Hello, ANA. This is my first and likely only post here. I wanted to tell my story and ask some questions. Sorry if the following is annoying. It sounds ungrateful. I don't mean it to be. At goodish times I am mostly grateful. It just reflects my thinking while healing. I send it after lot's of editing.
I discovered I had AN after I had experienced deafness in the right ear for years. It came in 2010 as a tinny/droning sound which increased until January of the following year. I discovered that I had become totally deaf in that ear pretty much on the 1st. Another thing that happened in 2010 was that, as I was sitting in my chair looking at my computer and snacking on Nestle's Tollhouse Morsels, the room started to spin.
Wildly. That was very scary to say the least. I went into the bathroom and looked into my eyes. The spinning subsided.
The next day, just to test it, I again ate some more Morsels, and again the room started to spin about 1/2 hour to 1 hr later. It went away after I looked in a mirror into my eyes. I thought about contacting Nestle's after that, but felt that I would be labeled a troublemaker and not believed, so I didn't say anything. But the tinniness increased, though, in the same year (2010) I don't remember exactly when. So I don't know if the tinniness is related to the morsels.
I did sometime later see an ENT, but she seemed disinterested and her secretary told me after I saw her that it would cost me another $200 or so dollars to ask her another question. I also avoided going to the doctor in general for insurance cost reasons (I used to say that my health insurance policy is, Don't Get Sick). So, otherwise feeling fine, I ignored it. Then I started experiencing other, more severe, symptoms, beginning about January of last year. I found a GP (after another one told me I all I needed was an antihistimine - I went to the pharmacy, got the drug, but it made no difference) and he said, waving my blood chart around, that I was the picture of health. I insisted that I could tell something was wrong around my ear, and he said (among suggestions that I was a hypochondriac), "Alright, if it'll humor you, I'll order you a cat scan". When it came back, he rather sheepishly acknowledged in another appointment that, yes, there is something there.
Anyway, I had surgery for an about high 3s or possibly 4 cm acoustic neuroma in October of last year by top-notch guys at a top-notch institution. But while there has been some slight improvement, mostly I feel pretty much the same.
This past year has been very hard. I can't begin to tell you. But it was what it was. I believe, because I have to, that healing will come. It just takes time. I've noticed in perusing this forum, that the word "patience" comes up time after time after time. Yep. Wow is this
slow!
Over the past over 14 months ago I've thought about many things, many times. I'll list most of them them here. You can correct me if I'm wrong.
1) The fact that so many have a pretty hard time with taking out the AN seems to imply that maybe the AN has a reason for being? If so, what is it for? Short-term memory? Stability (mental & physical)? Sense of self? Confidence? Keeping things in perspective? Something else? I wondered because these things, and others, seem to evaporate after surgery.
Why did the AN start? Was it the Morsels? Other food or drink? Noise? Stress? Who knows? Like a lot of other medical problems, the causes still seem to be a mystery. Could AN be vestigial like the appendix that they thought had no reason for being and was routinely removed until someone found that it actually aids digestion? But for some of us, it continues to grow until it becomes life threatening. So again, who knows? The reasons are mysterious, and being mysterious, it was interpreted by my unconscious as if it could be
anything that causes it. This uncertainty is very hard for the unconscious to take. If it could be anything, it seems like it could be something that maybe I'm doing right now, whatever that is, but just don't know. Some people say, "No, no. It's not food (or whatever)". But if they don't know what causes it, how can they say with confidence what doesn't? I've found during the last year plus that the unconscious is very primitive and very strong. Too strong. It seems to say upon removal,
"What the HECK did you just do?" and then takes over. It's like a car wreck for suddenness. One minute you feel fine (unless you start having symptoms), the next - Look Out!
Also, the unconscious appears to take anything that's said that's negative about you as gospel
fact. Belief and trust in words from authorities and in your body's own healing powers seems to be very important. How does the "placebo effect", or hypnosis or even faith healing-(sometimes) work? Belief. So having positive people who know and say you'll get better is essential. That's easier said than done though.
Later thought: Rather than vestigial, I've also wondered, could AN instead be a mutation, a
pre-evolutionary
addition to the brain? Could biology be experimenting in making something that might
later have some use to us, but
now in its early stages is often harmful? Who knows - too esoteric for me. It's probably just the mistake that most people believe it is. Still, taking it out (at least taking it out so quickly) seems for a lot of us, rather than helpful, to be detrimental.
2) Over the last year and more I have wrestled with fear, anger, boredom, depression and loneliness and envy of normalcy again. To be sure, I had those all before as is normal, but these were as if on steroids.
