Month: January 2025

Cancer Diaries: On chemo and unravelling the threads of my life

JANUARY 8 — Because my life will never not be an entertaining sitcom for the angels, my first chemotherapy session was both eventful and uneventful.

Eventful as in I caused a biohazard incident (more on that later) and uneventful in my experiencing no medical side-effects

How it went

My anxiety was worse than the actual procedure.

I had been noodling around on the bed, checking social media, messing with my iPad and then the nurses came carting in a medical cart.

“We’re going to start, so lie down.”

Then as I was lying there, my chest felt tight and my arms felt heavy.

I asked her if it was normal, if the anti-allergy and anti-nausea pills had anything to do with it.

The nurse said, oh no, we haven’t even started yet.

She took out two large syringes, one with red liquid (I would later find out it was doxorubicin or Adriamycin otherwise known as the Red Devil) and the other liquid I was unsure what it was but I am guessing it was cyclophosphamide.

As the medication was injected, I just focused on the feeling of my heart beating as the drugs were injected into my IV and within a few minutes I could feel my scalp heating up.

It felt as though someone had dropped liquid Tiger Balm on my head; it was an uncomfortable feeling but otherwise I felt nothing else anywhere.

An hour later I was bouncing around the ward asking the nurses when they would let me go.

Meanwhile my friend was there too, driving from PJ with a cooler bag for my three vials of Neupogen — one would need to be injected for days 5,6,7 of my cycle in hopes of keeping my white blood count up.

It’s to prepare me for the nadir, approximately 7-12 days after my chemotherapy dose, when my white blood cell count is expected to crash.

While the shots will help during the nadir, I will still likely be more prone to infection, my immune system as fragile as glass.

Dealing with the unexpected

I was a little too excited about getting discharged that when they removed my IV port, I didn’t press down on the bandage long enough (five minutes is usually advised) and it ripped off while I changed out of my hospital PJs.

There was blood everywhere.

Blood on my pyjamas, my clothes, my tote, the floor, the sheet, the hospital table and it looked like the set of Cancer Freakout 3: The Stabbening.

The funny thing is no one was fazed in the ward at all.

Not the nurses. Not the patient in the neighbouring bed.

While I was glad I wasn’t bothering anyone, it did disturb me a little.

It meant they’d seen far worse and just spurting blood everywhere was apparently not a big deal at all.

Perhaps, though, in the cancer ward, everything outside that big monumental event in your life just seems less horrific in comparison.

How to be normal when life is abnormal

I’m still on leave for a bit, giving me time to sort out a great many things— medical appointments, family visitations, setting up schedules, getting my house cleaned, and working on lawn upkeep.

It bothers me that I have to be so mercenary about fundraising but at the same time, it keeps me accountable to friends and supporters, who are now literally invested in me as donors.

So far, I think I have enough of a cushion for most of my targeted therapy treatments, barring price hikes, currency changes or government health spending rationalisations.

I update my Ko-fi page on Fridays with Ko-Fi exclusive posts, while on Facebook I write lighter, chattier notes hashtagged #ErnaCancerTelenovella.

My sister would rather me rest more and put all my energy into healing, letting her sort out “how do we pay for all the cancer s**t”.

That would be nice in theory but if there was ever a time for me to just put everything out there that would be now.

While I was doing my own research, I kept stumbling on things and thought, “Why don’t I know this? Everyone should know this!”

The more I learn, the less I feel I know anything.

I daydream about burrowing into my mattress and never coming out, cancer be damned.

If only there was some blog or website out there, where I could follow someone’s cancer journey and get some insights into what to expect or at least understand my own diagnosis.

Then I realise that the only way for it to exist is if I make it myself.

That’s the plan, then, to keep talking about cancer, to keep telling stories and sharing new discoveries the way a child would excitedly show off a seashell on the beach.

Right now, I’m wondering if there will be aid available for all the patients at Universiti Malaya Medical Centre (UMMC) who will not be able to afford the new price hikes.

I hope the assistance schemes will be enough and that no one gets told that, well, they will just have to find the money somehow.

Will that chatty older woman I overheard talking about how she switched to UMMC because she couldn’t afford private healthcare be fine?

Will there be someone to hold her hand and tell her they’ll figure something out?

I shouldn’t be the only one wondering about her welfare and for the welfare of all the patients in our hospitals, made so vulnerable to the constant rise in living costs.

Someone needs to be working on that right now, worrying about it right now, and whoever it is, it shouldn’t be the ones most affected. because healing is already going to take most of their energy.

Take it from someone who knows that too well.

Cancer Diaries: On starting chemo and the obsession with other people’s prayers

JANUARY 1 — I am writing this column one-handed due to an IV port, from a hospital bed as I begin my first chemotherapy treatment.

It’s been a whirlwind of diagnoses, tests, reports and hospital-hopping but for now it seems I will be staying put at a government hospital.

As has been my experience at previous hospitals, the doctors and staff have all been kind and considerate.

“I hope they won’t be mean,” has been my mantra each time I visited a new hospital or seen a new doctor, and while that seems like such a low bar, my previous run-ins with pompous doctors and nasty nurses have made me rather hospital-phobic.

The biggest difference between public and private hospitals is just how busy the medical staff is in comparison.

Make no mistake, these days even private hospitals are getting crowded with long wait times.

However, in public hospitals there are so many more people to see, making it a daily challenge for doctors, especially as staffing concerns grow.

Impressions from the oncology ward

The oncology ward I am in is airy, no air conditioning here, just open windows and busy ceiling fans, which is probably better air circulation-wise.

The standard issue patient garb is fairly comfortable — a loose set of blue and white striped cotton shirt and pants, with ‘For Hospital Use only’ stamped on them in black lettering.

An older woman is in the bed next to mine, occasionally playing loud Cantonese videos in phone speaker mode.

I can’t really fault her as it’s not like we have a TV.

My medication will only be administered around 2-3pm so I am spending my morning lounging and of course writing this column.

A fairly young doctor dropped by to explain my new schedule: there will be chemo every three weeks and on the seventh day of each cycle I will need to get myself injected with a booster to keep my white blood cell count up.

This is my life now, and at least I’ve had time to make my peace with being a cancer patient.

Speaking of peace, it would be nice if things just weren’t so fraught where religion is concerned in this country.

Turning to God, gods or the question of faith is an almost humdrum rite of passage for a lot of people.

As I get older I have come to the understanding that another person’s faith shouldn’t be my problem and that people can find comfort in both believing in a higher power or not believing.

While to some, the notion of there not being something beyond this life seems bleak and dissatisfying, to others it is a liberating “truth”.

I put truth in quotes because I do not want to be pilloried for blasphemy, when I am just acknowledging that when it comes to faith, many people use “belief” and “truth” interchangeably.

What I do believe to be true is that faith can be a beautiful thing, so long as we do not use it as an excuse to be unkind nor justify it as a reason to find issue with how another person believes.

Give to God what belongs to God, and to humans, deliver the goodness that we are capable of when we can see past our differences, whether it is in how we believe or whether we think Village Park Nasi Lemak is all that.

Personally I prefer Botak Nasi Lemak but we can all have our nasi lemak and eat it too, in the spirit of shared humanity, even if not shared tastes.

Happy New Year, Malaysians. Jom makan.

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