See You in Three Years

I first met Dr. Ecker on December 3rd, 2010. In all that time and the different medical procedures we have been through, I don’t believe I have ever hugged him. Yesterday I broke that patient/doctor barrier and gave him a very warm, tight embrace.

Twelve years ago, he picked up my aneurysm story where Dr. Kwan left off four years prior. Aneurysm #1 ruptured in 2006 and is the problem child. Even after 16 initial coils, blood was getting back into the aneurysm. Dr. Ecker has been trying to improve the situation and produce favorable results with several attempts. Two stents and 4 more coils later, we might be at a turning point in our professional relationship with this pesky bugger.

As noted in my previous post, I was thrilled and emotional to hear how well the flow-diverting stent deployed back in April was doing. I certainly was relieved, but until I saw the images and spoke to him in his office after he had a chance to review everything again, I still wasn’t celebrating to the point of calling it “done”.

Seeing the images yesterday was remarkable! The areas where blood was previously getting into the neck of the aneurysm had almost disappeared and the artery where the flow-diverting stent was placed inside the older stent had conformed to the shape of the artery. This is EXACTLY what the hope was. Success!

Because this particular procedure, placing a stent inside another stent, is not a common practice, Dr. Ecker felt a follow-up MRA in three years would be best and I agree. Although we’re all thrilled to see how it’s taking shape after 7 months, giving it sufficient time for healing was recommended. THEN if it continues to look good, we’ll look at it every five years.

Below are a few photos I took of my images on the doctor’s computer screen. They aren’t the best, but I tried to indicate where things are for my readers. The two images placed side-by-side were backwards on his screen showing the AFTER image first, then the BEFORE image after it, so I had to cut them apart, flip them and I tried to keep them around the same size for scale. Hopefully, you’ll get the idea. And yes, I DO know I should have added another “m” for the size of my aneurysm. Don’t @ me. It took me a long time to get these images right and I’m too tired and busy to change them. 🙂

Raw image comparing the aneurysm and artery prior to flow diverter deployment and after
Indicating the location and size (approx. 1/2” in diameter) of the aneurysm, which is currently filled with 20 coils (not visible).
LEFT: Showing the area of blood that has been developing over a period of years into an aneurysm already susceptible to rupture. RIGHT: Now showing a reduction in size of the bloody area and a clearly defined artery.
RIGHT: Showing the relative location of the flow diverter placed within the older stent in the artery.

And the Stories Continue

Five years ago I wrote, what I contend, is one of my more poignant blog posts about all of THE STORIES I have heard about brain aneurysms. Stories from many different people from all walks of life and at very random times. We heard a new one last week.

As my husband and I were in the pre-op area at the hospital waiting for his colonoscopy to begin, the anesthesiologist came in to speak to Dave prior to the procedure, which is normal. As Ron was talking he noticed the brain aneurysm survivor pin that was on my purse and Dave’s KAT-WALK bracelet and asked who was the survivor.

We proceeded to share my story, which was top of mind for both of us because it was 16 years to that day, that I had suffered my ruptured brain aneurysm. Then sadly, Ron told us HIS story about losing his wife to a ruptured brain aneurysm 12 years ago.

Suddenly Dave and I were no longer patients Ron needed to tend to during his daily routine prior to the procedure, but human beings who had both suffered losses due to this horrible disease. Ron leaned over and rested his elbows on the metal railing of the hospital bed and proceeded to tell us the sad story of his wife, his children’s reactions, the day it happened, the treatments involved at the time, and the tragic outcome.

Obviously, for Dave and I, we could relate to Ron’s pain and the suddenness of losing someone to a rupture brain aneurysm. Ron even mentioned meeting someone else who survived and how that person had survivor’s guilt. I too, have suffered from that.

Dave wears his KAT-Walk hat and bracelet almost daily and I always have my survivor pin on my purse. These pieces of “swag” can result in moving stories of sadness and triumph from complete strangers. Stories we never would have known had they not seen the small trinkets and asked about them.

Five years ago I wrote that blog post because of the anniversary of my sister’s death. This year was the 10th anniversary of her death. 16 years ago last week, I celebrated my annie-versary of my rupture. That is MY story, but there are so many others out there and we continue to realize the importance of sharing them.

Ron congratulated me for surviving multiple times and said I “looked great’, which was very sweet considering he had never met me before and had just shared, what I am sure, was not an easy story to tell. We shared our sympathies with him and thanked him for taking the time to tell us about his wife.

All of these stories are meaningful. All of these stories effect us. And all of these stories get added to the long list of people we have met over the years who have been effected by brain aneurysms.

Happy Annie-Versary

16 years ago today I didn’t know if I’d survive to see another sunset after suffering a rupture brain aneurysm. Tonight I was greeted by this stunning rainbow shard over the water and two cardinals at the feeder. I am blessed. My brain is wicked tired, but I am blessed.

The Thing that Won’t Go Away

The follow-up with my interventional radiologist/neurosurgeon confirmed the MRA I had in December showed additional development of more blood getting into the neck of my first brain aneurysm – AGAIN. We went through these discussions back in 2015 when that remnant first showed up. I decided to kick the can and watch, wait, and continue to monitor it. After five years, it appears there is more blood now.

The doctor wants me to have another angiogram to get a closer look and determine if we need to take action now. This is not the way I had hoped to start the new year. It may be nothing alarming…or it might be.

I created the graphic below to present, in it’s simplest form, what’s happening. This is the first aneurysm that ruptured in 2006. It’s 11mm or about 1/2” in diameter.

  • There were 16 coils inserted into the aneurysm in 2006.
  • Those coils healed and clotted, preventing blood from getting back into the aneurysm.
  • Five years later, the coils either started to compact, the shape of the aneurysm and neck of the aneurysm changed, or a combination of both occurred, This allowed some blood to get back into the neck of the aneurysm.
  • 4 more coils were inserted (for a total of 20) and a stent was placed across the bottom of the neck in the artery in 2011.
  • In 2015, during annual checkups, it was discovered more blood was starting to get back into the aneurysm again.
  • We decided to “wait and watch” the remnant of blood for future development.
  • Now in 2022, we’re discussing the fact that it appears MORE blood is getting into the aneurysm after six years of stability. This is also a brain aneurysm that has already ruptured once.

During the last 15 years, I have had to endure a couple of “watch and wait” periods for both my aneurysms. There is always a nagging worry that lays there asking those probing questions: Is it growing? Has there been any change? Am I making it worse? Could something I’m doing make it rupture? Is that headache a sign that something is wrong?

Anyone who is living with brain aneurysms knows that worry. Telling me to “Not worry about it” is far easier said than done.

The good news is that I feel fine. I just hope I can stay that way. 🤞