Tag Archives: recovery

When You’re On A Holiday, You Can’t Find The Words To Say

Last week, Ashley and I were away on vacation and I had one goal in mind – to relax and forget about the everyday grind for a while.  Out of the gates, 2015 was fast and furious with the surgery for my regrowth, to returning to work everyday with an occasional “day off” for my followup doctors’ appointments.  It was definitely time.

We had kicked around some ideas of where to go, but we settled on the El Conquistador in Puerto Rico.  The resort is located in Fajardo, about 45 minutes outside of the bustling city of San Juan.  As you head up the driveway to the property, you are surrounded by sprawling acres of golf courses, tennis courts, palm trees and other natural vegetation.  Then suddenly, the resort appears right before your eyes.  Growing up, I have had the luxury of traveling to some great destinations over the years, and this one ranks up there with the greats.

Aside from being a phenomenal vacation, the trip also provided me with time to reflect on the past.  We left on July 2nd, which happened to be my seven-year “brainaversary”.  In comparison, these two days could not have been any more different.  This July 2nd, I was elated and jubilant; then, I was uneasy and wracked with emotions.  Two days later, on July 4th, Ashley and I watched a magnificent firework display from the balcony of the lobby with other guests of the resort.  And as I stood there watching IMG_3427the fireworks going off over the water, I had a flashback to July 4, 2008 while laying in my hospital bed watching the firework over the New Haven harbor.  I remembering enjoying that night, feeling happy with the prognosis I was given and the great strides I was making in my recovery, yet it was still difficult as a hospital was the last place I wanted to be that night.  The feeling I had this year is hard to describe, but there was a definite sense of joy and relief as I watched the fireworks right before my eyes over the waters of the Caribbean.  This was where I wanted to be and to have come so far made me proud.

Two days later, Ashley and I hopped on onto the first ferry over to Palomino Island, a private island owned by the resort.  Guests ride the high speed ferry from the marina to the island and within 15 minutes, you step off into another world. There was a definite calming sense from being one of the few people on an island in the middle of the ocean so early in the morning, but we wanted to pick the best spot we can find.  When we found our spot on the beach,IMG_1798 I took it all in; I found myself reflecting once again.  But I learned a few years ago that you need to realize that it is okay to reflect and actually process what you went through, so I did.  I went back to July 6, 2008.

Throughout the past seven years, this was the scariest day for everyone involved.  Ashley had been at the hospital with me on July 5th for a visit and we were all smiles.  Though I was unable to communicate with her at that time, I was so happy to have her by my side, spending time with me.  Not less than 12 hours later though, I was being rushed into the OR for emergency surgery.  I had done a complete 180 and was manifesting symptoms similar to a stroke.  The right side of my body had gone lifeless.  Would I make it out alive?  Would I have permanent side effects that would leave me a in a vegetative state?

Flash forward to the present day, I looked over to my left and there was Ashley, right by my side again.  I am so fortunate for her.  And as I stared at the aqua blue water, it was hard to believe that I had come this far.  I experienced a rush of gratitude to be so blessed to experience all that this beautiful life has to offer.  The beginning of the year proved that life isn’t always easy, but whether I’m preparing for surgery or floating in the Caribbean, isn’t it amazing to just be here?   To be fully functioning and experiencing each moment makes it all worth it.

If You’re Lost And Alone, Or You’re Sinking Like A Stone, Carry On

I am suffering from cabin fever.  Sitting home, recovering from a brain tumor is painful.  Literally and figuratively speaking.  Time seems to move at an unbearably slow pace and you find yourself reaching for painkillers throughout the day.  So, I decided to offer-up some tips and advice if you’re gearing up for surgery or are home recovering:

