What are the opening hours?

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Dr Nurul Yaqeen, 2B-12, Level 2, Sunway Medical Center Velocity, Bagan Lalang (2025)

13/11/2025

“Dr, kenapa saya susah nafas lagi sekali ?”

“Dr… kenapa saya susah nafas sangat sekarang ni?”
Suara Puan Yoon kedengaran perlahan, hampir berbisik. Tubuhnya kurus, bahunya naik turun dengan setiap tarikan nafas yang sukar.

Saya memegang tangannya perlahan. “Cuba tenangkan nafas dulu, Puan. Saya tahu… sekarang memang rasa berat di dada tu kan?”

Dia mengangguk perlahan, matanya bergenang. Di sebelahnya, suami beliau duduk diam — wajahnya cemas, namun cuba menahan air mata.

⸻

Dua tahun lepas, Puan Yoon disahkan menghidap kanser paru-paru tahap akhir.
Kami memulakan rawatan targeted therapy, ubat khas yang ‘menyerang’ sel kanser berdasarkan mutasi tertentu dalam gen.
Dan ketika itu, ubat itu benar-benar menjadi keajaiban kecil buatnya —
batuk berkurang, selera makan kembali, wajahnya ceria semula.

Setiap kali datang ke klinik, dia akan senyum sambil berkata:
“Dr, saya rasa macam dapat hidup kedua. Saya nak habiskan masa dengan cucu-cucu saya.”

Saya pun tersenyum, bersyukur dalam diam.

⸻

Namun, sebulan yang lalu, keadaan mula berubah.
“Dr, saya batuk balik. Nafas makin pendek,” katanya.
Hasil imbasan menunjukkan sesuatu yang kami bimbang — kansernya kembali aktif, kali ini lebih agresif.

Sel kanser itu nampaknya telah bermutasi,
menjadikan ubat targeted therapy yang selama ini berkesan…
tidak lagi mampu melawan.

Lebih membimbangkan, sel-sel kanser kini telah merebak ke tulang, hati dan kelenjar adrenal.

⸻

Minggu berikutnya, Puan Yoon datang semula ke jabatan kecemasan.
Mukanya pucat, bibirnya kebiruan.
“Dr… saya tak boleh tarik nafas dalam,” katanya perlahan, sambil menggenggam baju hospital.

Pemeriksaan segera menunjukkan air berkumpul di paru-paru kirinya (pleural effusion) — dan bukan sekali, tetapi berulang kali.
Kami telah keluarkan air tersebut beberapa kali,
namun ia datang semula dalam beberapa hari.

Dan kali ini, tambah berat — ada darah beku di saluran paru-parunya (pulmonary embolism).

⸻

Saya tahu keadaan semakin genting.
Saya panggil suami dan anak-anaknya ke bilik perbincangan.

“Puan Yoon kini dalam keadaan kritikal,” saya terangkan perlahan.
“Susah nafasnya berlaku kerana paru-paru kiri dipenuhi air, dan juga kerana ada bekuan darah yang menghalang aliran udara. Kami sedang beri oksigen dan ubat cair darah, tapi tubuhnya lemah.”

Suaminya memandang lantai, menggenggam tangan anak sulungnya erat.
“Dr… ada harapan lagi tak?”

Saya menarik nafas panjang.
“Masih ada rawatan sokongan yang boleh kita teruskan — oksigen, ubat tahan sakit, prosedur untuk keluarkan air di paru-paru. Tapi kita juga perlu bersedia, kemungkinan keadaan akan menjadi lebih tenat.”

Air mata anak perempuannya mula mengalir.
“Saya tak sangka cepat macam ni, Dr. Dia nampak sihat dua bulan lepas.”

⸻

Beberapa jam kemudian, Puan Yoon dipindahkan ke ICU.
Saya menatap wajahnya yang tenang di katil, dengan oksigen tinggi dan mesin memantau degupan jantungnya.
Dia membuka mata perlahan, memandang saya.

“Dr… saya takut.”
Saya menunduk sedikit, memegang tangannya erat.
“Tak apa Puan… saya dengan Puan. Kami akan buat yang terbaik.”

Dia tersenyum kecil.
“Kalau saya tak sempat, Dr… tolong cakap dengan anak-anak, saya sayang mereka.”

Saya tunduk, menahan sebak.

