Tuesday, August 29, 2006

Operation

Praise the Lord the stent in the ureter was placed successfully. The colostomy was done without a resection of the rectum! Luan’s condition is stable and she is in ICU under observation.
A substantial part of the left tumour was removed. The right tumour could not be removed due to its location near too many blood vessels. But both tumours are dying.
Thank you for praying. The Lord has heard our prayers. We believe the hand of the Lord has been on Luan – the doctors are surprised that the sarcoma tumours have responded to only just 2 rounds of chemo! Let us continue to intercede so that the healing that is going to come will truly glorify our God Almighty alone!

From Luan Update 7

Chris & Luan came back to KL on Sat 26 Aug. She checked into Pantai Medical Centre yesterday, 28 Aug. She will be going in for her operation at 1 pm this afternoon.

The operating team will comprise Dr Lam, (urologist) who will be inserting a stent in the ureter which has been pressed in by the tumour; Dr Wong (gynae oncologist) who will remove the tumour mass and Dr Lee (gen. surgeon) who will do the colostomy. Dr Das is the anaesthesiologist.

Luan was given blood transfusion last night to raise her haemogoblin level and placed on a fluid diet.

Let us pray
· for God’s hand to guide each member of the team
· for a clean and complete removal of the tumour mass (no rupture)
· that the colostomy will be temporary & there will be no need for a resection of the colon (which will mean a permanent colostomy)
· no complications
· no allergic reactions
· quick recovery

  • that the ureter and kidney which has been swollen (because of the tumour pressing against it) will return to normal
  • that the colon will heal and return to functioning normally

· Luan will be strengthened in her body
· God’s peace on Chris, Chung En and Hui En
Can we also pray that there will be no need for further chemotherapy?

Thank you.

dolly
bandar utama chapel

Wednesday, August 23, 2006

God is at work!


23 August 2006

This morning, Luan did her CT scan. We only managed to see Dr Ang about the CT scan results this evening. You should have been there to see Dr Ang's expressions when he was reading the Radiologist's report in front of us! He admitted that, yesterday, he was prepared to "call it quits" as he was of the opinion that the chemo was not working and that Luan should consider discontinuing further treatment. However, on review of the CT scan films today, it appears that Luan may have had indeed a good response to treatment. THE LEFT LUNG LESION HAS DISAPPEARED! THE MASS IN THE PELVIS HAS TURNED INTO A LARGER BUT MORE CYSTIC LESION CONSISTENT WITH TUMOUR NECROSIS.

Doc explained that the pelvic mass is bigger but softer, being filled with fluid. He is rather concerned that this cystic mass may rupture and feels it justifiable for us to proceed with surgery to debulk this mass before continuing with further chemo. Therefore Doc has advised Luan to have this surgery as soon as possible as this is a fast growing malignancy.

After prayers and some consultation, we have been led to book Dr Wong Sum Keong of Pantai Hospital in KL to do the operation on Tuesday, 29 August. Luan will be warded on Monday, 28 August. Dr Wong is the Christian Gynaecological Oncologist who first operated on Luan in early May.

Prayer Requests:
* the tumour will not rupture, before and during the operation
* Luan will keep well, especially the journey home to KL
* God will guide Dr Wong and his team as the tumour has to be removed very carefully and well
* Wisdom for Dr Ang to decide when to recommence chemo

Tuesday, August 22, 2006

22 Aug Chemo Not Effective

Yesterday, Luan went for her blood test and today, we saw Dr. Ang. Upon examining Luan, Doc is very clear that the chemo is not working as the tumor in the pelvic region is still growing. This is in spite of the fact that he had ordered 4 potent drugs for the second chemo, causing her haemoglobin to drop to 8.6 (from 10.2 after the first chemo). The chemo is not doing any good but more harm to Luan and so Doc has decided to call off the third chemo scheduled to start today.

Doc is advising a thoracic/abdominal/pelvic CT scan tomorrow morning. Then we see him again in the afternoon to discuss the results of the CT scan and any other possible palliative course of action. Doc is interested to know whether the chemo has been effective on the tumour in the left lung, even though it has not been on the growing pelvic/abdominal tumour.

Both of us left the clinic, feeling the Lord's peace and knowing He is still in sovereign control with His awesome healing grace and power. God is our Healer and He chooses the means where healing might come.

The past several months, we have seen God at work in various ways. The prayers and cries of many around the world have opened a floodgate of practical support, finance and words of encouragement. We are in no doubt that our Heavenly Father has heard these cries or else where do these help come from. Our dear Lord has provided one of the best medical oncologists in Singapore to attend to Luan; accompanied by warm practical support from close relatives and friends; minimal side effects and no major infections; high white blood cell count; liver and kidney still functioning ok; strengthening of our inner spirit and so on.

What remains now is the total demise of the sarcoma cancer cells in Luan's body. Please do pray also for the speedy healing of an urinary tract infection that Luan has just contracted. Doc has prescribed antibiotics for her today.

