Author Topic: Hi.  (Read 3513 times)

Nani

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Hi.
« on: September 24, 2009, 12:28:21 am »
I'm 24 and I underwent surgery to  remove my AN tumor on March 17, 2008.  I am still recovering from the nerve damage.  I am married, have a son, great friends and family...but I feel alone.  I have never known anyone with any type of tumor before.  Mine got to 1.5 by 2 inches.  I also have to have an MRI every three months.  Is this normal? 
- AN surgery 3-17-09. 3.8 x 5.1cm tumor.  1 month in the hospital and a couple in ST, OT and PT.

*People are always going to be behind you telling you you can't.  The important thing is to turn around and say 'watch me'.

4cm in Pacific Northwest

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Re: Hi.
« Reply #1 on: September 24, 2009, 05:47:22 am »
I also have to have an MRI every three months.  Is this normal? 


Hi and Welcome!

Sorry for the reasons you had to join our club but nevertheless glad you found us. :)

The great thing about the forum is you can still be in your jammies having a bad hair day and can still reach out to people. There are MANY supportive people here on the ANA discussion forum. No one should feel alone in this AN tuma journey...

Currently I am up in the wee early morning hours here, in jammies, definitely a bad hair day  ;) ::) :D
(no idea why I cannot sleep- it just happens occasionally)

Yes often we can be surrounded by supportive friends and family however they have not walked a mile in our "acoustic neuroma shoes" to completely understand ... people here on the forum DO understand (and do get it.) So again welcome... at any time... at any hour... good or bad hair days.

If you tumor is Atypical then often there is a 3 month follow up MRI after treatment... then it is 6 months... to annual MRI's.

Have you been having MRI's every 3 months for the past year and a half? This does seem a little unusual- but then others may chime in here who have this done too.

Again- welcome.

DHM  :)
4cm Left, 08/22/07 R/S 11+ hr surgery Stanford U, Dr. Robert Jackler, Dr. Griffith Harsh, Canadian fellow Assist. Dr. Sumit Agrawal. SSD, 3/6 on HB facial scale, stick-on-eyeweight worked, 95% eye function@ 6 months. In neuromuscular facial retraining. Balance regained! Recent MRI -tumor receded!

tenai98

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Re: Hi.
« Reply #2 on: September 24, 2009, 05:56:55 am »
All doctors are different in their treatment.. I had my AN surgery in April/09 and my ENT wants a follow up MRI in six months, so next month...while my neurosurgeon wanted to wait a yr...
For my Baha surgery, (two days ago) it was under a general and an overnight stay....Some docs due it under a local and home right after...It all boils down to the docs....
BTW...Welcome to our little club...
JO
14mmX11mmX11mm left ear
TRANSLAB 04/07/09 2cms at time of surgery
Dr. Benoit and Schramm, Ottawa Civic Campus
SSD ,some facial numbness
Baha surgery sept 22/09
residual tumor 13mmX7mmX8mm
2016 new growth.  25mmX21mmX22mm
cyberknife on June 7

leapyrtwins

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Re: Hi.
« Reply #3 on: September 24, 2009, 06:55:21 am »
I have never known anyone with any type of tumor before.  

Well now you know us, Nani and we are very happy you've joined us  ;D  Welcome to the Forum.

As Jo said, all doctors are different in their treatment.  I had retrosigmoid surgery in 2007 and my doc has me getting annual MRIs.  I'm sure you doctor has you doing what he/she feels is best, so don't worry.

Can I ask where you're from and where you had your surgery?  Just curious.

Jan
Retrosig 5/31/07 Drs. Battista & Kazan (Hinsdale, Illinois)
Left AN 3.0 cm (1.5 cm @ diagnosis 6 wks prior) SSD. BAHA implant 3/4/08 (Dr. Battista) Divino 6/4/08  BP100 4/2010 BAHA 5 8/2015

I don't actually "make" trouble..just kind of attract it, fine tune it, and apply it in new and exciting ways

Nani

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Re: Hi.
« Reply #4 on: September 24, 2009, 07:41:47 am »
I am from Baton Rouge, LA and Dr. Culiccia was the primary Dr. in my surgery.  I don't know the name of the surgery, but I had to have a good bit of the skull behind my left ear removed and now have a titanium plate there.  I spent a month in the hospital and several months on rehab.  I still have trouble walking and can barely feel my right arm or foot.  I also have a slightly limited use of my right hand, used to be none.  My left eye is also temporarily sewn shut due to nerve damage.  I have read that this effect has about a 50% chance of occurrence in AN patients.  Of course, the hearing in my left ear is gone for good.

I don't know if any of this is normal.  I was barely awake in ICU and only spent 1 day after the surgery in oncology.  On the rehab floor, the nurses and therapists were asking me questions.   :(
- AN surgery 3-17-09. 3.8 x 5.1cm tumor.  1 month in the hospital and a couple in ST, OT and PT.

*People are always going to be behind you telling you you can't.  The important thing is to turn around and say 'watch me'.

