Wednesday, July 30, 2014

Before and After

I wrote a new post on my personal blog-- HERE is a link to it, if you are interested.

But to get to the point, here are the highlights!  How about these for Before and After photos:




Not too shabby, my neurosurgical team!  The smudge on the post-operative photo where the tumor was, according to my chief surgeon, is just leftover blood from the operation that will diffuse.

Now if that is not a miracle, I don't know what is!



P.S.

ONLY ONE MORE MONTH UNTIL THE WEDDING!!! :D  HOORAY!


Monday, July 28, 2014

Our First Hike

This is a pretty big deal.

Not only was this our first hike together, but it was my first hike since surgery (hooray!), and it was my Mr. Jackson's first hike ever

We were inspired by either spontaneity or perhaps he just wanted to support my recovery by joining me in something he knows I love, and this weekend we went on an impromptu hike at Sleeping Giant State Park in Connecticut after searching for homes(!!) and checking out the Peabody Museum at Yale.

This was my first full week after getting the green light from my physical therapist to walk without a cane.  With that new liberty, as well as having my mom back at her home so nobody could tell me I was going too fast or needed a break (sorry, Mom, I was a little naughty) I entered Turbo Time!  I have been speed walking for miles around downtown Philly, getting my groove back.  I felt ready for a little trail because if I can navigate cobblestone streets and sidewalks that have been on the city's Fix-It List for, oh, decades, while somehow not getting run over by taxis, then I think I can watch out for sticks and stones on a trail.

Plus- big, strong Mr. Jackson was holding my hand or had an arm around me for support the whole time.  So we went on a little 3.2 mile loop to the top of the mountain on the Tower Trail.  As you might imagine, there is a large stone tower at the top which was built during the Depression by WPA workers- cool!

On our way down the mountain, there was a nice breeze and at one spot we were experiencing a surround-sound of singing birds and he said, "Now this I like."

And this from my novice hiker!  YES!!


To try to give him positive associations with hiking, we ate pizza at Sally's for dinner right afterwards.  Excellent!


So don't you worry, Grandma, he will use that brand new camp pillow you got him from our REI Registry-- I'll make sure of it!

(Full story at THIS LINK)

Wednesday, July 16, 2014

Medical Update #2


A longer version of this post is available at THIS LINK on my personal blog.


Change and decay in all around I see;
O Thou who changest not, abide with me!

Abide With Me!
Text: Henry F. Lyte, 1793-1847


(Here we are after church last week—my first time at Sacrament Meeting since my operation)

Hi, its Linds again :)  Since my last post, so much has changed, including my diagnosis and prognosis!  But the important things in my life have stayed the same—my sweet fiancĂ© and I are still full steam ahead for our wedding and our lives together.  I love my family and they love and support me, which means the world to me.  I have continued to receive so much kindness, including countless cards from individuals and families in my hometown 3000 miles away, whom I was sure had long forgotten me!   Thank you so much for your love!

Here are the Main Updates:

1) I am recovering from surgery expertly!  Physical therapy is fun and going very well.
2) My pathology study was completed and the doctors were wrong about my tumor—it is a completely different variety than anyone expected, a VERY rare type, and it was malignant. 
3) I do NOT have cancer, but the tumor will likely try to come back in the same spot. 
4) I am most likely going to undergo Proton Therapy in the near future
5) Prayers for faith and courage, please! 
6) The Wedding is a GO.  I cannot wait to marry the man who has been carrying my weary soul through this experience.

(No more staples!  And my little shaved hairs are already growing back!)

I am so pleased with my recovery from surgery, and I want to share that I am doing so well and I’m nearly back to my normal life.  My staples are all out and my incision is healing really well.  But I also must share the fact that we have some new developments from my medical team.

After a lot of wondering and waiting as Pathology did their thing with my tumor, on Friday, July 11, and then again on Wednesday, July 16, we finally got some answers.  The answers included major changes from information we had previously been relying on.  The biggest piece of news after the full Pathology study of my tumor is that my brain tumor was a totally different type of tumor than anyone had expected.  Rather than a benign Meningioma, it was actually a very rare tumor called an Anaplastic Hemangiopercytoma– and it was malignant. 