  1. Take it slow and easy – it takes a long time to feel better.  You’re probably thinking “Duh, no kidding.”  But if you’re like I was before my first surgery, you may not know what to expect and will find yourself afterwards asking “why me” and “how did this happen?” repeatedly.  Over time though, you will feel better and some days will be better than others.  Stay patient, stay hungry but do not try to push yourself.
  2. Your head will most definitely hurt.  Though the headaches and feelings of discomfort subside within a few days, you will feel as though your scalp is being pulled in every direction for weeks (or even months – so I hear).  This is normal and will get better with time, I swear.
  3. Speaking of your head and pain – take the prescriptions provided to you.  You’ll go home with prescriptions such as painkillers, steroids, acid reflux, not to be gross but digestion problems (thanks anesthesia!) and blood thinners.  Between your hospital stay and when you are discharged, you’ll be on more medications than you probably have ever been on but put your fears aside and take them as prescribed.
  4. Watch out Barry Bonds and Mark McGwire – I’m on steroids too.  Okay, so that’s an exaggeration.  The steroids you’ll be on won’t turn you into a homerun-slugging monster, but they will make you a raging food-frenzied, sometimes angry monster.  After my first craniotomy in 2008, I was prescribed such a high dosage of steroids that I just wanted to eat everything in sight and developed an aggressive personality at times.  Yet, the food tastes so good!  In a steroid induced rage one night in the hospital, I devoured a dish of pasta carbonara in a matter of minutes and had cheese and pasta hanging off my mouth and down my chin.  I imagine it was not the prettiest of sights but I didn’t have to witness it.
  5. You’re not a fire-breathing dragon.  Yes, you read that correctly and here is what I mean.  After major surgery, you will wake up feeling as though your throat is on fire and any time you open your mouth, flames will come out.  This is just an effect of the breathing tube that is inserted during surgery but within a few days, the feeling will subside.
  6. Water is good.  Once you wake up from the anesthesia, one of the first things you’ll want to do is chug a giant glass of ice-cold water.  So long as you’re not water or fluid restricted, your nurse should provide you water.  My advice though – take it slow.  If you drink that icy-cold water too quickly, you could get nauseous.  Heed caution.
  7. You will probably wake up from surgery with all your memories intact.  I was startled by this.  However, this depends on where the tumor was and the manner in which your surgeon operated.  Due to the location of my tumor and with each my five brain surgeries, I woke up from each feeling no different.  A recent study claims that the brain can reboot itself after surgery and the administration of anesthesia.  The brain is, simply put, amazing.
  8. It takes a long time for your nerves to regrow.  Let me be honest – when your surgeon drills your skull open, your nerves are severed and the surrounding tissue is damaged.  But with time,things will begin to feel “normal” again and you’ll start to feel better.  Your life will return to normal and you’ll feel like your old self again.
  9. Rehabilitation may become your new daily routine.  Following my first surgery, I could not talk, form sentences, recite the alphabet, read, tie my shoes, etc.  I needed intense rehab and even still, came up short on living.  Take it day-by-day and do not expect a whole lot out of yourself, especially at first.  Recovery is a process and not an overnight fix.
  10. Treat every trip out of the place that you’re in like a field trip.  Seriously.  Whether it was going to the grocery store, the post office, outside to test my arm strength, a restaurant or any other place, I was elated.  Last week, Ashley got me out of the house and went to Starbucks!  I was psyched.  If you’re worried like I am that someone will see your scars and look at you differently, grab a hat or ski cap to cover your head and live!  You’ll be happy that you did.

Accomplishing these ten things will not only give you a sense of achievement, but it will also provide you a sense of pride and victory.  Recovery can be a dark, lonely place but if you’re able to make the best of the days, you’ll find that it isn’t so bad.

If I Had A $1,000,000

Let me just get this out there – having a brain tumor is life-changing. No, I don’t mean in terms of how I look at life now.  Rather, I am talking about the unintended consequences that we don’t think about when we are faced with this type of situation unless we are in it.

From what I’ve been told, recovery after brain surgery can vary from: having a quick and seamless recovery, to being in the fight of your life like I faced or you may never recover and remain in a diminished capacity.  And if that’s not enough to think about, the cost and toll of living as a brain tumor survivor can wear you down pretty easily.  Let’s talk about cost…

As kids, we are told that if we do well in school and pursue our dreams, we’ll make lots of money and live a happy life.  But what our teachers did not tell us as innocent students in elementary school is that sometimes, life throws us twists that come out of left field and blind side us – and leave us scrambling for solutions on how to solve them.  Growing up, I at least assumed that nothing could stop me if I did well in school and graduated college, let alone graduating law school.  After all, we work to make money to pay for all of life’s wants and needs.  Until you are admitted to the hospital, that is, and your money can no longer be spent on your wants.

