Heysi ia a 16 year old girl with bone cancer that has strong faith and a struggling body. The fight has not been easy but her family have been keeping their hopes high and their faith strong. Heysi is do to be evaluated for her next cycle of chemo tomorrow, but presented with a 102-103 fever and now that plan is up in the air.
After running some tests, we discovered a urinary tract infection and had some very difficult clinical decisions to make. Any infection is a serious infection for a patient with cancer. The secondary infections are what kill patient and not the cancer itself. So we need to react with wisdom and fast. We only have $300 for Heysi. The best antibiotics cost $200 a day and she would need them for at least 7 days…we can’t do that. The okay antibiotics she already has but have to be given IV every 8 hours and we do not have someone that would be available to do that…so we can’t do that. We could hospitalize her in the public hospital to receive the antibiotics but we would need the referral from her oncologist so she would be admitted into the oncology unit, but he is not picking up the phone…so we can’t do that. We could teach a family member how to give the IV meds, but she is allergic to some antibiotics and it would be a huge risk if she were to have a reaction without a clinical person nearby…so we can’t do that. It was difficult knowing that we couldn’t provide the best for her and trying to decide what the right thing to do was very hard. But with God’s help, we finally, we decided to give her some other okay antibiotics that she has had before and make an appointment with Dr. Lumbi at his private clinic for tomorrow (which would be April 28th) to have him review the situation and hopefully write the orders to hospitalize her so she can get the good antibiotics and a blood transfusion for her anemia.
The public hospitals are very depressing and the care there is very minimal…to say it lightly. We need to pray for Heysi that this infection leaves quickly and she gains her strength back to receive her next cycle of chemo and be able to move forward in her cancer treatment and also for wisdom and love for all those who are caring for her.
Love,
Ayla Landry
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