Metastasis

Patient with gastric cancer has officially spread to his rectum. I'm so saddened by the turn of events but know we can still do something about it.

Its now a question of synchronicity. Will we have the necessary people to get thnecessar treatment in time.

I am deeply affected with what has happened to him. I know that if there is a lesson to be learned, its me not giving up easily but on the other hand, I must face to the prospect that I can only do so much for a patient.

He will try taking cesium until he decides where to have chemotherapy

Gone for Good?

My patient with gastric cancer has left for out of the country. Of all the time, it has to be now? I mean, he's CA-199 is of the scale, his CT showed mulitple lymph node involvement in the retroperitoneal space.

I wish I could him help but he's not here. I just hope everything will be better if not at least stable disease when he comes back!