Author Topic: Not supposed to happen to me....  (Read 8644 times)

Princess

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Not supposed to happen to me....
« on: June 14, 2007, 06:54:37 pm »
Hello everyone,

I feel like a fish out of water here.  I am a health care provider who learned today that it is highly likely I have AN.  I feel like I need to take the movie director aside and explain to him or her that I am not supposed to be cast in the role of the patient, that I am the one who takes care of people who are ill.  This is not the way it is supposed to go.  Realistically, I know I am human and subject to the same ills as everyone else.  My role for most of my life has been to take care of others.  Besides, I don't have time to be a patient. 

I knew, but it didn't take the sting out of the probable diagnosis of AN.  I had been in denial about the tinnitus in my left ear.  I convinced myself that the tinnitus was intermittent because I didn't notice it all the time.  It is there all the time.  Now, I admit it.  I am exhausted from impaired sleep.  The dentist that runs that high speed drill next to my left ear won't go away.  Ignoring him didn't work.  I thought I was hearing as good as I ever had.  The audiologist showed me proof today that I was incorrect about that.  I had prided myself in having such excellent hearing that I could detect subtle heart murmurs that other health care providers missed.  A few months ago I had a bout of vertigo.  I wide gaited it through my days, telling those concerned that if it didn't resolve within two weeks I would see a provider and be evaluated.  The vertigo resolved at exactly two weeks, so I was off the hook.  I said, "See?  It was a virus, just as I told you." 

Today, after the audiology assessment, I asked, "Does it have a pattern of loss consistent with AN?"  She looked at me and said, "You know too much."  I could tell it was painful for my friend, a local ENT, to tell me she believes I have AN.  It is a small town.  We had planned for our next chat to be over a cup of latte, and laugh as we always do when we get together.  Not this time. 

I will get my MRI next week.  I am already grieving the loss of some of my hearing in my left ear.  I am grateful for excellent hearing in my right ear.  No more rocking out music on loud volume while I drive.  I think about treatment.  Partial facial paralysis is not an acceptable option.  I know there are much worse things that happen to people than facial paralysis, so I feel guilty for being vane.  Waiting until next week is agonizing for me, but I must wait my turn like everyone else. 

It has been a very long time since I was a patient.  I learned a lot from being a patient several years ago.  Now, it is time to learn again.

Thank you for listening to my ramblings.

Princess

Shrnwldr

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Re: Not supposed to happen to me....
« Reply #1 on: June 14, 2007, 07:41:39 pm »
Princess,
Welcome to this site. I am sorry that the circumstances are such that you have reached out, but I am glad because there is so much support, advice, nuturing, listening and a multitude of care on this site. 
Please take a deep breath....  Once you get the MRI results then you can move forward. I know waiting is difficult but it will be here before you know it.  You are in my thoughts and prayers.  Sharon
2cm x1cm, right side
Surgery: Trans-lab approach
Dr. Jerald V. Robinson, Dr. William Hitselberger, Dr. Michael Stefan.
Hopsital: St Vincent's Hospital, Los Angeles, CA
Date of Surgery: May 18, 2007

TP

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Re: Not supposed to happen to me....
« Reply #2 on: June 14, 2007, 08:34:07 pm »
Princess, you are going to be fine. Take time this weekend to rest and relax and try very hard not to think of all the issues and concerns you are having. It will not change the outcome one bit. This is an excellent website and you will find a lot of support and some very sharp individuals who will share their knowledge and expertise from a lot of research they have done and experienced first hand.

