Friday, March 15, 2013

In the Beginning.....


I started this, not because I have writing skills that will keep you engaged, and not to show off my techie skills. (You can already seen through that.) This is an attempt to keep people informed. If you want the details you can visit this site and then those who do not will be saved from constant texts, emails or newsletters. You are always welcome to call, text or email me. I will never see that as anything but lovely. :)

First, Thank you! I appreciate all your prayers and concern on my behalf. It is truly overwhelming. I had gone 2 weeks with no tears but I finally broke down when I saw that Pete's cousin in Boston had emailed. Pete asked what it said, but I had not even read it yet. Just knowing she was concerned brought me to humbling tears. Thanks for all the love you have shown to our family in all its forms. Thank You.


I will start with a timeline of sorts:

OCTOBER 2012 I began random incidents of shooting, electric, horrible pain on my right jawline. Over a week I rarely ate and was afraid of anything that might trigger it. My Dr. was out of town so the well meaning P.A. was sure it was my teeth (even though I assured her it was not a cavity.) I went to the dentist who sent me to the TMJ specialist who said it might be Trigeminal Neuralgia. This is what my googled self diagnosis was so I  had read up on it. The Suicide Disease. Sounds bad right? My Dr. (shout out to Uncle Mike!) gave me a prespriction for a seizure med, Tegratol. Pain went away and I was feeling better about life. I began regular visits to the Chiropracter for Neuralgia treatment. I was also feeling oh so tight. My neck was messed up! I came out feeling so much better but never could get the tightness to go away completely.

FEBRUARY 14, 2013 I had been concerned about the long term effects of Neuralgia and taking Tegratol. I made an appt with a neuroligist who wanted an MRI scan before our visit. Valentines day I set out to the hosptal. (BTW, great day to go in, everyone was in a great mood because of all the flowers and chocolate. I even heard a barbershop quartet serenading someone down the hall.) As I was leaving the tech asked me when my Dr. appt was to which I answered, the 18th. He nodded his head and said goodbye.

FEBRUARY 15, 2013 Recieved a call that morning from Neurologists office saying, it was not neuralgia so they would cancel the appt. and refer me back to my Family Dr. Right then I knew. It was confemed when Dr./Uncle Mike called and said it was a benign tumor. To be honest I was not surprised. I had many symptoms over the years that made me think something was not right. I attributed it to old age and kids. It seemed too hypochondriac like to think my suspicions were acurate. LIKE:
Soccer girls: do you remember how I would get dizzy in the game and try running into the ground? Literally. Kim: do you remeber my several weeks of ringing in my ears and you tried to help with a wax candle? My kids definately know how I had to have a Coke almost daily trying to soothe headaches etc. Pete is well aware that I regularly ran out of energy, often going down in a blaze of glory so he had to send me to take a nap while he kept things running. And my neck pain? the tumor is so large (3.5cm) it is pushing on everything including the brain stem. For months I press on my skull behind my ear to relieve headache pressure.  Everything adds up. At this point I was so relieved and feeling so free from care. "No Neuralgia!!! A tumor is operated on and then it is gone and life will be normal soon."

FEBRUARY 2013 My parents lived in Downtown Houston and became great friends with Dr. Mims and his wife. He being a nerosurgeon, my mom had me send my MRI (on disk) to him. His feedback was that it probably was an Acustic Neuroma. The best Dr. in the world for this was Dr. Brackmann in LA at the House Institute. If it was his daughter, he would send her there. So I mailed my MRI and a letter to Dr. Brackmann.

We told our kids that Mommy has a problem in her brain and so I need surgery to take it out. They ask a few questions here and there but mostly they can't wait to have sleepovers for a couple weeks. :)

MARCH 4, 2013 My Neurosurgeon in Provo, Dr. Reichman was back from heliskiing so we finally got to meet him. He came highly recommended from everyone in the area. He was great. Pete and he are Loyola Alum so we taked about Chicago for some time. In a nutshell, He said "It is a big tumor in a bad place." He wants to use the subocciptal approach and try to preserve hearing but there is always risk to facial nerves. We scheduled March 23rd to go in. A friend (thanks Rebecca) who had a tumor out 3 weeks before gave me great advice, some on health. Pete and I started a daily dose of cow collostrum and Kefir.

