Please help us support our beloved mother, Nigisti

I am writing to all of you, our brothers and sisters. Our dear mother has been ill for a very long time, and she has been going to several hospitals for medical check-ups and diagnosis. Our mother had years of pain and struggle that led to consuming lots of medicines, which I was opposed to because of her staggering illness. Our dear mother was showing several symptoms, such as her stomach growing, and we never noticed her stomach was slowly becoming more extensive. She went to several hospitals, and we could not find any diagnosis. Our mother was living with our two sisters in Kampala, caring for her. Roughly from the year 2016 till 2019, several hospitals found an abnormality in her Liver. All the hospitals had the same diagnosis that her Liver was grossly enlarged with multiple ill-defined heterogeneous masses, predominantly cystic and confluent in the right liver lobe. They did not give us detailed information on how much her Liver has enlarged; they all gave us different ranges from 25cm to 30cm. I, Naode, tried contacting different hospitals from Europe and Asia to help me with diagnosis and treatment; doctors in Kampala offered us such countries as India. I tried to ask my Indian friends about the validity of certain hospitals. I called the hospitals but had no luck since we were skeptical about India's medical system. However, we went back to do more tests and diagnoses.

However, in the summer of 2021, a government-funded hospital in Kampala, Uganda, was able to evaluate a metastatic papillary serous adenocarcinoma. Massive hepatomegaly, approximately 27 cm, as the Liver was grossly enlarged in size with a large infiltrating centrally necrotic mass lesion involving almost the entire right lobe of the Liver. She has multiple masses in both lobes of the Liver, which are echogenic and solid with cystic degeneration. The doctors came with tests that led them to conclude that her source started from her ovaries. In that case, it led them to Ovarian Cancer. I was in school when our mother relayed the news to me. It took a toll on me, and I could not control my emotional and mental health. As her elder son, I did not tell my siblings about the diagnosis. Luckily, in December 2021, I got my travel documents and departed within a couple of months as I finished my classes for the year. It was one of our happiest and most excruciating moments for the first time in five years. The mother I left in 2017 was utterly unrecognizable due to her longing illness, and I could not hold our tears for days and nights.

During our stay in Uganda, I discussed it with her doctors, and they gave us what they had found, but their diagnosis did not convince me. They told me that her cancer had spread all over her body. Her weight had drastically gone down by far. It made her look like an older woman when she was just 51. Our siblings did not have any idea till years after our mother was gravely sick and needed urgent medical attention. Our mother is everything to us; she has given us everything we could ask for as she brought us into the world. I took every medical document from Uganda to find answers in Canada, but I was unsuccessful with everything to bring her to Canada to start diagnosis and treatment.

As the year passed, in February 2023, I received terrible news about our mother's diagnosis; her doctor told her that her Ovarian Cancer had advanced to Stage 4, which immediately led me to travel to Uganda to assess the situation. Like before, the diagnosis never convinced me that everything is in God's hands. The doctor told us that her only option is Chemotherapy, and we asked for a second option, like surgery. The doctor did not give us options. We did not trust their result that our mother was able to live without any complications to the rest of her body. We waited long years for solutions, but we did not hesitate to continue to search for better hospitals and doctors.

With close family friends, we were able to find a better way to get our mother a proper medical diagnosis and treatment. We decided to get our mother and her son, Naode, to travel to Thailand and start all over again. We knew we were going to a new country with significant medical system advancement that would give a second opinion and professional treatment. We knew it would be expensive and cost us to get everything our mother needed.

In November, my mother and I traveled to Thailand to commence a new beginning for our mother's health. Our mother started with a general check, and progressing in less than a week, we could proceed to the Oncology department. We explained that we needed a second, better option and their professional opinion. We told them that our mother would not have survived with stage four Ovarian Cancer for a year. As explained above about her overall condition, her primary doctor was able to run a PET scan to give us a broader evaluation regarding her liver mass.

