Saturday, April 25, 2009

my Bruises

I have yet to blog my small incisions from the laparoscopic operation I had last week..
It was my first time to be injected with dextrose.. It was injected in my right wrist part.
After the dextrose was removed, there were a lot of surgical tape residues, which I rubbed them off, so they left a dark mark in my right wrist..
After this, I learned that this area was indeed a sensitive part, especially after the dextrose needle. :) but hey, It has lighten a bit now.. :P


Wednesday, April 22, 2009

The thing and Parting again..

Aside from visiting Dr. Chiaoling Sua-Lao today, Melchor is scheduled to go back to Shanghai this 8:20PM via Cebu Pacific airlines. Of all days in the week, it was raining hard in the afternoon!!

So my Mom signed us up to meet Dr. Sua-Lao this afternoon. When we arrived at her clinic in Condesa St., her assistants showed us first the video of the operation! I finally got to see the whole 2 hour operation!!! I saw how Dr. Sua-Lao and gang finally peeled out the dermoid cyst. I got to see the cyst! It's not a good looking thing.. and it really made me wonder how can this thing be inside me!!!
Here's the picture of the dermoid cyst.
* Taken from the operation video

My right ovary was checked again for bleeding. The ultrasound showed no more bleeding.
I have to go back to Dr. Sua-Lao again next week Tuesday, to check for follicle monitoring.
We had some talks with Dr. Sua-Lao, then, we're on to bring Melchor to the airport.
Since it rained, with fear of traffic all-over Metro Manila, we finally just went straight-on to the airport. City Hall area was jammed, but luckily, the rain was starting to stop.

We drove Melchor to the airport on time. Phew!!
I guess I once again will count the days till we get together again.. 13 days! hahaha! I have to do a ticker nanaman ah! LOL! I wish it will be May 6 na.. Melchor will be here once again. :)
Melchor @ NAIA3

I'll see you on May 6!

Tuesday, April 21, 2009

After April 15

Hi! First off, I like to thank all friends who texted, email, send messages and greetings via YM and Facebook.
I'm now okay and already home.
April 15 is now part of my unforgettable dates. Prior to going to The Medical City, we met a small incident, which made us arrived late at the hospital. hahaha!

We're supposed to be at the Medical City around 10:30AM, but we arrived 1.5hour late.. and with no room yet available for us! It's so weird that with all the hospitals here in Metro Manila, there's still shortage of room accommodations! Thanks to Papa Gan, which advised us to book our room in advance, we were at the waiting list in my preferred floor and preferred room. We chose the Deluxe Room of The Medical City, because of its size and I guess maybe value for money? haha!

The Medical City I can say is one nice hospital around Manila. Though it's really far away from where we lived, I still think it's one of the good hospital. (I think even Erica will agree to this! haha!)

My Mom, Melchor and I arrived TMC past 12nn already. We immediately went to the Admitting section to secure our room. Since my reserved room still being occupied, I was ushered to the Pre Labor Room, to prep me for the operation on that day. I'll be undergoing a laparoscopic cystectomy.
FYI, Laparoscopic cystectomy is:

What is a laparoscopy?

A laparoscopy is a procedure in which your health care provider uses a laparoscope to treat a problem with organs or tissue inside your abdomen. A laparoscope is a thin tube with a light and tiny camera.

When is it used?

This operation may be done to remove a cyst on or in one of your ovaries. The ovaries are the organs that make and store eggs.

Examples of alternatives are:

  • having the cyst drained with a needle (in some cases)
  • having more extensive abdominal surgery
  • choosing not to have treatment.
*Taken from http://www.med.umich.edu/1libr/wha/wha_lapovcys_crs.htm
So I was at Pre-Labor room, changed to the TMC Gown, I was being interviewed by the OB-Gyne Resident at the Pre Labor Room.. about my medical history.. I was injected there with dextrose, then the Cleansing Enema.. (yuck..!!), and had a Skin Test for the antibiotics. I don't have my watch with me, Melchor and my Mom was at the waiting area.. in a bit while, an Ob-Gyne Surgery resident fetched me, and wheeled me to the Laparoscopy Operating room! I asked the Resident if things around there pretty much the same as Grey's Anatomy.. So much for Melchor's downloads! haha! The time then was 2:30PM.

