Rana Shahryar : My experience left an indelible mark, and made me more positive

On June 14th, 2013, I felt a tightness followed by a pain in my chest. It wasn’t sore like I had after a futile effort fighting off a bench press sitting on my sternum. It felt like some uncomfortable imp pushing against my heart to leave my chest, and my heart responded by beating back in a morbidly familiar way. I went to the hospital for an EKG, and years of learning vectors in Physics made me an expert in reading, or at least I remember saying as much. They then put an IV cannula on my hand, the first of many that year, and injected contrast for the upcoming CT scan.

Rana Shahryar talked about his experience with cancer, saying: “I was eventually diagnosed with lymphoma. There was a medical who was doing a rotation with the team overseeing me, and she told me that the T cell lymphoma was indeed cancer but that most at my age with the disease survive. My most immediate thought was: “Neat, I’ll live through this and milk this experience for sympathy for my entire life,” and I laughed. She and my parents joined in the discussions after a lot of hesitation and a bit of concern. She would visit every evening, and we would talk about what I was interested in school, what I did for fun, and what I planned on doing after high school… but that’s when it occurred to me that I might not see my friends for quite some time. I asked my father if I could go to school after this, and he said that treatment would most likely take a few months, so we couldn’t hope to have this resolved all that soon.

The doctors required a biopsy to confirm the diagnosis, but I had to be awake during the procedure because they were taking a sample from the chest. Once the biopsy wound healed, I was sent to Qatar’s National Center for Cancer Care and Research (NCCCR), and I waited in the shared room before a private room could be arranged. I was started on steroids to decrease inflammation around the mass. Being a patient this long, I eventually recognized patterns that come with that role. Nurses come in every morning to check my vitals, give me my medications, and perhaps joke with me and ask what I’m reading. My mother would come in with some food, sit, and ask how I was doing before heading out to pick up my siblings from school. My father would come in after work; we would speak for a while, and later he would sleep on the couch beside my bed.

However, my interactions were limited overall, and I would be alone to my own devices for most of the day. Being sick is also quite restrictive as people would see you as a fragile creature and insist that jumping jacks would cause the mass to move down and influence my heart, among other things. I would also be given a different kind of pity that I’m much less sympathetic towards. On my birthday, my grandmother paid a visit, and my parents had yet to explain my diagnosis to her, though she read the hospital sign on the way to my ward. As I was given my cake, she asked, “Why are you doing this? His life sucks.” It was a condescending and hopeless pity that I thankfully didn’t see often. Still, when I did encounter it, I could glimpse into their eyes momentarily and see a frail young man blissfully unaware that he may soon die. Of course, we’re no longer in the 1970s, and treatment has been quite successful for my particular cancer, and I knew death was a much more remote possibility.

If I could go back–take the time to spend more time with my friends. Hearing them talk about finishing their final year of high school on our group chats only made me feel further and further distant; at least if I could explain my situation, I’d be able to join in on the conversation with a freer conscience. Instead, I tried to limit my interaction to meet my parents’ wishes, and at least in this instance, it simply was not worth the cost.

Chemotherapy wipes out your bone marrow’s ability to create new cells, including your white blood cells, leaving you vulnerable to infection. To kickstart my white blood cell count, I was given Neupogen, which has the rare side effect of causing joint pain. I had that rare side effect in its full glory. I often spent my days at home crouched into a ball; with each movement, a hot dagger buried into one of my joints. I also had a cold the entire time at home. This time, it was impossible to keep my illness secret from my neighbors and friends; it’s not easy hiding a bright naked scalp and absent eyebrows. My neighbor would often visit, but I would be curled on the couch the entire time, struggling to sit comfortably. Once the worst of it had passed, I managed to call my high school. Once in the library, the librarian who knew me well hugged me. She knew I had a budding hobby of playing cricket, so she passed me a book about the history of cricket, and I sat like I had hoped to some weeks ago, reading a book while watching the sun rising from the window. I met my friends, and one of them hugged me, but I had to adjust a blue strap on my shoulder before I could hug him. I had to explain that it was not a bra but was used to hang the container around the central line in my neck, which quickly diffused my friends’ discomfort. We caught up quickly, and though it was clear that I wouldn’t graduate with them that day, I felt like I was still part of my class.

My extended time alone taught me how to direct my energies and conversations to the page and write poetry, and I also performed spoken word poetry in talent shows and at public events. I found poetry a much better way to solidify my complex and amorphous ideas about time and mortality and ideas of a more grounded perspective. I think there is a tendency to imagine that rationalism necessarily leads to cynicism; however, I’ve learned that it’s often rational to hope and find delight in the simple facts of life. As dark as my humor is, laughing is incredibly courageous and empowering when faced with harsh realities such as suffering and death.

As many would say, I wouldn’t limit humor to a coping mechanism because I think that view conjures up the image of a mental band-aid. Humor can be an act of healing an otherwise hurting soul. But that’s not all it offers. Much like courage, ambition, and resilience, humor is a way to invite people to the challenge of defeating and dealing with their hidden fears and the absurdity often encountered when living. It also brings people closer, and much like poetry, it gives the individual a broader set of tools to understand their audience and allow them to respond with thoughts of their own. I wouldn’t say I’m grateful for this experience; however, I don’t think any suffering was necessary. I wouldn’t recommend we reintroduce cholera to children so that they have a greater appreciation for living. These skills can be learned, and I would have much rather learned them from a friend or a mentor instead of through months of pain and isolation.

My history with cancer is something I often tell people within minutes of meeting them. As someone who enjoys humor, some mischievous part of my mind relishes the opportunity to flip people’s expectations. It’s a running gag in my class for me to mention that I had cancer, and they groan whenever I say that I had experienced that particular experience. Most days, that’s what I wished it all was, something insignificant. However, I often get hurt when I hear how many interpret it and often understate the magnitude of my experiences. As much as I would like it to be behind me, I know it was difficult and sometimes traumatic. I don’t usually share that aspect of my experience. I don’t share that for a few years after remission; I would return to the Emergency Department worried that the chest pain had returned or felt pain in my leg yet again, wincing for days when physically nothing in my leg had changed. The panic I felt in those moments was real, and my experiences left an indelible imprint on my outlook and behavior. I’ll continue to make jokes about my experiences. However, I’ll be more proactive in clarifying that this issue is still difficult to share with complete transparency and that the audience is not invited to speak on my behalf about the most troubling aspects of my journey.

As I’m doing rounds as a third-year medical student, I notice that my colleagues often wince and get disturbed by the more “difficult” and less fortunate cases we often encounter. Metastatic, genetic, and disabling diseases are the ones most often feared. My colleagues often tell me that since there is no hope of success, they would feel like they are failing their patients. I’m sympathetic to that mindset; as future physicians, we all wish to see our patients leave our clinic smiling and ready to enjoy their lives in total health and comfort. However, I want to help where I feel I’m needed. Of course, I can’t offer parents of a child born with multiple congenital diseases the chance to see their child speak his first words, his first unassisted steps, seeing him grow to his mother’s height and drive his family on a road trip. I can’t even offer the parents much time. But I can show them comfort. I often think of Lujain, the intern I befriended, and I remember how powerful the uncomplicated desire to do good can be.

