It's hard to believe that a little over a week ago I was having brain surgery! And to think a few weeks before that I was nearing the peak of my training for the Marine Corps Marathon. How quickly life can change! My surgery was set for last Monday the 8th, and during the procedure my neurosurgeon was going to biopsy the tissue and then place a shunt to drain the fluid that has been building up in my brain as the tumor has slowly grown over the years. Since the tumor is on a part of my brain that can't be removed, the tumor won't ever be removed surgically. This surgery unfortunately wasn't to remove the tumor and "cure" me. It was just the next step in a longer process.
Preparing
I've only had one surgery before in my life (septoplasty), have never broken a bone, and consider myself to have a low tolerance for pain. I'm also a germ freak and a bit paranoid, so going into this surgery I was nervous of ending up with complications, or quite frankly ending up dying. The night before my surgery I went ahead and completed my Advanced Directives online through the Five Wishes Online website. This service was given to me as a gift and I'm glad I now have it on record. Answering the questions were tough and not fun, but I'm relieved to have it done.
Immunity Boosting Smoothing Compliments of the Magic Bullet
Surgery Morning
On Monday morning I was instructed to report to the hospital at 5:30am for check-in to prepare for my 7:30am surgery. My dad, David, and his mom came with me and were able to stay with me for part of the morning. After getting there and filling out paperwork we went to the prep area where it seemed like a dozen people were being prepped in their own section for a surgery. I was given a gown fit to hold four people which I changed into before getting into the hospital bed. The next hour was a blur. I was whisked down to get a final MRI and to have a set of sensors attached to my head which would be used to guide the equipment during surgery. They were on my forehead and scalp ... meaning yep! The hair shaving began! Luckily, they only shaved a handful of quarter sized spots before the MRI. (Spoiler alert - more hair was shaved later. Boo.)
My First Hospital Flowers - Hello Kitty!
Going into the MRI I was really scared. I had freaked out a bit with my first MRI and at that point I thought I didn't really have anything wrong with me. I also wasn't just about to go into surgery. I had been praying all week that I'd make it through the MRI calmly and peacefully. Thanks to a constant stream of prayers running through my head which almost became a chant, I survived. The MRI went quickly and I remained calm. After the MRI I came back up to the prep area to give goodbye kisses to everyone before being pushed off into the OR. I remember being moved onto the surgical table and lying there thinking about how tiny it was and how I hoped I didn't fall off. They had started the IV at this point and I could tell I was starting to go under the anesthesia. It felt kind of like drifting off into sleep. I could only see two of the six people around me the last I remembered.
POOF!
Surgery
The next thing I knew I was awake and suddenly it seemed like there were a dozen people scrambling around me. I saw several people come into my vision, heard what sounded like a lot of commotion, beeping .. and then that's it for the next few hours. The next time I remembered coming to I was in recovery and talked briefly to the anesthesiologist before falling asleep again. The last coherent conversation I remember having in recovery was with my neurooncologist. He came by and said he had just talked to my family. What? I thought that wasn't scheduled until 4pm! What time was it? It turns out that he had met with them early, but at that point it was about 3:30pm. Wow, where did the day go?
Recovering in the ICU
David told me that I was in surgery for the biopsy from about 7:30 - 10:30am. My neursurgeon came out to tell everyone that the first part of the surgery had gone well, and then went back in to perform the shunt surgery. That ended up finishing up around 1:30pm, so I lost the next couple hours dozing in and out in recovery.
Hello Kitty Edible Arrangement
Recovery
Things were a bit blurry between recovery and the ICU, but soon after leaving the recovery area I was brought to my ICU room where my parents and David and his mom were able to come in and see me. I was pretty drugged up and really stiff from the surgery, and noticed as everyone came in that I had about a million chords hooked up to every part of my body. I couldn't do much but lie in the bed, but as I started to talk to everyone I noticed that I could move, talk, and function as normally as could be expected given my condition. I didn't die in surgery! I wasn't paralyzed or harmed in some way! I felt great! Well, not great really. I felt beat down and tired and just wanted to sleep, but you know what I mean.
My New Katniss Braid
The next 24 hours in the ICU weren't much fun but they weren't awful. I had nurses checking on me almost every hour and was constantly being poked, pricked, injected, measured etc. I barely got any sleep at all over that first day and a half and was still really stiff and sore. I started to get flowers and cards and visitors in the ICU the next day as well which was really heartwarming. Friends, coworkers, former coworkers, and family all took the time to show their love and it really meant so much to me. Wow, its making me almost cry right now thinking about it!
Care Package from my San Francisco Friends
Later in the day on my 2nd day in the ICU (day after surgery) a physical therapist came by to show me how to sit up in bed easily. The shunt that drains from my brain comes down the right side of my neck, down my chest, and down into my stomach. This involved a nice two inch incision in my abdomen which is still the most painful part of the whole procedure. Sitting up hurts! She showed me some turning over and sitting up techniques, helped me get out of bed, and then we took a short walk around the ICU, up and down a flight of stairs, and then back to my room. Who knew I'd be going up stairs the day after surgery?
While I was in the ICU the rest of the 2nd day and the start of the 3rd, all of the medical personnel who came in remarked on my impressive progress. The plan was to move me down to a lower level of care next, and then discharge me after that. Due to some space restrictions in the hospital the 2nd night, I ended up staying that night in the ICU as well and into the 3rd day even though I was no longer considered a critical patient.
First Night Home!
Discharged
On the 3rd day, my neurosurgeon came in to talk to me about options. Did I want to go home? Did I want to stay? Initially I was afraid to go home. What if I needed people monitoring me all day and night? He assured me that I didn't and recommended that the best course of action would be for me to go home, sleep in my own bed, start getting back into my old routines, and to get away from the risks of infections and other things that the hospital presented. We agreed that I would go home that day, and late Wednesday afternoon I was discharged.
With David & My Cousin Twin on Thursday
Recovering at Home
On Wednesday night a lot of my family came over after dinner to hang out and see how I was doing. I took it easy most of the next two days but did make it out for a family lunch on Thursday and out for my mom's birthday lunch on Friday. I've been home resting since then, and am amazed to say that now that a week has passed since the surgery I almost feel totally back to normal. The surgical area on my stomach is still tender, the surgical area on my head is still shaved and sealed with staples, but aside from that when I'm just sitting here I feel like a normal person again. (Note - I've been warned not to exercise for 3-4 more weeks and I'm being good and taking that advice!)
Family Group Lunch on Thursday
They ended up shaving about 60% of the right, back side of my head for the shunt surgery which I'm still a bit bummed out about. I miss my hair! Luckily I had a lot of hair, and the hair that is left is long. A lot of hair is still missing though and it requires strategic placement in the mornings when I'm getting ready. I try not to think of it too much and am trying to focus on being grateful that throughout my future treatment I shouldn't have to go bald. That's a win right?
Happy Birthday Mom!
Next Steps
I've had a number of follow-up appointment this week with my various doctors to see how I'm doing, and I've already started fertility treatments to have my eggs harvested late next week. This weekend and next weekend will be my last true "free" weekends, since the following Monday on the 29th I will begin my six weeks of radiation and oral chemo.
Thank you so much to everyone who has said prayers for me, has sent kind messages to me, and has really shown your love and support over the past few weeks. I still have a long road ahead of me but I'm filled with hope and love, and can only look forward and hope for the best possible outcome. I love you all!
Miles for Mokie Love
I can't express in words how much the Miles for Mokie page means to me! I'm touched every day by the kind words, cheers of encouragement, and cute and silly pictures that everyone is posting. I love every one of them!!