Background and overview

I learnt more about the health system from being an inpatient than I had in 20 years of working as a neuropsychologist. I was unexpectedly diagnosed with two brain tumours on 4/9/13. They turned out to be grade IV Gliomas (glioblastoma multiforme (GBM)). After removal of the right parietal and left occipital tumours, I received the standard treatment under the Stupp protocol (combined Temozolamide (TMZ) and conformal radiotherapy 5 days/week for 6 weeks), but the TMZ had to be ceased after 5 weeks because I had started to develop pancytopenia, where more than one of my blood counts had begun to drop. By Christmas 2013, I had become anaemic and needed a couple of blood transfusions. I ended up in hospital for 3 weeks of the 2014 new year after experiencing my first seizure (suggestive of a right temporal lobe focus) on 31/12/13). They were so worried about my bone marrow, they did a biopsy. Luckily, it was all clear of any nasty disorders. It had just been suppressed by the TMZ My blood counts slowly returned to normal with daily injections of GCSF, which stimulate bone marrow function, for several months. For 17 months I was doing better each day, without any physical impairments or major cognitive problems A third brain tumour was found in the right temporal lobe on 2/1/15, and removed 6/1/15, only to reappear on 17/2/15 after I started to feel vague symptoms at the end of 2014. I had my 4th round of brain surgery on 1/3/15, followed by stereotaxic radio surgery of a residual, inoperable, tumour, on 17/4/15. I've been feeling like my old self again since that highly precise form of radiotherapy, and it feels fabulous.

My way of coping.
I choose to live in hope that everything will work out for the best. I've learnt that even though things are sometimes unpleasant, life and love go on forever. I put my faith in the life force that created and unites us all in love, across all time, space, and dimensions. I refuse to succumb to fear, which is an invention of our imaginations. There are an infinite number of things to fear, both in this world an in our imaginations, and most of them never eventuate. I choose not to dwell on them, and to focus instead on counting my many blessings, current and past, and to have faith and hope that if I look after the present moment, the future will look after itself.

If you're reading, and haven't been in touch, please don't be shy, send me a brief private message using the contact form on the right. It's nice to know who's out there. Blogging can leave me feeling a little isolated at times (I used to have recurrent dreams of being out on a limb over a canyon, or of starting to strip off in a crowded waiting room). Your emails are appreciated, although I can't necessarily answer all of them.


Tuesday, 31 December 2013

New year, new things to learn

 The on-call haematologist visited today, my haemoglobin had gone down since yesterday, but luckily was up on the  second sample today (taken from the inside of my wrist by the registrar... Ouch!), so I don't need to have a transfusion, well not today at least. I wasn't looking forward to having another one after yesterday's fun and games, in which I had rigors, tachycardia, and a fever, then a seizure on my second unit of blood. My obs have all been normal today, thankfully!

The haematologist wondered why my platelets are low, and asked if I was bleeding anywhere. I'm sure I'd notice if I was. there's no blood in the things I excrete, so I have no idea! If I am bleeding, it must be an occult bleed - so I might need upper and lower scopes. I hope not!

Haematology is something I haven't grasped yet. And don't particularly want to, though understanding it would possibly reduce the anxiety of dealings with something I don't understand. Not understanding raises multiple unknown possibilities, which waken the scary monster under the bed. Understanding helps me turn on the light and show there is nothing to fear.

I'm not afraid of dying, I know our souls are eternal and that we never leave the ones we love, that time is an illusion...I just don't want to die any time soon. I have too much to do, over many more years. I want to stay alive to cherish and nurture my boys, to try and help people where I can. I feel so much love for other people and every creature, it feels like my heart could burst. 

I remember when David was born, I felt such a sense of wonder at the miracle of life, and for a while  I was aware that every person I saw, particularly the grumpy ones, had once been a helpless baby, and that every single one of us is a creature of light, needing compassion and love.

Being in a shared room is making my heart even more open to others. A colleague is in the bed next to mine, two little old ladies are opposite me, one is the mother of my grade five teacher, who just came and said hello to me. I didn't recognise her after 35 years (her hair is funkier than mine), it was soooo good to talk to her. She said she'd written something in my report that she'd never be allowed to write today- that I was "university material". I told her how glad I was that she'd written it, because it opened up the prospect of Uni to me, and to my father, in a family which had not traditionally gone on to higher education. It was so good to thank her for being my teacher, I remember nearly all of them with affection and gratitude, and wish I'd had the chance to tell them all.

I'd better go now. I'm having a CT angiogram tomorrow with a view to having a new infusaport inserted on Friday. The CT is necessary to check for scar tissue in the vein that held my original port. If that vein isn't suitable, then they can either use my jugular vein (neck), or my femoral vein (groin). I'm visualsing a very healthy, unscarred, original port site. The thought of having a port in my neck or thigh is not exciting.

They didn't state it explicitly, but I think the port is needed to help with regular blood collections, and possibly tranfusions. I have two good veins in my right arm, but one has a cannula in it now, and there's a risk they could become unviable with repeated access. I'm not keen on having blood taken from my groin or legs. An infusaport is much more convenient for repeated collections and infusions.

wishing you all a safe, healthy, and happy new year, filled with appreciation of the simple things in life

Much love,
Fiona