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Child with Duchenne’s muscular dystrophy – “Just let him live as long as he can
No. 3618
“Mummy…” His mother hurries to come and fit the tube for him.
“Mummy…” His mother rushes to come and turn him around.
“Mummy…” His mother stretches out a hand to switch the TV channel for him while busily taking care of his younger siblings.
He is 11 years old, with normal intelligence, but an abnormal body.
“Do you know what disease you have?” The naive little boy answered with his slightly weak voice, “ I don’t know.”
All he knows is that he experiences all these - lying on the bed all the time with different tubes connecting him to a ventilator and entering his stomach through a gastrostomy and so on – just to survive.
  • Child with muscular dystrophy – “Just let him live as long as he can”

    “Mummy…” His mother hurries to come and fit the tube for him.
    “Mummy…” His mother rushes to come and turn him around.
    “Mummy…” His mother stretches out a hand to switch the TV channel for him while busily taking care of his younger siblings.
    He is 11 years old, with normal intelligence, but an abnormal body.
    “Do you know what disease you have?” The naive little boy answered with his slightly weak voice, “ I don’t know.”
    All he knows is that he experiences all these - lying on the bed all the time with different tubes connecting him to a ventilator and entering his stomach through a gastrostomy and so on – just to survive.


    Children’s daily life is running and jumping happily in the park and playing with their classmates with no worries. Yet to Lok Chun-Ting who suffers from muscular dystrophy and neural diseases, these are all unreachable luxuries. When he was as young as a-few-year-old, he had already experienced two medical emergencies and could only move his hands, fingers and head. Ever since he was six, he has been connected to a ventilator via a tube inserted through his throat. For all those years, he has to lie on his bed as if imprisoned. Even when he bathes, he needs to bring along his ventilator.


    He is optimistic. He loves watching cartoons and talking with others. Being visited by the Lifewire team, he was stiff and shy at first, but soon started waxing lyrical. With a tube inserted through his throat, his voice remained weak no matter how hard he tried, but this did not hinder his curiosity. He kept asking, “Are you staff from the television station?” There was always an innocent smile on his rosy cheeks.

    He is also smart and proactive. When he saw our photographer taking photos, he curiously reached out his hands to try. However, he did not have the strength to even click the shutter, not to mention to hold the heavy camera. The photographer needed to place his hand over Chun-Ting’s little finger and click the shutter with Chun-Ting…

    While Chun-Ting’s intelligence grows, his body condition keeps deteriorating. Such relentless suffering is unimaginable to others, even the closet ones, but continuously torturing Chun-Ting’s family. “I want to buy a camera! I want to buy a camera! Mummy…” Chun-Ting kept yelling and begging after clicking the shutter, “Don’t go! I don’t allow you to go…” His request sounds unreasonable but is indeed a type of emotional transference or a way of emotional venting.


    Being bedridden, Chun-Ting could only watch his younger siblings jump and play. Afterall, he is only a child. His craving yet desperate stare was heart-wrenching. He kept asking the team to role-play with him, wanting to play the role of a world-saving superman. Every time he succeeded, he laughed excitedly and requested the team to repeat the game. He enjoyed it so much that he never got bored of it.

     

    Abnormality observed at half years old - Nobody could help

    Except for his slightly smaller body size, which he had always had back in his mother’s stomach, Chun-Ting’s development in different aspects, such as intelligence, was completely normal during his early infancy. Even the doctor did not discover any problems in him. However, when Chun-Ting was six months old, his mother found that his calves were different from other babies’, “Other babies would move and jump, but his legs couldn’t jump. They were as straight as if dancing ballet and couldn’t fully bend.” She sought medical help in various fields: orthopedics, physiotherapy, acupuncture, … but none of them could identify the cause of Chun-Ting’s abnormality. This further added to her sense of helplessness.

    Finally, she met a doctor who dared not make hasty judgements but gave her some advice. “Don’t waste your money! It’s already very fortunate that his current condition is not bad. Don’t fancy that he’ll improve,” The doctor said, “It won’t help even if you bring him to other doctors. Just exercise more with him.”

    “I really wanted to die the moment I knew this!”

    Chun-Ting’s mother once suspected that the disease was hereditary, but there is no similar case in their family tree and the genetic check at the Queen Elizabeth Hospital suggested no similar genetic composition found in Hong Kong. It was not until after the Queen Mary Hospital sent Chun-Ting’s blood sample to an American laboratory that Chun-Ting was diagnosed with muscular dystrophy and neural diseases.

