I got my blood test results last Tuesday, before Erica and I went to Medical City to visit Dr. Chiaoling Sua-Lao.
My doctor wanted me to visit her when I finally got my menstruation, which I did last Sunday.
I’m so relieved to find the results of my blood and urine analysis normal. I’m still waiting for the Fasting Serum Insulin and Pro-lactin results. Nevertheless, I’m looking forward to more positive results next week.
With Melchor joining me soon, I hope he can also do his blood exams, etc. After all, it takes two now.. I’m doing my part to be healthy, so it’s now his turn! Wahahahah!
I’m so excited!! Just one sleep away, Melchor will here in Manila na!
I can’t wait to be with my husband again! We have a lot of things to do here…
Have a full schedule ahead of us.. like visit our Doctor.. confine hospital.. my operation..
Shucks.. I definitely need to have him here!! Hahaha!
I’m just rambling and swaying my thoughts away from the operation..
Right now, I’m just plain excited to be with Melchor once again.
My OB asked me to have a blood test at Asiatic Medical Laboratory.
Since we don’t have our vehicle at that time, we’re thrilled that the Lab is quite near our place.
We can just ride a Pedicab to bring us there.
Dr. Sua-Lao asked me to do the following tests: (explanations are taken from Wikipedia)
1) Complete Blood Count (CBC)
A complete blood count (CBC), also known as full blood count (FBC) or full blood exam (FBE) or blood panel, is a test requested by a doctor or other medical professional that gives information about the cells in a patient’s blood.
The cells that circulate in the bloodstream are generally divided into three types: white blood cells (leukocytes), red blood cells (erythrocytes), and platelets (thrombocytes). Abnormally high or low counts may indicate the presence of many forms of disease, and hence blood counts are amongst the most commonly performed blood tests in medicine, as they can provide an overview of a patient’s general health status. A CBC is routinely performed during annual physical examinations in some jurisdictions.
A urinalysis (or “UA”) is an array of tests performed on urine and one of the most common methods of medical diagnosis.
A typical medical urinalysis usually includes:
- a description of color and appearance.
- specific gravity – normally 1.010 to 1.030. This test detects ion concentration of the urine. Small amounts of protein or ketoacidosis tend to elevate results of the specific gravity.
- pH – normally 4.8 to 7.5.
- ketone bodies – normally negative (absent)
- protein – normally negative (absent)
- glucose – normally negative (absent)
- RBC number
- WBC number
- hCG – normally absent, this hormone appears in the urine of pregnant women. Home pregnancy tests commonly detect this substance.
The prothrombin time (PT) and its derived measures of prothrombin ratioPR) and international normalized ratio (INR) are measures of the extrinsic pathway of coagulation. They are used to determine the clotting tendency of blood, in the measure of warfarin dosage, liver damage, and vitamin K status. The reference range for prothrombin time is usually around 12–15 seconds; the normal range for the INR is 0.8–1.2. PT measures factors II, V, VII, X and fibrinogen. It is used in conjunction with the activated partial thromboplastin time (aPTT) which measures the intrinsic pathway.
4) APTT – Partial thromboplastin time
– from Wiki:
The partial thromboplastin time (PTT) or activated partial thromboplastin time (aPTT or APTT) is a performance indicator measuring the efficacy of both the “intrinsic” (now referred to as the contact activation pathway) and the common coagulation pathways. Apart from detecting abnormalities in blood clotting, it is also used to monitor the treatment effects with heparin, a major anticoagulant.
5) Fasting Serum Insulin
– from Wiki:
A fasting serum insulin level of greater than the upper limit of normal for the assay used (approximately 60 pmol/L) is considered evidence of insulin resistance.
6) Thyroid-Stimulating Hormone or TSH Thyroid-stimulating hormone (also known as TSH or thyrotropin) is a peptide hormone synthesized and secreted by thyrotrope cells in the anterior pituitary gland which regulates the endocrine function of the thyroid gland. TSH levels are tested in the blood of patients suspected of suffering from excess (hyperthyroidism), or deficiency (hypothyroidism) of thyroid hormone. Generally, a normal range for TSH for adults is between 0.4 and 5.0 uIU/mL (equivalent to mIU/L), but values vary slightly among labs. The optimal goal TSH level for patients on treatment ranges between 0.3 to 3.0 mIU/L.. The interpretation depends also on what the blood levels of thyroid hormones (T3 and T4) are. The National Health Service in the UK considers a “normal” range to be more like 0.1 to 5.0 uIU/mL. 7) Prolactin
Prolactin (PRL) or Luteotropic hormone (LTH) is a peptide hormone primarily associated with lactation.
