this is a health-related post, so if you’ve come here looking for NA beer reviews, use the category links for that blog stream. i don’t have any big health updates, just a few observations and thoughts after a long day of jazz festing in place with friends yesterday.
i really struggled with my voice and my energy yesterday. we were outdoors, no masks cuz we were all fully vaccinated, with WWOZ blaring from a bluetooth speaker. there were ten or so of us, spread out, so when i spoke, there was enough going on that i had to try to project my voice across distance and over others who were having side conversations as well as the music. it was fine at first – it’s definitely better without the mask and my voice has gotten stronger over time – but the longer the day went on, the harder it became to do and the more strained my throat felt. and the softer and higher pitched my voice got. and the more exhausted i was.
trying to speak loud enough to be heard exerts a lot of energy. it also messes with my breathing, which also expends energy. (i never realized before surgery and my ensuing complications that your vocal folds have a lot to do with regulating your breath going in and out of your wind pipe. so talking a lot, when one side of your vocal cords is paralyzed, makes breathing harder while doing so.) and then there was the angelique kidjo dancing in the kitchen interlude which put almost 3000 steps onto my fitbit and had me breaking out in a sweat at one point. that was probably the last straw.
all of this lead to me rather abruptly running out of energy like a suddenly depleted battery in a child’s toy. i could feel myself waning and then i just hit a wall and i could no longer function. it wasn’t because i hadn’t slept the night before – i had. i’m not sick. and i had not over-eaten or under-eaten. and i certainly could not attribute it to alcohol as i was drinking NA beer all day (hat tip to rightside brewing’s citrus wheat!) along with some rosemint tea w/ginger ale. this is just how it is now. folks with chronic illness often use the “spoons” analogy and i’m reluctant to appropriate that because i don’t have a chronic illness but i do feel like i now understand that more than i ever did before. post-surgery, i don’t have as much energy as i use to just take for granted having; i now seem to really have a limit, and once that limit is used up, i’m done. period. no pushing through to carry on. i just need to lie down. done. like a toddler.
and it doesn’t take strenuous physical activity to get me there. apparently all it takes is six hours of socializing while seated, constant talking, and a few minutes of dancing in the kitchen.
don’t get me wrong – i’m so happy to be alive and to have recovered so well from a successful major surgery where they drilled into my skull, peeled back part of it, and removed an intruder from my brain stem. but i am not the person i was before and i’m still just getting used to the person i am now, the limitations this still-recuperating body has now.
i don’t share all this to be whining or complaining. i do so because i feel like in general i’ve put a happy face on all of my recovery, and when i see folks now who have only seen me sporadically or on social media, i think they think i’m totally back to “normal” and don’t realize i am still enduring struggles, however minor in the grand scheme of things. but they are still there, and account for my sometimes abrupt change of mood.
in many ways its convenient that that my surgery and recuperation has happened during the pandemic, when life has slowed down and there’s not as much activity going on. i’m not sure that i would actually make it through a normal day at jazzfest at the fairgrounds right now. here’s hoping i build my endurance back up before october when jazzfest hopefully returns.
i just realized that this past tuesday was my six month mark, post-surgery! woo hoo!
nothing really to report in terms of health updates. i continue to inch closer back to “normal” or whatever that was pre-surgery, mid-pandemic. no lingering effects from the second moderna shot, that i can tell – and i am fully vaccinated now! it has felt really wonderful to share a few hugs with other vaccinated friends. finally the year of no-human-physical-contact ends.
i am still taking only four dog walks each morning most days, but pet sitting is really picking up. this week i have another long weekend pet sit (a dog, two cats and two birds) and have several more bookings in may and june so far. i’m trying to be smart about it – spacing them out, not taking back-to-back bookings, so i have time to rest and reset in between. i know it seems like staying overnight with dogs and cats in other peoples’ houses should be a cush, fun job, and it definitely can be fun cuz i do love all the critters, but it can actually be quite stressful and physically demanding in my older age – all the extra dog walks, poop scooping, and running back and forth between clients homes and my own to feed my needy feline pair. and all the disrupted sleep, usually from pets who are confused being out of their regular schedule and without their owners. the bad sleep is just something i can’t absorb anymore without consequences the next day. i always joked that this business would have been a GREAT idea to have had in my 20s when i was younger and more resilient. but here i am, 53 and 10 years in business. i guess the challenge now is just to learn how to work smarter.