Now before you panic, it was not malignant in the sense that I have cancer.  This is the Good News: I DO NOT HAVE CANCER and I praise the Lord because of it.  There is no fear that cancer cells or tumors will appear in other parts of my body.  However, this type of tumor is very likely to grow back in the same spot.  So unlike what we thought before, my fight with this tumor is far from over and I will be monitored to keep it from returning for the rest of my life.


In an effort to jumpstart my fight to keep the tumor from returning, it looks like I will be undergoing a gentle form or radiation called Proton Therapy. Although it is more gentle than traditional radiation, it will still be pretty intense.  I am not sure if they will wait until after the wedding or not to do it, but I will know a lot more after the first week of August, when I see the Radiation Oncologist whom my Chief Brain Surgeon gave my case to.  It is so amazing that I have such advanced medical facilities literally right down my street.  (P.S. Thank you Ian for giving me a tour of the Proton Therapy facilities last year!  We had no idea at the time that I would be a patient there, but knowing what it is all about and what it looks like has been a HUGE source of comfort to me.  You are such a great friend in so many ways.)  And if they wait until after the wedding, I still have my apartment in Philly through most of the Fall if I need to stay here for my treatment.  Things will be pretty crazy when that is all going on, but I am confident that it is going to work out.


All of my doctors, including the Radiation Oncologist, are still on board for the wedding taking place as scheduled.  It will be a small, quiet, sacred occasion with my close, immediate family in the Manhattan Temple.  I bought new wedding shoes—lower wedges—so I don’t fall in my less-balanced state :)  Besides the lower shoes, everything will go as planned.  I think it will be a more meaningful occasion now that we’ve really fought for it.  I also am looking forward to seeing my siblings, grandparents, and other family members SO much.  They have been big supporters throughout my medical melodrama and I just want to hug them all, and tell them I’m okay, and thank them for their prayers.  (P.S. I am also graciously accepting prayers that it will NOT rain in New York on August 30th!  PLEASE!)

For the past month, change, fear, and worry seem to be crowding all around me like they’re trying to box me into a corner.  I realize that despite my valiant efforts at living a healthy lifestyle, and despite being a mostly good person, and despite planning out the rest of my life in detail, there are really very few things within my absolute control.  But two of those few things that I can control are (1) what I believe, and (2) how I respond.  I choose to believe God loves me, and I choose to make an effort to feel peace in my heart and mind. 


And now…remember that it is upon the rock of our Redeemer, who is Christ, the Son of God, that ye must build your foundation; that when the devil shall send forth his mighty winds, yea, his shafts in the whirlwind, yea, when all his hail and his mighty storm shall beat upon you, it shall have no power over you to drag you down to the gulf of misery and endless wo, because of the rock upon which ye are built, which is a sure foundation, a foundation whereon if men build they cannot fall.
Helaman 5:12  
The Book of Mormon


Peace I leave with you, my peace I give unto you: not as the world giveth, give I unto you. Let not your heart be troubled, neither let it be afraid.
John 14:27  
The Holy Bible


When I felt at my lowest of lows and my world was turned upside down, I can tell you honestly that it NEVER even occurred to me to abandon my faith.  It seems counter-intuitive since faith is belief of things unseen, but when all was in flux and I could not see the end point of anything, the only stable thing I could see was faith.  If I allowed doubt to steal away my faith, I would literally have had nothing left.  My faith was all that I had as I was wheeled alone into the Operating Room, so I fiercely guarded my faith and, more importantly, it guarded me.

Saturday, July 5, 2014

Medical Update- the wedding is still ON!


Hello to our dear loved ones.  This is Linds and I thought it was time that people got an update.  First of all, to just ease a few fears and get things out of the way:

1.     I AM OKAY.  I am at home, not in the hospital anymore.  My mom is here taking care of me.

2.     I had a real life brain tumor- but it is now GONE.

3.     All signs point to it being a benign tumor, but Pathology is still scrutinizing it to be absolutely sure.

4.     The Wedding and Open Houses are still happening on schedule!

5.     I did NOT have to get my head shaved! :DDD


Beginning in February or March of this year, I started having some serious balance and stability issues—I would trip and fall frequently, have severe dizzy spells, and some nausea.  Just before we got engaged, a doctor diagnosed with me Vertigo (“BPPV”) thinking my balance issues were stemming from some inner-ear damage.  They gave me medicine and some physical therapy maneuvers to heal my inner ear.

