We ended back in emergency on Saturday afternoon suffering from severe abdominal pain. These visits are now becoming part for the new normal. It is always interesting to me how accustomed we get to life’s changes. Visiting emergency rooms has always been one of those things you try to avoid. It is now just a part of life.

I am always seen to right away. The critical case that I am. The staff are generally very nice and attentive. They did blood work, blood cultures, chest X-Rays, stomach X-Rays and an EKG.

We were looked after by an amazing doctor, John Dean Jammal. A doctor and a human being. I am a very lucky man. He had read my chart. No questions were asked. He thought at first, that I may have a hernia in my stomach wall. He pushed and prodded which hurt me a lot. Then off to do all the tests.

The freakiest part of the afternoon was the nurse who came in to do the EKG. She had forgotten her glasses at home and was working anyways. The EKG is pretty simple stuff. Her next job was to take blood from an alternate source than the Port-a-Cath, in case the latter is part of the problem. She had to find a vein from which to draw blood. I had my eyes closed the whole time, because I was not feeling so well.  It only occurred to me afterwards, as she was extracting the needle that she had the procedure without her glasses. Yikes.

The results, when all was said and done are as follows. The lungs are as fine as they can be. The are cancer cells in there, but nothing else. Crystal clear. The doctor said if my lungs were the main issue, I would live for another 20 years. The liver on the other hand was a whole different ball game and the main cause of all the problems. The liver enzymes were out of whack with reality with some of the numbers tripling since the end of September. The liver was irritating the stomach and the lungs causing the shortness of breath and coughs that are plaguing my life right now.

I am also severely constipated and have been put on some commercial grade laxative. Big piece of poo just sitting there. I am also not drinking enough water. Drink more he says. The body will release whatever it does not need.

Like everyone else, he was terribly amused by our use of Tylenol 1 as pain medication. He suggested, and prescribed a drug called Dilauded. It is a variation of morphine more specifically Hydromophone. I am allowed to take 2mg of it twice a day. They gave me on the way out. I look at it as Percocet light. It pretty much dulls everything. A whole new lease on life. No pain. All organs dulled. The only side effect I have felt so far is drowsiness. I could sleep for days on it.  I am taking one pill a day to see me through the day. Works wonders.

The other side effect we are very concerned about is that I might become addicted to it. I might have to go cold turkey to wean me from it.

The doctor laughed at that possibility. For some reason, he thinks that is the least of my problems.

He also recommended we go on a trip. Just the two of us. He said if this is a case of lying around the house waiting to die, might as well lie around on a hot beach somewhere instead. We pack all the drugs we could possibly need, including something to take care of a chest infection in case it happens (not likely). We also have to be prepared to fly home if things turn sour. Purchase two one way tickets home.

The doctor does a lot of Medivac work and sees a lot of people who are very sick. He said, that looking at me walk and talk, the colour of my skin, and my general good health, I should have no problems going somewhere for a week. We are clearing the idea through Dr. Hedley this week.

We have moved our appointment with palliative to November 3. They are supposed to take over from Dr. Hedley. I will report more when I know more.

Finally, the big party is set for this Sunday at 3PM. Thank you to David Powell for generously providing his house for the occasion.

I cannot thank you all enough for all the support you have provided.

What is it about second opinions that reassures people? I can see circumstances where you may want reassurance for something traumatic. In most cases, I doubt a secon opinion is very helpful.

I am not talking about construction projects, or the installation of a furnace. We moved into our house 11 years ago. Our furnace seemed to have trouble keeping the house warm. The air conditioner that was highly praised by the previous owner was barely useful. Nothing more than an air circulator. I talked with the representatives of about 6 different furnace manufacturers. Like most industries. there are very few actual manufacturers. What looks like a diverse field is dominated by a few companies that market several brands. All claimed to have the best unit on the market and cited one item that distinguished them from the others.

One had an electronic ignition which they claimed was useful in that it was more efficient. Do not need a pilot light. Just saved myself $10 a year. Another had an anti-static drum that would prevent the accumulation of dust on the air intakes. Fantastic feature guaranteed to work for three years at least. Another had a 12volt fan which could stay on for ever circulating the air around the house. Highly useful. I guess. I came away from the exercise more confused than when I went in.

We finally replaced our furnace about three years ago. We hired the same contractor this year to install our central air without going fro a second opinion. We trust the contractor. He did a stellar job the first time, and again now.

One of my cousins visited me recently. One of the first things she asked is whether I was having liver surgery. No, I said, no such plans. She suggested I might want to go to Germany for said operation. It would only cost about $2,000. I should not rely on the opinion of my one doctor here. She understands that we are living with the constraints of universal health care. They often will not perform operations or provide other services to save money. I should not let that hold me back. Germany has wonderful services.

I accused her of having Health Care prejudices. This opened a whole other set of issues which I will not go into, a waste of time.

This advice was given without having any idea about how our system works, or at least the system in this hospital. There is a panel of doctors who look after us. Major decisions are made by the panel, not the individual doctor. This is a truly amazing system. Not only do you get a second opinion, but you get five of them. By the time I was set for surgery, I had four separate opinions. Why go after another?

The situation gets more complicated. We do not appear to understand the why’s and wherefores of cancer. We do know that I do not have liver cancer, but colon cancer in the liver. Same situation in the lungs. I finally understand the meaning of metastasized cancer.

An operation of the liver is a waste of time. The cancer cells are busy in both halves of the liver. Taking one half out, letting the liver regenerate, means that the cancer will just travel from the other half back to the first.

Why in the world would I want to second guess my doctor anyways? What makes me think for a second that I know better than my doctor. Should I go to Germany for the operation, who will look after me post operation? I have an appointment to see my surgeon tomorrow morning. This is 9 months after the operation. We talk and make sure all is right. It is not a long meeting. Am I supposed to after another local surgeon look after my needs following an operation in another country? Does not make sense to me on any level.

We were told that we have the right to a second opinion at any time prior to the operation. We were told to feel free to go to the Mayo Clinic or anywhere else we thought might provide some additional information or help. No one here would hold that against us. After being in this system for a year, researching, reading and contemplating alternatives, I can say that the doctors appreciate it when you know more, when you take the time to educate yourself and take charge of your destiny. At least my doctors do.

I think a second opinion is required because we do not like or trust the first opinion. We are hoping that the bad news is not as bad as it appears to be and want to hear a second voice.

I generally deal with people I trust. I trust my family doctor. We have been together for fifteen years and understand each other. She is a modern medicine woman, dispensing drugs to heal all. Anyone not comfortable with that should seek the advice of a traditional medicine person.

I trust my oncologist and his entourage. I trust my surgeon and her entourage. I am happy with the decisions taken. I will add resources as I see fit, as I can accept them, understand their significance.

© 2010 I Have Cancer Suffusion theme by Sayontan Sinha