The aircon at the OR was freeziing! I asked for a thick blanket then! It was color pink! hahaha! Then, in a bit later, I saw a guy fuzing the monitor, typing the name of Dr. Sua-Lao. Then, a resident checked my skin test, placed on the ECG, BP monitoring, and oxygen level monitoring. Wahh.. Things are starting to get serious!

Then, I saw a guy in Orange scrubs. He's my Anaesthiologist, His name is Dr. Odi. (I think his full name is Dr. Tygran Romeo Odi). He's so much fun!! Hahaha! He asked my previous hospital history, which is NONE! Hahaha! He asked: this is your first surgery..? I said: Yes! And I told me to please make it a good one! Wahahah! He smiled and laughed at me, then told me not to worry!

Then, another lady in orange scrubs came in.. it's Dr. Chiao-Ling Sua-Lao! I saw the time then around 3:05PM. She's really on-time ah! hahaha! :) I'm so relieved to see her! She asked if I had a lot of bowel movement, I said yes, she said good. I was trying to be quiet na.. and just listening how Dr. Sua-Lao and Dr. Odi was chatting.. I think they're good colleague. :)

Then, later, Dr. Odi told me, I'm so lucky to have 2 good surgeons with me: "I got the Laparoscopic God and Laparoscopic Lord" (Sorry, I kinda missed out this part). I have Dr. Sua-Lao with me and her partner, Dr. Luna (I'm still checking out Ob-Gyne Dr. Luna - will update soon).

Dr. Sua-Lao came back, and said, she will first check my tubes.. then in less than 1 minute, Dr. Odi injected me the anaesthesia, then boom, I'm like a TREE LOG na.. :P The time was 3:40PM. I slept throughout the whole ordeal.

I woke up around 7PM, freezing to death! I felt I became a frozen meat, being defrost! I was really freezing!!! I told the nurse, I'm so freezing to death!!! Wahhh!! In awhile, I felt really hungry!! I told the nurse, I'm so hungry.. the nurse told me that I cannot eat pa.. Trying my luck again, I asked for water, as I was so thirsty... I sipped a couple, then, in a bit, I was feeling nauseous and vomitted the water.

Around 10PM, I was transferred to my Room 510. I met the smiles of Melchor, my Mom and Erica. They are all waiting for me.

I was not able to sleep that night. A nurse kept on showing up on me, to check my temperature, get my BP and Pulse rate, check my dextrose - for every hour!!! I was trying to move to left and right that night.. with Erica helping me patting my back, due to some back pain. I felt some pain in my stomach, but I guess with some pain killers, I can tolerate the pain.

The next day, Melchor and my Mom woke up early (around 5:30AM), as they will drive to Manila to buy and cook Lapu-Lapu soup for me. The day went on pretty boring.. Nurses shifted 3x, I can only take in clear soup (because I haven't passed out yet), a lady offering me sponge bath, a guy from billing department to inform Melchor about using the Philhealth, cleaning guy to sanitize the place and the bathroom, my food tray being delivered, a resident checking on me, etc. The nurse removed my catheter around 6AM. I can start to pee by myself. I felt there are a lot of visitors! I can only sleep for a short time in betweens. My Aunt Becca and cousin Ivy came for a visit, and brought a Lapu-Lapu Soup for me! wahh!!! Then around 2:30PM, I got a special visitor, Dr. Chiao Ling Sua-Lao. She checked my wounds, and ask if I had already passed-out, pee by myself and start walking. I told her yes, and She told me that I can be discharged na! hahaha! We had a meet-up on April 22 (tomorrow), then, just informed me my medicine - antiobiotic and pain killer. She also filled-up my philhealth form. Dr. Sua-Lao said I can now go home.