Prolactin or luteotropic hormone is synthesised and secreted by lactotrope cells in the adenohypophysis (anterior pituitary gland). It is also produced in other tissues including the breast, the decidua, parts of the central nervous system and the immune system.
Thyroid-stimulating hormone (also known as TSH or thyrotropin) is a peptide hormone synthesized and secreted by thyrotrope cells in the anterior pituitary gland which regulates the endocrine function of the thyroid gland.
TSH levels are tested in the blood of patients suspected of suffering from excess (hyperthyroidism), or deficiency (hypothyroidism) of thyroid hormone. Generally, a normal range for TSH for adults is between 0.4 and 5.0 uIU/mL (equivalent to mIU/L), but values vary slightly among labs. The optimal goal TSH level for patients on treatment ranges between 0.3 to 3.0 mIU/L.. The interpretation depends also on what the blood levels of thyroid hormones (T3 and T4) are. The National Health Service in the UK considers a “normal” range to be more like 0.1 to 5.0 uIU/mL.
To do the blood test, Dr. Sua-Lao and the medical personnel of Asiatic Medical Laboratory explained how the flow should be for the blood test:
1) I have to eat something by 10:00 to 12:00MN – this is to avoid over-fasting. I cannot eat afterwards and I can just drink water, which is good.
2) I have wake up 7:00AM the next day, and cannot sleep afterwards.
3) Blood will taken from me around 10:00AM.
So, I did and followed the schedule last April 4. I took some biscuits at 10:30PM and some more around 12:00MN. Cannot sleep immediately, drank lots of water. I woke up at 7:00AM, and felt really sleepy!!! I cannot drink coffee.. I gulped a lot of water to keep me awake.. and walk around the living room like zombie.. I washed my face, and walk around more.. I was still sleepy!!! But to have this blood exam, I have to push myself not to even close my eyes. hahaha!
Then, as my Mom and Aunts enrolled cooking lessons at YMCA, I went to the nearby Asiatic Medical Laboratory to have the tests above.
Ey Melchor, look oh!! Blood!! hahahaha!
I will get the results later for all except #5 and 7, as these tests are done only every Thursday. So the results will be available next week, April 16. The tests cost Php 2,830.00! hahaha!!
Everything’s not easy here.. As much as I don’t want to feel the stress, things are not just plain easy. I’ve done 5 TV ultrasounds.. visited 2 doctors in Shanghai, 5 doctors here in Manila. And I’m just about to start my whole ordeal. But I’m happy to have my family around me, my husband who supports me.. In the end, I know I will survive and conquer this.
Last week was a bit fast for me.
Our car was picked-up on April 1. I rushed my Mom to have the car checked, and boy, it needed some repairs. I’m preparing the car for this coming week. Melchor will be flying-in.. and I’m not that excited yet.. haha!
But for April 1, I went to downtown Divisoria area.. to bring something for my Mom-inlaw Mama Gan.
She had a lump at her back, long before.. and I remember this was one of her concerns during the gown fitting for the wedding. And so, the day before April 1, she had it removed in Metropolitan Hospital.
So bringing in some food for her recovery, I passed by Red Ribbon Bakeshop in Quintin Paredes Binondo, bought ube roll, sugar-free mamon and had lunch there. I ordered, Pan-grilled Chops in Half serving. It also included soft drink and a cake, I chose Blueberry cheesecake!! Cool right?
Then, Melchor’s sister, Marilou and I visited Mama Gan. Then, went on to Melchor’s Big Aunt’s place.. then, finally, went to Melchor’s Uncle Herman’s place to get the albums he prepared for us. We’re very happy and thankful that we at least have some pictures and albums to showcase our wedding! hahaa! After that, my Aunt Beth fetched me to accompany them to our family Dermatologist, Dr. Michael Chua, for Joie’s Laser-hair removal, My Diamond Peel and my Aunts’ IPL session.
On to April 2, I finally had the urge to visit my last couple of OB-Gyne choices.
My mom and I, without our vehicle, used the public transportation cab this time, to visit the Doctor we arranged in the morning, that’s Dr. Leonardo Almeda. He’s actually one of the pioneer in doing test-tube babies. He said so that his specialty is really doing test-tube babies.
