And just like that... it's been 2 months. While everyone was enjoying their Easter Holiday (if you celebrate it), I was celebrating the 2 month anniversary of my surgery. It was an unexpectedly emotional day for me for multiple reasons. Mostly because I went back to work the following day and I was being a big baby --- But also because I kept thinking back to 2 months before and reliving some of those feelings. I had no idea what my life would be like after January 27, the day of my surgery, and I was so afraid. It's funny because the day before my surgery I was with Jordan and his family and the day before my 2 month mark I was with Jordan and his family. So I guess not too much has changed, but at the same time I do feel like a different person. It's hard to explain really... And well, my time off of life certainly wasn't a walk in the park, and it wasn't really very relaxing. But here I am 2 months and 3 days later and I'm walking, talking, typing, painting, working. I mean... WOW. Who knew brain surgery would be so... routine? But to say the least... Sunday afternoon Jordan brought me home and I cried all day while I got ready to start the work week.
I did have a very lovely day with Jordan's family for Easter, and I survived a family party with a bunch of people. And if you know Jordan, he has a lot of family. I come from a family where only my immediate family lives in Lafayette (the rest are all up north, hellooooo cousins), and a majority of his family lives in New Orleans so they do a lot together. Lots of laughing, loving, hugging, and none of it bothered me one bit! So at least I know my social anxiety only relates to strangers and people I don't know. I have a feeling the next big, human-filled event I attend will go very smoothly and be perfectly fine. Too bad I missed/will be missing all the fun stuff... R.I.P. 2016 Mardi Gras, Birthday, St. Patrick's Day, Festival International, Jazz Fest. Maybe next year.
So... yeah... I started work this week. And just like everything else, I was extremely apprehensive about going back. And it wasn't because I would be doing work again (ok, maybe it was a little bit because I would be doing work again) but it was because I was afraid to interact with people again. I was worried I would come back and have a seizure and never be able to work there again. Like they would have just thrown in the towel and been like "look, you can't teach here but can we use your health as an example in all of our classes?" And oddly enough, my quality of sleep last week and thus far this week have been very, very poor. I actually think that having to set my alarm, gives me anxiety now. How do people who struggle with a lifetime of anxiety actually live? --(on the positive side, my anxiety is rapidly decreasing every day). Back to work --- Instead of me freaking out and inconveniencing everyone, it's been lovely. My colleagues have been and still are so supportive and I've been welcomed back with open arms by everyone. And, just like every other job, everyone knows everything. To be fair, some of them read this blog and it's not like I'm keeping anything about the tumor private here. Anyway, they have my doing a bunch of different things at work that are actually really great to know... and will surely help me be a better teacher but really just a better employee at school. And I'm planning on teaching this summer, if any classes are available (we are all like class vultures, waiting in the dark for another one to open so we can jump on it).
Other than that, physically I feel really, pretty good. My incision is almost completely healed and I think my numb spot is a little less numb. I do have one big old bald spot that is really hard to cover up no matter which way I part my hair so I'm just trying to trick myself into thinking it's adorable and unique instead bright, pink and circular. Really, it's kind of cool to show people and talk about my plate. I can't wait until you can feel the plate so I can let people touch it. I think I can feel one screw ---- but I also may just have a really lumpy head. My scalp is still driving me nuts it's so itchy (and all I can do is pat it, so if you see me slapping my scalp, that's why). -- but I finally started using some of my old products again and there doesn't seem to be any problems with them. Thank God because the hair I have has to be tamed - at least a little bit - by several products. I also had a follow-up MRI 2 weeks ago and Dr. Dumont said everything looks excellent. Complete resection, signs of positive healing, no sign of tumor regrowth. I'll take it!
I have been walking at least 4 or 5 miles almost every day. I'm toying with the idea of biking a few miles this week, but of course I'm a little terrified of that. What if I fall and hit my head and my titanium plate pops off and my brain comes out of my skull and I die? I know that won't really happen, (and obviously I'm going to wear a helmet) but I never said I was rational. Ok I'm sort of rational, but I never said I think rationally... My memory still has some gaps, mostly my vocabulary, I just draw blanks -- all the time -- for the simplest words. And I have been experiencing some pretty serious fatigue, meaning the two point five days I have worked makes me want to come home and go to bed at 8:00pm. I've also had some pretty bad headaches - they feel like mini-migraines and have persisted no matter what I do... I think all of those things are probably related to: stimulation, human interaction, a schedule, having to wake up early, etc. So again, all of these things will get better over time. I still can't believe the strides I have made in just 8 weeks time. From not being able to type or get up off the couch or walk more than a mile to living my nearly normal life (thinking of you, car). And... well... I really miss taking baths. I am a bath person, human soup if you will, and when you may have seizure you can't take baths or swim by yourself. And well, I live alone.
No real updates on my friend Loren and her family and how they are doing with the discovery of her brother. The case is very high profile there so I'm sure they haven't had time to breathe or think, on top of grieving the loss of Dan. Of course, everyone there is speculating about how he wasn't found for so long when he was on their property and trying to raise flags about the circumstances surrounding his disappearance. Because a family who spent 5 years, running a 24/7 international campaign for their missing loved one definitely was responsible for the disappearance and death of their person... sometimes working in missing people becomes very, very hard again. And it's times like these where I wonder why I do this. And then I remember that I do this, so that some of the ignorance that surrounds the world of missing people will hopefully be reduce eventually. That's what I hope my legacy will be.
I want to take the end of this to thank everyone again for sticking with me. This journey so far has been very tumultuous and it has been much easier with so much love and support from my friends and family and colleagues, and kind strangers. I'm sure there will still be interesting stories to tell in the future, but for now I'm still using this as a life journal. Should that blasted astrocytoma ever grow back I'll be able to read through this and know exactly what to expect. Instead of using google as my main tool of reference. I'm also really happy I'm still young (enough) because the healing has been so much easier. I hope you all have a wonderful week, happy spring!
Wednesday, March 30, 2016
Wednesday, March 23, 2016
Life Really is Weird
Well, I skipped last week so here we are at week 8, this Sunday
the 27th being my 2 month mark. Hard to believe. I really didn't have too much to write about last week because, well, I haven't been doing much. But since I didn't update last
week, there's a couple things to update on today...
The pathology results are finally in and it literally couldn't be any better, unless there was no tumor to
begin with. They downgraded the tumor to a Grade I Astrocytoma, which is
considered benign, or at least the most benign of all the astrocytomas. The
weird thing about them is that they're extremely rare to begin with and found
mostly in the cerebellum (an area of the brain stem) of children and about 60%
of cases have a genetic link. Well, I'm not an adult and it was found almost as
far away from my cerebellum as you can get and I'm in the 40% who just grows a
random tumor with no relation to DNA. To quote the radiation-onc. "I'm
just not someone who likes to follow the rules". They're so rare in adults
that there's not much information on them online and I still haven't met with
my oncologist to get the prognosis/statistics/general 411. I had my second
follow up MRI last week and there are signs of healing and improvement and no
sign of tumor regrowth. In other words, this last week has been a good one. The
good news is I definitely don't need radiation now.
My incision is almost completely healed
but I do have still have a few bald spots. Luckily, I have so much hair I can
just cover it up. My scalp is still extremely itchy... like an itch that cannot
be scratched... and it happens to be on the numb spot. I know this is a sign of
healing, and I have previously read that it is a problem but I didn't
understand how itchy they meant. It's painful it's so itchy. The things I want
to know are.... how does a numb spot itch and how are you supposed to scratch
an itch on a numb spot? It seems to be located on top of and around where the
plate is. But I still can't use too many products because I'm still doing some healing. I asked the doc and he said that should stop after 6 months... sooooo
only 4 months to go! Maybe the itch is one of those things you get used to --
but as I'm typing this, I can feel it.
Other than that, everything is
great/getting better. I've been walking more, painting more, reading more, and
seeing some people a little more. I am still having some slight vertigo issues,
but I have been feeling much more energized. My medication seems to make me
colder when it's cold and hotter when it's hot. This summer should be just
amazing. If you see the sweaty outline of human being somewhere, don't worry... it's just me. I go back to work next week, and all parties agreed I should not teach
the rest of the semester. So I will be learning other aspects of my job that I
should have been learning this semester anyway. I went out to a kickball
game and saw a bunch of my friends last week. My team changed their name to
"Charlie's Angels" which is adorable and I'm honored that they did
that, they all feel like part of my family. Hopefully it is temporary though
because No Basic Pitches is the best name ever. I also didn't feel a large amount of anxiety when socializing with a whole lot of people which is a huge
improvement from just a few weeks ago.
Anyway, I know this is off my usual topic but I wanted to dedicate the rest of
this week's post to my friend Loren O'Keeffe and her brother Daniel...
I met Loren on Facebook in late July of
2012. At the time, I was getting a lot of messages from people due to my
sister's missing person campaign. Loren really stood out to me, because she was
the face of her younger brother's missing person campaign. We started off Facebook messaging, then we skyped and texted, and then she told me she would be in New York and I was there. Oddly enough, she isn't the first best friend I met on the internet, I'll have to tell the story about how I met a gal named Bailey and ended up being in her wedding. In fact, there were
many similarities her and I shared, especially in search of our missing siblings. Loren and I are also both very sassy, and have bold personalities, and decent senses of
humor. Although, I will say that she is certainly more assertive than I am
and she has an excellent sense of business...both of which are things that I am still learning. I had the pleasure of meeting Loren
in real life in New York city in 2013 and then I went out to Melbourne,
Australia for the website launch of a missing person guide Loren designed for
her organization Missing Persons Advocacy Network (MPAN). You can see her
organization's website here: http://mpan.com.au/ and the
missing person guide she created here: http://www.missingpersonsguide.com/.
Loren is the person who inspired me to start an organization of my own,
especially after seeing the amount of time and energy it took to build a
website. Loren and I formed an unbreakable bond and I can't express the level
of connection that we share and always will...we have helped each other through many tough times and I know we will continue to do so in the future. I have met many other people who have
suffered from missing people and even some other people with missing siblings
but no one quite like Loren.
