October 2, 2014

Bloody Nipple Discharge - Do Not Take For Granted



I dread going to the doctor. I am not comfortable talking to them and telling them how I am feeling.  I always think that they were just enjoying sticking noses because they assume that they know everything.  I know, they went to school to specialize in their fields but it is me… I do not want to go to the doctor.  I used to self-medicate by taking over-the-counter pills and/or herbal.  It was not until I got here in the United States that I started taking prescriptions.  It was through my husband’s persuasion.  Being in the medical field himself, he wanted to make sure that I stop ignoring the pains I am getting like recurring headaches or migraines.  I thought that was only it. I will take all my prescriptions once my headaches start to act up.

One morning of 2010, I noticed something peculiar.  There was a stain of blood on my shirt.  “What the… where did I get this?”  I had to show my husband the blood stain and he himself had no idea of where it came from.  “OK. Let it go. Let it go!”  I convinced myself that day, that it was nothing.  Until, I felt something moist on my shirt again.  When I looked down, there was blood; a tiny spot of blood and when I checked where it was coming from… it was scary.  The blood was coming out of my breast.  “How did it happen?  Did I hurt myself last night?”  Too many questions were popping through my head.  I was embarrassed and scared at the same time that I never wanted to tell my husband, but he must know, right?  My husband made an appointment to the doctor that same day.  I was so mad!  However, I knew I had no choice but to seek a professional advice.  I am having a bloody nipple discharge, so I don't have a choice but to see a doctor.

OK. So, I am at the doctor’s.  I had to have my mammogram earlier than it was scheduled.  I was scheduled to have an ultrasound. The doctor wanted to know if it was something hormonal imbalances or I may be producing too much estrogen but the results came out negative. After all the tests and with no further explanations, the bloody discharge irritates me because it always stains my bra and shirt, so I started using a nursing pad to avoid stains and the feeling of irritation, so to speak.  I was seen by several doctors and to only get the same proscription. “THE RESULTS WERE NEGATIVE. WE DID NOT FIND ANYTHING ABNORMAL.” Then the doctor would refer to another doctor. 

My husband works for a Doctor of Radiology. The doctor suggested that what I might need is a Ductogram.  However, the way the doctor explained in to us – me and my husband – I did not like how the procedure goes.  I am a giant chicken when it comes to pain.  I crossed-out the idea of having a ductogram.  He – the Radiologist – suggested a different doctor and so I made an appointment. After the new doctor pressing my breast here and there, she said “ We need an MRI. I want to know where the discharge is coming from.”  I was not pleased at all.  I said “NO!” I am the patient and I have the right to refuse. What she did was prescribed me some Vitamin E to take every day.  According to her, some of the patients who had the same health issues like mine were taking Vitamin E and the bleeding stopped. So, my choice was to try taking Vitamin E.  I would say that Vitamin E. helped.  I noticed that after I started taking it for a month my bleeding has stopped.  I was so happy because I can stop using the nursing pad.  Imagine how inconvenient it was for me. Like any other patients, I got tired of taking Vitamin E every single day along with my other medications.  Yes, I stopped taking it.   After a couple of days, my bloody nipple discharge came back.    I was so confused! If only I continued taking that stupid Vitamin E, maybe I am not bleeding again…

