I have a patient.
She is a 16 y.o school girl.
She presented with a mass in her abdomen 5months ago.
She only noticed the mass in her abdomen only few weeks prior to hosp admission.
Upon admission, the mass is about uterus at 28weeks size.
A very filthy big mass for a 16y.o pleasant girl who just weighted 30kg.
An urgent ultrosound made upon d admission and malignancy detected in her ovary. The mass was so big that we could not appreciated whether it came from the right or left ovary.
A very ugent operation organised for her.
She went into d operation. However d tumour couldnt be removed as it was attached to underlying structure and was so friable.
She developed severe haemorrhage with more than 2litres blood loss.
She was sent to the ICU for close monitoring.
Then she was transfer out to gynae ward.
Her condition worsen on that time.
There was a time when she suddenly cried and started to mumbling things as if she was going to die.
One day when i was oncalled she suddenly collapsed and was transfer out to ICU again.
Before she was t/o to the ICU she specifically asked me to accompany me to the ICU and made me promised to visit her everyday while she lives.
Luckily, the tumour that she has is responsive to chemotherapy.
She underwent few chemo cycles and 2days ago she just had her 2nd operation- Total Abdominal Hysterectomy. That filthy big tumour shrunk with the chemo regime and managed to be removed with hysterectomy.
And she recovers very well.
I went to visit her and she gave me a smile that made me so contented, satisfied and gladful.
Her smile provoked undescribable feelings in my heart that made me forgot all the stresses and sadness that i had so far in my journey as a doctor .=)