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Mawya: I will inspire you with my story as others have inspired me

After a long and exhausting workday, Mawya began to feel some stiffness in her neck. When this stiffness persisted and started hindering her movements, Mawya sought medical help. After ruling out bone pathology, Mawya was prescribed muscle relaxants and advised to pursue physical therapy. Determined not to let her pain affect her work and productivity, Mawya continued to go to her physical therapy sessions despite noticing a progression in her pain. She completed several sessions before she began to feel a fever.

Mawya continued seeking medical advice, at which point she felt the pain spread to her limbs and pelvis. After several tests, scans, and conflicting diagnoses later, Mawya was referred to an oncologist, who recommended a mammogram. When a lump was found on her mammogram, Mawya was in denial. She was unsure how it spread to the lymph node and caused pain in her bones. Worried and confused, Mawya looked to the people around her for guidance. Many of her friends and family gave her suggestions on various therapies she could try– herbs, supplements, cupping, and acupuncture. Maya tried several of these alternative therapies but to no avail. Finally, Mawya contacted a few physicians to get her lymph node biopsied.

She was admitted to NCCCR, where her pain worsened exponentially, necessitating her taking potent analgesics and receiving intravenous infusions as she intensely disliked food. Still, without a confirmed diagnosis, Mawya convinced herself she had cancer. She remembers the biopsy vividly. It seemed like a simple procedure to the staff, but to her, it was enormous. She opted for local anesthesia, fearing the complications of generalized anesthesia, but she did not anticipate the impact her first procedure would have on her. She subsequently needed a psychologist to help her overcome this “simple” traumatic experience.

Before she knew it, medical personnel were talking about treatment plans. No one thought to stop and talk with her through the diagnosis. For some reason, everyone assumed she already knew. One doctor told her she was lucky to have a “good” variant of breast cancer. Maya did not feel lucky at all. She felt shocked. She had previously led a healthy lifestyle; she exercised regularly, ate healthy foods, did not smoke, and did not even own a microwave. She felt overwhelmed. She could not comprehend the huge amount of treatments and procedures she was supposed to endure later due to the spread of the disease in her body and reaching the fourth stage.

With time, Mawya realized this was a test from Allah, and her relationship with her creator grew stronger. Was this diagnosis a message? Was there a lesson she needed to learn? She began to see life in a new light, finding new meanings in every part of her journey.

Mawya also acknowledges that her journey would have been infinitely harder without the support of the people around her. She could not forget the kindness and care of her radiation therapy team and the medical team at  National Center for Cancer and Research NCCCR.

Even with their hectic schedules, they never failed to make time to ensure Mawya’s comfort in whatever way they could. She remembers a specific technician who, noticing that Mawya’s hijab was sliding off her hair, took the time to adjust it despite her identifying with another religion. Maya explains that such small gestures, though they might seem trivial to medical professionals, leave a significant mark on patients. Another encouraging part of Mawya’s journey was the inspirational stories of other cancer survivors that her sister would read to her throughout her treatment. She hopes that her story will serve the same purpose for others.

Ms. Mawya continued to go to the hospital and receive chemotherapy, where all the staff at Al-Amal Hospital were of the highest level of efficiency, helpfulness, and kindness, facilitating all stages of treatment.

Mawya started listening to her body well, preferring not to listen to unwanted and conflicting advice around her. She felt her body was asking for comfort, food, and mental health. She has realized the importance of self-care after years of believing that self-love and self-prioritizing are selfish. Now, she cares about the things she loves more; she read many books, learned the art of crochet and coloring while in bed, and practiced Meditative breathing and yoga; all these activities helped her a lot in the recovery journey.

The most important message she realized was to appreciate the blessings that seem small, but they are much more than we can thank God for them. During her illness journey, she lost the ability to walk alone, eat, taste, smell, shower, and many other things that man considers for granted, some of them because of the disease and others because of the medicines used. However, thankfully today, after three years of diagnosing the disease, Mawya regained her senses and ability to move, returned to practice her life naturally, and, most importantly, realized the value of life and learned that every day lived is a gift to be appreciated and celebrated. A man should remember to deal with body, mind, and spirit humanely and respectfully as she deals with the most precious loved ones. She realized that man should enjoy accompanying, appreciating, and understanding himself more. The most important thing is to forgive yourself and decide that every day will be better than the day before. When you love yourself and appreciate all your experiences, you can love and be grateful to your God and appreciate everything around you.

Every harsh experience takes you to a higher level of self-awareness, where you rearrange your being, make yourself a more affluent person on a spiritual level, and create a masterpiece that adds a magical touch to your life.

 You may be depressed by the hurricane of pain you pass through. Instead, you should fly with the wind as a feather and speak to Allah with your soul; Allah will send you a light that takes you out of the storm; try to be flexible and practice something new that you love to forget the pain until the crisis passes quietly and creates you as a newborn man like a stone of diamond that shines and become brighter and charming as it is refined.

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Muneera Essa : Three Weapons to Win the Battle

Muneera Essa is a 20-year-old Jordanian girl living in Qatar and a cancer survivor. Before I got diagnosed with cancer, I used to play all kinds of sports, with a particular preference for running and gymnastics. Among my family and in my school, I was always known as the troublemaker. I had just reached puberty when I was first diagnosed with cancer. Like any other girl at that stage, I underwent changes in my body and personality. I was no longer that loud, troublesome kid; instead, I turned into this quiet, shy teenager. When I went to Jordan that summer, when my journey with cancer started, my relatives were all quite surprised with the new person I became. They all told me that I looked all pretty and grown up now.

After a long night of family talk and catching up with friends, I slept. But I could not sleep throughout the night, as a very severe pain in my right leg woke me up and had me crawling to my parents’ room for help. All the doctors I had seen told me it was probably a cold or a muscle cramp.

Not long after I returned to Qatar though, I found out that the pain had returned. In school, the administrators did not believe me when I told them that I was not feeling well and that I needed to go to the hospital, as they knew what troublemaker I used to be. Even when my mother took me to the hospital, the doctors never pointed out anything serious, and nothing was ever shown from the MRI scan results. One day, I went to an orthopedic clinic, where they checked on me and transferred me to Hamad General Hospital, where I stayed as an in-patient for two weeks, during which they took a biopsy twice. After the second biopsy results confirmed the diagnosis, a doctor, whose very red face I cannot forget, approached me, kissed my forehead, and asked to talk to my mother privately outside.

When my mother returned, her eyes were all puffy and her face red. When I asked what was wrong, she told me that she was happy that I was finally discharged. I did not buy it, but I had no reason to believe my mother would lie to me, so I went with it. She did not tell me that I had cancer; instead, she told me I had a sebaceous cyst. My parents did not want to accept what was coming, so they took me to Jordan to meet the doctor. They had hoped it was all some nightmare we would wake up from, but my diagnosis was no. It was real, ugly, but real. The doctor in Jordan confirmed the diagnosis and told my parents that the treatment plan was the same as in Qatar. Having lived all my life in Qatar, my parents knew I would not want to stay away from my home and my friends unnecessarily, so we returned to Qatar. All the while maintaining the act my mother performed when she first knew about my tumor. I understand today that all my mother did to try to protect me from the dreadful truth. But like all truths, this one had to come out eventually.