the other thing i realized is that if it’s been six months since i had surgery, it’s been almost seven since i’ve had any alcohol. (i stopped drinking a couple weeks before surgery, just to be in the best possible shape for such a traumatic physical experience.) it’s such a weird thing to realize, for me. i have been a beer drinking fool since i was 15. i don’t think i’ve ever gone more than a few days, maybe a week, without alcohol my whole life. i have never been an alcoholic or even considered myself to have a problem with alcohol, but if i’m honest i can certainly say i’ve abused alcohol on many occasions and definitely drank way too much, often. drinking is such a part of social life here, and as a shy, socially-awkward introvert i have often relied on alcohol as my social lubricant to get me through the anxiety of being around people. plus i do enjoy the relaxation and melting away of the world’s cares it provides short term.
as i have aged though, i think all that beer/alcohol finally caught up to me, because the last decade or so i’ve become acutely aware of how much my body punishes me the next day for imbibing. my body no longer likes alcohol. (maybe it never did but the after effects were easier to suffer through when i was younger.) i still enjoy the buzz it gives me, and i still love the taste of craft beer, but the headaches, the body fatigue and pain, and the risks of what further damage it is doing to my brain and other internal organs is no longer worth it to me. (i only recently realized the link between alcohol consumption and cancer!) i’m not saying i won’t ever drink alcohol again, but when i do, i hope it’s in much more moderation and maybe even only as a special treat. i can envision going back out to bars/restaurants with friends and having one of my favorite leaded beers and then switching to NA for the rest of the evening. that would seem a good compromise to me.
finding the deliciousness of the new wave of craft non-alcoholic beer has given me a whole new perspective on it too. i can drink this stuff and not crave an actual beer. it can represent to me much of what “having a beer” always did for me, and it still satisfies the taste element. no, it’s not the same – NA beer is always going to taste different than alcoholic beer – it’s different, but it’s still good. and interesting. and there’s variety, just like in the craft beer world. now if we could make it the norm for bars and restaurants in the US and NOLA specifically to be offering a selection of these on their menus next to the craft beer roster, then i would be a happy gal. (europe has been on this trend for years. you can pretty much find NA beer on tap in lots of pubs and there is a much wider variety of NA craft beer being produced. europeans understand that NA beer is not just for alcoholics; mindful drinking should be for everyone.)
the most surprising part to me of this NA adventure is how much i’m learning about beer! it’s not that i didn’t have some knowledge of the different styles and brewing techniques before – i’ve always been somewhat interested – but i think drinking without the alcohol makes me even more interested. (and writing about it now also contributes, i’m sure.) it makes me more adventurous in trying different styles and brands too. i have lately tapered off my wild buying sprees of new and different beers, choosing to stick with the ones i’ve really enjoyed the most, but there’s still plenty of NA brews on my must-try list and i’ll get around to them eventually. so stay tuned!
this isn’t a health update regarding my brain surgery, but it is a health update nonetheless. and it does seem important for me, given what i’ve been through with surgery and my lengthy recuperation, to have gotten the vaccine. i wanted to write down my experience with side effects for myself and also in case it’s helpful to anyone else. so here i am, updating.
i got my second dose of moderna on monday afternoon. my first dose a month ago was uneventful. i had a little bit of a sore arm a day after the shot and maybe a day of fatigue about a week afterwards. (though who knows, maybe it was unrelated?) but i’d heard the second shot of moderna in particular was really affecting people so i was a little worried, though nonetheless excited to be getting it over with.
so, the second shot. both times i got it in my left arm, my logic being that post-surgery, i can’t sleep on my left side cuz my head hurts when i put pressure on the surgery site – and i am a flip-flopper in the night – so i wanted to preserve my ability to sleep on my right side by not getting the shot in that arm. so left arm it was. just like the first time, my immediate reaction was just a sore arm, more of an annoyance than a problem.
