Let the whales be my friends: March 2009

Monday, March 30, 2009

Yesterday at KK !!

Max is at KK again. This time he has diarrhea and fever and he is vomiting...

Wednesday, March 18, 2009

Yesterday at Max's place !!

Saturday, March 14, 2009

City boy and campung girl !!

Thursday, March 12, 2009

Let's go out !!

Sunday, March 8, 2009

Max is back and so is Mishal !!

Max and family are back from their holiday in Thailand. On the way back from Thailand to Singapore, Max suddenly got fever and this morning Tuk had to bring him to Hospital. They kept him there and gave him antibiotics, He is on ward 76 bed 12 on the 7Th level. I visited him there today with Sazus. Kung, John and Diann came too. Mishal is so cute and Max was so matured,like a good big brother, he is such a sweetheart.

Tuesday, March 3, 2009

Off they went !!

In the aeroplane from Singapore to Thailand ...

This morning at 11am Max and his parents got a special ride from their house door below to the airport, with a London classic cab WOW!! Even Tuk was excited, she couldn't sleep last night. Max was so excited, heard him talking all the way. Tuk called me from the airport, wanted to send her off but the timing was not in favour to my time.They fly with Singapore airline to Thailand and got a 4 day stay in a 5star Hotel. This will be Matthews 1rst time since Mishal was brought to Thailand, to see his little princess and their first ever complete family holiday.Wish them all the best and return safe and happy. Max kept asking "Max can go","have moon","can touch"he mean in the aeroplane. He got so many questions and wished me good bye... Max and his family in Thailand,
Max is wearing Indian traditional clothing, even Mishal is impressed ... Back to the 5 star Hotel for a snack and maybe a little nap ...
Time for mom to relax, almost like a foam party...

Sunday, March 1, 2009

Max today !!

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Disease Information

Histiocytosis is a rare blood disease that is caused by an excess of white blood cells called histiocytes. The histiocytes cluster together and can attack the skin, bones, lung, liver, spleen, gums, ears, eyes, and/or the central nervous system. The disease can range from limited involvement that spontaneously regresses to progressive multiorgan involvement that can be chronic and debilitating. In some cases, the disease can be life-threatening. In some ways, histiocytosis is similar to cancer and has historically been treated by oncologists with chemotherapy and radiation. Unlike cancer, histiocytosis sometimes goes into remission without treatment. The vast majority of people diagnosed with histiocytosis are children under the age of 10, but it is also found in adults of all ages. It is approximated that histiocytosis affects 1 in 200,000 children born each year in the United States. This illness is so rare, there is little research into its cause and treatment, and it is often referred to as an "orphan disease," meaning it strikes too few people to generate government - supported research.

LCH in Children

Langerhans cell histiocytosis (LCH) is a rare disorder that primarily affects children. The disease was first described in medical literature around the turn of the 20th century. A histiocyte is a form of white blood cell. Its job is to help destroy certain foreign materials and fight infection. For unknown reasons, patients with this disease have too many histiocytes (Langerhans cells). These cells accumulate in different organs and can result in a variety of symptoms. Langerhans cell histiocytosis has also been known as Histiocytosis-X, Eosinophilic Granuloma, Letterer-Siwe disease, and Hand-Schuller-Christian Syndrome. There are also a number of other terms which have been used to describe syndromes which are considered to be Langerhans cell histiocytosis (LCH). These include: Reticuloendotheliosis, Hasimoto-Pritzker syndrome, Self-healing histiocytosis, Pure cutaneous histiocytosis, Langerhans cell granulomatosis, Type II histiocytosis, and Non-lipid reticuloendotheliosis. The cause of LCH is unknown. It may be triggered by an unusual reaction of the immune system from something commonly found in the environment. It is not a known infection or cancer. It is not known to be hereditary or communicable. Over the years, cancer treatments have been used in patients with histiocytosis. Consequently, hematologists and oncologists, who treat cancer, also treat children with Langerhans cell histiocytosis. However, the disease is not cancer. Radiation therapy, if used, is given in much lower doses than that which cancer patients receive. The vast majority of patients will survive the disease. Some may develop life-long chronic problems, while others remain symptom free. In some cases the disease is fatal. Usually these are very young infants who have a rapid downhill course and do not respond to any known treatment. Whether or not the disease responds to treatment will often depend on the extent of organ involvement; however, it is often difficult to make definite predictions. Physicians will be able to discuss the patient's likelihood of responding to treatment and doing well. It is estimated that 8.9 of every 1,000,000 children under the age of 15 have histiocytosisSeventy-six (76) percent of the cases occur before ten (10) years of age, but the disease is also seen in adults of all ages.