Sunday, February 26, 2012

Bad news and worse news.

It has been an interesting week. I had been feeling better, apart from the annoying limp which I had developed on Saturday. By Tuesday the limp had developed into pins and needles in my left pinkie and ring fingers and the weakness in my left calf was increasing. I saw my neurosurgeon on Thursday and he suggested getting an MRI done of my spine and neck to rule out anything sinister. I wasn't worried - I thought life couldn't suck that much. I booked the MRI for Tuesday of next week, which would give me enough time to psych myself up for going into that tight white torture tube. When I woke on Friday morning the pins and needles had spread to my entire left arm and my pinkie and ring fingers on my right hand. The weakness in my left leg was also worse; I had to sit down to put my pants on and couldn't push my foot into my shoe. I rang the neurosurgeon on Friday afternoon and left a message for him about the developments. I still wasn't too concerned about it all and headed out with my lovely housemate.

Much to my extreme disappointment, the neurosurgeon rang back to say that I should head into the Mater Private Emergency and have the MRI done immediately. It wasn't quite the Friday night I had planned. Armed with my parents, we headed into the hospital. It felt strange going to the emergency department again, but at least this time I wasn't in my pajamas, I had a bra on and didn't feel like my head was going to explode. Another bonus was that since I was already bald, they didn't have to shave chunks of hair from my head. I had an MRI of my head, neck and spine which took about an hour. Lying in the tight white torture tube, many thoughts ran through my head; such as why do they give you headphones to listen to music when you can't hear it over the bang, bang, bang of the machine? What happens if you have to scratch something? My thoughts also ran into what could be causing these issues. I thought of every degenerative neurological disorder with no cure and thought about how I could deal with that diagnosis. After spending quite a bit of time contemplating this question - I still don't know the answer.

As the MRI was done at 10pm, I was admitted to the hospital and spent the night in a shared room on Friday. I do not find hospitals to be the most peaceful of places, especially when you are in a room with a complete stranger who snores, expectorates loudly and likes to sleep with the light on. I didn't realise I would be over-nighting on the luxurious Ward 9 of the Mater Private, so I wasn't prepared with my ear plugs and sleep mask. I managed to get settled at about midnight and about 10 minutes later, an alarm started going off in the room. This happened about half a dozen times between midnight and 6am, so needless to say, it was not a restful night at all. After the first few times, I managed to work out that the alarm went off every time the lady rolled over, bent her arm and disrupted the flow of her drip. You would think that if I could work it out from behind the grey curtain (which is unfortunately not made of concrete), she could work it out also.

I was wide awake when my neurosurgeon came to visit me early Saturday morning with the results of my MRI from the night before. The good news was that my spine and neck were all clear and they couldn't see anything that would be causing these sensations. The bad news was that the sensations were not caused by swelling or scar tissue, so further tests would be required as would a visit by a neurologist. He then held my hand and put his other hand on my arm and told me that there was other news. I knew this was a bad sign - I could see the cancer face forming. The worse news is that the MRI of my brain showed that the tumour has returned. Apparently I have super human powers that can grow tumours through radiation. To say that I was upset about this news is the understatement of the century. I felt like I had been punched in the guts. I am still struggling to wrap my head around this news, but as always I will keep forging ahead with positivity - I just have to remember where I put it.

I was examined by the neurologist and he recommended that I have a lumbar puncture to determine the cause of these sensations. The thought of having a needle thrust into my spine gives me goose bumps, but it is unavoidable. I just hope the trauma and pain results in a good outcome. Surely life couldn't be that cruel. Once they have the results of the lumbar puncture, they will be able to determine the course of treatment for the new tumour. I will have another visit to the tight white torture tube in a few weeks and see if the tumour has grown, shrunk or disappeared. Depending on those results, I may need another surgery to remove it. I am hoping that it magically disappears as do the pins, needles and numbness.

Once again the news has spread and my family and friends have rallied around me. My eldest brother flew up from Canberra to surprise me - which was awesome. Both brothers came over last night and watched the Reds defeat the Waratahs. Surrounded by friends, family, snacks, beers and rugby - I felt almost normal. That was until I jumped up to celebrate the last minute winning try to the Reds and promptly fell over. Must remember not to do that at the game on Saturday night. I have spoken to quite a few friends and lots of family and there have been lots of tears. Some people have apologised for crying in front of me. I totally endorse crying, this is a very cry-worthy situation. This has come as a devastating blow to me, my family and my friends - I think it is definitely appropriate to shed a tear or two million. I certainly know I have in the last two days. I am just going to focus on getting through each day this week. First is to get through the lumbar puncture on Tuesday and rejoice in the clear results on Wednesday. Also, the first home game of the rugby season is on Saturday and my aim is to get there and get home without falling over.

