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เหมือนพระเจ้าเบื้องบนยังปราณี หลังจากคุณหมอยศ (ศัลยแพทย์ขั้นเทพ ผมยกย่องแกเพราะตั้งแต่การผ่าตัดเนื้องอกในสมองเมื่อวันที่ 22 มกราคม มาถึงวันนี้ 21 กุมภาพันธ์ เกือบเดือนมาแล้ว ผมยังไม่เคยมีอาการเจ็บแผล หรือแผลอักเสบติดเชื้อแม้แต่ครั้งเดียว) มาเยี่ยมผมในตอนเช้า ในช่วงเย็นๆสัก 5-6 โมง แกก็โทรเข้ามาที่ห้องผม เสียงแกค่อนข้างดีใจอย่างเห็นได้ชัด " พี่ครับ ผลตรวจชิ้นเนื้อออกมาแล้ว ปรากฏว่า เนื้องอกไม่ได้เกิดจากสมอง แต่มาจากที่อื่น ชนิดของ cell ของเนื้อที่ตรวจพบน่าจะมาจากปอด ถ้าผลเป็นอย่างนี้ผมก็สบายใจ ผมไม่ห่วงอะไรที่หัวอีกแล้ว เพราะผมตัดเอาออกหมด ไม่ได้น่ากลัวอยางที่เราคุยกัน หลังจากนี้คงจะต้องไปตรวจสอบอีกที ให้แน่ใจว่ามาจากไหน ผมมาเรียนพี่ให้ทราบไว้ชั้นหนึ่งก่อน เดี่ยวพรุ่งนี้ค่อยคุยกัน "

เช้าวันรุ่งขึ้นคุณหมอเกศสิริน แพทย์เจ้าของไข้ก็มาพบ แกก็อธิบายให้ฟังว่า ไอ้ก้อนเนื้อที่อยู่บนหัวผม ไม่ได้ทำอันตรายเนื้อสมอง แค่เกาะอยู่บนผิวๆของสมอง พอคุณหมอยศตัดออกไป ก็จบ แต่ว่า ตอนที่มันทับอยู่บนสมองด้านขวาของผม ด้วยตัวมันมีน้ำหนักมากก็ทำให้สมองซีกขวาเอียงไปกดทับสมองด้านซ้าย ทำให้เกิดผลกระทบ 3 เรื่อง คือ

1. มองอะไรที่สูงๆไม่เห็น เพราะใต้สมองส่วนที่ถูกทับอยู่ มีเส้นประสาทตาวิ่งผ่าน ส่งผลให้ผมขับรถเลยทางเข้าหมู่บ้านเพราะมองอะไรที่สูงๆไม่เห็น

2. สมองซีกขวาที่ถูกกดทับ ก็ไปเบียดสมองซีกซ้ายที่ทำหน้าที่ควบคุมอารมณ์จิตใจ ทำให้หงุดหงิดฉุนเฉียว 555 มีแพะมารับผิดแล้ว ที่ด่าใครต่อใครไปเนี่ยไม่ใช่เพราะผมเป็นคนไม่ดี แต่เพราะไอ้เนื้อก้อนนี้แหละ 555 (ต้องแย่งแพะกับนายกยิ่งลักษณ์ ผมกับแก 2 คน แย่งแพะกันจนหมดประเทศ หากไม่พอสงสัยต้อง Import เข้ามา)

3. สมองซีกขวาไปกดทับสมองซีกซ้ายที่ไปควบคุมการทำงานของแขนและขา ทำให้ผมเกิดอาการแขนขาหมดแรง


ดังนั้นหลังจากการผ่าตัดได้ 2 วัน ผมก็แทบจะไม่ได้อยู่ในห้องพักคนไข้เลย ร่อนเร่พเนจรอยู่ตามห้องอาหารในโรงพยาบาลและรอบๆโรงพยาบาล รวมทั้งการหนีโรงพยาบาลไปกินคั่วกลิ้ง, ผัดสะตอ, ใบเหลียนผัดไข่, แถวซอยทองหล่อ ไม่ใช่เพราะผมแข็งแรงหรือเก่งอะไรหรอก แต่เป็นเพราะมะเร็งก้อนนี้เขามาอาศัยอยู่โดยไม่ได้ทำร้ายอะไรผมต่างหาก

สรุปก็คือว่า อาการทั้งหมดไม่ได้เกิดจากการที่สมองถูกทำลาย แต่เกิดจากการที่เนื้องอกไปกดสมองเท่านั้น สิ่งสำคัญที่ต้องทำต่อไปคือ การตรวจหาว่า เนื้อก้อนนี้มาจากไหน ซึ่งหมอก็จะส่งผมไปทำ PT SCAN ผมก็ตอบตกลงว่าทำได้เลยไม่มีปัญหา ก็อย่างที่เคยเรียนแหละว่า ผีถึงป่าช้าแล้ว จะเผาหรือจะฝังก็เชิญตามสบาย