i was vaccinated around 3:30pm. by evening, my arm was sore and i was feeling a little tired, but nothing else. i woke up the next morning thinking, hmm, this isn’t so bad. maybe i won’t have any big side effects. i went to work and for the first two dog walks of the morning, i felt ok. it was raining so i was distracted by all the ways the rain makes walking dogs difficult. but by the third walk, with the rain holding off, i was starting to notice my left ankle being very sore, hard to put weight on. i do have problems with my joints from time to time, but not usually that bad. by the 4th walk of the morning, my knees and hips were starting to really bother me too, and i was literally limping along. i was struggling. it was painful to finish that walk and to get in and out of the car. my whole pelvic region felt inflamed.
i came home, had a bowl of granola and almond milk for lunch, and realized every joint in my body was aflame. everything hurt, even when i wasn’t moving. lying on the futon on top of the electric blanket, like a giant heating pad, helped a little, but not a lot. i checked my temperature and i didn’t have a fever, but i was definitely feeling fatigued. by mid-afternoon i could barely keep my eyes open and had to go lie down in the bed. i ended up dozing most of the afternoon away, which was not such a bad way to pass a rainy, stormy afternoon. the cats were so concerned about me they snuggled in the bed with me.
i woke up right before it got dark because the cats were pestering me to feed them dinner. still achy, still fatigued, and now with a headache and chills. still no fever, though. fed the cats, warmed up and ate some pasta and sauce with veggies i’d made the day before, tried to watch a movie but couldn’t get though it because i just felt so awful and crawled back in bed. i didn’t end up taking anything because i’d read such conflicting reports online about whether it was OK to take ibuprofen or acetaminophen – i knew i wasn’t supposed to take it BEFORE getting the vaccine but still felt confused about whether it messed with the efficacy of the vaccine afterwards. so i decided to just tough it out and hopefully sleep it off.
slept all the way through the night and woke up this morning feeling much better. joint pain was gone, body aches, headache and chills gone. i felt like i had a little residual hangover type feeling, from what i’d been through the day before, but that quickly left as i got up and moved around, had coffee, ate breakfast. i worked today and had no problem walking dogs.
my only remaining symptom is that my arm is still sore at the injection site, though maybe a little less so, and just today it has started to also be red in the general area of the shot. but otherwise i feel fine. i guess my body did what it was supposed to do.
i signed up with the V-SAFE program to report my side effects; you should too if you have recently had shot one or two of any of the covid-19 vaccines. it helps the cdc and the vaccine makers learn more about how the vaccines are affecting people. if you feel your specific side effects were worth noting, you might also file a VAERS report. if your side effects made you seek medical help, your doctor or the facility are required to file one of those reports, but if you didn’t you can still do so. you can also use that site to access all their data and see what kinds of side effects people are having and reporting. it’s kind of fascinating
and that’s it. now i just have to wait two weeks to be fully vaccinated! yay!
and, just in, governor edwards announced this afternoon that as of next monday, the 29th, everyone in louisiana 16+ will be eligible for a covid-19 vaccine! (16+ for J&J, 18+ for pfizer or moderna.) so if you haven’t gotten your shot yet, now’s the time to make that appointment. and please encourage your family, your friends, neighbors, co-workers, everyone you know to get vaccinated as well. with europe going back on lockdown and numbers starting to rise in parts of the US, we are in a race against the virus to get folks vaccinated so we can get to herd immunity. let’s do this people!
this is just a quickie update about my visit to the ENT doc this afternoon. he wasn’t even gonna scope me this time – trying to save me money – because he could pretty much tell how i was doing just by listening to me. but we ended up deciding it would be good to have it documented, what my vocal cords were looking like, so he went ahead. it was very quick though. it didn’t even freak me out this time.
i don’t have any pics and though he swears i should have access to them via my chart (electronic patient file), they are never there. there are never any pictures or videos, just written reports. i wasn’t quick on the draw with my camera today so i didn’t think to video it. i couldn’t tell from looking at it myself what was going on so not sure the pics would be helpful anyways.
