Saturday, 31 October 2009
days 06/07/08 Tuscany
Friday, 30 October 2009
day 05 ancient Rome
One advice I would give to anyone visiting Rome, is that you will need the help of a guide. We had the help of II, who drove us around and told us the history of each ancient site. There is so much to see and amazingly they are still well preserved, despite the millions of visitors. With II, we could get an overview of the major sites within 1 day. I guess I will have to go back again and then walk through each one at a slower pace if I want to see them up close.
- The Forum of Trajan and Augustus
- The Piazza Del Campidoglio with its splendid view of the Imperial City
- The Coliseum (This is where the gladiators fight to death with one another or against ferocious animals, all for the viewing pleasure of the Emperor, palace officials and the Roman commoners. The movie, Gladiator would have been shot here or was it on a set?)
- Circus Maximus
- The Appian Way (and the catacombs, the underground burials of the Romans. It is really an incredible, extraordinary network under the earth. I believe some still contain the bones of the dead. The one we visited was cleared for viewing, we could see the wall drawings depicting the person buried, his status and background. I didn't follow the tour as I felt claustrophobic and the air was stale, so we went out earlier. However we went to a small building with exhibits of what were in the catacombs.
- The Antique Walls of Cinta
- The Pantheon
Monday, 26 October 2009
medical update
Wednesday, 21 October 2009
day 04 Vatican, Sistine
(these photos are not of the Sistine chapel...when I get from from SL, I will update here..)
Today, our friends SL and LM arrived. They will join us for the rest of Rome and Italy.
I took some hours in the morning to go to a craft shop to get some yarn. The place I wanted to go to, had close and wonderfully, the lady next door gave us another address. We took a cab there and very quickly I was able to get 20 balls of cotton/viscose yarn. I, not speaking Italian and the salesman not a word of English, we managed to communicate...amazing! He clambered up a ladder to pull out 2 boxes of the colour I wanted. I am so satisfied with my purchase and they were for a pretty good price at 3 euro a ball. Light cotton, just right for Singapore weather. (Ha...I have already started to knit with them).
We met with our guide at the lobby of the hotel and she took us straight to the Vatican museum - we spent the afternoon there. It is a must-see for all visitors to Rome - the Vatican museum, Sistine chapel and St. Peter Basilica. We didn't have to wait long to get in, surprisingly we were told there were not that many people, but to us, it was CROWDED! My impression is that there are just too many things to see - sculptures everywhere, paintings everywhere, tapestries everywhere, mosaic art everywhere - it was just too much - very difficult to appreciate. It is not like some museums, there is great "show" of a small piece history; and a painting or sculpture standing so prominently on its own and all eyes on it. Here, everywhere there is art and masterpieces, and you can't stop and to appreciate every single one. All become so common.
Yes, the walls and the ceilings of the Sistine Chapel, are indeed majestic and magnificent. But they are just too far away to appreciate and the crowd made it impossible. The ceilings are almost 2-storey high, tried hard but cannot make out the images ...so looking and reading the Rome Travel book is great...
Sunday, 18 October 2009
day 03 Hadrian Villa and Tivoli
day 02 Garden Borghese


This is a most lovely garden and the biggest at the north end of ancient Rome. Our hotel is a few minutes walk from it so we decided to spend the day at the garden and visit the famous Galleria Borghese. I think of all our 12 days in Rome, this day was the best and most enjoyable. We took a leisurely walk through this enchanting garden. Our appointed time for the visit of the Galleria was at 1pm (all visit is best booked in advance through the website, as it is likely tickets will be sold out by the day itself - there is a limit to the number allowed in at each time slot of 2 hours). We had more than enough time to stroll through the garden as we were there at 10 am
There is this statue of poet Byron and under it, an inscription. Was it written by Byron himself or by Childe Harold of Byron, we don't know. But here it is....
"But I have lived, and have not lived in vain;
My mind may lose its force, my blood its fire;
And my frame perish even in conquering pain;
But there is that within me which shall tire,
Torture and time, and breathe when I expire."
This little reflection of man's short life, full of energy and passion; but for all mankind, we must surrender to its end. No one can hold to life forever. Let us learn to live it with open hands, receiving all its blessings with gladness and joy as well as its equal measure of sorrows. And at its end, be ready to meet one's Maker.
For a simple break we stopped by the zoo, the nearest place to the Galleria for a light snack. Just before 1pm, the Galleria was already filled with people. We rented 2 audioguides to help us as we walk through the exhibits. There are 2 floors, the sculpture collection occupies the whole ground floor and the picture gallery is on the upper floor. No photography is allowed, we leave with only memories of the masterpieces. We are very impressed by the marble scupltures which w
The star sculptures are: Apollo and Daphne by Bernini (the transformation into a tree - the lightness of the leaves), Pauline Borghese by Canova, Rape of Proserpine by Bernini, the sleeping Hermaphrodite and David with his sling (the twist of his body). What a feast for the eyes! Such great artistry!
Thursday, 15 October 2009
day 01 at SS and Trevi
The steps were crowded with many people sitting on it and having a panoramic view of the city. We sat for some minutes and shared a packet of roasted chestnuts that was bought from a roadside stall.
We stopped by Cafe Grecco, a 1760 cafe, favourite meeting place of poets Keats, Byron, composers Liszt, Wagner. We had cappuccino and saw the black and white photos of these famous people hanging on the walls.
