Il y a quelques semaines, Lama Teunsang a passé une nouvelle échographie cardiaque qui confirme le diagnostic d’une péricardite constrictive, dont on soupçonnait l’apparition ces derniers mois (voir les Nouvelles de mars 2021). C’est une maladie rare et sérieuse dans laquelle le péricarde (l’enveloppe du cœur) s’épaissit avec une tendance à comprimer le cœur, l’empêchant de se remplir normalement, ce qui entraine une forme d’insuffisance cardiaque congestive. Le seul moyen thérapeutique consiste en une chirurgie lourde et délicate, totalement inenvisageable dans son cas. Les diurétiques restent le traitement des symptômes.

Sophie Tartas, notre amie oncologue qui suit le Lama depuis deux ans, étudie, en lien avec une équipe de spécialistes, un traitement qui pourrait stabiliser la situation et devrait permettre de diminuer les corticoïdes.

Ce nouveau désordre serait une nouvelle complication de la maladie des IgG4 dont il est affecté depuis 2017.

En revanche, concernant la leucémie qui s’est déclarée l’an dernier, les résultats des analyses biologiques sont satisfaisants et indiquent que la maladie reste bien maitrisée par le traitement de chimiothérapie à doses minimes qu’il prend plusieurs fois par semaine sous forme de comprimés.

Un scanner de contrôle fait il y a quelques semaines indique qu’il n’y a pas de signe de récidive du cancer gastrique.

Concrètement, Lama Teunsang accuse une baisse de tonus. On le sent plus fatigué, il a plus de mal à se déplacer et passe beaucoup de temps à se reposer dans la journée.
Malgré tout, il tient à se rendre à pied chaque matin au temple, lorsque le temps le permet, en allant plus doucement, avec toujours cette même détermination qu’on lui connait. Tous les soirs, nous l’amenons en voiture pour la puja de Mahakala à 17h30. Il y reste jusqu’à la fin de Tchenrézi à 20h45. Il reste seul dans le temple à réciter des mantras durant la pause du diner.

Malgré une lassitude de plus en plus présente, lorsque le médecin l’examine, il ne se plaint de rien, dit qu’il se sent bien, qu’il est juste un vieil homme et que les choses sont ainsi.

Nous continuerons à vous tenir informé(e)s régulièrement de l’état de santé de Lama Teunsang, comme nous le faisons depuis trois ans.

Lama Teunsang’s health June 24, 2021

A few weeks ago, Lama Teunsang had a new heart echography that confirmed the diagnosis of constrictive pericarditis, which had been suspected in recent months (see March 2021 News). It is a rare and serious disease in which the pericardium (the envelope of the heart) thickens with a tendency to compress the heart, preventing it from filling normally, resulting in a form of congestive heart failure. The only therapeutic means consists in a heavy and delicate surgery, totally inconceivable in his case. Diuretics remain the treatment of the symptoms.

Sophie Tartas, our oncologist friend who has been following Lama for two years, is studying, in collaboration with a team of specialists, a treatment that could stabilize the situation and should make it possible to reduce corticoids.

This new disorder would be a new complication of the IgG4 disease he has been affected by since 2017.

On the other hand, concerning the leukemia that occurred last year, the results of the biological analyses are satisfactory and indicate that the disease remains well controlled by the treatment of chemotherapy in minimal doses that he takes several times a week in the form of tablets.

A follow-up CT scan done a few weeks ago indicates that there is no sign of recurrence of the gastric cancer.

Concretely, Lama Teunsang is experiencing a drop in tone. He feels more tired, it is more difficult for him to move around, and he spends a lot of time resting during the day.

Nevertheless, he insists on walking every morning to the temple, when the weather allows it, going more slowly, with always this same determination that we know him. Every evening, we take him by car to the Mahakala puja at 17:30. He stays there until the end of Chenrezi at 20:45. He remains alone in the temple to recite mantras during the dinner break.

In spite of a growing weariness, when the doctor examines him, he does not complain about anything, says that he feels well, that he is just an old man and that things are like that.

We will continue to keep you regularly informed about Lama Teunsang’s health, as we have done for the past three years.

This summer the programme will take place under special circumstances, since the Centre can resume activities provided that sanitary measures are strictly observed.

Whether you are vaccinated or not, whether you have a negative PCR test or not, does not change the need to respect sanitary measures.

Your presence in Montchardon implies that you strictly respect sanitary measures in all circumstances.

We are now used to these measures:

  1. Wear a protective mask in the temple during the whole teaching or practice period, in the refectory until you start eating, and in all situations where it is difficult to maintain a 1m distance with others.
  2. Hand wash with hydro-alcoholic gel when entering and leaving the temple and refectory, whenever accessing the self-service area and on all occasions when touching a collective object.
  3. Maintain a distance of 1m around yourself, in the temple, in the refectory and when moving around in the Centre.

Access to the temple will be limited to 70/80 people to respect sanitary distances.

For accommodation, the rooms that accommodate several people will become individual rooms, except for couples or families. The number of places in the dormitory will be reduced to space out the beds. This will allow us to accommodate about 80 people.

The campsite area will be open, and the layout of the tents should follow the same guidelines. Disinfectant will be available in all places where necessary.

These rules must be maintained in Montchardon at all times.

Indeed:

- We have a moral obligation to protect ourselves and others from disease, especially as we live in collective premises.

- It is important to continue to protect Lama Teunsang, whose immunity is greatly diminished, even though he has been vaccinated.

For these reasons, we are asking all those who come this summer to commit to respecting sanitary measures. This commitment will take the official form of a box to be ticked on the registration form, which will allow everyone to come to the Centre with complete peace of mind.

If you cannot or do not wish to follow these guidelines, we ask you not to come to the Centre while these rules are in effect.

The same applies, of course, if you are ill or have symptoms of the virus.

When you leave, if you need to have a PCR test, this can be done in the cities in the area. However, it will be up to you to organise (making an appointment, travelling to and from the test site), because the Centre cannot manage these procedures.