You can see pictures of us here, the first was in Oz and the second was on the Brooklyn Bridge in New York:
When Loren and I first spoke it had been a
little over a year since her brother, Daniel, went missing. He was struggling
with depression and anxiety at the time of his disappearance and the last place he was seen
was his parents’ home in Highton, Geelong. Depression is one of
the most common illnesses in Australia, and estimated 45% of the population
suffers from it in their lifetime. This created an ongoing battle between the family and the police. The police believed Daniel had committed suicide and the family believed he was living on the streets. For nearly 5 years, Loren has run a tireless
campaign to bring her brother home safely. His case was very high profile in
Australia and there have been sightings of Daniel all over the country and well... the world. Just
like we ran the "Find Mickey Now" or "Bring Mickey Home"
campaign, Loren created the "Dan Come Home" campaign. You can see the
campaign website here: http://dancomehome.com/. The
most impressive part of all of this is that Australia doesn't have missing
person resources (meaning no police task forces dedicated specifically to
missing people, no search and rescue teams, dog teams, etc.) the way the United States
does so the O'Keeffe family has been working 3 times as hard. It was long
believed that Daniel was out on the streets, living as a drifter and the
possible sightings seemed to confirm that. Unfortunately, on this Monday (March
21) Dan's remains were found on the property of the O'Keeffe family. The same place
where he went missing from. The oddest thing about discovering him there was
that multiple police and civilian foot searches have been conducted on the
property. It is possible the Daniel was gone for several months and at some point returned to his parent's property. You can read more about the story here: Daniel O'Keeffe Found.
And this is Daniel:
From what Loren and her family has told
me, it seems that Daniel was an amazing person. He was kind and gentle, smart,
strong, he worked with kids and he brought a light into the room when he entered. And Loren and Daniel were very close, she is extremely protective over her baby brother. To sit here
and try to describe the amount of pain I know the O'Keeffe family is
experiencing right now would be impossible because the pain is impossible. When
you have a loved one go missing, there is always the thought in the back of
your mind "what if they're dead" but you try and push that away. Mostly because it's awful but also because people don't get as involved with missing person cases when the person is presumed dead. I haven't figured out why yet, it's just a trend. The
problem is that pushing that thought away allows for terrible scenarios to
manifest themselves. When I first got the phone call that Mickey was found I
remember being so angry and wishing that she was just still missing. At the
time I thought, surely a missing person is better than a dead one. But after the grieving period was over and I had
time for reflection, I realized that knowing and having closure was, of course,
the better option.
Now that I am remembering my sister,
nearly 4 years later, I am so grateful that we found out what happened to her
and were able to recover her. I wouldn't change that for anything, other than having Mickey still here and alive. And I know right now Loren and her family are
extremely angry --- probably about everything --- especially since Daniel has been with them the entire time. But I
know in a few months, or a year, or several years from now they're going to
look back on this and also be grateful that they now have peace. Living with the unknown truly is the worst part of having a missing loved one. And I don't know
what happened to Daniel and I am very sad that he was recovered deceased, like many people I hoped that he was simply living on the streets or in the bush. But I
am also happy for the family since one day this will bring about closure. It's
so bittersweet to even describe it this way because it's such an awful
situation. I don't know what else to say other than believe it or not - having a deceased loved one is better than having a tortured, starved, beaten, cold, dirty loved one.
I know that Dan would be very proud of Loren, and probably also
embarrassed about the fuss that was made over him. But she has really taken a
terrible situation and channeled it into her community and country. The missing
person guide and other resources she has established for other people are
absolutely incredible and I am glad to see her community is putting love back
into her and her family. Through this very difficult time I hope you will all join me in
sending as much love, prayers, positive energy as we can muster to the O'Keeffe’s. I love them very much
and I hope they come out stronger in the long run. I also hope Daniel has found his
peace through the pain that he was coping with.
Wednesday, March 9, 2016
Trial and Error
Well it's been another interesting week here in the Recovery
Zone. Last week I did have an "epiphany" of sorts: I'm getting a second
round of firsts. Every single thing I have taken for granted can now reshape
itself into an exciting "first" after my surgery... I'm not sure if
that even makes sense honestly. For example, I walked to this nature trail
about a mile and a half away from my house, for the first time since my surgery;
everything that I do now feels just a little different now... better in a way. I truly can't describe
it. My energy levels have increased which means I've been a little
antsy... which means I've been moving a lot more. So this past week has
consisted of me trying different things and seeing what I can and can't do.
There's still no word on pathology... how? Why? I also finally have some
insight into my work schedule for the rest of the semester which means I'm
making plans for the future!!! Bout time.
And here we are...week 6 and there are some definite changes
taking place. As I stated, my energy levels are way, way up. Nowhere near my
"normal" but I'm finding myself to be less fatigued than I have been. Naps are not a part of most of my days anymore. Last week I walked more than 10,000 steps every day except Sunday (well,
according to my Fitbit). My walks have all been 2-4 miles straight which is
such an improvement. Just 2 weeks ago I could barely make it 3 miles and soon
I'll probably be walking 5 miles and so on. I definitely feel myself getting
stronger as well, my pace has picked up alongside the distance. ---it's so
weird being at this stage right now when a few months ago I didn't even
consider walking a real exercise, more like a warm up... now it's THE exercise
I do. The weather has been especially perfect lately in New Orleans and the
walks have been helping me remember my love and appreciation for this beautiful
city. There's no place quite like New Orleans, this city has soul.
Now on to the trial and error of things I can and cannot do
(other than the things I've been told explicitly not to do - which is quite the
list). I walked really far one day, like 5 or 6 miles, but to be fair I took
quite a few breaks on that trip. I also listened to music for the first time
since my surgery... and I gotta say: it was different. I know this sounds weird
but I like music more now..? Maybe it's not really true... but subjectively...
I enjoy music more now. For the past 2 or 3 years I almost completely abandoned
music, with the exception of rap (maybe this is how I should have known
something was up?...idk). But instead of music, I only listened to podcasts...
day and night... on road trips and at the gym and on the way to work. Now, I
can't stop listening to music, all music. It just sounds... better, the way I
remember it feeling to me when I was younger and "music was life".
It's just one of those weird and funny things. I also tried out 2 of my
favorite hobbies: painting and gardening. The painting was pretty much the
same, except after a while -- especially during the fine details -- my hand
gets so tired that it refuses to grip the paintbrush. But I know that specific
strength will develop over time. -But as far as style, feel, etc. goes,
everything else is the same. The gardening on the other hand, did not go very well, I
dare to say that I still can't/shouldn't garden, at all. It wasn't the physical
labor part or the heat or anything. But the up and down and up and down
required by weeding and planting was just too much for me to handle. On several
occasions I felt like I was about to black out so an hour and a half after I
started, I was inside on the couch trying to get the world to stop spinning...
but I may have a reason as to why that is happening. The good news is, I didn't
pass out and I did weed my 2 flower beds, the following day I got all my bulbs into the ground too. - maybe in a few weeks I'll be doing that in a more timely fashion. I also can finish lectures! It was taking me about a week and a half to complete them before and now I can finish a lecture in about 4 or 5 days.
Last week I met with Dr. Dumont, the surgeon, for a second post-op follow
up. We went through the regular thing, which is basically me using him as a
factual WebMD (in case you haven't heard, don't trust the internet for a
diagnosis). One thing I have noticed is pretty intense vertigo when I move from
lying down to sitting up or move my head up and down a lot (hence the world
spinning during gardening), or when I lie flat on my back. The doctor said
that's relatively common but if it doesn't go away in a couple months, I'll
have to go get my head rotated or something? (This is where I begin to lack all
knowledge on random procedures). But, I can tell you that in our inner ear we
have these cells that move the way we move, so I jump and those cells move up
and fall back down, which is how we know where we exist in our own universes
(relative body positioning). Well, during and after brain surgery, those little
cells can get thrown off which makes me feel crazy when I move too fast or too
much. Certain parts of the healing incision are also a little
"juicy." I know that's horrible way to describe something, but I am
drawing a blank on a better word here... and I'm not sure what that means. The
numb spot is itchier and itchier everyday so I'm assuming it's from me
scratching it. Dr. Dumont also recommended I take another 2 weeks off of
work... and the real kicker is that we decided I shouldn't return to teaching
until the summer. People keep asking me how I feel about it... I mean work also
agreed that I shouldn't get back in there unless I'm 100% ready. But I love to
teach, at the same time, passing out or losing it in front of your students
probably isn't a good thing to risk. And my schedule this semester ranges from being at 8:00am one day to being there until 10:00pm another. But I will be returning back to work later
this month, I just won't be returning to teaching... not yet. I haven't
mentioned my colleagues much, but I gotta say that I am very lucky to have all
of them. They have been so supportive and have gone above and beyond what they
needed to do to help me out. And even better, I didn't feel any stress or
anxiety while I was there and interacting with some of my friends for a short
visit this week. I actually felt a sense of peace. Anyway, the doctor also said
I need to get another MRI so next week I will be getting yet another scan of my
brain, I feel like a professional now. In grad school we used to pay people to
look at their brains... if there are any scientists out there who want to study
me... I'm all yours.
So... pathology...where could it be? I have no idea. If
anyone has any guesses, feel free to throw them out there. 6 weeks down and
still no final word. It has driven me so crazy that now I can't even muster a little bit of care. But I did get some insight into why it has taken so long and
the short story is... snail mail. They use the mail to send tissues to other
labs and half of the time it's been out, it's been in transit. Maybe they
secretly lost it? ...I wonder how many people have looked at my tumor/brain at
this point, at least 5 or 6 (cool). The oncologist told me as soon as he had the answers, he would call
me. We had hoped to hear yesterday but it should be sometime this week. I'm
keeping all my fingers crossed because this is kind of the last piece of the
puzzle. I'm tired of seeing doctor after doctor and would just like a little
break for a couple weeks. But I guess that's part of the game. This actually
reminds me of a TED talk one of my friends shared with me last week:
https://www.ted.com/talks/salvatore_iaconesi_what_happened_when_i_open_sourced_my_brain_cancer#t-606953.
This guy is an artist and he decided to take it upon himself to share pictures
of his tumor with a large community of artists, friends, scientists, etc.
instead of sitting around waiting on tests results. He welcomed insight and
opinions from the masses and after surviving his surgery and recovery after
cancer, he is sharing his experience with people. If you have a few minutes,
check it out. Anyway, I think his video offers so beautiful insight into what's
going on in your head during this experience; he also has a great sense of
humor.