but dr. ballay said what he thinks is happening is my right vocal cord is compensating for the left one that is still mostly paralyzed. it works overtime and gets a little beefed up from doing so, and so makes contact with the left vocal cord better. hence, my voice improvements. but they are still not making a solid seal together. this was a bit of a bummer because i’d hoped he would tell me my left vocal cord was moving more. but apparently it’s not.
however, he said this is typical. and he did not recommend any procedures at this point, because i’m doing so well, able to speak so much better and not having swallowing or breathing problems that impede my functionality. so he said as long as i was OK with it, we should just give it some more time. he said sometimes he does see the nerves and vocal cord just spring back and start to work all of a sudden, so it could still happen. and he was overall very pleased with my progress.
he recommended i continue doing all the vocal exercises they gave me in speech therapy, that they will continue to help me. (i try to remember but have to admit to not doing as well with this as i was when i was actually IN speech therapy. so i will recommit to doing them every day.) he said to call him if anything changed in a bad way, if i was having any problems, but otherwise we agreed i would have another checkup in the fall, maybe around the one-year mark.
so there ya have it. he thinks i’m doing really well – a lot of patients who have post-surgical issues like mine come to him in much worse shape, not able to speak well, aspirating and unable to clear moisture that ends up in the airway. he said as long as i have a good strong cough that can clear anything that goes down the wrong way, i’m good. so i think i’m good! yay!
no more doctor’s appointments until i go back to see the neurosurgeon at the 9 month mark this summer. and i’ll have my annual with dr. yount around that same time. whew! i’m free for a while!
i don’t really have anything major to update here since the last post. i go back to see dr. ballay, the ENT, next week. he is likely to scope me again to check out my vocal cords and suggest some procedures to fix them if they haven’t managed to free themselves up enough to his liking. i am pretty sure i will just keep waiting it out – i don’t want any more interventions to recuperate from right now, and things are ok as they are. i’m used to my funny voice at this point and it continues to get stronger as the days go by.
i thought i’d talk about some of the things i don’t usually talk about, that are different and weird with my body and probably will be for the rest of my life. recovering from a major surgery like a craniotomy is not just a couple-month thing that you are suddenly done with – it’s an ongoing process and many who have undergone what i’ve been through report they don’t get back to feeling themselves for a year or more. some, many years. i feel like i’m doing pretty well to have a lot of my time each day where i don’t even think about the fact that someone cut my head open 5 months ago and extracted an invader and glued and stapled me back together again. i’m doing great and am super grateful for that and for all the support from all y’all that got me here.
but still. every single morning the first thought i have when i wake up is a sort of panic thought, an inventory of my skull and neck, to make sure my head hasn’t cracked open along my surgical scar and my brain hasn’t leaked out all over the place in my sleep. this might sound ridiculous or irrational, but it’s true. i wake up every day to the sound of my own heartbeat and blood rushing through my head, pounding around my ears, which is alarming. i am keenly aware of the pressure that has built up by the simple action of lying flat in the bed, head rested on my pillow, for 6-8 hours. this is not unusual for folks who’ve had this surgery, and i could remedy some of the pressure by using my wedge pillow to elevate my head/torso while sleeping, but in those few weeks post-surgery when i absolutely HAD to use the wedge pillow, i found it very uncomfortable for my body, gave me kinks in my back and shoulders, and not conducive to restful sleep. so i am reluctant to go back to it since i am getting good sleep lying flat.
but it’s a distressing way to wake up every morning, a rough way to start each day, being reminded of the trauma my body has been through and how it’s not quite done recuperating. as soon as i get out of bed and start moving around, the blood redistributes itself in my body and the pressure goes away, so it’s really only a momentary experience, thankfully. but nonetheless disturbing. i hope it eventually stops being like this.
