Friday, February 2, 2018

Mortality

“Mama, you will be fine right? All you have to do is to take medication which the doctor prescribed and you will be fine right?” Dumpling asked with tears streaming down her face. My heart shattered as I held on to that very fine thread of sanity for strength.

Please allow me to “rewind” back to the start of the year for January was a really challenging month for me.

My helper had to leave very urgently on compassionate leave and because everything happened so fast, I had no turnaround time to look and arrange for a part time cleaner. As I had very few days of leave left transitioning into a new job, I had to juggle work + scheduling for the pick-up of Dumpling + working out her food schedule as she was staying back in school from Wed – Friday weekly. Add laundry, medicating the dog, cooking / washing of dishes + mopping, supporting the kiddo with her homework; you can tell how packed each day was over the course of those weeks. 

Along the way, I went for what I thought was a “regular” Pap Smear test. “Regular” because the last round was almost 5 years go. Yup yup, before you diss me, this was what happened. My gynae appointments are usually made way in advance (like months ahead) because his schedule is really packed. What happened was I totally forgotten about it and I got busy with the everyday "busy-ness" and mum duties and then it dragged on and on until very strangely, I had this sudden and persistent “urge” to head for the test. So I booked myself one and a week after doing the test, the nurse called me up and said “Alicia, your test came back with inflammation with Parakeratiotic cells seen. Doctor Ong would like to see you tomorrow.”

I was totally taken aback “Para what?” I asked. “What does this mean?” And of course, she couldn’t answer further and the next day, I met up with the doctor to explain to me that basically because there’s inflammation in the cervix, the cells sort of build up as they layered and layered over, almost like a self defense mechanism to deal with the inflammation. BUT here’s the thing, HPV also causes inflammation and for some kinds, they are so called the high-risk (types 16 & 18) lead to the majority of cancer and get this, cervical cancer is most commonly linked to HPV.   

So I went for a further test / scope and the waiting game started. It was a week of yoyo moods for me. I hadn’t intended to tell Dumpling anything but she knew that I went for my regular check up as I had picked her up from school that late afternoon and so, she was really intuitive as to why I needed to go back for the second time. Sigh… Hence the water works started.



I’ve always been iffy about the mortality discussion. When suddenly thrusted into this situation where I may be at high risk for cervical cancer, my first thoughts were “Oh dear. What’s gonna happen to the kiddo? How am I gonna break the news to my parents, who will be utterly devastated?” I started tearing in the car, texted some close friends & colleagues and called my bro who unfortunately was away on business travel.

Over the course of the week (where my helper was still away), I tried very hard not to think about it but honestly, that’s akin to ignoring a time bomb ticking away in your head. I posted up a status on FB asking for prayers and many replied back / PM / What’s App me.

And for that, I am utterly thankful ~ mummy friends helped me to pick Dumpling up from school, close friends prayed for me daily and continued to encourage me and some met me for lunch to cheer me up. I was reminded to be still, and to trust in God. Dumpling and I prayed together and amazingly, she kept assuring me that I will be alright. As for me, I basically passed the driver's seat to God. I told Him that my life was never mine in the first place so I am good if He wishes to take me with him. But if possible, I'd like to be able to parent and witness the kiddo grow up and to spend more time with my parents and loved ones. 

I am glad to share that I am tested negative for HPV (Thank you Lord!) and I am on a course of medication for bacteria where I have to repeat my tests again in 3 months time so it will be another waiting game. :( 

Having gone through this crazy scare, I was encouraged by my gynae to go for a HPV vaccine which I will be doing so. A girl friend incidentally texted me last evening to check on me (thanks June!) and I will share with you all the same thing that I shared with her then. 

I am also not a big fan of any vaccines but this episode has made me really glad that I’d still have that option to choose. If you were to be tested negative for it and the vaccine can provide some degree of coverage for HPV, then why not? 

To quote a read on a website:

"Cervical cancer: Virtually all cases of cervical cancer are caused by HPV, and just two HPV types, 16 and 18, are responsible for about 70% of all cases (7, 8). Anal cancer: About 95% of anal cancers are caused by HPV." 

So, have a think about it, my mummy readers and friends. Let's take some time for self care so that we can continue for a longer period and go a farther distance. 

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