⸻

Dalam rawatan pesakit kanser paru-paru tahap akhir, bukan sekadar ubat dan mesin yang penting — tetapi juga persediaan hati dan jiwa.
Ada masa, kita berjuang untuk sembuh.
Ada masa, kita berjuang untuk tenang.

Buat keluarga, saya selalu nasihatkan:
✅ Fahami penyakit dan perjalanan rawatan.
✅ Sentiasa ada di sisi pesakit — kehadiran anda lebih bermakna dari apa pun.
✅ Dan bila tiba waktunya, redhalah bahawa kasih sayang itu kekal — walau jasad pergi.

⸻

Hari itu, saya keluar dari ICU dengan dada yang berat.
Dalam dunia perubatan, kita belajar tentang paru-paru, ubat, dan rawatan —
tapi pesakit seperti Puan Yoon mengajar saya sesuatu yang lebih besar:

Bahawa setiap nafas adalah anugerah,
dan setiap detik bersama insan tersayang adalah rawatan paling berharga.

⸻

Pengajaran cerita:
Hargai kesihatan, jangan abaikan batuk atau sesak nafas yang berpanjangan.
Dan untuk pesakit kanser paru-paru, rawatan moden boleh memanjangkan usia dan memberi kualiti hidup —
tapi yang paling penting, jangan pernah hilang harapan dan kasih dalam perjuangan ini.

⸻

Click link for clinic appt:
👉 https://encoremed.io/smcv /154

CT scan menunjukkan darah beku di salur darah di paru-paru
——

“Doctor, why can’t I breathe again ?”

“Doctor… why am I having so much trouble breathing?”
Mrs. Yoon’s voice was soft, almost a whisper. Her thin shoulders rose and fell with every difficult breath.

I gently held her hand.
“Try to relax your breathing, Mrs. Yoon. I know… it feels heavy in your chest, doesn’t it?”

She nodded weakly, her eyes glistening. Beside her, her husband sat quietly — his face anxious, fighting back tears.

⸻

Two years ago, Mrs. Yoon was diagnosed with advanced-stage lung cancer.
We started her on targeted therapy, a special treatment designed to attack cancer cells based on specific genetic mutations.
And back then, the medicine worked like a small miracle —
her cough improved, her appetite returned, her smile came back.

Every time she came for her follow-up, she would say with a bright smile,
“Doctor, I feel like I’ve been given a second chance at life. I just want to spend more time with my grandchildren.”

I would smile too, quietly thankful inside.

⸻

But about a month ago, things began to change.
“Doctor, my cough is back. I’m getting more breathless,” she said.
Her repeat scan revealed what we had feared — the cancer had become active again, this time more aggressive.

It seemed that the cancer cells had mutated,
making the targeted therapy that once worked so well… no longer effective.

Worse still, the cancer had now spread to her bones, liver, and adrenal glands.

⸻

A few weeks later, Mrs. Yoon returned to the emergency department.
Her face was pale, her lips slightly blue.
“Doctor… I can’t take a deep breath,” she whispered, gripping her hospital gown.

Immediate tests showed that fluid had built up in her left lung (pleural effusion) — and not for the first time, but repeatedly.
We had drained the fluid several times,
yet it kept returning within days.

This time, it was more severe — she also had a blood clot in her lung vessels (pulmonary embolism).

⸻

I knew her condition was becoming critical.
I called her husband and children into the consultation room.

“Mrs. Yoon’s condition is very serious now,” I explained gently.
“Her breathlessness is caused by fluid around her left lung, and also by a blood clot blocking the blood flow in her lungs. We’re giving her oxygen and blood thinners, but her body is very weak.”

Her husband stared at the floor, holding his eldest child’s hand tightly.
“Doctor… is there still hope?”

I took a deep breath.
“There are supportive treatments we can continue — oxygen, pain control, and procedures to relieve the fluid. But we also need to prepare… that her condition may worsen.”

Her daughter’s tears began to fall.
“I didn’t think it would happen this fast, Doctor. She looked so well just two months ago.”

⸻

A few hours later, Mrs. Yoon was transferred to the ICU.
I stood by her bedside, watching her rest with the oxygen mask and monitors beeping softly.
She slowly opened her eyes and looked at me.

“Doctor… I’m scared.”
I leaned closer, holding her hand tightly.
“It’s okay, Mrs. Yoon… I’m here. We’ll do our best for you.”

She gave a faint smile.
“If I don’t make it, Doctor… please tell my children I love them.”

I lowered my head, fighting back my own tears.

