Just So You Know

I found this blog post to be uplifting, depressing, comforting, and profound all at the same time. I did not write it, but it was written by another brain aneurysm survivor. The blog entry was featured in the Fall issue of the Brain Aneurysm Foundation’s Newsletter, which is where I first discovered it. Robin nicely allowed me to duplicate it on my own blog for anyone else to read. It’s helpful not only to survivors, but it’s helpful to those who live and work around survivors to try and understand a little bit about what survivors go through. In some cases it’s never ending. In other cases, if they’re lucky, it’s a short recovery period. But either way….just having someone, ANYONE, validate the feelings and emotions we’re going through can have a very profound effect on your recovery. THANK YOU, Robin for saying so eloquently what many of us cannot.


This One Is For Us
written by Robin J. Reid on her blog: Faith By Fire

We, the survivors. Brain aneurysms. Those little “bubbles” that form within the arteries/vessels in our brains. Some of ours decided to burst. We then suffered what’s called a subarachnoid hemorrhage. We survived strokes, seizures, emergency (probably more often than not, since these “bubbles” usually go unnoticed until/unless they rupture) brain surgery. If we were fortunate enough, our aneurysms were caught before they could rupture. However, we are all on an uphill battle, whether we ruptured or not. We are strong. We are fighters. We are here to speak and hope that you understand what we’re trying to say. Here are some things we would like you to know.

Just because we look normal doesn’t mean we feel normal.
You can look at us from the outside, and we probably look just like your average Jane/Joe. However, if you could see our brains and had any understanding of what a normal brain looks like, you might see that in comparison, we are no longer normal. We probably sustained some damage from the stroke, and maybe even the surgery. Blood pooling in a tight space like your skull is not good for the brain. Surgery helps, but surgery in itself is also taxing on the brain and the body. Your brain controls your body, and once it’s injured, something in your body becomes injured too. No matter how normal we may seem, believe us when we say we don’t feel normal.

There is no such thing as normal.
We tire much easier than we used to. We have to avoid certain lifestyles. Sometimes we feel everything, other times we feel nothing. Things can change quickly and often. We forget words in the middle of sentences. We forget dates. Sometimes we just really don’t care, and we don’t want to pretend to care. Depending on which area of our brains we suffered the most damage, that’s where we will have the most difficulty as we try to recover some normality. Life suddenly changes to a “before” and “now” mindset. Before is before our brains decided to explode, and now is how we have to live as survivors. We know we’re “not the same,” and we don’t need your reminders. Trust us, it’s frustrating (and probably more so because it’s actually happening to us) for us, too. Please be patient and be kind with us.

Unless it’s happened to you, no, you don’t understand.
No matter how much you want to understand, you simply don’t. Accept that truth, just like we do. It doesn’t make you a bad person or any less of a person because you don’t truly “get it.” We applaud you for making attempts to understand, though, because there are plenty of people in this world who lack that sort of care for others. It isn’t that we don’t appreciate your concern, compassion, or sympathy. We find it endearing that you take the time out to really inquire as to how we’re doing, and offer a helping hand. Thank you for that. But please, do not tell us that you understand when you do not. You cannot empathize with us, because you have not walked in our shoes. However, please know we really do appreciate that you reach out to us in sincerity as we try to regain our footing in this life. Oh, and believe, we hope you never do have to truly understand what this is like. We probably wouldn’t wish it on our worst enemy.

Sometimes, we just don’t want to talk about it.
Yeah, we know “it’s crazy,” we lived it, remember? Sometimes we want to focus on other aspects of life that aren’t so depressing as “most people don’t survive something like that.” Sometimes we want to try to live now like nothing happened before. Of course, we could never actually do that, but we’d like to pretend, okay? If we want to talk about it, we will. But please don’t bombard us with questions or assume that we’ll always want our illness/injury/symptoms/story to be the topic of conversation. It gets old, fast. Trust us. So when/if you see us start to look uncomfortable because you’re broaching this life altering subject once again, to the newest person who has yet to hear our story, try to realize that you’re overstepping a boundary that we may not want to cross. We wake up everyday with a reminder of it all, we don’t want to spend each day focusing on it, but we would like to focus on how we move forward now. We’d like to live for now, but remember where we were then.

Sometimes, we will panic.
There will be times where a twinge of pain, some tingling or numbness, or just an everyday headache will send us into full on panic mode. That does not mean that we’re succumbing to fear, but it does mean that we remember where this all began, and we are hyper-vigilant of it happening again. Some of us even have PTSD from the traumatic experience of the rupture itself and the following days. We know it’s probably not as serious as the rupture was, but it does not stop us from feeling that moment of fear until we realize we’re not in a threatening situation. This usually eases up as time passes and we adapt to our new lives, but just try to understand why we are reacting this way over “just” a headache. It all started with “just” a headache, too.