At last, they returned with a radiology report similar to the one in Uganda but gave us clear information on the liver situation. With prayers, we could hear that her Liver was working perfectly. He did not find any trace of a tumor in her ovaries, plus the PET scan was able to give us the proper result that her tumor is only suited on top of her Liver. PET Scan reported the tumor had enlarged the Liver by approximately 25 cm vertical span of the right lobe and 28cm of the left lobe, reaching the pelvic cavity. It is a total replacement of the right lobe by a large mass comprising numerous irregular cystic spaces/lesions of various sizes throughout the right lobe. We were eager to ask the doctor the primary source of the tumor and if there would be proper tests and diagnosis.

From our mother's previous experience with biopsies, her doctor would be sending his findings to the pathologist to begin the first stage of diagnosis. Her first biopsy led her to sleep in the hospital for precaution and prevention, such as liver infection for one night. After being discharged, we were told to wait at least a week for the diagnosis. A week passed by, we got our first diagnosis, but her doctor gave us numerous types of tumors. The doctor hoped a specific tumor from the first diagnosis would be a better treatment. This led to another week and a few days that led to a final diagnosis of a well-differentiated neuroendocrine tumor, grade 2. For once, we were scared that we were losing our mother, but we never gave up doing more tests, and we took much time as it took a toll on our beautiful mother. The doctor was glad this tumor was what he expected it to be and explained that it is prolonged and spreads slower. That's why it took over seven years to grow.

Soon after the diagnosis, her oncology doctor gave us three options for treatment:

1) Liver-directed therapy or TACE.

2) Peptide receptor radiotherapy (PRRT)

3) Chemotherapy

Out of all these three medications, every treatment was explained thoroughly; as mentioned above, the doctor suggested the first treatment as it mainly focuses on the tumor suited to the Liver. We followed her doctor's suggestion, and he transferred us to a specialist specializing in TACE treatment. The specialist explained TACE treatment; since the tumor was big enough, they told us it would take up to five cycles to reduce the size of the cancer, and eventually, they would give her medicine to control it. We brought up the surgery option, but her doctor suggested doing a few cycles, then they would decide. They told us the procedure would take 3 hours, and she would take one week to sleep in the hospital to monitor the side effects. Each treatment would take 4-6 weeks to recover; then, they would do a CT scan to check how much the tumor has shrunk.

Now that everything was explained, the doctors and nurses went on to bring up the cost of the procedure. They explained that the price was too much to handle as we had spent almost USD 10,000. We were stunned by the cost of the process as they told us to put in a deposit of 455,000 Thai baht, approximately USD 13,154 for one treatment. We were desperate to start our mother's treatment, and at the same time, we were extremely out of pocket to begin. We decided as a family to loan up almost up to 15,000 CAD and start the treatment. We went along with the treatment, and with prayers and patience, the procedure went well, and they took her to the room. Our mother experienced too many side effects that almost led me and her not to sleep for three days. Her doctors came to see her multiple times and prescribed tons of medicine for pain and side effects. At last, we left the hospital after my mom recovered, and the hospital bill went to a total of USD 17,371 with all the prescriptions, constant check-ups, and many others.

As for the second treatment, which is to be in the second week of January, my brother and father have gathered their best to continue the treatment. As I have explained above, we are desperately in need of medical treatment bills and to continue with our mother's treatments till she gets fully discharged from the hospital. The total amount of money could vary from one cycle of therapy to another, so we are asking for brothers and sisters to help us with donations that you can provide for us. All things considered, her remaining four treatments would be around USD 17,371 per cycle, equivalent to CAD 22,944.

We thank you and appreciate your generous support during this challenging moment in our family. We are deeply grateful for your time and understanding.

Tigriyna Translation- ትግርኛ ትርጉም እንሆ

ንሕክምና ኣዴና ኒግስቲ ግርማይ መንግስትኣብ ንምድጋፍ ሓግዙና!

