when I heard mum talking on the phone. Her brother, my uncle needed me to fetch him to hospital for scanning. He hurt himself as he was rushing into his car to save it from sliding down, he wanted to quickly pull up the handbrake and went knocking his head onto his car's door sill. Scan came out seemed to be serious and was sent to Neuro Surgeon. Dr Guna said uncle had blood clot. Need to cut a big C, flipped open his scalp/ layer of skin, then drill a hole on his skull, clean up the blood clot in his Dura Mater (not reaching his brain), was a low risk operation, only 5% risk of complications.

Admitted for next day early morning surgery! Mum and my sister went for holiday the next day! I'm the free one at home and uncle is a single, never married, no kids, and me and my brothers were his next of kin. Uncle's 2 other brothers were both in Australia. So off I go, putting up nights in hospital.

23rd Nov - head surgery day, ICU for a day
24th Nov - out to normal ward, and I went back to hospital


25th Nov - 2nd scan, all cleared. Removed the discharge blood pouch and pulled a vein and ruptured, blood gusted out. Immediately went for 2nd operation, ICU again for a night.

26th Nov - normal ward and discharged on 27th Nov.

27th Nov - Sis and mum will be back later just before midnight. I was told not to bring uncle back to his home as he stays alone, I have no choice when he wanted to get home. I totally understand him, I would not want to stay in others' house too, if given a choice. Not knowing what to do, yet worrying uncle might be dizzy when he gets up at night for loo, I went camping by his bedside. He basically got up minimum twice every night. I was all drained out. Tired, lack of sleep, worrying for nothing, nobody worried about me :-(

28-29th Nov - went home during the day and camp in uncle house at night.

29th Nov - morning, offered to pick AP for her bone scan, in Prince Court Medical Centre. She wanted to go by herself, but I told her I want to fetch her, as I really wanted to meet her too, since I have not seen her for 3 weeks. She looked good, recovering really well. Got a little big worrisome for getting myself exposed to nuclear medicine. Did not know it can be harmful, but should I have known earlier, I will still choose to send her anyway. Picked AP from her place at 9am for 10.30am appointment. She was given the nuclear medicine jab and was told to go back and come after at least 3 hours later for the scan. Sent her home, had lunch and we went back to hospital for scan. Sent her home, and back to my uncle's place at night.

After 1st day observation, I wanted to let go of accompanying my uncle, as he was all good, except that he worried himself crazy. Rather than arguing, I just pack my stuff and sleep over.

1st Dec - cousin from Australia came for a quick stopover before she flew to Cambodia. Flight touched down at 6.40am. Hence, I cannot sleepover at uncle's place. With him waking up twice at night, I would not get enough sleep to wake up early. Finally have reason to get away.

1-2nd Dec - chauffeuring cousin around, visiting relatives and spend some time for our own leisure.

3rd Dec - cousin early morning flight. Sis and I left for airport at 5am. Dropped her off, we went breakfast, bought some vege in the market, bought breakfast for uncle, and went pick him up for hospital, to remove his stitches. All went well. Went home, rest awhile, and accompanied sis to fetch her kids from out of town. 

4th Dec - went beach with sis and kids.

5th Dec - sis' kids holiday tuition class. Fetched her daughter to centre as it was her first day there. Then drove her son to visit my uncle, then went market to get some carrots.

6th Dec - promised sis' daughter to take her to visit my uncle, so waited her to finish class at 12 noon, and bring her to visit AP first then visit uncle, drove him to his temple for a quick prayer and sent him home.

7th Dec - finally got my own time, bake carrot cake. Watched some new taiwanese series and did not sleep until 5am!

8th Dec - uncle said he felt terrible. Need me to send him to hospital the next morning, I agreed after a few times he requested, I thought I should finally allow him to do what he wants, even though  I doubt he has problem, but better not taking the risk. A few moment later, he called again, asked to go and camp again at his place :0
Again, without arguing, off I went. I know I was drop dead tired, probably of not much help, but since insisted, I just kept quiet, no question ask and go.

9th Dec - uncle said he was fine now, probably he got himself worried sick. He had some 'wind' in his tummy and was suspecting that he had fruits just before bed, and caused him bloated. Anyhow, hospital called up and went anyway, by myself. To get the refund from the total of RM30K paid for the deposit. Got the final bill, emailed the bills to my Australian uncle to settle the bill. Brought car for regular servicing, hang out with my buddy, A. Went karaoke-ing. Went home. Then got a call for a drink, a friend's birthday. Drove out again at night for a quick catch up. Ended up reaching home only at 3ish in the morning. Didn't sleep till almost 5am.





Craziest news

24th Oct 2011 - An old friend, AP was diagnosed with cancer, Rhabdomyosarcoma. I came to know about this at the night of 28th Oct, I was preparing for Halloween party the next night, Saturday night party and was totally shocked and stunned with the news and quickly in touch with her. She was my Uni coursemate cum housemate during our Uni years. Initially, she had a what seemed normal mouth ulcer, but was just not healing, on her left side of cheek and so she went to doctors, many of them, was referred to here and there and finally biopsy was done and confirmed on that gloomy day. Her day went crazy. She broke down, crashed, but managed to overcome it and trying to stay calm when she informed us, sounded quite positive for sure. Her condition then, was alright, only issue was some difficulty with solid food,with her swollen cheek & pain on the muscle for chewing.

31st Oct, AP will have her CT Scan and 8th Nov is her planned surgery. Well planned and definitely in control.

