Friday feels like so long ago, but it was only 2 days.
We got to the hospital at 5am for check-in. Good thing we aren't getting used to Arizona time, so that was like 8am for us.
They took me to pre-op for quick blood work and to start an IV. Then I was rolled through the GIGANTIC hospital to the gamma department. The nurses there were SO nice! One by one, the doctors all came in and explained the morning itinerary to me. At 7:30 the anesthesiologist came in and said he was going to put me to sleep so they can drill the frame to my head. The next thing I knew I was waking up at 7:43 with a frame on my head. Me: "What time is it?" Nurse: "7:43" Me: "Is it still Friday?" Nurse: "Yes, it's still Friday." Me: "But am I still in Arizona?" Nurse: "haha, yepp" Me: "Ok, good. I like Arizona. It's hot here." And then I fell asleep. I woke up as I was being wheeled to get an MRI. I had to take off my glasses to get the frame on, so I couldn't really see and I was still super woozy from the anesthesia so it was just weird. All the nurses and MRI technicians were introducing themselves to me, but I just saw fuzzy people who all looked the same to me. I must have fallen asleep in the MRI because the next thing I remember was them bringing me to get an angiogram.
I made sure to introduce Abigail to the technicians and doctors at that point (my nurse kept calling her Abby; that was nice)
As I was getting positioned (having my caged head attached to the table) for the angiogram I made sure the doctors knew they were operating on me, not Abigail. They understood, and I drifted off into sedation.
The weirdest thing happened to me during the angiogram while I was sedated. Sedated implies that I am not under general anesthesia, but I am super relaxed that I'm in that limbo between delirious and asleep. All of a sudden as they were nearing the end of the angiogram, I realized where I was and what was happening and I could feel everything they were doing. They had locally numbed the point where they penetrated, but I felt everything around it. I forced myself to go to sleep because that was just too weird for me.
Next thing I knew, I was in the recovery room. All of my pre-tests were done, and the doctors were doing the hard part-- the planning. They have to plan exactly where to shoot the beams and at what level of radiation to ensure protection of the surrounding tissue and obliteration of the AVM. They spent a couple of hours planning this and checking and rechecking it. While they worked on that, I was in the recovery room, more and more aware of what was going on. I wasn't allowed to sit up because of my angiogram, so I was laying flat on my back and asked my mom to bring me my contacts from my bag-- I couldn't wear glasses because I had this frame on my head and it was driving me crazy that I couldn't see.
Laying flat on my back, I opened my contact case, opened my eyes and surprising to everyone in the room, including myself, I put my contacts in.
So, now that I could see, I was even more aware of what was going on. I went to brush my hand through my hair and realized, I couldn't feel my entire head!!
"I CAN'T FEEL MY HEAD!!!!" I freaked out that something was wrong.
Turns out, that was normal. They injected my head with a bunch of Novocain type anesthesia to be able to drill these 4 screws into my head without me feeling the pain while it was on my head for the day.
I can't even begin to explain how amazing the nurses were as they waited with my parents and me for the planning to be done.
The doctors came in at 1pm to tell me that the planning was complete and if all goes as planned they feel that there is a <1% chance that the AVM will survive the hit.
They took me to the gamma knife room and buckled my head cage to the table and turned on Pandora in the room so I can listen to music. The treatment lasted about a half hour and then the doctors came in and took literally a powerdrill to take the cage off my head.
The doctor came to talk to my parents and me after I was back in the recovery room. "Everything went perfectly as planned. In 1 year you will need an MRI to check on the AVM; it will most likely still be there. But in 2 years when you get an MRI it might be gone and by the 3rd year if its gone for 2 consecutive scans, we will do an angiogram to make sure it is in fact totally gone. We feel there is a <1% chance that the AVM will still be there after the 2nd year and definitely by the 3rd year it should be gone."
They gave me the paper work for discharging me and by 3 we were ready to leave.
The nurses told me I will have soreness on all of the puncture points for a week or so. I have to keep small circle bandaids on the puncture points on my forehead until they are totally gone; to prevent scaring. They said to take it easy for 2 weeks because that is the window of potential swelling. Other than that, I can go back to regular activity as if nothing ever happened.
This has been the craziest week of my life, but I am very pleased with how it turned out!!
Braink you all again for your outpour of support to me and my family during this weird time.