(and before i get any “helpful” comments about my blood pressure, i take my BP with a home unit almost daily, at different times of day and night, and it’s always completely normal and sometimes even kinda low. never high. 111/72 last night. so that’s not it.)
i also have a faint bit of tinnitus that stays with me throughout the day, though i don’t notice it much after i am out in the world. i can’t decide if it’s always been with me and i just never really noticed it before – a relic of my years of DJ’ing, as i am aware of some hearing loss for the same reason – or if it is new and tied to the brain surgery. (my incision is kind of a curve around my left ear and many folks who have this surgery report issues with their hearing or lingering tinnitus.) i’m aware of it mostly when it’s very quiet, which is usually only in my house in the early morning or late night.
and then there is the hair loss. i don’t have a lot of hair to begin with – i inherited my father’s very thin, fine hair that grows sparsely over my head. it’s one of the reasons (not the only, obviously) i’ve always worn my hair short, because when it is longer, it is limp and lifeless and just thin and not flattering. but ever since surgery, i’ve been noticing i lose a LOT more hair every time i shower. the drain catcher is always full making the water back up in the tub halfway through every shower i take, which NEVER happened to me before. maybe it would happen once a week or every two weeks before surgery. now it’s every day. i don’t have any bald spots and it’s not coming out in clumps or anything; i am just shedding more than i used to and it’s noticeable and disturbing to me. (yes this could also be partly menopause related, but the timing seems related to surgery.)
also, the shape of my head, my skull, is SO WEIRD now. with my hair grown in, it’s not noticeable to anyone else (see picture above), but i feel it when i rub my fingers over my scalp, like when washing my hair. along my scar line it’s a little sunken in, and there are weird ridges now in the general incision area that didn’t used to be there. my left ear also pokes out much further away from my face than it used to, different than my right ear. it makes my glasses sit a little cockeyed and i’ve wondered if that contributed to my vision issues. and overall, my scalp just feels tighter and strange. i usually only notice it when combing my hair, or putting on a hat. and there are still numb spots along the scar. but yeah. my skull is pretty weird now. i think maybe it is just my new normal, as others who’ve had the same surgery report similar symptoms even years after surgery.
my vision has thankfully evened out, though. either that or my brain has learned to compensate for it, cuz i don’t notice double vision anymore. if i am looking for it, i DO notice i still have a hard time focusing in my upper right quadrant, which was an area we worked on in physical therapy. but i don’t have much need for looking in that direction often so it’s not something i notice. i think maybe i just move my head more to accommodate that deficit. my eyes do still get tired easily and i do still have dry eye especially late at night. drops help a little for a few minutes but not in any long term way. i think i will go in to my usual eye doctor soon for a prescription update and see what he says.
i hardly notice my swallowing issues anymore and am now convinced i was already having trouble with it before surgery, though it’s hard to isolate if i always had this trouble my whole life or if it was something that crept up on me as my tumor grew and likely stretched out/displaced my nerves in that area. i eat/drink everything fairly normally now and only rarely am reminded by a too-big bite or something really dry and difficult to slow down and give a good swallow with all my might to force something down that’s gotten “stuck.” as long as i have liquid with my meals, it’s not usually an issue that even registers anymore. so that’s good. i guess dr. ballay will probably order another barium swallow test to see how i’ve progressed so i’ll have a real answer soon about whether i’ve just adapted or if things have truly improved.
i do notice my breathing is more labored than it ever was before, at times, and i think that has to do with the remaining vocal cord issues. it’s not that i can’t breathe, but if i’m trying to talk or eat while also being active in any way that causes me to breathe heavier, it can be challenging. and i regularly take only short, shallow breathes and have to be mindful to take in deep breathes to get really good levels of oxygen going. everything just takes more thought, more mindfulness now, rather than just being automatic.
and lastly, my energy levels. while it’s definitely continuing to get better and i make it through my days of dog walking pretty easily since it’s only really a half day of work, i did notice when i was dog sitting and adding in several more walks a day that i was truly exhausted by it. i needed a few days after that job to recuperate. so i think going forward i will only schedule overnight sits when i can do so with ample recuperation time afterwards. and i’m really not looking forward to the heat and humidity of the summer!
so yeah. i’m still dealing with the after-effects of the surgery. i don’t talk about it now cuz it just sounds like i’m whining and maybe doesn’t sound consequential to anyone else, but some days are still a struggle. i still have bad days, especially if for whatever reason i haven’t slept well. lack of sleep hits me a LOT harder than it used to, and since i’m an early riser, that means i don’t do late nights much. i’m generally in bed by 10 or 10:30 at the latest, and awake by 6 or 6:30 due to my cat alarms.
