I
never imagined before that one day our life story would be close to the deadly
disease breast cancer experienced by the mother. Especially at the same
time, Zauji is still in the early months of retinal ablation surgery. In
the past, it felt like the journey we were going to travel was very
far, full of twists, and seemed endless. Alhamdulillah, it does not feel like it has been almost 3 years since Mother has been undergoing all the series of treatments.
What is done after chemotherapy is over? Yuks, check it out!
3 years ago
Exactly 3 years ago, in November 2019, my mother felt a lump in the left. At first, it doesn’t feel disturbing or hurt, so you don’t complain
and ignore it. But two months later, in January 2020, the lump is getting
bigger so that it can be touched by hand. My mother told me too. At that
time I immediately initiated checking my mother with the general surgeon
at Hermina Arcamanik Hospital Bandung.
And I deliberately chose Dr. Richard SHL. Tobing because he was the doctor who performed the ganglion surgery on my hands a few years earlier.
In
women who have gone through menopause, lumps in the breast are very
unusual because theoretically the hormone has changed, so there are
serious indications that need immediate treatment. Doctor Richard
immediately instructed for surgical removal of lumps or biopsies.
Biopsy
surgery is done 10 days later, which shows the results of the presence
of carcinoma, or cancer cells, grade 3. Grades in cancer show how quickly
the cancer will spread. Grade 1 cancer grows and spreads more slowly
compared to grade 3 cancers.
Grades
in cancer are different from the stage of cancer. The stage in cancer
shows how far it has spread. Doctor Richard did not mention at what stage the mother suffered. In the near future, as long as this information I got
from the on-log surgeon during the chemotherapy consultation. You have
stage 2 breast cancer to 3 based on the size of the lump (kurleb 5 cm).
Subtly,
Doctor Richard explained the need for further action as soon as
possible, namely the mastectomy. I also asked why it wasn’t
chemotherapy. He replied, Cancer is very related to time; you are better
at doing a mastectomy when the body is still strong and healthy because,
based on the experience of the patient's condition, you will experience a
lot of decline post-chemotherapy.
By saying basmallah, my sister and I agreed to a mastekomi 3 weeks later
at Ujungberung Hospital Bandung, still with Doctor Richard. In fact, he
himself is not an oncologist, but he is used to doing a mastectomy. In
addition, at that time it was still the beginning of the pandemic, and the
hospital that served the facility of the mastectomy was only RS Hasan
Sadikin, who was in fact the COVID-19 referral hospital that we certainly
avoided.
Alhamdulillah, the mastectomy went smoothly; the mother came home with post-surgery
wounds in good condition; ultrasound and X-ray results showed no spread
to the spleen and lungs. The next step is chemotherapy carried out at
Santosa Kopo Hospital Bandung.
Post Chemotherapy
At Santosa Kopo Hospital we were referred to in consultation with an oncologist surgeon,Dr. Yusuf Heryadi, SpB(K). He calmed us down so as not
to worry about facing a chemotherapy session that was run by a package
of 6 cycles. After a heart and blood examination, the mother began
undergoing a chemotherapy session with all the drama she faced.
Alhamdulillah,
'ala kulli thing, the mother of a strong woman, during a chemotherapy
session conducted every three weeks, all complaints such as dizziness,
nausea, vomiting, no taste on the tongue, hair loss, frequent
uncontrolled urination, diarrhea, and other pain can be lived and passed.
August 4, 2020
August became the sixth cycle of chemotherapy
as well as a cover. Although in this last cycle, the mother's condition
is relatively worse, the past 2 weeks have improved. September seems
to be a new chapter for all of us. Because you can still move normally,
Doctor Yusuf does not recommend further actions, such as radiation. The
doctor only instructs what is done after the chemotherapy is completed;
one of them is that the mother must check regularly every month.
Monthly Control
Post-chemotherapy
control is carried out every month on Monday or Thursday. Alhamdulillah,
administrative services at Santosa Kopo Hospital are very good and
regular to facilitate patients. To exercise control, the patient simply
provides administrative conditions such as the referral form of Joseph's
doctor, the results of the pathology of the anatomical biopsy, and the
mastectomy. Registration can also be done well in advance and online.
Patients
in oncological surgery clinics are numerous, so it takes extra patience
to wait. Because she applied for the kurleb one month earlier, the
mother usually gets a small number. The practice clock usually starts at
16.00 WIB but will begin according to the arrival of the doctor.
Sometimes we just checked the magrib.
In
the first control of post-chemotherapy, the consultation session is
only filled with chatter about what to do next, including keeping the
heart and mood well, eating nutritious foods, and sticking to a healthy
lifestyle, including what is done after chemotherapy is over.
The drugs given to only one are Sancoidan, Laminaria japonica
(seaweed extract), and herbs to increase the endurance of cancer patients.
Unfortunately, in one month, only 4 capsules are covered by BPJS, so we
buy the rest at a price of kurleb 21 rb per capsule at a certain
pharmaceutical pharmacy. Not many pharmacies sell it, so we have to order in
advance.
The mother is still consuming herbs that have long been consumed, such as single garlic, moringa leaves, and honey.
Immunohistochemistry
At
the second meeting, doctors suggested that we do immunostochemistry.
Immunohistochemical examination, or CPIS, is an examination to detect
various proteins contained in the cells of various diseases, including
malignant tumors or cancer. CPIS testing is used to help the prognosis
(prediction of the development of a disease), drugs, and advanced therapy. The tissue sample used is a sample of mastectomy pieces.
Actually,
this immunostochemical examination is covered by BPJS but can only be
done at Hasan Sadikin Hospital Bandung. Because I thought the queue of
immunostochemical examinations at Hasan Sadikin Hospital would be very
long and take time, finally, on the advice of Doctor Yusuf, I decided to
use the self-help cost of kurleb 2 million.
With
a cover letter from Joseph's doctor, I asked directly to the anatomical
pathology laboratory. Because to take a sample of the network or
mastekomi sediment at Ujungberung Hospital Bandung, I must use a cover
letter from Santosa Kopo Hospital, and laboratory personnel told me to wait.
After
the cover letter was completed, we returned to Ujungberung Hospital to
ask permission to bring the mastectomy sediment. This piece of mastectomy
sediment is packaged in the form of small boxes measuring less than 4
cm. Officers advised me to take good care of him.
Arriving at Santosa Kopo Hospital, we immediately handed it over to the lab officer. The results of the CP have to be known within one month so that it is expected that the results can be submitted at the next control time. And of course, what is done after chemotherapy is finished must be consulted with an oncologic surgeon.
Post a Comment
Post a Comment