Please let us know the outcome of your MRI. We are here to support you and you will be in our prayers!
4+cmm left retromastoid of cerebellopontine angle tumor removed 6/5/06; Dr. Eric Gabriel, St. Vincents, Jacksonville, FL
Left ear hearing loss, left eye gold weight, facial paralysis; 48 year old female. Dr. Khuddas - my hero - corrected my double vision

Jeanlea

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Re: Not supposed to happen to me....
« Reply #3 on: June 14, 2007, 08:41:55 pm »
Hi Princess,

Sorry to hear that you may have to join this "exclusive" club.  You have found a great place to gather experiences' of others.  It's also a great place to vent.  It's probably harder for you because you may already know a lot things that may happen.  But remember there are people that are on this forum that have had something done to their tumor with very few side affects.
Even with facial paralysis life goes on.  I had complete facial paralysis after my surgery, but 8 weeks after surgery I was back in the classroom teaching.  People around you are pretty good at accepting how you look.  
The waiting is the hardest part of this whole process.  Waiting for MRIs.  Waiting for treatment.  But before you know that time is gone.  
Best wishes to you.  Maybe you'll get lucky and it won't be an AN.

Jean
translab on 3.5+ cm tumor
September 6, 2005
Drs. Friedland and Meyer
Milwaukee, WI
left-side facial paralysis and numbness
TransEar for SSD

Princess

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Re: Not supposed to happen to me....
« Reply #4 on: June 14, 2007, 09:36:32 pm »
Thank you, all.  I have a busy, fun weekend planned, so I should feel better soon. 

Jean,  I apologize for my insensitive remark about facial paralysis.  Certainly, what is most important is what is in ones heart and character than anything to do with physical appearances. 

I will keep you posted after my MRI on Thursday.  After I sleep off the sedatives I'll come on the site and report, if I am able to get the MRI interpretation that day.

This is a wonderful site with many kind people.

Princess

Sue

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Re: Not supposed to happen to me....
« Reply #5 on: June 14, 2007, 09:51:25 pm »
Hello Princess,

We all feel your pain, believe me.  I don't know if it's a curse or a blessing to be a health care professional and then have the tables turned on you like it has.  At least you have a better knowledge base than most of us did. I (and most of us, I think) never even had heard of an AN before. Then to be thrust into the higher echelon of specialists can be quite a heady experience for us mere mortals. Perhaps neurosurgeons won't be so intimidating for you!!  ;D 

We've all had to learn to deal with out newly found tumor in whatever way suits our different personalities. Most of us go through all the phases of grief...and hopefully we all emerge at the end with acceptance.  I revist anger now and then, but that seems to be less as time goes by.

The option presented to me was to skip the surgery and do the Gamma Knife, which is what I did.  Perhaps it will be a viable option for you, if you want.  As you probably already know, finding out the best course of treatment for you is in your best interest. Research, read, ask questions and make sure the treatment whether it be surgery, radiosurgery or watching and waiting, is what you want to do.

Good luck with your MRI. Sounds like you aren't comfortable with small spaces.  That's one thing I guess I'm thankful for...the MRI tube doesn't freak me out. 

Sue in Vancouver USA
Sue in Vancouver, USA
 2 cm Left side
Diagnosed 3/13/06 GK 4-18-06
Gamma Knife Center of Oregon
My Blog, where you can read my story.


http://suecollins-blog.blogspot.com/2010/02/hello.html


The only good tumor be a dead tumor. Which it's becoming. Necrosis!
Poet Lorry-ate of Goode

Kathleen_Mc

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Re: Not supposed to happen to me....
« Reply #6 on: June 15, 2007, 01:42:54 am »
Princess: I can relate to what is gong on in your head, I too am a health care professional I certainly didn't like being "the patient". I did end up with facial implications, I didn't fully understand what all could happen pre-op, AN was not something I knew about and I refused to "educate myself" pre-op (my mind wouldn't let me even process the things being told to me and I didn't research"). I didn't fathum pre-op that I would loose my hearing nor have the facial issues and I'm glad I didn't....I likely would have opted to have tumor left behind to save the facial nerve and honey the loss of the facial functioning is no great loss when it comes to getting that life threatening thing out.
When I found out several years later the thing had regrown it was only due to the psychie that I went back in to have it out, physically it was not necessary but knowing what all it could do to me drove me nuts and I had to get it out before it had time to harm me.
Really think about what is most important to you, facial functioning/peace of mind/ balance/ hearing etc while you wait to see what your options could be.
Kathleen
1st AN surgery @ age 23, 16 hours
Loss of 7-10th nerves
mulitple "plastic" repairs to compensate for effects of 7th nerve loss
tumor regrowth, monitored for a few years then surgically removed @ age 38 (of my choice, not medically necessary yet)

