May 12, 2007

Leukemia Can Be Overcome


Eunice Joy Bayogan, or Yam as we fondly call her, is our youngest child. In May 2006, she was diagnosed of Acute Myelogenous Leukemia (AML). AML is a form of blood cancer that radically diminishes the immune system’s capacity to fight infection. It is one of the worst forms of leukemia.

When she was diagnosed of this illness, we were deeply devastated. We couldn't understand how a bubbly, intelligent and beautiful girl can be stricken with such a disease. Eerie thoughts crept, including thoughts that our daughter was dying.

Yam is an honor pupil at the Philippine Women's College-Grade School until she was prevented from enrolling to undergo treatment. She had three of a 5-course chemotherapy protocol in May, June and July, 2006. Each time, she was back to the hospital for blood transfusion and supportive care.

Yam practically lived in the hospital then. After the second chemotherapy, her attending physician, Dr. Jeannie Bernardo-Ong, pronounced she was in remission. Under this condition, she can undergo bone marrow transplantation (BMT), a process that greatly increases her complete cure. This process was recommended as the first option, and not a last recourse, in treating leukemia.

After going through a difficult period of decision-making, looking for a matched donor and raising the needed funds, Yam was admitted for bone marrow transplantation at the Asian Hospital and Medical Center in early September. Under the care of competent and compassionate doctors, Dr. Francisco Vicente Lopez and Dr. Allan Robert Racho, Yam had a successful transplant. She was the 23rd bone marrow transplant patient at the Asian Hospital, where 28 transplants were done so far from December 2002 to January 2007.

Three months after her transplant, Yam embarked on a home study program. The Philippine Women's College of Davao City, where she was enrolled, provided adequate lessons and evaluation tests. Just last week, Yam received her report of grades and enrolled for the next grade which is to start in June.

Yam has steadily gained weight and grew taller. She continues medication and undergoes regular check-up. Her biopsy latest that her bone marrow is functioning well. Her engraftment analysis shows likewise. She consistently manifests vigor and energy. She has not lost memory and wit, showing to one and all that the deadly disease called leukemia can be vanquished.

Yam's journey from illness to wellness was possible only through the dedication and competence of her medical team, and the help of many friends, institutions, relatives, school mates and countless Good Samaritans. As we savor the joy and exhilaration of Yam's journey to full recovery, we realize the priceless value for relationships, humility, honesty and reliance on God.

Our desire of a normal life for our daughter is well within reach. So, to all of you who extended your helping hands in diverse ways, to all of you who cried out to the Lord for healing, strength, provisions and things we needed during the months of difficulty, THANK YOU VERY MUCH. May God bless you in all your undertakings.

May 11, 2007

Thank You All

FROM THE BOTTOM OF OUR HEARTS, WE THANK YOU ALL:


Philippine Charity Sweepstakes Office - Head Office
Outreach Asia
First Hand Foundation

PSHS Batch 74, Friends and Network
Bibaknets (US, Canada, Philippines)
PSHS Batch 75, Friends and Network
Semians Family & Network

SMS Batch 74 Mamapke Family
Philippine Charity Sweepstakes Office - Davao

Bayogan Family, Relatives and Friends
Anoya Family, Relatives and Friends
Valdez Family, Relatives and Friends
Perez-Macasaet Family
DOSCST Family
University of the Philippines Family
Philippine Womens College of Davao City Family
PagCor

PASUC Family
NSDB-PNC 7405 Alumni
CHED Friends

SMARRDEC Family
Annabel's Aus Network
Pastor Huang and Congregation
PSITE-XI and Leng's Web Team
Davao City Friends of Yam

Our many friends and colleagues from way back

....and many, many others who are subsumed, or not, in this list - your generosity and compassion are deeply appreciated....

We know we will never be able to mention every group and everyone who helped us in many different ways and forms. But we are sure God knows you all and He has indelibly written you and your good deeds. May`He reward you manyfold, in this life and in the life to come.

6 July 2006

July 6

brods,

marlon and i had a hearty talk last night over the phone. so brod mel was in town last week? romy arrived in davao last night and i will join him this morning for a workshop. ched has a project here in the davao region. we are looking at integrating four state university and colleges into one regional university system.

yam was out of the hospital last sunday after 8 days of the 2nd course of chemotherapy. 3 drugs wereadministered to her everyday in addition to anti-vomitting, anti-fungal drugs, etc. just like the previous one, the post chemo period requires antibiotics, blood transfusion and meticulous hospital care to prevent any infection. we expect this on the 7th day after the last chemotreatment. she is in high spirits and usually banters with her siblings.

