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Quote of the Day:

Life does not cease to be funny when people die any more than it ceases to be serious when people laugh.
- George Bernard Shaw

Seizures

Seizures 4 Comments »

I took a week or so off here.  Lots going on.  On Wednesday, I went to attend Rachael’s great Aunt’s funeral and literally, when I sat down in the pew and it started, a seizure began.  Most of my seizures haven’t amounted to much since July of 2007 after my first craniotomy.  They are pretty small in intensity.  As we stood to sing Amazing Grace, it came on stronger and I had to sit.  I took an ativan and waited about 5 mins.  No relief.  I took another – still wasn’t subsiding.  So, my Father-In-Law helped out of the service.  I wanted to be in the car with the air running.

 Rachael came out and after a total of 45 mins elapsed, I made the call to go to the ER.  I was there from about Noon to 6pm.  They IV’d ativan and morphine since my left arm had smacked the gurney so many times.  Not much else to say.  It was brought under control and that is what I knew would happen by making the trip but it’s not too fun. 

I feel pretty good now.  I have had 3-4 since – small ones, which is common after a large seizure like this.  We are opting to look at this as a one-time event and not be reactive and start changing the meds around.  This could be gamma knife related.  I’m still in the 6 month post period when seizures can ramp up.   More to come on all of this.

 Just to be safe, I’m having an MRI later next week, then leaving for Lake Tahoe as planned for a nice getaway on Friday morning – regardless. 

 Cheers – stay in today…

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Avastin – Seizures – MRI

Seizures 5 Comments »

I’ve been quite sick over the last several weeks.  I came down with a terrible cold that started as a virus and then was bacterial.  I waited it out in the beginning but it hung on for a week so I went in and at that point antibiotics seemed to have taken care of it.  Still pretty fatigued but that’s just because of a suppressed immune system.  It takes a lot longer to get over these than others.  Those of you who are survivors understand.

I’m going in tomorrow for an Avastin infusion as long as all of my lab work comes back fine.  My vaccine injections are now 16 weeks apart so I have plenty of time to fit this in before the July 22nd injections. 

I seem to have found the right combination of meds to control seizures.  I haven’t had one for a week now and was having one every 2 days so this is a good sign.   MRI due end of this more than likely.  Again, don’t pay too much attention anymore.  Just focus on today as much as possible – but it is difficult to do sometimes as we all can attest to.

Happy Father’s Day to all the fathers out there – hope the weekend is good!

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Sick – Missed Avastin

Brain Tumor Treatment, Complications 1 Comment »

Has anyone had this summer flu/cold that is going around?  I’m sure a lot hands went up.  It’s bad!  Especially if your white cell count is consistently low.  I was supposed to have an avastin infusion last Thursday but I took most of that day off and all of Friday and slept.  There isn’t much else you can do.  Today is the first day I have felt better with some good energy.  I’m going to see if I can set that up this week. 

Avastin, because it cuts off the blood supply to the tumor, can not only work on slowing the tumor’s growth but can also help with brain swelling.  As I’ve posted, I’ve had some issues with focal seizures on the left side since my gamma knife surgery so this can help lessen these in theory.

I am still juggling meds to control seizures.  I had a few late last week and one in the middle of the night that woke me – that was new.  It was like someone shook me!  It was like all the others though.  So we added back in a med that gave me a bit of vision issues last time but I’m taking it every other day and at a lower dose.  I started this on Friday.

My son Aidan came home the other day and said he had a Father’s Day present for me and asked “Can I give this to you now and then we can do it again on Father’s Day”?  Sure.  First he made this great card – a picture of him in an over-sized suit jacket and a tie with a caption that read “this is what my dad wears to work” and then a note that read “Thanks Dad for making the money for our family to live here.  Your the best dad.  I love you”.  SO FUNNY!!  The picture is priceless.  Then, the present is a river rock that probably weighs about 5 pounds – no kidding!  It’s painted brown and with black paint he painted “I love you Dad”.  Now, I never in my professional career found a reason to use paper weights.  It’s not like people are working on rooftops or in the middle of a sidewalk.  What are they supposed to do?  But, I have a government issued, Aidan-reconditioned paper weight in case a wind storm hits our high-rise and I don’t have windows anymore!