คุณหมอแกก็ถามผมถึงประวัติการสูบบุหรี่ เพราะคนป่วยที่เป็นมะเร็งปอดส่วนใหญ่ก็มีประวัติการสูบบุหรี่ทั้งนั้น ผมเองก็เป็นคนที่ใช้ชีวิตแบบเต็มที่และเกินวัยกับทุกช่วงอายุ มาโดยตลอด ก่อนเข้ามหาวิทยาลัย ผมก็ผ่านโรงเรียนประถม มัธยม มาทั้งหมด 4 โรงเรียน และไม่มีโรงเรียนไหน ปีไหนที่ผมจะไม่ถูกบูชายันต์ด้วยการถูกตีหน้าเสาธง เลยสักโรงเรียนเดียว หรือสักปีเดียว บางโรงเรียนก็อาจจะโดนปีละหลายครั้งหน่อย ยิ่งพอโตๆ ก็ยิ่งทำผิดร้ายแรงขึ้นเรื่อยๆ จนถึงขั้นเรียกพ่อแม่มาทำทัณฑ์บน แต่ถึงจะเกเรยังไงผมก็ยังไม่กินเหล้าสูบบุหรี่

ผมมาเริ่มสูบบุหรี่เอาตอนปี 2 เมื่อติดทีมบาสเกตบอลของมหาลัย ทุกวันตอนเย็นก็ต้องนั่งรถเมล์จากรามาธิบดีไปขึ้นเรือที่ท่าช้างเพื่อข้ามฝากไปศิริราช จากนั้นก็ซ้อมบาสจนสองทุ่มสามทุ่ม ระหว่างพักการซ้อม ก็นั่งล้อมวงคุยกัน บางคนก็ควักบุหรี่มาสูบ ผมก็เห็นว่าพี่ๆที่เป็นนักศึกษาแพทย์ เภสัชเขาก็สูบกัน ไม่เห็นมีใครกลัวอะไร พอมีคนยื่นบุหรี่ให้ก็หยิบมาสูบทันที พอทำไปอย่างนี้หลายๆวันเข้า เมื่อยามอยู่บ้านคนเดียว กินข้าวเย็นเสร็จมันก็รู้สึกเหมือนขาดอะไรไปสักอย่าง จนต้องเดินไปซื้อบุหรี่มาสูบเอง จากนั้นก็สูบเรื่อยมา วันไหนไม่มีสตางค์ก็ไปซื้อยาเส้นมามวนกับใบจาก พอได้ทำงานที่การไฟฟ้าฝ่ายผลิต เขาส่งมาทำงานที่โครงการก่อสร้างโรงไฟฟ้าบางปะกง ในระยะแรกเขาก็ไปเช่าบ้านให้ผมอยู่ร่วมกับพี่อีก 2 คน ซึ่งสูบทั้งบุหรี่และไปน์ ผมก็เริ่มสูบมากขึ้น เพราะคราวนี้มีรายได้ของตัวเองแล้ว พอจบโครงการก็ย้ายไปขุดถ่านที่เหมืองแม่เมาะลำปาง คราวนี้มันส์สุดเหวี่ยงเพราะใช้ชีวิตแบบลูกผู้ชายในเหมือง ปริมาณการสูบบุหรี่ก็เพิ่มขึ้นเป็นวันละ 2 ซอง และมากจนนับไม่ถูกหากคืนไหนมีการเล่นไพ่ยันสว่าง พอย้ายมาอยู่บริษัทปิโตรเคมีแห่งชาติ ผมก็ยังใช้ชีวิตเหมือนเดิม สูบบุหรี่วันละ 2-3 ซอง ใครว่าอะไรก็จะเถียงจนสีข้างแดงเถือกไปหมด คุณกมลชัย เจ้านายใหญ่เคยถามว่า ไอ้กอบรู้ไม๊ว่าบุหรี่มันอันตราย ผมก็ตบหน้าอก แล้วบอกว่า Safety director ไฟไหม้โรงงานยังไม่กลัว นับประสาอะไรกับบุหรี่ม้วนเท่านี้ เจ้านายเขาคงเห็นว่า ผมเป็นบัวเหล่าที่ 5 พูดไปก็ไม่มีประโยชน์เลยเลิกพูดเรื่องนี้กับผมอีก

ผมมาตัดสินใจเลิกบุหรี่เพราะรู้ว่าหากไม่เลิกตายแน่ เนื่องจากสมัยก่อนเวลาเขาทรายป้องกันแชมป์ พอมวยออกมาสูสีๆ ผมต้องเดินหนีออกมาจากหน้าทีวีเพราะรู้สึกว่า หัวใจจะหยุดเต้น สิริรวมการสูบบุหรี่ 13 ปี ตอนนี้ก็เลิกมาได้สัก 20 ปีแล้ว

คุณหมอถามประวัติเสร็จก็บอกว่า ระยะเวลาสูบบุหรี่ไม่นานแต่ปริมาณมาก ดังนั้นจำเลยที่ถูกหมายตาก็เล็งไปที่ปอดอย่างเดียว เนื่องจากชนิดของ Cell และประวัติการสูบบุหรี่ มันชี้ไปทางนั้นทางเดียว แต่อย่างไรก็ตาม การทำ PT SCAN ก็ยังเป็นหลักฐานสำคัญที่ต้องรอมาประกอบการพิจารณาก่อนสรุปว่า มะเร็งมีจุดกำเนิดจากตรงไหน อ่านต่อสัปดาห์หน้านะครับ

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