I had a good visit at Mayo this week. I feel more hopeful after the visit. Prior to the appts I was pretty down. I did confirm though that I have a long ways to go. Things Learned:
1) My MRI was clear enough that I don’t need another for probably a year. I do return to Mayo in August, but I won’t have an MRI. The tumor is gone - left an interesting dent in my brain. But it hasn't grown back and they are very confident that it will not. Interesting tidbit - Mayo has 26 MRI machines. I was amazed.
2) The hearing nerve is GONE. It was tangled with a critical blood vessel, and too mangled to save. It was interesting to hear the brain surgeon talk through the logic of decisions during surgery. When I hear myself scratch my head it is what I thought - bone conducting sound to the left ear. My brain is smart enough to know where the scratching was.
3) The facial nerve is intact. However it was weak from the beginning of surgery, so it was almost ready to go even without surgery. It was good to know -kind of - that I would have had the problem even without surgery. The tumor was growing and stretching the nerve. We could see a little squiggle on the MRI that showed the still out of shape (not straight) nerve.
4) Nerve recovery requires the nerve to regenerate all the way, not just where it was traumatized, so from the brain out to the face. So my calculations were short. Nerves regenerate at a rate of 1 mm a day, so you can now do the math from inside my brain out to the face. It will be 6-18 months at least.
5) They do believe that my face will recover. According to House-Brackmann ratings, I to VI, I am currently a VI which is no movement. Driscoll predicts that I will become a II or III when all is said and done. That will be not fully normal, but definitely moving. Link thinks that my face looks tighter, which is the beginning of healing.
6) The right hand surprised everyone. They don’t have any idea why I couldn't write. Link said he thinks it was from trauma from the tumor being stuck to the brain stem. It is still improving but not there yet.
7) I met a wonderful headache neurologist. He knows exactly what my head is doing and has a database of acoustic neuroma and craniotomy patients with headaches. He already had a plan ready for me. Bad news is that it will take 3 months to get to full strength on a daily med. But he gave me good stuff for the peaks. I have “background” head pain all the time. I need daily medication to treat it. I also need to treat the Peaks with other drugs. Trying to tough out the peaks will make the background level higher.
8) I met with a vestibular therapist. He tested my balance. My eyes are doing a lot of my balancing. When I close my eyes, I tip over when standing still with my feet together. So he gave me some simple exercises to get my brain out of the "panic" mode when walking and moving. Overall, I think my balance was pretty good. However, I cannot yet type on my blackberry while walking :)
Thanks to all for the many prayers for me. I really do appreciate it. For those who want complex directions, please pray for the facial nerve to heal and for headache management with minimal side effects from drugs.