I just got home after spending the last three days in the hospital. š
On Friday my vision had gotten so blurry with double vision that I went to the eye doctor. It had been blurry since surgery, but it was definitely getting worse. When they dilated my eyes, the ophthalmologist saw that my optic nerve was compressed with blurred edges and told me I needed to contact my neurosurgeon right away.
By the time I got to the parking lot it was almost 5pm, so I left messages. One of my doctors replied and suggested the ER. After some convincing, my mom took me in. The on-call neurosurgeon immediately ordered brain MRIs and an MRI flow study to check for blockage, leak, or any undetected damage from surgery. The MRIs were clear, but I was admitted for further testing and observation because I was showing signs of brain swelling.
Yesterday a specialist came in on his day off. He spent the whole morning studying my case and my Chiari Malformation before doing a careful spinal tap. Because of my higher risk (the procedure can create a vacuum effect that could cause my brain to herniate again), he only took 3 ml of spinal fluid instead of the usual 10 ml. He left the needle in for several minutes to measure my CSF pressureāwhich came back normal. All the scans looked normal too, but the team still believes something is going on (the optic nerve can show swelling before the brain does on imaging).
They did another MRI today (MRV) to check my veins. It was clear, so they decided I was stable enough to go home. I was discharged today and will follow up with the ophthalmology team at Emanuel tomorrow.
Iām trying not to panic and just focus on the next step. Godās hand was truly over this whole weekendāfrom the ER doctors to the consulting neurosurgeon to the specialist who came in on his day off. Iām so grateful.
For now Iām home and resting. Thank you for the prayers. š
Thank you everyone for praying for my appointment with the neurosurgeon in Colorado. The prayers were needed. Travel was hard on my body.
We flew Sunday and rested Monday. Tuesday was appointment day. We were up at 4:30 a.m. our time to take a Lyft to the clinic across from the hospital for x-rays. It had to be done early so the radiologist could read it and send it to the surgeon to review before our appointment. Usually, I would get the scans done here and send them over ahead of time, but the office missed it.
After that, we walked to Starbucks to wait three hours for the neurosurgery appointment. We spent the time organizing my symptoms, notes, my questions, and questions from my physical therapists and neurologist.
After sitting in Starbucks for hours, we finally went across the street to the hospital. When we walked into the clinic, the receptionist turned around and called for a nurse. The nurse ran around the corner and said the surgeon was called into emergency surgery and I would need to come back on Thursday.
Right away, my mom and I said in unison, āWe flew from Washington.ā There was a scurry around the corner, and we waited a few minutes for a nurse to come and say that we could come back at 3:30.
We went back outside and had to figure out what to do while we waited. We didnāt want to take another Lyft just to come back later. We walked around a bit and then ended up back at Starbucks. It became a very long and exhausting day. I thought it would take up the morning and early afternoon, and then I would have time to rest before we traveled back home.
Finally, the time came to meet with the neurosurgeon. He is pleased with my progress. My scar is healing very well. The x-rays show that all the screws are in place and exactly where they need to be. We talked through my symptoms and how to treat or monitor them. We talked through the scary symptoms that sent me to the ER at OHSU. He had a fresh take and thinks they are related to post-surgical complications, not nerve damage. Most of the symptoms, he thinks, can be managed by medication and physical therapy. It was really good news and an answer to my prayer. Thank you everyone for praying with me for healing and through this very stressful time.
This is the most recent x-ray I had done in Colorado. The curving in my neck is from surgery and being in the brace. The brace is to keep those screws in place, while they solidify into place. I will do physical therapy in the future to strengthen and straighten the neck. The second screw going down is the one that gives me chills to look at š¬
Iām now able to lift 10 pounds and can start weaning off the neck brace. My neck muscles are very weak, so itās going to be a slow process. The brace has a knob in the front that you can pull up and twist to adjust it up or down. Right now, the brace is supporting my head. During the day, Iām going to start turning the knob to make it loose, and then when my neck gets fatigued, adjust it back up (beginning with 2ā5 minutes).
When my neck gets a little stronger and used to holding itself up again, Iām going to move to a soft collar, which doesnāt support your head as much but still protects it. Eventually, I will work to one of those travel pillowsānot for support, but to keep my head movements in range.
Physical therapy is starting slow. Iām going for walks daily with my walker. 5 minutes out and 5 minutes back. There is also therapy for my eyes. I have a popsicle stick with the letter āAā on it. I hold it out in front of me and pull it toward me until it blurs, then I restart for a few sets. Then I do the same thing sideways. Itās going to be a long time to build up strengthāespecially since I was so deconditioned before this surgery, plus the other two surgeries. My body is weak, and this next year feels daunting. I probably have two years of 4ā5 therapy appointments per week in front of me once I work up to them all. That will include balance/neck therapy, POTS protocol, speech/cognitive therapy, occupational therapy (handwriting, grip), and strain-counterstrain therapy. They almost all come with homework too.
I asked the surgeon how much longer he expected my pain to last and how high it should be. My pain is still incredibly high. My mom keeps a schedule and wakes me up throughout the night to stay ahead of the pain. I still wake up multiple times a night in pain, and thereās usually a point in the day I can feel myself wanting to slip into a meltdown like a child because the pain gets so bad it feels like I canāt talk. The surgeon said he absolutely expects it to be that high right now. He said to expect the pain to come down and feel better by the 6-month mark.
At 12 weeks, in December, Iām going to have a CT to check the bone graft and make sure it is still in place. That will also be when I have another check-in with the surgeon virtually.
These last few weeks felt so turbulent and so exhausting. I have a long way to go, but I made it past the two-month mark. Iām so grateful for all the prayers and messages. I received messages of prayers and encouragement in the moments I needed them the most. I came home to a gift from a friend and a card from an unknown sender. I donāt know who sent the card or how you got my address, but thank you so much for the card and encouragement.
The last month has been about surviving, and I havenāt been up to responding much, but thanks for all the love and support. š
Shae
Whoever sent this card to me, thank you so much, for your thoughtfulness. I received it the day I got home and it warmed my heart.