ንኹልኹም ኣሕዋትናን ኣሓትናን እየ ዝጽሕፈኩም ዘለኹ። እታ ክብርቲ ኣዴና ካብ ዝሓመመት ኣዝያ ነዊሕ እዋን ኮይና፡ ናብ ሓያሎ ሆስፒታላት ብምኻድ ሕክምናዊ መርመራን መርመራን ክትገብር ጸኒሓ እያ። ኣዴና ንዓመታት ዝኣክል ቃንዛን ቃልስን ስለ ዝነበራ ብዙሕ መድሃኒት ክትወስድ ዝገበረት እያ ነይራ፣ እዚ ድማ ብሰንኪ እቲ ዘሰንብድ ሕማማ ተቓዊመዮ። እታ ክብርቲ ኣዴና ከም ከብዳ ምዕባይ ዝኣመሰሉ ሓያሎ ምልክታት ተርኢ ስለ ዝነበረት፡ ቀስ ብቐስ ከብዳ እናሰፍሐ ከም ዝኸደ ኣስተብሂልና ኣይንፈልጥን። ናብ ሓያሎ ሆስፒታላት ከደት: ዝኾነ መርመራ ክንረክብ ኣይከኣልናን። ኣዴና ምስ ክልተ ኣሓትና ኣብ ካምፓላ ትነብር ነይራ፡ ትከናኸና ነይራ። ብግምት ካብ ዓመት 2016 ክሳብ 2019 ሓያሎ ሆስፒታላት ኣብ ጸላም ከብዳ ዘይንቡር ነገር ረኺበን። ኩለን ሆስፒታላት ተመሳሳሊ መርመራ ነይርወን፡ ጸላም ከብዳ ብብዙሓት ብሕማቕ ዝተነጸሩ ዘይተመሳሰልቲ ጅምላታት፡ ብዓብላሊ መልክዑ ሲስቲክን ኣብ የማናይ ጽፍሒ ጸላም ከብዲ ዝተሓዋወሰን ብዓቢኡ ከም ዝዓበየ። ጸላም ከብዳ ክሳብ ክንደይ ከም ዝዓበየ ዝርዝር ሓበሬታ ኣይሃቡናን፤ ኩሎም ካብ 25cm ክሳብ 30cm ዝተፈላለየ ደረጃ ሂቦምና። ኣነ ናኦደ ካብ ኤውሮጳን ኤስያን ዝመጻ ዝተፈላለያ ሆስፒታላት ርክብ ብምግባር ኣብ ምርመራን ሕክምናን ክሕግዘኒ ፈቲነ፤ ኣብ ካምፓላ ዝነበሩ ሓካይም ከም ህንዲ ዝኣመሰላ ሃገራት ኣቕረቡልና። ህንዳውያን ኣዕሩኽተይ ብዛዕባ ቅኑዕነት ዝተወሰኑ ሆስፒታላት ክሓቶም ፈቲነ። ናብ ሆስፒታላት ደዊለ ግን ብዛዕባ ስርዓተ ሕክምና ህንዲ ተጠራጠርቲ ስለ ዝነበርና ዕድል ኣይረኸብኩን። ይኹን እምበር፡ ተወሳኺ መርመራታትን መርመራታትን ክንገብር ተመሊስና።

ይኹን እምበር ኣብ ሓጋይ 2021 ኣብ ካምፓላ ኡጋንዳ ዝርከብ ብመንግስቲ ዝምወል ሆስፒታል፡ ሜታስታቲክ ፓፒላሪ ሴሮስ ኣዴኖካርሲኖማ ክግምግም ክኢሉ። ማሲቭ ሄፓቶሜጋሊ፡ ኣስታት 27 ሴንቲ ሜተር፡ ከምቲ ጸላም ከብዲ ብዓቐን ብዓቢኡ ዝዓበየ ምስ ዓቢ ስሉጥ ማእከላይ ኔክሮቲክ ጅምላዊ ቁስሊ ዳርጋ ምሉእ የማናይ ሎብ ጸላም ከብዲ ዘጠቓለለ። ኣብ ክልቲኡ ሎብ ጸላም ከብዲ ብዙሕ ጽፍሒ ኣለዋ፡ እዚኦም ድማ ኤኮጀኒክን ምስ ሲስቲክ ዲጀነሬሽን ጽኑዕን እዮም። እቶም ሓካይም ምንጪኣ ካብ ማህጸና ከም ዝጀመረ ንኽድምድም ዝመርሖም መርመራታት ሒዞም መጺኦም። ኣብ ከምኡ ኩነታት ናብ መንሽሮ ማህጸን ኣምሪሑዎም። ኣዴና ነቲ ዜና ኣመሓላሊፋትለይ ኣብ ቤት ትምህርቲ ከለኹ። ንዓይ ዋጋ ስለ ዝወሰደለይ፡ ስምዒታውን ኣእምሮኣውን ጥዕናይ ክቈጻጸሮ ኣይከኣልኩን። ከም ዓቢ ወዳ መጠን፡ ብዛዕባ እቲ ምርመራ ንኣሕዋተይ ኣይነገርክዎምን። ዕድለኛ ኮይነ ኣብ ታሕሳስ 2021 ናይ መገሻ ሰነዳተይ ረኺበ ንዓመት ዝኸውን ትምህርተይ ስለ ዝወዳእኩ ኣብ ውሽጢ ክልተ ኣዋርሕ ተበጊሰ። ድሕሪ ሓሙሽተ ዓመት ንመጀመርታ ግዜ ካብ ዘሐጉሰን ኣዝዩ ዘሕዝንን ህሞታት ሓደ እዩ ነይሩ። እታ ኣብ 2017 ዝገደፍክዋ ኣደ ብሰንኪ ናፍቖት ሕማማ ፍጹም ክትፈልጦ ዘይትኽእል ስለ ዝነበረት፡ ንመዓልትን ለይትን ንብዓትና ክሕዝ ኣይከኣልኩን።

