NF1 + brain surgery

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I will be getting brain surgery to remove a tumor on May 26, 2011. This is my blog about my recovery process. My worries, and my struggles.

If you know me and would like my address, email/facebook me and I will give it to you.



Sep 15 2011

The end?

Not sure what is going on. I obviously haven’t written here in months. And that is because, well, nothing has changed.

Everything was coming back negative. 3 blood tests and 1 spinal tap. All negative.

The solution?

Just to come back in December for another MRI. They don’t know what’s wrong with me. They can’t explain why my “tumor” is shrinking at the rate it is. Or even what happened to the other 6 that I used to have.

I am a sneaking suspicion that when I go back in December, nothing will be there. That would be just my luck. The doctors may scratch their heads, and I may join them.

Who knows what is going on???

Once it is resolved (if ever), I want to go on Mystery Diagnoses. I thought about that a while ago. And then remembered that you need a solution first in order to be on the show.

So that’s about it. I probably won’t write at all until December comes. Stay tuned if you’d like!

Jun 16 2011

So so much to say.

So I guess I am bad at this sort of thing. I mean, I have been constantly updating my facebook statuses and everything…but not so much tumblr. I suppose if I had actually gotten the surgery, then I would have been all about posting on here. But that is not the case. So where did I leave off last time? I think I was talking about how they are testing for a worm. Right? Well a lot has changed since then.

I got the blood tests to see if it was a worm or not. Blood test number one came back negative. Blood test number two came back negative. Spinal tap came back negative. Say what? I got the first blood test instead of a spinal tap a few weeks ago. When it came back negative, I met with an infections specialist, who suggested I do another one - just in case it was a false negative. And of course, that one came back negative again. So I resorted to getting a spinal tap. I was so afraid that it was going to hurt! As if I wouldn’t be able to move. Don’t get me wrong. It did hurt a little bit. But only when she put in the numbing stuff. The tap itself felt like…nothing, really. At that appointment, she also brought up the idea of me having MS. I don’t have any other symptoms or anything…but I think at this rate, they are just testing for anything.

The idea of a worm though seems to make a lot of sense. They live about 5-7 years inside you. I went to Mexico in 05, which is probably when I got it. If I have it. So the worm can grow, obviously, but when it dies, there is a lot of inflammation around it, and then it starts to get smaller. That is exactly what happened. Because this is the 6/7 year mark. The amount of inflammation around the “lesion” was insane. And now, it is nothing. Not even a little bit. It just got smaller. But then why are the tests coming back negative? So weird.

Maybe I am one of those mystery diagnoses people. Who knows.

May 28 2011

A misunderstanding

So as I wrote in my last post…I thought that there was some sort of bacterial infection fighting off the tumor…well, apparently, that is not the case…

Yep.

According to my Neurologist (who I went to see for my spinal tap, which turned into a blood test instead), she said that it is actually a worm. “Neurocysticercosis” – not a tumor. I really think that I was shocked in that moment…I still am actually. How can something that for 17 years, I thought to be a tumor, is actually a worm. It’s crazy. Though it makes sense in some ways. Tumors can’t typically shrink in size on their own, nor can the contrast enhancement go down on their own. But a worm can, however.

When I went to go see her on Thursday, she brought up the scans and even pointed out the lesion and said “see, it even looks like a little worm curled up” - really. Really? This is crazy. Not like it is “good news” or anything, but comparatively it is.

First I am told I need surgery. I go in for the MRI the pre op and the consult to find that “it” has shrunk since February. I am then told that I have an infection in my brain. I am then told that I need a spinal tap, which ends up being a less invasive and simple blood test (thank god). And then I find out that it could really just be a worm.

I think I have had quite the week.

All there is left to do at this point is just wait for the results. I am really curious how it will all pan out. Seriously. Do I have a worm? If I do, I can just take care of it by taking meds. Is it something else? That same Neurologist called me about 30 minutes ago. She mentioned that if the results come back negative for neurocysticercosis, then I will need the spinal tap. She also said that she would want to “look into the other possibilities”. Sure sounds like she doesn’t even think that it is a tumor, but something else.

Erg. I know that health comes first and all, and of course I understand that…but I was really looking forward to going to Boston this summer. Oh well I guess. Kind of is a pain, but if it means that I don’t need surgery, then I suppose I could get over it.

I still can’t fathom this whole idea though. That I have a worm in my brain? I mean, nothing is for certain yet, but still. It’s the idea that is getting to me.