Refreshed with potent Italiano coffee, we took a walk to Trevi fountain. But this place was crowded, we could not go near it but its magnificent fountain could be viewed and enjoyed from a distance. Praise the LORD, it is was indeed a glorious piece of art - Neptune flanked by two Tritons - symbolise the contrasting moods of the sea - aggression and docile.
Just these 2 sights for the day.
12 days in Italy
We had the wonderful company of our dear friends SL and LM.
I shall recount our days and show some photos.
Saturday, 26 September 2009
Beautiful tree
An achievement

To break from the monotony of knitting the sweaters, I stopped now and then to do something "fun" - the dolls. One of it was given to the grand-daughter of a good friend for her 3rd birthday and the other for Ashley, her birthday is coming up in October (keep it a secret). I hope she will like it.
Most of all I am just so thankful to my sister for teaching me how to knit and I know she will be very proud of what I have done.
Tuesday, 8 September 2009
Good progress
I was slightly tired the last week and obediently stayed away from crowds but I shall return to church this Sunday. I have been able to attend small group bible study on Tuesdays and I have been going for physiotherapy on my back. I should be able to go biking again.
Finally I shall reveal the outcome of what I have been doing since April when I started on this new regime. Wait till the next blog... I am getting the photos to post....
Saturday, 22 August 2009
Big Bird and Snoozer
I have to say that my appetite is coming back... I had the most wonderful chicken rice at Big Bird (Balmoral). The rice and chilli is superlicious but chicken was rather fat (avoid the skin etc). When we called Russ to tell him that we were bringing it back for him... it triggerred his memory of the potently hot capsicum. Friend J said that her husband who just started chemo, is losing his taste, food is becoming bland.... let's persevere, by GOD's grace the taste buds will return. I pray too for brother-in-law Benno now that chemo and radiotherapy have ended, his body to start to recover and be strong and for him to be able to eat and swallow again.
Yesterday and this morning we did a bit of cycling just to check if I still have the energy as before.... not too bad... now we can call our friends again. See the photo (to be attached) of Paul carrying our King Charles. We ordered a pet carrrier from Snoozer and it just came in. Looks like Snook likes biking too! It will be really wonderful to bring S with us. When we were walking we could take him but when we started to cycle, we could not. But now he can join us ...sometimes...Paul said he was heavy! Anyway there is restrain within the carrier so he cannot fall out.
Monday, 17 August 2009
1 day more
I must admit that this cycle has not been smooth going. I had low grade fever for most days with slight headache. Really poor appetite by end of day...ok with breakfast and lunch but cannot eat much for dinner. The nauseous feeling and smell of food quite disconcerting but it is not that bad because I have just 1 more day and all these minor irritants should go away in due course hopefully by end of this week.
I told Paul that even if he dangled a crab it front of me, my eyes wouldn't sparkle....
The tummy has been rather sore with all the jab marks, this time seems more reactive.
It could be that after 3 months of rest and no medication, my body has forgotten the discomfort and therefore now reacts even more. But as I say, it's only 1 more day of jabs.
Saturday, 8 August 2009
Vidaza 2nd cycle
Although I am mentally prepared to start Vidaza o2 next week, I am mindful that we must continue to depend on the LORD every step of the way. Like chemo, these biologic drugs can cause adverse reaction eventhough I had used it before...like the one I had with the infusion of immunoglobulin. So let us commit everything to the LORD and seek His protection.
From tuesday, I will receive the 4 V jabs daily for 7 consecutive days. After the 7th day, the blood count may drop for the next 10 days to 3 weeks - this period I shall again stay reclusive but I think going out to the parks is permissible and is good. So...if you do not see me around, don't worry....I shall appear in due course....by GOD's grace!
[I can't tell you about M-band, haven't got the latest reading...but let's not let it "bug" me...just concentrate on Vidaza]
happy bikers
super Hugger
Wednesday, 5 August 2009
family@terengganu
our days were spent on the light-orangish beach with mildly strong waves, paul and the boys quite like to be in the waters and jumping the waves. i went in only once (wonderful - first time in many years) paul remarked it has been years since we were last on the beach with our family. we like such nature times like walking, hiking and beaching - interacting with your grown children in such settings is very different from talking with them over dinner table.
at meal time - paul took the opportunity to encourage them to speak a lesson from scripture - each of them had to make a sharing of 15 minutes - paul started with the first morning on ephesian 1 - that we glorify GOD when we live out our lives to His praise and His glory. gerald took the second day - from 2 chronicles 30 where hezekiah interceded for his people who were not purified and yet ate the passover - "may the LORD who is good pardon everyone who sets his heart on seeking GOD even if he is not clean according to the rules of the sanctuary" - GOD accepts the intercession of those whose hearts are right with Him. adele took the third day - from acts - the trial of paul before king agrippa - to recount how perfect GOD's plan is and how that truly serves the purpose of His will - noone can thwart His plans. russell who was to share on the last day, missed his opportunity "gleefully" (we shall hound him back here).
praise the LORD! - we all went to the tennis court and i could pick up the racket and stroked a few times with the boys! i think that all the cycling has improved my stamina just that little bit more - i cannot run around but i certainly can swing the racket from one spot - surely and steadily, over time, i can move a little bit more.
praise the LORD again! - paul and i climbed up jara hill - we didn't know it was hilly like the bukit timah forested area. mistakenly, i had told paul it was a walk in the garden around the resort, so we booked our intent with the reception. but when we met with the guide at the base of the hill, we looked at the entrance of the forest and were a bit hesitant. the guide said it is not a difficult climb, steep only at the start. if paul had said, no, we would have backed out but puzzlingly for me, he didn't! maybe it was because there was only 2 of us and he did not want to disappoint the guide. well, i completed the walk through the forest terrain - up to the highest look-out point where a pair of eagles supposedly have their nest. remarkable... later back in our room, paul took another look at the brochure that described the activities... this walk up jara hill was texted as an "arduous" 45 minute climb!
all in all it was a profitable and beneficial time for the family.