I had an appointment scheduled at National Center for Cancer Care and Research “ NCCCR “

in Qatar. Coming for the meeting and reading the title, “ NCCCR ” on Al Amal hospital’s building freaked me out, as I have always associated “cancer” with death. I immediately looked up at my mother in shock, asking her why we parked in front of a cancer care center. However, my mother told me with a calmness that, to this day, still dazzles me that this was a big hospital with many specialties and was not limited to oncology. My mom, as usual, came to meet the doctor individually before I went in to ask him not to disclose any information on my diagnosis to me. However, the doctor deemed it necessary that I know and get informed about my diagnosis and prognosis. At the time, I had no clue what the word “tumor” even meant. We stayed for more than seven hours that day in the hospital, and all I could see was the darkness of what my future would bring me.

My case was quite rare. I was the first minor in the Middle East to get the type of pelvic cancer I had. I was also the youngest patient in National Center for Cancer Care and Research “ NCCCR “, as children up to 13 years old are treated at Hamad General Hospital, and I had just turned 14 at the time. The course of treatment was 18 sessions of chemotherapy over two years and a half. I underwent an excruciating 24-hour pelvic exenteration surgery to remove diseased tissue from the lower body cavity. I stayed in the intensive care unit for two weeks after surgery. When they pulled the last needle off me in preparation to discharge me, I did not know what I was supposed to be feeling or saying. I stared at my mother, who was gazing at me. We both smiled widely, with tears filling our eyes and not even a single word coming out of our mouths. What I felt at that moment was indeed something beyond words. Leaving the hospital and returning home for the first time in what seemed like forever, I was the happiest person in the world. I was contemplating the landscape out of the window with so much joy. Although it was a barren desert, it was a beautiful world in my eyes.

Despite all the excruciating pain that I felt during the entire course of my treatment, I was always determined to fight. I wanted to fight cancer and win against it. Because of that, I did not give in. I wanted to live for those who believed I could and even more so for those who thought I could not. I wanted to show everyone that I was stronger than cancer and that cancer was not just another synonym for death. My family was very supportive of me. They stood by me all the way. My mother and one of my sisters even wanted to shave their hair to make me feel better, but I did not allow them to, of course. However, many people did not think I would make it out alive; they believed it was a lost battle. Many people I loved gave up on me and never even asked how I was doing, as they knew the answer would be one that was unfortunate or tragic to hear. This made me all the more stubborn and determined to fight and win. The day I left the hospital cancer-free, I declared to my mother that I was intent on being a new person, living a new life.

I remember I was expected to retain my ability to walk after one year, but it only took me six months to walk again. My hair grew back. I developed a new, healthier lifestyle. I met new people and became more social. My cancer journey was painful yet insightful. I have come a long way and learned many valuable lessons. I am thankful for everything that has happened to me. I am a resilient person because of it. I am now in my first year of college, turning 20 soon. I am hopeful for what the future holds. Whatever is coming my way, I believe I have the strength and stamina to face and beat it because my cancer made me stronger.

I could name three traits that helped me in my journey: determination, patience, and strength. And if I could give any cancer patient one piece of advice, it would be never to let those three attributes go and never to give them up because the battle against cancer, without a doubt, is not easy. It is hard. That being said, brave warriors need to give themselves a reason to live and need to hold on to the things that help them endure. I also want to remind all cancer patients in the world that they are the strongest people I know who exist and that they are the champions. Cancer is another enemy we can fight if we leave fear aside and face it with strength and hope. I have beaten cancer, and so can you, and you, and you! Let this evil monster not take us from ourselves and our loved ones. Let us all fight cancer and win the battle with “determination, patience, and strength.”

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Marwa Adel – Breast Cancer Survivor: I didn’t allow myself to be sad

“I was stronger than cancer”; these were the first words of Mrs. Marwa Adel, who expressed her journey with breast cancer.

A strong 39-year-old lady defeated breast cancer in a battle that lasted for two years. “I was stronger than my disease.”

Marwa came to Qatar in 2006 after she got married at the age of 25. She was blessed with her three kids. In April 2014, they were moving houses, and she was involved in the process. One day, when she was taking a shower after an exhausting day, she performed a breast self-examination. This is when she felt a ball-like mass in her right breast. After discussing it with her husband, he recommended she get it checked at the health center.

In the health center, the physician assured her everything was fine and gave her an imaging appointment at Hamad General Hospital. With her concern, she went to a private hospital for the checkups. On the same day, she did lab tests and mammography, and she was instructed to come back in 2 days for the results. After two days, the physicians told her that the mammography showed “something,” and she needed to do a biopsy for the mass.

Before the biopsy, Marwa was not bothered by the mass at all. “It was not painful, absolutely no symptoms,” Marwa said. However, after the biopsy, she started to feel pain at the biopsy site. “The pain was unbearable … I had to wait with it for one week to follow up with the biopsy results.”

“Three days before the follow-up appointment, the doctor called me to come and talk with him. I knew this meant the results were out.” Marwa went to the doctor with her husband. She did not know what the results might have to say about her mass, but she was not anticipating what the doctor would tell her, nor did she want to hear it. “It is cancer,” the doctor uttered.

Her immediate reaction at that point was to ask about the nature of cancer: “What does this mean? Benign or malignant?” “Malignant,” the doctor said. She did not know how to react after that, and she did not control her rush of emotions. Her husband held her hands tightly to calm her in a way she could not forget. Her husband asked about the next step, to which the doctor replied that another biopsy was needed to determine the extent of the malignancy. It was done on the same day.

Marwa was booked to do the surgery the following week. In the days before the surgery, she slowly accepted the shocking news and came to terms with her diagnosis. “I kept saying alhamdulillah (Thank God) repeatedly, and I accepted God’s fate. I was spending more time with my kids playing with them and kissing them as if I would not be able to see them again after the surgery.”

In the surgery, they removed the mass: 3 cm around its margins and 14 axillary lymph nodes. Reconstructive breast surgery was also done, and she was discharged the following day. The doctors told her that she needed chemotherapy. Since chemotherapy costs are significant in private hospitals, they referred her to the National Center for Cancer Care and Research (NCCCR) to continue her treatment. By that time, she fully accepted her diagnosis; “it’s like any disease, anyone can be susceptible, and it can come and go.”

In NCCCR, Marwa started her chemotherapy. She took six cycles, with two different types together. Before beginning chemotherapy, the doctor informed her that she might or might not lose her hair, and her response was, “it is okay; I do not care about my hair.” Right before her first session, she decided to cut her hair short; to this day, she keeps the hair with her. The first night after her first chemotherapy session, she played with her short hair and noticed it falling off. Then she decided to shave her whole head. She said, “my hair is going to grow back and even better than before. I am not sad about it.”

Marwa finished her last chemotherapy session in December later that year. A workup revealed a new tumor in the same place as the old one. She was referred to a surgeon at Hamad General Hospital. After reviewing her records, the surgeon told her that during his time, the whole breast needed to be removed, followed by an implant insertion. She proceeded with that. After her second surgery, the doctor told her that the other unaffected breast needed to be removed prophylactically due to the aggressive nature of her tumor. She did her third surgery and then scheduled a fourth plastic surgery on her breasts. After that, she started radiotherapy sessions.

For radiotherapy, she had 36 sessions in total. She used to have her session daily, except on weekends. After her 2nd or 3rd radiotherapy session, her implant site started to get inflamed, with lots of pus oozing out from the breast. She went to the ER, where they told her she probably had a hospital-acquired infection, and they quarantined her for ten days. During these ten days, an ambulance would take her from her quarantine to NCCCR  to receive her radiotherapy. After ten days of quarantine, she was moved to the medical city, where she continued receiving her therapy for 1.5 months.