So, years passed.  My husband cannot tolerate it anymore.  Imagine, I slept with my soft bra on every night.  The nursing pad has been a part of my life and our marriage life since 2010, so I was seen by another doctor.  She said the same thing.  I need an MRI.  Phew!  I got tired of hearing those words.  Until I got a call from MSU Hospital telling that I need to confirm my MRI schedule.  Wait a minute. I don’t remember setting up an appointment for an MRI. Can you connect the dot here?  Yes, it was my husband who made the appointment.  I was boiling.  So mad.  Furious.  Why does he have to do that?!  He knew how much I hated that idea of having an MRI.  Why he did not ask for my permission?  Why did he have to decide for myself?  Too many question in my mind, though in the back of my head, I know he was doing it for me. But, I was still mad.  OK.  I confirmed the appointment. 
We went to the hospital. Man, that tube was scary!!!  I am claustrophobic.  That was the reason why I never liked that MRI.  The experience was unpleasant.  I was so scared while lying in that tube with my face down and covered with blankets.  The noise the machine makes was unbearable.  I was tempted to push the call button I was holding that moment but I want this test to be over.  Again, the results came out negative.  The radiologists cannot find any malignancy on my breast. After a couple months, the last doctor who wanted me to have an MRI wanted me to have another MRI?  Are you kidding me!  No way!  I decided to stop seeing that doctor.  I know, I know…. I am non-compliant.  But I am not having another MRI, period!

After that not-so-fun-adventure, I got a call from MSU Hospital again.  It was a surprised because I intended not to see any doctors anymore.  I have decided to be in this “condition” for the rest of my life. If I am sick, let it be done.  To make a story short, I was seen by another doctor.  I was not expecting that it is a male doctor.  It’s my preference to be seen by a female doctors only. Anyways, it’s already there so there’s nothing I can do anymore, I guess.  I am a non-compliant but I know how to handle things professionally. So, I stayed and waited for the male doctor.  To be honest, after meeting him and hearing him explaining what my condition was like, I started liking him as my doctor.  He was so pleasant, gentleman and direct, which I admire for any person.  

Dr. Bumpers, - my new doctor – did not ask for another test.  He only asked for my old records and test results.  After he examined my affected area, he explained to my husband that he is going to perform an operation.  No ductogram was recommended but a major duct excision.  He asked if I plan to breastfeed in the future.  I don’t have any plans.  Then after explaining the procedures to us, from pre-op to admission to the operation and the-what-to-expect, I filed for a leave-of-absence from work.  It was stressful to me thinking that I am going to have a surgery in a couple of weeks.  I cannot take any blood thinning medication.  After work, I would take an Ibuprofen if I feel any muscle pain.  By the way, I am a CNA by profession so I do a lot of running and lifting and pushing.  

Day of my surgery – I was relaxed.  My husband was the one that was anxious.  He kept asking me “Are you OK?”  I gave him an assurance that I was fine and he had nothing to worry about. 

Here’s what I had been through the whole surgical process:

  • 1.    On the night prior to my surgery, I was NPO or did not eat nor drink after midnight.
It was hard for someone who loves to eat and having snacks in the middle of the night.

  • 2.    My surgery was at 8 AM but we had to leave at 6 AM.  I got up at 5, had a shower, I used mild soap.  I did not even shampoo my hair.  I just decided not to.  Removed my earrings, I kept my wedding band – the nurse said it was OK.  Did not put any perfume, no deodorant, no make-up. Just the plain Me.

  • 3.    Upon arrival at Sparrow Hospital, we went to the admission and checked in, so many other patients were scheduled for surgery that day.  I was an out-patient.  I do not want to stay in the hospital for even a day.

  • 4.    After waiting for less than an hour, my name was called. My husband cannot go with me.  He had to stay in the waiting area.

  • 5.    1st nurse interviewed me for ID and what was my preparation prior to the surgery,  checked my vital signs, explained what I need to expect and did a drug  test.  Then she escorted me to my bed and gave me a hospital gown and red gripper socks and a couple bags for my personal belongings.

  • 6.    2nd nurse came in. Placed a warm blanket onto my left arm where she was going to put the IV on (God, I hate being poked!).  She also put a leg warmer which was attached to a machine.  It was to prevent my legs from edema or blood clots.  Another orientation, she asked me my ID and why I was there then asked me to write the letter “S” on my affected part.  She put an IV on my left hand.  Unknowingly, I swore when I felt the needle was inserted to my vein.  Man, that hurts

  • 7.    3rd person who came in was a female doctor.  Another orientation and questionings.  Making sure that I know what is going on and why I was there for.  She explains her role to my surgery, checked if everything was done properly. 

