Friday, June 14, 2013

The Results Are In!

The results are in, but before I reveal them you have to put up with a little story…Did you really think I would just post the results?

I got a call on Tuesday from my neurosurgeon’s secretary that the results of my MRI’s were in and the doctor wanted to see me to discuss them on Thursday.  My brain immediately said “ut-oh this can’t be good” I told it to shut-up, but it kept taunting me with “what if’s”.  My appointment was at 3:00pm and my wife Joyce kindly reset her work schedule so she could go with me, she’s awesome.  Having experienced long waits every time I go to Albany Med I made sure we got there early in the hopes of being called earlier.  It worked, they called my name just before 3:00pm, this was the shortest wait I had ever experienced in the neurology waiting room.  The nurse showed us to the exam room, checked my vitals, forced me to fill out the same freakin’ forms I fill out every time I go there, then as she left she said that the doctor would be right in.  Sweet! We were both feeling good about the pace that the appointment was progressing at.  The good feelings didn’t last…10 minutes became 20, then 30, then 40.  At the 40 minute mark I was sick of waiting so I stuck my head out the door to see if anyone was around that I could complain to, no luck the hallway was empty.  The one thing that kept me from losing my mind was being there with Joyce.  Her presence has the ability to keep me relaxed without her having to say a word.  So how did I repay her for spending her afternoon at the hospital with me and keeping me from going mental?  I ended up subjecting her to my comedic stylings, and best of all the awesome video of “Let’s Have a Party Albany”.  This was a cheesy ode to Albany, NY for its 300th birthday back in 1986; you couldn’t turn on a radio back then without hearing it.  For your viewing pleasure Let's Have a Party Albany

We were heading into the 60 minute mark so once again I got up and stuck my head out the door.  This time there was a woman standing there talking to someone; that someone turned out to be my neurosurgeon, I quickly retreated back into the exam room.  As I retreated we made eye contact; he shot me a quizzical look that said “what do you think you’re doing, now get back in there” I felt like a kid that got busted by dad trying to sneak out after curfew.  Oh, it took him another 5 minutes to knock on the door and come in.  He actually apologized for keeping us waiting; that was a first, I’ve never had a doctor apologize for that.

On to the results:

We learned a new word yesterday, that word is Pseudomeningocele.  Of course when the doctor first said it all either of us heard was pseudoblah-blah-blah.  So what is pseudomeningocele? It’s an abnormal collection of cerebrospinal fluid (CSF) in the soft tissue in the back of my head.  In other words my patch is leaking.  My first thought was “oh crap here we go again, he’s going to tell me I need surgery to fix it”...WRONG!!!  Because my symptoms have been slowly improving surgery is off the table for now.  If my symptoms come back or I experience new and/or strange symptoms then there are two options available.  The first thing we can try is to go to a specialist that will use CT to direct a needle filled with tissue glue to try and seal the patch and then aspirate the fluid on the way out.  The second option is of course my least favorite; the neurosurgeon would do another more invasive surgery and I would end up with a shunt to drain the CSF. 

So there you have it, you learned a new word and you got treated to a blast from the 1980’s.  Best of all…I am feeling better and don’t need surgery!!!


