Anyway, the doctor at UH was later joined by another more senior doctor who told me that only opioid based painkillers are effective for cancer pain. So the main concern now is to managed my constipation. The senior doctor recommended that I continue with the Hospis pain management regime but gave me stronger doses of laxatives such as Lactulose, Forlac and Senna. So my choices are now either to take non opioid based painkillers which will not have constipation problems but suffer more pain OR take opioid based painkillers which will have constipation problems but suffer no pain. The obvious choice is the latter and manage the constipation problem with laxatives. Both the doctors were very friendly and frank. I really enjoyed talking to them for about 45 minutes. I took the opportunity to talk a little about alternative medication and also introduce my blog to them. UH is no longer cheap. Except for the consulting fee, all expensive medications are no longer supplied free by the Government and cancer medications are expensive. A weird thing I observed is that I have to buy my medications from three pharmacies namely the UH pharmacy, the privatised UH pharmacy and an external pharmacy.
I am going to start this new pain management regime tomorrow and monitor the dosage of the laxatives over the next few days to find the optimum dosage which is suitable for me. My doctor has given me an open appointment but will call me in a week's time to check on my progress.
I would like to thank you all for your support and also those who take time to comment on my blog. I would like to inform you that the pageviews of this blog has now exceeded 200,000 as of yesterday.