    “I really wanted to die the moment I knew this! It was so hard to accept!” the mother had no idea of muscular dystrophy, “I researched about it online and it turns out that this disease is horrible!” At the time, she was four months pregnant with Chun-Ting’s younger brother, “I told my husband that I felt like I’d rather abort the baby and I didn’t want him!” Facing the unbearable, devastating news, she not only worried about Chun-Ting, but also his younger sister and unborn brother, “If they felt unwell in any way, I would be so terrified that I couldn’t sleep all night.”


    “Why me? Was it because I had done something wrong?” She used to feel gloomy towards Chun-Ting’s disease. She thought there was no way she could make any difference no matter how hard she tried. There would not be any miracles.


    “Everyone is heartbroken, but we don’t talk about it because nobody wants to face such a fact. We all want to escape from it.” Chun-Ting’s mother, father, grandmother and younger siblings seldom talk about his illness because they are afraid of hurting each other’s feelings. This rare disease is like a time tomb buried deep in the heart of Chun-Ting’s mother. Having no one to confide to, she alone bears the stress coming from the worry that one day, Chun-Ting’s siblings will also suffer from the disease like their elder brother…

     

    Intense discrimination - “He’s lame!”

    Recalling the past, Chun-Ting’s mother found it full of unpleasant memories. The most striking experience she could summon up was that once, Chun-Ting’s classmate yelled, “He’s lame!” when Chun-Ting went to school. These three simple words broke the mother’s heart but she could not blame the naive child. Every time she goes out with Chun-Ting, the passers-by look at them. Often, they also hear other children asking, “Why does that kid sit on a wheelchair?”

    Misunderstandings are also hurtful. Back in the time when Chun-Ting was small and the family had not bought a wheelchair for him, his mother brought him out with a baby stroller, “The drivers always asked us to fold the baby stroller. I explained to them that I couldn’t do so because my child couldn’t move around freely by himself, but they didn’t listen. They won’t set off unless I folded the stroller… It was really a struggle. He (Chun-Ting) had already had a big body size back then. I had to carry him with one arm and fold the stroller with another while holding many other things.” Experiencing various inconveniences with no understanding from others and being always scolded by drivers and looked at discriminatively, the mother felt strongly that she was wronged.

     

    Up to twenty times a night - Impossible to sleep

    Throughout the whole-day interview, we could see Chun-Ting’s mother closely taking care of him non-stop: sucking out sputum, turning him around, bringing him to the toilet, and stretching his limbs. She repeated these actions again and again, on and on… She used to be an office worker who loves working and enjoying Me Time. Yet given Chun-Ting’s situation, she had no choice but resign and take care of Chun-Ting and his younger siblings full-time, “I want to work. I like working very much. But it’s all gone. I can’t go to work!”


    Since Chun-Ting constantly relies on a ventilator, he needs help day and night. Even in the midst of the night, his mother needs to pat his back to help remove the sputum in his chest, fill the ventilator’s humidifier with water, and so on, “When it’s sleeping time at night, he still keeps calling you. It’s actually impossible to sleep. Once you’ve just fallen asleep, he calls you again and you need to help him. As soon as you lay down on the bed, he calls again. He calls you more than ten, even twenty times a night. It’s really impossible to sleep!”

    Having to respond to Chun-Ting’s calls all the time and taking care of him twenty-four seven, his mother becomes both physically and mentally tense. Her incessant worries also add to her tension. “I always feel like trapped, as if I have nothing to do besides taking care of him. I feel like I own nothing. Watching him suffer, I also suffer, but I don’t know what I can do.” For families with rare disease patients, not only are the patients trapped, but also the caretakers.

    High medical expense for a family with seven members

    Apart from effort, money is also necessary to take care of a rare disease patient. Every day, Chun-Ting uses medical equipment and consumes many medical supplies such as milk powder, milk storage bags, sputum suction tubes and machine, humidifier, filter paper… The milk powder alone costs around two to three thousand dollars per month, “He drinks six boxes (of milk powder) each month and five bottles (of milk) each day. Sometimes when he’s hungry, he has six bottles.” With his father being the only breadwinner, the high medical expense further burdens the family financially.