Sunday, April 28, 2013
Thursday, April 25, 2013
"Sometimes good things fall apart so better things can fall together." -Marilyn Monroe
We came to Arizona emotionally and mentally prepared for the craniotomy. After Dr. Spetzler reviewed my scans from Tuesday and called me with the update of: "No craniotomy. Let's do gamma knife instead" my stomach turned because of the horrible potential outcomes we had learned about gamma knife earlier this year when we were researching this option.
I knew I trusted Dr. Spetzler, but I also knew I didn't trust gamma knife. What a weird feeling.
Dr. Spetzler set up a consultation for me and Dr. Nakaji (the neurosurgeon/radiologist) to meet and discuss the gamma knife option first thing this morning.
We came armed with questions to interrogate the radio-surgeon with. Surprisingly, we didn't have to. The second Dr. Nakaji walked in the room we instantly, unanimously, felt a sigh of relief in the room. Dr. Nakaji was very knowledgeable and walked us through the newest findings of my AVM. He discussed why surgery is not really the best option anymore in light of the new scans-- the risks of surgery outweigh the risks of the gamma knife.
The biggest risk with the gamma knife was that the brain stem was really close to the AVM. If the brain stem got hit, it could be detrimental, and we wouldn't even know necessarily for up to 10 years. Based on my new scans, Dr. Nakaji and Dr. Spetzler can say almost definitely that the brain stem is miles away in term of radiation so the brain stem will not be touched at all.
Our next biggest concern was the waiting period to find a complication due to radiation spillover. Dr. Nakaji discussed our concerns with us at length. He explained that my AVM was small for the gamma knife scale, therefore, requiring a smaller dose of radiation. Because of the smaller dose, the spillover rate is not a big concern for the procedure. He said the wait to find out the success of the procedure would be an MRI once a year for the next 3 years (maximum) and after the 3rd year we do an angiogram to make sure it's gone.
Dr. Nakaji felt very confident that the gamma knife is the best option for my AVM. What is very unique about Dr. Nakaji and his opinion is that he is both as a neurosurgeon, as well as a gamma knife radiologist. So, he really has a grasp on which option would be best for each patient. He said without a doubt I would have less likelihood of complications with the gamma knife.
We asked, literally, every question we could think of; after and hour and a half of talking to the doctor, unanimously, we felt really comfortable with the gamma knife option, and with Dr. Nakaji administering the treatment.
He sent us to meet with his partner, Dr. McBride. She was just as pleasant as he was. She spoke to us at length, further explaining gamma knife and reiterating the low risks for my case.
While the gamma knife is seemingly a god sent, there is still one thing that troubles me still with it; I was looking forward to finishing surgery and knowing once and for all that the AVM is gone. With gamma knife, I will not know right away and am therefore still at risk of hemorrhaging until its totally obliterated.
Dr. Spetzler cleared all of the schedules of each doctor that would take part in my gamma knife procedure. So, once we were comfortable, the gamma knife was booked and ready for me for first thing tomorrow morning.
Tomorrow will be a long day. I get there at 5am, they bolt a cage type thing to my head and then I go for another angiogram. They use the angiogram along with the cage measurements on my head to accurately plan a radiation administration route. After the scans, I wait for the longest part--the planning. Dr. Nakaji, Dr. McBride and the rest of the gamma knife team assess the best approach with the radiation; the best level of radiation to administer to minimize spillover and maximize results; and the best way to protect surrounding tissue. Once they finish making all these decisions, and planning, they double and triple check their work. I then go into the gamma machine and lay down and they press a button which administers the radiation. I don't feel anything and I am awake for procedure. It will take about an hour, depending on the planning. After we finish I stay in the hospital for a few hours for observation and then back to the hotel. They feel it is unlikely for me, but the doctors say that within the first 24-48 hours I could have cerebellar swelling. If that happens, they would give me steroids and the swelling will go down. I am supposed to take it easy for 2 weeks after the surgery to make sure that there is no residual delayed swelling. After that, I can resume life as normal and wont worry about my AVM until next year for my MRI.
While this comes like a curveball to us, I think its for the best. I don't have to go through the lengthy recovery time and I don't run the risk of needing to re-learn to walk, again.
I am in the hands of the best doctors in the world for this... if that isn't comforting, I don't know what is.
