Author Topic: New and not happy  (Read 12283 times)

thornapple

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New and not happy
« on: September 12, 2006, 09:20:48 pm »
Hi. Nice to meet you all.

I was just diagnosed, after being told I didn't have an AN for almost six years. My first MRI with contrast was five years ago and they didn't find it....so I spent the last five years thinking, "Well, at least I don't have that."

Only, I do. I got fed up with the platitudes of my previoius ENTs and found myself an otoneurologist who ordered a new MRI. This doctor was much more thorough, and found it where it has been all along. So now I am in shock and panic.

My tumor is INSIDE the cochlea (nothing normal about me) and I don't have much information other than that so far. A rare incidence of a rare tumor.

I am mourning my hearing and dreading the coming ordeals. I don't feel well much of the time and have the usual physical and cognitive difficulties that vestibular disorders present. I have already had lifestyle changes due to my balance, hearing and tiredness issues. I don't expect things to get better....am I right?


Labott

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Re: New and not happy
« Reply #1 on: September 12, 2006, 10:06:29 pm »
Thornapple:

  Sorry to hear that you've joined our club.  The diagnosis is shocking and disturbing.  Fortunately, we have several treatment options to choose from.  So get informed about them, know what the risks/rewards are, and make the choice that's best for you.  Treatments will not restore hearing, eliminate balance issues, or stop the ringing.  But they aren't as bad as you seem to think they are.  All things considered, if you're destined to get a brain tumor, this is the one to choose.  It's slow growing, treatable, and in most cases not life threatening.  Most of us go one to live happy and fulfilling lives.  So will you! 

   Keep us posted on what you learn and what you decide to do.  You'll find a very knowledgeable support group here to help you through it. 

-Labott
Radiosurgery 02/02/2006 1.2 cm  - right side
@Emory Univ Hospital: Drs. Douglas Mattox and Ian Crocker

Kathleen_Mc

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Re: New and not happy
« Reply #2 on: September 12, 2006, 11:31:47 pm »
Thornapple: You will not regain what is lost (or highly unlikely) but isn't it nice to know after all these years what is wrong?
I too was misdiagnosed for about 5 years and basically seen as "psycho" and (unknown to me) my parents began to believe I was a substance abuser (I was on major pain killers and sleeping pills). I actually felt a great sence of relief when the tumor was found that my suffering was going to end.
No life after treatment is not 100% but before diagnoses it wasn't 100% either and I think it is far easier to deal with the after effects of the surgery than symptoms for which I didn't know the cause and "nobody" believed there to be a "real" cause for.
Kathleen
1st AN surgery @ age 23, 16 hours
Loss of 7-10th nerves
mulitple "plastic" repairs to compensate for effects of 7th nerve loss
tumor regrowth, monitored for a few years then surgically removed @ age 38 (of my choice, not medically necessary yet)

tony

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Re: New and not happy
« Reply #3 on: September 13, 2006, 12:31:31 am »
I understand your worries, in one sense you may get better
 - basically having two balance nerves one of which is mis-firing
often causes more problems than just one - which works OK.
Yes you have to adjust post-treatment
but given time things improve.
My own experiances with hearing are similar - I have lost
the distorted sound from the left side - so overall
the useful day to day hearing has improved (though technically unchanged)
So, post-op you may feel "Yuk" for a while
but given time yes it will get better
Best regards
Tony

Obita

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Re: New and not happy
« Reply #4 on: September 13, 2006, 05:06:33 am »
Good morning thornapple:

Sorry you need to be here.  Many of us were not diagnosed until much later than we should have.  We KNEW something was wrong in there. 

Where do you live?  Do you like this new Dr?  And what did he/she recommend you do?  Is the tumor still small?

The shock part does wear off.  Once you have your consults re:  radiation and surgery you will want to get it over with and move on. 

You can write to me any time if you have surgical questions,  I don't know anything about radiation but many on this forum do.

Best of luck,  Kathy
Kathy - Age 54
2.5 cm translab May '04
University of Minnesota - Minneapolis
Dr. Sam Levine - Dr. Stephen Haines

thornapple

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Re: New and not happy
« Reply #5 on: September 13, 2006, 06:06:55 am »
It's lovely to hear from all of you. Well..."hear". Heh heh heh.

I, too, was offered misdiagnoses and prozac, so I wouldn't care that I don't feel well, I guess, or because various medical people thought my symptoms must be from depression. I have often been too tired to be pushy about it but every now and then I would just get pissed off and go back to the fight to get someone to figure out WHAT this was. The last diagnosis I had was eustachian tube dysfunction!!!!!