⸻

In treating patients with advanced lung cancer, medicine and machines are important — but so is emotional and spiritual readiness.
Sometimes, we fight to heal.
And sometimes… we fight to find peace.

To families, I always say:
✅ Understand the illness and its journey.
✅ Be present — your presence means more than any medicine.
✅ And when the time comes, remember that love continues — even after the body is gone.

⸻

That evening, I walked out of the ICU with a heavy heart.
In medicine, we learn about lungs, treatments, and procedures —
but patients like Mrs. Yoon teach us something deeper:

That every breath is a gift,
and every moment with our loved ones is the most powerful form of healing.

⸻

Moral of the story:
Cherish your health. Don’t ignore a persistent cough or shortness of breath.
For lung cancer patients, modern treatments can prolong life and improve its quality —
but above all, never lose hope and love throughout the fight.

⸻

Click link for clinic appointment:
👉 https://encoremed.io/smcv /154

⸻
CT scan is showing features of pulmonary embolism

10/11/2025

“Disangka pening kepala biasa, rupa-rupanya…”

“Doktor… kenapa kepala saya rasa berpusing sampai tak boleh jalan lurus?”
Suara Puan Khadijah bergetar. Wanita berusia 66 tahun itu duduk perlahan-lahan di kerusi, kedua-dua tangannya menggenggam tepi meja saya.

Saya memandangnya. Pandangannya kabur, langkahnya tidak stabil.
“Puan ada demam?”
“Sikit je mula-mula, doktor. Lepas tu dah hilang. Tapi pening… pening ni tak hilang.”

Dia menggeleng. “Saya tak batuk, tak semput, tak turun berat badan. Cuma… badan rasa tak sedap.”

Saya menyusun semula sejarahnya.
Tiada batuk. Tiada sakit dada. Tiada sesak nafas. Tiada simptom dramatik yang biasanya membawa saya terus kepada paru-paru.

Tetapi ada satu perkara yang mencuit perhatian saya.
“Puan ada merokok?”
“Tak pernah, doktor. Tapi…” Dia berhenti seketika. “Saya dulu kerja di pejabat yang sempit. Kawan-kawan saya ramai yang merokok. Hari-hari saya hidu asap tu.”

Passive smoker. Pendedahan bertahun-tahun. Walaupun sudah lama berlalu, paru-paru kadang-kadang menyimpan cerita yang kita tak sangka.

⸻

Babak 1: CT Brain – Permulaan Debaran

Puan Khadijah berjalan perlahan ke bilik CT scan dengan bantuan jururawat. Dari jauh saya melihat tubuh kecilnya hilang di sebalik pintu besi tebal.

“Doktor, hasil CT brain dah keluar.”
Saya mengangkat muka.

Banyak tompokan putih.
Multiple lesions.

Dua kemungkinan muncul serta-merta:
1. Kanser yang sudah merebak ke otak, atau
2. Jangkitan kuman di otak

Saya menarik nafas panjang. Hati terasa berat.

Saya kembali ke bilik rawatan.
“Puan… ada beberapa tompokan di otak puan,” kata saya perlahan.
Mata Puan Khadijah membesar. “Tompokan? Maksud doktor… ketumbuhan?”
“Belum tentu. Kita perlu siasat paru-paru dan organ lain dulu. Kadang-kadang ia jangkitan. Kadang-kadang… ia petanda kanser yang datang dari tempat lain.”

Dia memejamkan mata. Nafasnya perlahan, teratur tapi penuh ketakutan.
“Doktor… saya takut.”

⸻

Babak 2: CT Thorax – Kebenaran Mula Tersingkap

CT thorax, abdomen dan pelvis dilakukan segera.

Ketika imej muncul di skrin, dada saya terasa tenggelam.

Di paru-paru kanan – satu ketulan besar.
Di kelilingnya – penyebaran ke pleura.
Di mediastinum – kelenjar membesar.
Di atas buah pinggang – kelenjar adrenal turut terlibat.

Hampir keseluruhan badan sudah disinggahi oleh sesuatu yang agresif.

Saya menutup mata seketika.
“Ya Allah… kuatkan hati pesakit ini.”

Saya duduk di hadapan Puan Khadijah.
“Puan, ada ketulan di paru-paru. Kita perlu buat bronkoskopi untuk ambil sampel. Kita juga perlu lakukan prosedur untuk mengambil sedikit tisu dari paru-paru.”

