105ians

Dr Kok came with sister tay yesterday to replace new morphine cassette and took more blood test again. Paul had the most purge yesterday-5times as his pain was more frequent and it moves between his chest and the abdomen. I spoke to his oncologist and he mentioned that though the last blood test results was similar to the previous one, paul's haemoglobin was slightly low and he feels that paul may need blood transfusion again and at the same time do another ultra-sound at the lung area to check on the fluid level as paul's feeling more breathless than before. The decision would base on the blood test results.

Thank God that his haemoglobin has increased from 7.4 to 9.7 and there's no need for any blood transfusion. We have to continue to monitor his breathlessness and use the oxygen concentrator more frequently. Paul didn't sleep very well last night and he tried not to purge the morphine even though there were some pain. He purged once at 11pm and this morning.

Dr Kok just called this morning and told me if there's a need, he may have to increase the base dose of the morphine again.

Overall paul has done very well, much better than doctor's expectations! Praise God!