When I returned home from a wonderful vacation in Nantucket two weeks ago, my wallet was thin.  Yet, it was well spent.  However, within the first few hours that I was home, the mailman delivered another bill for my MRI this past March that I currently pay on a payment plan and CVS called because my Keppra is ready to be picked up.  This leads me to my rant – the absurd costs of health care and health insurance.

For an MRI, my insurance company bills the hospital $4,900.  Yes, you read that correctly – approximately $5,000. I for one am extremely grateful that MRI machines exist.  But for the forty-five minutes, sometimes an hour, that I am in there, I find it hard to believe that that machine actually requires $4,900 to run, notwithstanding the plethora of MRI machines on site.  And I understand that the machine produces images but they are all viewable on a computer.

The next item on the bill: the cost billed by the technicians to read that MRI – $450.00.

Then there’s an associated cost for my doctor’s visit.  A measly $245.00.  For me, and I’d imagine others in my position, the doctor’s visit is the most important part of the entire process.  I get to hear progress from my own doctor’s mouth and view the images so that I can see the news for myself.

As for surgery, well I hope you’re sitting down because I don’t want to be the cause of any unintended fainting spells.  You’ll recall that I had gamma knife surgery last December.  The total amount billed from that one-day procedure alone was $92,000.  That’s for one day.  For my extended stay in July 2008 when I had the tumor removed and the surgery for the subdural hematoma, the hospital billed the insurance company $297,000.00.

Okay, so once the tumor was removed and my head was mended back together, I needed to rehab and did so at Gaylord Hospital.  For each day that I was there, our insurance was billed $2,600.00.  This was for my therapists, pens and paper, flash cards, alphabet charts, balancing beams and workout equipment.

The scary bottom line is this: If I didn’t have health insurance at the time, I would not be here because the procedure would not have been performed.  I am grateful for health insurance, however it continues to remain a problem for so many Americans today.

Fortunately, I am offered health insurance through my employer but for someone like me, even the insurance plan is costly.  For my co-pay to kick in this past year, I had to put up the first $4,000 of medical expenses.   When I called to make my payment on my account last week, I was informed that my “other” balance was going to be sent to collections soon if I did not pay the entire sum or apply to pay the balance on a payment plan.  After all said and done, this “other” balance was my procedure in 2012.  At the time my procedure was performed, I had not yet hit my deductible, so my portion of coverage was in excess of $2,000.  Add that to my 2013 balance and my total responsibility is $2,530.67.  Well, I guess my payment plan was just extended.

Some people go to work to provide for a family, pay their mortgage and have nice things.  What you cannot plan for is your health – you can only hope that you stay healthy each year.  If you don’t, not only will your personal world spin around, but your financial health will too.  Who is not going to try their best to afford to pay for their life?  And while I know hospitals are running businesses too, quite frankly, the extent of the costs seem somewhat criminal.

You Raise Me Up

One of the joys for me in sharing my story with you is allowing those who have been there with me, through the ups and downs, to share their own story – from their point of view.  As I alluded to a few posts back, my inspiration through my own personal battle was my mom. 

A breast cancer survivor herself, she never missed a beat and always had the most positive outlook on life.  While always keeping a positive attitude and outlook on life, she never stopped being an amazing mother to her three children and wife to her husband.  When I was diagnosed, I could not help but to relate to her and use her positivity as my own inspiration.  I can never say it enough – thanks Mom, I love you. 

As Chris’ mom, I cannot write my version of the story from one moment.  All of the moms out there know that we pretty much all live in the moment or the day that we are in.  So my story and memories are spread out over almost 6 years, and there is not a day that goes by that I do not remember what Chris had to endure through those years.   Actually, I should re-phrase that – it is not only what he has been through, but also what he must go through for the rest of his life (Moms never stop worrying). When we are blessed to have children they are truly in our hearts and our thoughts forever.  From the time they are born to when they are fully grown, we coddle them, protect them, guide and support them, reinforcing the positives, avoiding the negative – as my husband always said “trying to never put them in a position for failure”.  But then, life throws you a curve ball you didn’t see coming, a health problem, a large one, and you realize that you can do nothing to help your child other then pray.