I know I still have a long part of the journey left to go and the recovery period isn't over. But I guess one of the weirdest things about this week was that
I felt relatively normal...like I wasn't really being held back from anything
anymore. I mean I still can't drive and I still don't want to be surrounded by people, but other than that I feel like the
original me again, and I'm much less anxious. I saw a few friends, I hung out
with Jordan, I maintained a very loosely structured schedule, and I did some of
the things I really love to do. It's amazing how much growth has taken place
from week to week since January 27. Some weeks have been fine and others have
been horrible but things are moving forward. 6 weeks ago I had no idea what
life would be like now, and 6 weeks has always been the goal period to be
recovered. And here I am... recovering, but not quite there yet. I am actually mad at myself for not being where I wanted to be at this time, but looking back I realize that I have truly come a very long way. I won't say
this has been easy, and it certainly hasn't been fun and relaxing but it has
been a learning experience. And I do recognize that things could have been so
much worse. But this is my life now... and that's just kind of weird.
Wednesday, March 2, 2016
Adventures in Tumorland
Why did I think the surgery would be the end --- it really was only the beginning. And seriously, how did I not know I had a brain tumor? Why did all of this happen now when it could have happened at any time in the the last 4 years? There could have been a worse time, I guess, but not really... I just started full time at work and I had a month-long event happening for my nonprofit. I didn't really get more than a week or two of work in and I didn't get to attend a single event for my organization, which I'm sure the owners of the establishments are like "who does that?" I also didn't get the monthly newsletter out last month, for the first time in a year and half... so as a President, I am failing right now. Shout out to my board members and team though, those girls stepped up and worked on several cases while I was out of commission (I also may or may not have worked on a missing person case while I was in the hospital... ok I did, I did work on a case while I was in the hospital. He was found safe and well).
Not much has changed since last week or the week before. Jordan and I went to see the oncologist last Thursday and he said because pathology isn't in, he can't tell us what the next steps will be. He pretty much said the same thing everyone else said. I'm not going to lie, I had a breakdown Friday. HOW CAN PATHOLOGY STILL NOT BE IN? It has been over a month, I have to go back to work soon and I still don't know anything about the tumor or what the next few months of my life will be like. --- and in all seriousness, what exactly is taking so long? It's making me very nervous. I would rather them take their time, I guess, but this is really starting to drive me nuts, it really, really is. Everyone keeps asking me "when are you going to do this?" "when are you going back to work?" "when are you going to get a car and be driving again?" "when are you going to start getting out and about?" "are you doing radiation, will the tumor grow back" and I can't answer any of those questions because I don't even know, pathologically speaking, what exactly was wrong with me... and my doctor's can't say either. The oncologist wanted us to see a radiation-oncologist Monday of this week but we pushed it back to wait for pathology. I'm tired of going to doctors only to hear "there's not much they can say because official pathology isn't in."
Other things have gotten way better, Jordan and I went to lunch in a really crowded restaurant this past weekend which would normally have given me a near panic attack (and maybe did give me a mini one). As we sat down I definitely felt the walls closing in and anxiety creeping up my back, and I even cried a little bit. But I decided to stay and we made it through. --- eventually that anxiety did subside, I just felt a little on edge. Of all the side effects... WHY does it have to be social anxiety? I like to be fun and do fun things with my friends and now I'm like "human beings... nooooooo." It is getting better though, I have to admit, a few weeks ago I wouldn't have even walked into a busy restaurant.
But what is funny, is that I realized the other day that as much as this is a blog about experiencing a tumor and seizures and finding out all of these things... this is also a romance. Even though Jordan is a guy's guy and a bit of a hardass... this has been quite the romantic situation (and he will probably kill me for writing this hahaha). Typical hero - damsel in distress storyline. And Jordan has still been taking very good care of me and making sure I'm taking care of myself. I never was the type to gush over a man/guy but this guy is just such a wonderful person, and he doesn't put up with any of my shit. He always keeps me on my toes and pushes me to be better. He's smart, and he remembers every, single detail and word that every doctor has said. And... well.... he just remembers everything in general (drives me nuts because I can't ever win a debate haha). And I'm just here to make him crazy hahaha, which he has been taking in stride, but he's also begged me to stop googling things.
Now on to the point of this particular post.. how did I miss that I had a brain tumor, especially an astrocytoma? Since I haven't had much to do but I do have a connection to the internet I would say I have spent approximately 60% of my recovery time googling things about astrocytomas. You will see that generally the symptoms for a low-grade astrocytoma are subtle but present, and those symptoms can be masked by many other problems. Also, because my tumor was slow-growing, my symptoms were also slow-growing. And as we go through my adventure with the appearance and growth of my tumor you will see that rationalized every single one of the symptoms I experienced. Most the symptoms are pretty general but some are specific to where my tumor was located: headaches (especially in the morning, or ones in the same spot that never go away), nausea, weakness on one side of the body (my right), change in personality, change in taste, short term memory issues, twitching, seizures are very very common with all astrocytomas, speech differences, change in mood --- and depending on where you look, the list can go on and on. And in case you haven't noticed, these symptoms can also be seen by people suffering from extreme stress or while they're going through mourning/experiencing grief.
As you saw from my last post, the tumor was relatively small and there were only slight signs of swelling toward the bottom (inferior) part of the tumor. Also, as we dive into this I don't actually know exactly when my tumor started growing. It could have been there my whole life, but more than likely it's only been around for 4 or 5 years and started growing a little more when my hand seizures started. Also, the biggest issue was that these symptoms occurred in a period of transition and growth in my life. I was living alone in a huge city where I had like 6 friends, I was in graduate school, my sister had just been murdered after being missing --- so a lot of huge changes were taking place all while my symptoms began.
The headaches and nausea: I did have a lot of headaches and nausea... a whole lot actually. But I have always been a very poor sleeper, my entire life. I can't fall asleep, I can't stay asleep, and usually if I open my eyes and there's sunlight I am up for the entire day, even if I only slept 3 hours the night before. I also have a history of a very bad (acidic) stomach --- I had acid reflux as a child that I had to be treated for and when I was 22 I suffered from stress-induced gastritis which still gives me problems now and then (mostly when I'm stressed or consume too much alcohol). So I thought the headache and stomach issues were related to those issues.
Weakness on my right side: looking back I did experience some weakness, but it was very slight. And where the tumor was growing would have affected my right leg more --- in fact, the surgeon was very surprised that my hand was giving me more trouble than my leg (see: homunculus of the supplementary motor cortex). But when I was 12 I tore a PCL ligament in my right knee playing softball. There may be a surgery now, but at the time there wasn't. And my knee gives out ALLLLL the time. Looking back on it, it probably partially due to weakness caused by the tumor, but also because I am missing a ligament there. My hands are also funny, and I got clumsier and clumsier as I aged...I thought I was just doomed to be quirky and awkward. I would grab something or pick it up and suddenly drop it or throw it across the room. I tried to make it charming but it was kind of awkward --- especially when I was teaching (I would pick up chalk and drop it and it would shatter and I was just look at my class like "ugh, why?"). The positive thing is, I am pretty sure I'm way less clumsy now. I haven't dropped many things, or tripped over anything, or knocked anything down, or thrown anything across the room lately.
Change in personality: Since I was under an immense amount of stress and I was going through a "growing" period I assumed my change in personality was normal. But it was probably the most notable of all my symptoms. I used to be very carefree, extremely outgoing and friendly, loud and just a total free spirit, less stressed out ...just different. I would put experiences and fun above a lot of other things. Suddenly I was quieter, more conservative, pretty shy and less talkative, less willing to go out, and just more closed-off --- and mostly I noticed that I became extremely self conscious. The positive side of the change was that I became more goal-oriented and career driven (and that has stuck around). I thought this was a natural part of growing up, and it is but it was a marked, and rapid change. I remember getting back to New Orleans after graduating and seeing all my friends here and them being like "what is wrong with you? you're different and so boring now" and I cried and cried and knew it was true and didn't know why I didn't want to do the things I used to enjoy doing. And I really didn't like some of those people I used to love. I really thought it was because of my sister and the whole experience of going through a high-profile missing person case. I met a lot of people and got recognized in a lot of places and the last thing I ever want to do is talk about my murdered sister to a complete stranger (no offense). So I figured that's why I had less of a desire to go out and talk to a lot of people in really public places. Which could very well be true.
Short-term memory issues: this was another big one that I wrote off as other issues, which very well could have been due to other problems. As far as fact-based information and learning goes...my memory is still/has remained pretty solid. Obviously when I first got back to school after finding my sister, my memory was very poor due to stress and lack of sleep. But as time passed I noticed quite a few ongoing problems: forgetting appointments/meetings, not remembering anyone's name or face (and I mean I couldn't remember anyone at all, especially when they were in a different setting than I was used to), forgetting specific words -- my vocabulary really took a hit (and now it seems to be even worse), and forgetting small things friends and I discussed. All of those things are relatively normal and happen when we get busy and age. But the not remembering faces and names really freaked me out. I assumed it was mostly because I had met literal 1000s of people during the missing person campaign and then continued to meet more after. But it became worse and worse and this started happening with people I have known for years: high school friends, people on my teams, people I have spent hours and days with. It was bizarre and started becoming a bit of an issue... in fact, it got to the point where I was actually afraid to use people's names because I thought it would be wrong. So for those of you out there whose faces I couldn't remember and names I forgot --- I'm sorry, it was my stupid brain tumor. I have no idea if this has gotten better yet, so if I still forget you --- I'm sorry, there's a stupid hole in my brain.
Changes in mood/taste/speech: I definitely noticed, oddly enough, that I was way more positive than I used to be. I thought I was just crazy, or delusional... but I like being positive. And now I'm grumpier and more "realistic" and I'm hoping that goes away --- because even though it's not practical, I'll take my rose-colored glasses any day. My tastes changed a good bit, in that I became vegetarian for 2 years which is something that I never would have done before. But I will say this: becoming veggie + regular exercise cured my depression, anxiety and insomnia after my sister was killed. Now I am a meat eater, with a veg. heavy diet --- the best of both worlds. I am maintaining a heavier vegetarian diet now, though. And most obvious was my change in speech. Just like with my clumsiness, my speech also became a little clumsy. When I got excited or had to speak too much, I fumbled over all my words. I would have to literally stop and reset my mouth to rephrase what I was trying to say. Obviously, this was even more apparent to me because I talk a lot for a living. I thought this was a part of just being more self conscious, stressed, and closed off.
Seizures: we have discussed this. If you hand spasms uncontrollably... don't ignore it. There was also a situation where I almost bit the tip of my tongue off in my sleep which had to have been due to a seizure... don't ignore that either. And hope you're with people when you have a grand mal so they make you go to the hospital.