I should find out next week…here we go.

May 25 2011

Where to even begin

Today (Tuesday), I went in for my consult with my neurosurgeon, my brain mapping MRI, a CT scan, and my pre op. The consult was the first one of the set. She spoke very generally about what would happen, and was able to answer any questions we had. She really wanted to get a chance to see the upcoming MRI scans, so she asked us to come back to her after the pre op appointment. Once we (my dad and I) were done meeting with her, we went to another building to have my MRI. Man, I am so glad that that was a quick one. I was expecting it to be about 30 minutes or so, but it only took 10 this time. Such a relief. Immediately after that appointment, we walked back over to the main building where I had my CT scan. While the scan itself only took a minute or so, the waiting took a little while. Because this appointment was added at the last minute, I was running into my pre op appointment time, which ended up being okay. For some reason, there really weren’t a lot of people at the hospital today. Quite a change of pace compared to the last time we were there. Anyway, after the CT scan, we went to get my blood drawn and to meet with an anesthesiologist. That appointment didn’t last long either. Just like my surgeon, he was able to answer any questions we had. Soon enough, we went back downstairs to meet with my surgeon again. Before we did that, however, we had to watch the video about the process and procedure of the operation and what to expect. I already knew a lot of what to expect, so the video just confirmed everything. After that, we waited for about 10 minutes until the surgeon came back to meet with us…are you ready for this? Some of you may already know if you have seen my fb…

THE TUMOR SHRUNK. I don’t even know what to think. I am happy. I am glad. She was surprised. She even said that she was prepared to tell us bad news, and we ourselves were prepared to take any bad news. I was expecting her to say that it grew or had taken in more contrast…something along those lines. Not that the swelling around the tumor went down, and that it did not take in as much contrast as last time. It’s insane. It’s a miracle I guess.

So basically, she canceled my surgery for Thursday. Instead, I am going to get a spinal tap to check the fluids in my spine for two bacterial infections. She said that I may have some sort of infection in me that has been fighting off my tumors. Sounds kind of cool, right? Who would have thought that having an infection could be a good thing! She said it is either cystercercosis or cryptococcal. One is an infection from pork (which I gave up years ago), and the other is an infection/fungus type thing from soil. She asked if I have been out of the country. And well, I have. I went to Mexico about 4 years ago, Greece over the summer and Jamaica last year. Who knows if that is what it is. I will not know until probably next week. If the results come back positive for those infections, then I will just need to take oral medication…NO SURGERY! If they come back negative, however, then they will need to investigate what is wrong. I might need surgery, or I might not. It depends I guess on how things progress over the next couple of weeks.

May 18 2011

One week

As of tomorrow, it will be one week until my surgery date.

This is crazy. I am not even sure what to say. I think I wrote earlier about my back and neck pain, and how I was not able to take any sort of pain medication. Well, after having a serious spazzum, I called the office to ask them if there was anything that I could have. They said that tylenol was okay to take. Thank goodness. I really needed to take something. I felt worlds better after I took tylenol pm and passed out on the futon. I may need to take another one tonight…though I probably won’t seeing as I need to get up early.

Anyway…I know these 7 days are going to come super fast. I am in Boston right now, and leave tomorrow night. I am going to my school’s graduation on Sunday, and then flying out that night. It will be a non stop weekend. On Monday I have those appointments, so I really won’t get much rest until that night. It’s pretty insane.

Here we go. The official countdown begins.

May 15 2011

The day is getting closer…

I’m not sure what to say, other than my surgery is in less than 2 weeks.

It’s kind of crazy to think that it was almost 4 months ago when I got the call from my Dr about coming back to CA for an appointment with my neurosurgeon. And it was just a few weeks before than when I initially found out that my tumor had grown.

20 years, I have gone through life without many problems. Sure, I have headaches every now and again, and my back pain is ridiculous. But given my medical history, I am very fortunate that I haven’t had anything like this happen before. Not that being out in an MRI at 4 years old is fortunate…but comparatively anyway.

It is still surreal to me. I never really thought that I would ever need to have BRAIN surgery. For nearly 20 years, all my tumors stayed the same size. Nothing moved, nothing grew, and nothing absorbed any of that contrast solution they inject you with.

I suppose that’s life though. Things hit you when you least expect it. There I was, getting ready to go babysit, when my Dr called me. I never saw it coming.

11 days until the day. It’s insane.