I am so thankful that Chris’ DNA make-up is how it is…he has been through so much adversity and yet with every new issue and problem, he handles it with such a calmness, patience, and confidence that the end result will be fine. 

I could write many different entries in detail about Chris, beginning with the initial symptoms, to being diagnosed, being hospitalized, surgery, rehabilitation, home care, more surgery…here are a few memories that I would like to share.  

Chris began to have headaches around Memorial Day 2008.  As June rolled forward, he began to experience double vision.  After numerous eye exams with doctors who were not concerned, he continued to work throughout the month.  One week prior to his diagnosis, Chris and I drove to Newport to meet with realtors to look for apartments for him to rent while attending law school.  We saw 4 apartments, walked around the town, talked, laughed, and contemplated what we saw…all the while, I knew he had double vision and was not feeling that good.  When I continued to ask him how he felt, he said, “I’m fine, let’s keep looking.”  

Just one week later, the staff at the emergency room at Yale could not understand how he was even functioning.  Their thoughts were that he had an unbelievable tolerance for pain and that his body and brain had compensated for the tumor…the crooked smile, the slight lean to the right when he walked, the double vision…in retrospect, this was the way his body compensated and allowed him to push on and never miss a beat until that scary day of the diagnosis.   The morning of the initial surgery as he hopped up on the stretcher that was going to take him to surgery he showed no fear, just confidence.  “I have to do what I have to do”.  He smiled and said “I’ll see you later “…strength, courage, and determination.  He makes me proud that I am his Mom.

After two weeks spent in the hospital following the two surgeries, Chris was released from the hospital with strict medical procedures that had to be followed at home.  If I did not agree to them, he would have been in the hospital for at least 2 more weeks.  Chris had developed a very serious, potentially deadly, infection and he needed powerful antibiotics that had to be administered 3 times per day intravenously.  The visiting nurse came to the house the first day to show me how to administer the medication.  My routine began at 7:00 AM, then again at 3:00 and finally at 11:00, for 30 minutes each dose.  The medication regimen was supposed to be for 2 weeks, but again the curse of the summer of 2008 kicked in and his blood counts were not good.  Two weeks became four. Per usual, Chris never complained.  He went along with it all. 

A Tuesday in August – it was going to be a good day.  Our visiting nurse from the Veterans’ Nurse Association came to the house in the morning as she always did once a week to check his IV port and change the bandages.  Once complete, she initialed and dated the new bandages.  That evening we had plans to go to our town green for the weekly concert.  It would be perfect for Chris – we could bring dinner, sit back in our lawn chairs and enjoy the music.  We were going to attempt to do something not medically-related for the first time in 6 weeks.  How we were all looking forward to this!  But before we could do that we had to take Chris to his scheduled MRI.  This was the first MRI done since being released from the hospital.  There were forms to be filled out and as he was in no condition to answer this questionnaire, I filled it out for him.  I signed my name as his guardian to whom questions should be asked.  My husband took a conference call in the lobby as I waited patiently for him to come out to the waiting area after his MRI.   I will never forget the way he was smiling as he entered the room (not sure how after another long head-banging MRI).  I rose from my seat and started walking towards him when I noticed his arm and asked “where’s your IV!?”  He calmly replied “She asked me if I needed it anymore, and I told her NO, so she took it out.”  I’m a pretty calm person, but at that moment I lost it.  How could the nurse ask him that question when she knew his state of mind, not to mention that we were there waiting for him?  I immediately marched back in with Chris only to be told that they were sorry for their mistake.  We were instructed to go across the street to the hospital emergency room where the doctor would meet him and replace the IV Port.  I actually thought that although it would be close, we could possibly make the concert, but in the summer of 2008, not much went the way we expected.  Once again, Chris had to be admitted to the hospital and stay the night, where the next day a surgical team in yet another sterile operating room re-inserted the IV Port back in his arm.

Another night in the hospital, the follow up MRIs, the constant questions, rehabilitation, steroids (that made him want to eat non -stop) and then the round the clock intravenous medications, all of this became our life.  I was no longer just his Mom, I was his caregiver, his nurse, his watchful guardian, and in the state that he was in it was as if he was again my little boy of 6 years old.