oh, and just cuz some folks have asked: yes, i got my first moderna shot two weeks ago and will go for my 2nd a week from monday. hardly felt the jab at all, and just a tad bit of arm soreness. about a week after the shot i had one day of feeling really run down, but not sure if that was due to the shot or just a regular off day. it passed. i’m a little worried about the side effects from the 2nd shot, especially since it’s on a monday and i will have to work the next day, but here’s hoping it doesn’t affect me too badly.
i know this was long; thanks for reading! i’ll give another shorter update next week after the appointment with the ENT.
just a quick update to say all is going well. i had my last speech therapy appointment feb. 18th and don’t have any more doctor’s appointments until march 18th when i see dr. ballay, the ENT, again.
i continue to work half days dog walking with four clients, and just this last week reintroduced dog sitting to the repertoire. i’ve been staying with the world’s most lovely 10 year old husky named luna, and i’m in love with her! she is the sweetest and best dog, though has been exhausting me with four more walks a day in addition to my usual four. so my daily average of between 8-10,000 steps has gone up to around 15-17,000 steps a day!
the rollercoaster of weather changes has my body a little out of whack though. i’ve had some random vertigo outta nowhere that comes and goes in the course of a day; nothing so severe that i can’t function but enough to make me feel slightly “off.” and sleeping overnight in a different bed, regardless of how comfortable it is, always affects my sleep. so as this week of dogsitting winds down, i’m feeling myself pretty drained and exhausted. hopefully the weekend will recharge me.
so i guess no more health updates until the next doctor’s appointment. i’m doing ok, trying to remember to do my PT and ST exercises on my own regularly, still doing weekly neurosculpting mediations with emily, and trying to eat more fruits and vegetables by making weekly purchases from the farmers market. i hardly go to the grocery store anymore though i do still eat out more than i should, especially when i’m staying outside my home. but for the most part i think i’m doing a pretty good job of self care and i continue to be so grateful to have had the resources and support to take this recuperation at my own pace.
this might take me a while, but i’m gonna copy/paste all my meal train updates from my brain surgery saga here and back date them so i have a record of all that not on meal train. and then i can post future updates here.
so any posts you see from before this one are copied over. any posts you see after this one are new updates and probably aren’t on the mealtrain site.
Yesterday I had speech therapy for yet another VitalStim (electrode) session. My therapist has a new student, a young woman who is delightful and makes me laugh while I’m doing my silly vocal exercises. It’s nice to have the third person to lighten things up. They both said they were hearing improvement in the sounds coming out of my throat, so that’s good!
After ST, I went directly to Dr. Ballay the ENT. I think when we set this date for a follow-up he envisioned I would have completed more ST and VitalStim than I have – it took FOREVER for his order for more speech therapy and VitalStim to go through, and then my therapist canceled on me several times over the past month, so I think yesterday’s session was only #6. But Ballay said he could tell a difference between last time he saw me and now, in terms of my voice and breathing, and he asked me a lot of questions. I told him I thought the VitalStim was working but I just needed more of it, and that I thought my swallowing was getting better, slowly. He decided not to scope me and instead we set another follow-up appointment for March 18th, when I should be done with the current ST order which goes through the end of February. THEN he will scope me and we will see where things are with my vocal cords and my swallowing, and if I feel like I want a procedure to fix things or want to just keep waiting to see if it fixes itself. It was a very quick visit.
Today I went back across the river to West Jeff for my 3 month MRI to check for regrowth of the tumor that was removed. As I have already bitched on Facebook, they poked me FOUR times trying to find a vein to put the contrast dye in! And they waited to do it until after the first 20 minutes of no-contrast MRI had already happened. (Every other MRI I’ve ever had, they put the IV in before you get in the tube, and then just press a button when they want to deliver the contrast. I guess they aren’t as high-tech over there at West Jeff as they are at the Touro imaging place or at LSU.) Also, there was no music this time. Just earplugs. And the padding in the head cradle they put you in and tell you not to move was all cracked and dented, so at some point in the time I was in there, the back of my head started hurting where it contacted that padding. And I couldn’t move!!! But I made it through all 30+ minutes without them having to do any of it over again and it didn’t disorient me as much as the last one I remember over at Touro.