Monday the 23rd will be full of morning appointments (Pre op medicine, brain MRI, and meeting with the neurosurgeon). Tuesday isn’t too bad. I have to get an MRI of my neck to check out some bumps that I have had for many many years along the sides. Wednesday will be great. I am going to go visit my old high school and try to see some friends before “the big day”.

And what a big day it will be.

I am nervous. Not nervous for the surgery itself, but rather the recovery process.

Will the tumor be cancerous? Do I have cancer? Will I need chemo? Will I be sick? Will I be in so much pain that I won’t be able to move? Will I be able to go to Boston in July?

Everything is TBD. To be determined. Though I really wish I knew now.

Only if I could have my premonitions on cue.

May 14 2011

Written on March 26, 2011

It’s official, and has been for a couple months.

I will be getting brain surgery to remove a tumor that has been in my brain for nearly 20 years.

It never was a problem before. It always has been fairly small, and never caused any issues. I was diagnosed with Neurofibromatosis when I was just a baby. Since I was maybe 4 years old, I have had about 20 or so MRI’s to monitor my brain. When I was younger, I had about 5 tumors in my brain, one of which was behind my eye. All benign of course. I was in a car accident in 2007, and had a series of MRI’s done to make sure everything was fine. Nothing had changed since the previous scans. I went 3 years without having another MRI. Everything was fine. Aside from the usual memory issues, I was just fine. No pain or anything. When I went back to California (home) for Christmas break, I decided that I would get an MRI done since it had been 3 years. So I did. My Neurologist wanted to see my previous scans from 2007, so the next day I brought him a disc with the images on them. This was on the 20th or so. On the 29th, 2 days before I was leaving to go to Boston, he called me. Not the office, but him personally. He called me to tell me that there had been changes over the past 3 years. There was growth, and the tumor picked up some contrast. I say “the” tumor, because only one showed up. All the others must have gone away over time. Anyway, that one had grown. He didn’t say how much, but it did, which was scary enough. He told me that I needed to come in that day for another MRI. One that would do a close up image of the lower cerebellum. Of course, I freaked out. I called the mother of a child I was supposed to watch that day first. I then called my girlfriend, and then my dad. My mom was asleep in the next room, so I updated her after I got off the phone. Naturally, I was really scared. My dad ended up going to the appointment with me. The MRI itself was not a big deal. A few hours after the appointment, my doctor called me with the results. There was nothing too new at that point. Just the things I already knew…that it had grown, and that it picked up some of the contrast solution. He said that he was going to look at the images with a clinic in Redwood City for a closer examination, and that he would call me back in a few weeks. 2 days later, I left for Boston anxious to here from him.

I can’t even remember what day it was when he called me. I just remember that I was at an Allison Weiss concert with my (at the time) girlfriend. I recognized the number, so I stepped out of the room. I knew that it wasn’t good news. He spoke slowly and carefully. Talking in circles almost, in attempt to avoid immediately telling me what was going on. At this point, my hand was to my chest, and my breath was short. He told me that I needed to come back in a couple of weeks (though he suggested that weekend) to meet with a Neurosurgeon and discuss getting the tumor removed. He still said that he thought it to be benign, but that it was likely to be more of a high grade tumor, compared to the 2007 results.

I ended up flying back to California the week of Valentines Day. I met with another Neurologist to discuss my case. She observed me and ordered another MRI. I asked how much it had grown, and she pointed out on the image that it had doubled. In 2007 it was 7mm, and at this point, it was 15mm. Which is 1.5cm. Significantly bigger. 2 days later, I met with the Neurosurgeon. That was a hard day. I sat in traffic and in waiting rooms longer than needed. My dad was with me the whole day. I had an MRI of my brain in the morning, and met with the Neurosurgeon in the afternoon. She was very stoic. We discussed the placement of the tumor and how she would go about removing it. I tried to remain calm. I think I was fairly good at it. I asked her how long I could wait. And she said that she doesn’t even want to wait 2 months, but understood that I needed to finish off my semester first. So we decided on May 26.

It’s a 4-6 week recovery. 2-3 days in the hospital. I won’t know until after the surgery if it’s cancerous and/or if I will need more treatment. No driving. No flying (unless necessary). Just a lot of laying down and watching movies.

So that’s the scoop. I am just taking it one day at a time.

Why did I decide to post this now?

Well, not only is the date 2 months away from today, but I watched a video that really made me think about this quite a bit. You would all find out eventually.

Love you all.