Sometimes, we don’t know how to respond to “how do you feel?”
This. This has got to be the most well meaning and altogether most annoying question that we hear. Why? Because, we don’t know how we feel! Some days we feel “normal” again, like before any of this ever happened. Most days, there is always some constant reminder of what happened, you know, just in case we ever try to feel normal again. A lot of days we’re just “here.” Not feeling great, not feeling terrible, just feeling present. Some days, we honestly don’t have an answer as to how we feel. We feel blessed that we survived, but we also mourn our former lives. We feel robbed, except no one could ever quite capture the suspect, or reassure us that we would never be robbed again. We feel afraid and fearless. We feel far too old, and like a newborn. We feel strong, and weak. We feel like walking, talking, breathing, living oxymorons. We survived something meant to kill, but we’re still here pressing on. What could be more contradictory than that? We’ll probably just smile and say “I’m okay,” though. Most days we are just “okay.” That’s an okay response, too.

The level of fatigue is (literally) exhausting.
Once again, unless it’s happened to you, you don’t understand it. This is like reverting back to your infant days, except being adults, we are expected to behave accordingly. We need our naps. Even if we think we don’t need our naps, our bodies and brains need that down time. Our best chances at healing are when we aren’t having to use so much brain power to run our bodies. When does that happen? When we sleep. No, we are not being lazy. We are exhausted. Just give us time to rest our brains so we can be refreshed, and continue moving forward. Some of us might even break down into tears (I confess, this happened to me a lot in the earliest days of recovery) if we become too overwhelmed to function and cannot have that nap to recharge. Naps are crucial and welcome. At least until we figure out this how this new normal works. Even then, though, we will probably need more rest than the average person. Remember, we are running on an injured leg, here. Except it’s our brain with the injury.

Sometimes, it still stings.
No matter how far we are from when “it” happened, it still stings to think about. Many of us look in the mirror and truly wonder where we went. We aren’t as happy as we used to be, but at the same time we are much more joyous than ever before, content to just be here, to just live a simple, uncomplicated life. We wonder if we will ever “truly” live again, but we are grateful each day that we get to live because we are always aware of how quickly life almost escaped us. Those pesky barometric pressure headaches some of us have to deal with are reminders. Who needs a meteorologist when you can have brain surgery? Trust us, we can instantly tell when the pressure changes, courtesy of an intense headache. The pills, pill boxes, alarms in phones, notes scattered around the house/car/office are reminders. The incision site’s soreness and tenderness is a reminder. Whatever deficits we survived with remind us everyday of how drastically our lives changed. It still stings. We are grateful to be here, but we can’t just “let it go” that we have lived two lives (and possibly more) in one. That’s why we like to take things one day at a time. We don’t know what tomorrow holds, and we’re done with yesterday. Let us focus on here and now. Don’t inquire too much about the future, but also don’t assume that we are “over” the past because time moves on. Survivors of serious illnesses never really get “over” the illnesses that change their lives, they just learn to live for today as the blessing it is, be grateful they lived another yesterday, while hoping for a new tomorrow.

We need and cherish your support.
Seriously, thank you. Thank you for treating us as normal people, while still tending to our needs. Thank you for reminding us of just how far we’ve come, and just how strong we are on those days we seem to forget. Thank you for trying to make us laugh. Thank you for looking out for us, while not hovering over us. Thank you for driving us around when we lost our driving privileges. Thank you for offering to help in any way you can, even if we may or may not actually ask you. Thank you for your prayers. Thank you for saying you’ll be there, and actually being there. We love that. It’s so calming to know that there are people who will actually come through on the words they say. We don’t appreciate having those people who say they’ll be there, but suddenly disappear once they realize things aren’t the same. That’s okay, because surviving something so catastrophic has taught us the true value of life and life-giving relationships. If you cannot offer us that, we will feel no qualms about cutting you from our lives. No, that doesn’t make us “cold-hearted,” we just know the value of real life, and we don’t have any reason to expend precious energy on relationships that aren’t mutual or true. We need your support. We cherish your support. We value your support. For those of you who truly support us, thank you. We could not soldier on without you behind/beside us. We love you.

Thank you.

Annual Angiogram

Last week was my annual angiogram to check on my large, 20-coiled annie and see how the smaller aneurysm that was discovered in 2011 is coming long.

As usual, it’s an apprehensive time. Even though I have felt fine, one just never knows if the coils have compressed again or the size and shape of either aneurysm has dramatically changed…even though it has only been one year since my last checkup.

Thankfully, at the follow-up appointment two days later, Dr. Ecker said the large aneurysm looks very good. The stent and additional coils that were added two years ago are doing their job…keeping blood from getting back into the aneurysm. He also said there were no NEW aneurysms anywhere else. Great news.

