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GYN CHRONICLES Breast Cancer Dr. Maureen Owiti I was talking to one of the nurses, a Matron actually at one of the places I go to make sure I have something to support lifestyle. She is a wonderful lady and was very pleased to see her. Matron Beatrice Ng’ang’a (not her real name) is a breast cancer survivor. So I started enquiring about her health. She was very pleased with herself as she had just managed to climb the set of stairs that leads to my consultation room in that particular clinic. I was struck by her comment that it was a miracle that she could now climb one flight of stairs. I was intrigued and with my usual foot in mouth asked why that should be considered a miracle. Luckily for me, she’s a nice lady and didn’t take any offence and proceeded to tell me about her journey. She is one of the good health care workers who doesn’t only treat others but at least makes time to take her health seriously. She regularly performs self- breast examinations. She has always had some breast changes during her menstrual cycle but this time it persisted then she felt a lump. She requested one of the doctors to perform a check for her and they too confirmed that she had a lump and promptly requested her to do a breast ultrasound and mammogram. Unfortunately both breast Ultrasound and Mammogram showed features suggestive of a malignancy with nodes in the axilla (arm pit) and she was quickly booked to have a biopsy of the lump. those who regularly care for people with various illness you know what you are about to be put through. Matron had a fantastic team dealing with her case (no need to travel to India) and she had a mastectomy, started chemotherapy and radiotherapy. She said she had 30 sessions of radiotherapy. She also had a number of sessions of chemotherapy and hormone therapy. I asked her how she was able to cope and she said she knew what she was dealing with and knew that with the right mindset and God on her side she would get through the treatment. Histologoy also came back positive and she was urgently prepared for surgery. Surgery done and from histology, lesion came back as progesterone receptor positive adecarcinoma of the breast. Very huge words to mean breast cancer. I can only try to imagine how she felt at the time. It is bad enough being told you have breast cancer but I think even worse to Mrs. Ng’ang’a was very clear it was as if in her life God had been preparing her for this chapter in her life. She revealed that where she lived she used to nurse several women with breast or other cancer. She would go and inject them with medication that would help the nausea and vomiting of therapy reduce. She did this on a voluntary basis and at the time thought she was just helping. Little did she know that she was preparing her own little neighborhood support group. Matron had a fantastic team dealing with her case (no need to travel to India) and she had a mastectomy, started chemotherapy and radiotherapy. She said she had 30 ses- sions of radiotherapy. She also had a num- ber of sessions of chemotherapy and hor- mone therapy. I asked her how she was able to cope and she said she knew what she was dealing with and knew that with the right mindset and God on her side she would get through the treatment. 26 MAL30/19 ISSUE The survivors who visited her would joke with her that you are the one who used to inject us now who will give you the medication. She just laughed and said that she was able to administer the medication for herself. She said that she was overwhelmed with all the support she got from the women. She still got nasty side effects though for her she only got mild nausea and didn’t vomit however one of the meds affected her limbs. It was painful to stand, walk and even to hold a pen and write was not