It was the fourth week after Samiri had her chemotheraphy, we still had no idea what's going on with her body. She was fine, but at sudden her condition dropped. It was the week when the doctor inform us that her leukosit increased.
It was the fifth week after Samiri had her chemotheraphy, the doctor tested her stem cell and found "blast" which later on were traced from her liver. It meant her lever was infected already with the cancer cell.
Since then, Samiri's Condition dropped tremendously. The doctor had given up on the treatment, they dare not to proceed the second chemotheraphy. Only small dosage of treatment and light chemotheraphy were given to improve her condition, but her body did not give any reaction at all.
The condition of her liver was getting worse. But Samiri was still showing her strong will to fight against the illness. She never gave up. She got the information that there was a drug which was under test, she urged to take the drug for the next four days.
Her body gave no reaction to this drug.
.... .... .... ....
Her last wish was return to Batam. Samiri said that she had tried all type of treatment up to her satisfaction.
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To Batam Hospital
Re: Samiri
DOB : 21 April 2006
This young lady above is a patient of mine who suffers from Chronic Myeloid Leukaemia in blast crisis. Despite all forms of intensive treatment, her leukaemia has remained resistant.
She is currently very unwell and the family and he know there is no hope for recovery. They understand that we are providing terminal palliative care. She is currently requiring dopamine support and oxugen therapy to maintain her blood pressure and saturation.
The logical option would be to continue terminal care here in Singapore General Hospital. However, the patient has indicated to me that her last wish would be to return to Batam where her family and village are.
I feel that this brave and wonderful young lady should have her last wishes respected. I understand the family will be in touch with you abot making arrangements for sending her back to Batam. I also understand they or the Batam Hospital will be speaking for the ferry company concerned for her transport back.
She will require the assistance of either a nurse, or preferably a doctor with her. She will need a stretcher as well as pumps fur fluid sand dopamine support. She will also require oxygen throughout.
The reason I have asked for a doctor is that should he blodd pressure fall during the ferry journey, a doctor may be needed to increase the fluid administration or dopamine support.
When she does arrive at Batam, all that is needed is palliative care, largely symptomatic relief and oxygen therapy as well as maintenance of blood pressure with inotropics.
This is indeed a sad occasion and I am trying my best to fulfil her last wishes.
Thank you.
Regards,
Dr.Mickey Koh
8 March 2006
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Samiri arrived at Batam in the evening time and was stationed in ICU of Awalbros Hospital.
9 March 2006, 3.20 pm. Samiri ended up her pain, she passed away but her courage still clearly seen on her face.
Goodbye Samiri, we know that you have already fight up to your limit. We will never forgotten your courage, spirit, smile, cries,...
We will be missing you...
May god and other holy spirits pour their blesses to all mankind, may every single individual living being in this world feels your courage and spirit to inspire them.
Samiri.... we love you.....