The stream

Kick The Can

Published on by heiditea3 Comments

Well, after meeting with my neurosurgeon this morning we have decided to kick the can for another year on the blood remnant in my large brain aneurysm. Yes, it’s there, but it doesn’t pose any immediate risk at the moment – they think.

Options currently presented are:

  1. Do nothing and observe with periodic angiograms/MRA’s.
  2. Insert more coils (I have 20 already) into the aneurysm in hopes no more blood gets in.
  3. Block off the affected artery and see if the blood flow reverses.
  4. Place the relatively new Pipeline™ Embolization Device INSIDE the existing stent that was place in the artery in 2011.

Here is how we’re addressing each option:

Watch & Wait: Simply monitor the remnant with periodic angiograms and/or MRA’s. Then if it appears it IS growing and more blood is getting back into the aneurysm, THEN we act. It could do nothing for 10 years, or it could double in size by next year.

More Coils: I already have 20 coils and a stent that is supposed to be blocking blood getting into the brain aneurysm. Obviously, they’re not doing their job as hoped and expected.

Sacrifice the artery where the aneurysm is & reverse blood flow: This procedure will require doing a balloon occlusion test first to determine if my vascular system can handle the blood flow being shut off. IF the balloon test is successful, then I would be a candidate for having that “diseased” part of my artery completely filled with coils and the blood flow would reverse. I’m still trying to understand how it all works.

The Pipeline inserted inside existing stent: The doctor had done some research and this specific procedure has only been done ONCE, at least in the U.S. that he is aware of. Not exactly a glowing recommendation. Even one of the most renowned neurosurgeon’s in the country has shied away from doing it.

It’s pretty safe to say we have ruled out options 2 and 4. Adding more coils doesn’t seem like a more durable option at this point and even though the Pipeline has been used VERY successfully throughout the entire country, including here in Maine by my doctor, the lack of data and positive feedback on inserting one into an existing stent doesn’t bode well for its use in my specific situation. I’d rather not be a test subject unless all other options have been exhausted.

So, we’re going to do a combo of 1 and 3. Well…at least #1 at this point.

Blood Supply To The Brain

I’ll have an angiogram next Spring AND have the balloon occlusion test done at the same time. There are four main arteries supplying blood to your brain. In most people, there are links between these four arteries that allow for one of the arteries to be blocked without significantly affecting the amount of blood reaching the brain. The balloon occlusion test is usually done if there is an abnormality (in my case, an aneurysm) in one of the four main arteries. It is a way to see whether one artery can be temporarily or permanently blocked without significantly affecting the level of blood in your brain. An X-ray and a special dye are used to create images of your arteries and a small balloon, which when inflated will temporarily block your artery. Sounds scary, but if you’re on the table in the hospital already, they simply deflate the balloon if you’re unable to handle it.

The angiogram will allow us to see if the remnant has grown in a year and we’ll have the balloon test done and that will determine, should I NEED to treat the remnant, that blocking the artery and reversing the blood flow is a good option. If I’m unable to handle the test, then that’s another option off the table.

There is another potential, more invasive option, but I’m not even going to go there yet. We’ll wait a year, see if the remnant has gotten any bigger, and DOES need treatment, before we address it further.

So, I’ll continue to eat better, try to get more exercise, and reduce stress……the last one will be the hardest I think. Kick the can….

 

 

Heidi's Brain Blog

Reminders

Published on by heiditea1 Comment

Our monthly brain aneurysm support group meetings are a wonderful way for survivors, their supporters and for those who have lost loved ones to come together and discuss this horrible thing that connects them. The fantastic medical professionals who have come to speak with us have opened the eyes of those who haven’t been educated themselves and have helped supporters gain a better understanding of what their loved one has gone through. I rarely come away from the meetings feeling anything other than positive energy and proud of the group, but tonight was different.

Dori and I in Maine Three years ago tomorrow, we had to say goodbye to my sister Dori. Her rupture was massive and deadly. She ruptured on Mother’s Day and was kept on life support until the 29th of May. No signs of life and no signs of recovery were recorded. They had shaved her long, thick, mostly gray hair from her head completely. She was on life support, a ventilator, and had a drain set up to alleviate and remove fluid on her brain. It’s an image that still haunts me as the last time I saw her.

Some of our discussions this evening at the support group centered on drains and locations of brain aneurysms. Dori’s aneurysm ruptured on her brain stem, which was catostrophic. As these discussions took place tonight with a survivor who had a drain and a rupture, the image of Dori in that hospital bed was running on a loop in my head. I’m glad we flew back from London immediately to see her at the time, but it technically wasn’t her in that bed. She really was gone the day of the rupture but I see her in that bed this week and my heart hurts because I miss her so very much.