ኣብ ኡጋንዳ ኣብ ዝጸናሕናሉ እዋን ምስ ሓካይማ ተዘራረብኩሉ፣ ንሳቶም ድማ ዝረኸብዎ ሂቦምና፣ መርመራኦም ግን ኣየእመነኒን። መንሽሮኣ ኣብ ምሉእ ኣካላታ ከም ዝተዘርግሐ ነገሩኒ። ክብደታ ኣዝዩ ወሪዱ ነበረ። ጓል 51 ዓመት ጥራይ ከላ ንዓባይ ሰበይቲ ክትመስል ገይርዋ።ኣዴና ብኸቢድ ሓሚማ ህጹጽ ሕክምናዊ ክንክን ምስ ዘድልያ ድሕሪ ዓመታት ኣሕዋትና ዝኾነ ሓሳብ ኣይነበሮምን። ኣዴና ንዓና ኩሉ እያ፤ ናብ ዓለም ከም ዘእተወትና ክንልምኖ እንኽእል ኩሉ ሂባትና እያ። ኣብ ካናዳ መልሲ ንምርካብ ኩሉ ናይ ሕክምና ሰነድ ካብ ኡጋንዳ ወሲደ፡ መርመራን ሕክምናን ክትጅምር ናብ ካናዳ ንምምጻእ ግን ብኹሉ ነገር ኣይተዓወትኩን።

ዓመት እናሓለፈ ምስ ከደ፡ ኣብ ለካቲት 2023፡ ብዛዕባ ምርመራ ኣዴና ዘስካሕክሕ ዜና መጺኡኒ፤ ሓኪማ መንሽሮ ማህጸና ናብ ደረጃ 4 ከም ዝሰገረ ነገራ፣ እዚ ድማ ብኡንብኡ ነቲ ኩነታት ንምግምጋም ናብ ኡጋንዳ ክኸይድ ምኽንያት ኮይኑኒ። ከምቲ ቅድሚ ሕጂ ዝተገብረ መርመራ ኩሉ ኣብ ኢድ ኣምላኽ ከምዘሎ ኣእሚኑኒ ኣይፈልጥን። እታ ሓኪም እታ እንኮ ኣማራጺኣ ኬሞቴራፒ ምዃና ነገረትና፡ ከም መጥባሕቲ ዝኣመሰለ ካልኣይ ኣማራጺ ድማ ሓተትና። እቲ ሓኪም ኣማራጺታት ኣይሃበናን። ኣዴና ኣብ ዝተረፈ ኣካላታ ብዘይ ዝኾነ ይኹን ሕልኽላኽ ክትነብር ከም ዝኸኣለት ውጽኢቶም ኣይተኣማመንናዮን። ፍታሕ ንምርካብ ነዊሕ ዓመታት ተጸቢና እኳ እንተነበርና፡ ዝሓሸ ሆስፒታላትን ሓካይምን ምድላይና ካብ ምቕጻል ድሕር ኣይበልናን።

