Booming Uncle
My chemo schedule got switched from Mondays to Thursdays starting this week, because I requested to be permanently at Outram instead of Changi for chemo. So first, I had to see my oncologist on Wednesday, with a full blood panel to be done on the same day.
Blood draw went fine. While waiting the required 5 minutes and putting pressure on the poke site, one uncle was being called for his turn. He was, I think, headed to the toilet at the time, so he yelled "Yes coming coming!" and the phlebotomist, an impatient tough love makcik, said, "Okay slowly slowly." (Wah part ni kau nak slowly slowly but when I didn't have the blood test form, you got testy with me eh. Anyways.) Then this uncle started booming out his name and IC number while he was still five steps away from the room! Thank God I was masked up so I could laugh freely. The stern makcik was also laughing. So thanks to the uncle for brightening my day.
My Oddball Oncologist
The moment I entered the consultation room, my oncologist went, "Wow you look so different! You're all dressed up! Like you're going to the beach!"
Then 10 seconds later she was like, "Your hair, is that a wig? It looks really good!? I was trying to figure out what was different with your looks."
Me: "No, it's my hair. I mean, I've been losing hair, but I still have this left."
Her: "Wow that's pretty good! It looks great!"
And she went on and on about how great my hair is, and how it looks like hers used to when it was straight. (She has wavy hair about my current length, and I also suspected she was somewhat passionate about fashion from her past outfits lol.)
Anyway, I mentioned to her how I'm having horrible acne breakouts and how I missed my period for almost a week already. "Oh yeah, it's the hormones. If you had acne as a teenager, it's probably the same kind as now."
Me: "And this period thing? Has it stopped for good?"
Her: "No, the younger you are when you start this treatment, the more likely you'll get it back. But for the period of chemo, yeah it's stopped. Ya, it's the hormones."
Tak habis-habis dengan it's the hormones. But ya I guess I can stop wearing my period underwear as standby now. I'm going through both puberty and menopause now, it seems. Fun.
Oncologist 'fit: Had to wear my Popflex jumpsuit again! It's mostly comfy except because it's a dropped crotch, there's friction between my thighs, creating chub rub.
Pre-oncologist breakfast at Dearborn Granola! This dark choc granola was really good! I expected the dark choc pieces to be hard, but they just melted right in. The chilli whatever loaf was super good too! And they give you a personal mini-standing fan to enhance your dining experience. The only thing missing were the chickens. Because they were outside PCC instead.
Chemo
This time, they set my chemo appointment at 9.30am, probably because no blood test was needed since they already did one the day before. Mornings are hard, so I took a Gojek to the centre. The driver was a surprisingly chatty beng. He started off talking about my newish estate, then we went to bitching about people nowadays balloting for flats in their 20s, about how he hates exercising now, and about NCCS appointments at unearthly hours. It was entertaining and comforting, somehow exactly what I needed to start the day.
Despite the stated appointment time, it was almost 10am when they called me in, and already 10.45am when they started the premeds. A bunch of the time was the nurse trying to find my vein for the cannula. Even with the help of the vein finder, she couldn't seem to hit the vein because there was no blood coming out. She called an ate to help. Fuck I really hate the needle poke part of the process. And before you accuse me of not having juicy enough veins, I had already peed twice since reaching the centre k. Anyway, they managed to hit the mother lode and there's no bruising today, so all's good.
Yesterday was Day 1 of Cycle 3 so it was Phesgo thigh injection time! This is my second most hated part of chemo. The agonising needle pressure for 10 endless minutes is a torture I wouldn't wish on anyone. Then the nurse telling me to breathe like I don't know like that. It just makes me feel better to moan and groan, can? To be fair, it seemed to go marginally easier than the previous two times. So maybe one can get inured to the discomfort.
Having morning treatment means you get free Milo and biscuits from the volunteers! I happily accepted a cup of Milo. Did you know that you can also volunteer to be a beloved Milo distributor? Or, you can volunteer your valuable piano playing skills and entertain bored chemo patients and caregivers while we're waiting to be called up! Find out more here: https://www.nccs.com.sg/community-care/volunteer-with-nccs
We ended at 1.30pm, got a fast Gojek home, then I slept for another 2.5 hours. It was kind of weird adjusting to morning chemo after so many weeks of afternoon chemo. I just watched some TV, ate an early dinner, and went back to sleep.