The nurse at that time was Kate, and she was surprised that Dr. Sua-Lao told me I can be discharged na. Also comparing me and some of the other patients having CS and same surgery, they have to stay around 3 days or so, before discharge. But for me, since I can walk, passed-out, move around.. I can now go home. Even Dr. Odi informed the nurses that I can already be discharged.

So, Melchor rushed to our house, to complete my philhealth requirements. My mom got the total bill from billing department.. Melchor came in on time to settle the account, I can now go home!!


I don't know how to end this post! hahaha! I had a great experience with The Medical City. I got the best doctors!! I'm recovering pretty well. My room in TMC was a Deluxe Room. It was nice and spacious.

Things I ate after the operation: Lapu-lapu fish soup, Hot Chocolate, Milo, Ovaltine, Cereal, Quaker oats, Misua.. Fruits like grapes, apples, and drinking a lot of water and grape juice. What else can I share.. hmmm..

I'm very thankful that the operation went well. I'm happy that I have my wonderful family around, and my supportive husband to accompany my ordeal. I said my thank you to God.. and I hope I can do Him proud to new things I'll be doing after this.

Tuesday, April 14, 2009

preparing for April 15

After a month since the first hospital visit in Shanghai.. I'm preparing myself now for the operation tomorrow.

I kinda don't know really what to think. I'm confident about the operation tomorrow.. But I think I'm more concern that tomorrow will be my first time to be in a hospital.

I know this may sound no biggie to all of you, but for me, I was really hoping that my first hospital experience is something not like the operation tomorrow. Anyway, life's full of surprises, right? You can't have them all.. :)

Melchor and I went to visit Dr. Chiaoling Sua-Lao last Monday. Her clinic that time was in nearby Condesa St., Binondo area. I knew for a fact that there are a lot of patients visiting her in the Binondo clinic, but still, Melchor and I were in a relaxed mood, and was just dilly-dallying around before opening the door of Dr. Sua-Lao's clinic. To our surprise, we were her #27 patients! At that time, it was 10:30AM... so we waited, and waited and waited. Talking, teasing around.. hugging, planting small kisses, holding hands.. watching patients come in and out of the Doctor's room.. waiting for our turn.. Then around 1:20PM, Dr. Sua-Lao's assistant, Inday, told me that we're next.. So can you imagine the time we waited at Dr. Sua-Lao's clinic! Hahahaa! 3 hours!! Oh, I forgot, in between that, Dr. Sua-Lao came out and noticed me among her patients, and asked her assistant to show me the CD of her Dermoid Cyst operation.. Which Melchor and I watched, along with a male stranger nearby.. hahaa! Watching her video actually made us more confident with Dr. Sua-Lao, also added some questions in our mind.

So it was 1:30pm when Melchor and I finally ushered in to Dr. Sua-Lao's room. I introduced Melchor to Dr. Sua-Lao, and her first question was: "He is a Chinese also?" hahahah! Because of Melchor's feature, he can fooled anyone that he's a non-Chinese.

And so, we were at Dr. Sua-Lao's clinic. She showed us an edited version of dermoid cyst laparoscopy operation. She patiently pointed out and illustrated the procedure she'll be doing tomorrow. At the same time, we were squeezing in some questions for her to answer. I still have some luck in my side, as Dr. Sua-Lao pointed out, based on the ultrasound, my cyst was more of a fluid component, rather than some other cyst, who's more oily ("masebo"). She estimated a 2-hour operation.. Hay.. tomorrow na pala yun!

And so, she prescribed some stuff for me to do yesterday and today. Also some instructions for the check-in tomorrow. I have to take Dulcolax and PhosphoSoda last night and this lunch.

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So taking the Dulcolax and Phospho-Soda made me feel really weird!! I don't think I will describe them here.. This is the first tiem I took laxative, so this is really weird.


Anyway, I have to end this entry for now.. With our picture yesterday at Dr. Sua-Lao's clinic... Her contact details can be found at http://www.thefilipinodoctors.com/ or you can send me a message, I'll be happy to share the contact details of Dr. Sua-Lao.