Unfortunately, things actually got worse—I almost fell out my 3rd story window one day in May!—so I knew I needed to go back to the doctor.  In the meanwhile, I was getting progressively worse headaches that seemed motion-related, like every time I stood up or turned my head too quickly.  There were a few other symptoms that I kind of brushed aside, like my handwriting getting clumsy and a few seconds of blurred vision once or twice. 


In June I went back to the doctor about the Vertigo and things did not quite add up for him—he was very concerned about the motion-based headaches.  We both thought it was over-kill at the time, but we decided to play it safe and order an MRI of my brain, just to make sure something else wasn’t going on.

So last month I had an outpatient MRI that was thankfully scheduled on a Saturday, so Clarence was down from Connecticut to attend the appointment with me, here in Philly.  We really went in expecting to find nothing and had just been joking the night before, “Will you still marry me if I have a brain tumor?!”  He said yes :)  Which actually turned out to be a big source of comfort for me later!


(My first night in the hospital before my parents could come to Philadelphia, somehow my Sweet Jack managed to squeeze into my hospital bed with me all night-- he was such a solace to me.)

We knew something was wrong when the MRI techs ushered us into a private room right after the exam and told us we had to wait for a doctor who was on his way from the main hospital building.  I already had an MRI follow-up appointment scheduled with my Primary Care Doctor for Monday (this was Saturday) so it seemed odd that they were in such a rush.  A doctor came in and said there were “abnormalities” on my scan and that the Emergency Room across the street was expecting me and I need to go there NOW.  Whoa.  And that’s all we knew.

So there we went!  As it just so happened, on that one particular Saturday, of all the days in the year, a very special doctor for the University of Pennsylvania was on-call in that ER.  They acted like he had never been on-call there before, but there he was.  It was Dr. Steven Brem- a world class neurosurgeon trained at Harvard, Cornell, Mass General Hospital (Boston) and now a hot shot at U Penn.  He reviewed my scans and immediately took my case.  Where all the other doctors were uncertain and wishy-washy, Dr. Brem was calm and confident.  He came in, showed Clarence and I some photos from my MRI and told us, “Yes, it is definitely a tumor.  It looks benign.  It is outside your brain on the membrane, not inside, making it a meningioma—which is the best kind of brain tumor to have if you must have one.” 

 (it is known as a "dumb-bell" shaped tumor because it has 2 separate round sides-- think like a weight lifting implement.  Because my sides were somewhat different in size, Dr. Brem said it was more like a Snowman, haha.  After the operation, he told me it was lemon-sized and quite deep.)


He said my type of brain tumor is his favorite type to remove!  Who has a favorite type of tumor?!  Haha!  Dr. Brem even gives lectures to surgeons on my type of tumor!  He said that my tumor spanned both of my hemispheres and was between a golf ball and tennis ball in size, and that it would be a very long and tricky operation because of all the nearby nerves and blood vessels, but that he could do it in one operation instead of 2, like most surgeons would have to, and that he could remove it all and it would not come back.  He provided so much information and stability and was such a breath of fresh air for us.  We relied on his confidence and knew he was there to help me.

All of my nurses reiterated that I had the best neurosurgical team.  Not the best in the hospital, or the best in the city, or even the best on the East Coast—but THE BEST.  And I totally agree.  People assumed I had come all the way from California for this operation with this team.  Members of my surgical team checked up on me around the clock and assured me that they would take care of me.  I told them that so many people were praying for them and that I trusted them. 
(This was from my second pre-operative MRI-- its pretty cool because it shows my eyeballs!)

Of course my first question when Dr. Brem said they wanted to go in and take out the tumor was, “I’M GETTING MARRIED IN AUGUST, YOU DON’T HAVE TO SHAVE MY HEAD, RIGHT!?!”  This is a question a bride needs to know, after all!  He was so understanding.  As it happens, his daughter is exactly my age and she got married right after my surgery—just a week after I had met Dr. Brem.  He definitely understood all the pressure and planning around a wedding and he was so sensitive about encouraging me—you will have hair, you will be able to see, you will be able to walk down the aisle on August 30th.  It was such a blessing to have his compassion and empathy.

