Tomorrow it will be six months since my really cool brain surgery, and I'm pleased to say that the insult to my brain has given me real insight into the effects of brain injury on function. When I first came home from the hospital, I needed to walk with a stick to keep my balance, and I needed a bath stool to help me in and out of the bath, and to sit on while dressing. What had previously been unconscious and automatic, became a deliberate exercise in motor planning. Problem solving was just that! When I filled the bath too full with hot water, it was a struggle for me to work out what I would do, and I had to carefully think out each step. Quite frightening for someone who typically just gets things done! I recall how proud I felt of myself the first time I completed the entire bath routine on my own. With my my stick in hand I opened the bathroom door, to see DH beating a rapid retreat. (He'd been secretly hovering outside the door in case he needed to come in and save me.) "I did it" I said and stepped forward with my head high and my face smug.
Tuesday, December 13, 2011
Driving Miss Crazy
Tomorrow it will be six months since my really cool brain surgery, and I'm pleased to say that the insult to my brain has given me real insight into the effects of brain injury on function. When I first came home from the hospital, I needed to walk with a stick to keep my balance, and I needed a bath stool to help me in and out of the bath, and to sit on while dressing. What had previously been unconscious and automatic, became a deliberate exercise in motor planning. Problem solving was just that! When I filled the bath too full with hot water, it was a struggle for me to work out what I would do, and I had to carefully think out each step. Quite frightening for someone who typically just gets things done! I recall how proud I felt of myself the first time I completed the entire bath routine on my own. With my my stick in hand I opened the bathroom door, to see DH beating a rapid retreat. (He'd been secretly hovering outside the door in case he needed to come in and save me.) "I did it" I said and stepped forward with my head high and my face smug.
Saturday, November 26, 2011
Fear not
Anxiety whimpers, and faith comes in like a strong mother in the night, ready to reassure,and comfort; get you ready for the next day.
Were you afraid during this time? The minister asked me that. No, not of dying, or being ill, or in pain. But for my children, my family. But not overwhelmingly. Reasonably.
Some of the ladies at the breast cancer support group told of being fearful every time they visit the doctor; of every check up. I determined not to be fearful, knowing that I could cast my cares on Him, and that I did not need to be troubled or afraid, and despite a certain hypervigilence to symptoms, I have not been fearful. Then in October I had another MRI,and I was fine, until they slid me in, headphones and mirrored helmet on. It took half a minute for me to press the panic button and cry Please take me out!
So what do you fear?
"yea though I walk through the valley of the shadow of death, I will fear no evil, for Thou art with me Thy rod and Thy staff they comfort me, and I will dwell in the house of the Lord forever"
I got down to praying and kept my eyes shut and my body still so they could get on with the MRI. After praying about as many matters and people as I could think of, prayers gave way to planning how I would get out of there if the building fell on top of me and the machine closed me in. So God kept me safe while I whimpered quietly to myself, and wow, pretty soon they were hauling me out. Sorry for being a ninny back there I said. No worries: actually if you just look back through the machine where you were lying, you can see he windows to the street outside. Right, well if I'd known I could have done a quick wriggle backwards and smashed the windows out to escape, I wouldn't have had a moment of fear!
But, what's wrong with a bit of healthy fear? It makes you alert, rouses your senses, gets you thinking; opens the door to a conversation with your best Friend, and then you find out that the light you didn't see was there all the time. But then, when the true Light came into the world he created, the world didn't see him either. Fear makes you Pay Attention!
I haven't heard the results of the MRI, but I'm not worried, and the BN asssures me I'm correct in thinking that if anything was amiss I would have heard by now. So I've been getting on with still being me, although I look different, hobble instead of walk, actually use stair banisters, put up with my PS teasing me about my 'hormone bones', and laugh at my DH who, with his injured "mallet finger" told me to lean on the table and stand while he moved the chair back, because he couldn't pull me up. Needless to say this left me sort of dangling over the table.