Lastly, just blogging an update for my upcoming operation.
I'm just happy that Melchor's here with me right now, and I'm praying for the success of my operation tomorrow. Thank you all!
Dr. Sua-Lao's Condesa Clinic

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Posing at Dr. Sua-Lao's clinic! hahaha! :)

Saturday, April 11, 2009

a Surprise from Melchor

Melchor's here!
I'm so happy to see and be with him! Finally!!! heheh! :)
And guess what, he brought a surprise for me!
A mini HP 2140 notebook!!!!! Wahhh!!!!
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I wasn't expecting anything from him.. just want him to be here with me..
Yet, he surprised me again and again and again! hahaha!
Thank you very much Melchor!! I love love love this!!
But I love you more! :)

Thursday, April 09, 2009

Blood test results

I got my blood test results last Tuesday, before Erica and I went to Medical City to visit Dr. Chiaoling Sua-Lao.
My doctor wanted me to visit her when I finally got my menstruation, which I did last Sunday.
I'm so relieved to find the results of my blood and urine analysis normal. I'm still waiting for the Fasting Serum Insulin and Pro-lactin results. Nevertheless, I'm looking forward to more positive results next week.
With Melchor joining me soon, I hope he can also do his blood exams, etc. After all, it takes two now.. I'm doing my part to be healthy, so it's now his turn! Wahahahah! :)

Melchor's coming!!!

I'm so excited!! Just one sleep away, Melchor will here in Manila na!
I can't wait to be with my husband again! We have a lot of things to do here...
Have a full schedule ahead of us.. like visit our Doctor.. confine hospital.. my operation..
Shucks.. I definitely need to have him here!! Hahaha!

I'm just rambling and swaying my thoughts away from the operation..
Right now, I'm just plain excited to be with Melchor once again. :)

Tuesday, April 07, 2009

another round of Blood Tests

My OB asked me to have a blood test at Asiatic Medical Laboratory.
Since we don't have our vehicle at that time, we're thrilled that the Lab is quite near our place.
We can just ride a Pedicab to bring us there.

Dr. Sua-Lao asked me to do the following tests: (explanations are taken from Wikipedia)
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1) Complete Blood Count (CBC)
A complete blood count (CBC), also known as full blood count (FBC) or full blood exam (FBE) or blood panel, is a test requested by a doctor or other medical professional that gives information about the cells in a patient's blood.

The cells that circulate in the bloodstream are generally divided into three types: white blood cells (leukocytes), red blood cells (erythrocytes), and platelets (thrombocytes). Abnormally high or low counts may indicate the presence of many forms of disease, and hence blood counts are amongst the most commonly performed blood tests in medicine, as they can provide an overview of a patient's general health status. A CBC is routinely performed during annual physical examinations in some jurisdictions.
2) Urine Analysis
A urinalysis (or "UA") is an array of tests performed on urine and one of the most common methods of medical diagnosis.

A typical medical urinalysis usually includes:


3) Prothrombin time
The prothrombin time (PT) and its derived measures of prothrombin ratioPR) and international normalized ratio (INR) are measures of the extrinsic pathway of coagulation. They are used to determine the clotting tendency of blood, in the measure of warfarin dosage, liver damage, and vitamin K status. The reference range for prothrombin time is usually around 12–15 seconds; the normal range for the INR is 0.8–1.2. PT measures factors II, V, VII, X and fibrinogen. It is used in conjunction with the activated partial thromboplastin time (aPTT) which measures the intrinsic pathway.
4) APTT - Partial thromboplastin time
- from Wiki:
The partial thromboplastin time (PTT) or activated partial thromboplastin time (aPTT or APTT) is a performance indicator measuring the efficacy of both the "intrinsic" (now referred to as the contact activation pathway) and the common coagulation pathways. Apart from detecting abnormalities in blood clotting,[1] it is also used to monitor the treatment effects with heparin, a major anticoagulant.
5) Fasting Serum Insulin
- from Wiki:

A fasting serum insulin level of greater than the upper limit of normal for the assay used (approximately 60 pmol/L) is considered evidence of insulin resistance.