ምስ ናይ ቀረባ ኣዕሩኽ ስድራቤትና፡ ኣዴና ግቡእ ሕክምናዊ መርመራን ሕክምናን ንኽግበረላ ዝሓሸ መገዲ ክንረክብ ክኢልና። ኣዴናን ናኦደ ወዳን ናብ ታይላንድ ክገሹን ከም ብሓድሽ ክጅምሩን ወሰንና። ካልኣይ ርእይቶን ሞያዊ ሕክምናን ዝህብ ርኡይ ምዕባለ ስርዓተ ሕክምና ዘለዋ ሓዳስ ሃገር ከም እንኸይድ ፈሊጥና። ኣዴና ዘድልያ ኩሉ ንምርካብ ክቡርን ዋጋ ከም ዝሓትትን ፈሊጥና ኔርና።

ኣብ ወርሒ ሕዳር ኣነን ኣደይን ንጥዕና ኣዴና ሓድሽ ጅማሮ ንምጅማር ናብ ታይላንድ ተጓዒዝና። ኣዴና ብሓፈሻዊ መርመራ እያ ጀሚራቶ፣ ኣብ ውሽጢ ሰሙን ዘይመልእ እናገስገስና ድማ ናብ ክፍሊ ኦንኮሎጂ ክንከይድ ንኽእል ኔርና። ካልኣይ ዝሓሸ ኣማራጺን ሞያዊ ርእይቶኦምን ከምዘድልየና ገሊጽና። ኣዴና ብደረጃ ራብዓይ መንሽሮ ማህጸን ንሓደ ዓመት ከምዘይትድሕን ነጊርናዮም። ከምቲ ኣብ ላዕሊ ብዛዕባ ሓፈሻዊ ኩነታታ ዝተገልጸ፡ ቀንዲ ሓኪማ ብዛዕባ ጽፍሒ ጸላም ከብዳ ብዝምልከት ሰፊሕ ገምጋም ንኽህበና ፒኢቲ ስካን ክገብር ክኢሉ።

ኣብ መወዳእታ ምስቲ ኣብ ኡጋንዳ ዝነበረ ዝመሳሰል ጸብጻብ ራድዮሎጂ ሒዞም ተመሊሶም ግን ከኣ ብዛዕባ ኩነታት ጸላም ከብዲ ንጹር ሓበሬታ ሂቦምና። ብጸሎት ጸላም ከብዳ ፍጹም ትሰርሕ ከም ዝነበረት ንሰምዕ ኔርና። ኣብ ማህጸና ዝኾነ ኣሰር ሕበጥ ኣይረኸበን፡ ብተወሳኺ እቲ ፒኢቲ ስካን ሕበጣ ኣብ ልዕሊ ጸላም ከብዳ ጥራይ ከም ዝሰማማዕ ግቡእ ውጽኢት ክህበና ክኢሉ። ፒኢቲ ስካን ከም ዝሕብሮ፡ እቲ ሕበጥ ንጸላም ከብዲ ብኣስታት 25 ሴንቲ ሜተር ቀጥታዊ ስፓን ናይ የማናይ ሎብን 28 ሴንቲ ሜተር ናይ ጸጋማይ ሎብን ከም ዘዕበዮን፡ ናብ ፐልቪክ ካቪቲ ከም ዝበጽሐን ጸብጺቡ። ንሱ ድማ ንየማናይ ሎብ ብዓቢ ጅምላ ምትካእ ኮይኑ፡ ኣብ ምሉእ የማናይ ሎብ ዝተፈላለየ ዓቐን ዘለዎም ብዙሓት ዘይስሩዓት ሲስቲክ ቦታታት/ቁስሊ ዝሓቖፈ እዩ። ነቲ ሓኪም ቀንዲ ምንጪ ናይቲ ሕበጥን ግቡእ መርመራታትን መርመራን ክህሉ እንተኾይኑን ክንሓትት ሃንቀውታ ነይሩና።