4cm in Pacific Northwest

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Re: Hi.
« Reply #5 on: September 24, 2009, 09:33:50 am »
Nani,

Dr?
Did you have Frank or Carl Culiccia as your surgeon?

This is what I found on the Internet about their practice

Frank (the younger one)
http://www.culicchianeuro.com/p_culf.html

Carl (the older one)
http://www.culicchianeuro.com/p_culc.html

Both appear to be "neurologists". Did you ever have a neurotologist or neurosurgeon also attend/do the surgery?

I spent a month in the hospital and several months on rehab.  I still have trouble walking and can barely feel my right arm or foot.  I also have a slightly limited use of my right hand, used to be none.  

Numbness and limited mobility in limbs?
The inability to feel the arm and foot sounds like MORE than neuropathy that can, on rare occasion, be residual from tumor removal but does not usually linger.

Here is a free encyclopedia page that explains “neuropathy” more
http://en.wikipedia.org/wiki/Neuropathy

You need to ask your doctors if you had a stroke during surgery. Subsequent MRI’s since the surgery should show this.

Stroke?
It is NOT normal to be in hospital a month after surgery for an acoustic neuroma unless there was serious post-op complications- such as a stroke.

Size?
You mentioned inches in your initial post for tumor size. This range of 1 ½ - 2 inches could range anywhere from 3cm – 5 cm. This would have you in the large to X-large category for tumor size. Can you look at your radiology reports (you have a right to have a copy of ALL your medical documents in your possession so if not ask for these- by law your doctor HAS to provide these to you- at no charge). If you could identify the exact dimensions of the tumor, before surgery- this would be helpful.

Sometimes XL tumors can cause residual affects.

Physical Therapy now?
Are you doing any physical therapy now- since hospital release? More specifically have you had any vestibular therapy (for balance)?



 My left eye is also temporarily sewn shut due to nerve damage.  I have read that this effect has about a 50% chance of occurrence in AN patients.

Eye?
Nani- you need to know that sewing the eye shut is very old school. Were you referred to an ophthalmologist at all? The best way to handle eye issues is to get an eye weight. I used a temporary eye weight as it was expected that the eyelid function would come back. For those who need permanent help the implanted eye weight does the trick.

Here is the temporary eye weight
Link
http://www.meddev-corp.com/1%20product/Eyelid%20Closure%20Products/External%20Weights-FAQ.htm


PDF file brochure
http://www.fci-ophthalmics.com/files/pdf/blinkeze.pdf

Bell Palsy website with information about eye care
http://www.bellspalsy.ws/eye.htm


Basically by sewing the eye shut your doctor is making you temporally blind in one eye to protect the cornea- where there are MUCH better ways to do this. Because you have not just only lost your hearing but vision (albeit vision is temporary) no wonder you are having problems walking and balancing. Your vision needs to be returned promptly with less archaic methods than stitching the eye shut. (I cannot believe this is still be done) This will interfere with your recovery. It is 1 ½ years since your surgery- you should NOT still have this eye stitched shut.

Other facial issues?
Do you have any other facial nerve issues- besides the eye such as facial or tongue weakness? (Believe it or not the eye issues is not from the optic nerve but the facial nerve, as your eyelid could not close- which is a facial nerve/ muscle weakness issue).

Keep asking us questions… and providing us with more details… Hopefully some others can chime in here to help and support you.

I am sorry you are going though all this. You are so young (age 24) ... gee I am old enough to be your mom (I have girls- one a teenager)

Motherly HUGS to you.

DHM
« Last Edit: September 24, 2009, 09:44:14 am by 4cm in Pacific Northwest »
4cm Left, 08/22/07 R/S 11+ hr surgery Stanford U, Dr. Robert Jackler, Dr. Griffith Harsh, Canadian fellow Assist. Dr. Sumit Agrawal. SSD, 3/6 on HB facial scale, stick-on-eyeweight worked, 95% eye function@ 6 months. In neuromuscular facial retraining. Balance regained! Recent MRI -tumor receded!

Nani

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Re: Hi.
« Reply #6 on: September 24, 2009, 10:26:57 am »
DR

  I had Frank.  I also had an ENT (my left ear canal is sewn shut) and 2 neurologists present.  I have actually never browsed the site, but I was told he is a cranial specialist.  It all happened so quickly.  I was admitted to the ER Friday March 13.  I could barely move and I was constantly taking meds just to dull the pain.  The neurologist who diagnosed me said it wasn't bad and we had time...I had surgery on the 17th.  Didn't really have time to research Drs and wasn't up to asking questions.

Numbness and limited mobility in limbs?

  I suffered stroke like symptoms on my right side.  I had to endure therapy just to get what feeling I have.  They said the tumors usually don't get this big and it was not in a good spot.  It was attached to my brain stem and clusters of nerves.

Size?