6) Thyroid-Stimulating Hormone or TSH

Thyroid-stimulating hormone (also known as TSH or thyrotropin) is a peptide hormone synthesized and secreted by thyrotrope cells in the anterior pituitary gland which regulates the endocrine function of the thyroid gland.

TSH levels are tested in the blood of patients suspected of suffering from excess (hyperthyroidism), or deficiency (hypothyroidism) of thyroid hormone. Generally, a normal range for TSH for adults is between 0.4 and 5.0 uIU/mL (equivalent to mIU/L), but values vary slightly among labs. The optimal goal TSH level for patients on treatment ranges between 0.3 to 3.0 mIU/L.[4]. The interpretation depends also on what the blood levels of thyroid hormones (T3 and T4) are. The National Health Service in the UK considers a "normal" range to be more like 0.1 to 5.0 uIU/mL.

7) Prolactin
Prolactin (PRL) or Luteotropic hormone (LTH) is a peptide hormone primarily associated with lactation.
Prolactin or luteotropic hormone is synthesised and secreted by lactotrope cells in the adenohypophysis (anterior pituitary gland). It is also produced in other tissues including the breast, the decidua, parts of the central nervous system and the immune system.
To do the blood test, Dr. Sua-Lao and the medical personnel of Asiatic Medical Laboratory explained how the flow should be for the blood test:
1) I have to eat something by 10:00 to 12:00MN - this is to avoid over-fasting. I cannot eat afterwards and I can just drink water, which is good. :)
2) I have wake up 7:00AM the next day, and cannot sleep afterwards.
3) Blood will taken from me around 10:00AM.

So, I did and followed the schedule last April 4. I took some biscuits at 10:30PM and some more around 12:00MN. Cannot sleep immediately, drank lots of water. I woke up at 7:00AM, and felt really sleepy!!! I cannot drink coffee.. I gulped a lot of water to keep me awake.. and walk around the living room like zombie.. I washed my face, and walk around more.. I was still sleepy!!! But to have this blood exam, I have to push myself not to even close my eyes. hahaha!

Then, as my Mom and Aunts enrolled cooking lessons at YMCA, I went to the nearby Asiatic Medical Laboratory to have the tests above.


Ey Melchor, look oh!! Blood!! hahahaha! :)
I will get the results later for all except #5 and 7, as these tests are done only every Thursday. So the results will be available next week, April 16. The tests cost Php 2,830.00! hahaha!!

Everything's not easy here.. As much as I don't want to feel the stress, things are not just plain easy. I've done 5 TV ultrasounds.. visited 2 doctors in Shanghai, 5 doctors here in Manila. And I'm just about to start my whole ordeal. But I'm happy to have my family around me, my husband who supports me.. In the end, I know I will survive and conquer this.

Monday, April 06, 2009

Updating - April 1 and 2, 2009

Last week was a bit fast for me.
Our car was picked-up on April 1. I rushed my Mom to have the car checked, and boy, it needed some repairs. I'm preparing the car for this coming week. Melchor will be flying-in.. and I'm not that excited yet.. haha!

But for April 1, I went to downtown Divisoria area.. to bring something for my Mom-inlaw Mama Gan.
She had a lump at her back, long before.. and I remember this was one of her concerns during the gown fitting for the wedding. And so, the day before April 1, she had it removed in Metropolitan Hospital.
So bringing in some food for her recovery, I passed by Red Ribbon Bakeshop in Quintin Paredes Binondo, bought ube roll, sugar-free mamon and had lunch there. I ordered, Pan-grilled Chops in Half serving. It also included soft drink and a cake, I chose Blueberry cheesecake!! Cool right?
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Then, Melchor's sister, Marilou and I visited Mama Gan. Then, went on to Melchor's Big Aunt's place.. then, finally, went to Melchor's Uncle Herman's place to get the albums he prepared for us. We're very happy and thankful that we at least have some pictures and albums to showcase our wedding! hahaa! After that, my Aunt Beth fetched me to accompany them to our family Dermatologist, Dr. Michael Chua, for Joie's Laser-hair removal, My Diamond Peel and my Aunts' IPL session.

