Nicole's mother 'reporting' again.....
Hopefully this image is not too terribly graphic for fellow bloggers. It passed the 'squeamish' Dad test, so we figured it would be alright to post. You can see why her pain extends down into the neck with the backward 'S' incision.
Dr. T, the head neurosurgeon, said she is able to leave the CCU tonight and go to either Floor 8 or 9 in the Meyer building at Hopkins.
Last night Nicole had an MRI which showed swelling (predictable) of particularly the cerebellum. The word 'infarct' was mentioned, which was concerning, but when we spoke this afternoon with Dr. T, he explained this better to Nicole and I. The tumor, being quite large, was taking up considerable space and compressing many areas such as the cerebellum. Now that the brain has more room, it is expanding back into areas formerly occupied by the tumor . He said the MRI Department will use the word 'infarct' with what they see from the portion of the cerebellum removed, but there was no stroke.
Dr. C from Dr. F's ENT group said she is doing well but will need PT and OT after discharge. He said they would evaluate her progress at 6 weeks but it may be 12 weeks before she's really able to do most things. She was given some 'homework' by the Vestibular PT Department (Yes, there is a specialty within Physical Therapy specifically dealing with Vestibular disorders). One of the tasks she had to try gave me a headache just reading the description! It involves looking at a small 'X" and then turning your head side to side as you keep your focus on the 'X'.
Nicole will need to keep her L eye covered for some time because of corneal drying (She's still not able to totally close that eye when the other one closes tight). They are using a circle of Vaseline around her eye and then a Saran wrap piece to cover it.... so she can semi-see out of that eye.
This morning Nicole was trying to walk a bit with assistance. She feels like her left foot is cooperating more but she's still unsteady. The 'walk' with her nurses really tired her out and she was feeling worse this afternoon - she admits she probably overdid it.
She's down to IV's just in her R hand and a pain level around 5. She ate a few mandarin oranges and drank a little milk for lunch - hopefully she'll feel more like dinner when Matt is there.
Seemed to be a lot of confusion over whether she had to stay in the CCU another night or not. The ENT group was saying she needed to stay another night. Dr. T. said she could be moved. (By the way, he was out earlier in the week from a kidney stone, not Nicole's case!)
Since Dr. T. is the 'head' surgeon, apparently what he says goes, so she'll be moving on!!!
My sister, (Nicole's aunt Cathy), will be coming in to stay with her this evening. Dr. T. said this would be fine. Cathy is a nurse at St. Agnes so she figures if she's given any grief about being there overnight, she'll go into 'private duty nurse' mode. Nicole is still feeling apprehensive so hopefully having Cathy there will help her rest and sleep.
Thanks for keeping us updated. I have sent you a picture to your email which I Nicole will enjoy. Nicole and I became better friends through planning our 5 year HS reunion. Thanks again!
ReplyDeleteHello there - I am a friend of Steve's from high school. I started following your blog when I heard the news about Steve's family member. I also have a brain tumor (though it is small, so no surgery yet) and see the neuro people at Hopkins. Nicole, I am wishing you all the best as you recover. My thoughts are with you and your family. I hope the most difficult part is behind you as you move forward each day.
ReplyDeleteAll my best, J
Please let us know if you all need anything. Jason and I live not too far away from Matt and Nicole's house. If they need any cats fed, kids watched, or anything give us a call. Matt has Jason's number.
ReplyDeleteOur thoughts are with you!
~ Kelli
Susan and Rick,
ReplyDeleteI am glad things are looking up for you. This is Lee, Maureen's friend. I am very familar with eyes not closing properly with Melissa issues. Some suggestions from Melissa's doctors. There is a lube that is very thick call Refresh PM sold over the counter no preservatives to put in eye at night. Missy doesn't like it since it makes everything very blurry and she has trouble watching TV after it is in. But if eye covered, then this will not matter. (Keep in mind, Missy has done this for a life time and we had many "childhood" complaints). There are two other types to use during the day that also have no preservatives one of those was Celluvisc by Refresh and another one Bion. She personally like Bion better, less thick. I liked Celluvisc since it provided better protection if in sun, or wind. She will use these drop still today because she was able to get use to them. I hope this helps. You may want to contact a Eye Doctor, cornea specialist if this continues. It can be very painful when eye becomes inflamed due to dryness. Hope this helps out. You guys have been in my thoughts!
Lee Cepko Bargagallo