Puan Khadijah menggenggam tangan saya.
“Doktor… saya tak pernah sakit apa-apa. Kenapa tiba-tiba macam ni?”
Saya menelan air liur.
“Kadang-kadang, penyakit datang senyap… tanpa memberi banyak tanda.”

Air mata Puan Khadijah menitis.
“Anak-anak saya… macam mana saya na beritahu mereka.”

⸻

Babak 3: Bronkoskopi – Dua Jawapan dalam Satu Prosedur

Di dewan bronkoskopi, saya memasukkan tiub halus perlahan-lahan ke dalam saluran pernafasannya. Ketulan di bronkus kelihatan jelas.

Cecair lavage yang diambil dihantar untuk ujian MTB/RIF PCR.

Hari berlalu perlahan.

“Doktor, keputusan bronkoskopi dah siap.”

Saya membuka fail keputusan.

MTB/RIF PCR – DETECTED

Saya terdiam.
“Ya Allah…”
TB pada masa yang sama?

Bagi pesakit lain, ini sudah berita besar. Tetapi saya tahu perjalanan Puan Khadijah belum habis di sini.

⸻

Babak 4: Biopsi Paru – Jawapan Paling Berat

CT-guided lung biopsy dilakukan.

Beberapa hari kemudian, keputusan histopatologi tiba:

Moderately differentiated Adenocarcinoma

Kanser paru-paru.
Jenis yang paling biasa bagi pesakit bukan perokok.
Jenis yang sering dikaitkan dengan passive smoking.

Dan tahapnya?

Sudah menjadi Stage 4 kerana:
• merebak ke otak
• merebak ke pleura
• merebak ke kelenjar dada
• merebak ke adrenal

TB p**a mengiringi

Saya memanggil keluarga dan Puan Khadijah ke bilik konsultasi.

“Puan… kita dah dapat keputusan penuh.”
Saya berhenti seketika, memastikan suara saya tidak bergetar.

“Ada kanser di paru-paru puan. Kanser jenis adenocarcinoma. Ia telah merebak.”

Puan Khadijah memandang ke lantai. Tidak menangis. Tidak menjerit. Hanya diam.
Diam yang menyakitkan.

Anaknya yang sulung memegang bahu ibunya.
“Mak… kami ada kat sini. Kita hadapi sama-sama.”

Saya menyambung, “Selain itu, ada jangkitan TB paru-paru. Kita akan mulakan rawatan TB segera. Untuk kanser, ada rawatan sasaran tertentu yang mungkin sesuai berdasarkan ujian genetik tumor. Kita akan cuba bantu puan sehabis baik.”

Puan Khadijah akhirnya bersuara perlahan, hampir berbisik.
“Doktor… saya masih nak hidup untuk tengok cucu-cucu membesar.”

Saya menggenggam tangannya.
“Kita akan berjuang, puan. Hari ini bukan titik noktah.”

⸻

Babak 5: Pengajaran dari Kisah Puan Khadijah
1. Kanser paru-paru bukan hanya berlaku pada perokok.
Passive smoking bertahun-tahun boleh meninggalkan parut yang tidak kelihatan hingga saat terakhir.
2. Tidak semua pesakit ada batuk, sesak nafas atau turun berat badan.
Ada yang datang dengan simptom yang sangat “biasa”, seperti pening kepala.
3. Diagnosis awal memberi peluang rawatan yang lebih baik.
Datanglah berjumpa doktor apabila ada sesuatu yang “tidak biasa” pada badan.
4. Ketabahan seorang ibu adalah luar biasa.
Walaupun menerima dua diagnosis berat serentak – kanser paru-paru tahap 4 dan TB – Puan Khadijah tetap memikirkan keluarga lebih daripada dirinya.
5. Pemeriksaan kesihatan berkala sangat penting, terutama bagi mereka yang mempunyai pendedahan asap rokok di tempat kerja atau di rumah.

⸻

Saya melihat Puan Khadijah melambai perlahan semasa dia meninggalkan bilik rawatan pada hari itu.
Langkahnya masih goyah. Tetapi ada sedikit cahaya di matanya.
Harapan.

Dan selagi ada harapan, kita terus berjuang.

⸻
CT scan menunjukkan ketumbuhan di paru-paru kanan

Untuk konsultasi kesihatan paru-paru:
https://encoremed.io/smcv /154

——————

“Thought It Was Just Ordinary Dizziness, But It Was Actually…”

“Doctor… why does my head feel like it’s spinning? I can’t even walk straight.”
Puan Khadijah’s voice trembled. The 66-year-old woman eased herself into the chair, both hands gripping the side of my table.