Since her implant got infected, the doctor recommended changing it to a silicon-based implant. However, even after changing the implant, the new implant got infected. The 2nd infection episode was more severe, and she stayed in the hospital for one month. The doctor informed her that her body was not accepting the implants, and they needed to be removed. She underwent another surgery to remove the silicon-based implants, but nothing else was placed. That was at the end of 2016, and she has been doing fine since then.

During hardships, having support from close people can be crucial, and, in some occasions, the patient can be the one offering support to people close to them. Luckily, Marwa had huge support from her parents, who supported them too. Before starting her chemotherapy sessions, she worked on getting her parents from her home country to visit Qatar. They knew nothing about Marwa’s diagnosis at that time. Right before starting chemotherapy, she informed her mother. She was shocked since no one in the family had breast cancer before, let alone having it at a relatively young age. Marwa was the one trying to comfort her mother.

In the same way, the mother came with Marwa to her first chemotherapy session to support her. Marwa’s mother was shocked by how strong Marwa was. The mother used to ask her, “where did you get this strength?”

Marwa’s husband was also very supportive of her. He supported her during her disease, and they came closer. “He showed lots of love, and I appreciate it.” Sometimes after her chemotherapy sessions, she used to be fatigued and in pain. She secretly would see her husband crying alone for her, even though he acted tough in front of her. She would crack jokes to make him feel better and show her strength. He told her, “you were the one supporting us, not us supporting you.” She says his new relationship with her makes it difficult for her now to do or say anything that would upset him.

After everything was over, she says that she turned a new page in her life. This experience has made a huge change in her life; she became a different person. She did not use to have a job, but now she works. She used to spend most of her time at home, and now she is more social and takes her kids out more often. She says her faith and trust in God’s decisions are huge; she became closer to God. “I have changed my lifestyle for the best. Nothing in life should make anyone feel devastated. Even if something sad happens, I turn it into something happy. I refuse to allow myself to feel sad.”

 

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“QCS” treatment for Children with cancer helps parents to support them

Feras’s story is not simply the story of one child. Feras’s story is one of family, resilience, and kindness in the face of childhood cancer. This is a story of how he, along with his mother, father, and brother, faced the diagnosis together and overcame what they believe is a test from God.

Feras is a gentle, shy 8-year-old. He’s in the 2nd grade, and his favorite subject is math. When he grows up, he wants to be an astronaut. He loves playing with his brother and is the best goalie on the team. His mom says he has always been a gentle soul, but you can see his excitement as he teases his older brother.

The story began when Firas had spiked fevers every few weeks that would then subside on their own. On Friday, February 26th, 2016 (his father remembers the day vividly), they took Feras to the pediatric emergency center because he had developed a stiff neck along with his fever. Blood was drawn, and Feras was kept for observation overnight.

From February to October 2016, Feras went into and out of the hospital. He suffered through the side effects of the chemotherapy and steroids and developed a central line infection that required four procedures to place and replace the port. His final chemotherapy doses needed him to sit still in bed for 36 hours straight.

While the doctors expected an infection, the blood results revealed otherwise. A doctor came in to explain that the blood results showed an alarming abnormality in the number of white blood cells; the body’s major line of defense against infection with Leukemia was among the most likely explanations. Feras was transferred to Hamad General Hospital. With Feras on his lap in the ambulance, Ashraf, Feras’s father, tried to make sense of his son’s diagnosis, hoping it was all a mistake.

The family made it to Hamad General Hospital, where they were taken to the hematology ward. Touria, Feras’s mother, immediately noticed the children with IV lines and those who had lost their hair, and the sight of it all overwhelmed her. Within a day, their world was turned upside down.

Feras and his family also remember the good parts of their journey. They remember a special doctor, Dr. Salwa, who explained their son’s condition most kindly and delicately. She sat beside Feras in his hospital room as she went through the course of treatment to come, which included months of chemotherapy, multiple lumbar punctures and scans, and surgeries to place a central line. She listened to their questions. She listened to Feras. Having received bits of information throughout the evening, she finally put the family at ease. “She was a person before she was a doctor, and it showed in her actions,” Ashraf explained.

They remember the speed at which they received a diagnosis and treatment for their son here in Qatar, for which they are grateful. Anywhere else, getting a hospital bed and starting treatment would have taken weeks, if not months.

They remember the social worker who helped them with the financial burden of the diagnosis. Ashraf recalls from his colleague soon after the diagnosis that the treatment would cost him thousands of riyals. The financial burden added colossal stress. However, this burden vanished once their social worker connected them with the Qatar Cancer Society. “Qatar Cancer Society relieved 75% of the stress we were going through,” Ashraf explained, and “we could truly focus on helping our son get better, rather than the logistics of providing his day-to-day treatments. We are so grateful for their help,” he continued.

And they remember the people who stood beside them–the colleagues, neighbors, and family who went out of their way to help care for Feras and his brother, Tamim. They helped cover shifts for Touria when she missed work, cooked for Tamim when no one was home, and took turns visiting the hospital. They made spending two very lonely Eid holidays a little better while Feras was scheduled for chemotherapy. It was only through visits with friends, who came with food and high spirits, that they could get through this.

Now, four years on, Feras remembers a few details. He remembers making a friend at the hospital, a young girl with same cancer. He also remembers the toys his brother would bring him, the pain of the central line, and spending a lot of time in a hospital bed. But even as he describes these painful memories, he is a cheerful young boy. When his mother tears up, he whispers to her: “Don’t let sadness destroy you, be patient.”

 

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Joseph is a kidney cancer survivor: have courage and take action.

Mr. Joseph is a 52-year-old gentleman who worked as a finance manager in Qatar for 11 years ago. He lives with his wife, whom he considers excellent support, and their three daughters; he is Cancer free and enjoying life to the best of his abilities.

In October 2019, he experienced back pain that caused him to go to the hospital. An MRI scan was done, and doctors found a 6 cm mass on his left kidney. Unfortunately, the group was not investigated further. Instead, he was given some pain medication and discharged. One month after this incident, he developed stomach pains, which he initially wasn’t concerned about, attributing to usual hunger pangs or gas. He thought the discomfort might be food-related. However, when the pain persisted, he went to the hospital to check it out and was seen by an endoscopy specialist. This doctor also did an endoscopic ultrasound, identifying the same mass on his left kidney. He then referred Mr. Joseph to a urologist for further evaluation.

During his appointment at the hospital, Mr. Joseph discovered that his MRI report was missing from the computer system. For this reason, he had to do a CT scan during the 1st week of December. The images showed a large mass in the center of his left kidney. His urologist told him that this mass needed to be treated on an inpatient basis, so Mr. Joseph was referred to Hamad Hospital; his urologist assured him that he would transfer all his results and pictures to Mr. Joseph’s hospital team, but he was unable to get an appointment until the 25th of December, on Christmas Day. On this day, he was finally admitted to the hospital where his new doctors were. However, they had access to his previous scans and record. They told him they would have to repeat all previous investigations to get better details about his condition and better understand the current state of his tumor.

The doctors did a new CT scan with contrast and found the mass on his left kidney, which had become half the size of the kidney, now measuring 7.5 cm by 8 cm. It was solid, not liquid,  growing, and its location in the center of the kidney–near blood vessels and other connections–it would not be possible to remove only part of the kidney; the doctors would have to remove the whole kidney.