I would ask the people who are kind enough to read my ramblings to pray to what ever God or religious leader you believe in to pray that the lumbar puncture is clear and this tumour magically disappears and I do not have to have my head sliced open again. If you have a spare minute to squeeze in a fast growing hair request, that would be most appreciated also.

Tuesday, February 21, 2012

First week of recovery mode.

It's been one week since radiation finished and so far my scalp seems to be holding together pretty well. Pre-radiation I was advised to expect my scalp to blister, peel and weep - but none of those things have happened so far (touch wood). I am putting down to the fact that I rub about 43829834kg of Moo Goo scalp cream into my head twice a day. I don't know what is in that stuff, but I am sure it has some magical quality. Overall, I am feeling not as bad as I had imagined. I haven't had the vomit monster come and visit me again. I have been feeling nauseous, but luckily I have managed to ward off the vomit monster with a range of drugs. I still feel dizzy at times and feel like I am going to lose my balance, but luckily Barney is never too far away so if I do fall, I will have a soft landing. I am on a reducing dose of steroids and seem to be coping with it well. I still feel angry and short tempered, but instead of my poor mother bearing the brunt of this, I am aiming it at Thomas and Carla from My Kitchen Rules.

The overwhelming feeling I have at the moment is exhaustion. I just feel like I have zero energy and the same amount of motivation - which is so unlike me. I feel like staying in bed, going to sleep and waking up some time in June when I am back to normal. Although, that would mean missing a few of the Reds home games, which of course I would never, ever do! I have been out a few times for short periods and then find that I have to come home and lie down for a few hours to recover. I look forward to the day when I can go to brunch for an hour and then still have energy to do something else. A friend of mine invited me to head up the coast for the day and my first feeling was that I felt nervous about going out for so long, so far from home. I have got to snap out of that! Hopefully, I will be up for a beach trip in the next few weeks. I have been feeling a bit down this week and not wanting to do anything. I have noticed that I have been struggling to remember words, people's names and have been writing down wrong numbers. Also my balance has gotten worse since the radiation finished. Add to that I have hurt my back and now walk like I should be wearing a cloak and living in a remote bell tower in some dark Eastern European county. I am really bummed about not being able to drive for another three months. So, I am taking things in hand and going to try and do something about it. I am going to see an Occupational Therapist who specialises in post-brain surgery and have an assessment. A friend of mine pointed out to me that essentially I have had a brain injury and that there are things I can do to work on it. I would hate to get assessed in May and be told that I can't drive for another three months!

I hate this feeling of running on empty. In true Mama Bear style, I am on every vitamin and nutrient that boosts brain function and recovery known to man. I think there is a correlation between how good something is for you and how gross it looks and tastes. I am on this "super food powder shot" which apparently is amazing, but looks and tastes like dirt. It isn't that bad, once I block my nose to drink it, wash it down with a glass of water and follow it up with a double Kool Mint chaser.

Tomorrow I have my follow up with the neurosurgeon, so will be interesting to hear what he has to say about my progress. I have been doing my balance tests and they have been pretty bad. Although, mum also tried the balance test and let's just say I don't think she is going to qualify as a deep sea diver anytime soon. It is the first Reds home game next Saturday and my aim to to get there and not fall over in the process! Here's hoping the boys will follow up their victory over the Tahs with a squashing of the Force.

Tuesday, February 14, 2012

Radiation over red rover.

Yesterday was my last radiation treatment and instead of feeling happy it was all over, I have been cranky and short tempered. I am happy that the brain frying has come to an end and I am very, very happy that I never have to put that bloody mask on again, but I still feel cranky. This could be due to the steroids I am on, so I could blame roid rage (this roid rage could also explain my Tourette's when I watch My Kitchen Rules). I found out at treatment yesterday that I won't be able to drive for another three months. To say this was slightly upsetting is a massive understatement. I love my car, I miss my car and I love my independence. Today would have been 21 days until I could get in my car and go somewhere alone. As my mother frequently tells me the Queen doesn't drive herself. I know this may come as a shock to some people - but I am not the bloody Queen and I love driving!

When I got home from the hospital yesterday I was so upset. I felt like this was a big blow. I know it is not as bad as being told that the tumour was back or that I would have to have more treatment, but this has implications beyond getting from A to B. When I got home I flopped on my bed and cried. Within about a minute the divine Barney jumped on my bed, put his head on the pillow next to me and wrapped his front leg over my neck. There is just something about a Barney cuddle that makes things better. Even as I lie on my bed typing this, he is curled up next to me and I find comfort in him always being so close. Anyway, back on the topic of not being able to drive - words can not express my frustration! I hate having to rely on people to go anywhere and I really miss being able to go to places alone. It also raises the question of when I will be able to move back home to my lovely housemate. My parents place is closer to public transport, which will make it easier for me when I eventually head back to work, but staying here for another three months is........... Don't get me wrong, I love my parents and they are amazing, but I miss being able to do my own thing and having my own space. So the next time you just jump in the car and pop out somewhere - appreciate your ability to do that.

