I was officially diagnosed with Non-Hodgkin's Mediastinal Large B-cell Lymphoma in July 2010. I was seventeen. I was in Form 5; my last year of secondary school, preparing to sit for the SPM examinations.

I would consider myself an average teenager - a girl who just wanted to have fun, with her quirks; trying to survive life as a teen.

It all started with me coughing non-stop after a bout of the common flu. Despite making several trips to my family doctor's clinic, the cough just won't seem to go away even after months of being under medication. Several prescriptions of cough drops later, my family doctor suggested to my parents and I to have a chest X-ray done for me.

A large tumour was discovered; situated in between my lungs, right in front of my heart. The tumour was pressing against my trachea, causing me to have slight breathing difficulties and all that coughing.

I stopped going to school almost immediately. My parents and I went on this journey to seek advice from specialists regarding my condition.

Next, I had a needle biopsy done which confirmed that the tumour consisted of active cancer cells. I had to go for a surgical biopsy to classify what kind of cells were they, so the proper treatment could be administered right away.

The cancer had then spread to my pancreas, kidneys and liver.

Afterwards, I went through six cycles of chemotherapy(R-CHOP) and self-studied for the rest of the year. I was lucky that I was fit enough to sit for my SPM examinations at the end of the year right after my last chemotherapy session scheduled for me was completed. Or else, I wouldn't be able to successfully graduate from secondary school. I had a lot of people telling me to just skip the examinations and relax for a bit, but my stubbornness got the better of me. I was determined enough then and thankfully, I did alright. At least I could fully focus on getting myself treated without worrying that I did not complete even my most basic education in Malaysia.

At the end of 2010, I went for a PET scan. My tumour did shrink, but it was still there.

When 2011 came, I went for radiotherapy this time. I had 25 fractions done.

I thought I was on the road to recovery at long last, but unfortunately…no.

A few days before my scheduled PET scan, I felt extreme soreness at the right side of my abdomen. It made me lose sleep at night, and my coughing fit was back. The oncologist in charge of my treatment for radiotherapy felt something near my right kidney. I went for a PET scan the very next day, and found out that my cancer had spread again. New tumours surrounded both my kidneys once more and my lower spine. Radiotherapy was crossed out from the possible ways of treatment, since the radiation will damage my kidneys, affecting their function tremendously.

I had three more cycles of chemotherapy(R-ICE) done. This proved effective for awhile, but after every session - the cancer would get aggressive and we went back to square one. Finally, it was decided that I was to undergo an autologous stem cell transplant. I had my stem cells harvested, and I went through a few days of high-dose chemotherapy before the transplant. I was hospitalised for a month. I had zero immunity, and blood infections which caused high fever haunted me. I made more trips back to the hospital to rid of the infections.

I am currently under quarantine and recuperating from the transplant; dealing with the side effects from both the transplant and my radiotherapy sessions - causing breathing problems, dizziness, fatigue, etc. The latter is the cause of a now weak heart.

I went for another 27 fractions of radiotherapy due to a tumour above my left kidney discovered by a PET scan in December 2011. My left kidney has lost its function.

Through another bout of coughing, I was advised to go for a chest X-ray and have an ultrasound done at the abdominal area. It is confirmed that my cancer relapsed for the third time. I am now under a new kind of medication.

***
So much had happened throughout me battling cancer.

Other than the physical challenges I have to go through, I also have to deal with my decreasing level of self-esteem and emotional health.

I do admit, I am a typical girl when it comes to me wanting to look pretty. You may call it vanity, but I say it's just me wanting to look presentable and good.

Imagine, I went bald twice; not once, but twice! Surprisingly, no tears came! (I later realised that it’s the process of waiting for my hair to grow again that’s truly challenging.)

This time, I hope I can truly make a full recovery and do my bit for the community. Also, hopefully my cancer journey as a teenager managed to inspire you and give you a more positive outlook on life. Quite a number of us assume that cancer only affects adults. On the contrary, I am a living example that that mindset is certainly untrue. It's not for me to tell you how to live your life, but you only live once, so treasure your life and your loved ones while you still can. Stop and smell the roses once in awhile, and you'll find that life is so fulfilling with just happiness and good health. A successful career, good grades - definite bonuses and great goals, but with life being so unpredictable; you'll never know what might happen next. Be content with what you already have, count your blessings and live life to the fullest without any regrets.

Believe me, I'm speaking from personal experience.

***
Click hereto go back to reading!

Hello dear readers!

After two gruelling weeks, I am finally able to update everyone about what's going on in my once again chaotic battle against cancer.