You can see a picture of the tongue below, again it is NSFW:
I don't mean to freak anyone out, look it up, if you're experiencing some of these you probably don't have brain cancer/tumors. But also, if there are persistent things that have been worrying you get them checked out! MRIs and doctor's visits are expensive but so are funerals. Thank you for walking down the path with me through this journey. I'm still just waiting and waiting and waiting on the final word for pathology so I can start getting on with the rest of my life. Hopefully next week I will have some insight into the tumor.
Not much has changed since last week or the week before. Jordan and I went to see the oncologist last Thursday and he said because pathology isn't in, he can't tell us what the next steps will be. He pretty much said the same thing everyone else said. I'm not going to lie, I had a breakdown Friday. HOW CAN PATHOLOGY STILL NOT BE IN? It has been over a month, I have to go back to work soon and I still don't know anything about the tumor or what the next few months of my life will be like. --- and in all seriousness, what exactly is taking so long? It's making me very nervous. I would rather them take their time, I guess, but this is really starting to drive me nuts, it really, really is. Everyone keeps asking me "when are you going to do this?" "when are you going back to work?" "when are you going to get a car and be driving again?" "when are you going to start getting out and about?" "are you doing radiation, will the tumor grow back" and I can't answer any of those questions because I don't even know, pathologically speaking, what exactly was wrong with me... and my doctor's can't say either. The oncologist wanted us to see a radiation-oncologist Monday of this week but we pushed it back to wait for pathology. I'm tired of going to doctors only to hear "there's not much they can say because official pathology isn't in."
Other things have gotten way better, Jordan and I went to lunch in a really crowded restaurant this past weekend which would normally have given me a near panic attack (and maybe did give me a mini one). As we sat down I definitely felt the walls closing in and anxiety creeping up my back, and I even cried a little bit. But I decided to stay and we made it through. --- eventually that anxiety did subside, I just felt a little on edge. Of all the side effects... WHY does it have to be social anxiety? I like to be fun and do fun things with my friends and now I'm like "human beings... nooooooo." It is getting better though, I have to admit, a few weeks ago I wouldn't have even walked into a busy restaurant.
But what is funny, is that I realized the other day that as much as this is a blog about experiencing a tumor and seizures and finding out all of these things... this is also a romance. Even though Jordan is a guy's guy and a bit of a hardass... this has been quite the romantic situation (and he will probably kill me for writing this hahaha). Typical hero - damsel in distress storyline. And Jordan has still been taking very good care of me and making sure I'm taking care of myself. I never was the type to gush over a man/guy but this guy is just such a wonderful person, and he doesn't put up with any of my shit. He always keeps me on my toes and pushes me to be better. He's smart, and he remembers every, single detail and word that every doctor has said. And... well.... he just remembers everything in general (drives me nuts because I can't ever win a debate haha). And I'm just here to make him crazy hahaha, which he has been taking in stride, but he's also begged me to stop googling things.
Now on to the point of this particular post.. how did I miss that I had a brain tumor, especially an astrocytoma? Since I haven't had much to do but I do have a connection to the internet I would say I have spent approximately 60% of my recovery time googling things about astrocytomas. You will see that generally the symptoms for a low-grade astrocytoma are subtle but present, and those symptoms can be masked by many other problems. Also, because my tumor was slow-growing, my symptoms were also slow-growing. And as we go through my adventure with the appearance and growth of my tumor you will see that rationalized every single one of the symptoms I experienced. Most the symptoms are pretty general but some are specific to where my tumor was located: headaches (especially in the morning, or ones in the same spot that never go away), nausea, weakness on one side of the body (my right), change in personality, change in taste, short term memory issues, twitching, seizures are very very common with all astrocytomas, speech differences, change in mood --- and depending on where you look, the list can go on and on. And in case you haven't noticed, these symptoms can also be seen by people suffering from extreme stress or while they're going through mourning/experiencing grief.
As you saw from my last post, the tumor was relatively small and there were only slight signs of swelling toward the bottom (inferior) part of the tumor. Also, as we dive into this I don't actually know exactly when my tumor started growing. It could have been there my whole life, but more than likely it's only been around for 4 or 5 years and started growing a little more when my hand seizures started. Also, the biggest issue was that these symptoms occurred in a period of transition and growth in my life. I was living alone in a huge city where I had like 6 friends, I was in graduate school, my sister had just been murdered after being missing --- so a lot of huge changes were taking place all while my symptoms began.
The headaches and nausea: I did have a lot of headaches and nausea... a whole lot actually. But I have always been a very poor sleeper, my entire life. I can't fall asleep, I can't stay asleep, and usually if I open my eyes and there's sunlight I am up for the entire day, even if I only slept 3 hours the night before. I also have a history of a very bad (acidic) stomach --- I had acid reflux as a child that I had to be treated for and when I was 22 I suffered from stress-induced gastritis which still gives me problems now and then (mostly when I'm stressed or consume too much alcohol). So I thought the headache and stomach issues were related to those issues.
Weakness on my right side: looking back I did experience some weakness, but it was very slight. And where the tumor was growing would have affected my right leg more --- in fact, the surgeon was very surprised that my hand was giving me more trouble than my leg (see: homunculus of the supplementary motor cortex). But when I was 12 I tore a PCL ligament in my right knee playing softball. There may be a surgery now, but at the time there wasn't. And my knee gives out ALLLLL the time. Looking back on it, it probably partially due to weakness caused by the tumor, but also because I am missing a ligament there. My hands are also funny, and I got clumsier and clumsier as I aged...I thought I was just doomed to be quirky and awkward. I would grab something or pick it up and suddenly drop it or throw it across the room. I tried to make it charming but it was kind of awkward --- especially when I was teaching (I would pick up chalk and drop it and it would shatter and I was just look at my class like "ugh, why?"). The positive thing is, I am pretty sure I'm way less clumsy now. I haven't dropped many things, or tripped over anything, or knocked anything down, or thrown anything across the room lately.
Change in personality: Since I was under an immense amount of stress and I was going through a "growing" period I assumed my change in personality was normal. But it was probably the most notable of all my symptoms. I used to be very carefree, extremely outgoing and friendly, loud and just a total free spirit, less stressed out ...just different. I would put experiences and fun above a lot of other things. Suddenly I was quieter, more conservative, pretty shy and less talkative, less willing to go out, and just more closed-off --- and mostly I noticed that I became extremely self conscious. The positive side of the change was that I became more goal-oriented and career driven (and that has stuck around). I thought this was a natural part of growing up, and it is but it was a marked, and rapid change. I remember getting back to New Orleans after graduating and seeing all my friends here and them being like "what is wrong with you? you're different and so boring now" and I cried and cried and knew it was true and didn't know why I didn't want to do the things I used to enjoy doing. And I really didn't like some of those people I used to love. I really thought it was because of my sister and the whole experience of going through a high-profile missing person case. I met a lot of people and got recognized in a lot of places and the last thing I ever want to do is talk about my murdered sister to a complete stranger (no offense). So I figured that's why I had less of a desire to go out and talk to a lot of people in really public places. Which could very well be true.
Short-term memory issues: this was another big one that I wrote off as other issues, which very well could have been due to other problems. As far as fact-based information and learning goes...my memory is still/has remained pretty solid. Obviously when I first got back to school after finding my sister, my memory was very poor due to stress and lack of sleep. But as time passed I noticed quite a few ongoing problems: forgetting appointments/meetings, not remembering anyone's name or face (and I mean I couldn't remember anyone at all, especially when they were in a different setting than I was used to), forgetting specific words -- my vocabulary really took a hit (and now it seems to be even worse), and forgetting small things friends and I discussed. All of those things are relatively normal and happen when we get busy and age. But the not remembering faces and names really freaked me out. I assumed it was mostly because I had met literal 1000s of people during the missing person campaign and then continued to meet more after. But it became worse and worse and this started happening with people I have known for years: high school friends, people on my teams, people I have spent hours and days with. It was bizarre and started becoming a bit of an issue... in fact, it got to the point where I was actually afraid to use people's names because I thought it would be wrong. So for those of you out there whose faces I couldn't remember and names I forgot --- I'm sorry, it was my stupid brain tumor. I have no idea if this has gotten better yet, so if I still forget you --- I'm sorry, there's a stupid hole in my brain.
Changes in mood/taste/speech: I definitely noticed, oddly enough, that I was way more positive than I used to be. I thought I was just crazy, or delusional... but I like being positive. And now I'm grumpier and more "realistic" and I'm hoping that goes away --- because even though it's not practical, I'll take my rose-colored glasses any day. My tastes changed a good bit, in that I became vegetarian for 2 years which is something that I never would have done before. But I will say this: becoming veggie + regular exercise cured my depression, anxiety and insomnia after my sister was killed. Now I am a meat eater, with a veg. heavy diet --- the best of both worlds. I am maintaining a heavier vegetarian diet now, though. And most obvious was my change in speech. Just like with my clumsiness, my speech also became a little clumsy. When I got excited or had to speak too much, I fumbled over all my words. I would have to literally stop and reset my mouth to rephrase what I was trying to say. Obviously, this was even more apparent to me because I talk a lot for a living. I thought this was a part of just being more self conscious, stressed, and closed off.
Seizures: we have discussed this. If you hand spasms uncontrollably... don't ignore it. There was also a situation where I almost bit the tip of my tongue off in my sleep which had to have been due to a seizure... don't ignore that either. And hope you're with people when you have a grand mal so they make you go to the hospital.
You can see a picture of the tongue below, again it is NSFW:
I don't mean to freak anyone out, look it up, if you're experiencing some of these you probably don't have brain cancer/tumors. But also, if there are persistent things that have been worrying you get them checked out! MRIs and doctor's visits are expensive but so are funerals. Thank you for walking down the path with me through this journey. I'm still just waiting and waiting and waiting on the final word for pathology so I can start getting on with the rest of my life. Hopefully next week I will have some insight into the tumor.
Wednesday, February 24, 2016
Auras Auras Auras... What's a girl to do?
Well, this week will make a month since I've had my surgery. This coming Saturday to be exact, and there's still no final word from pathology (ughhhhhhhhhh). And — as Jordan says "I've made a miraculous recovery.” Physically speaking, I would say that I agree. I'm walking 2+ miles every day, one day last week I even walked 4. I'm getting up and down the stairs a lot more easily and I'm able to carry slightly heavier things now. Unfortunately, doing laundry is a task that I can accomplish with no issues now... as is cleaning out the fridge and vacuuming... so I've been doing daily chores again. However, I did sneeze yesterday for the first time since the surgery and it hurt a lot. I. Am. A. Grandma.
