Patient’s Name: Hiyam (Najaf, IRAQ)

Procedure: Distal Pancreatectomy & Splenectomy for Pancreatic Cancer/ Chemotherapy

Consultant: Prof. Igor M. Sauer (Surgical Oncology)

Prof. P.M. Chlag (Medical Oncology)

Patient, Hiyam Sear Adnan Khalil was diagnosed with pancreatic cancer - an adenocarcinoma in the tail of her pancreas. The 55years old, mother of two young girls wanted to do only a few things in her life. In her own words, she wanted to see her daughters graduated from the university, wanted to see them married, see their children and wanted to play with them, wanted to attend her grandchildren’s wedding and wanted to see her great grandchildren. Hiyam’s world was devastated as her, a few things had become like an impossible dream for her. Her husband, Adnan Khalil an oil dealer in Iraq wanted to fulfill all her dreams, her wish to live long. Adnan first heard about Karmal, from his doctor, Dr. Mohammed Jabber Al Kureshi, an oncologist in Iraq who diagnosed Hiyam with the cancer.

For Hiyam and Adnan, Dr. Mohammed contacted Karmal. Karmal representative gave them an option for Charite International Hospital & University, Berlin, Germany. Adnan agreed to it. Karmal arranged the call to Dr. P. M. Chlag, a leading medical oncologist from Charite International, who asked for the medical history of Hiyam. Dr. Chlag reviewed the reports and asked Hiyam to visit the hospital. Karmal made the necessary arrangements for Hiyam and Adnan’s visa and travel. Both of them reached Germany with the great hopes and expectations. Karmal representative, Reese who worked as an interpreter as well also accompanied them.

The team of the leading oncologists- Prof. Sauer & Prof. Chlag conducted a surgery for Hiyam. She had a distal pancreatectomy and splenectomy during which they got out the entire tumour, they could see along with 80% of pancreas and all of spleen. Luckily no metastases were present and only one of the lymph nodes was affected. The surgery went well and after 2weeks Hiyam was discharged from the hospital. Prof. Chlag advised Hiyam to take chemotherapy sessions to avoid the recurrence of the tumor. On the advice of the doctor, Hiyam decided to take 6months chemotherapy cycles, for that she had to keep coming to Charite after every 3weeks.That was again difficult for Hiyam, so that she decided to stay in Germany for that duration. Karmal made this possible by working on her visa extension and made arrangements for their accommodation.

As predicted by the oncologist, she tolerated chemotherapy very well with no complications. After 3cycles, Hiyam showed tremendous improvement and doctors declared that she doesn’t require chemotherapy anymore.

“When the doctor informed us that Hiyam had Pancreatic Cancer and had very few hope to live (I discovered that only 1 in 20 (that’s only 5%) of people diagnosed with pancreatic cancer in the body or tail of the pancreas can actually be operated on), she told the doctor that there were only a few things she needed to see, really needed to be alive for,” describes Adnan.

“She said, ‘I need to see my daughter graduate from college, both of my children get married and I need to see grandchildren. I need to attend their birthdays, their weddings and to present at the birth of my great grandchildren. These are the only things I ask that you keep me alive for—for as long as it takes.’”

“From that day to her surgery, I have prayed to the Allah, for Hiyam and for her dreams of a long life. May she lives for hundred years. Till that day I only prayed for her but since that day I have prayed for all those who helped my wife and me to realize her dreams. I am thankful to Dr. Chlag & Dr. Sauer who saved her life. May peace be upon them!”

“But above all I would like to thank Dr. Mohammed and Reese from Karmal. In my country it is said that a camel is more precious than the water. Water saves your life in the desert but the camel shows you the way to reach an oasis. Karmal was like a guiding star that shows you the correct way to your destination. Shukran.”


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