Tuesday, 4 August 2009
B-I-L
I woke up too early this morning and my mind went to these 3 - how should I pray for them - the other two friends are on 24-hour pain medication, their physical bodies are not functioning and in constant pain. One not on treatment (too many already and no more for now) but has to bear with pain and the other has to start treatment soon. I tried to recall how I felt in my early years with MM and what kind of words would comfort me. Those times when I could only lie in bed and in the quiet of the dark night, what went through my mind? Are they now lying in bed, awake and not able to sleep, are they in pain, those pain that would not go away even when medicated? In times like these we can only call on the grace of our LORD. I truly believe in "little miracles" - when sleep just wouldn't come, when pain refuse to go away, when breathing becomes arduous - we call on the name of Jesus to rescue us and yes, the miracle can happen.
What did I need at those times? What will my friends and B need? I needed the LORD to strengthen my heart (Psalm73:26). My heart is the seat of my emotions - feelings of fear, sadness, insecurity, anxiety, despondency, frustration. There were many such moments. But when the LORD strenghtens my heart, I truly experience peace and even joy, and as I shared several times before, a state of blessedness. This is what I must pray for my friends and B, that they may experience these "little miracles" when the LORD gives them peaceful sleep; when He gives them moments free of pain and when they wake up rejoicing with praise on their lips. My words would be so inadequate to comfort them. But there is power in the miraculous strengthening from our compassionate GOD - "my flesh and my heart may fail, but GOD is the strength of my heart and my portion forever"
My brother-in-law is such a kind and happy-at-heart sort of person and he can talk for hours on many topics. He loves to garden and very good with his hand - he constructed the shower compartment in his bathroom, dug his own pond, renewed his garden with a Japanese-theme. I remember our holidays years ago when (little) Gerald and Russell would tumbled over him on the grassy slopes and Melissa would ride with him on his bike. He had so much to talk to them and taught them how to appreciate the smell of manure in the farm (to love nature and recognise its beauty). I thank GOD for these memories and hope the LORD would grant us some more years together - I would like Thaddaeus to get to know his granduncle.
Saturday, 25 July 2009
inner beauty
Many, and each time, the teaching refreshes and rejuvenates me in my role as a wife. This passage about woman's beauty as taught in the Bible receives different and varied responses and reactions, even among Christians. The part that "trips" many, is on the aspect of submission.
The passage teaches - submission, purity, reverential posture, qentle and quiet nature. My view on this seemingly difficult attribute is that as wives, our submission to our husbands does not equate us to be "door-mats" to be walked over but rather it is a sincere and respectful honouring of our husbands as the head of our households. And such a reverential posture will promote harmony and peace in marital relationship, where there will be less strifes and quarrels, conflicts and arguments. It does not mean the wife's views are not heard, regarded and respected. The husbands are to be considerate towards their wives' feelings, views, insights etc. The wife's submission becomes a natural response to the husband's obedience to the Bible's teaching of loving her in the same way as he loves himself and treating her with much consideration and respect. This kind of true submission wells up sincerely and naturally when it is nurtured with genuine and selfless love. Strictly, the Bible teaches that this attitude of submission is required of wives regardless whether it is deserved or not by husbands who may or may not be as loving and considerate.
This time, the phrase that "jumps out" when I read this passage is from verse 7 - it is beautiful!
"heirs with you of the gracious gift of life" (NIV)
"Heirs" means equal status, share in the same inheritance, deserves and is entitled to. Therefore there is no truth to infer that the Bible treats women as inferior to men when it teaches submission. The teaching must be read in whole.
Actually (NIV) has described it very beautifully -husbands and wives are joint heirs in living out this life together under the supreme and bountiful grace of our LORD GOD. The gift of life itself is by GOD's grace and to be able to live it out in an imperfect, fallen world full of impediments, we truly need the grace of GOD.
Wives, we are heirs with our husbands in the gracious gift of life. Life itself is an inheritance, let's live with great joy and gratitude.
The passage can be found from this link -
http://www.biblegateway.com/passage/?search=1%20Peter%203:1-7&version=31
Even as I reflect on the above, I think of women whom I observed to have such desirable attributes and I am glad that there are many whom I personally know. What really appeals to me is their "qentle and quiet" nature. I praise GOD that they are role models for me to emulate.
(an elderly missionary wife - who walks her talk in every way; the mother-in-law of my cousin whose reverential posture is seen even in her dressing; my dear friend - young but yet so wise, another dear friend who brought me lots of organic fruits and yet another who is Mrs. Hospitality and many others). May the LORD bless them all.