Please click on the links provided if you need definitions of certain medical terms and maybe a clearer picture of what I'm trying to explain regarding my condition. (:

*A fortnight ago, I found out that the right side of my abdomen had been feeling sore. The soreness was so bad, it made me lose sleep at night. I had this coughing fit which has been going on for a month, and to those who are aware of my condition - me coughing non-stop was the major symptom that led me to finding out I had cancer. I consumed three bottles of cough syrup and there was no sign of me recovering. My oncologist in Johor Bahru also diagnosed me with a severe case of pharyngitis. I also have frequent bouts of fever exceeding 38.0°C. According to my oncologist, other than the soreness I experienced - the other symptoms were most likely to be side effects from the 25 fractions of radiotherapy I went through.

I made many trips back to the hospital to see my oncologist as my symptoms were still there after being on constant oral medication for a month. Finally, when I brought up the topic of my soreness to my oncologist - he told me that he felt a ballotable mass somewhere near my right kidney. He advised my parents and I to bring forward my PET scan.

I went for the scan the very next day, and the results were..I wouldn't say shocking, but it's certainly not optimistic at all.

My parents and I found out from the radiologist that even though the original tumour that I had had shrunk tremendously from approximately 6cm to 1.3cm, it was still there. What's more, I have five new tumours in my body - two of them being really large tumours surrounding both my kidneys, and three more smaller ones that are in positions near my lumbar vertebrae. The smaller tumours that are affecting my backbone has caused my diaphragm to be slightly dysfunctional - hence me having slight breathing difficulties, causing the sore throat and the cough. My kidneys were still functioning normally, fortunately, so nobody suspected anything like this to happen.

Surprisingly, I didn't cry hearing all that. I surprised even myself when I still managed to speak optimistically about the whole situation. I didn't even tear up. Anybody would think that I might be too taken aback by the relapse of my cancer in just three short months, and had gone disturbingly positive in reaction to such major news. But really, I just couldn't cry. What I do know - I need to seek treatment immediately.

Right after I got the results of my scan, it's back to my oncologist's clinic - and he and my haematologist in Malacca both decided that I need to go for further treatment in KL.

On the 11th of April, my parents and I went to KL. I was admitted into the hospital on that day itself. I had my bone marrow cells extracted for a biopsy and the stem cells preserved for a bone marrow transplant. (I might blog about this process in a separate blog entry.)

The next morning, I started a new course of chemotherapy with stronger drugs than those used previously for my chemotherapy sessions in Malacca last year. My first session lasted for three days continuously. I managed to stay alert for the first day, but then I eventually felt extreme fatigue and constantly slept the hours away. I had steroids given through my IV drip so many times, I lost count. The only thing I know is that the steroids have this nauseating smell, and whenever it's given to me, my arm hurt because of the pressure in my vein. (I really hate steroids, but it's vital in my course of treatment, so I guess I just have to deal with it.)

Recuperating from this chemotherapy session was nearly like living hell to not just me, but also to both my parents. I felt tired all the time, and I constantly felt weak and exhausted. I didn't have the energy to walk, to move around, to even eat or drink anything. It didn't help that the side effects of chemotherapy made me feel even worse than ever. I lost my sense of taste, and my saliva tasted like vomit. I kid you not. Food tasted terrible, and drinking any form of liquids was torturous to me. Yet, I needed to eat because I'm on oral medication and I got underweight all of a sudden. I looked like an anorexic, and I could see my bones jutting out. My physical appearance really disturbed me, and for the first time in battling cancer - I really felt like I was in the depths of despair, and nobody could pull me out. And no, I'm really not exaggerating.


Thankfully, despite me still having some of those fears - I am recovering. I know it.

I just still need to keep fighting for my life. There may be times when I feel like giving up, but I definitely won't back out no matter what.

Especially with the fact that I have so much encouragement and support from all of you readers that are truly concerned about my plight! I appreciate the texts and supportive words on my Facebook wall; they really made me stronger and cemented my drive to continue fighting cancer and not let anybody down. I'll try my best to respond to everyone, but I just want to let everyone know - I truly appreciate every single wall post, every single text, every single blog entry, every single call, every single prayer. Words are seriously not enough to describe how loved I feel, and how thankful and grateful I am.

And also, thank you to everyone who remembered my birthday! I celebrated my 18th birthday with my parents. Nothing elaborate, just a simple day out in Malacca without a worry or care about any future ordeals I have to face. I'll also try to say my thank yous to everyone who wished me!