I knew I trusted Dr. Spetzler, but I also knew I didn't trust gamma knife. What a weird feeling.
Dr. Spetzler set up a consultation for me and Dr. Nakaji (the neurosurgeon/radiologist) to meet and discuss the gamma knife option first thing this morning.
We came armed with questions to interrogate the radio-surgeon with. Surprisingly, we didn't have to. The second Dr. Nakaji walked in the room we instantly, unanimously, felt a sigh of relief in the room. Dr. Nakaji was very knowledgeable and walked us through the newest findings of my AVM. He discussed why surgery is not really the best option anymore in light of the new scans-- the risks of surgery outweigh the risks of the gamma knife.
The biggest risk with the gamma knife was that the brain stem was really close to the AVM. If the brain stem got hit, it could be detrimental, and we wouldn't even know necessarily for up to 10 years. Based on my new scans, Dr. Nakaji and Dr. Spetzler can say almost definitely that the brain stem is miles away in term of radiation so the brain stem will not be touched at all.
Our next biggest concern was the waiting period to find a complication due to radiation spillover. Dr. Nakaji discussed our concerns with us at length. He explained that my AVM was small for the gamma knife scale, therefore, requiring a smaller dose of radiation. Because of the smaller dose, the spillover rate is not a big concern for the procedure. He said the wait to find out the success of the procedure would be an MRI once a year for the next 3 years (maximum) and after the 3rd year we do an angiogram to make sure it's gone.
Dr. Nakaji felt very confident that the gamma knife is the best option for my AVM. What is very unique about Dr. Nakaji and his opinion is that he is both as a neurosurgeon, as well as a gamma knife radiologist. So, he really has a grasp on which option would be best for each patient. He said without a doubt I would have less likelihood of complications with the gamma knife.
We asked, literally, every question we could think of; after and hour and a half of talking to the doctor, unanimously, we felt really comfortable with the gamma knife option, and with Dr. Nakaji administering the treatment.
He sent us to meet with his partner, Dr. McBride. She was just as pleasant as he was. She spoke to us at length, further explaining gamma knife and reiterating the low risks for my case.
While the gamma knife is seemingly a god sent, there is still one thing that troubles me still with it; I was looking forward to finishing surgery and knowing once and for all that the AVM is gone. With gamma knife, I will not know right away and am therefore still at risk of hemorrhaging until its totally obliterated.
Dr. Spetzler cleared all of the schedules of each doctor that would take part in my gamma knife procedure. So, once we were comfortable, the gamma knife was booked and ready for me for first thing tomorrow morning.
Tomorrow will be a long day. I get there at 5am, they bolt a cage type thing to my head and then I go for another angiogram. They use the angiogram along with the cage measurements on my head to accurately plan a radiation administration route. After the scans, I wait for the longest part--the planning. Dr. Nakaji, Dr. McBride and the rest of the gamma knife team assess the best approach with the radiation; the best level of radiation to administer to minimize spillover and maximize results; and the best way to protect surrounding tissue. Once they finish making all these decisions, and planning, they double and triple check their work. I then go into the gamma machine and lay down and they press a button which administers the radiation. I don't feel anything and I am awake for procedure. It will take about an hour, depending on the planning. After we finish I stay in the hospital for a few hours for observation and then back to the hotel. They feel it is unlikely for me, but the doctors say that within the first 24-48 hours I could have cerebellar swelling. If that happens, they would give me steroids and the swelling will go down. I am supposed to take it easy for 2 weeks after the surgery to make sure that there is no residual delayed swelling. After that, I can resume life as normal and wont worry about my AVM until next year for my MRI.
While this comes like a curveball to us, I think its for the best. I don't have to go through the lengthy recovery time and I don't run the risk of needing to re-learn to walk, again.
I am in the hands of the best doctors in the world for this... if that isn't comforting, I don't know what is.
Wednesday, April 24, 2013
Honey, I shrunk the AVM!!
So, I woke up this morning still sore from yesterday, but ready to go enjoy Sedona.
