Tuesday, October 5, 2010

Week Two Begins

I never thought I would join the ranks of the gazillion bloggers already covering every possible topic on earth.  But after shooting out two "mass" e-mails to treasured family and friends, I have become self conscious about invading everyone's e-mail boxes with my updates.  Then as the replies rolled in, g-mail's inability to deal with the long list of dozens of replies and re-replies became an additional issue.  I began to think about using a blog as a non-intrusive way of letting everyone know what was happening.  So here it is, and here is what has transpired recently.

Last Tuesday, I asked Ed if he would accept the role of chief researcher.  He has accepted and moved ahead with his usual complete determination and thorough commitment.  By the time we are through with this journey, he will have added Acoustic Neuroma/Vestibular Schwannoma to his previous specialties of alfalfa, fly fishing and fly tying, and everything else in the natural world.



We have spoken to two Ithaca acquaintances who have been treated for A.N.  One had surgery four years ago to remove the tumor.  The other had fractionated stereotactic radiotherapy (FSR) eleven years ago to kill the tumor.  Both are pleased with the results and recommended their choice of treatment.  We are researching both options but I would surely prefer FSR to brain surgery if that is possible.

In the week since I was diagnosed we have been feverishly gathering information, talking to people, embracing support from our friends and family, and making plans for our next exploration, a trip to Johns Hopkins in Baltimore.  Our first trip, a grueling travel day to NYC, and a meeting with an otorhinolaryngologist at Weill Cornell Medical Center, hereafter known as Dr. McNasty was brutal.  The less said about him the better, since although he is a noted ENT surgeon, his ability to understand that someone with a newly diagnosed brain tumor might need a slight amount of empathy did not seem to be within his ability.  I really bottomed out when he told us that if we chose radiation my balance and dizziness would not be restored but might be mitigated with physical therapy.  This may or may not be true but it is a crucial point for me to understand in order to make a decision.  An important lesson learned was to avoid traveling a long distance to an important medical appointment on the same day of the appointment.  Never again.

 We are now in the process of attempting to set up consultations with doctors at Johns Hopkins where there is a large Acoustic Neuroma Center.  Johns Hopkins seems to specialize in both surgery and FSR which would enable us to gather information on both choices at one highly rated medical center.  We sent them all of my records on Monday which I know they received by this morning.  I made several follow up calls today with no results but messages left on answering machines.  I will keep calling tomorrow. 

We did learn a couple of other things from Dr. McNasty.  This type of tumor is very slow growing and has probably been around for 5-8 years!  A few of the minor symptoms of temporary dizziness and temporary hearing loss that I have had in the past couple of years were probably caused by the tumor.  I just assumed they would go away, and they did, for a while.  Important warnings for all of us to know about, for ourselves and others.  Five to eight percent of all brain tumors are acoustic neuromas, not common but not that rare.

Each day I attempt to make decisions about what I can do, given my compromised balance, weird dizziness, and limited energy.  I spend some time keeping up with important tasks and a little time doing something "normal" with friends or groups.  I think that days may be getting easier as I become more accustomed to the unpleasantness of being unbalanced and my anxiety about the unknown decreases.  

So that's what has happened until now.  We deeply appreciate all the calls, e-mails, cards, visits, offers of help, and gifts of food that have already come to us.  Having been incredibly fortunate to never have been on the needing end of this, I never understood how important this support would be.  It has kept us afloat.  I thank you so much and want to express my gratitude to each of you as time and energy allows.

With love,
Karen

10 comments:

  1. This blog is an ideal way to communicate under the circumstances, Karen. Best to you and Ed as you navigate the territory ahead.

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  2. thanks karen for you update (even though i feel fortunate to have heard it pre-blog. :) You have a nice way with words, maybe blogging post treatment will be something you consider! I'm hear for you!

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  3. Thanks for keeping all of us up-to-date and adding the blog chore to the list of many tasks you need to do right now. I think you have made amazing progress in figuring out and understanding your options.

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  4. Call anytime (same for Ed, and Buddy too)!

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  5. Thanks for the information. This really is a great way to communicate. Glad you will be going down to J-H next week. We'll probably speak to you later on during the day.

    Luv ya, Dad

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  6. Karen - I just finished writing you a response but when I hit post a comment it said to pick a profile and I picked google. The screen went blank, it took away my spontaneous first response and posted a big bold ERROR message which was incomprehensible. Modern technology. I tell you....
    Anyway I had said something like:
    Wow, you think that is boring writing? You underestimate yourself, sis. I am tired, I knew most of what you wrote already, and I still thought it was good writing.

    I also wrote something like: I liked your name of Dr. McNasty. I told you I met his relatives Tech McNasty 1 and Tech McNasty 2 today. When I complained about them tonight to Mike he asked me what I expected in medical professionals. I told him I expect knowledge, empathy, skill, and a sense of humor. I've decided to send my wishes to you for meeting Dr.Knowempskhu next week at Johns Hopkisn. I hear he specializes in treating Rainbows in big sisters. It could happen:)
    Luv,
    Jo

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  7. Cleo sent me the link to this page. I am still in shock over your news, but glad to read that you are getting the info and help you need to make decisions and move forward. I am always amazed at the number of people who become doctors and are really bad at interacting with people, but when I think back to the sort of back-stabbing that went on among the pre-meds I knew in college, it is perhaps not surprising that not all of them are angels or have good people skills. Good luck with Johns Hopkins. I have a soft sport for them because they are in my home state. I hope you find them helpful.

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  8. Karen and Ed, good luck tomorrow and hope it's nothing like the NYC experience. We are all thinking of you. Roger

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  9. Dear Karen --
    what a journey! I'm moved and inspired by you and other friends who are traveling paths of the sort that all of us will find ourselves on at some point. And grateful for the breadcrumbs and trail blazes.

    Can only imagine what you and Ed are going through, but don't have to imagine your grace and courage - it's right there.

    With love - Sally

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