The smaller aneurysm has grown a little bit. It’s not a cause for alarm…yet, but the fact I’ve already ruptured once and it’s at an odd spot on the artery AND has a wide neck indicates to the doc we’ll have to start considering doing something about it. Not immediately, but at some point….while I’m still relatively young – and that’s not much longer! LOL

Even though coiling is the least invasive procedure, I have since learned there CAN be complications and it needs to be monitored more frequently. Clipping is far more invasive, and in my mind more dangerous, but it’s a far more permanent treatment. I need to do more research and ask some people, but I’m starting to lean more in that direction. I could care less about a scare on my head, but it’s the danger involved in the procedure and the recovery period afterwards should there be any complications during the process that concern me.

As usual, the staff in the Maine Medical Center radiology & neuro-endovascular teams were top notch and provided great care. We had a long wait as there was an emergency stroke case that was brought in that needed Dr. Ecker’s care, but everyone was great and I had no residual pain or major discomfort after the procedure. Thank you everyone! Here’s hoping I don’t see any of you for awhile!

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September: Brain Aneurysm Awareness Month

September is Brain Aneurysm Awareness Month. To get you started, here are the basics from the Brain Aneurysm Foundation website.

Understanding : Brain Aneurysm Basics

Being diagnosed with a brain aneurysm is frightening. Although ruptured aneurysms are relatively uncommon, they represent a very serious illness which is associated with a high rate of mortality and disability. Having survived a ruptured aneurysm is a very difficult experience to have gone through and can be extremely unsettling. Gathering information about your condition can help ease this fear, help begin the healing process, and help bring a sense of comfort and support during a trying time.

Brain AneurysmA brain aneurysm, also referred to as a cerebral aneurysm or intracranial aneurysm (IA), is a weak bulging spot on the wall of a brain artery very much like a thin balloon or weak spot on an inner tube. Over time, the blood flow within the artery pounds against the thinned portion of the wall and aneurysms form silently from wear and tear on the arteries. As the artery wall becomes gradually thinner from the dilation, the blood flow causes the weakened wall to swell outward. This pressure may cause the aneurysm to rupture and allow blood to escape into the space around the brain. A ruptured brain aneurysm commonly requires advanced surgical treatment.

What are the two types of aneurysms?

Saccular Aneurysm

A saccular aneurysm is the most common type of aneurysm and account for 80% to 90% of all intracranial aneurysms and are the most common cause of nontraumatic subarachnoid hemorrhage (SAH). It is also known as a “berry” aneurysm because of its shape. The berry aneurysm looks like a sac or berry forming at the bifuraction  or the “Y” segment of arteries. It has a neck and stem. These small, berry-like projections occur at arterial bifurcations and branches of the large arteries at the base of the brain, known as the Circle of Willis.


The fusiform aneurysm is a less common type of aneurysm. It looks like an outpouching of an arterial wall on both sides of the artery or like a blood vessel that is expanded in all directions. The fusiform aneurysm does not have a stem and it seldom ruptures.

Understanding : Warning Signs/ Symptoms

Unruptured brain aneurysms are typically completely asymptomatic. These aneurysms are typically small in size, usually less than one half inch in diameter. However, large unruptured aneurysms can occasionally press on the brain or the nerves stemming out of the brain and may result in various neurological symptoms. Any individual experiencing some or all of the following symptoms, regardless of age, should undergo immediate and careful evaluation by a physician.

  • Localized Headache
  • Dilated pupils
  • Blurred or double vision
  • Pain above and behind eye
  • Weakness and numbness
  • Difficulty speaking

Ruptured brain aneurysms usually result in a subarachnoid hemorrhage (SAH), which is defined as bleeding into the subarachnoid space. When blood escapes into the space around the brain, it can cause sudden symptoms.

Seek Medical Attention Immediately If You Are Experiencing Some Or All Of These Symptoms:

  • Sudden severe headache, the worst headache of your life
  • Loss of consciousness
  • Nausea/Vomiting
  • Stiff Neck
  • Sudden blurred or double vision
  • Sudden pain above/behind the eye or difficulty seeing
  • Sudden change in mental status/awareness
  • Sudden trouble walking or dizziness
  • Sudden weakness and numbness
  • Sensitivity to light (photophobia)
  • Seizure
  • Drooping eyelid

Difficult Post

Over the years since my ruptured brain aneurysm, it has been very easy for me to simply copy & paste links to other people’s aneurysm stories of hope, struggle and survival. However, this particular entry is one of the most difficult I have posted because it affects me and my family personally.