Psychologically, I have good days and bad days. One day I feel great and the next day I will feel anxious and the next day I'll feel seizure-y. When I wake up, I never know what I'm going to get. The neurologist said that was very common and should go away in a few months. Riding in the car is certainly getting easier. Last week I also decided to go to lunch with 2 of my friends ... by myself ... That may have not been the best decision but I didn't realize it until it was too late. I was very excited to get lunch with the two girls and the Uber ride to the restaurant was ok, but as soon as I saw all the people inside the restaurant — my heart started racing. When I sat down we all started talking and one of the girls asked me a question and an aura hit me like a ton of bricks, and I thought "shit shit shit I'm about the have a seizure right here and I don't know what to do." I can't describe the feeling other than a sense of dread— it’s very unsettling.
I'm going to attempt to describe what a seizure and an aura feel like ... for me ... but it is important to note that it is different for everyone. And again, since I have really only been paying attention to mine for about 2 months now I can only offer narrow insight. The first thing I notice is this "feeling" I have when I wake up. I don't know how else to describe it other than sympathetic nervous system stimulation, I feel a little on edge and my hand feels kind of weak and slightly tingly, so slight that you would hardly notice if you weren't paying attention to it. As I have stated before, looking back on my hand spasms now, I could tell if my hand would do "the thing" when I woke up I just never knew exactly when it would happen. I have no idea when an aura or seizure are going to hit -- they just do -- and my aura is my only warning sign. The aura puts my life into slow motion and it also feels like when you're startled by something (that high adrenaline hyper aware feeling). My aura always starts in my right hand in the palm, it's a warm, tingly, prickly feeling (imagine how your face feels when you're really embarrassed). The aura spreads from my right palm, to my finger tips, and then up through my right arm, throughout my right side (to the legs and face) and then it goes over to the left side of my body. That is quick but progressive, and sometimes accompanied by hand twitch. Before I upped my Keppra dosage my hand would always spasm, always. I honestly can't describe the spasm because they're so unnatural and uncontrollable, but they're weird. I haven't had any kind of seizure other than an aura and an absence seizure since getting on 2000mgs of the anti-convulsant. Again, I don't want to go into the statistics of pharmaceuticals, placebos, an alternative therapies (maybe in another blog) but some of that could be me believing that these drugs will stop my seizures. But so far... they have. After the aura passes, if there isn't a hand spasm, the room sounds muffled and it feels like my nasal passages tighten up, like all my senses kind of dampen, except I think I also smell rubbing alcohol, I'll get back to you on that --- and then my mind goes blank for a few seconds to a half a minute - I mean really blank. Now, the worst part for me again, is the anticipation and fear of seizures which I know will eventually go away. The people I talk to say "yeah I have had seizures in lots of place and then I get up after and say 'my bad' and go home." They don't let seizures stop them from living and eventually I won't either, and I know in due time I won't fear the seize.
On a positive note, one of the best things about last week, that had me crying for days was that WE HIT OUR FUNDRAISING GOAL! I couldn't be more grateful to everyone who got involved and helped me out through this situation, and of course thanks goes out to Brooke and Jordan for setting it up and to my girl Reagor for moderating it. I was very hesitant to go public with the fundraiser, but my options were limited and I really had no other choice. Also, 2 of my very best friends April and Lyndsey came and stayed with me this weekend for Monster Jam (April loves all things car and jeep related). I was pretty nervous about having them stay with me, especially after last Thursday, and I ended up having a blast and not feeling bad at all. We may or may not have reenacted the final rose night on The Bachelor. I'm so glad they came because I really love those ladies. And, one of my other best friends told me she just found out she was pregnant after she and her husband have been trying for months and months. She is going to be the cutest pregnant lady ever. This just goes to show... just because your life stops for a while... it doesn’t mean everybody else's does. It has only been 4 weeks and I have to fight the feeling of sadness that other people’s lives are moving so quickly and it feels like mine has been standing still since January. But... every time I feel really bad I think about those first few steps I took after my surgery and now I think about myself climbing up a hill or doing a little walk-run from the rain and think "wow, I'm actually much stronger" and I am, for sure. I'm also doing really well in the car, and tolerating public places and groups of people a lot better so I know in another couple of weeks I'll be much closer to normal than I have been these past few weeks.
Without further ado, here is my brain:
The picture above is transverse slice meaning it was taken from the bottom of my brain (the portion closest to my neck) to the top of my brain. If you look at this picture you can see the mass on your right side (my left) near the middle of my brain, it is perfectly circular and kind of radiating brightness. All the other bright white bits on this picture is my beautiful, puffy, perfect white matter. The front of my brain is pointing toward the top of this photo and the back is pointing toward the bottom. That area you're looking at is the supplementary motor area of the frontal lobe. Had the tumor continued to grow, it would have gotten into the motor cortex and then we would have had some serious issues, like not being able to initiate movement, possible paralysis, not being able to use my right leg, etc. (to be fair these were all risks with the surgery I had but they would have been greatly increased had the tumor gotten into the MC, and possibly permanent).
Also, thank you to everyone who has been enjoying the posts. I have to admit that there are 2 people helping me edit these blogs for grammar, punctuation, and sense as I'm still putting weird words and letters in places where they don't belong sometimes.
Psychologically, I have good days and bad days. One day I feel great and the next day I will feel anxious and the next day I'll feel seizure-y. When I wake up, I never know what I'm going to get. The neurologist said that was very common and should go away in a few months. Riding in the car is certainly getting easier. Last week I also decided to go to lunch with 2 of my friends ... by myself ... That may have not been the best decision but I didn't realize it until it was too late. I was very excited to get lunch with the two girls and the Uber ride to the restaurant was ok, but as soon as I saw all the people inside the restaurant — my heart started racing. When I sat down we all started talking and one of the girls asked me a question and an aura hit me like a ton of bricks, and I thought "shit shit shit I'm about the have a seizure right here and I don't know what to do." I can't describe the feeling other than a sense of dread— it’s very unsettling.
I'm going to attempt to describe what a seizure and an aura feel like ... for me ... but it is important to note that it is different for everyone. And again, since I have really only been paying attention to mine for about 2 months now I can only offer narrow insight. The first thing I notice is this "feeling" I have when I wake up. I don't know how else to describe it other than sympathetic nervous system stimulation, I feel a little on edge and my hand feels kind of weak and slightly tingly, so slight that you would hardly notice if you weren't paying attention to it. As I have stated before, looking back on my hand spasms now, I could tell if my hand would do "the thing" when I woke up I just never knew exactly when it would happen. I have no idea when an aura or seizure are going to hit -- they just do -- and my aura is my only warning sign. The aura puts my life into slow motion and it also feels like when you're startled by something (that high adrenaline hyper aware feeling). My aura always starts in my right hand in the palm, it's a warm, tingly, prickly feeling (imagine how your face feels when you're really embarrassed). The aura spreads from my right palm, to my finger tips, and then up through my right arm, throughout my right side (to the legs and face) and then it goes over to the left side of my body. That is quick but progressive, and sometimes accompanied by hand twitch. Before I upped my Keppra dosage my hand would always spasm, always. I honestly can't describe the spasm because they're so unnatural and uncontrollable, but they're weird. I haven't had any kind of seizure other than an aura and an absence seizure since getting on 2000mgs of the anti-convulsant. Again, I don't want to go into the statistics of pharmaceuticals, placebos, an alternative therapies (maybe in another blog) but some of that could be me believing that these drugs will stop my seizures. But so far... they have. After the aura passes, if there isn't a hand spasm, the room sounds muffled and it feels like my nasal passages tighten up, like all my senses kind of dampen, except I think I also smell rubbing alcohol, I'll get back to you on that --- and then my mind goes blank for a few seconds to a half a minute - I mean really blank. Now, the worst part for me again, is the anticipation and fear of seizures which I know will eventually go away. The people I talk to say "yeah I have had seizures in lots of place and then I get up after and say 'my bad' and go home." They don't let seizures stop them from living and eventually I won't either, and I know in due time I won't fear the seize.
Luckily, at lunch, that seizure never came. The feeling washed across my body and, after a couple minutes, it was gone. I doubt my friends even noticed and I didn't mention it to them because I didn't want to stir up another aura or seizure. And other than that, lunch was lovely, we got to catch up, and I didn't feel bad after about 15 or 20 minutes of the aura happening. To be fair, there are things called "false auras" and that very well could have been one, I guess I didn't realize how stressed out I was. But according to epilepsy.com, an aura is a type of seizure known as a simple-partial seizure. To say that feeling the aura broke my heart would be an understatement. One of my main driving forces for going through with the surgery was the fact that it could have cured my seizures/epilepsy --- this was obviously before we knew the tumor was cancerous --- but it was my first true epileptic experience since the surgery. And since that aura, I've been a nervous wreck... I was just hoping I would never have one of those feelings again.
Some other things that are happening is that some of my stitches are "spitting" meaning my body is beginning to force them out. They were the absorbable kind so a majority of the 3 layers of stitches in my head should be gone, these are just the left-over pieces. The ones that are spitting are extremely itchy, I mean EXTREMELY. Only I can't scratch them because they hurt. I have pictures, but I will spare your eyes because no one wants to see that on someone's scalp. The numb spot also seems to be getting less numb, it is also very, very itchy. I finally got a call from an oncologist so I will be meeting with him tomorrow, Thursday the 25. For those of you unfamiliar with them, oncologists are doctors who specialize in treating cancers. My oncologist is in the East Jefferson network so I will be going back to the hospital that saved my life and finding out what the next steps are. I still haven't heard anything about the second opinion from pathology, and by this point I guess I don't care. I just don't want to get blindsided by being told, out of nowhere, that I have to get radiation. Which honestly, is a fairly low possibility, but it is a possibility none-the-less. This Friday I plan on going to speak with my boss about a game plan about getting back to work. They did say, in the event I can't teach or don't feel comfortable teaching, they will give me other work to do for the rest of the semester. I do really want to get back in the classroom but with my current schedule and everything I don't know how practical that will be, especially since I definitely won't be driving for the rest of the semester. I do still have several weeks of improvements before that time comes so hopefully I'll keep getting stronger and healthier physically and psychologically.