Before I made the operation in Qatar, I asked my relative in Lebanon (The husband of my Wife’s Sister ) to take the report and CT scan to a specialist to check the situation and to see what options we could do in such a case, the result was the same as per the Hamad Hospital analysis. My wife’s sister and her Family were of good support even from far with their help that things would be okay, and I must not worry. By the way, I am Canadian of Lebanese origin, and both Places can fit me for the operation, but in both places, I will be away from my Family, and it will be hard to stay long after the recovery.

And hence all the opinions were the same; we put the matter in God’s hands and decided to do it in Qatar.

The fear was very little since we were not aware of the type, and of course, about my Family and what things could happen to their lives if anything terrible may happen to me, but of course, we let the matter and the results, and we believed let God will be there, and we will accept God’s mercy.

In Qatar, the day before the surgery was the first time he was told, by his surgeon, that the tumor was a cancerous mass. His surgeon answered his questions, explained the procedure, and on the 19th of January 2020, he underwent a radical nephrectomy. The surgery lasted 3.5 to 4 hours, about 45 minutes longer than usual, because of complications regarding fluid collections that developed around the tumor. It also took him 2 to 3 hours to wake up and recover from the anesthesia; this awakening period was more extended than usual, likely a result of breathing difficulties, he has due to a medical condition known as sleep apnea; he was in the recovery room till 5:30 pm, and then stayed in the hospital for five days because of further pains in his stomach (likely a result of a gas that had built up post-operatively). After his discharge, he continued living and tried not to think about the results. There was nothing to do but wait.

On the 3rd of February, around two weeks after the procedure, he had an appointment to receive his results. He was told that the tumor, fortunately localized and hadn’t spread to any other part of his body, was removed successfully. Everything was fine. He said that while he would have to undergo some repeated screenings every six months in case the tumor recurred, he was cancer-free.

Mr. Joseph has reflected carefully on his experiences. he believes that people understand and cope with Cancer differently: some don’t bother with it, some have courage and tackle it, and some worry and collapse. For him, he didn’t find the experience frightening or scary. He trusted God and had a robust support system with his wife and friends. His daughters, though they knew less about what was happening, supported him, comforted him, and spoke with him. His uncle and brothers overseas also endorsed him. However, he didn’t tell his parents because they were old and overseas. He didn’t want to worry them. he believes this is something you can’t do alone, and the people who can help you and give you emotional support during this time are those who know you, not random in the street.

By the way, the support I got from my friends and my close Family (Wife and Daughter) was good and made me more relaxed and confident about God’s well, and I will be good.

Speaking about how he felt when he learned the cancer diagnosis, he said, “It was going on, and it will continue going on as if nothing had happened.” the important thing is to take action, but beyond the medical interventions, he didn’t change his life because of the Cancer. he was still working from 7 am to 3 pm, exercising, meeting friends, and going to dinners. Everything happened very quickly, he said, and he didn’t have a chance to get scared about his situation.

Mr. Joseph however, did experience some frustration as a patient. He was particularly frustrated that his diagnosis was missed during his first doctor’s visit; that no further evaluation or necessary analysis was done. He was glad that everything was okay in the end, that the mass was caught and removed, but initially, it spread. Suppose he hadn’t had the good fortune to go to the hospital again one month after for his stomach pains. In that case, his situation might not have ended so positively. he has been to many different countries and believes that patients are treated differently in some societies compared to others; he points out that medical diagnoses, treatments, and processes are explained differently to patients in different countries and his personal experience with medical professionals was sometimes too indirect.

He wasn’t told he had Cancer until the day before his operation, and from the beginning, he didn’t know about his prognosis: if it was good or bad. He believed that his condition wasn’t explained to him adequately. For example, why did the entire kidney have to be removed instead of only the cancerous part? He felt he had to make decisions without all the information and that the doctor’s actions might have been different if he had known more from the beginning. He felt that they were taking control of the situation away from him.

Mr. Joseph was grateful for the support from the ancillary healthcare staff in the hospital: an assistant professor, a member of his healthcare team who listened to his concerns, addressed them, and gave him advice, and the staff, who arranged his appointments.

After the renal cell cancer was removed, Mr. Joseph decided he would not rush his recovery; he would relax back into work and his duties and take his time and be cautious. He is listening to music and enjoying the nightlife. To anyone undergoing a similar experience, he advises, “Have courage, and take action.” immediate intervention, and time, are essential.

 

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Wickam: Don’t be embarrassed to ask for help ,we all need support