I do apologise to my friends who called me on my birthday, but I didn't answer any of your calls. For your information, another side effect from my recent chemotherapy session is that I now have partial hearing loss affecting both my ears. I was particularly extra deaf during my birthday, so I didn't answer any phone calls because I wouldn't be able to hear a word you say. In case you're wondering how severe this problem is to me, I can hardly hear myself talking to my parents or the doctor and have to resort to near-screams to be able to at least hear myself. Crossing roads or being at a car park is even worse - I cannot estimate the distance of vehicles from me. A car can just zoom from behind me, screeching tires and all, but I either wouldn't know there's a car speeding behind me or I still think the car is quite a distance away from me. Honestly, I nearly got knocked down by a few cars because of this problem...Thankfully, my parents now know better and they now have to hold my hand to ensure I don't just wander off and make myself a danger to..well, myself.

I made a joke that even if cancer and my treatment course won't kill me first, a car accident would. I don't think my parents found it very funny. Oh well, so much for being an optimist! Hahah.

I hope everybody is satisfied with this update, and I hope this entry can take some worries out of your mind. :D

Cheers, and to all my Christian friends - Happy Easter Sunday!

Labels: i'm grateful and blessed for.., lymphoma and me, medical procedures

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Shin.1966 - 2009. "She lives forever in the hearts of those who knew her, and know of her."
I watched a documentary about her battle against cancer on Mediacorp's Channel 8 in 2008, back when I was still fifteen. I was really touched by her strong will and constant optimism despite her condition.

I found her blog and sent her an e-mail, expressing how wowed I am by her. All I wanted then was to tell her to keep up the good fight, and she was doing at good job at it; I learnt a lot about life in that one night through her documentary and blog entries than in my fifteen years of living life - complaining and whining when I was actually one lucky brat. I honestly didn't expect her to reply.

Guess what? She did.

I would like to share her reply to me with all of my readers. It also works as a reminder to me that I should keep up the good fight as well. I hope she doesn't mind, but I personally don't think she will; bless her good soul.

11th November 2008.

Leonie,

Thanks for your kind e-mail. It's taken me a while to respond because I only just saw it. I look at my Gmail account once every week or so. This Yahoo account is more reliable if you want to contact me.

I truly appreciate your words of praise and encouragement.

You say that you're a 15-year-old Malaysian student and that you're not good with words? You should know that your short note was more articulate, well-written, and intelligently expressed than most of the comments I've been getting - many of them, adult professionals.

I don't know what you plan on doing with your future, but with your gift of expression, I think you've got a bright future ahead of you, professionally. And more important, you seem to have a maturity and insight beyond your age. I'm betting that you go on do something great with your life - not in terms of money or fame, but something that will make a difference to the people and the community around you.

Thanks, and good luck to you.

Shin

*** Shin had really good foresight. Even if I personally don't think so, I guess my friends, acquaintances, and strangers who have got to know of my cancer journey will agree that I did manage to 'make a difference to the people and the community around me.'

Rest in peace, Shin. My only regret then was that I didn't get to reply your e-mail in time. Cancer took you away not long after, and this will always bug my conscience for being such a procrastinator.

But you have enlightened me in so many ways, and you continue to live in my heart as my inspiration to keep up the good fight.

Keep up the good fight. That should work well as a personal motto.

To my readers who want to know more of this amazing person, do visit her blog at http://shinscancerblog.blogspot.com and watch the documentary I watched by clicking on this link.

Thank you Shin. Thank you for making such a difference to my life.

©Photo of Shin belongs to her family members.

Click hereto go back to reading.

Hello dear readers!

After two gruelling weeks, I am finally able to update everyone about what's going on in my once again chaotic battle against cancer.

Please click on the links provided if you need definitions of certain medical terms and maybe a clearer picture of what I'm trying to explain regarding my condition. (:

*A fortnight ago, I found out that the right side of my abdomen had been feeling sore. The soreness was so bad, it made me lose sleep at night. I had this coughing fit which has been going on for a month, and to those who are aware of my condition - me coughing non-stop was the major symptom that led me to finding out I had cancer. I consumed three bottles of cough syrup and there was no sign of me recovering. My oncologist in Johor Bahru also diagnosed me with a severe case of pharyngitis. I also have frequent bouts of fever exceeding 38.0°C. According to my oncologist, other than the soreness I experienced - the other symptoms were most likely to be side effects from the 25 fractions of radiotherapy I went through.

I made many trips back to the hospital to see my oncologist as my symptoms were still there after being on constant oral medication for a month. Finally, when I brought up the topic of my soreness to my oncologist - he told me that he felt a ballotable mass somewhere near my right kidney. He advised my parents and I to bring forward my PET scan.

I went for the scan the very next day, and the results were..I wouldn't say shocking, but it's certainly not optimistic at all.