  It was 3.8 by 5.1 cm.  I have my hospital records that include each surgeon's detailed documentation of the surgery, but that's it.  My grandmother who passed away 3 years ago was a nurse and always helped me with all hings medical.  I am at a loss these days.

Eye?

  I did see the ophthalmologist.  He did it.  I hate it.  As if I don't feel like enough of a freak these days...He's thinking January.  I think I put the wrong date.  I had the surgery in '09.  This year has been a bit of a blur to me.

Other facial issues?

  Nerve damage and numbness on the left side and I went through speech.


  As for therapy, it's complicated.  My ins wouldn't have anything to do with all of it.  I was diagnosed on the day my coverage started but because I had previously been to the Dr with the symptoms, they called it pre-existing.  We got medicaid.  They covered the month I was in the hospital and therapy until the end of May.  Then they dropped me b/c I wasn't seeing a Dr. on a regular basis.  They said I could re-apply when I had more 'medical' bills...3 months from May.  I argued between them and our ins, but with no luck.  We couldn't afford the therapy on our own so I had to quit.  I still do stuff to try to push towards recovery.

  And I think someone asked earlier?  I have to have and MRI every 3 months.  Period the end.

- AN surgery 3-17-09. 3.8 x 5.1cm tumor.  1 month in the hospital and a couple in ST, OT and PT.

*People are always going to be behind you telling you you can't.  The important thing is to turn around and say 'watch me'.

moe

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Re: Hi.
« Reply #7 on: September 24, 2009, 10:13:12 pm »
Nani,
Wow you had a biggie. Sounds like you've been through the ringer a couple of times, and my heart goes out to you. :'(
I had my share of post op issues, but mine is a walk in the park, compared to yours!
I had my eye half stitched shut for  about 3.5 months. Yes I felt like a freak. Very archaic. But better that then losing an eye.
The oculopastic surgeon insisted on it, because the cornea was looking very dry post op. Turns out i have a poor reflexive mechanism when it comes to blinking, so he wanted to be extra cautious. (I did have the facial nerve cut during my surgery.)
You should be able to get that reversed and have a weight implanted on the upper eyelid. I would push that.
Your surgery was March 09? If so, you are only 6 months out, and sounds like you are making slow steady progress.
If you did not have the nerve cut, then expect to have more facial response and movement as time progresses. Sounds like you are being patient and working hard.
Don't get discouraged. Keep that positive attitude and you will overcome this!~
There are many people here in the same boat as you.
Hang in there, we're here for you.
Maureen
06/06-Translab 3x2.5 vascular L AN- MAMC,Tacoma WA
Facial nerve cut,reanastomosed.Tarsorrhaphy
11/06. Gold weight,tarsorrhaphy reversed
01/08- nerve transposition-(12/7) UW Hospital, Seattle
5/13/10 Gracilis flap surgery UW for smile restoration :)
11/10/10 BAHA 2/23/11 brow lift/canthoplasty

leapyrtwins

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Re: Hi.
« Reply #8 on: September 25, 2009, 09:56:35 pm »
Nani -

you have been through so much, and at such a young age. 

I'm so glad you found us and I hope you'll find this Forum helpful.

Jan
Retrosig 5/31/07 Drs. Battista & Kazan (Hinsdale, Illinois)
Left AN 3.0 cm (1.5 cm @ diagnosis 6 wks prior) SSD. BAHA implant 3/4/08 (Dr. Battista) Divino 6/4/08  BP100 4/2010 BAHA 5 8/2015

I don't actually "make" trouble..just kind of attract it, fine tune it, and apply it in new and exciting ways

CHD63

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Re: Hi.
« Reply #9 on: September 26, 2009, 10:09:33 am »
Nani .....

You have endured so much and to feel so alone is awful.  Please know that you now have a group of wonderful, supportive, caring people, who can at least better understand some of the things you are going through.  I am so glad you found this Forum.  Please keep asking and/or venting ..... that is what we are here for!

Given your history, follow-up MRIs every 3 months for the first year is not unusual.  I suspect if they see no change, you will go to every 6 months next year and then annually for some time.  Other than the cost, MRIs are quite harmless unless you have issues with the contrast material (and they must be done with contrast to see any residual tumor).

Clarice
Right MVD for trigeminal neuralgia, 1994, Pittsburgh, PA
Left retrosigmoid 2.6 cm AN removal, February, 2008, Duke U
Tumor regrew to 1.3 cm in February, 2011
Translab AN removal, May, 2011 at HEI, Friedman & Schwartz
Oticon Ponto Pro abutment implant at same time; processor added August, 2011

Vivian B.

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Re: Hi.
« Reply #10 on: September 29, 2009, 07:26:39 pm »
Hi Nani,

I am sorry you had to go through this whole ordeal. I just want to offer you my support and advise you to seek other opinions to make sure that you are doing all you can for your recovery process. You are still young and you will get better each day.

Vivian
CPA AN(most likely meningioma) 1.6cm by 1.5cm by 1.9cm diagnosed early March 09. Watch and Wait.