Thursday, 23 July 2009
"Be always listen to your body..."
Thinking about her, I am reminded of what I just learnt at the last bible study on Abigail, my sister is very like A, resourceful and full of initiative. I really have to share the main pointers about Abigail. This is one way to crystallise and retain my learning - that is to recount and repeat what I learn. With this blog I don't have to repeat it ten times to ten friends, write it one time and the reach is to many, what a wonderful way to share!
Abigail:
*she is sincere and humble and willing to take the blame in order to placate D's anger
*she recognised that GOD is sovereign
*she is smart and eloquent and unafraid to act
*she is courageous, diplomatic and persuasive
*she is a peacemaker
*she is sensible and calm in the midst of a crisis
*she used her knowledge of GOD with godly wisdom
*she is able to turn something adverse into something favourable
*she majored in the majors and ignored the minors
*her good sense earned her the right to be heard
[one BS lady shared about what she learnt from her pastor's Sunday message of "hindsight, insight and foresight' and the lesson of Abigail seems to show her to be someone with such qualities]
The main take-aways are:
*have the ability to remain effective and fruitful and make good out of the worst of life's situation
*use wisely and sensibly in a God-honoring way, what we already have to maximum advantage to bless ourselves and to bless others
*there is always limitations and hindrances to us living as well as we should, as life is so imperfect, do we gripe and complain or do we press on with courage and good sense
[thanks and credits to our BS teacher HLC]
The passage on Abigail and Nabal is found in 1 Samuel 25:1-42
http://www.biblegateway.com/passage/?search=1Samuel25:1-42&version=31
Tuesday, 21 July 2009
Well and Good
In the meantime I have been cycling and gone for clinical Pilates - all to stretch and strengthen my muscles. The physiotherapist is loosening up my tight joints and muscles; and teaching me exercises that will straighten my back.
I have resumed weekly bible study which has been a tremendous encouragement to me. I had to skipped one week due to a "bad" tummy but the BS teacher has been very kind and gracious despite my intermittent attendance.
Monday, 29 June 2009
A Heart of Thanksgiving
foster a heart of thanksgiving - whether we are on the highest mountaintop or the the deepest of dark valley, we need to foster a heart of thanksgiving, for we have a good and loving GOD.
our days are numbered - whether you have good health or suffering a terminal illness, for every single one of us, our days are numbered, just that for a person with ill health, one is more conscious that life's end is near. (Chris Y is HIV positive) For a healthy person that consciousness is not so great and the disadvantage is that one may not live life to its full (purposefully and abundantly).
tomorrow has never been promised to anyone - GOD does not owe us anything (yet He so generously gives us many things).
(HIV) has given (CY) a lesson on GOD's sovereignity - we either be submerged in sorrow and sadness or rise up to discover and appreciate (and be privileged) to personally experience and understand GOD's sovereignity. We should just bow down in deep gratitude as we receive His bountiful grace and dwell in this glorious sense of blessedness. (for this special personal touch from the LORD)
(you can view Chris Y's testimony here http://christopheryuanvideo.blogspot.com/ )
Monday, 15 June 2009
majestic Malacca




We drove up to Malacca on Sunday afternoon, it was a pleasant 3 hours drive from the Tuas. We had our friends SL and LM who drove up with us; and M and W joined the next day. The weather was wonderfully overcast and even with a little drizzle at later part of the afternoon. At Pagoh rest stop, we had a delightful interlude with our favourite fruit...yes...durian. I am so glad that SL decided to try out Ah Oon's "101". We shared just 2 but excellent spikes. We balanced it off with some mangosteen.
With LM as our navigator we arrived at Majestic Hotel within half hour from the Ayer Keroh toll exit. After 45 minutes rest and freshening up, we took a slow walk into the heritage townside of Malacca, along the 5 foot way and some parts on the narrow street itself - Jalan Bunga Raya, across the old bridge to Jalan Hang Jebat to Hereen Street (now known as Jln Tun Tan Cheng Lock). It took us more than 15 minutes to locate Nancy, a Peranakan restaurant, highly recommended for its home cooked food. Of course we had ayam buah keluak, babi pong teh, itek tim, ladies finger, long-forgotten dish of nangka lemak and chengdol for dessert. Paul and I went back earlier for the night whilst SL and LM stayed on to wander around the pasar malam at Jonker Street.
The next day, M and W came at around lunch time. We had already spent an hour at the Admiral Cheng Ho's museum, really worth the time despite the rather unimpressive entrance (a must-see). We had lunch at the most famous, nameless chicken rice ball stall of Malacca (corner of Hang Jebat and Jonker, opposite old OCBC). In the afternoon, we headed for the now infamous Baba Nonya museum of the serial Little Nonya. It is the home of the Chan family (3 houses interconnected) - very well preserved with exquisite Peranakan furnishing. Another must-see of Malacca town. We went back for an hour rest before it was meal time again. For dinner we went in search of Auntie Lee (another highly recommended Peranakan restaurant. This place is quite some drive to the edge of town - Ujong Pasir. Though M's GPS could not locate the place, we eventually got there...BUT...our phone booking was not accepted...huh...why...because...you must place your order for food by phone otherwise they would not consider it a confirmed table reservation. However with much persuasion (W was superb) we managed to secure a table but must finish eating within the hour (later, the pressure was off as other diners finished earlier and their tables were freed up for confirmed patrons). And yes, the food was very good. there are only 6 tables in this small restaurant. Even after a full dinner, our insatiable tummies could resist not tucking into some yu char kueh and hum cheen peng at a coffe shop next to the hotel.