So, as promised I have 2 pictures of my tumor to share with you guys. I wanted to get an image from each slice they could be viewed on but the discs the MRIs came on are just obnoxiously large and hard to navigate. Normally what doctors do to look for abnormalities in the brain is order a standard MRI which is literally just pictures from different angles of your brain and then they do an MRI with contrast dye. Both of the images I'm presenting were done with contrast dye, and what the dye does is make masses and other growths stand out more (it likes to cling to fats which is why you'll see my white matter blinging too). What you're going to see in both pictures is a bright white mass on your right side (but my left side of the brain). It's circular and goes down and kind of looks like mushroom or a UFO. It's also very close to the midline of the brain.
The picture above is transverse slice meaning it was taken from the bottom of my brain (the portion closest to my neck) to the top of my brain. If you look at this picture you can see the mass on your right side (my left) near the middle of my brain, it is perfectly circular and kind of radiating brightness. All the other bright white bits on this picture is my beautiful, puffy, perfect white matter. The front of my brain is pointing toward the top of this photo and the back is pointing toward the bottom. That area you're looking at is the supplementary motor area of the frontal lobe. Had the tumor continued to grow, it would have gotten into the motor cortex and then we would have had some serious issues, like not being able to initiate movement, possible paralysis, not being able to use my right leg, etc. (to be fair these were all risks with the surgery I had but they would have been greatly increased had the tumor gotten into the MC, and possibly permanent).
This picture above is a coronal or frontal slice. These images move from the front of my head to the back (really, for these it was back to front but I wanted you to get an idea of where we are looking). This is largest part of the tumor. Here, you can see how deep the tumor was located, where it was starting to project, but also how close the midline of my brain it was so it was in a relatively accessible area. The accessibility is why I believe I have had such few side effects because I didn't have to lose very much actual brain tissue. As far as places go, my tumor was in the second best place it could be in. If you look below the tumor just above the little triangular shaped space, that is my corpus callosum which in the area for inter-hemisphere communication. Had my tumor continued down and they had to cut into that my right and left lobe may not have been able to talk to each other. And for all my brain friends, look at those nice, tight ventricles ;-)... In other words, this is even more proof that I got very lucky.
I wanted to also get a picture up of my brain post surgery so you guys could see my hole but I haven't gotten the disc yet. It is really weird to think that there's just a hole in my head now, especially one that is nearly a perfect circle...just existing in there. Glad we got that sucker out of there because like most people, I just don't have time for a brain tumor.
Hopefully when I meet with the oncologist at the end of the week I’ll have some more answers. I'm just way too impatient for all of this. I want to know what type of astrocytoma it was, how long it was there, and the percentage chance it will grow back. It will also be nice to know if I have to get radiation right now and the exact steps we will have to take over the next few years to track my hole and absence of tumor. Anyway, life is continuing to get better and I'm trying to remind myself of that everyday. Jordan and my friends are doing a great job of reminding me that I'm still me, and still really cool with really bad jokes hahaha. Hopefully I'll have some actual news to deliver to everyone come next week that will really start solidifying what exactly just happened. I hope I never have to see that little UFO-shaped tumor ever again --- and yes, I realize I am starting to repeat myself. It's just a stagnant process, a waiting game.
Also, thank you to everyone who has been enjoying the posts. I have to admit that there are 2 people helping me edit these blogs for grammar, punctuation, and sense as I'm still putting weird words and letters in places where they don't belong sometimes.
Wednesday, February 17, 2016
The C Word
Brain cancer. Brain. Cancer. BRAIN CANCER. Cancer. The C word is so intense, and at the same time it's just a word. I'm 28 (now). 3 weeks later and I'm wondering how could I possibly have just battled brain cancer. How long was it growing in my brain? How did it really start? Was it all the diet coke I drank in college? All the binge drinking I did on my lagniappe year? Could it have been all the processed food and red meat that I have consumed for most of my life? My random bouts of insomnia? Or is it simply a fluke? I have no idea. And neither do the doctors... for most types of cancer. Since scientific research improves everyday --- thanks to technology --- hopefully in the future we will know where it comes from.
The interesting thing about my type of cancer (grade II astrocytoma) is that it's very rare -- only about 1,500 people are diagnosed with them in the United States every year. Most people who get this type of tumor usually survive long after treatment too, but like I have stated before, these guys can grow back. One positive thing is that this means my brain tissue, and tumor, and case will be used (anonymously) for tons of research and hopefully that means it will assist doctors and researchers with cracking the mystery of the origins of the tumor. And eventually help a lot of other people.
Last week was a rough one. As I was finally coming off of all the medication, I started feeling pretty bad. Monday and Tuesday I had level 10 headaches, I didn't sleep for more than an hour Wednesday night and Thursday morning I threw up twice and then slept for 6 hours. I'm sure the physician's assistant is tired of my paranoid emails about every little problem, but she's probably had worse. Since then, I have actually felt pretty good. I haven't even taken tylenol in the past 2 days. My dad left Tuesday and my mom left Thursday and it was bitter sweet. I was definitely up for some alone time... I've been living alone for 4 years now and usually when I spend a lot of time with someone or someones, it's my choice. But at the same time I was very afraid to be alone and worried about what I would do if something were to happen or if I needed something. Since I still can't drive, and walking more than about 2 or 3 miles really exhausts me, how am I supposed to get bananas and water and other things? But it has been fine, and Jordan has been taking good care of me... again (if he ever has kids, he will make a great mom).
One of things that has really been bringing me down is that I realized I won't be able to play any sports for at least a year. And if you're thinking "Charlie, you're 28, what sports are you playing" I'm just going to tell you that you don't understand!!! hahahah, I play 3 or 4 different co-ed sports year round and I'm devoted to several teams (No Basic Pitches - kickball, The Dodgefathers - dodgeball, and The Chicken Biscuits - softball). I was even supposed to be a captain for softball this spring. I know it sounds silly, but it's one of the ways I stay active and socialize. Even if I could play, I would be too afraid to because my skull is still growing back together.
By the way, you can HEAR your skull growing back together. It makes a ticking noise that sounds kind of like your sinuses draining. The first week back home, it kept me up all night long. Creepy fact of the day.
Jordan and I met with the neurologist yesterday (February 16) for a post-op check up. Dr. Peterson was also very happy with my recovery and, since he and the neurosurgeon make up a team, he already heard about the surgery and my recovery. Shout out to Dr. Peterson for finding my tumor and Dr. Dumont for removing it!!!! It looks like I'll be meeting with my neurologist 2-4 times a year for the next few years to track my seizures/epilepsy. Unfortunately, he did tell me that the chances of getting off seizure medication or lowering my dose was very low, so I'll likely be on Keppra, or something similar, for the rest of my life. The only problem with that is if I ever decide to have children... which honestly is a low possibility because I'm not a kid person and never really planned on having children. - But what if I do become pregnant one day, then what? Again, I know thousands of women with epilepsy have babies every day. Anyway, if I do become pregnant, there is an increased risk of birth defects, it's low but it does exist. And I don't want to do that to a tiny, adorable, human being.
And if it seems like I talk about the seizures a lot, it's because ... in my opinion ... they're the worst part (so far)... but maybe that's because I still fear the seizures. In fact, one of my old friends who has epilepsy told me she wishes she had a brain tumor they could remove that would possibly take her seizures away. The really put things into perspective for me about how inconvenient and life changing the disorder can be. The thing is, epilepsy can kill you but more so by driving or drowning or hitting your head whereas cancer kills you in a slower, more gradual and painful process. The burden epilepsy puts on you is great but not so much for your loved ones - that burden is small (except for the people who are with you when you seize, apparently that's really scary and horrible to watch). The burden cancer puts on you is large, and what it puts on your loved ones is even larger. Neither of them are very fun — both are very stressful. I was hoping to kick cancer and epilepsy's asses but beggars can't be choosers. And I will choose epilepsy over brain cancer any day.
I may never have another seizure again, of any type, but I do still have to be on the medication. That is because before I had a lesion (the tumor) that was disturbing my brain activity, and now I have another lesion (the hole that was previously known as tumor) that will also disturb my brain activity. --- And all epilepsy really is, is a disruption of electrical signaling that makes your brain go haywire. At least when you have a really intense seizure (like a grand mal) you black out and can't feel it. Another interesting thing I learned about seizure yesterday was that the more you have, the more you are likely to have because your brain "learns" to have them. It becomes increasingly easier, and I can vouch for that because after I had my big one on January 1 --- I had 4 more just a week or two after --- To say that I haven't felt "seizure-y" would be a total lie because I certainly have since the surgery. It truly could be related to stress (which has obviously been high), and, since I can't workout, I don't have my usual outlet for it. I haven't had the feeling that I did on the days where I knew I'd have a spasm, but when I get stressed, like really stressed now, my hand "feels weird." I think I will feel that way for a long time though because of the type of person I am but also because all of this is still new. But nonetheless, when Jordan and I were running a little late to our appointment (which we ended up not being late for), I was anxious and therefore my hand felt weird and therefore I was being bitchy to him. I'm also working on the bitchy part but since the steroids have gotten out of my system, all the sassiness is just slightly heightened from the level I used to be on :-).
Dr. Peterson also kind of filled me in on pathology and why it's taking so long. By Monday, I couldn't stand it anymore so I emailed my neurosurgeon to ask if the results were in yet (and then I refreshed my email every hour about 30 times). I mean, it's been 3 weeks and my inner diva is just throwing a fit. Apparently when they're dealing with a cancerous tumor they do things painstakingly slow for several reasons. Mostly so that they don't mess anything up or miss anything. It looks like one neuropathologist has already looked at it and confirmed it was a low-grade astrocytoma. Now they're sending it off to get a second opinion. And I do expect to hear from my surgeon today or tomorrow, with a few more details about what they know right now.
With that, now I will meet with an oncology team sometime in the next few weeks. --- Hopefully before I go back to work, because right now I'm doing nothing. Once I'm working again, I will be grading tests and quizzes and making lectures and you know... teaching. --- There are 3 different results I can expect from pathology: 1) they got the whole tumor so with my surgeon and the oncology team we will track the space (via neuroimaging) and make sure the tumor isn't growing back, 2) there are microscopic pieces of the tumor that appear to still be present in my brain in which case we will probably opt for radiation treatment to zap the rest of the cancerous cells, or 3) the results are inconclusive in which case we may opt for radiation to zap the area to make sure no cells remain or track the growth without radiation and see what happens. In my opinion, if they aren't sure they got all of the tumor, I want to radiate it until the cancer cells are begging for forgiveness. I know the tumor can grow back, but I want to do everything possible to try and make sure it doesn't. I'm even starting a cancer-friendly diet, meaning less red meat, more fruits and vegetables, less sugars and processed foods, more whole grains. It's not very different from my current diet, but if there's cake around, I always eat cake. Now, maybe I won't always eat cake, or maybe I will hahaha. And obviously, I gotta kiss the booze goodbye. It's been great booze, thanks for all the memories, but we simply can't be friends anymore. That's not to say I won't ever have a beer or a glass of wine or the occasional martini, but I won't be staying up until 4 am, on Mardi Gras guzzling 6 gin and tonics and sipping on chartreuse ever again.