I also found out yesterday that my hair could take up to six months to start coming back. I am hoping that I have super human hair growth power and it won't take that long. However, it it does take six months to start coming back, at least I will be able to feel the wind in my hair when I drive with the top down in August! I am still lathering myself with the Moo Goo Scalp Cream and so far it seems to be holding up pretty well. I hope it doesn't turn nasty in the next week or so.

A few months ago I read an article in marie claire that annoyed me so much that I wrote a letter to the editor. Looking back on it now, I may have been a tad sensitive about this topic and given that it was 8 days after my surgery I may blame drugs for my rant. The article was about a successful, single 34 year old American woman who told the story about getting her eggs harvested. She made a comment that egg harvesting was usually for 'last resort cancer patients' which really bugged me. She also complained about the bloating, acne, mood swings and getting her period for the first time in 17 years and how this was hard to juggle with dating her new boyfriend. Something snapped in me and I typed off an angry email. In the March edition of Australian marie claire - you can read my rant!

This may seem strange, but I bought my mask home from the hospital. I am not sure why and what I am going to do with it. Maybe I will smash it, maybe I will let Barney destroy it or maybe I will keep it as a reminder. But, then again, do I want to be reminded of the nastiness of being put in a mask and clipped to a table while your brain is being fried? In complete contrast to this burst of sentimentality, I have started clearing out reminders of my breast cancer. I still have cards in my room and I haven't bought re-fills for my filofax since 2010. I am not sure why, but until now I couldn't look at that diary again, but I feel that it is time to move on. I will go and buy new re-fills as soon as mum can drive me to the shops!


Sunday, February 12, 2012

Woo hoo for Moo Goo!

The last week of full head radiation is behind me - thankfully! I have to say, it was bloody tough. Whoever said that radiation was going to be easy peasey - is an idiot. That is right, that idiot was me! I had gotten through the last of my whole head treatment and could see the flickering light at the end of the tunnel. I had been feeling well enough to have a few outings during the week, all of which were followed up by long afternoon naps. Thursday night I was getting ready for bed and started to feel a bit off colour. It was at approximately 10pm that the Vomit Monster came to visit and didn't leave until 4am. Needless to say it was a very uncomfortable and sleepless night. The issue with brain swelling is that it not only causes headaches, but vomiting and nausea as well - it is all very chemo-like and not very fun at all. Although, I would like to comment that 6 hours of vomiting does wonders for your stomach muscles!

After a night of no sleep and the removal of most of the fluid from my body, I was feeling pretty horrid on Friday. I went to the hospital early so that I could be seen by a radiation oncologist. I literally dragged myself out of bed, put what ever clothes I could find on and went to the hospital. Of course, this would be the one and only time in the last 2 years and 3 months that I get to see a cute, lovely and young doctor!!!!!! Where is the justice???????? Given that my blood pressure was very low, I was feeling horrid, the power was lost to the radiation building which caused a 2.5 hour delay for treatment - I was allowed home without having my brain fried. This means that my treatment will finish on Tuesday, but I was happy to have a day off.

As mentioned in my last post, I had my hair clipped short and it was still falling out. My clothes looked like I had been attacked by some black short haired animal. When I say falling out, it was falling out pretty much everywhere - except a very stubborn tuft on the crown of my head. That is also the hair that grew straight up and took much product to flatten. Those are some tough hairs! After a few days of hair depletion, I realised that I started to resemble Sloth from the Goonies - so I attacked my head with a razor to try to regain some dignity. I am not sure if Sloth is an improvement on my Uncle Fester look of 2010, but I still felt it needed to go.

I have been continuing to smother my head in Moo Goo Scalp Cream and so far it seems to be holding itself together pretty well. I do not want to get too excited, because that is what I thought about my hair this time last week. I have been told that the week after radiation finishes your scalp gets much worse before it gets better. I have also noticed that my forehead is starting to look very tanned, so I feel that it fits in with my happy island cocktail image during radiation - at least I have the tan for it!

I have been thinking about going to away for a week with some friends when this thing is over. I have been reluctant to book anything, as I don't want to make plans and then have to cancel. If I am totally honest, I am also worried about going away and not having hair. I know the hair thing seems superficial, but to me it is a very big deal. This week I watched 18 months of hair growth go down the drain - literally. Part of me wants to be brave like the lady I met at radiation and the other part of me is too afraid to be so exposed in public. I know it seems stupid as people stare anyway and know I have no hair because of the scarf. No matter how many times people tell me I am brave and strong for going through treatment - it's not bravery when you have no choice, it is brave when you make the hard choice. I just don't think I am that brave.