I offered myself to take her to the scan as she said she'll do it herself and I felt bad for her that nobody's around for her on somewhat really scary day. She's single, family is up in Penang and she stays alone by herself in KL. Her father is needed to be cared of, by her brother, she lost her mum few years back on cancer. Since I stay quite a distance away from her, I decided to put up a night at her place the night before. Her appointment was at 8am. Went in to HUKM, registered, admitted into Sutera ward. Went to CT Scan and I went for my breakfast. Got back and didn't find her. Rushed to her ward and found her there. Then nurse came and brought to doctor's consultation room. She went in herself, and I sat by the waiting hall. She came out with that shocked almost breaking down to pieces kind of look and sat beside me, pale blank. She slowly telling me what she had heard. She basically playing out the recorded message from doctor. She said doc said it looked like somewhat advanced stage cancer and that surgery will remove her inner cheek flesh and muscle. On top of that, they might remove half the teeth, mainly the left side, probably some part of her jaw bone and to be replaced with some mould. I was shattered and immediately felt the crush she felt. Holding real hard, both of us, managed to not shed any tears.

She then went for Head and Chest X-Ray, followed by MRI. All and all, I was there for almost 8 hours with her and then I had an impromptu interview session arranged, was kind of expected but didn't fix the time earlier. So I have to leave my friend and off to Puchong, I went. It was a bit of a weird one, as this was directly with the boss of the company, and a job that I did not apply for. I went to his house with some friends on Deepavali day, which was few days earlier and when introduced , I was mentioned that I was in between jobs (was jobless since July due to some really tough period of time with that 9 months job which I felt that I was totally drained and not too keen to look for any job for that moment, just want to have my own me time to cool down, and get back in pace) and this boss said he's hiring. Went to his office, while waiting on, another call came in, it was my brother's friend, S, who was hiring too. I went to his office and sort of had my first interview with him and on that day we were supposed to confirm for then next meeting. Due to the sudden news of AP, I have totally forgotten to give him a call to either confirm this date or reschedule. Then my interview with this Puchong job was from 5pm dragged on to 7pm as I was introduced to his Manager, for another interview session. Called up S and God he was mad that I did not make it to perhaps second interview? Well, we did not confirm any date. Anyway, I was too stressed out with AP's cancer news. Did not bother to follow up on my own future. Never mind, it was not a life and death for my case. I do set priorities sometimes, especially this.

1st Nov morning, AP can be discharged. Again, I offered to pick her. Rushed 40km to hospital, picked her, she was really silent. Answered only a word or two to my questions. I can sensed she was really stressed out. Reaching her place, she told the security that I was only going to drop off. I then asked her, don't you want to talk to me? She ignored. I sensed that she needed her time alone. Respected her, drop her off. Looking at her facial expressions, she looked like she was going to break down into tears. Holding back so dearly, I can see that she wanted to rush down the car, rush to her unit close the door tight, scream aloud and cry to sleep. Off I went.

8th Nov - AP's surgery day. It was scheduled for 1pm and I planned to leave home at 10am, in order to not stuck in the morning working traffic. I received a call from AP at 9.30am, saying that her surgery will be started in 30 minutes time, asking if I am able to reach earlier, I was supposed to hold on to her belongings. It was pushed forward due to the sudden extended hours for her surgery. I told her unlikely, but I did rush out. Reaching only at 10.15am, after parked, was at the Operation theatre at almost 10.30am. She was just pushed in then. Didn't manage to see her. I was worried sick. One crazy day for me. I couldn't bear not getting the update of her. Her surgery will end only at around 7pm and the visiting hour for ICU ended at 7.30pm, thus I didn't drive up again, expecting that she will be drowsy with anaesthetic and that she needed rest too. Yet, I could not sleep having not known how her surgery went. Sent a message in FB to her cousin, whom I was only guessing out from her contact list, turned out to be the correct person to reach. She replied that AP op was done and she was half awake when they visited her at 8pm. Man I was so relieved to hear that. I was overly concerned and had crazy thoughts.


9th Nov - went to visit AP. As soon as I saw her, she looked half awake, not too alert and she looked exactly like the person I googled for Oral cancer (http://hapshaw.com/thelife/?category_name=my-cancer&paged=21) - NOTE: Please DO NOT go beyond his red Warning for faint hearted. I kind of expecting the same surgery on AP, and when I see her looking exactly like the male patient, I could not help as my tears came flowing and worst, AP saw me wiping away my tears.




I was shocked seeing her. She looked as though she lost her left jaw and surgeon did not replace them? Her oncologist said they were out of time when they removed the tumour, it covered most of the muscles and flesh. Therefore a quick decision was made, to remove the whole patch of inner cheek and did not replaced with tissue from arm, where it will take even longer hours, so they just stitched up the opening. Most likely the whole operation took too long hours and it was not to the benefit of AP to drag any longer. Five of her back teeth were removed too. Upon checking, there were no sign of cancer cells on her jaw, so it was saved. I only found out much later, (probably after about a month) that 3 of her lymph nodes on the left were removed too.

11th Nov - 11.11.11, I did something I never thought I would have done. I promised to help AP wash her hair. Since surgery, she can only managed to clean her body and probably wipe her hair a little bit. She could not wash her hair as she should not get her stitches wet, especially her clippers stitches at below her ear, where they were really close to her hair, it was a difficult task. We took awhile to figure out how to wash sitting up on a chair, leaning on a padded cushion chair. I cannot wash down the water. I probably can do washing like how saloon does it, but impossible to rinse. AP could not move much of her neck due to the cut over her neck, she kind of need to be in place, as not to stretch the cut. I did wet her hair by squeezing some water on her hair, massage in shampoo, then can only soak her hair, bit by bit and wipe off the scalp with damp cloth. Took more than hour for that and it was still not too clean, but at least got the hair loosen up a bit from the drying blood from her surgery.

12-16th Nov - I went holiday in Medan & Lake Toba