This time, with the increase in symptoms, I changed my primary care physician to a new guy (the old one was blowing me off) and asked him to give me a referral to a new otoneurologist instead of my last ENT, because I had discovered that an otoneurologist was the best choice for someone with vestibular disorders, and not some ENT who dealt primarily with profoundly deaf children. To that ENT, I was a hobby. To the otoneurologist, I was a challenge, a fun brainiac puzzle which he was able to solve, and I am feeling great relief to be one of his patients. It is always worthwhile to find the right medical care!

over the years, the docs have thought I was malingering; my co-workers are the ones who think I am psycho, because when I have asked them to make allowances for my developing hearing and balance problems, they have been--well--classic cases of inconsiderateness, and it really made me angry. Some of them thought I was faking it.

I am very pleased with this doctor. He is brilliant, and I am extremely grateful that he is so competent. However, acoustic schwannomas are not his specialty; balance issues and vestibular disorders are. He thinks I should leave the tumor alone because he thinks (from his literature review) that if it fills up the cochlea it will stop growing, and I will be able to adjust gradually to one-sided deafness and balance loss. He thinks I should avoid surgery, because that would produce instant deafness and balance issues, and would be traumatic.

I think this plan has a great deal to recommend it, and I don't mind having "slinky" in my cochlea (yeah, we named it) as long as it doesn't get out.

I intend to get a couple of specialist's opinions of what is thought of this agenda. I realize that if you ask a surgeon what to do, he or she will say "cut it out", and if you ask a radiological specialist what to do, he/she will say "kill it".

I also ordered up my five year old MRI to have the second radiologist review it. My suspicion is that "slinky" is there, and the first radiologist missed it. I also plan to visit with my second ENT, who never ordered another MRI, even though my ABR test was abnormal on the right side. I'm not vindictive; I am a teacher. They didn't do their jobs well enough to help me. If I don't tell them what they missed, they will go on preening themselves, thinking they are just the coolest guys since sliced bread, and other people will end up misdiagnosed.

I think I will go dancing this weekend while I still can. I may have to sit a lot of them out, and I may fall down, but so what? I'll be dancing! 
« Last Edit: September 13, 2006, 06:13:26 am by thornapple »

Desilu

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Re: New and not happy
« Reply #6 on: September 13, 2006, 07:04:21 am »
Hi Thornapple,

May I suggest that before you make a final decision, send your films out to House Ear Clinic in L.A. They will give you a free phone consultation. I was very happy with Dr. Brackmann but there are many good doctors out there. Their website is www.hei.org  they just about wrote the book on Acustic Neuromas. Keep a postive attitude and hang in there. We are all here to help, any questions please feel free to email me.  Ann
HEI July 26, 2005
5mm X 8mm Left AN
Middle Fossa
Dr. Brackmann & Dr. Hitselberger

pattibobatti

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Re: New and not happy
« Reply #7 on: September 13, 2006, 09:27:00 am »
Welll, I knew that last post was coming!!!!!!

And I'm glad it did.   It is very importanat to get your mri in the hands of really experienced Dr.s....

Desilu is giving very good advice and I do hope you will do that.

Read up and you will understand why!!!  I think you will feel much better when you have more informed options...

TAke care,
Pattibobatti
17 mm AN removed 1-16-06
  retrosigmoid
  paralysis, cornea transplant,avascular necrosis

   'Are we having fun yet?'

Kathleen_Mc

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Re: New and not happy
« Reply #8 on: September 13, 2006, 06:23:45 pm »
Thornapple: To believe that when an AN fills the cochlea it will stop going is wrong, once it fills the cochlea it will then grow out into the space outside of it (further into you head) and eventually put pressure on the lobes of your brain. This is not something to hold onto hope it will "just stop growing" and requires regular monitoring if one is not wanting treatment at this small stage. Just remember the small the tumor the more options you have for treatment.
Kathleen
1st AN surgery @ age 23, 16 hours
Loss of 7-10th nerves
mulitple "plastic" repairs to compensate for effects of 7th nerve loss
tumor regrowth, monitored for a few years then surgically removed @ age 38 (of my choice, not medically necessary yet)

thornapple

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Re: New and not happy
« Reply #9 on: September 13, 2006, 07:39:59 pm »
This doctor has found published cases in medical literature of instances where, once it fills the cochlea, a tumor has stopped growing. Of course, I understand that doesn't mean it will happen that way with me, no matter what this doctor has discovered in the literature.  I think I expressed that pretty clearly. That is why I am seeking other opinions.

I have been diagnosed for five days. I am pretty sure he has regular monitoring in mind. In five days, there has not been an opportunity to set up a monitoring schedule. I expect there will be another MRI in 6 months, and then an annual MRI.

I have no idea how big the tumor is at this point. I have not seen the flms or met with the doctor in his office to go over the written radiology report. 