Just the day before the scan, Clarence and I were in New York City and I got my hair practiced-styled for the wedding.  I had been planning to have it up, but went for down and now I’m so glad I did, since wearing it down will cover all my scars!  Just a tiny tender mercy for a bride-to-be :)


Dr. Brem requested that I be admitted to the hospital so I could take the first available surgical spot with his hand-selected A TEAM to perform the surgery.  He said lots of doctors wanted to be in on my case, because the tumor was so large –it has apparently been just quietly growing there for years!—and I was surprisingly young, healthy, and asymptomatic.  They all expected me to be blacking out and unable to see all of the time, based on its size and position. 

So one of the hardest parts was just waiting in the hospital for 5 days for my surgery, still feeling like my normal self, and trying not to lose my mind being cooped up in a hospital room.  And this is where so many of my dear friends really saved me by visiting me at the hospital, cheering me up, keeping me company, and just helping me to relax in a stressful situation.  It all just seemed unreal—if my name were not on the top of that brain scan, I wouldn’t even have believed it was mine!  I just felt like my normal, slightly clumsy self!

I was taken down for surgery on Thursday, June 26th.  I was put under general anesthesia around 1:00pm and after hours of complicated surgery and a blood transfusion—the tumor was very bloody and tricky—I was transferred from the operating room to the Intensive Care Unit around 8:00pm, if I recall.  My Surgical A Team totally came through for me—they hardly shaved any of my hair, the breathing tube did not hurt my teeth, my vision is mostly intact and improving.  And best of all, after a post-operative MRI and CAT Scan, they tell me the tumor was 100% removed and should not come back ever again—that this was a cure, not just a quick fix.   

I now have a whopping 31 STAPLES in my head to hold my incision in place and they added in some metal plates and mesh to my skull, which is kind of cool.  We’re still waiting to hear if I can go on an airplane for our honeymoon, or if we’ll need to wait for me to be cleared for that.  But the wedding train is still on its track!

They expected I would be in the ICU for 5 days after my surgery and then maybe in an outpatient care facility for a while after that.  I was out of the ICU in only 3 days and released home from the hospital only one day after that—well ahead of schedule.  I have nurses and physical therapists who come see me at home a few times a week and my mother has been my angel, helping me night and day and nursing me back to vitality as I slowly recover from such a major operation.


So the tumor was lodged on my Cerebellum, which controls coordination and balance, which is why my writing has been failing and my balance had been so outta whack.  I walk with a cane for the time-being, just for added support, and I take things slow as my brain bounces back from the pressure of the tumor and the operation.   I just have to sleep most of the time because I can’t let my blood pressure go up at all, to allow my brain and nerves to heal and decompress.  

Much of the work to remove the tumor involved separating it from my ocular nerves, so probably the hardest part of my recovery is that my vision is off.  Shortly after surgery, I was seeing very bad double vision and had big blind spots on the right.  But the surgeons expected all of this and prepared me for it, and my vision is slowly improving every day.   My eyes do get tired very easily and just feel over-stimulated as my nerves are recovering.

(Clearly not the most flattering photo, but I was so happy to leave the hospital after being there for 10 days!)

I can only walk a few blocks a day, which is so frustrating.  I ran the Philadelphia Marathon in November and a half marathon in March and I expected to be in full-on bridal fitness mode at this point.  So it is really tough to feel like I’m atrophying into a pale marshmallow person, instead of jogging my way to sexy, confident bride.  I get really jealous when I see people jogging and cycling, so that has been difficult.  But I am so grateful to be alive and I am so grateful to be able to celebrate my life, and me and Clarence’s love and to rally with my family and friends as I gear up for the wedding on my own little schedule.  This experience definitely came out of the blue, but I think it came at exactly the proper time.

I had already stopped working in anticipation of moving to Connecticut, so I did not have to worry about loose ends at work, and my work insurance was due to expire—you guessed it—the exact day that I was released from the hospital.  And I still have my own apartment here in Philadelphia where I can quietly recover and attend my follow-up appointments.  Things are progressing ahead of schedule and I feel the strength of everyone’s love and prayers everyday.

I have shed many tears of feeling overwhelmed—but far more of them have been because I was so overwhelmed by the love and compassion and care of all of you reaching out to me and my family and fiancĂ©.  Far fewer tears have been shed feeling overwhelmed and afraid of my diagnosis.  This has really changed my heart to see so much good in people and to want to share more love, knowing what a difference it can really make for a person in need.  I have felt the sweet assurances of Priesthood blessings and prayers from all over the world and it has all meant so much to me.  Thank you for your love, I love you all too!   

Thank you, thank you, thank you!











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