I studied her closely. Her gaze was unfocused; her steps had been unsteady.
“Do you have fever?”
“A little bit at the start, doctor. Then it went away. But this dizziness… it never leaves.”

She shook her head.
“No cough, no breathlessness. No weight loss. Just… this awful feeling in my body.”

I reviewed her history again.
No cough.
No chest pain.
No shortness of breath.
No dramatic symptoms that usually steer me immediately toward the lungs.

But one detail stood out.
“Did you ever smoke?”
“Never, doctor. But…” She paused. “I used to work in a small office. My colleagues smoked all the time. I inhaled that smoke every single day.”

Passive smoker. Years of exposure. Even long after the smoke has cleared, the lungs sometimes hold stories we never expect.

⸻

Scene 1: CT Brain – The Beginning of the Unraveling

Puan Khadijah walked slowly toward the CT scan room, assisted by a nurse. From afar, I watched her small frame disappear behind the heavy steel door.

“Doctor, the CT brain results are out.”
I looked up immediately.

There were multiple white patches.
Multiple lesions.

Two possibilities surfaced at once:
1. Cancer that had spread to the brain, or
2. A brain infection

I took a slow breath. My chest felt heavy.

I returned to the consultation room.
“Puan… there are several spots in your brain,” I said gently.
Her eyes widened. “Spots? Doctor… you mean tumors?”
“Not necessarily. We need to check your lungs and other organs. Sometimes it’s infection. Sometimes… it’s a sign that cancer has spread from elsewhere.”

She closed her eyes. Her breath was slow and steady, but filled with fear.
“Doctor… I’m scared.”

⸻

Scene 2: CT Thorax – The Truth Begins to Reveal Itself

We proceeded with the CT of the thorax, abdomen, and pelvis.

When the images appeared on the screen, my heart sank.

In the right lung — a large mass.
Around it — spread to the pleura.
In the mediastinum — enlarged lymph nodes.
Above the kidneys — adrenal involvement.

The disease had reached almost every corner of her body.

I closed my eyes briefly.
“O God… give strength to this patient.”

I sat across from her.
“Puan, there is a mass in your lung. We need to do a bronchoscopy to take samples. We also need a needle biopsy.”

She gripped my hand.
“Doctor… I’ve never had any serious illness. Why now? Why so sudden?”
I swallowed hard.
“Sometimes, disease grows quietly… without any warning.”

Her tears fell silently.
“My children… they don’t even know I came to the hospital today.”

⸻

Scene 3: Bronchoscopy – Two Answers in One Procedure

Inside the bronchoscopy suite, I slowly guided a thin tube into her airway. The tumor was clearly visible.

The lavage fluid was sent for MTB/RIF PCR testing.

Hours passed slowly.

“Doctor, the bronchoscopy result is ready.”

I opened the report.

MTB/RIF PCR – DETECTED

I froze.
“Oh God…”
TB as well?

For another patient, that diagnosis alone would have been overwhelming.
But for Puan Khadijah… I knew this wasn’t the end.

⸻

Scene 4: Lung Biopsy – The Heaviest Truth

The CT-guided lung biopsy was performed.

A few days later, the histopathology report arrived:

Moderately differentiated Adenocarcinoma

Lung cancer.
The most common type in non-smokers.
Often associated with passive smoke exposure.

And the stage?

It was already Stage 4, because:
• it had spread to the brain
• spread to the pleura
• spread to mediastinal nodes
• spread to the adrenal glands
• and TB infection was also present

I called the family into the consultation room.

“Puan… we have the full results now.”
I paused, making sure my voice remained steady.

“There is cancer in your lung. Adenocarcinoma. And it has spread.”

Puan Khadijah lowered her gaze. She didn’t cry. She didn’t shout.
She just stayed silent.
A silence that carried the weight of a thousand emotions.

Her eldest child placed a hand on her shoulder.
“Mak… we’re here. We’ll go through this together.”

I continued, “There is also TB in your lung. We will start TB treatment immediately. For the cancer, we will run genetic testing to see if targeted therapy is suitable. We will help you however we can.”

At last, she whispered, barely audible.
“Doctor… I still want to live long enough to see my grandchildren grow up.”

I held her hand gently.
“We will fight, puan. Today is not the end.”