I did not know that in Malacca one can find true authentic Teochew cuisine. This little shophouse is to be found at the corner of Jalan Hang Kasturi and Tukang Besi. The elderly Teochew chef proudly led us to select from his counter of fresh vegetable and seafood. Soon he brought out noodle in dark sauce (W called it "as dark as engine oil"), steamed pomfret (sitting in its own sweetness), braised sea cucumber (solely good on its own), slabs of the soft-ess bitter gourd on stewed lean pork and finally the smoothest orh nee with generous helpings of pumpkin and gingko. At this restaurant, the elderly Teochew gentleman would refuse to let you over-order and would beam with pride when every morsel of food is eaten.
What an unforgettable experience of cultural heritage from this little town with so much history and to taste such "bona fide" food!
Nancy's Kitchen at 7, Jalan Hang Lekir. Tel 06-2836099
Teo Soon Loong Chan Teochew Seafood Restaurant at 55, Jln Hang Kasturi. Tel 06-2822353
Aunty Lee at 385, Jln Ujong Pasir. Tel 06-2831009
PS. The above information for GSK and any friend planning to make a trip to Malacca
Wednesday, 3 June 2009
1 more month
For me this is good news since I feel alot better without medication/treatment, my body gets stronger and I do not feel so tired and I can do more in a day, and my mind is more active.
I have been enjoying cycling at the East Coast Park and hope to try other routes. I am very conscious that I cannot afford to fall and am really careful to do it safely (don't worry, Paul is really very vigilant and without his permission, I won't do it). Cycling in the early morning - it's wonderful to feel the cool breeze in my face and take in the sights - the greenery of the trees and the shrubs, the beautiful multicoloured bougainvella, the shimmering blue sea etc. We are so blessed to be able to enjoy and experience GOD's creation.
I am learning all the time - that GOD shows His grace to each of us in different ways and according to our needs. I may not have the blessing of "perfect" health but GOD grants sufficient grace to me, enough for me to be thankful and experience a feeling of blessedness.
Remember to bless one another in this way - as Apostle Paul do all time as he ends each of his letters. "The grace of the LORD Jesus Christ be with your spirit." It is truly wonderful to experience GOD's grace! Amen
Sunday, 24 May 2009
Thankfully, well
It has been 5 weeks since I started on the new treatment with Vidaza. Thankfully, I am well. Let me update you on my status, you must be anxious to know, especially friends who are not here. For 3 Sundays, I stayed home, as the tiredness did come on around weeks 2 and 3.
By the end of week 5, I felt a whole lot better and the muscle aches at back and front of ribs has eased off and I think, this is because I am off Revlimid (daily oral med.) which I took for 3 weeks. The blood test done showed some improvement and we are still waiting for some to go back up to normal. I have 1 more week to rest and recover and then do another blood on 2 June to assess when to start cycle 2.
This treatment with Vidaza may seem rather long drawn and stretches over many weeks and months, so it will not be a quick fix and be done with fast. But Dr. Teoh promised to give me a balance of "good" weeks to rest in between the treatments . Week 5 was good and the start of week 6 has been better. I already feel quite energetic - I have gone back to walk in the parks and last 2 days, I even went cycling !!! (with 2 very dear friends - my friends really come around when I need them) Yeah!! I am looking foward to picking up my tennis racket!!! Is it possible? Yes!!! I am sure you are very happy for me.
When I can get back to do such normal activities in the "good" weeks, it isn't that bad when I have to slow down during weeks after the Vidaza jabs. There is something to look forward to. I am deeply thankful to our LORD for strengthening me. GOD answers our prayers.
Continue to pray that the Vidaza will help the bone marrow to produce normal cells and reduce the dysplasia (MDS) and the myeloma (M-band) stay low so that I would not have to go on Revlimid or Velcade or Dex during this time (multiple medications at the same time is rather hard for the body to take). Pray for protection against infection because I am still immune compromised.
Paul writes: I am simply delighted these two weeks as Li Leng really feels better and was more active throughout the day. When she is well, she prods me on church ministry matters and we get some work done after some discussion. Thanks so much for upholding us in your prayers. We are indeed grateful.
Wednesday, 29 April 2009
Hooray !
Last week, the daily jabs took no more than half an hour at the clinic and I was home by early morning. I must admit that it was not entirely "painless". The injection sites do turn red - size of 20ct/50ct coin and they feel sensitive... so my tummy is covered with red polka dots..boo hoo... it will take some days to clear. But I am really very thankful that I took all the jabs well without much distress because nurse Sarah told me of another older patient who is very lean and it was very hard for her to lift up the skin and fat to inject and she bruised easily. This patient is weak and doesn't have a good appetite. For me, I am feeling strong and I have a fantastic appetite and hungry most time and I eat very well. So. I have alot to be thankful for.
Yes, we praise the LORD for sustaining me every day and protecting me in ways I don't even know (Paul always tell me this)
The next two weeks I will be "resting" as the blood count is expected to drop (before it goes back up again). I will be homebound. Anyway with the swine flu situation, it is best not to be out in the crowd even if you are healthy....