This week hopefully I can have my Avastin infusion.  I’ll have an MRI in another 5-6 weeks I believe – don’t pay much attention anymore.  Just try to stay in today and live life.

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Seizures and Medication – So Much To Track

Medications, Seizures No Comments »

Our 2 year old son Keegan had his second set of tubes put into his ears this morning.  If any of you have ever had your children go through the tube surgery, it’s rough when they come out of it – confused, sleepy, etc.  He did fine and is at home.  We set him with an Elmo video and he was a happy boy.  We’re hoping this is the last surgery!

I have another vaccination tomorrow.  I’m so thankful that we were able to make 3 years worth of vaccine from the tumor tissue and white blood cells taken back in October and January respectively.  So far so good.

I am still struggling with seizures.  Recently they have become slightly stronger and longer in duration – at least 5 minutes and it concerns me.  I might be pushing too hard – not sure.  Actually it’s a combination of several factors.  Sometimes it’s easy to find myself wanting to tackle so much .  I’m used to making long lists and blowing through them.  I think when I let everything in – combining my profession with my medical needs – appointments, a mix of meds to keep straight and track, treatment options, and most importantly my family and time with my kids can just get to be overwhelming sometimes and I’m in that place today – at least at the moment.   I’ve spent the better part of the last week trying to sort this out with my neurologist and neuro-oncologist.

We’ve increased doses, lowered some, added a med, etc.  I’ve run into some vision issues after changing some so we’ve made other changes and the seizures start again – every few days perhaps.  It’s a matter of finding a balance but it’s a fine line.  What complicates the seizure control is I have been told that because of the location of my tumore (on the motor strip), seizures are likely to increase in frequency/severity post-gamma knife up to about 6 months.  I can only chase the problem to a point but it’s hard to get out in front of them.  I don’t want to go on decadron or any other steriod to reduce swelling because I’d have to stop treatment at that point.

More to come – this to me is really a small issue in spite of dedicating a post to it!  The good news is the tumor was stable as of the last MRI – and I just need to stay in today as I always say.  Sometimes the frustration boils over this morning was one of those mornings.

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Current Status

Chemotherapy 3 Comments »

I haven’t posted for a bit.  I’ve been trying to balance out my seizure meds.  The second medication I was prescribed raised the levels of another medication I was taking so we had to back off the dosing of the new med.  I started having some double vision – this is the same condition that led to the 911 call some time ago.  So far, backing down the med has helped and I haven’t had a seizure and my vision seems ok.

I will be folding Avastin back into the mix.  I will have labs today and start tomorrow with an infusion.  You may recall this is not a drug that will pull down my immune system.  We are just throwing whatever we can at this. The vaccine seems to be helping fatigue for sure.  My current issue, however deals with walking and weakness on the left side.  I’ve regressed in this area so I am going back to physical therapy for conditioning.  It’s just something that has to be done.  My heel striking is ok but I’ve started having a roll in my foot when walking and I’m hyper-extending my left leg when walking.

Aidan and I have been having a good time playing bball.  He loves to play horse.  I can jump about as high as Keegan!  But, I can get out there and shoot and do pretty well.  I’m just spending time with him and at night reading and talking is great.  Keegan and I have some fun but at 7, Aidan can really whip a football and it’s really fun!

More to come…

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MRI & Current Times

MRI 4 Comments »

I should hear back from my Neurosurgeon and Neuro-Oncologist today.  I left a message with both.  I thought more about the seizures and I think that because I’m becoming more symptomatic pretty quickly (3 focal seizures in a week), waiting until the end of May for an MRI is a little too long for my comfort level and perhaps we should do one now.  This is obviously an aggressive tumor and in spite of the fact we folded in gamma knife in March and may assume this took care of growth at that time, the fact is we don’t know whether the seizures are being brought on by growth, brain swelling, damage to the motor strip from the gamma knife process (not surprising if so), etc.  I think we need to do it though.  With the recurrence that happened 4 months after my resection in October and “most” recurrences after the first becoming sooner and sooner in elapsed time, I want to stay totally on top of this.   

I’ve been thinking over the last few days about how the so-called “economic down-turn” (which is government speak for recession) has brought some families closer together and taken us back to some core values.  I know for us, it’s built on what naturally happens when fighting a brain tumor and what existed before. 