Thursday, June 6, 2013

From My Much, Much, Much Better Half

Hi there everyone, Joyce here – Dave’s better half (well at least I tell myself that anyways).  Dave has been asking me to write a post on his blog for a while, which I admit, I’ve been putting off…but here you go.  First, I will say I’m not as witty or comedic as Dave, so I apologize if this doesn’t make you smile like his posts do.
Where to start, hmm…Dave asked me to write how the entire experience affected me from before the doctors got involved to diagnosis to surgery through today…so from the beginning it is…Since I’ve known Dave he has always complained about headaches, constant ones, all the time – he’d pop sinus medicine like it was candy his head would hurt so often.  I recall often telling him to go to the doctor, that something wasn’t correct, that it didn’t make sense.  After 9 or 10 years he probably got sick of me complaining and obliged.  This was when he saw a neurologist that recommended a sleep test, which resulted in nothing more than “you have headaches sir – deal with it”.  After that I kind of gave up nagging him, as I didn’t see the point, the doctors weren’t going to help him.  Well I only gave up until the end of summer 2012…Dave seemed to have worse headaches, to the point that something really wasn’t correct, things were changing and I was noticing it more often….time to start nagging again…to no luck – the stubborn man I married wasn’t hearing “go to the doctor, something isn’t right”, he just kept living with the pain.  The pain was more than pain though – he was starting to forget things; forming simple sentences was sometimes not possible, picking a piece of paper up off the ground would make the pain worse.  Little things were changing and not for the better. Finally in mid-October he said, “do you know I have had a headache every day since the kids went back to school (Sept 7th)?” Now most of you don’t know me all that well, some of you do and only a very few of you that are reading this know me enough to know that I don’t sugar coat anything – you’re going to get my opinion and I frankly don’t care if you don’t like.  “DAVE, GO TO THE DOCTOR – SERIOUSLY SOMETHING ISN’T RIGHT – YOU NEED TO GET IT FIXED.” Nuff said?? I thought so, and apparently so did he – because he made the appointment…and, well, you know what’s been happening since then – from his eyes.
Fast forward – the day before Thanksgiving.  I’m happily baking some pies and preparing for my sister and brother-in-law and children to join us at my house on Thanksgiving Day…..until Dave calls.  The doctor said what??? Brian surgery??? Wait a minute, slow down – did I hear him right???  Holy *****!!! 
So at this point you know what Dave is feeling. As for me, the first thing was to figure out what to say to the kids.  I didn’t want them to worry, so the agreement was not to let them know until after the holidays – at least this way I could be the worrier and everyone else could just enjoy Thanksgiving and Christmas. Worrying is probably an understatement but it’s the best I can come up with right now.  I’d tell myself, not to go to the ‘what if’s’, but inevitably the ride home from work I’d go there….every situation I could think of probably went through my head about 1000 times, each day, every day.  It didn’t make it easier, but for me, it let me get the worry out before picking up the kids so that I could focus on them.  Hey, I know it’s not ideal, but it was what it was.
Preparing for the surgery was filled with a great deal of planning and execution.  For those that don’t know me, I’m a process person – I believe there is a process for everything and if the process if followed everything will work out.  So I planned the process….from where the kids would be to time off from work, it was all planned, nothing left open ended – everything planned out. It was set.  This kind of kept my mind off things – kind of – at least it gave me a focus other than those stupid words…brain surgery.
All along the surgeon is telling Dave 3 – 5 days you’ll be in the hospital and you know from his posts, he was planning to breeze right through this – be teasing the nurse staff and having a ‘blast’.  Who was I to not believe the same thing?  The day of the surgery came and it was an eerie kind of quiet at the house.  The kids were with our very good friends (thank heavens for friends), the dog was at my brother’s, everything was quiet – even Dave and I…off to the hospital we go. Register, prep, a kiss good-bye and he was on his way. Waiting, waiting, waiting, …stupid waiting.  I don’t like waiting.  Once the surgeon came out and told me everything went well, I felt a sigh of relief – yes, they had to do more than we wanted them to, but overall it went well and I could go see him.
To say I felt helpless is probably an understatement.  I walked into a very dark room to see my husband lying there, not in a good state.  He barely opened his eyes to say hello and that was it for that night. Watching your spouse in a hospital bed in excruciating pain day in and day out for 9 days is not easy, but that is what you do as a spouse. The first few days were the worst – he couldn’t open his eyes, it hurt too much; he couldn’t talk, because he didn’t want to; he couldn’t eat because the medicine was making him sick.  This is supposed to be better??? I’m not sure I agreed at that point.  Each day, I’d say to the resident, nurse or surgeon (if I was lucky enough to get him in the room), “is this normal” the answer was “yes” and was always followed up with “this is not an easy surgery to go through or come out of”. Ugh. So again, helpless is the only word I can use to describe the feeling.
The saving grace….I knew everything else in our life was taken care of.  The kids were safe and having fun, the house was fine, work would survive – I could focus on Dave and that is what he needed – whether he wanted it or not.
Coming home from the hospital was a great feeling – I believed, he was getting better – things were going to be better.  Of course that was until they were worse…I don’t know how to describe the feeling, but knowing you can’t help the person you share your life with is not fun – it’s heart breaking. No matter what you do, you know it isn’t enough, because you know it’s not helping. There were many nights filled with lots of worry and hoping for a better day the next day.  Most days were not better, but some days were and those little signs of something better, gave me the strength to keeping moving forward and believing that things will be better.
The day we woke up and I saw his surgery area and it looked like someone put a golf ball under his skin, I knew something wasn’t right still.  Since then it’s been nice to have a few days where Dave has claimed no pain, a small victory in this marathon battle, but I know the battle isn’t over. So here we are weeks later waiting on those darn MRI results from Dave’s last post – yes, it’s been a week and no call from the doctor – lovely, fantastic…ugh.
If you ask what all of this has taught me, I would say that it is simple – you can’t take anything for granted – not a single thing. Enjoy everything always and don’t let the small stuff bother you – at least that is what I try to do now.  It doesn’t always work out, but I’m certainly more aware now than I ever was before of what is important. I also realize now more than ever that we have an amazing network of family and friends and I can’t thank them enough for everything they’ve done.  You know who you are, I don’t have to mention you by name – just know I appreciate you more than I can explain and I will never take you for granted.