also during her hospitalization, the doctor mentioned yam's encouraging response to the 1st chemo. Her latest bone marrow aspirate indicates she now produces enough blood. her blood count showed almost normal levels of red blood cells and platelets. her white blood cells remained low though and her karyotypic analysis indicated 2 kinds of probably abnormal cells.
with the positive trend, this 2nd chemotherapy could induce remission. we will then confront the decision on whether or not she undergoes bone marrow transplantation (bmt). this hinges on theavailability of a matched donor and the funds for the procedure. st luke's, national kidney institute and asian hospital and medical center, all in metro manila, are all be capable of this procedure which is said to increase the chances of long-term survival compared to standard treatment methods.

we'd been scouring the net for clues of medical assistance, including bringing her to the US fortreatment. we are praying that such will be granted to us by God should this be the right answer. There appears to be a glimmer of hope as dr ribiero of the st jude's children's hospital in memphis is coming to davao on july 26-28 for a medical outreach. we hope we can get to him and pass the eligibility requirements.

yam's doctor, jeannie ong, has also been very helpful and sympathetic. in this struggle we passed from seeking how our child could survive to living life with a deadlydisease, and conquering it!! we can say for sure that people like you made us think this way and made us cope much easier. adversity, indeed, has its noble purposes and we thank you for helping us appreciate the brighter side of a very difficult situation. god bless you my friends and all the other kind-hearted people.
-------

Home to Davao


December 15, 2006
Steps to Strides:
Yam Goes Home for the Holidays


“Yeah! I’m extremely, tremendously, very, very happy!!!” These were Yam’s words as she boarded the van for home, upon arrival at the Davao Airport on December 14, from a three-and-a-half month treatment and recovery period in Alabang, Muntinlupa. Whatever she really meant, her words said it all for us. We are extremely happy at her fast progress, and we know you share this feeling with us.

The Last Six Weeks.

For the last six weeks or so, Yam’s struggle to wellness was not exactly smooth sailing all the way. But, happily, her steps to better health turned to strides as she embarked on a regular routine of exercise in addition to reading, television and cross-stitch.

Every week, she went to her regular hospital visits to monitor her blood chemistry and get adjustments on her medications. She walked with Mom almost every other afternoon to the nearby park and rewarded themselves with a soda drink. Along the way, they both appreciated the varied household landscaping in the neighborhood. Occasionally, they played badminton near the garage, or they went around tending to Tita Helen’s plants. On at least one occasion, she was with Mom to the supermarket, but had to wait outside to avoid the afternoon crowd. She’s about to finish cross-stitching “Pinky Bear”. And, she never missed a day of Nickolodeon or Disney Channel.

Also during this period, Yam received visitors. On the second weekend of November, Dad’s high school-mate visited from the States. She gave Yam an i-pod and a surprise package each for her siblings. She also brought along vitamins and topical anesthesia, hitting Yam’s needs right on target.

A long-time friend residing in Idaho also visited with her husband, young daughter and nephew. Mom’s colleague and friend also spent some time with Yam.

Recovery Blues.

At one time, Yam had this mood swing that challenged Mom’s patience for hours. She stormed out of the house to the poolside and skipped lunch and dinner. When Dad arrived in the evening, Yam was still at it, but slowly softened, until she fell asleep on the couch. The following day, she was up to her usual self, and smiled her way through the day.

Depending on her progress, one medicine was taken off at a time. But when prednisone, a steroid, was taken off, she had a pronounced loss of appetite and ran a low grade fever. She slept through one whole afternoon obviously not feeling well after eating something, but she easily rebounded after vomiting.

Recovery Highs.

She extremely enjoyed one afternoon when Tita Helen drove her around to the village club house to watch a game of frisbee. Many days after, she vividly remembers life-sized Christmas decorations of Santa Claus, Joseph, Mary and baby Jesus.

Meanwhile, on her weekly check-up, Yam’s steady progress prompted Dr. Lopez to give her clearance to spend the holidays at home in Davao. A December 22-January 2 schedule was cleared as Yam should be back on the first week of January for the 100 post-BMT day check-up. A week later, Yam manifested better progress, which prompted Dr. Lopez to tell her she could be back on February 2, instead of January, for the annual BMT party. We attribute Yam’s speedy recovery to several factors, one very important thing of which is the conveniently-accessible, clean, healthful and stress-free home environment of Tita Helen’s home, where Yam and Mom stayed for the entire duration of Yam’s recovery period.

Looking back through our 7-month ordeal, we just can’t imagine how we would have gone through the difficulties without the passionate assistance of many people who stood by Yam and us. Whenever we sit down and count our countless blessings, the words of a high school classmate keep reverberating: “Life is a paradox. When shared by many, pain and suffering is divided; and when shared by many, happiness and joy is multiplied.”

Yam is a gift, many times over
And many times, we cry out loud in thanksgiving
Not just to our gracious and loving God
But to our precious YOU
For your words of encouragement
Your touch that eased our pain
Your work of art
Your labor of love
And your gift of life!