Wow! I've had a feeling that I Have to accomplish something, but what it is I can't tell. But I want to get out. Yet I feel as if I can't because I'm exhausted and confused. So it becomes a "cognitive dissonance" of sorts. It's damned if I do and damned if I don't. And have I ever had confusion. Man! Forgetting things from moment to moment. So it's been for me a struggle against the negative unconscious, which seems to exaggerate threats so that you don't do it, whatever
it is, again.
3) Did the main doctor just not like me? He seemed to leave in a hurry after I mentioned an illegal (but totally natural) drug for recovery because I read about it before surgery in an online science magazine that said that one dose can make you happy for life! He said he wouldn't prescribe me the drug and told me I can get someone else if I want to, then got up to leave. I quickly said no, his answer was good enough for me. I also dumbly suggested, on another visit, some possible cures (see below). I was desperate. But again, he seemed to take offense. Maybe I'm just being paranoid, as I've read is a problem with AN people with lots of symptoms after having it removed. I've listed more than 30 I've experienced. I also had a calf fracture while I was in the hospital. I didn't know what caused it but in my confused state thought it was related to the surgery. A month later at home I took a photo of it. I don't know where there it happened, but I do remember some young guy from PT telling me while I was in ICU to stand and hold a tray of stuff. I said I can't, but he insisted. I tried. Then they said my eyes rolled up in my head and I passed out. Asked the institute about it, but they deny there was any other injury I had in the hospital, and there's no record of the PT guy, they say. I didn't press it. But since then I've wondered if maybe this dividing of healing in the body (my head and my leg) possibly made it more difficult for me? I've also come to distrust people and places like that. Hospitals. I know there's good people who work there, but I can't help it right now.
4) About having some double vision, I wondered at first if it's due to pulling to bind me up behind the ear, that caused my eye to be a little off, and later, if perhaps it's gravity caused by the surgeon hitting a nerve(s) to the muscle around the eye making it drop slightly? Maybe it's the same thing that causes the dimple under that eye? How much of my spaciness is due to the vision problems? The doctor told me if I had any symptoms before surgery, I'll probably experience those same symptoms after. But while I had some double vision at the right corner of my right eye for a few months before, I never had vision problems like this. Besides, why have surgery at all if you'll just experience the very same symptoms afterwards that brought you in in the first place (except, I guess, that you won't die now)? Don't you go to the doctor to relieve the symptoms you're experiencing?
5) We don't actually know what happens during that long 12 hour surgery. How long do they
actually take? How careful are they? What if human nature takes over? People like to cut corners. Take less time, or do it less carefully because they find it kind of boring. But their saving of a few hours might mean a lifetime of suffering for us. I've heard that there are something like 5,000 nerves in the face (and I've come to think that perhaps the nerves
are us). I saw a video where one doctor was removing the AN from a person it seemed to me, very quickly. WTH? I couldn't help but think that he must be hitting nerves (that I'm told have the consistency of wet tissue paper) right and left!
Later edit: I wondered last night if maybe some doctors go fast so as to drum up later business from that seemingly bottomless insurance purse for their friends in plastic surgery that happen to be at the same institute? A few months after my operation, I remember the main doctor who worked on me recommending someone else there in plastic surgery and handing me his card. This needlessly causing the person worked on misery (again, that's
if they are) cause you like to give business to your friends and figure they'll just fix things that your speed caused is not only anti-hippocratic oath, it doesn't always work. I've heard of cases where the individual doesn't respond well to these further surgeries.
6) I've noticed that nights, especially in the middle of the night, it seems to be gone, and I rejoice. Yea! I can call family and tell them! It's finally over! But maybe that's from not using the face, cause in the morning, it's still there. :/
7) Why aren't people (I prefer to use "people" here, not the impersonal "patients", which I dislike) told things after surgery, like it might be helpful to have support groups like the ANA? Why aren't they informed about dental issues, causing some to end up suffering needlessly (fortunately I felt a need to brush after every meal just in case I left something in my teeth but just can't feel it. Still,
wow, is flossing and brushing after each meal inconvenient)? Why do they tell you you'll be normal in a month and a half, then seem to disappear after surgery if you don't? Why aren't people told to use aspirin or broccoli after surgery, but are actually dissuaded from it? I mean, I understand why you wouldn't want to use aspirin right after surgery. It can cause bleeding. But later on, I'm talking about. There are studies supporting the idea that aspirin is helpful to prevent recurrence*.
