What A Rotten Colon! A Story Of A Cancer Survivor
By Kenneth Kee
()
About this ebook
This is a true story as told to me by my patient.
She had been my patient for the past 30 years seeing me after I first started my clinic.
She brought her family and her children to see me for minor coughs and colds.
Of course as she aged, she also consulted me for minor aches and pains.
She had a history of high blood pressure which was being treated by the outpatient clinics or polyclinics as they are called in Singapore.
Once a year she would go for an annual blood test which invariably showed nothing significant in her blood except for slightly raised blood cholesterol
She also had a history of gastric problem since 50 years ago.
She had a history of a father who died of heart attack and a mother who died of diabetes.
There was no history of cancer on her side of the family.
However her husband died at the age of 52 from nasopharyngeal cancer.
I had been treating her for gastric problems on and off since 1974.
She usually gets gastric pain when she takes too much oily and spicy food.
Usually if an antacid (like Bismag or Actal) does not counter the acidity or pain, she would come to see me for treatment.
I would prescribe to her the usual anticholinergic librax, antacid gestid and cimetidine tablets (There were no Nexium or Losec at that time, only Tagamet) three times a day and my favorite antacid suspension every half hourly until there is no pain.
So for 24 years she has been taking the medicine I gave her without problem each time relieving her pain.
She also takes medicines for her hypertension and cholesterol daily from the polyclinics that are public outpatient clinics at a very subsidized price in Singapore especially when she is a Senior Citizen after the age of 65 years.
I had informed her to get the medicines at the polyclinics because these are long term medicines, which should be taken daily and it is very much cheaper at the polyclinics.
At the age of 78 years she suddenly had a severe abdominal pain in the middle of the night which was so painful that she had difficulty breathing and went into cold sweats.
Prior to this pain she has vague abdominal discomfort in her abdomen which she thought was due to her gastric problem.
Besides that she has been suffering from alternating diarrhea and constipation for the past 2 weeks.
As she had similar episodes before she did think much about these symptoms.
The daughter called me about her severe abdominal pain.
Fearing a heart attack that may cause pain in the epigastric (the abdominal area just below the heart) I called for an ambulance and asked her daughter to follow in the ambulance with all her medicines.
The journey to the Singapore General Hospital was arduous with abdominal pain striking her every time the ambulance went over bumps in the road.
Unknown to her and her daughter the lesion in the abdomen that turned to be cancer of the colon had already burst and was causing pain in the abdominal cavity.
She was taken to the emergency department of the hospital where a senior doctor diagnosed that she had peritonitis or inflammation of the abdominal cavity from a burst area of the small intestine or large intestine.
A senior general surgeon on duty was called and she was prepared for emergency operation.
A laparotomy (opening into the abdominal cavity) was done down the midline of the abdomen and the inside of the abdominal cavity examined.
Blood and pussy discharge were sucked out that the surgeon was able to see where the burst intestine was.
It was found in the first part of her transverse colon where the cancer had apparently eaten through the wall of the intestine.
That part of colon was removed and the opening of the good colon prior to the cancer was attached to the outside skin so that the colon will drain directly out of a hole or stoma in the abdominal wall.
