Friday, July 25, 2014

Reflecting One Year After Receiving a Brain Tumor Diagnosis and Having a Craniotomy
Question:  I understand you were diagnosed with a brain tumor and had a craniotomy.  I know someone who was recently diagnosed with brain cancer and had a similar surgery.  I’m curious how you are doing after the surgery and if you have any general advice going forward?
Answer:  In reaching out to others like you did, I’m repeatedly told that everyone’s experiences after surgery is different.  Thereis a lot to say, but here are my two cents:
1.​Surgery Recovery.   I was diagnosed with a grade 2 astrocytoma in my right frontal lobe and merging into the corpuscolossum.  The craniotomy recovery process was long and slowfor me. I was in the ICU for 2 days after the surgery.  I had strong headaches for several weeks.  I had a huge shiner under one eye – as if I lost badly to Mike Tyson.  Two days after surgery, I could not move my left hand, which the surgeonwarned me about ahead of time as a potential reaction from surgery due to the brain swelling from the surgery.  I was on a med called “oxy – something” for headaches for a few weeks.  I had trouble walking –more from the pressure build up in my head after surgery.  Sometimes I’d have to sit after about 10-30 seconds of walking due to the pressure in my head.  In the first few weeks, I could not tolerate loud noises – even the closing of the microwave bothered me. I had regular night sweats, bad dreams, headaches, and tremors for a few months after surgery.  My headaches lasted for about four months – mostly dull, minor ones but annoying.  Four months after surgery, I started back at work – as a lawyer, mostly involving reading and reviewing contracts – and my headaches returned.  My doctors told me that my “return-to-work headaches” could have been from fatigue,reading, or the remaining tumor.  All doctors I went to said that headaches are normal after the surgery.  About five months after surgery, I had occasional headache free days – hooray. I took naps for the first two to four months after my surgery.  
2.​Fitness. If you are into fitness, here are my thoughts.  Before my diagnosis, I ran half marathons.  In the few days after surgery, I could barely walk.  It took me several weeks before I could walk one mile.  I lost all my fitness and had togain it back from scratch.  I took a very patient and slow approach.  Slow and steady wins the race, a fellow survivor told me.  I took that to heart.  I was cleared to jog after my first follow-up MRI post-surgery (4 weeks after surgery).  I just kept walking to build up endurance.  Five months after surgery, Icould finally walk two miles.  Nine months after my surgery, I began jogging.  Ten months after surgery, I finally managed to run for five straight minutes, albeit slow.  One year after surgery, I ran a mile without breaks.  I then started a “couch to 5k” plan.  All my doctors have stressed that exercise is great for recovery, and their only caveat is “don’t overdue it.”  I’ve yet to have a doctor give me more specific info on exercising.   I know of a girl who had a surgery to remove a tumor closer to her brain stem.  She was able to run a marathon about 5 months post-surgery.  Incredible.  Maybe I could have done that too.  Who knows.  But I adopted the motto, “slow and steady wins this race.”  
4.​Stay Positive. Nearly every article about beating cancerurges survivors and caregivers to stay positive.   For me, that was hard to do when I had headaches.  It’s easy to feel good when you feel good physically.  But for me it was hard to feel good and positive when I felt crummy.  I stayed as positive as I could.  After a while, I realized I could still play soccer with my kids, exercise a bit, work, eat, walk, and feed myself.  So things can’t be so bad.  As the Lizarmy blog put it, living with a Grade 2 brain tumor is doable.