Saturday, June 1, 2013

Warrior?

“Unleashing his hell, you will not even hear the bell.  Maybe you're strong, but you don't stand a chance.”  I figured I’d start this post with some lyrics from a song called “A Warriors Call” by Volbeat.  They are one of my favorite bands and they will show up again as this post develops.

Chiarians often refer to them selves as ‘warriors’ and/or ‘fighters’.  When I was first diagnosed I had a hard time accepting the fact that people referred to themselves in those terms.  I figured I would breeze through the surgery and cruise through recovery and there would be no need to be a warrior or a fighter.  Well, as usual Chiari has taught me that it won’t just waive the white flag and go away, that this really is a fight, and that Chiari will fight dirty.  Looks like I’m a ‘warrior’!

The fight continues…

My last post detailed the problems I was having with my legs, the headaches, the fact that the back of my head was a swollen mess and that I was finally going to PT.  I started PT and at first it didn’t seem to be working.  I would leave there feeling pretty good, but after a few minutes in the car my legs would start hurting.  Suddenly last week my legs began to feel better and so did my head.  I had 5 glorious days of no leg pain and very little head pain.  I felt that I had finally won a round…Then came Memorial Day, I was doing my PT exercises at home when my left leg began to scream at me, Chiari was making a comeback…Damn it so much!!

Now this wasn’t a complete comeback for that little bugger.  My legs bother me but the pain is nowhere near as bad as it was a few weeks ago.  Unfortunately my head has been killing me the last few days.  It has been a series of classic Chiari headaches…I’ll feel fine, but then I’ll yawn or move the wrong way and get hit with a blinding headache.  Luckily they don’t last long, they are a short duration but wow do they hurt.

Big Baby…

That’s me, a 6’4” baby.  Thursday I had to go to Albany Med for a MRI of my head, neck and spine…No big deal right?  It’s not a big deal unless you are claustrophobic like I seem to be.   At first I thought I was going to be OK, because this machine had headphones.  The technician asked me what kind of music I wanted, when I responded with “the hardest stuff you have” she gave me that look that said “aren’t you a bit old for that kind of music”.  She informed me that they had Pandora Radio so I told her to type in Volbeat for me, after a brief pause she finally asked me how to spell it.  She gave up trying to remember the spelling and had me spell it once she was back in the control room – or whatever they call the room with all the computers.  I did pretty good for a few minutes then my brain got the best of me and the panic set in.  They had to pull me out so I could sit up and catch my breath.  Back in I went…I would get through a few scans and have to repeat the “get me outta here” drill.  After an hour of torture they were ready to scan my neck and spine which meant they could take the cage thing off my head.  What a difference that made.  I went back into the tube without that damn thing around my head and promptly fell asleep…they finally woke me up to see if I was OK and to tell me to stop moving my legs.  I informed them that I had fallen asleep and my legs do their own thing while I snooze, they made me stay awake since there was only about 10 minutes left.  Hearing that 10 minutes was all that was left made me very happy.  Then they pulled me out and informed me that the doctor wanted 2 more scans with a pulse-ox reading that would take another 15 or so minutes.  I thought to myself “no big deal”…then I saw them reach for the cage thing…oh hell no!!!!  I tried bargaining my way out of having to use the cage but that didn’t work.  Back in I went, the machine made some noise…then silence…no music no machine noises no nothing…PANIC!  Finally they pulled me out; apparently they weren’t getting a reading from the pulse-ox sensor.  Back in I go…same thing happens only with longer silence and more PANIC.  The third time was a charm, the sensor worked and the scan met the doctor’s expectations.  After 2 and half hours I was outta there...I was so excited to be done that I actually did the happy dance on my way to the changing room.  It had taken so long that there was a shift change while I was in that damn tube.  I told the new technician that it was nice to meet him and that I sincerely hoped that I never see him again.  I really, really, really hope I never need another MRI.

As soon as I get the MRI results I’ll post them. Aww crap, I just yawned…I hate you Chiari!!!!!