Obita

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Re: Not supposed to happen to me....
« Reply #7 on: June 15, 2007, 05:57:42 am »
Hi Princess:

Welcome!!  No one wants to be here but we are all very happy we came upon this forum.  We like being able to go somewhere where each and every person "gets it".

If you have an AN, you will be able to see it yourself Thursday.  Have them burn a cd to take home if you wish.  They glow very bright on the MRI film.  They inject a contrast dye half way through the MRI to better define the tumor.

Being deaf in one ear is a pain in the rear sometimes, but I have gotten used to it.  My hearing in my good ear is better than ever.  I can hear many things other people cannot.  The tinnitus will probably be there with you forever but that too, you will get used to. 

Good luck Thursday.  I hope to see a post from you saying "false alarm", it is probably a virus.  If it is an AN, you have a bunch of new friends.

Kathy

Kathy - Age 54
2.5 cm translab May '04
University of Minnesota - Minneapolis
Dr. Sam Levine - Dr. Stephen Haines

ceeceek

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Re: Not supposed to happen to me....
« Reply #8 on: June 15, 2007, 07:06:26 am »
Hey Princess,
Hang in there,,,I too am in health care profession which can be both a blessing and a curse..as one tends to overevaluate everything. It sounds as if you have caught your "Possible AN" in time...many people go for years from one Dr to another before an MRI is ordered, so you may be in better shape than you thought..I have a vidian nerve schwanomma with fibrous tissue...I am the odd member of the group....needless to say, it has been an interesting ride. I had endoscopic transphenoidal approach surgery and will follow up with CK treatment. I did have facial nerve problems as a result of the surgery albeit somewhat minor....trigeminal really stinks but so far acupuncture has alleviated the majority of those symptoms and am continuing to work on my eyelid area.....does not open all the way....everyone else has a problem closing thier eye..me I cannot get it to open all the way....
Overall though,,minor price to pay and no one touched my brain....heaven knows I need all the brain cells I have. SO hang tight, keep us informed, and remember these are very slow growing so you do have some time to overevaluate.
Ceeceek
Such is life...Finally identified...vidian nerve schwanomma, 2.8x2.8x3cm.....in the middle but under my brain.....post transphenoidal endoscopic surgery April 19th, 2007 Pre CK treatment in Sept 07.....re-arranged cavity in hopes of reducing side effects and now officially diagnosed as hard headed.

Jim Scott

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Re: Not supposed to happen to me....
« Reply #9 on: June 15, 2007, 11:32:30 am »
Hi, Princess:

I'm glad that you've found the ANA site and this forum, where you are free to vent, inquire and advise, as you see fit, knowing that - in one way or another - we're all AN patients (or related to one) with different backgrounds and experiences, but, due to our shared AN situation, we're wholly empathetic. 

I can totally understand your frustration at becoming a patient.  I am not a health care provider but have enjoyed good health all of my life.  I fully expected to sail into old age as my father did, living into my '90's with few medical problems.  Wrong!  When my symptoms became too obvious to ignore (sound familiar?) my loving wife insisted I be examined by our family doctor.  He sent me for an MRI and the 'rest is history', as they say.  I was immediately embarked on a what seemed to be a frantic round of surgeon consultations, hospital visits for various tests and phone calls to Blue Cross.  After choosing a very experienced, compassionate, mature neurosurgeon who wanted to operate within 10 days and had a real sense of urgency about my 'condition', I had to admit that my large AN (4.5 cm) was definitely life-threatening and that this was really happening to me.  I managed to remain calm but hated the unnatural feeling (to me, anyway) of near-helplessness as I turned over driving and other routine tasks to my wife, who was willing to help as needed and was a great source of comfort and support to me during this period of my life. 