I have enough yarn to keep me occupied and I am most happy knitting....
Keep cheerful!
Monday, 20 April 2009
Vidaza 1st cycle 1st day
Do not be unduly worried for me.... I can take it...
Of course, I know the BIG question is how I will respond to the drug injected into me...for that we will trust the LORD...
After the 1st day, it is too early to tell but I will persevere on; with your prayers, I will be able to bear with all things.
If I don't come on the blog....don't worry...I am alright. I will post whenever there is something to update. Keep cheerful.
[I will be busy knitting]
Thursday, 16 April 2009
MDS - what is this?
Myelodyplastic syndrome simply means the blood and plasma cells in the bone marrow are not normal. The BMA (bone marrow aspirate) has confirmed MDS. Since last year Dr.T was insistent that MDS was present from his microscopic investigation but the SGH (Singapore General H) did not. But this time round the SGH laboratory FISH probe confirms it.
So, I have both MM and MDS.
What is the state of MM (multiple myeloma)? After the recent round of 5months targetted treatment - I am at VGPR - Very Good Partial Response with M band at 5. How confident we are that it stays around this level, we don't know. Despite the full regiment and Mband has been fluctuating, most time creeping upwards. Dr. T believes that the underlying problem could be MDS. MDS could be standing in the way of treatment for MM. He wants me to start treatment for MDS. Untreated MDS may evolve into leukaemia (AML) in 5 to 7 years time. And he is hopeful that if MDS is controlled, it may help with the on-going management of MM. With the treatment he proposes, there is a 75% positive response. My blood count status at present is actually quite good and therefore I should be able to cope with the treatment.
The treatment with Vidaza will start on Monday 20 April - daily injections for 7 days and rest for 2 to 3 weeks. Full treatment may mean 6 to 8 cycles. OK, now the horror factor - there will be 4 injections each time, into the tummy subcutaneous fat, consecutively for 7 days. Arrrrgh!!!! Total 28 jabs!!! Arrrgh!!! Granted, I have a thick layer of tummy fat (thank GOD for my fat tummy)...but just imagine the number of pricks!!!!
The 1 to 2 weeks after the jabs, if I respond, it means that my blood count will drop and that is the time when I am prone to infection therefore I have to avoid crowd and be homebound. If I respond positively, the count should improve before I can go on to the next cycle of injections. This means that with this treatment my social activities have to be reduced. (Paul will be so watchful over every cough and sniffle around me... I will just have to stay away for awhile... still can go out to open parks etc...lah...I will not be in isolation...can meet one or two friends... )
I have a fews days to get out and do what I like - heh, heh. I am going to buy another batch of yarn to knit (be staying home more) and I am going for a crab fix...mmm. Black pepper crab...chilly crab....butter crab....mmm
Tired and weary..of course.. physically and mentally I am weary. It has been 2 years now..in and out of hospital visits etc etc. Isaiah 40:30,31 Even youths grow tired and weary, and young men stumble and fall; 31 but those who hope in the LORD will renew their strength. They will soar on wings like eagles; they will run and not grow weary, they will walk and not be faint.
I am no youth, so I legitimately can be tired. But this Scripture verse tells me that if I hope in the LORD, I can renew my strength, I can soar on wings like the eagles, I can "run" and still not be weary...yes, I can go on with the strength from the LORD. I can. I can.
My friends, pray for me to continue my hope in the LORD and to lean on the LORD for strength. "in quietness and trust is my strength"
Tuesday, 7 April 2009
no favoritism
BMA - bone marrow aspirate
Paul and I arrived at Gleneagles Hospital at 8.50am and we went straight to 7th floor, Day ward. nurse Sarah from Dr. T's clinic was already there waiting for us. We registered at admission and by 9am I was in the blue hospital gown. The Ward sister and 2 nurses recognised me (I was a regular in 2007!) and they were happy to see that I look well!
A doctor came in to insert the cannula and drew blood for MM tests. He was good, got everything done in one go. Of course I looked the other way, out the window at the bright morning sky. Paul too had enough of frequently seeing me having cannula inserted and blood taking, he stood at a corner. I am sure his heart ached many times when insertion into veins were not successful. But really these are minor inconveniences.
Dr. T turned up with Sarah and other nurse. He checked on which hip to do and was all ready with the equipment. Obviously I don't care to look at the size of the needle. He said this time he will do a local anaesthesia at the site. I could feel the needle going in and then it moved further deeper and deeper. Oh...I could feel all that. Cannot imagine what it would be like if one is awake and alert when the larger needle for bone marrow is inserted. Once done with the local anaesthesia, he instructed Sarah to sedate me intravenously. Ah...that when I floated into deep sleep! Soon I woke and the whole procedure was completed. I could see the clock on the wall and it looked like everything was done in 15 minutes! I was quite cheerful as I did not feel anything and thanked the doctor and nurse. I think I was at bit hype up... could be the effect of the drug used. Ha ha... I rested and actually dozed off when Paul went off to settle the bill and got some yong tau foo from the hospital food court. I managed to eat and drink almost all...good appetite..it was already noon. We came without breakfast, as I had to fast from the night before. Paul only had coffee and 2 slices of egg sandwich, most time, he is always looking after my needs and not care much for himself. We left the hospital at 12.30pm and was home in time for a meal of plain porridge. Plain porridge can equate to blissful contentment for me.....