⸻

Scene 5: Lessons from Puan Khadijah’s Story
1. Lung cancer does not only happen to smokers.
Years of passive smoking can be dangerous even without touching a cigarette.
2. Some patients have no cough, no breathlessness, no weight loss.
Some present with something as “simple” as dizziness.
3. Early detection offers better treatment options.
Seek medical attention when something feels “not right.”
4. The strength of a mother is extraordinary.
Even with two heavy diagnoses—Stage 4 lung cancer and TB—Puan Khadijah thought of her family first.
5. Regular health checks are essential, especially for those with prolonged exposure to cigarette smoke at work or at home.

⸻

I watched her wave as she left the clinic that day.
Her steps were still unsteady.
But in her eyes… there was a glimmer of light.
Hope.

And as long as there is hope, we continue to fight.

⸻
CT scan is showing growth in right lung

For lung health consultations:
https://encoremed.io/smcv /154

01/11/2025

“Disangka ketumbuhan di perut, rupa-rupanya…”

“Doktor, saya cuma rasa tak selesa sikit kat perut. Macam kembung… kadang rasa pedih,” kata Encik Ramasamy perlahan, sambil tangannya menekan perut bahagian atas.

Wajahnya tenang, tapi ada kerutan halus di dahi — tanda kesakitan yang sudah lama dipendam.

“Saya dah makan ubat gastrik dari klinik biasa, doktor. Tapi tak baik juga. Jadi anak saya suruh saya buat scan.”

Saya selak laporan CT scan dari hospital luar. Mata saya berhenti pada satu ayat — “A large lymph node mass seen above the right kidney.”

Hati saya mula berdebar.
Ketumbuhan di kelenjar atas buah pinggang bukan hal biasa.

“Encik Ramasamy ada jumpa pakar bedah selepas scan ni?” saya tanya.

“Ya doktor, minggu lepas saya jumpa. Doktor tu kata saya kena buat scan seluruh badan sebab nak tahu ketumbuhan ni tahap berapa.”

Saya angguk. “Bagus. Sekurang-kurangnya kita boleh tahu dari mana punca sebenar.”

Saya tak sangka, hari itu akan menjadi permulaan kisah yang paling menyayat hati dalam minggu saya.

⸻

Ketulan misteri di paru-paru

Beberapa hari kemudian, laporan CT scan seluruh badan sampai ke tangan saya.
Saya baca perlahan, baris demi baris.
Tangan saya terhenti bila nampak ayat itu:

“Large mass seen in the right lung. Multiple lymph nodes enlarged in the neck, mediastinum, abdomen.”

Saya terdiam. Nafas terasa berat.

Saya buka imej scan — di skrin, jelas kelihatan satu ketulan besar di paru-paru kanan, dan beberapa ketulan kecil di kawasan dada dan leher.

Saya tahu… ini bukan dari perut.
Ini dari paru-paru.
Dan ia sudah merebak jauh.

⸻

Berita yang menggoncang jiwa

Saya panggil Encik Ramasamy masuk ke bilik saya bersama anak lelakinya.

Dia tersenyum kecil, masih tenang.

“Doktor, macam mana hasil scan saya? Harap bukan kanser…” katanya sambil ketawa kecil, cuba menenangkan diri.

Saya tarik nafas panjang.
Saya pandang wajahnya — dan rasa berat untuk membuka mulut.

“Encik Ramasamy… saya perlu beritahu perkara yang sukar.”

“Ketumbuhan di perut itu… bukan dari perut sebenarnya. Ia datang dari paru-paru. Ketulan di paru-paru kanan encik agak besar, dan ia telah merebak ke kelenjar atas buah pinggang, leher dan dada.”

Suasana dalam bilik terus sunyi.

Anak lelakinya menunduk, menekup muka.
Encik Ramasamy terdiam lama, hanya memandang saya dengan mata berkaca.

“Maksud doktor… saya ada kanser paru-paru?”

“Ya, encik. Berdasarkan scan, ia sudah di tahap 4.”

Saya lihat dia cuba menahan air mata.

“Saya… saya tak sangka doktor. Saya tak batuk pun. Tak sesak nafas.”

Saya angguk perlahan.

“Ya, kanser paru-paru kadang-kadang senyap. Tiada tanda di awal. Bila kita sedar, kadang ia sudah merebak.”

⸻

Kenangan lama yang kembali

Encik Ramasamy pandang ke luar jendela.