MARCH 6, 2013 Dr, Brackmann in LA called and talked to me about the large tumor and the best thing would be a Translabrynthe approach. He has been publish hundreds of times and he emailed me several chapters of his book that explained it all. After reading and learning what I could Dr. Brackmann called a couple days later. We again talked about the surgery he propsed. He said even though I can hear fine (must AN patients lose hearing and that is how they find the tumor) he has never seen a tumor this big when hearing was saved. I really liked him and more than trust his skill. But I am not ready to concede.

MARCH 2013 After much reading and research this is the easiest way to understand: The tumor is benign and slow growing, therefore we have a little time to sort it out.
There are things like radiation and Gamma Knife etc. but my tumor is too big. It has to be surgery. there are 3 approaches (surgeries) used. One is a Middle Fossa approach but again, too big. so I am left with 2 options:

Translabyrinthine
Pros:

Oldest approach - longest history.
An option when there is no useful hearing to preserve.
Approach facilitates identification of facial nerve for preservation.
Any size tumor can be removed with this approach.
Con:
Results are permanent with complete hearing loss in the AN ear.
  
Retrosigmoid/Sub-occipital
Pros:
Possible preservation of hearing - 50% chance of this when the tumor is small to medium size.
Approach provides a good view of the AN in relation to brainstemPossible preservation of facial nerve.
Any size tumor can be removed with this approach.
Cons:
Hearing preservation decreases if the tumor is large.
Headaches are a more prevalent post-op side effect.

We know this is too big a decision for ourselves. (The only NOT brain surgeons in the equation.) We are praying and and doing what we can spiritually but I believe part of recieving Gods direction is educating yourself as best as you can. We have sent the MRI to 2 other DR.'s and I have an appt. with an ENT surgeon who specializes in Acustic Neuromas. We are praying for direction continually. Again we appreciate those who have also prayed on our behalf.

I will post links re: AN if you are crazy enough to think this wasn't enough to read.

We will keep you posted!





15 comments:

  1. Love the blog- genius. What a great way to let those of us who are so concerned, know what is going on. Thank you! I know this week will be a busy one for you, and it's actually slowing down for me, so I'd love to drop a few freezer meals off and say hello. We'll chat soon.
    -Sarah

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    1. I'd love to see you! Txt me when you have a good time. I'm pretty much open now. :)

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  2. Here for whatever. We never do sleepovers, so we would love to have your kiddos whenever and for as long as you need! Love you tons, you are always in our prayers! All of you and to make the right decision. Hang in there!

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    1. We don't either. That is why my kids are so escited! Thanks for the prayers!

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  3. Thanks for the blog, it is beautiful... same color as my living room! "makes me happy teal" is what i call it. If you need anything at all please ask me. I hate being far away. Take care this week.

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    1. I so agree with that description. Love you Tiff!

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  4. “BEEN THERE, GOT THE T-SHIRT TO PROVE IT”

    OK – Now that we are members of the same club, I will forgive you for not becoming my daughter-in-law.

    Your story sounds so much like my story that I will not bother to tell you my story. Same terrific pain, same tumor, same size, same location.

    Except I would add that my dentist removed my wisdom tooth, thinking that may be the problem. Also add that I had two brain surgeries – one in 1994 and the other in April 2012. The first time the surgeon did not get all the tumor - and it grew back. The second time he said that he got it all.

    In another blog, I will send you my Post-Operative email which will help you understand that the Lord must love you very much to allow you the opportunity to experience this. The challenge is to be truly grateful for what some people would consider a negative experience.