  • 8.    4th person was the anesthesiologist.  He explained what he was going to do and how I would not feel anything.  I would fall in a deep sleep and I would not remember anything.

  • 9.    Then, the last person I talked with before the operation was my surgeon/doctor.  He made sure that I do not have worry. That I was in good hands.

  • 10.  After all the preparations, the nurses and anesthesiologist pushed my bed to the operating room.  I was still relaxed.  Not having any anxieties.  Talking to one of the nurses was the last thing I can recall.  The rest I do not remember anything.



I was woken up by a nurse.  I immediately felt something heavy on my breast.  I remember the nurse asked if I am feeling any pain or discomfort.  They called my husband right after I got back to my senses.  The nurse asked me if I want a cup of juice.  Oh, yes, please!  My husband brought me something to eat… Oh, FOOD!!!! How I missed you!!!  I can eat anything when I am hungry.

I couldn’t be happier when the same nurse unhooked my IV, whew! I was groggy but I have decided that it’s time to go home.  I cannot stay for another minute at the hospital.  The operation lasted for an hour and a half and the anesthesia was still in my system, but when I got home I did not sleep.  I was actually up the whole night and the next day.  The only problem I had after the surgery was I kept peeing.  I was on the toilet every 15 minutes.  It was really annoying.  While it was happening to me, I have thought of my patients. I now understand why the patients have to go to use the toilet every 5 0r 10 minutes after they came from a hospital.  It was a question I have answered myself.  The IV was the culprit.
I went back to work after two-weeks.  I thought I was fit to work but I felt sore on my breast. It was painful so I was seen by my surgeon yesterday and he wanted me to be off from work for another two weeks then be on light duty.  I do not want to but it is for my own good.  Right now, I am on-leave and hoping to get better very soon.  I feel sore on my breast.  As much as I can tolerate the pain, taking pain pills is the last resort for me.  

I am blessed that I have a supportive husband and the surgery was over.  Though, there are still more procedures to get done.  I know that everything is going to be alright.  I will update you on how well I am doing and tell more about the operation and pathology results.

May 6, 2014

Detox Water

I know, I know... This is not new to you. Detox water here, detox water there. From one blog to another, detox...detox... but, I can share my own, can't I? We love to eat, right? I do. I eat whatever is available.  No strict diet for me. Gluton? No. I just love food. My mother raised me and my siblings to love food - good and healthy food, that is. Imagine, mother would serve fish and vegetables everyday except Sundays. That's our treat day. We can enjoy meat,  for a change. My bothers and I did not regret that mother raised us having fish and vegetables on the table.

Things are different now. I prepare my own food. If I am lazy for a day, I will order pizza or ask hubby to bring me some burger and fries. I gained excess weight.  What do I expect? I stopped running and walking...and I eat a lot...a lot of junkies.  I'm out of shape, very!

I know I needed to do something. First, I need to start drinking water. Less soda, more water. Please, don't make me stop my soda intake right away.   So, here's what I did. I made my own detox water, teehee... I heard it has a lot of health benefits so I'm in. 

I only used orange, lime, cucumber and green apple. No mint. I did not like it the first tume I tried detox water. One thing I can share is I visit my "private room" a lot.  I will update you next time.  

May 16, 2012

My CFO stories- Follow up on K1 Visa Application Procedures

Okay, Pals! CFO is a Commission on Filipinos Overseas. I know there are some of you out there who are not aware of this, just like me. I was not aware that there was this CFO or Commission on Filipinos Overseas thing. To tell you the truth, when I first heard of this word, I was like, "What is that?". I thought I was ALL ready to go to the US of A. My fiance (now husband) booked his ticket to go the Philippines and also booked mine to go to America. Imagine, I got my packet from the US embassy in Manila in October. But, before I received that packet, my documents were all in my hands already. The last papers that I was waiting that time was my singleness or CENOMAR. On the 29th of October, I went to National Statistics Office to get my CENOMAR ( I had to wait for one week before NSO released my CENOMAR ). Then on that same day, I got the packet from the US embassy. I have to call the embassy call center for my interview date. It was my fiance (now husband) who called and scheduled my interview date. He chose November 10, it was Monday.