I know for those who have lost a loved one, the support group can be sad, educational and scary all at the same time. Usually I’m naturally focused on the survivor side of it because I am one, but unfortunately, I also have the flip side as part of my life in losing my sister and Dave’s niece to massive ruptures. The successes (me surviving I guess) don’t quite balance out the failures (losing Dori and Kim) but life still goes on around us and I’m still alive to try and help others if I can. If we’re able to get one person scanned or help one survivor understand their situation better and offer comfort, then those lives lost will always be with us as a reminder at how precious life is and how we all can DO something.

Thinking

Published on by heiditeaLeave a comment

I’ve been thinking a lot lately. So…since it’s MY blog, I can write about it. (It’s my party and I’ll cry if I want to?)

Mother’s Day is coming up next month. More and more emails and newsletters are coming into my inbox loaded with ideas on gifts to give your mother and places to take her. This will be my first Mother’s Day without my mom. I miss her voice…I miss her laugh…I miss her humor…I miss her political point of view….I just plain miss her. I saw a cardinal in the yard last weekend. I think she paid me a brief visit…or maybe it was Dori.

Another reason I don’l look forward to Mother’s Day is because that’s the day Dori suffered her ruptured brain aneurysm. I think about her pretty much every day too. I miss her laugh…I miss her voice…I miss her humor and I’m still devastated she died from her brain aneurysm and I’m still here after two.

At my niece’s wedding last month, I missed mom, Dori and Rhonda. They all should have been there for such a wonderful, fun event. They would have loved it. Sunshine, laughter, music, and beer. I know they were all there in spirit, but it sure would have been more fun if they had physically been there. It was awfully nice to give a speech for a positive event though and not another memorial service. Jenny deserves all of the happiness in the world.

Then our next brain aneurysm support group has a presentation from my neuro surgeon about the pipeline device for aneurysms. This is the next type of treatment he’s been recommending to me for my aneurysm that is still giving me issues. If the procedure was just doing the pipeline, I probably wouldn’t be that nervous, but because they’d be inserting a pipeline INSIDE an existing stent inserted a few yars ago, that is what makes me very nervous.

For some reason the fear I feel for this next procedure is even more so than my open brain surgery last January. Putting the pipeline inside a stent is something that hasn’t been documented. I’m not sure I want to be the poster child for that procedure, but I might not have much choice. There is blood getting back into the neck of the aneurysm and with 16 coils and a stent already being used on this puppy, my options are getting limited.

Something will have to be done before the darn thing blows or leaks or causes other issues. It’s the aneurysm that has already ruptured in 2006 and is sitting on my optical nerve. Goody!

A short time after that appointment earlier in the year, I decided if I were healthier there’d be less risk of my suffering a stroke during any upcoming procedures and I made the decision to start eating better and exercising. I’ve done great with the eating better…it’s still the exercise part that I’m having issues with.

I have lost over 15 pounds, dropped a pant size and feel better. I’m certainly making better food choices as well and showing terrific restraint without starving myself yet still rewarding myself. Will all of this prevent a stroke? Probably not. Will it help with a faster recovery? It may…or it may not. Will it all have been for naught? Perhaps. Am I being a worry wart over nothing? Could be. But it all makes me think.

With some close friends battling cancer at the moment and a much-loved public sports figure losing his battle with cancer, it’s a dramatic reminder at how short life can be. Will the third time on my original aneurysm be the charm, or will it be the one time things don’t go well? Do I have a reason to be scared? Of course I do. Could I lose my eye sight and put my job in jeapardy? It sure could. It’s all concerning and I will HAVE to think about it.

Thinking can be dangerous. There are so many paths your mind can take you down, but I have to keep reminding myself, I’m stil here…I know my aneurysm is there and we’re monitoring it. I have the upper hand at the moment and I’d like to keep it that way. Knowledge is power, but it doesn’t mean it’s not scary.

Shopping

Published on by heiditeaLeave a comment

I couldn’t think of a more clever title for this entry. Shopping. I don’t care for it…especially IN a store. Online shopping I can do with ease and with very little discomfort or distress. But going to an actual store to shop is another story.

Even 8 1/2 years after my rupture and over a year after my clipping, shopping in stores still causes me and my blinged-out brain some issues. Mostly in stores I don’t frequent as much. If I have trouble finding what I’m looking for, it means I have to go through every aisle and rack multiple times, over and over again. It requires thinking, seeing and concentrating in very compact spurts. Almost like power thinking. It’s extremely tiring and can give me an instant headache and eye strain. There is just too much visual stimulation and requires my brain to process a lot of information and data at once.

All the more frustrating was that I couldn’t find the main thing I went to that particular store to get in the first place. This is also one of the main reasons I shop online…I can find what I’m looking for much easier and in less time. Yes, I cannot try it on immediately, but I can always return something if it doesn’t fit.

I know I’m not the only aneurysm survivor who experiences issues in stores, but it still gets a tad frustrating…and just a wee bit painful. I know I could have far worse side-effects and deficits from my brain aneurysms, so I consider myself very lucky. Some discomfort on those rare occasions when I DO go into a shopping store is a small price to pay.

But this is MY blog and I can complain if I want to, right? 🙂