    With the miracles of modern medicine and a Priesthood Blessing, I know that you will come through this with flying colors and you will be a stronger person afterwards.

    I am doing well and life is beautiful.

    Call me if you ever need a empathetic ear.

    David Mangum

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    1. I was talking with someone who recently had brain surgery and she felt cheated that there wasn't a t-shirt or pin. You are so lucky! We always were in the same club. Just turned out different than we expected. :)

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  5. Amanda,

    We love you so much that this is the first Blog I ever reviewed.

    Dad

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    1. I don't doubt that you speak the truth. Love you, too.

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  6. My surgeon is considered one of the best brain surgeons in the world. He does a lot of these surgeries, so you may want to get his opinion as to which procedure is best to use. His name is Richard Harper, MD, at the Houston Medical Center, 713 790-1211.

    Love you, David Mangum,281-813-2707.

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  7. AMANDA - PER YOUR TELEPHONE REQUEST, HERE IS THE EMAIL REPORT THAT I SENT REGARDING MY SURGERY -- it was too large so I am sending only the PS.:
    ^^^^^^^^^^^^^
    HERE ARE SOME MORE JEWELS THAT ARE HELPFUL TO ME IN TIMES LIKE THESE – MAYBE THEY WILL HELP YOU ONE DAY:
    • “Shall we indeed accept good from God, and shall we not accept adversity?” (Job 2:10).

    • “In everything give thanks”. (1 Thessalonians. 5:18).

    • “I give unto men weakness that they may be humble … if they humble themselves … and have faith in me -- then will I make weak things become strong unto them”. (Ether 12:27).

    • Apostle Paul – “I delight in weaknesses, in insults, in hardships, in persecutions, in difficulties -- for when I am weak, then I am strong”. (2 Corinthians 12:10).

    • “Fear not, let your hearts be comforted; yea, rejoice evermore, and in everything give thanks; … and all things wherewith you have been afflicted shall work together for your good”. (D&C 98:1, 3).

    • “Nevertheless … you know the greatness of God; and He shall consecrate your afflictions for your gain”. (2 Nephi. 2:1–2).

    • “Thank the Lord thy God in all things” (D&C 59:7).

    • “He who receives all things with thankfulness shall be made glorious; and the things of this earth shall be added unto him, even an hundred fold”. (D&C 78:19).

    • “All things work together for our good, who are called according to His purpose.” (Romans 8:28).

    • “There is not a single condition of life [or] one hour’s experience but what is beneficial to all those who make it their study, and aim to improve upon the experience they gain”. (Teachings of Presidents of the Church: Brigham Young [1997], 179).

    • “Give thanks in all things”. (Mosiah 26:38–39).

    And if thou should be cast into a pit, or into the hands of murderers, and the sentence of death passed upon thee; if thou be cast into the deep; if the billowing surge conspire against thee; if fierce winds become thine enemy; if the heavens gather blackness, and all the elements combine to hedge up the way; and above all, if the very jaws of hell shall gape open wide after thee, know thou, my son, that all these things shall give thee experience, and shall be for thy good. (Doctrine & Covenants 122:7)
    ^^^^^^^^^^^^^^^^

    Another P.S.:

    Prior to surgery, do not neglect to get a Priesthood Blessing from Pete, your brothers, and your Dad.

    Never forget that, no matter what the outcome, ALL IS WELL -- and the universe is unfolding exactly as it should.

    LOVE YOU,
    Dave
    23 March 2013
    (I will send the main body in a separate post)

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  8. AMANDA - PER YOUR TELEPHONE REQUEST, HERE IS THE EMAIL REPORT THAT I SENT REGARDING MY SURGERY:
    (Part 1)
    ^^^^^^^^^^^^^
    Dear Friends, Relatives, and Business Associates.

    This may be much more detail than many of you care to read, but it contains information that some of you have been asking for.