Saturday, August 19, 2006

19 August 2006

Our children, Chung En and Hui En, left Singapore this morning to return to Kuala Lumpur as Hui En starts college again on the 21st after a week's break. Chung En is still having his end-of-1st-year University hols.

Chris will return to Singapore tomorrow night to be with me for my 3rd 3-weekly cycle of chemotherapy.
Monday, 21st: I go in to take a blood test.
Tuesday, 22nd: I see Dr Ang who will assess the blood test results and then decide whether I can start on my 3rd cycle immediately. For the 1st 3-weekly cycle, I was given a cocktail of 3 drugs. For the 2nd cycle, 4 drugs were given. For the 3rd cycle, Dr Ang may give me a strong cocktail of 5 drugs. We will see what happens on the 22nd.

Prayer requests:
* Please pray for God-given wisdom for Dr Ang and us as we discuss options for the next course of treatment on the 22nd.
* Strength, peace and minimal side-effects during the 3-day chemotherapy treatment and after.
* Safety and good health for Chris and the children as they travel about.

Thank you again for being such good friends and for your support to us as a family.

Blessings,
Luan

Sunday, August 13, 2006

Family together

13 August 2006

Chris has just arrived this evening, joining the children and I in Singapore. Chung En and Hui En had arrived a few days ago. Both are having their breaks at the moment. We are thankful to the Lord for giving us as a family these next five days together.

This coming week is my 3rd week of recuperation after the 2nd cycle of chemotherapy. The 3rd cycle of chemo is starting on 22 August when Chris will be back again to support me.

At the moment, I am having some abdominal discomfort, likely due to the pelvic tumour pressing on my bowels and abdominal region. Please pray for me for less discomfort, and especially be able to sleep well enough at night.

As a family, we are again very grateful to you, dear ones, for all the visits, calls, cards (by email and snail mail), gifts (in many and varied ways) that have been coming our way. We are very encouraged to press on for the Lord, knowing He has allowed us to walk this chosen path. It has not been easy for me but we are persevering, remaining CALM, FAITHFUL, AND UNCONFUSED by the turmoil of life.

Friday, August 04, 2006

Chris' Sharing

I am encouraged to continue to receive sms, e-mails, songs/poems, calls, and/or love gifts from you. Every word of cheers/inspiration is helpful as we are going very rough patches in life-esp
when our loved one is very sick.

On Wednesday, Luan completed her 3 days of chemo pretty smoothly except for an upset stomach on the last day of chemo. After she was given the medicine she was Ok for the day and was able to eat.

This round, the chemo is much stronger (with a cocktail of 4 potent drugs)--in spite of the anti-nausea pill, she is still feeling sick today. Today is tough-mainly porridge and she took only half a bowl for each meal. Pray against the side-efforts of the chemo--there is no permanent side effort esp. on the liver and the bone marrow.

A nos of people called today. A nurse came to give Luan's the booster jab to build up her body's immune system--this will be for the next 5 days. These are the days when the white blood cells are expected to drop significantly and she is most suscep to infections--pray that I stay healthy and not pass on any infection to her!

Last week, I met up with a long-time friend in Singapore. He had served alongside with me in the campus student ministry in the mid 70's and we had not seen one another for more than a quarter of a century! I would not have recognised him on the street. He brought along his wife when we met. His wife was diagnosed with breast cancer in 1998. She had written of her deep experiences in her book--"Cheers To Life!". Luan and I had found the book helpful--it is honest, at times homorous, real and down to earth. Her subtitle of the book is particularly telling and caught my attention, "A woman's dance with breast cancer".

I quote her: "A dance with breast cancer. I was unprepared. But compelled. I had to adapt my footwork to the dance. Move to its rhythm. Feel it deep in my soul. Like the tango, it can be intense. There are fleeting moments of exhilaration and moments of repose. The partners can be oppressively close"--how true are her words to describe what Luan (and I in much lesser degree) is going through.

She continues, "The pace changes. I lose myself in the swirl as everything becomes a blur. But the Choreographer knows everymove in this dance. Unseen, invisible, He leads, enabling me to make brillant moved I had never thought possible"--yes, "he knows", and we too desire to deepen our experiences of our Choreographer's grand design in this dance with cancer.

Her encouraging words, "A dance is very personal. No one knows what it is feels like except the dancer . . . so do not be afraid to dance. Let the music engulf you and dance with gusto".

We have experienced God as our Jehovah Jireh as love gifts came in from around the world to help offset the costs of treatment in Singapore. We want to know Him as the Jehovah Rapha (God who Heals), and a God who work out all things for good.

I will be in Singapore with her until 7th Aug and will return to KL and then come back down again before she goes in for her scan on 21st August. So I will be commuting between KL and Singapore. She is staying with her sisters in Singapore, who are both single and so we enjoy the quietness of their home, their warm hospitality and practical help.

Chris