I now have high spots in the day when I'm less cognitively muzzy, and I don't fall asleep in the chair after dinner every night. If I do chance to fall asleep, it's not long before my irritable stomach adds it's complaints to my 763 joints trying to push out of my skin, turning me into a COW (crabby old woman). The house is much cleaner, and the usual chores are done in good time. Best of all, my visual field test showed a left quadrantanopia, and a fuzzy spot in the upper right quadrant, but I have enough vision to drive again. That is, once I get an appointment or letter of clearance from the Doobster (neurosurgeon). hopefully my KD can get some thing from him before the New Year.... yay! the neuro clinic nurse and I suspect a letter from the KD, got me an early appointment with a rehab specialist, who cleared me medically to drive! Now I just need to be passed by the occupational therapist as competent to drive! Once I've seen her, I may get my independence back, although I surely have enjoyed car trips with my DH.
As Christmas approaches I am aware that we are edging closer to being a year hence from my cancer diagnosis. I haven't forgotten about the MCGrath Foundation breast cancer nurses fundraiser. My BN has been a huge help to me, and I know that all the other women also appreciate their BNs. A worthy cause.
I'm so glad I've learned over the years to trust in God, He really has been with me in this every step of the way.
Girl Talk
It's been 6 weeks since I was discharged from the hospital, and looking back I realise, my cancer diagnosis and mastectomy kept Summer outdoors; the early chemotherapy treatments allowed me to sit on my porch and feel silken Autumn air, and Easter displayed a glorious, richly coloured Autumn. The allergy to the chemo treatment and my reaction to Phenergan were like the first cold winds that shook the leaves from the trees; easily cleared by the leaf blower that was my brain tumour, and suddenly we were in cold, dark, Winter.
3 weeks into my recovery from brain surgery, the next phase of cancer treatment, began. I had expected to be put on Tamoxifen for 5 years, a hormone treatment with serious side effects, including that 1% of women can get uterine cancer on it. No longer trusting stats, I did some reading and discovered there is a newer treatment (Arimidex) that blocks the body from making estrogen, which is safer - provided you have strong bones. It has some nasty side effects of its own, but is suitable for women who have begun menopause, as I have. Chemotherapy caused, and I quote one of my nurses here: "violent medically induced" menopause.
I have the required bone density test- another body scan ( I think I am really in some bad science fiction movie), with a favourable result. My oncologist prescribed Arimidex for me without me having to ask, and by the end of that week I have a box of medication which shows me I am back on the pill. The onco described the side effects to me - joint and bone pain, but was pleased to tell me I have bones healthier and stronger than many women younger than me - it was on the tip of his tongue to say"half your age" but he caught himself in time. More scary than anything he said, was the whole network of support that you need to sign up for while on this medication, and because I am officially menopausal. If it's not so bad, why do we need all this support?
Before I go any further: women will tell each other (possibly reluctantly) about their hot flushes, and each will say something different. For me, although they are settling down now, the best description of a hot flush is that it is like an orgasm that has aggressively, and irrevocably, gone to the Dark Side.
The day before my apointment with the onco to establish this next phase in the treatment, my Breast Nurse called me - she who kindly and faithfully visited me and kept track of my progress - ( and who knows whether her presence among her colleagues worked in my favour to boost their efficiency?) to say that we should get together to talk about how I'm doing and "you know, little things like, oh sexuality and such." "What's that?" I said.
She arrived the day after my onco appointment, and we chatted amicably about other menopausal symptoms and side effects of Arimidex, like {vaginal dryness} and fatigue, low libido,and fatigue, ... and the new look me. "At least" I said, "the bone scan, shows it's safe for DH to 'jump on my bones'". For some reason, the BN couldn't talk for a few seconds, so I told her about my definition of a hot flush. She probably wanted to slap me and say "I'm trying to have a serious discussion here!"