On the way to my surgery date, a pre-op CT scan 'discovered' a 'mass' on my liver.  The doctors assumed it was cancer (no one ever said this to me but the oncologist helpfully told my wife that if it was cancer, I might have less than 6 months to live).  Not surprisingly, my scheduled AN surgery was immediately canceled.  A next-day biopsy revealed that the 'mass' was a hemangioma.  Because I was asymptomatic and in otherwise excellent health, the oncologist handling my case said no treatment was necessary and cleared me for my AN surgery.  My wife and I breathed a sigh of relief and prepared for the surgery, which took place about two weeks later.

The retrosigmoid surgery went well (9 hours) and I came through it rather well, too.  No facial paralysis or any serious complications.  I was in ICU for 4 days, a regular room for half a day and discharged on my 5th day following the surgery.  On the way home, my wife, adult son and I 'celebrated' with pancakes at a favorite diner near the hospital. My recovery went well, too.  I had a few VNA visits from a physical therapist to help me with my balance but she observed that I had improved so much within 2 weeks that her services were no longer necessary.  My neurosurgeon gave me permission to drive again - hallelujah - two weeks post-op.  I went for scheduled FSR treatments (26 over 5 weeks) from September through part of October.  Again, no complications, just tedium. 

I steadily improved over the months and now, at a bit over one year post-op, I feel that I'm pretty much back to 'normal.  I'm deaf in my left ear (you adjust faster than you might imagine) but my balance is quite good and what few lingering symptoms I still have are minor and easily dealt with.  On my last MRI scan (April 30th) my remaining tumor showed definite signs of necrosis.  Life is good.  :)

I've related all this to you in an effort to demonstrate that being diagnosed with an acoustic neuroma tumor is life-altering, yes, but that it isn't always all doom-and-gloom.  You will have some losses (some hearing, likely) and, if hospitalized, be subjected to the usual indignities of any patient but it passes and you can return to a full life, as many of the folks posting on this forum will attest.

We wish you all the best and stand ready to help in whatever way we can, even if that just means listening to (reading, actually) your concerns, frustrations and possible fears.

Jim

« Last Edit: June 17, 2007, 02:50:15 pm by Jim Scott »
4.5 cm AN diagnosed 5/06.  Retrosigmoid surgery 6/06.  Follow-up FSR completed 10/06.  Tumor shrinkage & necrosis noted on last MRI.  Life is good. 

Life is not the way it's supposed to be. It's the way it is.  The way we cope with it is what makes the difference.

tcrnko

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Re: Not supposed to happen to me....
« Reply #10 on: June 26, 2007, 08:56:27 pm »
Where do I begin?

Hello, my name is tim, and I had an AN....and I'm a nurse.....with lots of neuro background....and yes, the position is scary and confusing, and upsetting, and crazy, and no, they can't rewrite the story that you are now staring in.

But have faith.

I read you story and boy did it bring back memories.  Like the ENT telling me that I only had a 1:100,000 chance of having an AN,  but scheduling the MRI anyway. 

I had occasional tinnitus.  I did have hearing loss that led me to get tested.  My gait was less steady, but I thought I was just getting old.  I had problems concentrating and learning new things, much more than I sould have.

Bottom line is that the AN was there.  And I was scared.. I had taken care of people post-operativly from AN surgery.  Some did very well, others had lots of facial involvement and an occasionsl CSF leak.  Not to mention the fact the I had about a 2cm shift of my brainstem.

I decided on surgery and it was performed last January.  I had a great Neurosurgeon and NeuroOtologist, spent one night in the ICU and 2 nights on Med-Surg.  Went home and back to work 6 weeks later.  No facial deficit, single sided deaf, left ear, less tinnitus, less dizzyness, and the only thing I remember is that tylenol takes away the headache I got after the codiene made me vomit.