May 10, 2007

Leaving The Hospital







October 15, 2006
Yam Leaves Hospital

As soon as Yam was declared engrafted, she worked her way slowly towards normal routine. She took in fluids and then solid foods, little by little, until she found it comfortable to do so. She began to move around and even went out of the room to the floor lobby. She looked into her email box and sent few mails. She started writing and recording her weight and fluid intake. She took to heart Dr Lopez’s advice that she can leave the hospital as fast as she gets back to the normal motions of life.

October 14 is exactly a month since Yam entered Asian Hospital and Medical Center. For the past few days, she wanted to be home. At Tita Helen’s house, her room was being readied. The necessary things (bills, records, etc) needed for discharge were being worked out by Dad, who arrived the night before from Davao. Dr. Lopez visited at mid-afternoon, smiled, and said, “I was just waiting for you to tell me you wanted to go home.” Thus were the words of final clearance, and by 6:30pm, Yam is home.

On Sunday, October 15, Tita Helen prepared a hearty lunch of sinigang ng tuna. Yam ate with gusto, with an extra serving of rice, then took in her meds. Yam’s sister Janice called in from Davao. The siblings talked lengthily as Yam smiled, smirked and swayed with pleasure as she related her experiences to a very eager listener. Seeing a vibrant-looking young child, who just a few days before was helpless on her hospital bed, is indeed very delightful.

Looking back at the month-long roller-coaster hospital ride, we feel relieved that the most difficult days are over. Even then, we take caution in pushing Yam too much. We now look forward with bright hopes We see Yam to be a woman who will care for the weak and the sick, one who will love others and help them overcome, a person who will fight for good causes, and one who treats people in pain and suffering with gentleness and compassion. All this, because she received the same lavishly from many people, like you.

October 25, 2006
The Post Transplant, Post-Hospital Days

Yam was discharged from the hospital on October 14, exactly a month after she was admitted.
Two days later, she had her first outpatient visit to monitor the development on her blood system . On her way back home, Dad drove her around to appreciate the landscape of the Filinvest Corporate City and the various architectural designs of houses in the posh Ayala Alabang Village. At Tita Helen’s home, she ate well and read Harry Potter for three hours, then went for a nap. When she woke up late afternoon, Mom was worried as she was running a 39 degree fever. Calling on Yam’s pediatrician, Mom was advised to bring her immediately to the hospital for care management. It was a difficult struggle for Yam to accept going back to the hospital but she finally relented after half an hour of persuasion.

Yam stayed in the hospital for three days and was back home on October 19. It turned out that she was positive of cytomegalovirus (CMV). This virus lays dormant and non-disruptive to a healthy person but may be fatal if untreated to an immuno-compromised person like those who undergo transplant. She was treated for this and she tested negative after a few days. She continues the medication though, to avert any adverse chances, in addition to several other tablets meant for every possible complication that may arise.

Adjusting to a constrained life is a constant struggle for Yam. Some days, it’s a breeze as she goes around Tita Helen’s home and enjoys whatever she takes hold of – a book, a teddy bear, a pillow. At other times, she misses the activities that a kid her age normally does – run around, go malling, play and get dirty, go to school. Realizing her restricted condition sometimes makes her mood swing low. Happily, she quickly bounces back to her usually buoyant disposition.
Today (October 26) marks the start of Yam’s second post-transplant month. So far, so good, so to speak. She goes through her daily struggles with grace, and her small victories with gratitude. Her routine remains deliberate and careful. And she remains positive and raring to live a more carefree life as days come and go.


November 5, 2006
Getting Better and Better By Getting By, Day By Day

“One step at a time” best describes this period as Yam enters into her second post-transplant month. Her regular check up showed that she progressed pretty well. Her blood counts are within normal levels. Slight variations in one or two specific cell counts indicated the need for adjustment in medication.

Yam also began walking to the nearby village park to regain her physical strength and rebuild her confidence. She occasionally goes out for a walk but avoids prolonged exposure to the sun. She continues to wear her face mask as continues to take in immuno-suppresants.
Kids are happiest when with other kids. And Yam is fortunate to occasionally meet Jill Octa and her sister when she goes for her weekly check up. Jill underwent a successful bone marrow transplant 8 days after Yam did at the Asian Hospital, also with Dr. Francis Lopez and Dr. Allan Racho.

During this week, Dad and Ate Janice visited Yam from Davao. On October 31, Mike and Gina Peck with their children, Sri and Ian, also visited. Mike and Gina manage the Outreach Asia Foundation from their home in Minnesotta and they responded to our desperate cry for help for Yam’s transplant fund. It was exhilarating to meet such generous souls and they were as happy to see Yam getting better and better, day by day.

As the Pecks left, we can only thank them and the many other people like them who lovingly and selflessly shared part of their lives and resources to redeem a young soul from the scourge called leukemia. We thought that the best we can do now in return is to care for Yam, rear and see her grow into a woman who will inspire others, keep the circle of life going for others, and perpetuate the life of giving, caring and serving.