My parents and I found out from the radiologist that even though the original tumour that I had had shrunk tremendously from approximately 6cm to 1.3cm, it was still there. What's more, I have five new tumours in my body - two of them being really large tumours surrounding both my kidneys, and three more smaller ones that are in positions near my lumbar vertebrae. The smaller tumours that are affecting my backbone has caused my diaphragm to be slightly dysfunctional - hence me having slight breathing difficulties, causing the sore throat and the cough. My kidneys were still functioning normally, fortunately, so nobody suspected anything like this to happen.

Surprisingly, I didn't cry hearing all that. I surprised even myself when I still managed to speak optimistically about the whole situation. I didn't even tear up. Anybody would think that I might be too taken aback by the relapse of my cancer in just three short months, and had gone disturbingly positive in reaction to such major news. But really, I just couldn't cry. What I do know - I need to seek treatment immediately.

Right after I got the results of my scan, it's back to my oncologist's clinic - and he and my haematologist in Malacca both decided that I need to go for further treatment in KL.

On the 11th of April, my parents and I went to KL. I was admitted into the hospital on that day itself. I had my bone marrow cells extracted for a biopsy and the stem cells preserved for a bone marrow transplant. (I might blog about this process in a separate blog entry.)

The next morning, I started a new course of chemotherapy with stronger drugs than those used previously for my chemotherapy sessions in Malacca last year. My first session lasted for three days continuously. I managed to stay alert for the first day, but then I eventually felt extreme fatigue and constantly slept the hours away. I had steroids given through my IV drip so many times, I lost count. The only thing I know is that the steroids have this nauseating smell, and whenever it's given to me, my arm hurt because of the pressure in my vein. (I really hate steroids, but it's vital in my course of treatment, so I guess I just have to deal with it.)

Recuperating from this chemotherapy session was nearly like living hell to not just me, but also to both my parents. I felt tired all the time, and I constantly felt weak and exhausted. I didn't have the energy to walk, to move around, to even eat or drink anything. It didn't help that the side effects of chemotherapy made me feel even worse than ever. I lost my sense of taste, and my saliva tasted like vomit. I kid you not. Food tasted terrible, and drinking any form of liquids was torturous to me. Yet, I needed to eat because I'm on oral medication and I got underweight all of a sudden. I looked like an anorexic, and I could see my bones jutting out. My physical appearance really disturbed me, and for the first time in battling cancer - I really felt like I was in the depths of despair, and nobody could pull me out. And no, I'm really not exaggerating.


Thankfully, despite me still having some of those fears - I am recovering. I know it.

I just still need to keep fighting for my life. There may be times when I feel like giving up, but I definitely won't back out no matter what.

Especially with the fact that I have so much encouragement and support from all of you readers that are truly concerned about my plight! I appreciate the texts and supportive words on my Facebook wall; they really made me stronger and cemented my drive to continue fighting cancer and not let anybody down. I'll try my best to respond to everyone, but I just want to let everyone know - I truly appreciate every single wall post, every single text, every single blog entry, every single call, every single prayer. Words are seriously not enough to describe how loved I feel, and how thankful and grateful I am.

And also, thank you to everyone who remembered my birthday! I celebrated my 18th birthday with my parents. Nothing elaborate, just a simple day out in Malacca without a worry or care about any future ordeals I have to face. I'll also try to say my thank yous to everyone who wished me!

I do apologise to my friends who called me on my birthday, but I didn't answer any of your calls. For your information, another side effect from my recent chemotherapy session is that I now have partial hearing loss affecting both my ears. I was particularly extra deaf during my birthday, so I didn't answer any phone calls because I wouldn't be able to hear a word you say. In case you're wondering how severe this problem is to me, I can hardly hear myself talking to my parents or the doctor and have to resort to near-screams to be able to at least hear myself. Crossing roads or being at a car park is even worse - I cannot estimate the distance of vehicles from me. A car can just zoom from behind me, screeching tires and all, but I either wouldn't know there's a car speeding behind me or I still think the car is quite a distance away from me. Honestly, I nearly got knocked down by a few cars because of this problem...Thankfully, my parents now know better and they now have to hold my hand to ensure I don't just wander off and make myself a danger to..well, myself.

I made a joke that even if cancer and my treatment course won't kill me first, a car accident would. I don't think my parents found it very funny. Oh well, so much for being an optimist! Hahah.

I hope everybody is satisfied with this update, and I hope this entry can take some worries out of your mind. :D

Cheers, and to all my Christian friends - Happy Easter Sunday!

Labels: i'm grateful and blessed for.., lymphoma and me, medical procedures

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