ካብቲ ቅድሚ ሕጂ ኣዴና ኣብ ባዮፕሲ ዝነበራ ተመኩሮ፡ ሓኪማ ንዝረኸቦ ርኽበታት ናብቲ ናይ ፓቶሎጂስት ብምልኣኽ ቀዳማይ ደረጃ መርመራ ክጅምር ምኾነ። ናይ መጀመርታ ባዮፕሲኣ ንጥንቃቐን ምክልኻልን ከም ረኽሲ ጸላም ከብዲ ንሓንቲ ለይቲ ኣብ ሆስፒታል ክትድቅስ ምኽንያት ኮይኑዋ። ካብ ሕክምና ምስ ወጻና፡ እንተወሓደ ንሓደ ሰሙን ክንጽበ ምርመራ ክንገብር ተነጊሩና። ሰሙን ሓለፈ፡ ናይ መጀመርታ መርመራና ድማ ረኸብና፡ ሓኪማ ግን ብዙሕ ዓይነት ሕበጥ ሃበና። እቲ ሓኪም ካብቲ ቀዳማይ ምርመራ ዝመጽእ ፍሉይ ሕበጥ ዝሓሸ ሕክምና ክኸውን ተስፋ ገይሩ። እዚ ድማ ካልእ ሰሙንን ገለ መዓልታትን ኣስዒቡ፡ ናይ መወዳእታ ምርመራ ጽቡቕ ጌሩ ዝተፈለየ ኒውሮኢንዶክራይን ሕበጥ፡ ደረጃ 2. ንሓንሳብ፡ ኣዴና ንስእን ኣለና ኢልና ፈሪሕና፡ ተወሳኺ መርመራታት ምግባር ግን ተስፋ ኣይቆረጽናን፡ ንሕና ድማ ኣብ ልዕሊ እታ ጽብቕቲ ኣዴና ዋጋ ስለ ዝወሰደላ ብዙሕ ግዜ ወሲዱላ። እቲ ሓኪም እዚ ሕበጥ ከምቲ ዝሓሰቦ ብምዃኑ ተሓጒሱ ነዊሕ ዝጸንሕን ቀስ ኢሉ ከም ዝዝርጋሕን ገሊጹ። ስለዚ ድማ እዩ ንኽዓቢ ልዕሊ ሸውዓተ ዓመት ዝወሰደ።

ድሕሪ እቲ ምርመራ ነዊሕ ከይጸንሐ፡ ሓኪማ ናይ ኦንኮሎጂ ሰለስተ ኣማራጺታት ሕክምና ሂቡና፤

1) ብጸላም ከብዲ ዝቐንዐ ፍወሳ ወይ TACE።

2) ፔፕታይድ ተቐባሊ ራድዮቴራፒ (PRRT) .

3) ኬሞቴራፒ (CHEMOTHERAPY)

ካብዞም ሰለስተ መድሃኒታት ነፍሲ ወከፍ ሕክምና ብዕምቆት ተገሊጹ፤ ከምቲ ኣብ ላዕሊ ዝተገልጸ፡ ብቐንዱ ኣብቲ ንጸላም ከብዲ ዝምችእ ሕበጥ ስለ ዘተኮረ፡ እቲ ሓኪም ናይ መጀመርታ ሕክምና ሓሳብ ኣቕሪቡ። ንሓኪማ ዝሃበና ሓሳብ ተኸቲልና፡ ንሱ ድማ ናብ ሓደ ኣብ ሕክምና TACE ዝነጥፍ ክኢላ ኣሰጋገረና። እቲ ክኢላ ንሕክምና TACE ኣብሪሁ፤ እቲ ሕበጥ እኹል ስለ ዝነበረ፡ ንዓቐን ናይቲ መንሽሮ ንምንካይ ክሳብ ሓሙሽተ ዑደት ከም ዝወስድ፡ ኣብ መወዳእታ ድማ፡ ንምቁጽጻር መድሃኒት ከም ዝህብዋ ነጊሮምና። ነቲ ናይ መጥባሕቲ ኣማራጺ ኣምጺእናዮ፡ ሓኪማ ግን ገለ ዑደታት ክትገብር ሓሳብ ኣቕረበትሉ፡ ድሕሪኡ ክውስኑ እዮም። እቲ መስርሕ 3 ሰዓታት ከም ዝወስድ፡ ንሳ ድማ ነቲ ጎናዊ ሳዕቤናት ንምክትታል ኣብ ሆስፒታል ክትድቅስ ሓደ ሰሙን ከም እትወስድ ነጊሮምና። ነፍሲ ወከፍ ሕክምና ንኽሓዊ ካብ 4-6 ሰሙን ምወሰደ፤ ድሕሪኡ፡ እቲ ሕበጥ ክሳብ ክንደይ ከም ዝነከየ ንምፍላጥ ሲቲ ስካን ይገብሩ ነበሩ።

