The saga continues in the battle of Nutella.
Worsening jaundice (yellow skin & eyes) and severe itchiness due to high bilirubin kept me insane for days. Discomfort and pain.
After Dr. Kattan broke the news that I have cancer, he advised me to undergo ERCP. (Dugo ilong na naman ito)
According to Medical Encyclopedia:
ERCP is short for endoscopic retrograde cholangiopancreatography. It is a procedure that looks at the bile ducts. It is done through an endoscope.
•Bile ducts are the tubes that carry bile from the liver to the gallbladder and small intestine.
•ERCP is used to treat stones, tumors, or narrowed areas of the bile ducts.
ERCP may be used to:
•Open the entry of the ducts into the bowel (sphincterotomy)
•Stretch out narrow segments (bile duct strictures)
•Remove or crush gallstones
•Diagnose conditions such as biliary cirrhosis or sclerosing cholangitis
•Take tissue samples to diagnose a tumor of the pancreas, bile ducts, or gallbladder
•Drain blocked areas
In simplest term, they will put a stent in my stomach to drain the bile duct to treat my jaundice.
Together with my wife and father in law, we were early for our ERCP appointment.
An intravenous (IV) line was placed in my arm. I lied on my stomach or on my left side for the ERCP. A medicine to relax or sedate was given through the IV. A mouth guard was placed in my mouth to protect my teeth.
After the sedative took effect, I had a short nap. The nurse woke me up and said:
“I am sorry sir, the doctor will not come, and he had an accident.”
Shocked. A bit groggy, I walked out of the room.
My wife surprised. The procedure was so short that she did not finish praying the Holy Rosary.
I told her that the procedure did not push through because the doctor had an accident on the way to the hospital.
I was advised of the new schedule and waited for several days in agony.
I banged myself to the wall because of the severe itchiness.
I became the yellow version of Shrek.
On the day of the 2nd ERCP, it was the same protocol. But this time, the doctor arrived. Everything went smooth. Until, the doctor surrendered.
I was still sedated and asleep when he spoke with my wife and my father in law. He said that he could not continue because the tumor was so big already. Putting a stent was a futile effort.
The tumor became a monster Nutella wreaking havoc.