Being a healthcare provider is a plus and a minus.  You know the possibilities, but it was really hard for me to separate Tim the nurse and Tim the patient. 

Look for support where ever you can and be the patient.  Be an informed one, but don't isolate your emotions.  You really can't ignore them. 

This forum answered alot of my questions, I'll now start to frequent it again, since i'm a postie.  WE will give you all the support we can.  Good Luck.
"Used to be a Neuro Nurse, Believe it or not."
1.8 x 1.6 x 1.7 AN Left Side
TransLab on 1/10/07.
Drs Mastrodonas & Cueva, Kaiser San Diego

leapyrtwins

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Re: Not supposed to happen to me....
« Reply #11 on: July 07, 2007, 04:37:54 pm »
Hi, Princess -

this is my first posting; I am a newbie.  Just had to respond since one of my surgeons nicknamed me "Princess" during my recent (5/31/07) AN surgery, plus I've had the same thoughts of "not supposed to happen to me".  After a long, nasty, expensive divorce, I was just getting my life, and my children's lives, back together when I found out I had an AN.

I'm not a medical professional, but I work for a group of medical professionals and therefore got lots of advice when I was diagnosed.  Although my neurotologist was very thorough, a lot of what he was trying to explain was "Greek" to me so my colleagues helped explain things to me in layman's terms.  I was so clueless, that I was shocked when the doctor mentioned things like possible facial nerve damage, spinal fluid leaks, balance issues, etc.   My peers helped educate me and today 5+ weeks after my surgery, their medical backgrounds are still a great resource for me.

I was torn between gamma knife radiation and surgery.  I picked the surgery, because I just wanted the tumor removed and didn't want the hassle of followup MRI's on a regular basis.  My choice turned out to be my best option because my AN actually grew in the 30 days between my MRI and surgery;  it started out at 1.5 cm and almost doubled.

I consider my surgery very successful - no facial nerve damage, minimal side effects, good doctors - although I did lose the hearing in my left ear.  I am looking forward to a BAHA implant in early 2008 and am trying to gather all the information I can before that surgery.

As others have said, you have come to the right place.  I found the ANA's brochure in my doctor's waiting room the day I had my stitches removed, and wish I had found it earlier.  The information the ANA sent me was very informative and the list of those willing to be contacted has been invaluable; I plan on joining that group myself.

I wish you the best, and if your diagnosis is an AN, please feel free to contact me with any questions you may have.

Good luck

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

Gwengal

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Re: Not supposed to happen to me....
« Reply #12 on: July 20, 2007, 07:16:49 pm »
Princess I can so relate to you!!  I have recently just joined this club that didn't even know existed until a few weeks ago!  I think about all the things I want to do with my life and I have to realize I still can!!  I need to be strong and just suck it up! 

I'm work in professional desk job and sometime I find myself surfing on the web and getting even more scared with things I find.  Also, I'm afraid to tell people about it because I'm afraid they will look at me different, or feel that I can't do my job.

It's nice to know that I'm not alone.  Although I'm trying to stay positive but most days it is very hard.  Take Care!

Obita

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Re: Not supposed to happen to me....
« Reply #13 on: July 22, 2007, 07:29:31 pm »
Gwengal and leapyrtwins:

Princess found out she did not have an AN!!  Not too many people with as many symptoms as she had get the good news that it is not an AN.  Here is her follow up post:

http://anausa.org/forum/index.php?topic=3868.0

Kathy

Kathy - Age 54
2.5 cm translab May '04
University of Minnesota - Minneapolis
Dr. Sam Levine - Dr. Stephen Haines

leapyrtwins

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Re: Not supposed to happen to me....
« Reply #14 on: July 22, 2007, 09:57:52 pm »
Kathy -

thanks for letting us know.  That's incredible news for Princess  ;D

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