Chemo 'fit was two of my favourite tops and my Lululemon flared leggings. The nurse wanted to pull down my leggings for the thigh injection and I was like, No?! Just pull it up ma'am.
Notable Uncles and Aunties
Eskew me: I was at a bus stop near the Telok Kurau landed estate after my asthma polyclinic checkup, minding my own biz, when someone called out, "Es-kew me! The bus how long ah?" It was a 60ish auntie with her helper and her husband. There are really people who unironically say "es-kew me?" Okay takpe. I pulled up the app and told her, "5 minutes" then I got up and let her sit down while her helper massaged her. The massage intensity had to be adjusted frequently before she was satisfied.
After a bit, she looked at me accusingly and said, "5 minutes so long ah?" Excuuuse me madam, I didn't realise I was the bus control dispatcher or whatever you call them. Takpe. I checked the app again. "1 minute," I told her. Thankfully the bus did come trundling along a minute later.
I and the other lady at the bus stop let her and the uncle board first cos kesian la kan? *But then*. Neither of them had their bus cards ready! Wtf were you waiting 5 minutes and looking askance at me for then, if you couldn't even standby your cards? Pengsan. Anyway, it was fine. I was mostly entertained by the gall of this auntie. And glad I'm not the one living with her.
Cool uncle: He was having chemo at the same time as me yesterday. He was alone and super self-sufficient! He greeted the nurses by name, he was aware of his appointments (another chemo today, follow-up tomorrow, and radiotherapy starting next week), and just totally no drama. I'm very inspired to be like him. There was also another chemo patient who interrupted the uncle's nurse twice to fuss about when she would be called up, and some other stuff. And the uncle was unfazed and just laughed about it with the nurse afterwards. Props to uncle.
Auntie who loved my Keens: This Chinese auntie was with her helper and they spoke in Malay. Auntie said how she really liked my sandals. I said thanks! I love my sandals too.
Auntie who wore Keens!: In the lift down after chemo, there was an auntie wearing a pull-on turban and the same Keen sandals but in black! I am so on my way to becoming this auntie and I'm not mad about it.
Billing Battles
I've been having some truly frustrating billing battles with CGH about the bill for my bone biopsy and subsequent admission and discharge. The hospital kept insisting, over emails and phone calls with both the central billing contact centre and the CGH office, that they cannot e-file this particular bill because my admission was for less than 8 hours, and I supposedly signed off on this at the point of admission on the CCF. That it was classified as surgery requiring admission and not day surgery, so different rules apply, and that's why all my previous biopsies were covered but not this one.
I tried to point out that although the CCF states the dumb 8 hours rule under Medisave, it doesn't state the same exclusions under the Integrated Shield Plan part, but this didn't fly.
My insurance agent just called them today to argue further, and first they said they would try, but they later rejected her with this dumb 8-hour rule again.
This kind of admin shit, even though I'm really good at admin shit, is one of the most taxing things about having a medical condition, I feel. You're tired, you still need to work to fund your lifestyle, still need to wash clothes and clean house and shit, still need to take care of the multitude of appointments, and you trust in the hospital and insurance systems and then this happens and you have to make calls during office hours to try to sort it out. I'm lucky I have shirked some other responsibilities so I have time to pursue this, I guess.
And yes it's just a $2k bill which I can afford, but it's really the principle of the matter, innit? People who've just had a painful biopsy and are stuck in a ward with a noisy visitor need to be in the right mind to think, "No I cannot get discharged yet because this bill won't be covered if I'm in here less 8 hours." GTFO.
Small Wins
On a positive note, I went for Zumba last Saturday and Salsation on Wednesday and I didn't die! Hope I can continue these cardio baby steps!
Also! I made spaghetti goreng last week although Cutes claims it was too salty because my chemo tastebuds are making everything taste bland pulak. I wore my turban to keep from dropping hair in the food. Love my turbans! I got them from a rec in r/breastcancer. Truly a lifesaver sub.