If I can be honest, I don't know how I feel with this recent news and development. I mean, I'm walking, talking, laughing, eating, and doing things on my own now, except for driving that is... I still can't legally drive until May and well, right now I don't have a vehicle because my dad is selling my old one... And I guess I still have epilepsy. I may have to get radiation therapy or maybe I won't? I may have brain cancer again one day, or maybe I won't? All these questions are leaving me with more questions, and at the same time it's all completely out of my control. It's very frustrating but at the same time, it's not at all. I guess it's like a lot of other things in life actually.
But every time I say the word "cancer" I feel completely disconnected from it. Like I didn't really have it — but I did. Or maybe I still do..? And once you have cancer do you always have cancer or am I cancer survivor now? There isn't a guide out there that gives you all these answers. I'm sure a lot of the things will be answered when I do meet with my oncologist though, I just wish I knew when that would be... And the bills have started to roll in, which is even more stressful since I'm not currently working, but luckily my super best friend, Brooke and boyfriend, Jordan have created a fundraiser for me to cover the rest of my medical bills. And once I am back at work, paying for an MRI here and there, and a couple doctors visits every couple of months won't hold the same weight as this recent situation. You can see the fundraiser link here: https://goo.gl/90OOKY . Brooke tells me to stop talking about and worrying about money and I know it's taboo to talk about but the first thing I thought when I found out I had a brain tumor was "OMG am I going to die and if I don't die how the heck am I going to afford this?" Which really isn't how cancer should be, it should be more like "I don't care what it costs, get this thing out of me so I can hug my loved ones and walk my dog and live until I'm at least 75."
Another thing that has happened since speaking openly about my personal struggles with my recent health is that a lot of people, some of which I know really well, have been talking to me about their health issues. From M.S. to lyme disease, to ALS, and even different types of cancer and tumors that people have battled through. It makes me realize again, how lucky I am to be alive and relatively healthy. I'm even walking 2 miles a day already. My goal for the end of February is 3 miles. There is also a situation happening in my hometown, Lafayette, making me realize that my cancer story could have been so much worse. It's the #teambrittini campaign, Brittini is suffering through acute leukemia, and just like me, she went from being healthy one day to finding out she had cancer the next, you can see her story here: http://1079ishot.com/ cjs-family-can-use-your- prayers-and-positive-thoughts/ .
Again, I truly believe that without the love and positive energy I have constantly surrounding me, I wouldn't have made it through my sister's murder and I wouldn't have made it through this situation either. It never ceases to amaze me the kindness and love that strangers (and of course all my friends and family) give to me and my family. I don't know what to say other than your prayers, offers of love and support, and well wishes do not go to waste. I keep getting stronger everyday, and my anxiety and feelings of hopelessness are subsiding. In fact, I'm kind of excited to get back to work and a normal schedule, even though I still don't know how the heck I'm going to get around. But that’s a problem for another day — and a small one at that.
The interesting thing about my type of cancer (grade II astrocytoma) is that it's very rare -- only about 1,500 people are diagnosed with them in the United States every year. Most people who get this type of tumor usually survive long after treatment too, but like I have stated before, these guys can grow back. One positive thing is that this means my brain tissue, and tumor, and case will be used (anonymously) for tons of research and hopefully that means it will assist doctors and researchers with cracking the mystery of the origins of the tumor. And eventually help a lot of other people.
Last week was a rough one. As I was finally coming off of all the medication, I started feeling pretty bad. Monday and Tuesday I had level 10 headaches, I didn't sleep for more than an hour Wednesday night and Thursday morning I threw up twice and then slept for 6 hours. I'm sure the physician's assistant is tired of my paranoid emails about every little problem, but she's probably had worse. Since then, I have actually felt pretty good. I haven't even taken tylenol in the past 2 days. My dad left Tuesday and my mom left Thursday and it was bitter sweet. I was definitely up for some alone time... I've been living alone for 4 years now and usually when I spend a lot of time with someone or someones, it's my choice. But at the same time I was very afraid to be alone and worried about what I would do if something were to happen or if I needed something. Since I still can't drive, and walking more than about 2 or 3 miles really exhausts me, how am I supposed to get bananas and water and other things? But it has been fine, and Jordan has been taking good care of me... again (if he ever has kids, he will make a great mom).
One of things that has really been bringing me down is that I realized I won't be able to play any sports for at least a year. And if you're thinking "Charlie, you're 28, what sports are you playing" I'm just going to tell you that you don't understand!!! hahahah, I play 3 or 4 different co-ed sports year round and I'm devoted to several teams (No Basic Pitches - kickball, The Dodgefathers - dodgeball, and The Chicken Biscuits - softball). I was even supposed to be a captain for softball this spring. I know it sounds silly, but it's one of the ways I stay active and socialize. Even if I could play, I would be too afraid to because my skull is still growing back together.
By the way, you can HEAR your skull growing back together. It makes a ticking noise that sounds kind of like your sinuses draining. The first week back home, it kept me up all night long. Creepy fact of the day.
Jordan and I met with the neurologist yesterday (February 16) for a post-op check up. Dr. Peterson was also very happy with my recovery and, since he and the neurosurgeon make up a team, he already heard about the surgery and my recovery. Shout out to Dr. Peterson for finding my tumor and Dr. Dumont for removing it!!!! It looks like I'll be meeting with my neurologist 2-4 times a year for the next few years to track my seizures/epilepsy. Unfortunately, he did tell me that the chances of getting off seizure medication or lowering my dose was very low, so I'll likely be on Keppra, or something similar, for the rest of my life. The only problem with that is if I ever decide to have children... which honestly is a low possibility because I'm not a kid person and never really planned on having children. - But what if I do become pregnant one day, then what? Again, I know thousands of women with epilepsy have babies every day. Anyway, if I do become pregnant, there is an increased risk of birth defects, it's low but it does exist. And I don't want to do that to a tiny, adorable, human being.
And if it seems like I talk about the seizures a lot, it's because ... in my opinion ... they're the worst part (so far)... but maybe that's because I still fear the seizures. In fact, one of my old friends who has epilepsy told me she wishes she had a brain tumor they could remove that would possibly take her seizures away. The really put things into perspective for me about how inconvenient and life changing the disorder can be. The thing is, epilepsy can kill you but more so by driving or drowning or hitting your head whereas cancer kills you in a slower, more gradual and painful process. The burden epilepsy puts on you is great but not so much for your loved ones - that burden is small (except for the people who are with you when you seize, apparently that's really scary and horrible to watch). The burden cancer puts on you is large, and what it puts on your loved ones is even larger. Neither of them are very fun — both are very stressful. I was hoping to kick cancer and epilepsy's asses but beggars can't be choosers. And I will choose epilepsy over brain cancer any day.
I may never have another seizure again, of any type, but I do still have to be on the medication. That is because before I had a lesion (the tumor) that was disturbing my brain activity, and now I have another lesion (the hole that was previously known as tumor) that will also disturb my brain activity. --- And all epilepsy really is, is a disruption of electrical signaling that makes your brain go haywire. At least when you have a really intense seizure (like a grand mal) you black out and can't feel it. Another interesting thing I learned about seizure yesterday was that the more you have, the more you are likely to have because your brain "learns" to have them. It becomes increasingly easier, and I can vouch for that because after I had my big one on January 1 --- I had 4 more just a week or two after --- To say that I haven't felt "seizure-y" would be a total lie because I certainly have since the surgery. It truly could be related to stress (which has obviously been high), and, since I can't workout, I don't have my usual outlet for it. I haven't had the feeling that I did on the days where I knew I'd have a spasm, but when I get stressed, like really stressed now, my hand "feels weird." I think I will feel that way for a long time though because of the type of person I am but also because all of this is still new. But nonetheless, when Jordan and I were running a little late to our appointment (which we ended up not being late for), I was anxious and therefore my hand felt weird and therefore I was being bitchy to him. I'm also working on the bitchy part but since the steroids have gotten out of my system, all the sassiness is just slightly heightened from the level I used to be on :-).
Dr. Peterson also kind of filled me in on pathology and why it's taking so long. By Monday, I couldn't stand it anymore so I emailed my neurosurgeon to ask if the results were in yet (and then I refreshed my email every hour about 30 times). I mean, it's been 3 weeks and my inner diva is just throwing a fit. Apparently when they're dealing with a cancerous tumor they do things painstakingly slow for several reasons. Mostly so that they don't mess anything up or miss anything. It looks like one neuropathologist has already looked at it and confirmed it was a low-grade astrocytoma. Now they're sending it off to get a second opinion. And I do expect to hear from my surgeon today or tomorrow, with a few more details about what they know right now.
With that, now I will meet with an oncology team sometime in the next few weeks. --- Hopefully before I go back to work, because right now I'm doing nothing. Once I'm working again, I will be grading tests and quizzes and making lectures and you know... teaching. --- There are 3 different results I can expect from pathology: 1) they got the whole tumor so with my surgeon and the oncology team we will track the space (via neuroimaging) and make sure the tumor isn't growing back, 2) there are microscopic pieces of the tumor that appear to still be present in my brain in which case we will probably opt for radiation treatment to zap the rest of the cancerous cells, or 3) the results are inconclusive in which case we may opt for radiation to zap the area to make sure no cells remain or track the growth without radiation and see what happens. In my opinion, if they aren't sure they got all of the tumor, I want to radiate it until the cancer cells are begging for forgiveness. I know the tumor can grow back, but I want to do everything possible to try and make sure it doesn't. I'm even starting a cancer-friendly diet, meaning less red meat, more fruits and vegetables, less sugars and processed foods, more whole grains. It's not very different from my current diet, but if there's cake around, I always eat cake. Now, maybe I won't always eat cake, or maybe I will hahaha. And obviously, I gotta kiss the booze goodbye. It's been great booze, thanks for all the memories, but we simply can't be friends anymore. That's not to say I won't ever have a beer or a glass of wine or the occasional martini, but I won't be staying up until 4 am, on Mardi Gras guzzling 6 gin and tonics and sipping on chartreuse ever again.