Sedona is about an hour away from the hotel we're staying at. We hit the road at about 10:30. At 10:52 my phone rings, it was a 602 area code so I knew it had to be someone from the hospital. I picked up, and it was Dr. Spetzler (my surgeon for my craniotomy) He told me that he reviewed my MRI from Monday and my angiogram pictures from yesterday. He explained that since my last scan (February 2012) my AVM has actually shrunk by nearly half. He said that based on the new scans, if he did the craniotomy as scheduled tomorrow, it is very likely that I will need intense therapy to re-learn to walk again. He said he would not put his wife or daughter through that so he does not feel comfortable doing that to me.
He then told me that gamma knife is a viable option for my AVM. This came as a complete shock for me because, first of all, I was mentally and emotionally ready for him to crack open my head and rid me of this AVM once and for all, but secondly, we have already visited and turned down the option of gamma knife earlier this year because of how risky it is and how close to the brain stem the AVM is.
Dr. Spetzler reassured me that the AVM has shrunk substantially since last year, and it shrunk away from the brain stem--so, that worry is no longer a worry; my brain stem will be totally safe. Dr. Spetzler told me to talk it over with my parents and neurologist and call him back on his cell if I want him to schedule my appointment for a consult with Dr. Nakaji (the gamma knife doctor) I tried to digest this 180° call... talked it over with my parents and called my neurologist.
After discussing the new findings with my parents we sat in mostly silence for the rest of our drive to Sedona. Our cell phones had no service as we drove through the mountains... not that it mattered, we were all looking out our windows thinking and absorbing the new fact that our cross country craniotomy adventure is now a potential cross country gamma knife adventure.
Sedona was beautiful, we took lots of pictures. But we had this big change in schedule clouding over us.
As we drove out of Sedona, and the service came back to our cell phones we were able to make phone calls again. I spoke to my neurologist who said he wanted to talk to Dr. Spetzler before he gave me any advice on the change in schedule. I called Rabbi Benny Fischer (a doctor referral service based out of Israel-- he told me about Dr. Spetzler a month ago) and then we waited. In silence. We waited for someone to give us guidance and tell us that this route, which we deemed the most dangerous approach, was in fact the right approach.
Finally, we got the call from my neurologist. He said that he spoke with Dr. Spetzler and due to this new information about the change in size and location of the AVM, they feel the gamma knife is my best option now.
I called Dr. Spetzler and gave him the go-ahead to cancel the surgery for tomorrow and set me up with a consultation for the gamma knife radiologist.
The good things bout the gamma knife are:
*Its non-invasive-- they put this helmet on me and shoot lasers into my brain and I get to leave the hospital a few hours later.
*There is no recovery time-- I can go immediately back to regular life.
*The brainstem isn't close enough to the AVM anymore to be considered at a dangerous proximity.
The downfalls to the gamma knife are:
*It's radiation-- its unforgiving. Anything goes wrong, its permanent.
*It isn't immediate. They will zap the AVM but it will take 6months-3years to know if it was even successful.
*We already spent the greater part of this last year convinced that gamma knife is not an option for me-- now we have to accept it in 24 hours.
We have the consult with Dr. Nakaji in the morning at 9:15 and we will drill him with all of our questions. Hopefully I will have good news to report tomorrow!
I guess its a blessing in disguise.... They don't need to cut open my head, and hopefully everything we feared about the gamma knife is a non-issue now with the up to date scans.
Sedona is about an hour away from the hotel we're staying at. We hit the road at about 10:30. At 10:52 my phone rings, it was a 602 area code so I knew it had to be someone from the hospital. I picked up, and it was Dr. Spetzler (my surgeon for my craniotomy) He told me that he reviewed my MRI from Monday and my angiogram pictures from yesterday. He explained that since my last scan (February 2012) my AVM has actually shrunk by nearly half. He said that based on the new scans, if he did the craniotomy as scheduled tomorrow, it is very likely that I will need intense therapy to re-learn to walk again. He said he would not put his wife or daughter through that so he does not feel comfortable doing that to me.
He then told me that gamma knife is a viable option for my AVM. This came as a complete shock for me because, first of all, I was mentally and emotionally ready for him to crack open my head and rid me of this AVM once and for all, but secondly, we have already visited and turned down the option of gamma knife earlier this year because of how risky it is and how close to the brain stem the AVM is.
Dr. Spetzler reassured me that the AVM has shrunk substantially since last year, and it shrunk away from the brain stem--so, that worry is no longer a worry; my brain stem will be totally safe. Dr. Spetzler told me to talk it over with my parents and neurologist and call him back on his cell if I want him to schedule my appointment for a consult with Dr. Nakaji (the gamma knife doctor) I tried to digest this 180° call... talked it over with my parents and called my neurologist.