The biggest advantage to doing the MRI at West Jeff is that when I was done, I went right upstairs to Dr. Culicchia’s office and he already had the MRI on his computer and he was able to read it for me. No waiting for a radiologist’s report. (That will still come later but I already know what it will say.) Dr. Culicchia said there was NO regrowth at the surgical site, which is excellent news! I’ve been really anxious and sleeping poorly the last week or so anticipating this MRI, so I’m hoping I can rest better now for a while. He also looked at the second tumor, comparing the last two scans to today, and said it appears stable, looked exactly the same, which is also excellent news! He seemed really happy to see me doing so well and he remarked how much better my voice sounded.
I mentioned my eyes to him, that they are better though there is still some slight double vision that gets worse when I’m tired, underslept, etc. And he looked at my eyes and said he’d forgotten I had that deficit, because they didn’t seem as inwardly pointed as they had been before, they looked pretty normal now. (My right eye had noticeably drifted towards my nose post-surgery, so this is great to hear, that it has corrected itself.)
With all of my remaining deficits, he said to keep giving it time. He wants to see me in six months, which would be the end of July, for another MRI and check-up. If things remain good, with no regrowth and no change of the 2nd tumor, and my deficits continue to get better, we’ll probably go to a yearly MRI at that point. Which is pretty much as good as it gets in my position. So all of this was amazingly good news!!!
So no more doctor’s appointments for a while, and only 2x/week speech therapy on Tuesday-Thursday through the end of February. (Well except Mardi Gras, so we’ll probably move that one to LundiGras.) I’m so relieved. Now I just need for my energy to get back to something close to normal. I know, patience.
But all things considered, I am so grateful to be doing so well and to have been afforded the luxury of time to heal by all of you, my amazing community! I will never stop thanking you all for all you’ve done to get me through this. Thank you! I am one lucky woman.
Hi everyone. I know it’s been a while since I’ve updated so I thought I’d get you caught up.
Tuesday this week made 14 weeks, which is definitely more than 3 months, post-surgery! This is an important milestone. I am doing well overall and managing to work my half-day schedule walking dogs. (I am sometimes still very exhausted by my 4 dog walks and 10-11K steps/day, but I am doing it.)
Eyes: My vision has definitely improved. The double vision is much better than it was even a month ago. I still notice it some days, or some times of day, but it’s not stopping me from doing anything. I think my brain has just adjusted to it being the new normal. The last time I drove at night I was very aware that I had perfectly focused vision and no problems at all, which was wild! It can be hit or miss still and there will probably still be times when I will choose not to drive when my eyes are “acting up.” Also, I still get dry eye, mostly the right one, really badly sometimes, but drops help. At the end of my days or when I’m really tired, I get the dry eye and my right eyelid can still get really droopy. But overall, I’d say there’s been improvement and I’m hopeful that will continue over time. I haven’t seen an eye doctor yet but it will be time to do so soon.
Swallowing: It’s hard to assess, but I think I’ve made some small improvement. I’ve had 5 speech therapy sessions now with the VitalStim electrode treatment. It’s still so weird, every time! But today they had me eat a Clif Bar after I was done w/my exercises, as they like for me to get in as many swallows as I can when I’m hooked up to the device. And I really noticed, with the assist of the device stimulating my throat muscles, that I could swallow more completely, get a bite down with only one good swallow. It was amazing! I’m not there yet without the device, still usually needing 2 swallows to get food down, sometimes more, but the fact that I could feel that when hooked up to the device means the therapy is working. I definitely feel like eating has gotten easier, less laborious. I have 2 more sessions scheduled next week; I’m not sure when my ST order expires. But hopefully I can get in the 8-9 sessions she originally told me it would take before I saw much improvement.
Voice: Last week I had 2 people I hadn’t spoken to in a while tell me, completely unprompted, that they thought my voice was sounding much better. Some days I do feel like it’s starting to sound much more like myself. But sometimes I still feel like I’m talking in falsetto! It’s hit or miss, and definitely dependent on the time of day and how tired I am. Today in speech therapy I did however hit some low notes on some of the vocal exercises that I haven’t been able to hit before, and I can tell my range is getting a little wider and stronger. So I do think ST has been helping. I find myself now doing my vocal exercises while walking dogs – I’m sure others on the street around me think I’m some kind of crazy person! But it definitely helps to “warm up” my vocal cords, doing the exercises.