Why are there
so many contradictions by those who supposedly know thoroughly about AN? Things like, you need to use massage vs NO DON'T, it'll cause Synkinesis! You need to use electrical stimulation to direct the nerves vs NO DON'T get any electrical device near your face! Why is the length of time you'll take to heal limited to one year (vs there is no time limit for healing), after which they seem to say (at least 3 people there did me) too bad, you've had all the healing your likely to ever get? Bye! I mean,
why in God's name would you say that, even if true, and take away someone's hope?? Besides that, it's literally wrong, AFAIK. Healing is ongoing and is different for everyone, as I understand it. Once years ago at a job, I injured a finger, the last third of it. I accidentally drilled it. Blood everywhere. Had to go to a doctor. He told me I had a choice to remove some of the inside of the finger end to make sure I got everything. I said go ahead. By the look of it, he took a lot out. I had no feeling in that finger end for years after that. Used to curl it whenever I used the hand. Accepted that feeling there would never return. Then awhile back I noticed that, Hmm,
Wow, it feels like the other fingers again, and I didn't even know! So now I believe that there is no time limit. Perhaps it's slower when you get older, but I believe that, with time, discomfort spurs change, an effort, back to normality again. That it doesn't stop until the discomfort is fixed (or there's an extinction event). That's the way things have always worked, right? Again, as far as I know.
Why did the main doctor say to me when I told him of my tongue and lips feeling burned after surgery, "I don't know what you're talking about. I didn't see any thrush in surgery" if he's such an expert? Why did he say before surgery "No" when I asked if the hearing in my ear would come back, but afterwards said, "I don't know. Maybe" when I asked him about possibly hearing things distantly afterwards (which has unfortunately faded again)? Why did a nurse tell me that the AN didn't "stick" to my nerves, thereby making it easy to remove, then this doctor (a few minutes later when he came into the room) tell me yes, it did stick? Why have I read that one of the remedies after surgery is to use cold flecks of water vs others who say that NO, cold water cause the nerves to recoil? Why do some claim that tingling in the face is a sign of healing, while others say that the tingling doesn't go away, etc? How can there still be no uniform way among experts
even to tape the eye shut after surgery, etc? There just seem to be a lot a contradictions from authorities over this subject.
I think I would say to this having experienced it is, the head is unique in that it is the location of all
5 of the senses. Sight, Smell, Taste, Touch and Hearing. So if you have to work there, do it EXTRA carefully.
Possible Helps:
1) Electric Stimulation to direct the nerves after surgery, rather than just hitting them, then leaving their possible healing to haphazard, random chance.
2) Use a machine to remove the AN that's not maybe tempted to go fast, instead of a person.
3) Fill the empty space after removal with something organic but slowly dissolvable, rather than just taking it out in one fell swoop (if it's large) then leaving a void or vacuum (I imagine) and letting the chips fall where they may (i.e. nerves grow back wily-nily). For one thing, it may lead to double vision because of a stretched out optic nerve, right?
4) And related, rather than surgery and removing the thing in one fell swoop, why not put in place some kind of shunt that slowly removes the growth - and resulting pressure if it threatens the brain stem or otherwise grows too large? Could it be kind of like diving to great depths? Afterwards, rather than just going immediately to the surface, divers have to
decompress slowly, which could take hours or even days or they could get the Bends, a terribly painful and even life threatening condition.
5) Use of some kind of hypnosis, or
something to help people
believe they will get better.
6) Send people home with some kind of anti-depressant (but without the ridiculous side effects please). Don’t just take something large out, then act surprised if they don’t respond perfectly. (Update: how about something like this?
https://medicalxpress.com/news/2020-03-drug-ease-side-effects-medication.html.) One of the side effects of the anti-depressant the main doctor recommended for me, Gabapentin, on a video visit about a year after surgery causes double vision in I think he said in "only" 10% of patients. And he didn't even volunteer that bit of info, it was admitted only when I questioned him about it. I was told by someone else. Newsflash, why would I want to take something that could cause
more of something that is already making me anxious as it is? Anyway, he says he can't prescribe anti-depressants. Only another doctor locally can do that (that's even though they prescribed medicine that we picked up at a pharmacy here right after surgery - another contradiction).
I'm wondering if dryness of the mouth and face is reflected inside part of the head too? So maybe one reason people get so depressed is because some chemical or hormone (don't know what it is, Serotonin? Dopamine?) also drys up. I wonder because if I use a little bit of alprolozam when I really feel I have to, I feel better. I try not to use it though because of the side effects.
A question I have for the experienced ones here: Is there some food or vitamin and/or mineral supplement that seems to help with this, besides aspirin and broccoli that is?
There's a LOT of money involved in AN, so maybe there's not a lot of desire for solutions? I don't know. But that's paranoia. Anyway, I plan to heal. You should too, because we will.
* Later note: I didn't think of this when I wrote this that aspirin, while an anti-inflamatory, also can cause ringing in the ear(s), which can get bad for some people. Rats! Very sorry. Well that leaves broccoli.
https://pubmed.ncbi.nlm.nih.gov/27805058/By the way, here's a set of videos from Queen Victoria Hospital that seem to help:
https://youtu.be/tLcKnnVSDMw