ሕጂ ኩሉ ምስተገልጸ፡ እቶም ሓካይምን ነርስታትን ወጻኢታት ናይቲ መስርሕ ኣምጺኦምዎ። ዳርጋ 10 ሽሕ ዶላር ስለዘውጻእና እቲ ዋጋ ንኽትሕዞ ኣዝዩ ብዙሕ ምዃኑ ገሊጾም። 455,000 ታይላንዳዊ ባት፡ ንሓደ ሕክምና ኣስታት 13,154 ዶላር ኣመሪካ፡ ተቐማጢ ገንዘብ ኣእትዉ ምስ በሉና፡ ብዋጋ ናይቲ መስርሕ ተገሪምና። ሕክምና ኣዴና ክንጅምር ተስፋ ቆሪጽና ኔርና፣ ኣብ ተመሳሳሊ እዋን ድማ ንምጅማር ኣዝዩ ጁባና ወዲእና። ከም ስድራቤት ዳርጋ ክሳብ 15,000 ካናዳ ልቓሕ ተለቂሕና ሕክምና ክንጅምር ወሲንና። ምስቲ ሕክምና ከድና፡ ብጸሎትን ትዕግስትን ድማ እቲ ኣገባብ ጽቡቕ ስለ ዝኸደ፡ ናብቲ ክፍሊ ወሰድዋ። ኣዴና ብዙሕ ጎናዊ ሳዕቤናት ስለ ዘጋጠማ ንዓይን ንሳን ንሰለስተ መዓልቲ ክንድቅስ ዳርጋ ምኽንያት ኮይኑና። ሓካይማ ብዙሕ ግዜ ክረኽብዋ መጺኦም ንቃንዛን ጎናዊ ሳዕቤናትን ዝኸውን ቶናት መድሃኒት ኣዚዞምላ። ኣብ መወዳእታ፡ ማማ ምስ ሓወየት ካብ ሆስፒታል ወጺእና፡ ናይ ሆስፒታል ሕሳብ ድማ ምስ ኩሉ ትእዛዝ ሓኪም፡ ቀጻሊ መርመራታትን ካልእ ብዙሕን ብድምር 17,371 ዶላር በጽሐ።

እንተ እቲ ኣብ ካልኣይ ሰሙን ወርሒ ጥሪ ክኸውን ዘለዎ ካልኣይ ሕክምና ግን ሓወይን ኣቦይን ዝከኣሎም ኣኪቦም ነቲ ሕክምና ክቕጽሉ ጀሚሮም ኣለዉ። ከምቲ ኣብ ላዕሊ ዝገለጽክዎ፡ ሕሳብ ሕክምናን ኣዴና ምሉእ ብምሉእ ካብ ሆስፒታል ክሳብ እትወጽእ ሕክምናታት ክንቅጽልን ኣዝዩ የድልየና ኣሎ። እቲ ጠቕላላ መጠን ገንዘብ ካብ ሓደ ዑደት ፍወሳ ናብ ካልእ ክፈላለ ስለ ዝኽእል፡ ኣሕዋትን ኣሓትን ብእትገብሩልና ወፈያታት ክሕግዙና ንሓትት። ኩሉ ነገራት ኣብ ግምት ብምእታው፡ ዝተረፉ ኣርባዕተ ሕክምናታታ ንሓደ ዑደት ኣስታት 17,371 ዶላር ኣመሪካ ክኸውን እዩ፡ እዚ ድማ ምስ 22,944 ካናዳ ማዕረ ክኸውን እዩ።

ኣብዚ በዳሂ ህሞት ስድራቤትና ንዝገበርኩምልና ልግሲ ነመስግነኩምን ነመስግን። ንዝሃብኩምና ግዜን ርድኢትን ኣዚና ነመስግን።