The new look me took some chit chat time. Basically, I've gone from a vain and skinny 17 yr old who thought her nose compensated for her flat chest, to a vain 48 year old who wonders in that brief momentary glimpse in the bathroom mirror :"who's that?" Now I have literally a half decent sized chest and am glad of my sticky out ribs. Truly one nose could never do to compensate for 2 boobs so now I'm sorted. The hair is the hardest to deal with especially since the brain surgery. My ward neighbour looked very mannish with her shaved head, and I do too, in my eyes, although My DH says not. My youngest had a friend over who saw my bald head - "you look just like a man" he said!
Nothing like a good laugh to calm down emotions, and a few more weeks have seen some changes, and now instead of baldness, I actually have an official hair style: crew cut. I also have been doing some serious sleeping and lazing around, and last Friday felt sufficiently energised to carry out my plan to join my work collegues for an unofficial visit to the support group we run. As I bathed, the signs of re growth (annoyingly, evidenced by the need to shave once again after freedom from that chore), and increased weight, made me think " it's like Spring has come to my body early, because it is still Winter outside! For the first time in ages, I put on my prosthetic, made to fit breast ( and super attractive underwear - on advice from the BN and got all dressed up to go out.
After my visit, I returned home for rest, and read my Bible. People have said to me, that it is amazing how I have kept my sense of humour in all this; but, how could I not, When God is so Funny? This is what came up in my reading :
Ezekiel 16:vs7
"I have caused thee to multiply as the bud of the field, and thou hast increased and waxen great, and thou art come to excellent ornaments: thy breasts are fashioned, and thine hair is grown, whereas thou wast naked and bare."
Forest Fairy
the royal neurological ward part 2
- Hear the right, O LORD, attend unto my cry, give ear unto my prayer, that goeth not out of feigned lips.
- Let my sentence come forth from thy presence; let thine eyes behold the things that are equal.
- Thou has proved mine heart; thou hast visited me in the night; thou has tried me, and shalt find nothing; I am purposed that my mouth shall not transgress.
- Concerning the works of men, by the word of thy lips I have kept me from the paths of the destroyer.
- Hold up my goings in thy paths, that my footsteps slip not.
- I have called upon thee, for thou wilt hear me, O God: incline thine ear unto me, and hear my speech.
- Shew thy marvellous lovingkindness, O thou that savest by thy right hand them which put their trust in thee from those that rise up against them.
- Keep me as the apple of the eye, hide me under the shadow of thy wings,
- From the wicked that oppress me, from my deadly enemies, who compass me about.
- They are inclosed in their own fat: with their mouth they speak proudly.
- They have now compassed us in our steps: they have set their eyes bowing down to the earth;
- Like as a lion that is greedy of his prey, and as it were a young lion lurking in secret places.
- Arise, O LORD, disappoint him, cast him down: deliver my soul from the wicked, which is thy sword:
- From men which are thy hand, O LORD, from men of the world, which have their portion in this life, and whose belly thou fillest with thy hid treasure: they are full of children, and leave the rest of their substance to their babes.
- As for me, I will behold thy face in righteousness: I shall be satisfied, when I awake, with thy likeness.
For better for worse...
is the day we got to keep them
I wish those two could see us now
they never would believe how
there are different kinds of happy"
The Royal Neurological Ward
Walking on Water
Neurological ward room 230
Sustained by singing and praying, my physical needs asserted themselves and I recalled that I had had no lunch and a very light supper at about 4.30. It was now 3 am and I was starving! The nurse on call was able to bring me hot milk and weetbix, which I gobbled up. By 5 am I felt well enough to walk the very short distance to the bathroom and not call for a bed pan! Yay!
After breakfast and a sit down shower, I waited for the call to Nuclear medicine. A male nurse brought me an iodine drink, and I had to drink half at 11.30 and the other half at 12. DH arrived at 11.55 closely followed by Polish K, ward receptionist doubling as nurse aide with a wheelchair. Get een my darlink!, ve must rush down they are ready for you now! Off we went, me gulping down the lemony with pooey aftertaste drink. Polish K parked me outside the MRI room, in the corridor. DH hugged me and left to do some shopping. "Now my darlink you vill have a beautiful time with these peeple - the men are so handsome, you vil look at them and you vill not be scared of the noise" and she left.