Kenneth Kee
Medical doctor since 1972.Started Kee Clinic in 1974 at 15 Holland Dr #03-102, relocated to 36 Holland Dr #01-10 in 2009.Did my M.Sc (Health Management ) in 1991 and Ph.D (Healthcare Administration) in 1993.Dr Kenneth Kee is still working as a family doctor at the age of 74However he has reduced his consultation hours to 3 hours in the morning and 2 hours inthe afternoon.He first started writing free blogs on medical disorders seen in the clinic in 2007 on http://kennethkee.blogspot.com.His purpose in writing these simple guides was for the health education of his patients which is also his dissertation for his Ph.D (Healthcare Administration). He then wrote an autobiography account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.comThis autobiography account “A Family Doctor’s Tale” was combined with his early “A Simple Guide to Medical Disorders” into a new Wordpress Blog “A Family Doctor’s Tale” on http://ken-med.com.From which many free articles from the blog was taken and put together into 1000 eBooks.He apologized for typos and spelling mistakes in his earlier books.He will endeavor to improve the writing in futures.Some people have complained that the simple guides are too simple.For their information they are made simple in order to educate the patients.The later books go into more details of medical disorders.He has published 1000 eBooks on various subjects on health, 1 autobiography of his medical journey, another on the autobiography of a Cancer survivor, 2 children stories and one how to study for his nephew and grand-daughter.The purpose of these simple guides is to educate patient on health disorders and not meant as textbooks.He does not do any night duty since 2000 ever since Dr Tan had his second stroke.His clinic is now relocated to the Buona Vista Community Centre.The 2 units of his original clinic are being demolished to make way for a new Shopping Mall.He is now doing some blogging and internet surfing (bulletin boards since the 1980's) startingwith the Apple computer and going to PC.The entire PC is upgraded by himself from XT to the present Pentium duo core.The present Intel i7 CPU is out of reach at the moment because the CPU is still expensive.He is also into DIY changing his own toilet cistern and other electric appliance.His hunger for knowledge has not abated and he is a lifelong learner.The children have all grown up and there are 2 grandchildren who are even more technically advanced than the grandfather where mobile phones are concerned.This book is taken from some of the many articles in his blog (now with 740 posts) A Family Doctor’s Tale.Dr Kee is the author of:"A Family Doctor's Tale""Life Lessons Learned From The Study And Practice Of Medicine""Case Notes From A Family Doctor"
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Book preview
What A Rotten Colon! A Story Of A Cancer Survivor - Kenneth Kee
WHAT
A
ROTTEN
COLON!
A STORY
Of
A CANCER SURVIVOR
by
Dr Kenneth Kee
M.B.,B.S. (Singapore)
Ph.D (Healthcare Administration)
Copyright Kenneth Kee 2014 Smashwords Edition
Published By Kenneth Kee at Smashwords.com
Dedication
This book is dedicated
To my wife Dorothy
And my children
Carolyn, Grace
And Kelvin
Also dedicated to Madam S and her daughter who allowed me to write her story as an inspiration to Other Cancer Sufferers.
This book is the true story of a cancer survivor housewife who was afflicted by Cancer of the Colon.
This eBook is licensed for your personal enjoyment only. This eBook may not be re-sold or given away to other people. If you would like to share this book with another person, please purchase an additional copy for each reader.
If you’re reading this book and did not purchase it, or it was not purchased for your use only, then please return to Amazon.com and purchase your own copy.
Thank you for respecting the hard work of this author.
Chapter 1
Macmillan Cancer Support in the UK defines a cancer survivor as someone who is living with or beyond cancer namely someone who:
1. Has completed initial cancer management and has no apparent evidence of active disease;
2. Is living with progressive disease and may be receiving cancer treatment but is not in the terminal phases of illness; or
3. Has had cancer in the past.
The National Coalition for Cancer Survivorship (NCCS) pioneered the definition of survivor as being any person diagnosed with cancer from the time of initial diagnosis until his or her death.
This expansive definition of survivor includes people who are dying from untreatable cancer.
NCCS later expanded the definition of cancer survivor even further to include family, friends and voluntary caregivers who are affected by the diagnosis in any way.
Although the definition of a cancer survivor refers to a person who is alive, I prefer to use the word cancer survivor as one who has survived at least 5 years of cancer.
This would include my patient who had survived 8 years of cancer in spite of being given a year to live.
It is her indomitable spirit that had allowed her to live such a long time.
She may have survived the first cancer episode to be hit by a second cancer 8 years later.
Whatever definition is used I would consider her worthy of being a cancer survivor.
This is a true story as told to me by my patient.
She had been my patient for the past 30 years seeing me after I first started my clinic.
She brought her family and her children to see me for minor coughs and colds.
Of course as she aged, she also consulted me for minor aches and pains.
She had a history of high blood pressure which was being treated by the outpatient clinics or polyclinics as they are called in Singapore.
Once a year she would go for an annual blood test which invariably showed nothing significant in her blood except for slightly raised blood cholesterol
She also had a history of gastric problem since 50 years ago.
She had a history of a father who died of heart attack and a mother who died of diabetes.
There was no history of cancer on her side of the family.
However her husband died at the age of 52 from nasopharyngeal cancer.
I had been treating