Two weeks ago, on Mother’s Day, my older sister Dori suffered a serious ruptured brain aneurysm. Damage was done to her brain stem and a secondary part of the rupture created another hemorhage deeper into her brain tissue. If her husband had not been home and close to where she collapsed, she may not have even made it to the hospital. But after a trip to a local hospital, then a helicopter flight to Buffalo General, she is hanging on, but barely. She’s been treated by some of the top Dr.’s in the country including Dr. Snyder and Dr. Sorkin.

They coiled the 6 mm aneurysm with 3 coils, but because the secondary hemorrhage created more blood, a clot had also formed and they had to remove part of her skull to remove the clot from her brain. She has been in a coma since the surgery, non-responsive, on a breathing ventilator and still suffering vasospams and seizures. The heavy sedation she has been under due to the seizures, has prevented them from getting a complete and thorough neurological exam to determine the amount of damage and her chances of any kind of a recovery.

It has been heartbreaking and frustrating. And at times I almost wish I were not as well versed in aneurysm issues as I am because I know the seriousness of the situation as a result. Injury to the brain stem is so severe because it is similar to the motherboard of a computer being disrupted or destroyed. The brain stem, controls consciousness, respiratory (breathing), heart rate, ocular (eye) movement, dilation and contracture of the pupils in response to light/darkness, swallowing and facial movement and all neurological signaling from the brain to various muscle groups. The brain stem literally controls all that we do and how we process the things that we do each day. Right now, Dori isn’t doing most of these things on her own.

She has also developed pneumonia and has been dealing with a fever although we’re hoping that has gone away now. How much can one person be dumped on? Lighten up God, would you?

Dori was with me from day one of my rupture in 2006. She immediately flew out to Maine to be with me and Dave during my surgery. As I have stated repeatedly, I’m one of those very lucky ones who survived her rupture with no further deficits. Dori was there after my surgery as I was wheeled out of the recovery room to ICU and was complaining about how thirsty I was and the tape residue on my mouth from the breathing tube. She comforted Dave through it all. They cried together and they laughed together when I started joking straight out of surgery.

She also flew into Maine to be with me last year when I had my recoiling of my larger aneurysm done. I now have 20 coils in that one aneurysm and another smaller aneurysm was discovered along the way that we’re watching. Dori was able to meet my new doctor, Dr. Ecker, who ironically trained at Buffalo General and most of the Dr’s and a lot of nurses we spoke to there remembered him.

I wasn’t able to greet Dori and be there for her when she went into surgery. Unfortunately, at the time, Dave and I were in England. My family struggled with telling me, but finally decided they had to. We cut our trip a week short and flew home from England as soon as we could and joined my family at Dori’s beside. Truly devastating to see her in the condition I was presented with. Her long, thick hair was gone, shaved to do the clot removal. Her head bandaged and wired, along with a drain. The breathing tube and ventilator doing the work for her. Every type of monitor attached to her that could be. Heartbreaking…..heartbreaking. Why couldn’t she have come through her rupture in the shape I did? Several reasons I believe.#1, God just had other plans I suppose, but #2, I firmly believe Dori was having symptoms of the aneurysm weeks (perhaps even a month) before her rupture. She’s been having back issues since last November and had back surgery scheduled. She was in horrible pain for months and was unable to work. During that time, however, she suffered what she thought was a migraine. My family is susceptible to migraines and both my sisters and I, as well as my mom and some cousins all have suffered them in some form or another. This time, however, Dori knew it was different. Then she had boughts of nausea that went on for a few more weeks. Her husband took her to the ER, then took her to an acute care center. The acute care center was more of a clinic without full medical facilities of an emergency room situation. They were there because they were offered quicker service. Frankly, I’d rather have more completed care, but that was their decision.

Apparently the last time she was taken to the acute care Ccnter, she DID ask to have a CT scan. Either they refused, or they didn’t have the facilities. And even after telling them her sister and cousin had had brain aneurysms….they didn’t even insist she go to an ER. Very, very, very frustrating to find that out because her rupture MAY have been prevented. More heartbreak. And her husband told me after her back surgery she told him she just didn’t feel right. God, she should have been looked at.

I’ve been trying to get both of my sisters to get scanned for aneurysms since my ruptured. They’re both at high risk simply by being smokers and having a 1st degree relative with aneurysms (I now have two) and two 1st cousins who have had aneurysms. If discovered, an aneurysm can be treated before it ruptures preventing rupture, stroke and death. I hate, HATE that it takes something like to this open people’s eyes, but I guess it has. We need to get my other sister scanned, and soon.

I am hoping and praying Dori will show signs of something soon. She has a beautiful 15-year old son and husband who need her and God knows I need her. She’s the caregiver for our family…she helps everyone get through tough times like this….we need her here to help us help her. If God has plans for her, I wish he’d let us know.