10 minutes of sitting in a corridor looking like a cancer victim is not fun, so I was very pleased when two girls came to get me and put me on the bed part of the MRI machine. Because I had advised that I am claustrophobic, a helmet was put on me with gaps in it, and an angled mirror would enable me to see them and the handsome men. Of course they removed my glasses didn't they!
They put headphones on me and piped through classical music, as the MRI machine started it's construction site noises. I didn't hear any wolf whistles, but what I did hear of the music made me see my Mommy in my mind's eye, just when I needed her. It was a compilation of many popular classical pieces, including Beethoven's 5th, which were bound together by a continuous beat. We actually used to have the same record at home, and my Mom loved it. I could just see her conducting the air and dancing her head, and making us happy with her joy in the music.
15 minutes later one of the blurry men got me out and into the next room for the full body scan. If you have ever had an iodine injection for a scan you know what it's like and I don't need to describe it. The best thing about it is that it is over very quickly. Back to room 230.
By late afternoon, I had still not seen The Doobster (Mr D's moniker according to the nurses of the neuro ward). We needed to tell the boys what was up but we had no real information as yet. My PS and I just held each other, going through a gamut of emotions, but overall love. We would have to wait. Thank goodness for distracting annoying younger brothers and inflatable medical gloves. All too soon they went home and I asked for a sleeping tablet instead of another night awake.
The Doobster arrived about 8.30 and confirmed what the other doctors have been saying all along - I am very unusual. It is very rare, he said, for a woman with breast cancer to have a brain tumour that is not cancerous. So he doesn't trust it - he will consult with a group of radiologists and neurosurgeons on Friday morning, and get their opinions. Then on Friday afternoon he will tell me what will happen. I was very relieved that I would be in hospital for a few days as my symptoms were hard to bear, and I was very weak. Thursday was almost as bad as Tuesday - and after sprinting 100 metres and jumping the hurdle of my bed to have my sit down shower, my return to bed made it to the floor, to be found by Polish K who callled the nurses. "Come queekly to help this beauiful voman, she is on the floor!" 3 came rushing and got me into bed, and took all my vital signs. "She's a bit tacky" said the one with the machine.
Over Wednesday, Thursday and Friday, aside from my family, I had some lovely visitors - work colleagues, church minister, the Breast Nurse (who serendipitiously was there when my friend with another type of cancer arrived, and was able to help her), another pastoral care person, and another who later brought me DVD's to watch, and then surprisingly, my onco's friendly receptionist. My cup overflows with friends. My wonderful friend C and her family had engulfed the youngestPS since my chemo in their loving arms and kept him happy, comforted and distracted. I waited patiently for the Doobster on Friday, but sadly he had emergency surgery, and I was in again for another night.
I slept for 71/2 hours that night and awoke at 5.26 tin the morning. A good time to read the bible and pray, and sing croakily with the birds. Room 230 is small, and has big windows looking out to a view of Mount Wellington, and the hill of Lenah Valley. I decided to open the lovely thick cream drapes. The night nurse saw my light on and came to offer me anything? Coffee would be great, and he brought me a strong cup! I settled down snugly and watched as the sun turned the browny green indistinct mountain into a glowing pink and orange sharp relief of crags and slopes and trees. Then as the sky blued, the houses on the hill began to wink and gleam. Oh what a beautiful morning!
After breakfast, and another cup of coffee the Doobster arrived! Tantantara! OK. All the experts confirm I have no more cancer in my body. The tumour - or lump in my head - is NOT cancerous. It is either a ventricular lesion or a meningioma. I was told by the nurse that if I have to have a lump in my brain that's the kind to have! I am to have 2 weeks rest and get strong, and have love and fun with my family and friends, and then on 15th June, after a comparative MRI on 14th, I will have really cool brain surgery.
I was able to come home and tell my relieved Boys and call my family in SA.
Our God is awesome!