    On April 26th, I checked into Houston Medical Center Methodist Hospital for decompression therapy on my Trigeminal Nerve, which has caused severe pain in right side of my face for years. This was to be a repeat procedure of my 1996 surgery for Trigeminal Neuralgia -- so I was thinking that I would be released after a couple of days in the Hospital, but instead I was released on the 7th day.

    Dr. Richard Harper, a world class surgeon, decided not to do the expected procedure – but instead, he removed an epidermoid (epidermal skin cells) tumor which had wrapped around-and-through a bundle of nerves (specifically, the 5th, 6th, 7th, and 8th cranial nerves) at the very top of my spinal column (the brain stem).

    The great news was that the tumor was not malignant – no nerves were severed -- and no brain cells were damaged or removed (I could not afford to lose any of those.)

    The surgery went very well but not without unavoidable trauma to the nerves that control the right side of my face. As a result, I will be dealing with some challenging issues for a while – as follows:

    • The right side of my face looks like I have “Bell’s Palsy”. (So I can eat and talk better, stop biting my lip, stop drooling, and help return my face to near normal, I have engineered a non-surgical face-lift with tape and rubber bands – looks crazy but it works.)
    • Must wear a Pirates Patch until my eyelids can function. (Doris calls me “Johnny Depp”.)
    • Must walk with a walker to maintain balance. (Now, no one will ask me to help them move.)
    • No taste or smell on my right side. (Benefits: I can easily chew and swallow bitter pills.)
    • Deafness in the right ear. (Funny: Whenever I hear a sound on the right, I look to the left.)

    The other good news is that Doctor Harper said that my Trigeminal Attacks should go away in a few more days and that there is a good probability that, with the possible exception of my hearing, these other issues would improve over time.

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  9. Part 2
    Lest any of you feel pity for me – I am psychologically and spiritually content with all this – based on my belief in some great teachings from the Holy Scriptures.

    From the above, I conclude and sincerely believe that adversity is part of the eternal plan that our spirits chose when we were offered the opportunity to experience mortality. Adversity is fundamentally incorporated into the plan that was designed by a loving Heavenly Father to cause our spirits to grow and become more like Him and His Son. Experiencing pain, trials, and difficulty was something we knew would occur here and, accordingly, we accepted this as a necessary part of the eternal plan -- knowing that our success in the testing would bring eternal rewards and enlarged spiritual abilities.

    All these so called “negative events” provide us with wisdom that will benefit us in the eternal perspective. I believe that I actually chose to experience negative events – and was allowed to experience these particular events by a loving Heavenly Father. Adversity can teach us truths, give us experience, and help us develop empathy. As difficult as it is to really feel gratitude for pain -- the Apostle Paul taught that we should be thankful for all events – both the good and the bad (See P.S. below).

    I know that my present condition is only temporary, but I now feel as if I have graduated from the class of “Senior Citizen” to the class of “The Elderly”. Some of you, unfortunately, may never get this opportunity. Now I get to experience what it feels like to “Be Old”. Perhaps, I may have to move to India (or to a Native American Reservation) for this recognition to be appreciated – but there are some personal benefits, as follows:

    • I do not feel as though I have to continually stay on “top of my game”.
    • I am not as easily embarrassed by the small stuff.
    • I am already learning to better appreciate this beautiful world – the flowers seem more radiant and the birds sing so much sweeter.
    • It is ok to get sentimental and cry.
    • I have also learned to appreciate how loyal friends and relatives are like wives and grand-kids – they continue to love and support us even when we do not look pretty.

    I appreciate of all of you that have supported me, and will continue to support me, through these trials. I will be back up to speed soon – just bear with me while I learn a few important principles of life.

    I am feeling much better today – like perhaps that 18-wheeler that hit me was only a pickup truck.
    I plan to be back in the arena next week.

    Thanks for your prayers,

    David H. Mangum
    May 7, 2012

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    1. You are awesome. Still the same person making me laugh. Thanks for the letter and scriptures. I enjoyed talking with you and Doris. I send you all my love. Tell your boys the same.
      Amanda

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