I am thankful that the procedure for BMA went well. This morning I am still resting in bed, feel a bit tired but not worse off.
Saturday, 4 April 2009
MRI result
This is my rest week, no Revlimid, no Velcade, except one dose of Dexa - I do feel somewhat better, less dense in the head and hearing, dryness in the eyes and mouth are mediated with eyedrops and lots of drinking water. Definitely I am very thankful to the LORD and all your prayers as the side effects this time round are very minimal.
This coming Monday, I shall have a bone marrow aspiration. Again we commit the entire procedure to our LORD as He guides the hands of Dr T.
Our trust is in the LORD, Maker of Heaven and Earth. Amen.
Friday, 27 March 2009
6th cycle and mixed
Paul and I are reminded and reassured from ODB reading of the day that the LORD is our Ebenezer, "Thus far the LORD has been our help" 1 Samuel 7:12 It is very comforting to see the word of GOD speaking very deeply into our hearts, to strengthen our faith. We must remain hopeful and persevere. We look to the LORD for healing and restoration.
Wednesday, 18 March 2009
dogs in N'hood
There are the 2 brown Cavalier King Charles (same breed as Snookie) named Kato and Tiger. First they had Kato (sidekick of Green Hornet - Bruce Lee, only people of our generation will know about Green Hornet!) and then some time later Tiger came along (we had thought he be named Bruce or something...) The next time we see the owner of Kato and Tiger, we are going to introduce ourselves by name and get to know our neighbour by name. Of course Paul has another way of identifying our neighbours.... that one is driving a Volvo and licence plate xxxx lives at that corner of the neighbourhood.
Not too far away, we have Chikita and Zorro. This lady owner, silver haired and small built but driving a British green, aged Triumph... I think. She will be going around with more than just 2 plastic poo bags, she picks up poos of other dogs too, whose owners are not very responsible. Once Russell was walking home in the evening after work and in his long pants and long sleeve shirt was stopped by this lady. She had picked one poo too many and had needed to off-load her complaint to someone, just anyone who walked by. Russell, very politely assented and agreed to her outpouring of the duties of dog-owners! Ha, Ha when we heard this, we said that Russ is really the wrong chap to stop...he does not walk dogs...and he is averse to dog poo...! ...but at least he listened attentively with a smile...
And we have Mr. Wang, he used to walk his dog with a big stick in one hand and that is just as protection from the big dogs. We used to have a couple - big sized ang mohs with a pair of big sized Rottweillers. We heard that a couple of times, a small dog and its minder were attacked. We are also more cautious with Snookie whenever a larger breed comes around. Well not all large breed are fierce, we like the friendly Labs and Golden Retreivers.
Lately we spotted a hypo-allergenic specie - a LabroDoodle....are the Obamas getting one of these?
That is our nice little neighbourhood - Paul and I walk in the evening, mostly after dinner.
The Bible has something to say about pets and non-pets:
Proverbs 12:10 A righteous man cares for the needs of his animal, but the kindest acts of the wicked are cruel.
[consider this verse : there is a lot kindness and goodness around but the reality is that there is also alot of evil and wickedness and sometimes when we are confronted with it we cannot accept it. The Bible tells us that even the kindest acts of the wicked are cruel. This the world we live in.]
Tuesday, 17 March 2009
baby Thaddaeus 15.3 - 4.11
Thursday, 12 March 2009
Little Cheers
Today my 3 friends had arranged to meet for lunch and I couldn't say yes or no until this morning. Why? Because when I went to bed last night the cough acted up. Paul was in church for a meeting and I was trying to sleep early and be better for today. But the irritation in my throat was bugging me. I got up for some hot water to ease the discomfort and sucked on a lozenge AND as I laid down again, I called on to the LORD for help. LORD, please grant me rest for the night, You know how Paul would remain wakeful each time I get into a coughing "frenzy". Yes, please give Paul a good night rest too (we have had several wakeful nights in the last 4 weeks). I cast my anxiety on the LORD 1 Peter5:7 "Cast all your anxieties on the LORD for He cares for you". I know I did not want to be on another course of antibiotic (it weakens me quite alot).
Really, after that little prayer, I remained so still and avoided any movement that may trigger the cough. Yes, the hot water and lozenge helped and by the LORD's grace I drifted into a restful sleep through the night, woke up once to have another drink of hot water BUT there was no coughing at all last night. And Paul slept well and was not disturbed. Am I thankful to the LORD? YES, I am!
And this morning I felt well enough to join my 3 friends for a simple lunch fellowship. I have not seen them for 2 months now... the last time SK prepared chilli crab at her home...so memorably yummy.
All was so glad to see me and B couldn't helped but shared this - she prayed this morning that I will be able to come. I came. And she also prayed for her dog who had to visit the vet this morning (each time her dog would be car sick and vomit). She said this is the first time prayed for her dog and indeed this is the first time the dog did not become sick in the car!
Nothing is too inconsequential for prayers. (Many times we think that prayers are only reserved for more important things in life... not true... GOD is interested in our little "anxieties").
YES, we thankful. We are grateful for the little cheers in our lives.
Should I only be thankful when my cough is totally gone...or be thankful that for yesterday night, it did not trouble me, I could sleep and for today, I could be out and not "hacking " away...