After discussing the new findings with my parents we sat in mostly silence for the rest of our drive to Sedona. Our cell phones had no service as we drove through the mountains... not that it mattered, we were all looking out our windows thinking and absorbing the new fact that our cross country craniotomy adventure is now a potential cross country gamma knife adventure.
Sedona was beautiful, we took lots of pictures. But we had this big change in schedule clouding over us.
As we drove out of Sedona, and the service came back to our cell phones we were able to make phone calls again. I spoke to my neurologist who said he wanted to talk to Dr. Spetzler before he gave me any advice on the change in schedule. I called Rabbi Benny Fischer (a doctor referral service based out of Israel-- he told me about Dr. Spetzler a month ago) and then we waited. In silence. We waited for someone to give us guidance and tell us that this route, which we deemed the most dangerous approach, was in fact the right approach.
Finally, we got the call from my neurologist. He said that he spoke with Dr. Spetzler and due to this new information about the change in size and location of the AVM, they feel the gamma knife is my best option now.
I called Dr. Spetzler and gave him the go-ahead to cancel the surgery for tomorrow and set me up with a consultation for the gamma knife radiologist.
The good things bout the gamma knife are:
*Its non-invasive-- they put this helmet on me and shoot lasers into my brain and I get to leave the hospital a few hours later.
*There is no recovery time-- I can go immediately back to regular life.
*The brainstem isn't close enough to the AVM anymore to be considered at a dangerous proximity.
The downfalls to the gamma knife are:
*It's radiation-- its unforgiving. Anything goes wrong, its permanent.
*It isn't immediate. They will zap the AVM but it will take 6months-3years to know if it was even successful.
*We already spent the greater part of this last year convinced that gamma knife is not an option for me-- now we have to accept it in 24 hours.
We have the consult with Dr. Nakaji in the morning at 9:15 and we will drill him with all of our questions. Hopefully I will have good news to report tomorrow!
I guess its a blessing in disguise.... They don't need to cut open my head, and hopefully everything we feared about the gamma knife is a non-issue now with the up to date scans.
Tuesday, April 23, 2013
"Tomorrow is going to be great weather for Sedona"
As my parents and I told our friends and family about our coming adventure to Arizona, overwhelmingly people suggested if time allowed we should visit The Grand Canyon or The Red Rocks at Sedona. The only time we have for "site seeing" is tomorrow, Wednesday.
I was telling the doctor yesterday that we wanted to go site-seeing on Wednesday. He wasn't super confident that could be a possibility for me-- especially it would be impossible if I had embolization today. But, he did say, The Grand Canyon is quite far and we should not leave Arizona without seeing the Sedona Red Rocks.
So, this morning, I got to the hospital at 5:30am and began prep. They took about an hour to get me ready to operate. Dr. McDougall's fellow came to talk to us before the procedure began. We re-discussed the risks and apprehensions of embolization. He ensured us that Dr. McDougall will be very conservative with the use of the glue. Still nervous, but much more comfortable than yesterday, I okayed the procedure with potential embolization and gave my parents a hug and kiss as the doctors rolled me off at 7:45am.
I woke up at 9:15am in recovery. First words out of my mouth, "did they embolize me???" "no, they found the AVM to be smaller than expected so, embolization was a non-issue; and, due to the smaller size of the AVM, surgery on Thursday will be less complicated and quicker."
My second question: "Where's Abigail (my stuffed giraffe)?!?!?!?! did you embolize her????" "hahaha! no, she wasn't embolized" they reassured me that the procedure was a success for both me and my stuffed giraffe, Abigail.
"Did someone tell my mom that I'm out, up, and no embolization???" "Dr. McDougall is talking to them now." "Good. I think you'll like my mom, she's nice." and I rolled over and fell asleep for an hour.
After I woke up, my parents were sitting with me and the doctor raised my bed from laying down. He had me do all of the procedure neuro testings: fingers to nose, squeeze fingers, push toes, pull toes, hands straight ahead, hold them still... I got up and walked to the bathroom-- verifying that there were in fact no complications.
I was released from the hospital just before noon and went back to the hotel with an ice pack and directions to rest and recline.