     

    Chun-Ting’s father works in the renovation industry. At the height of the pandemic, he almost had no work to do, “Around the Lunar New Year, he didn’t have work for nearly a month… Sometimes he doesn’t have enough work, but he needs to support so many people in the family (seven family members including the grandmother) and pay for the domestic helper. It’s stressful.”

     

    Every time a renovation project is finished, the family has to start worrying about their livelihood because the father can do nothing but wait for the notice of the next project, “Sometimes when he stops working for a day or two, I become so nervous because he can only earn (income) when he has work that day.” Unstable income is another hidden concern of the family.


    When going to school becomes a luxury…

    Going to school is the daily life of every child, but for Chun-Ting, it all depends on timing. In order to take a rehabilitation bus to school, Chun-Ting and his mother must wake up at five in the morning and finish all the preparation, such as feeding milk, changing clothes, tidying up, and going to the toilet before leaving home, “It’s difficult for him and for everyone.” So, Chun-Ting can only go to school when they successfully reserve a seat on a rehabilitation bus.

     

    Since Chun-Ting constantly needs someone to help move his limbs and suck out his sputum, he needs to be closely taken care of outside home or in school. If his sputum is not removed in time, he may suffer from breathing difficulty, “But the school won’t assign someone to sit beside and help you. They have limited manpower and may not be able to handle his needs. Or maybe he has to wait for a long time before someone can come.” His mother has to look after his younger siblings at home, so the domestic helper must accompany Chun-Ting to school and take care of him closely throughout the day.

     

    Whole-family trip? Too wild a wish

    His mother asserted that she dared not fancy about the future, “I have not thought about my wishes for a long time. I had the thought of travelling together before, but it’s impossible. He cannot go out.” When Chun-Ting was two years old, the whole family went travelling for the first, and the last time. After that, since Chun-Ting’s condition deteriorated and needs to be taken care of closely, going out with him becomes a toilsome task. Even going to the park near home to play is a luxury, not to mention travelling.




    “You really want to travel, but you can’t!” His mother said resignedly, “You really want to enjoy a pleasant diversion away from home, but you don’t have the chance to. I saw others going out with their families during the holidays, but we can’t. We can only stay at home.”  There are many things she wants to do with her family, but sadly, the reality does not allow.

    Change the mindset - Cherish every day

    From countless times of disappointment to step-by-step acceptance of the reality, “I’ve been through many years since then, so I’m feeling better now.” As she has more experience with others’ disapproving stares and hurtful words caused by their lack of understanding and consideration, she gradually becomes “numb” and learns to not take them to heart, “I’ m already used to how others view us. Now, I simply neglect them.”

    She is also no longer obsessed with life, “Death isn’t a big thing. Just let him (Chun-Ting) live as long as he can. I haven’t thought of when he will leave.” She sees Chun-Ting watching cartoons and having top battles with his younger siblings, laughing happily but also quibbling with them like a normal child, “It’s fine as long as he’s happy. The future days will be fine as long as he’s happy.” She gives thanks every day for being able to see Chun-Ting.

    “I glued the sputum suction machine. I think it’ll last for now.” “I think what he needs most is a wheelchair where we can place the sputum suction machine so that we can go out with him more conveniently.” The high medical expense is undoubtedly a heavy burden to the family. Although the sputum suction machine is worn, the mother can only fix the gap with adhesive tape.


    Approximately $3,000 per month

    Standing Adjustable Wheelchair Estimated to be $50,000 – $60,000
    Humidifier Estimated to be $6,300
    Sputum Suction Machine Estimated to be $4,500
    Manual Tilt Shower/Commode Chair Estimated to be $3,400
    Milk Powder + Milk Storage Bags Approximately $3,000 per month
    Filer Cotton Approximately $300 per month
     
     
     
    Interview and Wrting:鄭枝盈、梁劍紅
    Edited by:梁劍紅、Avy Ip
    Photography:Sea.Pho.Yea、Ken Mok
    Video Production:Lifewire、Ken Mok、Sea.Pho.Yea 

     
    This cause's reference number is「 3618 」
    Donations of HKD$100 and above are eligible for tax deduction.
    If you would like a donation receipt,please download the「Application for Donation Receipt」form. Please submit the completed form along with a copy of bank-in slip/cheque to info@lifewire.hk, or by post. 

     
    ***************
    Funds raised from this case will be donated to HKNMDA.
    ***************
     
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