Dr. Kwan Be Gone

I received a disturbing email from my friend, and fellow annie survivor, Julie, about the miracle man who performed our coiling procedures.

Apparently, he is no longer at Maine Med, or moved to Mass General, or was fired…..we don’t know yet. I dread finding another Dr. I’m so tired of having to go through my history with so many doctors and I trusted Dr. Kwan very much.

I asked Julie to let me know when she found out more.

Coiling Graphic

I was doing a search last night on platinum coils and ran across this graphic on the BBCNews.com website from 2005.

Brain Aneurysm Coiling
How, and where coils are inserted into brain aneurysm

 

 

 

 

 

 

 

 

I wish I had found this graphic a year ago when I felt like an idiot for asking Dr. Kwan how he got to the left side of my brain from my right groin. LOL A pretty amazing procedure and this is a very simple explanation.

Then it made me think of just how lucky I was that this massive annie didn’t rupture more than it did. How it didn’t rupture during some of the most strenuous and stressed other periods of my life prior to last Oct. is beyond me.

Angiogram Results

I had my six-month angiogram checkup of my aneurysm yesterday. It was an early morning, having to leave at 5:15 to be there at 7:00 in the morning.

I didn’t sleep a wink the night before. Partly due to being nervous, the noisy wind outside, and possibly eating that orange and power bar at 10! I couldn’t eat anything after midnight, so I tried to eat something later that night.

It was odd being back at Maine Medical again. Some memories were brought back. Some pleasant, some not so much, but at least I was arriving under my own power this time!

Around 7:45 or so, I was wheeled into the operating room. I have been here before, but didn’t really remember it. I was barely awake when I had arrived back in Oct, so I asked a bunch of questions and watched as the team was getting ready to perform the procedure. Fascinating.

They went into the same artery in the groin where my previous angio-gram and the coiling was done. It was quite painful when the initial shots and  insertions were made, but after that I never felt the catheter only the inks being injected and the heat and other sensations they created.

One time they had informed me I might see lightening over my left eye. Sure enough…there is was!! A small sprinkling of brightly colored lightening in my left eyeball! Odd and strangely neat all at the same time. I kept my eyes closed the entire time. I was under mild sedation and pain killers so I could respond to them to hold my breath, etc.

Everything went fine until they tried to insert an angioseal into the puncture wound. It didn’t work, but by God, Dr. Kwan TRIED! As a result, he had to pull it back out and put a regular plug in which meant more pain and more pushing. It was not pleasant. He said next time he would NOT use the angioseal. Thank you!! LOL

Dr. Kwan was able to read the xrays during the procedure and tell me right there on the table that everything looked great. The fear I had was that the aneurysm would have enlarged in some fashion or the coils would start to pack down leaving a space between the coils and the outside of the annie OR that he’d find another annie or something else of interest. He found none of that thank God. And it was great to finally hear
that and to know that my sinus issues were just that…sinus and not brain related.

I have read on some occasions that people had head and pain issues misdiagnosed as sinus when they were really annies, so I was really, really nervous a new annie had popped up somewhere. Nope, just my blasted sinus.

Because Dr. Kwan could not use the angioseal, I had to spend four hours in recovery after the operation. The seal would have cut it down to two.

The main issues were to keep my leg straight and flat and do not lift my head. They only raised it about 30º and that was it.  My sinus were bothering me too, so I had pain from the puncture and pain from my head. I took the opportunity to lay there and rest….like I had a choice anyway!

Dave stayed with me and cut up a sandwich for me to eat and helped me drink some liquids so I wouldn’t choke on them which would have been bad. He has been so fantastic the past six months. I’m very lucky and I know it.

Once the four hours were up, the nurse got me right up on my feet to test the vertical waters. I was quite wobbly, but not too bad. Sitting down was painful. Anytime I creased that area of the groin was painful. Sitting and moving my leg was pretty painful. Still is today, but not as bad.

I got dressed and we were home by 3:00. I called my family back in NY to give them the good news, but couldn’t sleep yet. I hopped on the computer, ate something then started to fade around 8:30 after putting ice on my puncture site and taking a vicadin. I slept like a baby.

The last six months have been a a kind of uneasy anticipation of this six-month test. It was so hard to know if every headache, numb finger, eye ache, neck ache, and onset of fatigue was still related to the original annie, or if something new had popped up. This was a huge relief and now I feel I can get on with my life again. A huge, huge relief.

It still doesn’t mean something down the road could potentially develop, because I AM at risk, but for this annie, at this moment…it’s good.

As my friend Julie from the message boards reminded me in a poem she and I both posted separately:

“…I am no longer waiting for
The other shoe to drop;
It already did, and I survived…”

Thanks to reasons I don’t know or understand, and God guiding Dr. Kwan’s careful hand, I survived.

My 4-Month Anniversary

On this, the 4-month anniversary (or “annie”-versary) of my ruptured aneurysm and coiling surgery, I am trying to reflect on what I HAVE been able to accomplish during my recovery, instead of what I still can’t do. It goes something like this

Four months from the time of my ruptured aneurysm, I am able to:

    Bend over without getting dizzy.
    Lift things heavier than a breakfast tray.
    Fill and unload the dishwasher without the aid of sitting down.
    Go downstairs to the basement.
    Do laundry.
    Go downstairs to feed the cats.
    Shower and bath unaided by a seat.
    Dry my hair standing up.
    Make meals.
    Sit at the computer for a few hours.
    Lay down without my head pounding.
    Control most head pain I have without Vicodin, but with Tylenol.
    Go into a store, albeit smaller ones still.
    Drive!
    Go to work part-time.
    Sneeze without fear of my coils exploding.
    Go to a movie.
    Fill the bird feeders.
    Walk without the aid of a cane.
    Laugh and not get too exhausted.
    See my psychologist.
    Read a little bit more and it doesn’t bother me.
    Make the bed.
    Make love. (it’s gotta be said for those other survivors who are reading this and are nervous about themselves.)
    Bake a cake.
    Clean the house a little bit more.
    Speak to other annie survivors.
    Plan my future!
    LIVE!

I’m sure there are more things I’m forgetting, but those are the biggies that I’m recalling needing so much assistance with during those first few weeks when I arrived home after 20 days in the hospital. There are still downsides to my recovery, but today I choose to acknowledge the things I CAN do now, that I wasn’t able to before. ‘nuff said.