“Ayah saya dulu meninggal sebab kanser paru-paru juga, doktor. Saya masih ingat dia batuk berdarah… masa tu saya masih muda.”

Saya terdiam.
Kadang genetik memainkan peranan, tapi lebih besar ialah takdir — dan gaya hidup masa lalu.

“Saya berhenti merokok 10 tahun lepas, doktor. Tapi saya rasa… mungkin dah terlambat.”

Saya jawab perlahan,

“Tak, encik. Tak pernah terlambat untuk berjuang. Rawatan sekarang banyak membantu walaupun tahap lanjut. Kita boleh kawal penyakit, bukan sekadar menyerah.”

⸻

Mula rawatan – dengan semangat

Selepas berbincang panjang, Encik Ramasamy bersetuju untuk buat biopsi dan ujian molekul bagi menentukan jenis kanser dan rawatan paling sesuai.

Sepanjang rawatan, saya kagum dengan semangatnya.

Walau tubuhnya lemah, dia tetap datang ke klinik dengan senyum.

“Doktor, saya dah kurang sakit perut. Nafas pun ok. Cuma cepat penat sikit,” katanya satu hari.

Saya senyum.

“Itu tanda ubat mula berkesan. Teruskan, ya.”

Beberapa minggu berlalu. Tumornya mula mengecil.
Walau masih di tahap 4, dia mampu jalani kehidupan lebih baik — tanpa sakit kuat seperti dulu.

Anak-anaknya sentiasa menemani, bergilir bawa ke hospital.
Dan setiap kali dia datang, dia tak lupa ucap,

“Terima kasih doktor, sebab tak bagi saya putus harapan.”

⸻

Suatu petang yang sayu

Namun satu petang, saya dapat panggilan dari anaknya.

“Doktor… ayah dah semakin lemah. Dia minta nak jumpa doktor, tapi tak sempat.”

Saya terdiam.
Beberapa hari kemudian, saya terima khabar bahawa Encik Ramasamy telah pergi dengan tenang — di sisi keluarganya.

Saya duduk lama di bilik saya.
Ada perasaan hiba yang sukar digambarkan.

Kerjaya ini mengajar saya sesuatu —
kadang-kadang, kita bukan sekadar merawat paru-paru yang sakit.
Kita menyentuh hati dan memberi harapan kepada jiwa yang sedang rapuh.

⸻

Pengajaran dari kisah ini

1️⃣ Kanser paru-paru tidak selalu bermula dengan batuk.
Kadang ia bermula dengan tanda-tanda yang tidak disangka — seperti sakit perut, berat badan turun, atau rasa lesu.

2️⃣ Pengesanan awal menyelamatkan nyawa.
Setiap ketulan atau simptom luar biasa patut diperiksa dengan teliti. Jangan anggap remeh.

3️⃣ Harapan sentiasa ada.
Walau di tahap akhir, rawatan moden mampu mengurangkan gejala dan memberi kualiti hidup yang lebih baik.

Sebagai pakar paru-paru, setiap kisah seperti ini mengingatkan saya —
di sebalik setiap nafas, ada perjuangan.
Dan setiap pesakit yang saya rawat, mengajar saya erti sabar, redha dan kasih sayang.

⸻

📍 Click link for clinic appointment:
👉 https://encoremed.io/smcv /154

⸻

⸻
PET CT menunjukkan imej ketumbuhan di paru-paru kanan & imej kelenjar bengkak di dada kanan
———

“Thought It Was a Tumor in the Abdomen, But It Was Actually…”

“Doctor, I’ve just been feeling a bit uncomfortable in my stomach. Bloated… sometimes a bit of pain,” said Mr. Ramasamy softly, pressing his hand on the upper part of his abdomen.

His face was calm, but the faint wrinkles on his forehead revealed the pain he had quietly endured.

“I’ve taken some gastric medicine from the clinic, doctor, but it didn’t help. My son told me to get a scan done.”

I flipped through his CT scan report from an outside hospital. My eyes stopped at one line:
“A large lymph node mass seen above the right kidney.”

My heart began to race.
A lump in the lymph node above the adrenal gland — that wasn’t common.

“Have you seen a surgeon after this scan, Mr. Ramasamy?” I asked.

“Yes, doctor. I saw one last week. The doctor said I should do a full body scan to find out what stage the lump is.”

I nodded. “That’s good. At least we can find the real cause.”

I didn’t know that day would mark the start of one of the most heartbreaking cases I’d encounter that week.