He’s actually pretty good, but I was surprised by the consultation fee he charged to us.
With him, I have the following findings and clarification:
1) I have a dermoid cyst in my right ovary. (The cyst first discovered in Shanghai)
2) I have a Polycystic ovarian syndrome in my Left ovary. (I never knew there’s something in my left ovary!!)
3) I’m not pregnant. (The 2 doctors I previously visited wanted me to wait for my period first before operation. As per Dr. Almeda, looking at the ultrasound, he confidently said I’m not pregnant).
With Dr. Almeda, he suggested to use small incision for the operation. What he can do for 30mins, if to use laparoscopy, it will take around 1.5hours. And with the kind of cyst I have, it needs to be removed as a whole.. and have to avoid rupture. He also said that PCOS in my left ovary can be manageable. PCOS meant that there are eggs in my ovary.. in case I opted for a IVF. After hearing about the consultation fee, I think Melchor will like me to move on and meet with another OB. haha!
I honestly don’t know what to think anymore, after learning that I not only have a dermoid cyst in my right ovary, but a PCOS in my left. I mean.. There are a lot of Whys… but in the end, I just have to suck it up and go forward to take good care of my health, not only for me, but for Melchor and my family as well.
After that, my Mom and I visited another doctor, Dr. Chiao Ling Sua-Lao. I’ve read her name in some forums couple of times. But I think it was an acquiantance email about her Endo Cyst ordeal that triggered me to visit Dr. Sua-Lao. To visit Dr. Sua-Lao is really easy. She has a clinic here in Condesa area, Binondo.. But based from what I’ve read, patients in her Binondo clinic wait a very long time!!! So on that Thursday afternoon, after visiting Dr. Almeda, My mom and I immediately took a cab to her other clinic, which is the very far and huge The Medical City. We got there around 1:15PM in the afternoon. We first went to her clinic at 1604. (Yes, that’s on the 16th floor), and sign in as her patient for that day. Would you believe that with her clinic starting at 3:00PM, we were there at 1:15pm, we’re already on #3 of her list of patient!! Wahh!!! Dr. Sua-Lao specialty is Infertility and Laparoscopy Specialist. I think I love that, don’t you thinK? haha! Finally!!!
Dr. Sua-Lao arrived nearing 4PM already. When it’s our turn to her clinic, it was a breeze feeling..? It’s like the consultation happened to fast, and I wished I could rewind what was explained to me! Haha! She said that time that she just finished a laparscopic operation of a dermoid cysts also. This cyst is one of the common cysts of the ovary nowadays. She checked me again via TVU, and she showed me that my cyst mainly composes of fluids, and some hair. She said she preferred this kind of cyst, as there are others who are very “masebo” (very oily), mine’s not. Thank God!
She prescribed me to take Metformin for my left PCOS, once a day after dinner. She also want me to take a blood test at Asiatic Laboratory in Binondo. And want me to check-in when the first day of my period arrived, and lastly, she also want Melchor and I to visit her on the 13th at her Binondo Clinic, to show us a video how laparoscopy is being done, and she wants Melchor to have some tests also.
I will blog about my Asiatic Laboratory experience. I’m still awaiting my results, as some results will be available by April 16. Wahh!! Even Melchor can’t believe that it will take them that long!! But since this coming Thursday is a Maundy Thursday… There’s a long weekend holiday here. So no choice but to wait till April 16.
I think my final OB-Gyne deserves a separate blog entry, right? hahaha! I will talk more about her soon. I have to stop here.. So far, these are my updates to my upcoming surgery
My mom, sister and I had dinner last night at Golden Fortune Restaurant in Soler Gandara Street.
It’s a very popular resto here.. and I heard it’s usually full during weekends.
Hearing that, I quickly reserved for a table for the night.
Here’s our “shabu-shabu” dinner:
The dimsum there was great! Since we just ordered 2 kinds, it was good.
Golden Fortune Resto did improved a lot since I was last there.
The contact details:
Golden Fortune Seafood Restaurant
- G/F, Peace Hotel # 1283 Soler St., Binondo
- Manila, Metro Manila
- (02) 244-2777
It was really fun! Eating with my Mom and Erica.
I was full.. it’s not cheap.. hahaha!
But definitely, a different hot pot than in Shanghai!