If I can be honest, I don't know how I feel with this recent news and development. I mean, I'm walking, talking, laughing, eating, and doing things on my own now, except for driving that is... I still can't legally drive until May and well, right now I don't have a vehicle because my dad is selling my old one... And I guess I still have epilepsy. I may have to get radiation therapy or maybe I won't? I may have brain cancer again one day, or maybe I won't? All these questions are leaving me with more questions, and at the same time it's all completely out of my control. It's very frustrating but at the same time, it's not at all. I guess it's like a lot of other things in life actually.
But every time I say the word "cancer" I feel completely disconnected from it. Like I didn't really have it — but I did. Or maybe I still do..? And once you have cancer do you always have cancer or am I cancer survivor now? There isn't a guide out there that gives you all these answers. I'm sure a lot of the things will be answered when I do meet with my oncologist though, I just wish I knew when that would be... And the bills have started to roll in, which is even more stressful since I'm not currently working, but luckily my super best friend, Brooke and boyfriend, Jordan have created a fundraiser for me to cover the rest of my medical bills. And once I am back at work, paying for an MRI here and there, and a couple doctors visits every couple of months won't hold the same weight as this recent situation. You can see the fundraiser link here: https://goo.gl/90OOKY . Brooke tells me to stop talking about and worrying about money and I know it's taboo to talk about but the first thing I thought when I found out I had a brain tumor was "OMG am I going to die and if I don't die how the heck am I going to afford this?" Which really isn't how cancer should be, it should be more like "I don't care what it costs, get this thing out of me so I can hug my loved ones and walk my dog and live until I'm at least 75."
Another thing that has happened since speaking openly about my personal struggles with my recent health is that a lot of people, some of which I know really well, have been talking to me about their health issues. From M.S. to lyme disease, to ALS, and even different types of cancer and tumors that people have battled through. It makes me realize again, how lucky I am to be alive and relatively healthy. I'm even walking 2 miles a day already. My goal for the end of February is 3 miles. There is also a situation happening in my hometown, Lafayette, making me realize that my cancer story could have been so much worse. It's the #teambrittini campaign, Brittini is suffering through acute leukemia, and just like me, she went from being healthy one day to finding out she had cancer the next, you can see her story here: http://1079ishot.com/
Again, I truly believe that without the love and positive energy I have constantly surrounding me, I wouldn't have made it through my sister's murder and I wouldn't have made it through this situation either. It never ceases to amaze me the kindness and love that strangers (and of course all my friends and family) give to me and my family. I don't know what to say other than your prayers, offers of love and support, and well wishes do not go to waste. I keep getting stronger everyday, and my anxiety and feelings of hopelessness are subsiding. In fact, I'm kind of excited to get back to work and a normal schedule, even though I still don't know how the heck I'm going to get around. But that’s a problem for another day — and a small one at that.
Wednesday, February 10, 2016
Two weeks
Two weeks post op and things are not as I expected...
The real problem is that before my surgery I spent my time researching what the surgery was like, what the possible tumors were like, and what the side effects of tumor resection in the supplementary motor area would be like. And of course I youtubed a couple frontal craniotomies because I'm a glutton for punishment. For the record - those videos gave me serious nightmares and I really shouldn't have looked them up — and yes Jordan told me not to. You don't really think about the fact that they're cutting into YOUR brain and blood vessels and skull and protective covering and those videos made me realize they were. They're one of the reasons I almost didn't go through with it.
What I should have been looking into was "life after brain surgery" which I guess wouldn't have really made a difference but at least I could have prepared my family and friends for what would be different. Since I'm still waiting on the final pathology results, I can't say for certain that I kicked cancer's ass but the doctor is fairly positive that they completely removed a grade 2 astrocytoma from my brain. An astrocytoma is a type of tumor formed from astrocytes (a type of glial cell) in your brain. You can think of glial cells as the supportive infrastructure of your hardworking neurons that make you who you are. So my tumor was made up of me. There aren't clear reasons why they form...they just do. A little genetic mutation tells them to start forming a mass. That mass eventually gets big enough and people usually notice changes that take place that tells them something isn't right. My changes happened to occur around the time my sister was missing which is why I didn't pay attention to a personality change, change in sleeping patterns, change in appetite and food preferences. And of course I already talked about the hand spasms that were actually seizures that I wrote off as carpal tunnel.
The scary thing about astrocytomas is that they come in different grades (1-4) each one being worse than the previous. A grade 2 astrocytoma, if left untreated, can turn into a grade 3 or 4. And once someone is diagnosed with a grade 4 tumor they're pretty much given a death sentence (but of course, people still beat those every single day). I do recognize how lucky I am because we did catch it early, and the problems associated with them removing a piece of my brain have been extremely minor - well at least from what I can tell so far. The problem is that astrocytomas are really great at putting little feet out, and those little feet can grow more tumors. And since pathology is taking so long to confirm that the entire tumor was removed/what type of tumor it was ... I'm just a nervous wreck. I'm trying to stay positive but how would those guys feel if they were waiting around to find out what kind of cancer was just cut out of their freaking brains? AHHH!!!
But anyway, it has been two weeks since my tumor was removed and my life is a lot different than I anticipated. A lot of the problems actually relate to the medication I've been on for recovery purposes. The first 24 hours after the surgery I was in the ICU. I don't even know where to begin with that... the were catheters, about 4 or 5 different IVs, tons and tons of injections, some physical tests and they woke me up every hour to talk to me and give me drugs. Apparently they were making sure I could speak and that my brain wasn't bleeding because sometimes it takes a while for cognitive decline to present itself.
The next morning I got an MRI done and they took the catheter out, and moved me to the 7th floor. Getting the catheter removed was by far the best thing that happened. For those of you who haven't had the pleasure, a catheter feels like a permanent bladder infection and it makes you feel like you have to pee constantly except you are peeing constantly through a tiny tube that's in your urethra. Discovering there's something in your urethra while you're on anesthesia is horrifying -- just FYI. And I can still remember the first steps I took after my surgery and how hard it was to walk, a sense of dread definitely crept into me that day. But the second and third steps were much easier.
So I was finally released Friday morning, two days after my surgery. I had to pass physical therapy and talk to a couple different professionals but all of them seemed impressed with my functioning and attitude. My boyfriend came to meet me at the hospital for my release, he also wanted to sit in on the meeting with the surgeon and the physician's assistant for when they told me how to clean my incision site and how to wash my hair. They finally took the bandage off of my head that day and I couldn't believe how small the surgery site was. Just like everyone else, I was expecting half of my head to be shaved... instead it looks like I have a little skin headband. And I have so much hair that now that everything is cleaned up, you can hardly tell I'm missing any hair at all, although the entire back of my scalp is completely numb and my scalp is extremely itchy...the itchiest thing I've ever experienced. The PA also gave us a bunch of prescriptions to be filled and said that I needed to get them that day.
You can see a few of the incision pictures here, for some of you they may be NSFW... the images are slightly graphic and a little bloody. You can see that one of the wonderful PAs also braided my hair in the front to get it out of the way:
As my boyfriend and I were leaving the hospital the first thing I noticed was ANXIETY. The bright lights, seeing other people, being in traffic, but more than anything...riding in the car. I hate riding in the car now. It fills me with so much irrational dread. It has already gotten better, but it sucks. Especially sitting in traffic, it really freaks me out. We got back to my house where my parents were getting ready for me to come home and Jordan and my dad went and got my medicine and a whole bunch of water. The drugs I was prescribed were: a corticosteroid to counteract inflammation, 2000mgs of Keppra, the anticonvulsant I've been on for epilepsy, the pain medication percocet, and an anti nausea medication because the pain meds make me extremely nauseated.
I thought I would spend the first two weeks sleeping and watching movies and eating jello but that has not been the case. The thing no one tells you about steroids is that they ruin your life. Corticosteroids are a necessary evil, but they have been the single worst experience of my healing process. They make you irritable, anxious, depressed, agitated, really REALLY hungry, and they give you insomnia. They also make you retain water, and make your skin break out, they also make your joints really sore and your skin hurts when you touch it. Combine those with the pain pills, that basically stop your GI tract from moving anything through it and imagine how unpleasant I've been. EVERYTHING has been pissing me off. Literally everything. I yelled at my dad for slurping cereal and coffee. I yelled at my mom for accidentally spilling a glass of wine on my birthday. I yelled at my boyfriend for singing along with Coldplay during the Superbowl Half Time Show - please make fun of him for that. I yelled at my dog for sniffing something on her walk. I've also been crying for no reason about nothing. I cried all day on my birthday because I'm crazy. hahahaa. It's just been unreal. The doctor should have warned us like "hey, if you survive brain surgery and don't have many issues you're going to be freaking psycho for a while and you'll be really mean to everyone for no reason for a couple weeks." Thanks a lot, modern medicine. I also have some serious ADD, I can't pay attention to anything for more than 10 minutes. So getting any work done, reading, binge watching a show online, are all out of the window. I am still having a few minor issues as well with typing, handwriting, texting, and some fine motor skills. And because my joints and muscles are so stiff - walking and getting up have been tough. The physical therapist recommended I get some crutches or a cane so I got a cheap cane and bejeweled it. I have only used the cane once, and that was yesterday when I was suffering from those very bad headaches. The only other huge difference so far is extreme weakness and fatigue and my short term memory really sucks. I get winded going up the stairs and have trouble walking more than 2 miles but I know those will get better with time.
Again, it's good that I can complain about the trivial things because a lot of people who have gone through similar things definitely aren't as lucky as I am. My last day of steroids was Saturday so I'm slowly but surely coming around. I finally slept these past two nights and aside from some really bad headaches (we're talking level 10, debilitating, feeling nauseated, can't move headaches) yesterday and Monday, I haven't had to take too much of the pain pills either. Now that I'm weening off of all the drugs, except for the Keppra, of course, I'm excited to see if anything really is different. I get to meet with my neurologist next Wednesday to see what the next steps are to track my epilepsy and the final results from pathology should be in by then too. I should be hearing from an oncologist soon to figure out how to track my tumor growth (or hopefully lack there of) and I should get cleared for work from my neurosurgeon on March 9. This next month will probably be one of the laziest, most boring months of my life but it's better than having a brain tumor.
Again, thanks for reading. The amount of love and support I have received is truly indescribable and having an outlet like this blog is helping me recover and acting as a type of therapy. I also hope that some day someone going through this will come across my blog and realize that they aren't crazy and that they may have a tumor and that they can do it. I plan on updating this blog regularly so if you think these are interesting please stay tuned.
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