Today was D(ecision)-day in hospital. The bleeding commenced all over again yesterday, chunks of it. So, the doc spelt out two options, because as he said my dad’s progress up to now has been like one-day cricket — one day it’s good, one day it’s terrible.
Option A: An injection (which costs Rs 1, 15,000 a peice) and has no garuantees. It could result in side effects like decrease in immunity, rise in BP, revisiting of any past diseases like TB etc and it gets worse – lymphoma, a type of cancer. The chances of it working are less than 50 per cent, and one may not suffice, which means that this treatment could go on for weeks. Even if it does work in calming the inflammation, dad would still have to watch what he eats (and he loves food) and take medication forever.
Option B: Surgery. They remove the large intestine, create a small opening on the right side of the tummy, and attach the end of the small intestine to this opening. On the outside, they attach a pouch, which one has to physically empty as and when it fills up (with faeces). Since there’s no valve controlling it (unlike the in those of us who still have a rectum), it could fill up anytime. But the good news is that he can eat anything and needs no further medication because without the colon, there’s no colitis to medicate. According to Sherry’s colleague who has had this this operation in the US, she can even go swimming
So, we opted for the surgery post a lot of discussion within the family. My poor dad seemed more relieved after this plan of action was taken. He said: “I just want this suffering to end’. All the ladies in the family think he is an ‘adaptable person unlike the other men’ in the family, so he will take to this arrangement well.
The doctor was honest in spelling out both options, however he admitted to feeling a sense of defeat. This is because surgery is always the last option when nothing else works. And he is not a surgeon. He’s a gastroentrologist. I felt a tinge of empathy for him and wanted to tell him that even though the treatment did not work, he was an kind and approachable person, who who tried his very best.
In the meantime, we needed B +ve blood and when they ran out at the blood bank, T-Ernesto put an ad on Cable TV. Within five minutes we received two phonecalls and two donors. One of them came immediately and I was very curious as to know why people who are not related to the patient, would put aside time for someone they do not know. People who are busy and have things to do. I asked the first donor and all he said was that he does it regularly. I got my blood group checked too and it turned out to be, voila, B +ve.
A girl called Karen also turned up to (through Fathu), and my mother figured out who she was, 6 degrees and all. Karen is getting married to this chap I know from Mumbai, a friend of a friend who I vaguely know too. My family was once contemplating hooking me up with him. Well, I can vouch that he’s one lucky chap!
Once I return to Mumbai, I shall start regularly donating too, at least once in six months.
