Arthur Nelson Itchon Rex Medical Support

  • ₱141,216
    raised of ₱500,000.00 goal
28% Funded
51 Donors

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Updates:

  • Arthur was transferred to National Kidney and Transplant Institute (NKTI) a week ago (February 16).
  • Internal jugular central line has been inserted.
  • Fungemia has resolved but still with ptbd infection.
  • Scheduled for repeat EUS guided FNAB on Wednesday, Feb 27

Hoping old friends can help me and my husband, Arthur, get through this rough phase in our lives, as Arthur battles his medical conditions. We are seeking support in meeting the medical bills that have become due, and some help for the upcoming procedures and treatments that Arthur will need in the coming days. We would be forever grateful for your thoughtfulness and generosity.

September 2018, Arthur underwent laparoscopic cholecystectomy with intra-op cholangiogram because of gallbladder inflammation. He also had pancreatitis at that time due to gallstone obstruction of the common bile duct. Days after surgery he developed jaundice and this prompted the doctors to perform endoscopic retrograde cholangiopancreatography (ERCP) with sphincterotomy. However, a few days after the procedure there was increased jaundice and he started to have fever. Abdominal ultrasound then showed distended common bile duct secondary to bile flow obstruction. Emergency percutaneous transhepatic biliary drain (PTBD) insertion was performed to save him from septicemia. He spent three weeks in the hospital and went home with a PTBD on his side. Two weeks after discharge, repeat cholangiogram was done and just a few hours after the procedure he again developed high-grade fever which caused him to be admitted for the second time. He was on IV antibiotics for a week. From November to December 2018, Arthur had regular check ups with his doctors. Blood tests showed resolution of his pancreatitis and gradual lowering of his bilirubin levels. He was regaining his appetite but at the same time he was very cautious not to eat fatty foods. During the last week of December he started to have episodes of vomiting and was complaining of bloatedness despite minimal food intake. Consult was done on January 8, 2019 and he was advised to continue medications for dyspepsia and was scheduled for PTBD replacement the next day. There was persistence and aggravation of nausea, frequent belching and sensation of abdominal fullness days after the procedure so we decided to consult and Arthur was then subsequently admitted (January 14) for fluid/electrolyte loss replacement and esophagogastroduodenoscopy (EGD). EGD done on the 3rd hospital day revealed a mass that almost completely obstructs the duodenal lumen. Biopsy of the said mass showed atypical lymphoid proliferation in the duodenal mucosa with concurrent focal mild active inflammation. Immunohistochemical staining done but results were equivocal. Repeat biopsy through endoscopic ultrasound-guided fine needle aspiration biopsy was performed which showed atypical epithelial cell proliferation. Considerations include hyper-reactive mucosal epithelium and adenomatous polyp. A tissue biopsy was recommended if his doctors have high clinical suspicion for malignancy. Arthur is to undergo Whipple procedure or pancreaticoduodenectomy once his fungemia (fungal infection of the blood) is resolved. He will also need a peripherally inserted central catheter (PICC) line and jejunostomy tube for post-operative feeding.


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Donors

  • Anonymous
  • Donated on May 31, 2019
  • Our prayers with you Claire in this time of trial 🙏

₱3600.00
  • Anonymous
  • Donated on Apr 27, 2019
  • Get well soon. We'll include you in our prayers.

Amount Hidden
  • Carlo Cruz
  • Donated on Apr 26, 2019
  • Hey Arthur. Hang in there and keep the faith. Sorry, I didn't know until yesterday.

Amount Hidden
Feb 24

Now at NKTI

Update posted by Claire Espina at 12:19 pm

April 7: Roux-en-Y procedure was done instead of whipples. Metastatic lesions were seen in the liver. Tissue samples were taken from the pancreas and liver. Histopath revealed adenocarcinoma. He had his 1st chemo (low dose Gemcitabine) on March 26 and was discharged from the hospital two days after. He was. . . . .

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Donors & Comments

51 donors
  • Anonymous
  • Donated on May 31, 2019
  • Our prayers with you Claire in this time of trial 🙏

₱3600.00
  • Anonymous
  • Donated on Apr 27, 2019
  • Get well soon. We'll include you in our prayers.

Amount Hidden
  • Carlo Cruz
  • Donated on Apr 26, 2019
  • Hey Arthur. Hang in there and keep the faith. Sorry, I didn't know until yesterday.

Amount Hidden
  • Anonymous
  • Donated on Apr 14, 2019
  • Hi Claire, We all hope things turn out well. Virtual hugs from Ate Ging and everyone. -- Cring

Amount Hidden
  • Anonymous
  • Donated on Apr 04, 2019
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  • Anonymous
  • Donated on Apr 03, 2019
Amount Hidden
  • Anonymous
  • Donated on Apr 03, 2019
₱5000.00
  • Jo Raymundo
  • Donated on Mar 25, 2019
₱2000.00
  • Anonymous
  • Donated on Mar 24, 2019
  • Sending my healing prayers also

Amount Hidden
  • Anonymous
  • Donated on Mar 24, 2019
  • Hi doc. You may not remember us but we do remember you as our professor in pathology. I hope that you and your husband would stay strong in this difficult time. This amount is not so big but we hope this could be of little help. Please inspire more and brigthen the days of other medical students like us! 💖💖 -kim lucas and eggyboy duloguin

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