Next week will be a busy one for me. ST on Tuesday/Thursday. Follow-up appointment with Dr. Ballay the ENT on Tuesday after ST for him to re-assess my vocal cords. And then on Wednesday, I have my 3-month follow-up MRI to check to see if my tumor is growing back. Right after the MRI, which will be at West Jeff, I’ll take it upstairs to Dr. Culicchia to look at it and for a quick 3-month check up. So I guess by the end of next week I’ll have more to report!
Other than all this, I think this week I’ve learned that I really need to be getting more rest. I don’t really take naps anymore because I’ve been so busy in the afternoons, there’s no time. And this week, with the inauguration, I’ve had a couple of late nights with not enough sleep. I have suffered at work the following day both times, barely able to make it through the 4 walks. So I am recommitting to going to bed early and trying my best to get enough rest.
OK, I think that’s all I’ve got for you tonight. (No good pics to share, so here’s me walking dogs.)
This past Tuesday made 12 weeks since surgery. Not sure if we calculate the 3 month mark by how many weeks or by the day of the month – my surgery was on the 13th so maybe I have to wait until then to say 3 months? Either way, it’s close.
This was my first week of being back to my pre-surgery schedule of 4 daily dog walks. (Before the pandemic, it was more like 8-10 walks/day, but many of my clients have been working from home and/or can no longer afford to pay me to come, so since I resumed working in May post lockdown, it’s been 4-5 daily.) So, dog walking until about 12:30pm each day, then on Tues-Thurs, I went directly across the river for back to back hour-long PT/ST sessions.
The electrode therapy on my throat is getting easier to tolerate, but so far I’m not seeing any improvement. My therapist told me it might take 8-9 sessions before I noticed it helping, so I guess I’ll just stay hopeful. The day after my first treatment, I actually thought it was maybe making my vocal cord situation worse as my voice was much softer and higher than it had been, but we’ve decided it was maybe just that the electrode therapy tired my vocal muscles out. It’s really hard to say since I’m now getting the treatment 2x/week – not sure if my voice has gone back to what it was before the treatment or not. I guess we’ll see what happens over the course of this month.
Monday will be my final PT session. I’ll have two ST appointments next week and then we might go to 3x/week after that. PT these last few weeks has mostly been doing leg strengthening via various weight machines, and really focusing hard on the weak areas of my eyesight. (Looking left and/or down is much more in focus than looking right or up.) I’m having mostly good days now, with the eyes, though Wednesday was pretty challenging for who knows what reason. It’s definitely better overall than what it had been for the first two months post-surgery, but I wouldn’t say it’s yet back to where I was before surgery. But I can function, and when I’m at home I hardly notice it being a problem. I mostly notice it when I’m driving but it’s not ever bad enough to make me not drive. So I guess that is an overall improvement, for sure.
Though I am managing to do all these things, I am really exhausted by it all. When I get home in the afternoons – especially on the PT/ST days – I’m really just done. Not good for anything except watching mindless TV and/or staring at the internet. I know I’m still recuperating, and I need rest. And I am doing that. But it’s still frustrating. Well enough to work and get through these long days of PT/ST in the afternoons, but not well enough to do much else. Sigh. But this is precisely why I’m not going to resume taking petsitting clients right now, because I feel like I’m at my limit at the moment, energy-wise, and I don’t want to overdo it. I will reassess in February after I am done with ST and have gone for follow-ups with Dr. Culicchia and Dr. Ballay.
But hey, I’ve hit 10,000 steps 3 days in a row now that I’m back to 4 dog walks a day! Woohoo! Which is a good thing since it is now Carnival season and the king cake is flowing. I’ve managed to keep those 10 pounds I lost in the hospital off all this time, so I’m glad to have the activity to hopefully counteract the amount of king cake I know I’ll be eating for the next month or so.
OK, I think that’s all I’ve got for now. Thanks for reading y’all!