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This posting is in reply to quite a few of your requests, with the above photo which was taken last evening. Yes, it was my birthday and a wonderful time shared with my family. In anti-clockwise, my Mom, then my sister, Irene from Britain, Joey my brother, then Leo my son, Olivia my daughter and Esther my wife.
You may observe that Irene and Joey's face are (rather) red as between them, they consumed a bottle of red wine. Japanese, especially sashimi and sushi, remain our second choice of food, while the first choice is always Chinese (or more precisely Cantonese)!
You are correct that I am not afraid of death and you are also correct that I am staying very strong and positive in my treatment process, and I would try my best to stay in this direction. Meantime, you are also correct that it is those (Loved Ones) who appear in this photo which will make it hard for me to leave and say goodbye to. Bear in mind that I am only human and I do have emotional attachment to people (and things).
As you have noticed, I am trying to make this process as open as possible, so my Loved Ones know well every step that we are walking through together. They also know well my friend, Cancer, is now going to stay with us and until the day we bid our farewell. We are trying to treat him well and they experience all these first hand, be my trip to the emergency, or my vomiting during eating, etc. I don't think anyone of us like this to happen, but we are now quite receptive and used to it's happening. In fact, I must admit, both Leo and Olivia have grown and now they are sensitive in when to offer their assistance and whenever needed. In short, they are doing okay!
Thank you for all your courtesy and concerns, my family is doing quite okay. Like they say, it is a situation that we don't like but we accept. Important is to face it together, with love we can overcome any challenges ahead of us!
The below picture is taken this morning at BC Cancer Agency (BCCA). This is also the first day treatment of my first chemotherapy session. Since the last radiotherapy session on 23rd March, and then the consultation with the oncologist on 24th March, I was then basically preparing and waiting for today, i.e. the chemotherapy treatment. There was an educational session on 31st March, provided by a registered nurse, to walk me through those important points and what am I going to expect before and during the chemotherapy treatment process. As my case was considered urgent and therefore I was put into "the urgent wait-list" since 24th March, but a few attempts were made and failed, and today I finally "squeezed in", thanks to everyone in BCCA who are willing to work overtime in public holidays like today!
For those that have not attended any chemotherapy session would find this photo useful. One other purpose to show you this photo is to ease your feeling towards chemotherapy. There are really nothing to be scared of. As long as you are willing to understand and appreciate what is going to happen.
There are three major treatment approaches for cancer patients: Surgery, Radiotherapy and Chemotherapy. It is quite common that you will receive chemotherapy as it is a key approach to help control and manage the cancer cell growth, even you have performed surgery or conducted radiotherapy. In short, chemotherapy is a treatment through (chemical and biological) drugs, taken into your body through infusion or orally. Usually, more than 2 drugs will be used, and a treatment cycle goes from 21 - 28 days, and for each patients a 4 - 6 cycles (in total the treatment time will be about 3 - 4 months). What a lot of people do not notice is that you DO NOT need to have the injection everyday. Using me as an example, which Cisplatin and Gemcitabine are used, I only need to go for Day 1 for injection of two drugs, and then again Day 8 for injection for one drug, then rest for 2 weeks, in a treatment cycle time of 21 days. Then, the next cycle starts again. If you notice, basically out of the 21 days cycle, only 2 days (actually a few hours a day) are required for this treatment, and you can do whatever you like in the other 19 days. Consider these your extra holidays!
[*There are quite a few technical information that you may need to digest, especially regarding side effects of drugs and precautions for certain patients, e.g. diabetics, low performance patients, etc. Plenty of information are available and you may find the link from BCCA Chemotherapy Protocols useful.
http://www.bccancer.bc.ca/HPI/ChemotherapyProtocols/default.htm
Don't over-stress yourself to do your own research, as you will be provided with all these essential information at the appropriate time.]
Let's now have a look at the actual scene, and what you would expect when being treated:
The treatment room locates at the 6th Floor of BCCA. It's a very comfortable and homely facility filled with friendly and professional staff. Then, you will be greeted by your assigned nurse and lead to a treatment room. Inside the room, there are a few chairs like the one I am sitting. (*The little pillow on my neck is my private item due to my not-so-straight spine. Otherwise pillows are available there to make you sit as comfortable!) After another detailed information session by your nurse of what to expect during the first day and during the treatment process (content is very similar to the education session), the treatment, i.e. infusion of drugs, starts punctually at 9:00am. You may see in the above photo a few highlights, the infusion is done by a little instrument automatically, it controls the speed of the intake of the drugs and it provides warning sound to alert if the drugs are run low. To show you how BCCA is taking good care of you, it's the warm blanket wrap around your infusion intake point. You feel almost nothing throughout the whole infusion process. Then, it's recommended that you drink a lot of fluids, to help hydrate your body and also to protect your kidneys! What's important here, especially for people outside of Canada, all these drinks, juices, Canada Dry, are free! (Yeah, for medical coverage, it's better to be a Canadian than an American!) You can drink as many as you like! Hahahah!
Depends on different treatment plans, the total time for the process may varies. In my case, it took about 3 hours to complete for Day 1. Then, it will be faster in Day 8 as only one drug will be infused.
The whole process went so smoothly, especially when you are accompanied by family members. In my case, my elder sister, Irene, flew in from London of United Kingdom, who also took the above photo for me accidentally. (*She said she did not remember when she pressed the shutter!) and then of course my dedicated companion who would not allow me to be apart from her for more than 5 steps, i.e. Esther!
Oh, don't get me wrong. I am not suggesting that you should undermine the impact of chemotherapy, and it's side effects, the risk of infections, and various damages that it may cause to your body, etc. All I am suggesting here is that if you can have a better knowledge and understanding of what you are going to go through, the better equipped you are. Then, the actual experience is not that harsh while professional organization such as BCCA actually have tried very hard, with every little details in mind, to make you/us comfortable. To make the process even enjoyable!