⸻

The mysterious lump in the lung

A few days later, the full body CT scan report arrived.
I read it slowly, line by line.
My hands froze when I reached this sentence:

“Large mass seen in the right lung. Multiple lymph nodes enlarged in the neck, mediastinum, and abdomen.”

I paused. Took a deep breath.

I opened the images — and there it was, a huge mass in his right lung, with smaller nodes swollen in his neck and chest.

I knew then…
It didn’t start in the abdomen.
It started in the lung.
And it had already spread far.

⸻

Delivering the heartbreaking news

I called Mr. Ramasamy into my office, along with his son.

He smiled faintly, still calm.

“Doctor, what did the scan show? I hope it’s not cancer…” he said with a nervous chuckle, trying to stay strong.

I took a deep breath.
I looked at his face — and it was one of those moments when silence said everything.

“Mr. Ramasamy… I need to tell you something difficult.”

“The lump in your abdomen — it didn’t start there. It came from your lung. There’s a large mass in your right lung, and it has spread to the lymph nodes above your kidney, neck, and chest.”

The room fell completely silent.

His son lowered his head and covered his face.
Mr. Ramasamy just stared at me — eyes glistening.

“You mean… I have lung cancer?”

“Yes, sir. Based on the scans, it’s at stage four.”

He took a long pause, then whispered,

“I… I didn’t expect this, doctor. I never even had a cough. No shortness of breath.”

I nodded gently.

“Yes, lung cancer can be silent. Sometimes there are no symptoms at all. By the time we find it, it’s already advanced.”

⸻

A painful memory resurfaces

He looked away, eyes fixed out the window.

“My father died of lung cancer too, doctor. I still remember him coughing up blood… I was young back then.”

I fell quiet.
Sometimes, genetics play a role — but often, it’s fate… and the habits of a lifetime.

“I quit smoking ten years ago, doctor. But maybe it’s too late.”

I replied softly,

“No, sir. It’s never too late to fight. Modern treatments can still control the disease and help you live better. We don’t just surrender — we fight smart.”

⸻

The start of his treatment

After a long discussion, Mr. Ramasamy agreed to undergo a biopsy and molecular testing to determine the best treatment plan.

Throughout the process, I was deeply moved by his spirit.

Even when his body weakened, he still came to the clinic with a smile.

“Doctor, the stomach pain is much better now. Breathing feels fine. Just get tired faster these days,” he said one morning.

I smiled.

“That means the medication is working. Keep going, you’re doing well.”

Weeks passed. The tumor began to shrink.
Even though it was stage 4, his quality of life improved — he was able to walk, eat, and sleep without pain.

His children took turns accompanying him to every appointment.
And every time he left my clinic, he never failed to say,

“Thank you, doctor, for not letting me lose hope.”

⸻

A quiet goodbye

But one evening, I received a call from his son.

“Doctor… my father’s getting weaker. He wanted to see you, but… he didn’t make it.”

I sat in silence.
A few days later, I was told that Mr. Ramasamy had passed away peacefully — surrounded by his family.

I stayed in my office for a while, reflecting.
This profession has taught me something profound —
Sometimes, we don’t just heal lungs.
We touch hearts and rekindle hope in souls that are breaking.

⸻

Lessons from this story

1️⃣ Lung cancer doesn’t always start with a cough.
Sometimes, it begins with subtle signs — abdominal pain, fatigue, or unexplained weight loss.

2️⃣ Early detection saves lives.
Any unusual lump or symptom deserves a thorough check. Never ignore what your body is trying to tell you.

3️⃣ There’s always hope.
Even in advanced stages, modern treatments can ease symptoms and improve quality of life.

As a lung specialist, stories like this remind me that behind every breath is a battle —
and every patient I treat teaches me the meaning of patience, faith, and compassion.

⸻

📍 Click link for clinic appointment:
👉 https://encoremed.io/smcv /154

⸻

⸻
PET CT is showing image of right lung mass and mediastinal lymph node enrgement

Address

2B-12, Level 2, Sunway Medical Center Velocity
Bagan Lalang
55100

Opening Hours

Monday	09:00 - 17:00
Tuesday	09:00 - 17:00
Wednesday	09:00 - 17:00
Thursday	09:00 - 17:00
Friday	09:00 - 17:00
Saturday	09:00 - 13:00

Telephone

+60397729191

Website

https://chestspecialistmalaysia.com/, https://www.sunwaymedical.com/velocity

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