Monday, 9 March 2009
furries for Mobile
Just tell me if you want one and let me know the dimension of your mobile phone and the colour you like; or point to the one in the picture (if it is not already given away, I'll let you have it). Email me and I will get one done for you. (also for friends not living in Singapore). Of course only for my female friends.
Friday, 6 March 2009
5th cycle and Happy
More importantly, the M band is down to 4. I am thankful to the LORD for this encouragement. This is really good news because we were not very certain if this treatment protocol is effective, now we can proceed with a little bit more confidence. Cancer management is not an exact science. The right dose for each patient and their reaction to the toxicity are so different. All these drugs may have some effect on the kidneys, liver and heart, so these organs need to be monitored as well.
I seek your continued prayers - strength to keep with the treatment protocol and for it to be effective to eradicate the myeloma - immunity level for IgA to improve - protection on the organs - and most of all we praise and give thanks to the LORD together.
Ps.118:19 Open for me the gates of righteousness, I will enter and give thanks to the LORD.
Wednesday, 4 March 2009
Green Tea and Velcade
http://www.hematology.org/media/02032009.cfm
Green Tea May Negate the Effects of a Common Cancer Therapy (WASHINGTON, February 3, 2009) – Green tea products have become regarded as a valuable health supplement, as studies have shown evidence of its benefit against a variety of diseases, including cancer. However, a new study suggests that some components of green tea may counteract the anticancer effects of one cancer therapy, bortezomib (Velcade®), and may be contraindicated for patients taking this medicine to ensure its maximum therapeutic benefit. This study is being prepublished online today in Blood, the official journal of the American Society of Hematology. (for the full article, go to the website link above)
After I read this, I wondered what else should I not take that may contraindicate with Velcade. Velcade being the primary treatment agent for multiple myeloma. Something so innocous and harmless like green tea can totally diffuse the effectiveness of Velcade. What other antioxidant compounds act in the same way as green tea? I have now avoided drinking green tea but how about the other teas or other Chinese tonic like ginseng, lingzhi? Nothing yet written because it has not been tested? It is really quite flustering (if there is such a word) I am get jabbed twice a week and I don't know whether I could be consuming something that may affect its efficacy? That is the trouble with new drugs, they are not fully tested.
So where do I go to find out what I can eat and what I should avoid when I am on Velcade? Are there more food produce with similar properties as green tea? If you know tell me.
Chest infection
So it is no surprise that I also succumbed. I was so angry (with who???myself, Paul, people, GOD?). When one is ill, one can be rather unreasonable. Why should I be sick again, I was down in November with cough and fever and it is just too soon to fall ill again. With a racking cough and a running fever, I laid in bed with great misery. [Of course that was reason why I could not write in my blog for so long... no energy and no mood...] My days have not been good, still going for treatments and now weakened by the cough bug... I was feeling rather sorry for myself. But in a couple of days the antibiotic worked very well and the cough stopped, the fever went away. When one is feverish one can be quite disoriented and dense and the mind can be filled with awful thoughts.
I thought that I was in the clear for a week but sadly the cough lingered on and I am again on another course of antibiotic. Looks like it is quite hard to shake this cough. I know that many healthy friends had a bout of cough or flu and for some reason they also took a long time to recover. So it is not unexpected that I also am having a hard time with this chest infection primarily because my immunity is low. So I have been resting since Sunday. The strong antibiotic makes me feel like I am in a daze. I drink a lot of water (warm). I am thankful that I still have a good appetite in the morning and lunch time but less so for dinner.
Do pray that I will respond to the antibiotic and be well again.
82 yrs
Pictures at the wake - with Paul's only brother's daughter Chloe, father, Auntie Frances and Uncle Kai Poh.
Friday, 6 February 2009
4th cycle VdRz
VdRz - V is Velcade. Administered on Mondays and Thursdays by injection.
d is dexamethasone. Injest once a week.
R is Revlimid. Injest every alternate day for 3 weeks and rest 1 week. From next week I will take it every day but a lower dose.
z is zometa. Administered once every 3 weeks by infusion.
So far this combination is working well, the blood test shows most readings to be within normal except IGA and IGM - 2 immunity readings dropped, which could be due to the increased dose of Revlimid.
And we will wait for M-band result, always the last to be known. M-band tells us whether the treatment combination is doing a good job.
Our hope is in the LORD. He has been our help thus far, our Ebenezer.
Through this time we learn patience.
Sometimes I "gripped" about how long this illness has taken me. I try not to. I need to distract my mind from it, doing some "light-hearted" activities. Paul has been very patient and endearing, not a word of complain!
At the clinic I have seen one lady responding very well after 2 cycles of targetted treatment. I have also seen another lady deteriorating after a few cycles (but latest news, some response is seen). The doctor tries his best to propose a suitable regiment for each of his patients. But really we should look to the LORD, He knows best, our times are in His hands. We beseech His grace and mercy. Psalm 34
14 But I trust in you, O LORD; I say, "You are my God."
15 My times are in your hands;
Who dares say what to His Creator. If you confess your belief and trust in Him. Then believe! He is the Almighty. Isaiah 59:1 Surely the arm of the LORD is not too short to save, nor His ear too dull to hear. We abide by His time and by His will. He is our Creator.