Roger Wickam is a 50 years old musician. Although originally from the UK, his home for him is currently Madrid, Spain. He moved to Doha 5 years ago with his loving wife and two children. An artist, Roger, plays the saxophone and flute and makes records. As for his life in Doha, he describes it as “lovely!”. “As a family, we’re very happy here,” he says. “We work hard as anyone else, but we enjoy going on our holidays as well.” For most of his life, his health had been “very normal.” He would exercise by swimming or running, and he never smoked. A gradual and modest increase in weight was the only health-related concern he had previously faced.
He enthusiastically agrees when asked to share his story and message for those battling cancer. “If it is to help other patients, that’s a lovely idea; I’m all for it!”. He believes that having someone to talk to and relate to is very important. “I have shared with Qatar Cancer Society that if you ever need me for anything, such as speaking to patients with the same condition I had, I would be more than happy to do so. I think it’s really important.” When he was diagnosed, he says, he knew someone who “had the same thing.” As soon as he spoke to them, it made a huge difference in his life. “It massively made Everything better. I went in for the operation and chemotherapy knowing I may have a chance” “I’m lucky,” he says, and “I want to give something back to the system and to the people who are bravely facing their struggles at present.”
Towards 2015, he went to his GP complaining of a “regular sore throat and nothing else.” The right side of his neck was also “swollen up a little bit.” The physician prescribed him the usual antibiotics and asked him to return in a week if the swelling persisted. Fast forward to a week later, and Roger was back in the GP’s office. His sore throat resolved in no time. However, his neck remained swollen. The doctor, who Roger describes as “fantastic,” looked worried as it was “unusual for the swelling not to have gone away.” He consulted his colleagues and told Roger, “don’t be scared, but if I put you down as a suspected case of cancer, the ultrasound department will see you within 2-4 days.”
A week later, Roger was in Hamad General Hospital getting a series of medical tests. That, he says, was the “start of the proper diagnosis.” He had cells extracted with a needle from his neck swelling and underwent an ocean of body scans and blood tests. Looking back, he’s glad the first doctor he saw “flagged it up and got him into the system early.” After having been through the process of surgery, chemotherapy, and radiation, he recognizes how vital early detection is. He describes this process of waiting for the diagnosis as the “hardest bit” of his journey. “Not knowing was terrifying. Once I knew, I could deal with it. When you don’t know if you have a cyst, an abscess, or cancer, you’re constantly worried. Of course, the doctors can’t tell you what it is or isn’t. No one used the word cancer with me directly, yet those six weeks were horrid. It takes a long time to confirm, or at least it feels like it – with weeks spent waiting for tests, waiting for test results, and getting follow-up tests. “He had a throat biopsy of the tumor in his tonsils under general anesthesia. He had to wait for those results, after which he had PET scans. “When you haven’t had cancer, you assume the word means death. The thought of wondering whether this may or may not be cancer was terrifying.”
The day he finally received his diagnosis was inexplicably tricky. However, “but now I knew what it was,” he says. “It took me a couple of days to get my head around it. I had all the support of speaking to people who’ve had the same illness. I spoke to doctors, and they told me about other people who had survived and those who had the same operation that I was scheduled for and were now happily getting on with their lives. I was concentrating on the operation and what was going to happen next. This stopped me from worrying about it all the time. It saved me.” He describes a shift in his attitude from shock and a sickening feeling after being told he has cancer to believing that his illness was treatable. “I realized that this is survivable. This isn’t an instant death. I started to see it for what it is, rather than what I thought beforehand.”
He immediately shared the news with his wife, and together, they shared some details with their children as they were “quite grown-up.” “It’s too big of a thing not to tell them. As a parent, you need to be as honest with your kids as possible.” Over the following weeks, he shared the news with the rest of his family and the people around him. “The more I talked about it, the less frightened I became. Eventually, I began to make it a point to share my story with people as it made me feel better.” He stresses the importance of support from friends and family during challenging times. “Bottling it all up and going into a hole is a bad idea. We all need to talk.”
An optimist, Roger tried to find something positive even during difficult times. “I had wonderful conversations with friends and family that I hadn’t spoken to in a long time. Whatever I may have endured health-wise, at least I experienced something great in my relationships.” He was keen on reconnecting with people he cared about, “If something bad happened, I wanted to have told everybody that I loved them. I didn’t want to hold back. I realized that relationships are what give meaning to my life. I stopped caring about silly things in life and focused on being with my loved ones” He remarks that these conversations helped him a lot psychologically, far more than he realized at the time. He never felt angry or frustrated with his diagnosis, as he told himself that “Nobody deserves to have cancer. Life is a mixed bag that comes with many small and big problems. You can’t be angry at the problem and hope it goes away; you need to focus on how you will deal with it.”
 Two months following his diagnosis, he underwent surgery in February 2016. He says that “going in lying on a trolley was frightening on the operation.” He remembers waking up in the ICU, surrounded by machines, with tubes coming out of every part of his body. “It was intimidating. But overall, it was quite quick. That’s the good thing about the Qatar system. There are loads of machines, and Everything is modern.”
In addition to surgery, Roger also received chemotherapy and radiation therapy cycles. His chemotherapy was “rough.” During this period, there were times when he was unable to eat or drink and was required to stay in the hospital for 3weeks. He describes these as some of his “lowest days.” “Every day felt like a week. My head and body hurt, and I could not sleep or enjoy music. I felt weak.” He kept himself going by thinking, “Okay. I have to deal with this. I knew it was a fight; it wouldn’t eat me up.” He says that “you learn about yourself, your personality when you think you might die throughout these vulnerable times.” Despite his positive outlook and determination, he recalls moments when “Everything disappears around you. You feel lonely as you start to think that people around you will continue to live on while your story ends.” He recounted one particular day during his hospital admission when he broke down after seeing his wife. Once again, having meaningful conversations with people helped him overcome such feelings. According to him, it was not what people told him but rather the sense of love and togetherness these conversations brought, which helped lift his spirits. Although he had several difficult moments, he was grateful that he received treatment and responded. And he was “grateful for being alive.”
 He doesn’t consider himself to be braver than the next person. “People say I’m brave. But this is a kind of braveness that’s forced upon you. It’s not like I’m choosing to run into a burning building to save somebody. I’ve woken up in the burning building, and I need to get out. It’s a different kind of courage.” He describes his journey as a “team effort” “I didn’t do it on my own. I needed my wife, kids, nurses, doctors, the staff at radiotherapy, the secretaries, the clerical staff- everyone. You remember all these people. Simple gestures such as people greeting you or asking you how you are matter.” He recounts how he met other people with cancer at various sites in the waiting room for his radiotherapy sessions- the blood, bones, breast, etc. There were little kids, old ladies, and young men. Some people were in wheelchairs, while others walked in holding the hands of a loved one. “It can get anyone,” he recalls thinking at the time. He describes feeling a sense of solidarity with these people, built through frequent short yet meaningful interactions. “You start to make friends and share each other’s strengths. After all, it’s a mental game as much as it is a physical one.”
Even after he received his first “all clear of cancer,” it took him months to get the fear of recurrence out of his thoughts and allow himself to slip back into his routine.
Initially, every minor sore throat would lead to him worrying and spending hours checking his neck. He gradually overcame this instinct by reminding himself that he was alright and focusing on the present.
Today, he has completed two-and-a-half years in remission and created two musical records in this period. His goal is to complete five records in total by the time he completes “5 years of recovery”.
 He wishes for these to be the best five years of his life. Roger says he is learning to relax and live again with time. With each passing day, he worries less. As his life slowly returns to the way it was before, he says, it’s easy to get obsessed with the silly day-to-day things that do not truly matter. However, he doesn’t wish to forget his experience of being close to death completely. “It reminded me of how lucky I am, and I do not want ever to forget that.” Roger’s experience has fundamentally changed a lot of things about him. “In many ways, I’m back to being me. But in several tiny ways, I’m a different person. I’m very aware of my life now- my wife, my children. I am more about the ‘now’ and living in and for the present.”
 His main words of advice to someone recently diagnosed with cancer? Get all the support that you need and deserve. He urges people to utilize  Qatar Cancer Society’s many resources. “Do not tell yourself that it isn’t a big deal. Don’t be embarrassed to talk to your friends and family. We all need help. We all need each other’s support. It will be hard, but you can do this. Do not panic. There are many people out there, and you’re one of them. Focus your thoughts on your treatment, and try not to worry about anything else. You will be surprised by how much you can survive. Eat well, live well.”
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Miles’s parents gained hope and strength from their young child

When you meet Miles, you first notice the bright energy that this five-year-old boy brings into the room. He is a smart boy with a charming smile. Miles sometimes speaks softly, which his father refers to as “volume 2.” Isaac, Miles’ father, always encourages him to raise his voice to a “volume 5” when talking to new people. Being a confident boy, Miles quickly adjusts to new situations. Since Miles was only two years old when he was diagnosed, he has only limited memories of his experience, and his father and mother were able to provide his whole story.

The diagnosis

In November 2016, Miles came from Kenya with his mother to visit his father- Isaac –  who Working in Doha’s airport as a supervisor, who was two years old – Miles developed a fever one week after they arrived. He was prescribed an antibiotic course by a private doctor. To their surprise, ten days passed, and Miles’ fever had not yet subsided. After visiting their health center, the doctors started testing Miles with so many test tubes to the point that Isaac was fearful that Miles’ blood was drying up. The hospital staff assured him that he was receiving fluid replacement but had not told him that they suspected something. At around 10 PM, a doctor informed Isaac that they were highly suspicious that Miles had leukemia, and the doctors explained to him in simple words about this disease

Isaac was taken aback and remembered his first words to the doctors were, “it can’t be.” He thought that it could not be true because none of his family members ever had that illness. The doctor recommended they start Miles the next day on chemotherapy without waiting. Isaac doubted the results’ validity, so he decided to return with Miles to Kenya for retesting. He booked a flight for the following day and left the hospital with his son. The doctor called Isaac at home and asked him to reconsider the decision to fly back and suggested he check the validity of the test in another local hospital. The doctor reasoned that earlier treatment would be better for his prognosis. Miles continued to have a high fever along with being restless throughout that night.

Isaac finally decided to cancel the travel plans and look for a local hospital for retesting. The hospitals were closed as it was Friday morning. Therefore, Isaac took Miles to the Al Sadd Pediatric Emergency Center. Miles’ original diagnosis of Acute Lymphocytic Leukemia was confirmed in the emergency department. Doctors explained the course of treatment for chemotherapy extensively, including the expected hospital stays and possible side effects.