It was not as easy as anyone would have thought. Let me share it to you. Here is what I did when I was still doing what you are doing right now.

So, you had your medical exam at St. Luke's Medical Extension Clinic. After you completed all your medical examinations and SLMEC don't see any problems in regards with your health condition, that very same day, you will know. SLMEC will forward your medical reports to US embassy in Manila. They will show you the CD of your medical reports or medical records before they submit it to the US embassy in Manila. Keep in mind, save all the papers from SLMEC, especially your medical record supplement or the vaccination supplement, I don't remember the name of that document. You are going to use that when you get here in the US

You also completed all the necessary documents that you need for the interview. You are waiting for your packet to arrive. When you have the packet in your hand, talk to your fiance, inform him that you have the packet. I advice that he call the embassy call center, they accepts credit card and it's expensive. As I may recall, I think they charge per minute, I am not sure.

OK, so you have your interview schedule. Relax. Everything is gonna be alright. But, the day before you leave the house for your visa interview, be sure that you have everything. Be sure that you filled up all the papers. There are some US embassy employees that's kinda rude. Be patient. Just keep this in mind. YOU ARE GOING TO LEAVE THEM BEHIND!

Congratulations! You passed the interview. The consul will tell you that you will receive your US visa by DELBROS. Delbros is the authorized courier of the US embassy. They have te instructions on how you are going to pay at Delbros.

Do not book your ticket yet unless you have your US visa with you. Your Philippine passport is in that packet that Delbros is going to deliver. In my case, after I told my fiance (now husband) that I passed the interview. He booked our tickets immediately. He was the one who was so excited when he heard the news, LOL....

When my neighbor overheard that I am going to leave for the US on November 25. My fiance (now husband) chose that date. Mind you, I do not have the visa yet. I was like, OMG! She asked me if I have this CFO sticker. I said, "What is that?!" Then she explained it to me.

November 19, he arrived in the Philippines. He proposed to me at the NAIA... it was like a movie, hahaha... everyone was watching us. He was on his knees, asking me to marry him. Do I have a choice?! LOL...Of course, I said YES!

I was panicky, because my fiance (now husband) was there, we have to leave on the 25th, but I do not have my visa yet and my passport. To be honest, that was a wrong sweet move. but there is nothing we can do, it's already there. So we just waited for the packet. The packet arrived on the 20th, thank God! At last, I could attend the CFO seminar. CFO - Commission on Filipinos Overseas.
All the Filipinos who are going outside the country needs to attend the CFO seminar. It's a one-day seminar only. But, it takes time before you can have your certificate. After the seminar, you will receive your certificate and your badge or sticker. You cannot leave the country without this CFO sticker. They will check your passport if it has the CFO sticker on it. Or else, you will not board the plane.

Here is how you should do to take the CFO seminar:

  • Call the CFO office - click on the "CFO"link and you will learn everything that you need to know about CFO. 
*NOTE: Don't worry clicking the link, it is not something like ads or whatsoever.  That is the exact link to the CFO site.  
  • Schedule your seminar and they will tell you what else you will have to bring.  Just make sure that you are telling them everything, it is for your own good. Do not forget to mention about your passport if you don't have your passport with you (I am sure your passport is still at St. Luke's after your medical or still at the embassy, whichever way, you must tell the CFO people about your case and it won't be a hassle.)
  • The seminar is good for one day only and you are good to go.  
  • Bring some money and food.  MONEY because you will pay for something, picture I think.  (Pardon me for it was almost four years when I had my schedule so I am not sure if they changed or not.)   FOOD so you won't get hungry if you happen to wait.
  • At the end of the seminar they will give you a sticker for your passport and some papers, too.  Keep them.

Good luck on your seminar!!!