On the ride to the hotel my mom was telling me what happened when Dr. McDougall came to them in the waiting area. His approach to them really speaks volumes to his personality. He said, "Well, you got very lucky with the weather for tomorrow-- it's going to be beautiful weather for Sedona! We didn't embolize and Melissa will be released in a few hours."
I've been recuperating in the hotel all day and I am much less sore now than before. I get to shower after 9am tomorrow and then we will leave for Sedona!! All in all, it was a great day with great doctors and a great outcome of my procedure!! Here's to hoping for the same luck on Thursday!
Once again, words cannot describe how blessed I feel to have such a phenomenal support group throughout this weird journey!! Braink You for the prayers. Braink you for reaching out to me and my family. Braink you for the 'likes' and comments of support.... I would not be able to have such a positive attitude without each and every one of you supporting me along the way. Braink you.
I was telling the doctor yesterday that we wanted to go site-seeing on Wednesday. He wasn't super confident that could be a possibility for me-- especially it would be impossible if I had embolization today. But, he did say, The Grand Canyon is quite far and we should not leave Arizona without seeing the Sedona Red Rocks.
So, this morning, I got to the hospital at 5:30am and began prep. They took about an hour to get me ready to operate. Dr. McDougall's fellow came to talk to us before the procedure began. We re-discussed the risks and apprehensions of embolization. He ensured us that Dr. McDougall will be very conservative with the use of the glue. Still nervous, but much more comfortable than yesterday, I okayed the procedure with potential embolization and gave my parents a hug and kiss as the doctors rolled me off at 7:45am.
I woke up at 9:15am in recovery. First words out of my mouth, "did they embolize me???" "no, they found the AVM to be smaller than expected so, embolization was a non-issue; and, due to the smaller size of the AVM, surgery on Thursday will be less complicated and quicker."
My second question: "Where's Abigail (my stuffed giraffe)?!?!?!?! did you embolize her????" "hahaha! no, she wasn't embolized" they reassured me that the procedure was a success for both me and my stuffed giraffe, Abigail.
"Did someone tell my mom that I'm out, up, and no embolization???" "Dr. McDougall is talking to them now." "Good. I think you'll like my mom, she's nice." and I rolled over and fell asleep for an hour.
After I woke up, my parents were sitting with me and the doctor raised my bed from laying down. He had me do all of the procedure neuro testings: fingers to nose, squeeze fingers, push toes, pull toes, hands straight ahead, hold them still... I got up and walked to the bathroom-- verifying that there were in fact no complications.
I was released from the hospital just before noon and went back to the hotel with an ice pack and directions to rest and recline.
On the ride to the hotel my mom was telling me what happened when Dr. McDougall came to them in the waiting area. His approach to them really speaks volumes to his personality. He said, "Well, you got very lucky with the weather for tomorrow-- it's going to be beautiful weather for Sedona! We didn't embolize and Melissa will be released in a few hours."
I've been recuperating in the hotel all day and I am much less sore now than before. I get to shower after 9am tomorrow and then we will leave for Sedona!! All in all, it was a great day with great doctors and a great outcome of my procedure!! Here's to hoping for the same luck on Thursday!
Once again, words cannot describe how blessed I feel to have such a phenomenal support group throughout this weird journey!! Braink You for the prayers. Braink you for reaching out to me and my family. Braink you for the 'likes' and comments of support.... I would not be able to have such a positive attitude without each and every one of you supporting me along the way. Braink you.
Monday, April 22, 2013
"long day" doesn't even begin to cover it
We are still on NY time, so my parents and I woke up at 3am (6am NY time) for our 9:30 appointment. They did a pre-op physical, pretty standard and nothing out of the ordinary-- all of my levels were good for surgery. Then they sent me for an MRI, also routine.
At 2 pm we met with a fellow of Dr. Spetzler (the surgeon). He was very knowledgeable and kept me confident in the success of the surgery on Thursday. Then, Dr. Spetzler himself came in. Surprising to me and my parents, he had a nice personality, had a sense of humor and gave us as much time as we needed to reiterate our concerns. I signed a waiver that he met with me and explained everything and answered all my questions and agreed that he can perform the craniotomy on Thursday.
