So when Dr. Wakelee said "you can go! There is nothing medically that prevents you from going", Gohan laughed out loud with joy while I sat feeling defeated. Gohan winked to me 'I won!'. I shaked my head. I expressed my worry about Gohan's yoyo cycle of diarrhea and constipation which is stressful to manage during travel, Dr. W suggested to give Gohan Immodium to prevent diarrhea before boarding the plane, even if it means worsening his constipation. "Just once for the sake of going home", she said. Regarding the issue that it takes him 2-3 hours to eat one meal because his chewing muscle is weak, and by the time he finishes, he is ready to nap; she advised Gohan to take one liquid meal a day (which understandably he dislikes) so that he can enjoy more of his life.
She gently told us that it is great that Tagrisso has been effective for Gohan to keep cancer at bay, but she doesn't know how much longer it will work, so it is a good time to go home. She also reminded me that because he is on oral treatment, we are free to go, which is not an option for patients who have to be treated in the hospital for chemo and radiation. To ease my concern about medical care, she offered to contact her colleagues in Taiwan who are excellent thoracic oncologists, so they will know Gohan's condition and take good care of him should any medical needs arise.
Finally, she suggested that we do a CT scan this week to make sure his chest and left ribs (which last scan shows new mets developing) are stable before we make the final decision. But Gohan is already sure he is going, and excitedly calling his brother about the good news. In his prayer before dinner, his tears flows down as he utters 'God please help me to go back to Taiwan, I miss my homeland so much'. Tears well up in my eyes instantly. How can I deny a terminally ill man's wish, not to mention he is my husband, even if it means negative effect to his already fragile body. I gently stroke his back and said 'we are going home.'
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