I HAVE "read up" extensively, studied this five years ago at length and again recently, and fortunately know anatomy, biology, physiology, medical terms, prognosis, treatment, cytology, surgical approaches. I have been to and read most of about 75 websites in the last five days and already am in contact with someone at Johns Hopkins to inquire about their procedures. I also, amazingly enough, have two friends who have each had an acoustic schwannoma surgically removed.

I am obtaining all my records and films and will be deciding where to go for second and  third opinions, etc. in the next few weeks. Once again, it has been five days. Within eight weeks, I expect to have at least two other reviews of my case and a complete encyclopedia on my tumor. Right now, I am new...but I ain't stupid.  ;D ;D ;D


Obita

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Re: New and not happy
« Reply #10 on: September 13, 2006, 07:48:26 pm »
Howdy again thornapple:


I can still dance.  I don't do a whole lot of spinning but I can do it.  

Dance your butt off this weekend and let us know how your consults go.

Kathy
Kathy - Age 54
2.5 cm translab May '04
University of Minnesota - Minneapolis
Dr. Sam Levine - Dr. Stephen Haines

ppearl214

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Re: New and not happy
« Reply #11 on: September 13, 2006, 08:02:33 pm »
Hi thorn and welcome.

You obviously have a very unusual situation where the growth in in the cochlea.  As much reading and talking and such, I'm glad to hear that you feel comfortable with your doctor, as for me, that is priortiy in any medical situation.

As you are fresh/confirmed diagnosed, please obtain copies of your MRI and MRI report by the radiologist.  AN's are known (primarily) for being slow growing, but many (especially for young folks), they tend to be more aggressive in growth (as Taylor, Chris, etc here can attest as they are in their teens and 20s and had rapid growing AN's, as well as mine and I'm in my *coff* 40's).  Only mother nature will know how fast your's will grow, so follow up MRI's are very important, as you know... but being your own best patient advocate is another.

I researched and researched and cried and carried on, all leading up to my treatment this past April.  Do not take anything for granted. I also sent my films to House Clinic for a phone consult  with Dr. Brackmann... he gave me his reasons for microsurgery, as well as my own brain surgeon here in Boston, Dr. Peter Black... I also researched radiosurgery extensively and for me, I made the best possible decision I could.

Everyone here that has been active for a while will share that "individual results may vary" and around here, they certainly do.

Growths are growths, regardless of where in the body and what type.  Trust me, I have more than I care to share here (many here know my "growth" histories).  I have learned that no growth is to be ignored or thought of as "well, maybe it just won't grow any further".  I know that sounds crass, but as one with too many growths in my body, I have to note this, based on experience, that I know you are not stupid, so please do not assume.  Your AN needs attention and at some point (and if it is slow growing for you, all the better), it will probably require further intervention.

Based on what you share here, I have faith in you to continue your education on all options, all possibilities, all potential outcomes. I have faith in you to ask questions to those here that do know and understand what it is to be in these shoes, many of us post treatment (all options).  I have faith in you to know that we are a terrific sounding board and shoulder and serve up watered down drinks, but most of all, it's those of us that live through it daily (and not the ones that treat and then head home to a different life come end of the day) that can share the most.

Hang in there... we are here for you.
Phyllis
"Gentlemen, I wash my hands of this weirdness", Capt Jack Sparrow - Davy Jones Locker, "Pirates of the Carribbean - At World's End"

pattibobatti

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Re: New and not happy
« Reply #12 on: September 13, 2006, 09:15:13 pm »
FORGIVE ME BUT IT SOUNDS LIKE YOU HAVE AN ATTITUDE.  WE HAVE ALL BEEN THROUGH A LOT.  PLEASE LET ME  KNOW THAT I AM WRONG


PATTIBOBATTI
17 mm AN removed 1-16-06
  retrosigmoid
  paralysis, cornea transplant,avascular necrosis

   'Are we having fun yet?'

ppearl214

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Re: New and not happy
« Reply #13 on: September 13, 2006, 09:19:09 pm »
Patti, can you please clarify who that comment was to? Thanks.

Phyl

FORGIVE ME BUT IT SOUNDS LIKE YOU HAVE AN ATTITUDE.  WE HAVE ALL BEEN THROUGH A LOT.  PLEASE LET ME  KNOW THAT I AM WRONG


PATTIBOBATTI
"Gentlemen, I wash my hands of this weirdness", Capt Jack Sparrow - Davy Jones Locker, "Pirates of the Carribbean - At World's End"

pattibobatti

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Re: New and not happy
« Reply #14 on: September 13, 2006, 09:31:48 pm »
phyll,


This was not intended towards you

pattibobatti
17 mm AN removed 1-16-06
  retrosigmoid
  paralysis, cornea transplant,avascular necrosis

   'Are we having fun yet?'