Most families come together after the diagnosis and are more judicious about how, where and with whom they spend their time.  I think coupling that with the economy is creating more closeness – or it creates the opportunity.  More people are spending time at home – not eating out as much or shopping.  I don’t think there is anyone I know who hasn’t made some type of change to their financial matters.  We refinanced our home.  We found a better deal on cable TV.  But this tightening of the belt as it were is something that can be a positive.  It’s the media that creates so much fear and hysteria about things.  Yes, everyone has to be careful right now and some are in very hard times – and I pray daily about the problem but God will prevail.  In the media, however, the world is going end, right?  The same message was sent a few weeks ago with the swine flu – pandemic!  Remember SARs?  Who can forget the bird flu – the list goes on.   I’m not suggesting at all that these didn’t  effect anyone – they did and it was awful – just like brain tumors and other diseases they are of earthly creation.  The point is the media drives fear and panic.

I find that us the most difficult issue is when I’m not feeling great – it puts a lot of pressure on Rachael and she feels the burden of the evening or weekend day upon her.  Lately I’ve felt pretty good with the exception of the seizures which can put me out of condition for awhile.  I think it’s hard to support each other sometimes when two people are in survival mode at certain times.  We honestly struggle with this.  But, on the other side of the coin (the shiny side!), I’ve been outside with my kids in our backyard playing catch with my older son.  I’ve been able to play with our youngest and I’ve been spending a lot of time with Aidan at night reading books and just talking.

On a funny note, the other night Aidan needed to get out of the bath.  He had his hair and shoulders so lathered up it looked like shaving cream!  But nowhere else – just on his head and shoulders.  Rach asked, “Aidan, why do you have so much so soap in your hair and on your shoulders?”.  Aidan said “Well, the bottle over there says Head AND Shoulders so I want to make sure I do it right.”  Kids can make you laugh – you just can’t do it in front of them sometimes.

Random post.  Don’t forget Mother’s Day on Sunday!!

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Seizures

Seizures 1 Comment »

I think the effects of the Gamma Knife surgery are really beginning to come to the surface now.  You might recall from the past (review for regular readers) that my brain tumor is right on the motor strip in the right frontal lobe.  Therefore, the targeted area involved the motor strip and seizures was one of the likely effects of this type of procedure.  My surgeon told me that they would likely become more frequent and increase in frequency.  When you think about it, I received 60Gy (Gy is pronounced “grey” which is the unit of measurement for radiation) of IMRT radiation over 5 weeks.  Gamma knife was about 24Gy in one shot.  It’s not difficult to understand how this might create some trauma.

I’ve had focal seizures (seizures confined to the left side of my body – typically in my left shoulder and arm) here and there but there seems to be some regularity developing in spite of increasing meds and folding in a new drug.  I’ve only been on the new drug for a little while so I need to give that time but the only way to describe the feeling in my left arm is it feels like there is a seizure right under the surface that could break through at any time.

I’ve had seizures on 4/28, 5/1 and 5/4.  Yesterday was laughable!  We are refinancing our 1st mortgage – hey if you haven’t do it.  It’s a good time!  Anyway, we were getting some final paperwork notarized and sent out in a fedex store and just as everything was laid out, I felt it coming on.  Perfect timing!  We needed to get this stuff out but what am I supposed to do?  I told Rach that I need to take a quick walk.  So I walked down the strip mall where it looked nice and quiet so I could go finish my seizure and return to sign the paperwork!  How lame is that?!  Luckily it was a normal 5 minute deal and Rach had all the signature lines all organized for me.  I was also glad that my oldest son didn’t follow out – he hasn’t seen that side of this and I’d still like to keep it that way.

I need to find out another answer here.  I’ll keep tracking it with log.  I haven’t had to log these since my 1st surgery really but this is when logging is important.  You simply can’t remember details like when it occured, the duration, if you took medication to stop it and any other info you need to document that may be important.

Other than this issue, I’m still feeling good – plenty of energy.  Something is working but I’m concerned mostly about brain swelling and want to avoid steroids which is where they would go if we can’t control it with standard anti-convulsants.  I’ll get it figured out though.

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