One of the joys that summer for Chris was to take a shower, as this was just a simple task that he was actually able to do on his own.  “It’s time Mom, wrap my arm up!”  Indeed I did.  He loved it and I dreaded it, but this was truly one of the joys of his day!  I would wrap up his IV Port in gauze bandages, saran wrap, then plastic baggies.  I feared water would get in.  My wrapping routine paid off as I guess I did a good job – no problems!  But, who would ever think that I could be a nurse?  I’ve always said, “What we will do for our children!”

This was the most difficult period in my life.  Watching my intelligent, well-rounded, happy and most determined son who at this time should have been in law school pursuing his dream, and instead I would watch and listen to him as he sat on the front porch with my husband trying to read 1st grade level books.  I would give him spelling tests for simple words, Stephen would attempt to help him find the middle C note on his beloved piano, I would try to help him as he would struggle with the keyboard on the computer to simply find the letter ‘a’ as he was so determined to write to Ashley.  His speech and words came fumbled and slow.  When I would pick him up in the afternoon from rehabilitation, he could never remember what he had for lunch that day.  I would say some possible choices and his answer was always, ”Yeah, I think that’s what I had.”  Yet, through all that frustration and the private tears shed, there was something about him that I knew, somehow, someday he would be back to my Chris again. Maybe it was his determination, struggling every day trying to re-learn and get better.  But for me, my sign was one afternoon as I was preparing to give him his medicine – he looked right into my eyes and said, “Could you please hurry this up today!”   WOW.   That was my Chris.  So clear, so quick, so witty. 

He was definitely coming back.

Me and Mom“While we try to teach our children all about life, our children teach us what life is all about.”  Angela Schwindt

Keeping The Faith

Much to my pleasure, my residency at Yale-New Haven Hospital was only temporary.  The morning after watching the Home Run Derby, my parents were there to greet me as they had done for the past fifteen days and announced to me that I would be going home today.  While waiting for the doctors and nurses to finalize the paperwork for my release and setting up follow-up appointments with my doctor, my parents began to engage in conversation with me.  While I love to engage in conversation, it was embarrassing for me personally to have people talking to me, understanding every word that was being spoken but unable to verbalize a coherent response.   In a quest to help me regain my memory, my dad asked me if I remembered what I did the night before.  Well, the short version of the story was that I had no idea that I watched the Home Run Derby with him, nevermind the historic performance that lit up Yankee Stadium.  I vividly recall the distinct look of sadness that overcame his face as he realized that this would be my life from now on.

With the paperwork in hand, I was wheeled out of my room and down the long corridor.  I felt like a celebrity as all of my caregivers that strived so hard day in and day out to provide me a comfortable home said their goodbyes and well wishes to me.  And at long last, there it was.  My dad’s car….my ticket out of there.

Prior to that car ride, I had never realized the beauty of it all.  The sky, the clouds, the trees and the grass.  It was a dream come true.  I knew where I was during the entire car ride home and as I approached my house, I knew that with one more right turn, I would heading down my street.  Pulling into the driveway brought a tear to my eye, albeit a happy one.  As I said before, I honestly never thought that I would see my home again or my dog Chip.  But there it was and there he was, waiting for me to come into the house.   Chip

This was just the start to another chapter of a very long road ahead.   Despite it all, I remained determined to regain my strength, cognitive skills and independence.

For me, I was Jean-Dominique Bauby, the main character in the “The Diving Bell and the Butterfly.”  While I could not appreciate the analogy at the time, the speech and physical therapists that I worked with that summer compared me to Bauby when they told me I was locked-in.  Five years later, I can say they were right.  I was locked inside my body, unable to express myself or communicate.   Yet, I was determined.

For the first few days of being home, I was as equally happy as I was frustrated.  Two months previously, I was writing an appellate brief for my legal methods class and today, I was being shown flash cards with fishes and horses trying to name what I saw and I could not do it.

If nothing else, for the person who was just diagnosed, my words of advice are to stay determined and optimistic as you too will overcome and triumph.  While I had days of misery and frustration, I can honestly say that I never lost the hope that I would be able to live my life the way I had envisioned.  All you have to do is keep the faith.