Wednesday, February 8, 2012

A whole new bald game.

My hair started to come out in clumps on Monday and I was hoping that it might stick with me long enough to last through the whole head radiation, which would give my scalp some protection from the powerful rays. However, once it started coming out there was no stopping it. I made the decision that I would have my head shaved as I couldn't stand watching the long hair come out in such large amounts. Mum drove me over to my sister's place and she put her clipping skills to work. To ease the pain of losing my hair, she first cut my hair in a very unstylish bowl cut, so then I wasn't so upset about farewelling that hairstyle. I was sporting a very short number two, but since the hair is still coming out - it has gone from number two all over to mangy looking with large bald patches exposing the bright pink scalp. When I rub my hand gently over my scalp, I end up my hand covered in short dark hair. Not too dissimilar to patting a doberman, rottweiler or any dog with short hair that is Garnier Cappuccino colour. All in all it is hideous to look at and painful to touch.

The doctors and nurses advise you that radiation is like bad sunburn. However, it is like bad sunburn in the same spot every day for three weeks. Add to this that my scalp has always been protected from the sun and it is now revolting about the amount of radiation exposure it is getting. It is bloody sore. I have been smothering my scalp in Moo Goo Scalp Cream and this has definitely given me some relief from the pain. I still have three treatments to go and I just hope that my scalp holds together a bit longer and doesn't blister, peel or weep. To add to my frustration, my nails have gone gang-busters and would be perfect to scratch my irritated scalp, but I have thus far resisted the temptation. My scalp will get worse before it gets better, so I am prepared for a few more painful weeks.

My family and friends have been a constant source of strength for me during this time and I love all the messages that I have been receiving. I have found that times like these really do sort out your true friends, the ones who will stick with you through thick and thin. Pretty much all of my friends have been amazing, but there have been some whose absenteeism has surprised me. I know I can't expect people to react to these situations in the same way that I would, but it has reiterated to me that when you don't know what to say to someone - just call and say 'I don't know what to say'. Once again, Barney has been my constant companion and a great source of entertainment for me. My mother cries at least once a day and it breaks my heart to see her in so much pain. I think this is harder on her than it is on me, as she is helpless to protect her child from this.

I finish treatment on Monday and that is when the repairing can begin. I am on quite a few drugs at the moment, most of these are to combat the side effects of the drugs I am taking, and this has really stuffed by up immune system. I am feeling very depleted, exhausted and very run down. I have to be careful about what I can eat, drink and ingest at the moment, but as soon as radiation is finished Mamma Bear's Health Retreat/Jail will be in full swing!

Monday, February 6, 2012

Two weeks down, one to go.

So another week of radiation is behind me and all in all I am feeling much better than I was after the first week. I am on a long list of drugs, all of which include other drugs to combat the side effects of the drugs - but at least the headaches, nausea and vomiting are under control. I am on a steroid, which has artificially increased my energy levels, but I still feel exhausted. I still get dizzy at times and my head is pretty cloudy all of the time. I notice that I struggle to think of the right words to say and sometimes forget what I am saying in the middle of a sentence. For those of you who know me well - it will come a a shock that finally I am a loss for words!

Today marked two weeks into the treatment and was also the day my hair has started to come out in clumps. I knew it was coming and I have gone through this before, but I still balled my eyes out in the shower when it started to happen. I hated being bald. I remember the first time it happened, it shocked me that this meant I was really sick. I don't want to be sick like that again and I certainly do not want to be seen as the sick person again. When you are bald, you can't hide that something is wrong and people look at you differently. I am still me, I just happen to have no hair and recently had a brain tumour.

I did spend most of the day feeling sad and sorry for myself. I really didn't want to be here again in my life and I was hoping against hope that my hair wouldn't abandon me this time. I know it was overly optimistic and went against every medical opinion, but I was hoping there was some slim chance I might be the medical miracle who got to keep her hair. Alas, this was not meant to be. Anyway, I think the universe was sending me a sign today to not get too caught up in the hair loss issue. I went to radiation and they were running about an hour behind, so had to sit in the waiting room for longer than usual. A lady and her daughter sat next to me and the mother started chatting with me. She was bald and had a large scar across the top of her head - so we bonded over our brain tumours. She was telling me that she found her brain tumour after falling over in the shower, which was a week to the day that her husband had died. Suddenly, I didn't feel quite so grim about losing my hair - this lady had lost her husband and was now fighting for her own life. It certainly puts things in perspective. So, hair today, gone tomorrow at least I haven't lost my husband and battling for my own life. Thanks universe for the slap in the face - I will be better tomorrow.