http://health.asiaone.com/Health/Women%2527s%2BMatters/Cancer%2BCentre/Story/A1Story20090614-148379.html
Mon, Jun 15, 2009 The New Paper
'Yes mum, I'll fight monster'
By Shree Ann Mathavan
LIKE any kid, little Charmaine Lim loves singing, dancing and
cuddling up to her mother. But unlike most carefree 4-year-olds,
Charmaine has stage four cancer and is fighting for her life. A rib
cage that appeared to be higher on one side first alerted her
mother, Ms Cynthia Lim, 29, that something wasn't quite right with
her daughter. A 12cm tumour was found growing in Charmaine's right
adrenal gland, which is located above the kidney. The diagnosis
came after several blood tests and scans at the KK Women's and
Children's Hospital (KKH) in February. The high-risk cancer was
found to have spread to her bone marrow and bones. Charmaine was
diagnosed with stage four neuroblastoma, a kind of cancer that
occurs in infants and kids. This form of cancer usually arises in
the adrenal glands or in the nervous system related to the adrenal
glands. Charmaine is undergoing treatment at the National
University Hospital (NUH). So far she has undergone four rounds of
chemotherapy with surgery to remove the tumour coming up next week.
And if she continues with her treatment in Singapore, she will also
undergo a bone marrow transplant after her fifth round of
chemotherapy next month. There is an alternative form of treatment
offered in the US, but it is not certain whether Charmaine will be
able to get it.
Nausea
Meanwhile, she has to grapple with difficult lifestyle changes.
She no longer mixes freely with other kids in the playground or
attends nursery school, because her lowered immunity puts her at
high risk of falling ill. The chemotherapy has caused her once lush
locks to fall out and her skin to darken. In addition, she suffers
from bouts of nausea and vomiting. Stage four neuroblastoma among
children is rare, but Charmaine is not the youngest such patient in
Singapore. Dr Chan Mei Yoke, senior consultant of haematology and
oncology services at KKH, said one baby had stage 4S neuroblastoma
when it was born at the hospital a few years ago. The 4S category
refers specifically to newborns with the condition. She said there
are about three to six new neuroblastoma cases a year in Singapore.
'This makes up roughly 6 per cent of all childhood cancers,' she
said. 'Leukaemia is the most common form of cancer in children
here.' An NUH spokesman said its youngest patient is a 4-month old
baby with brain tumour. 'Neuroblastoma is a very rare cancer.
Leukaemia and brain tumours are the top two childhood cancers.' The
spokesman added that while neuroblastoma is rare, stage four is
unfortunately common in those that suffer from this form of cancer.
She noted: 'It occurs about 41 per cent of the time.' Stage 4S,
which occurs in infants, in comparison, occurs in about six per
cent of all kids with neuroblastoma, she said. The condition is
usually diagnosed by the age of 5 and hardly occurs after the age
of 10, said the spokesman. Despite the treatments, the odds of
Charmaine's survival stands at a slim 20 per cent, according to her
medical report. Now her mother is 'hoping against hope' to boost
her daughter's chances of survival. Ms Lim is pinning her hopes on
the alternative treatment called 3F8, which Charmaine's NUH medical
report noted, could help boost her chances of survival to as much
as 40 to 50 per cent. But this treatment is available only at the
Memorial Sloan-Kettering Cancer Center in New York. It's also very
costly - US$350,000, which is slightly more than $500,000. That's a
hefty sum for Ms Lim, a divorcee who quit her project management
job at a water treatment company to look after her daughter
full-time. She is barely coping with the NUH medical bills which is
estimated at about $80,000. Next month or in August, Charmaine
would either have to proceed with the bone marrow transplant
locally or head overseas for several doses of the 3F8 drug. Ms Lim
is hoping to raise the $500,000 by then and is seeking help. Her
strong desire to save her daughter at all costs has changed her,
she said. 'In the past I was more proud. I used to think that I
could solve any problem on my own, but now I'm literally begging
people to help me,' Ms Lim said. She wants to do everything
possible to keep her daughter alive. Most of all, she encourages
Charmaine to fight on. Perhaps Charmaine's fighting spirit is best
seen when her mother talks about the 'monster' inside her.
She always replies: 'Yes, I will fight with the monster.'
http://ourfeistyprincess.blogspot.com/
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In order for us to help Charmaine fight this cancer battle, we
require our friends and people who know us to help raise funds for
the substantial medical expenses and the expensive treatments which
would last more than a year. We would also appreciate if you wish
to make alternative contribution arrangements.
If you are keen in donating or helping Cynthia and her family in
any way:
- Go to http://ourfeistyprincess.com/
- Contact me at [email protected]
At the very most of you are unable to contribute at this point of
time, please take a little time to click on the nuffnang ads above.
All proceeds would go into Charmaine's funds.
http://www.facebook.com/l/;http://ourfeistyprincess.blogspot.com/
http://www.tnp.sg/news/story/0,4136,204956,00.html