On to April 2, I finally had the urge to visit my last couple of OB-Gyne choices.
My mom and I, without our vehicle, used the public transportation cab this time, to visit the Doctor we arranged in the morning, that's Dr. Leonardo Almeda. He's actually one of the pioneer in doing test-tube babies. He said so that his specialty is really doing test-tube babies.
He's actually pretty good, but I was surprised by the consultation fee he charged to us.
With him, I have the following findings and clarification:
1) I have a dermoid cyst in my right ovary. (The cyst first discovered in Shanghai)
2) I have a Polycystic ovarian syndrome in my Left ovary. (I never knew there's something in my left ovary!!)
3) I'm not pregnant. (The 2 doctors I previously visited wanted me to wait for my period first before operation. As per Dr. Almeda, looking at the ultrasound, he confidently said I'm not pregnant).
With Dr. Almeda, he suggested to use small incision for the operation. What he can do for 30mins, if to use laparoscopy, it will take around 1.5hours. And with the kind of cyst I have, it needs to be removed as a whole.. and have to avoid rupture. He also said that PCOS in my left ovary can be manageable. PCOS meant that there are eggs in my ovary.. in case I opted for a IVF. After hearing about the consultation fee, I think Melchor will like me to move on and meet with another OB. haha!

I honestly don't know what to think anymore, after learning that I not only have a dermoid cyst in my right ovary, but a PCOS in my left. I mean.. There are a lot of Whys... but in the end, I just have to suck it up and go forward to take good care of my health, not only for me, but for Melchor and my family as well.

After that, my Mom and I visited another doctor, Dr. Chiao Ling Sua-Lao. I've read her name in some forums couple of times. But I think it was an acquiantance email about her Endo Cyst ordeal that triggered me to visit Dr. Sua-Lao. To visit Dr. Sua-Lao is really easy. She has a clinic here in Condesa area, Binondo.. But based from what I've read, patients in her Binondo clinic wait a very long time!!! So on that Thursday afternoon, after visiting Dr. Almeda, My mom and I immediately took a cab to her other clinic, which is the very far and huge The Medical City. We got there around 1:15PM in the afternoon. We first went to her clinic at 1604. (Yes, that's on the 16th floor), and sign in as her patient for that day. Would you believe that with her clinic starting at 3:00PM, we were there at 1:15pm, we're already on #3 of her list of patient!! Wahh!!! Dr. Sua-Lao specialty is Infertility and Laparoscopy Specialist. I think I love that, don't you thinK? haha! Finally!!!

Dr. Sua-Lao arrived nearing 4PM already. When it's our turn to her clinic, it was a breeze feeling..? It's like the consultation happened to fast, and I wished I could rewind what was explained to me! Haha! She said that time that she just finished a laparscopic operation of a dermoid cysts also. This cyst is one of the common cysts of the ovary nowadays. She checked me again via TVU, and she showed me that my cyst mainly composes of fluids, and some hair. She said she preferred this kind of cyst, as there are others who are very "masebo" (very oily), mine's not. Thank God!

She prescribed me to take Metformin for my left PCOS, once a day after dinner. She also want me to take a blood test at Asiatic Laboratory in Binondo. And want me to check-in when the first day of my period arrived, and lastly, she also want Melchor and I to visit her on the 13th at her Binondo Clinic, to show us a video how laparoscopy is being done, and she wants Melchor to have some tests also.

I will blog about my Asiatic Laboratory experience. I'm still awaiting my results, as some results will be available by April 16. Wahh!! Even Melchor can't believe that it will take them that long!! But since this coming Thursday is a Maundy Thursday... There's a long weekend holiday here. So no choice but to wait till April 16.

I think my final OB-Gyne deserves a separate blog entry, right? hahaha! I will talk more about her soon. I have to stop here.. So far, these are my updates to my upcoming surgery