Journey to cure

Miles was admitted to Hamad General Hospital on the 31st of December, 2016. Miles’ mother was still in shock at the time and was crying so much. She would wonder why this was happening to them, and Isaac told her that other people were also going through similar challenges.

Isaac felt obliged not to cry in front of his wife because that would mean they were desperate, and he wanted to give her hope. Isaac describes that time as one of the most demanding stages of the journey for him, as he felt responsible not to let his emotions take over him to support his wife and not let Miles think that anything was wrong. Isaac smiled as he said, “and that is how we spent New Year’s Eve in the hospital.”

The father’s work shifts were 12 hours. When Isaac’s shifts ended at 5 PM, he would go home to change. After that, he would return to the hospital to stay with his son until about 1 AM. He would then return home, take a shower, and go back to work. Miles’ mother would stay with her son all the time during the hospital stay. Because one side effect Miles had was a loss of appetite, Isaac made sure always to prepare food that Miles liked. Things started to change positively for the family in July 2018. They were informed that this was their last chemo dose. After that, they had to come regularly for six months for a follow-up to ensure that Miles’ health was optimum.

A difficult time

A problematic point was when Miles’ closest friend, and his neighbor in the hospital, started to develop a fever. By that time, the parents of both children had also become close friends. Whenever Miles developed a fever, the other child’s parents would assure Miles that Miles would improve, and he would. And naturally, Miles’ parents also supported the other child’s parents and provided them with hope. However, this time the fever lasted longer than usual without decreasing.

One day, Mile’s father came to the hospital to find the child’s bed empty. When he asked, they found out that he had passed away. Isaac was speechless in front of the other child’s father, not knowing how to console him. He also imagined how he would have felt if this had happened to Miles.

Happiest moment

The happiest moment in Mile’s cancer journey occurred after a spinal tap that Miles was undergoing. Isaac and his wife were very emotional since they could not join him in the procedure room. Miles was fatigued before he left his parents for the procedure. They were told that Miles might take up to 30 minutes after the spinal tap to wake up. They were also worried that he might develop complications. To their surprise, when Miles was brought from the procedure room back to his parents, he was more energetic than before going there. Isaac remembers his son calling them loudly while smiling, “Hey Mom, Dad, come here!” This was the happiest moment for Isaac, where he gained strength and hope from his minor child.

Role of Qatar Cancer Society

One doctor suggested that a social worker come and talk to Isaac regarding the bills. An educator from the Qatar Cancer Society visited him and told him not to worry about his finances if Miles’ treatment exceeded his means. The Society ended up subsidizing Miles’ chemotherapy. Members of the Cancer Society visited Miles regularly and brought toys to him. They also made sure to comfort Isaac and his wife regarding their son’s treatments

Advice 

Miles says that the injections were painful, but he believes that he only stayed at the hospital for “just two minutes.” He was able to do what he wanted to do at the hospital, and he especially liked the fact that he could watch as much TV as he tried to.

Speaking to the other kids who were going through what he went through, Miles insists that, “I don’t want them to have a hard day. I don’t want them to have a bad day. I don’t want them to cry.”

He said those words as a significant and hopeful smile appeared on his face: “You will all get better!”

Final messages from Isaac:

Isaac thanks QCS for being there with his family at a time when some of the few friends they had have disappeared, “and these guys (QCS) came and they were friends.”

According to him, help came from the people whom he did not expect to get help from. At the same time, it did not come from those whom we expected it to come from. Friends came once or twice at the maximum and then stopped showing up. The families were going through similar journeys to his family, who provided them with constant support.

Isaac learned the value of family during this journey. He knew that no matter what, your family would always be there for you.

Isaac encourages other parents going through similar situations to what his family experienced to have hope and be strong. He said his family had been there for Miles, him, and his wife, and they all got through it; therefore, he wants other parents to know that they will get through it.

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Ian: Qatar is one of the best countries in fight cancer

Ian is a 64-year-old retired British army officer who has been living in Qatar for the past seven years. After retiring from the army, he moved to the Middle East in 1979 to work in Sultan of Oman; Years later, he relocated to Qatar and lived alone while his wife and children lived in Australia. He has six children. All his children rely on him financially, and as a father, he has a strong sense of commitment to fulfilling their essential needs. His medical journey began 15 years ago, and this is his story :

In 2005, after returning to Australia from a business trip in Spain, Ian did not feel like his regular self. He decided to see his general practitioner (GP) as he was feeling tired and unwell. His doctor did a further workup that included an abdominal x-ray. A few days later, he got a phone call from the GP’s office asking him to come in for an urgent visit. He went to the clinic the following day, and the doctor showed him the x-ray results showing a suspicious lesion on the right kidney, which he described as a “lump.”  Ian has been relatively healthy for most of his life and describes himself as being “uninformed” about cancer.

Ian was then referred to a nephrologist, who eventually scheduled a surgical procedure to remove the “lump.” He underwent a right nephrectomy, and the suspicious lesion was removed, further examined, and determined to be benign in origin.

Years passed, and for 15 years after the surgery, Ian had no medical issues. But in November of 2019, he started experiencing pain in his right elbow. He decided to see his GP in Qatar, who prescribed aspirin to reduce the pain. Ian was not improving, the aspirin was not working, and his pain was only getting worse.

He decided to see a doctor at a private hospital in Qatar, who prescribed medicine

for pain relief. Unfortunately, the infusion only worsened his pain. A week later, Ian chose to see another doctor in private practice who worked in West Bay. When the new doctor saw him, he was concerned that Ian’s complaints had not been thoroughly investigated. The doctor requested several tests, including an upper extremity x-ray, and asked Ian to return once the results came out.

Two days later, while sitting at a coffee shop with a few of his friends, Ian received an alarming email from his doctor. In the email, the doctor explained that the x-ray revealed a large tumor in the right elbow, which looked severe and required urgent medical attention. Ian felt shocked and helpless.

He recounts the moment he received the life-changing test results: “I was sitting  in the cafe with friends, on a Friday morning, enjoying a latte and a croissant, when I received an email from my physician saying that I had a tumor in my arm that could potentially fracture my bone. At that moment, I honestly didn’t know what to think. I teared up. When you’re suddenly given such news, it is very devastating and tough to grasp at the time.”

Looking back, he was grateful for having some of his closest friends around him at the time. The following day, he went to see his doctor and was referred to Hamad General Hospital for a surgical evaluation. Later that evening, he was admitted to the inpatient surgical ward, and after two days, was operated on to remove the tumor.

Following the surgery, Ian felt weak now that his right arm was practically immobile. The tumor was removed, a metal pin was placed to support the joint, and several biopsies were taken for a microscopical evaluation of the mass to define its origin. When the biopsy results came out, Ian was diagnosed with advanced-stage four renal cancer

From that day onwards, he felt his life would change forever. He wanted to be hopeful but found it very difficult with the devastating news he had received. He was referred to a new oncologist, who supported him living with terminal cancer throughout his journey. After meeting his oncologist, Ian felt more robust and more hopeful about recovering from this grim disease. His oncologist made it clear that the doctors did not completely understand why cancer had metastasized but believed this could be due to remnant tissue in the right kidney that had gone unnoticed from the surgery he had fifteen years ago.