Next up, we met with a fellow of Dr. McDougall (the doctor performing the angiogram tomorrow).We thought the harder of the two consultations was over. WRONG! During this consult we found out that the doctor plans to do an angiogram* tomorrow with the potential to embolize** while he is in there; if he sees an opportunity to. Understandably, I am very apprehensive to okay that because last year I had an embolization.... and we all know how well that worked out for me....
We sat with Dr. McDougall for over a half hour contemplating my comfort with a second embolization. He explained that, unlike last years procedure, this time they are not going to embolize to obliterate the AVM; rather, they will embolize only if they are confident it will reduce blood flow to the AVM-- thereby making the surgery less complicated for the surgeon and less risky for me.
Dr. McDougall reassured me that he will only embolize if he is absolutely certain that it is in my best interest and will stop any amount of bloodflow to the AVM.
Dr. McDougall explained to me and my parents that he and Dr. Spetzler work together, and much of Dr. Spetzlers successful cases were because of Dr. McDougall's pre-op emboliazation during the angiogram.
At the end of our consultation, my parents and I were very on edge about what we were expecting to be the easiest part of the "vacation". With concerned eyes, I listened as the nurse read over the waiver that I signed saying that Dr. McDougall has my permission to perform an angiogram with potential embolization where he feels fit.
I spoke with my neurologist in NY after the consult and he very much agreed with everything McDougall said and he trusts McDougall's judgment and feels confident that when/if McDougall embolizes anything, it will be the right thing to do.
Since the consult I had a chance to absorb this possibility, I spoke it over with my neurologist, my parents, grandparents and sister. I came to the conclusion that I trust Dr. Spetzler and Dr. McDougall and if they feel I need part of my AVM embolized, I trust that they know what they are talking about and they know what to do to insure there is no complications this time.
So, Tuesday morning, 5:30am I go to the hospital to prep for the angiogram. the angiogram is at about 8am. If they do the angiogram and they feel that there is no reason or leeway for embolization, then I finish in about an hour and come back to the hotel in the evening. However, if they find it necessary and safe to embolize, it will be around a 4 hour procedure and I will have to stay in the hospital overnight until Thursday morning surgery.
Anyways, been up since 3am, it's 10pm now and were waking up at 4:30 tomorrow--so, bed time for me! I will keep you posted on what happens tomorrow.Good night.
*angiogram is essentially an internal MRI. They snake a catheter through the groin to the neck and inject dye and take pictures and measure the AVM accurately.
**embolize/embolization is when they snake a catheter through the groin and inject a glue substance to the AVM to cut off blood supply to that area, thereby killing that part.
Sunday, April 21, 2013
BRAINK YOU VERY MUCH!!!!
Braink you to everyone who has given me support, prayers, and well gifts!!! It really means a lot to me to see how many people are rooting for my recovery!!
So, we leave today to go to Arizona. The main question everyone has is: Are you really nervous?... Well, surprisingly I am not nervous. I am confident that this is the right decision and I have faith that it will go as planned. I am actually more nervous for my fate if I dont have this surgery.
I will meet with the doctor tomorrow to discuss any questions or concerns-- my parents have more questions and concerns than I do (not surprised about that...) I also have a physical in the hospital tomorrow to make sure that I am ready for surgery. I have an angiogram on Tuesday so they can accurately measure whats left of the AVM and Thursday morning I check into the hospital for surgery and stay there through the weekend.
I'm all packed and I dont have that feeling that I'm forgetting anything; so, that's good.
I will do my best to update everyone from the hospital this week.
Brainks again for all your support, I wouldn't be here without it!!!
So, we leave today to go to Arizona. The main question everyone has is: Are you really nervous?... Well, surprisingly I am not nervous. I am confident that this is the right decision and I have faith that it will go as planned. I am actually more nervous for my fate if I dont have this surgery.
I will meet with the doctor tomorrow to discuss any questions or concerns-- my parents have more questions and concerns than I do (not surprised about that...) I also have a physical in the hospital tomorrow to make sure that I am ready for surgery. I have an angiogram on Tuesday so they can accurately measure whats left of the AVM and Thursday morning I check into the hospital for surgery and stay there through the weekend.
I'm all packed and I dont have that feeling that I'm forgetting anything; so, that's good.
I will do my best to update everyone from the hospital this week.
Brainks again for all your support, I wouldn't be here without it!!!
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