This was not an easy time for him. His family was in Australia, and only his eldest daughter understood what her father was going through. His friends were a significant source of support. They cooked, cleaned, bought groceries, and supported him in any way possible. He felt grateful and forever thankful for their presence in his life. Ian’s oncologist continuously motivated his spirit, pushing him to believe in himself and his ability to beat this disease. Upon finishing his last chemotherapy session, his doctor looked at him and said: “I think you’ll die from something else, and with the drugs we have, we can beat this!”

When asked about the first thoughts that came to his mind when he received the original news about his bone cancer and whether he would have preferred to be told in person, he says: “Well, first of all, I was furious that the earlier physicians missed it. I was initially devastated by email, but I was later very thankful that the doctor was proactive and pushed me to see him at Hamad the next day. Honestly, no matter how you’re told, it’s going to pull you apart.”

Ian explains that a lot of his initial fear stemmed from a lack of knowledge. “I think the problem is that 90% of us out there are uninformed about what cancer is. And we don’t know that it can be beaten! You think of the big ‘C-word,’ and your mind jumps to the worst. We think of the old movies where the guy gets cancer, becomes a vegetable, lives in a hospital, and dies. I’ve learned since then that they’re able to molecularly diagnose cancers and give you treatments that specifically target cancer cells. I’ve kept my hair, and overall, I feel quite well now.”

As a result of his initial uncertainty when receiving his diagnosis, he was reluctant to pursue treatment at first he intent to refuse treatment. However, I talked to my doctor and someone who was going through breast cancer treatment. She told me, ‘you’re probably in the best country in the world for this to happen to you; they have the best protocols and medical staff here.’ Having someone to talk to ahead of you in the treatment and maintains a positive outlook is a huge morale boost. Then, the surgeon supposed to do my arm surgery told me, ‘Look, Ian, you can beat this. That’s when my mind started to change. That’s when I changed my attitude completely–I thought, we can beat this. We started discussing mental attitude, prioritizing my health and well-being, and having short-term goals.”

Although the chemotherapy treatment and its side effects such as fatigue and a metallic taste have been challenging to deal with, he is grateful for his care in Qatar. “Once I got into the public medical system, Hamad Hospital and its doctors were great– flawless, attentive, focused.” He does not blame the doctors who potentially missed his tumour 15 years ago and has always “trusted the medical system.” He points out, “I don’t think I can point a finger or complain about what happened 15 years ago because I don’t know what the state of the technology was back then. Today, we have come light years ahead.”

Ian notes that sharing the diagnosis with his family was challenging. “It is tough because it makes you feel like you are not a real man, that you have a failing. You realize that you are not bulletproof”. Not having his family members around him for support was challenging; however, he says he is fortunate to have an adopted family here in Qatar. “I have 2-3 Qatari families here that I’m very close to, as well as many ex-pat friends. When I first got diagnosed, people would come over and cook me meals. It held me together mentally, knowing that people cared.” His employers and clients have been supportive as well.

He said “I could be going through some side effects from the chemotherapy, which altered my mood or energy, and they would be patient with me. This helped me keep working. I try to live as normally as possible without looking backward.”

Ian doesn’t “feel sorry” for himself and understands that “this is life.” He tries to “remain focused on what matters the most,” rather than “focusing on the fact that I am sick and tired, and expecting people to pity me.” He is driven by his desire not to let his children down and continue supporting them through school. He has focused on getting through one day at a time by creating achievable goals such as combing his hair after his arm surgery.

“I wanted to be able to brush my teeth with my hand; I wanted to be able to comb my hair. These small goals helped me work with my physiotherapist to try and improve because these little things affect your day-to-day life. I just started to drive again, and I learned how to use my left hand more.

Ian said “ You make little goals, something you can try to accomplish every week or every month. Whether it’s a physical or mental goal, I try to keep myself motivated and move forward.” He has learned to “enjoy things a little more, and take things a little slower because you aren’t going to have today again.”

As for his advice to someone newly diagnosed with cancer, he shares his positive outlook– “Living is worthwhile, and you have to stand up and push forward; you cannot go backward. You have to try; even if you are functioning at 80% of your best, go to work and do all the normal things you are supposed to do. You cannot fall into the trap of sitting on the couch, thinking that you are sorry for yourself. To me, this is the biggest thing you can do. You have to push forward”.

From his experience, cancer is usually a “taboo topic” in society, leading most people to refrain from talking about it. “You hear stories about people who died of it and not about people who beat it.” He firmly believes that receiving accurate and early information is crucial to the journey of recovery. His plans after recovery? Continue working! “I want to get back to living as normal a life as I can. I think when I beat it, I will have to give something back to society here in Qatar.”

 

 

 

 

 

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Noon , colon cancer survivor: live your day and have fun

“Noon” lives in Doha with his wife and two children. His home country is the Philippines, and he came to Qatar to pursue better work opportunities.

Several months before his diagnosis, he was experiencing pain in his chest below the right rib, coming from the area of the liver. But he did not tell his wife about the pain. At first, he thought it was just a gas pain, but it was recurring every day. And one night, he began to feel a severe stabbing pain on his right lower rib with a high fever, so we called emergency, and he was rushed to Al Wakrah Hospital.

After he was treated, the doctor informed him that he had colon cancer with the liver. He did not know a lot about the illness; he was saddened by the news and discouraged. That night he and his wife cried because of his condition.

“I was shocked when finding out that I had cancer, my wife and I were distraught. She was with me at the time when I received my diagnosis.

When anyone hears the word ‘cancer,’ they think that it is a death sentence. I am very thankful that my wife stayed by me from the beginning to support me at each stage of the journey.

I also have a sister who has breast cancer and is currently undergoing chemo treatments in the Philippines. She is a source of support to me. Every day we communicate through messaging, and sometimes, we do video calls. We encourage one another to fight this battle.

I believe that it is vital to have emotional support from the family. It is good to have friends and comfort you – I have many old friends, and I talk to them through Zoom. Also, the patient needs financial support that I got from the Qatar Cancer Society, and  I want to thank this charity for their financial help.

Last year in July, I was terminated from my job, and this added to my problems. I have worked for my company since 2005, and they kindly retained my sponsorship to continue my cancer treatment in Qatar.

I am so grateful to Qatar and the health system that takes care of all people who live in it; if I was diagnosed with this cancer in my home country, I don’t know what would happen to me… Some people in the Philippines can’t afford to go to the hospital, just waiting for their time.

During my cancer journey, my wife experience anxiety and depression because of the workloads she’s having, like doing the household chores, working from home, and at the same time taking care of me. My wife was very understanding and kept telling me that ‘you have done enough to your family’; I held a good job, created a strong family, provided for them, and gave them a better life.

I am looking forward to the future when I can help again. Personally,

sometimes I felt that I was worthless since I no longer work, and sometimes I want to give something to my wife or children, but I  hope one day I will be healthy again and have an everyday life with my family.

My children are also good at comforting me – they don’t know the exact medical details, but we told them that I have cancer. Since my children are teenagers, they understand my situation.

My advice to parents for talking to your children about cancer is that it depends on the situation and the age of the children – if they are teenagers, they can probably understand.

My advice to those who are first diagnosed with cancer: learn to accept the situation as soon as possible and motivate yourself to get better to overcome the illness.

I believe that God could heal you anytime, no matter how bad your situation is. And each day you wake up, thank God that he still has a plan for your life. Think that one day you are going to be healed: for nothing is impossible with God.

Now I am learning and coping with fighting this battle. Just live one day at a time.

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