There are people who have known me for a long time (over five years) and some who have met me after my decompression and a lot of them ask me why I don’t have a definitive diagnosis concerning my memory. Unfortunately, it isn’t as easy as spotting a heart problem or a mass on the lungs. For someone my age to have a memory issue in the first place is highly unusual except that I have been in a car accident and sustained a brain injury.
So people are like, is it the injury that makes you forget? Well, it isn’t that simple. My brain was out of its proper position for over a year and lots of little changes can take place during that time. The surgery took care of the immediate problem which is having brain in the neck. Part on my cerebellar tonsils were cauterized, who knows what we messed with! Still, it was all done to help prevent future damage from the formation of a syrinx.
At some point during this situation, I began having seizures, and my neurologist suggested seizures as the missing blocks of time and instant forgetfulness point to excess electrical activity. So, I see him, we order tests and images, and wait three months, See him again, I am put on memory medication, some meds changed to help with nighttime seizures, and lots of therapies to see if we can get these nerves and seizures under control and if neuro rehabilitation is going to be useful. The thing is, we now wait to see him again for four months while I go through these processes which will either give us answers or send us further down a path that will lead to Cleveland. Even that is maybe a year off. We have to assess the therapies, run more tests, and then if it required, put in a request for authorization to go to another city to a specialized clinic.
Meanwhile, I am in a lot of pain now that it is cold. My head has been hurting more and I have been sleeping a lot. I try not to feel bad about it because what can I do? I know that these therapies are going to take a lot out of me, and I hope that I can get through them gracefully. I want to do everything I can to get better and if this shows me that it isn’t helping, then I am prepared to go as far as I have to go.
So, this is a slow process because things are usually done in three month increments and seeing a top neurologist frustrated with my case is encouraging because I think he is so curious that he won’t stop until he discovers why I have the memory loss and if anything can be done. He already told me that the memories that are gone are gone for good. I think we should live in the present because it isn’t promised that we will even remember the good times we have. I don’t forget just bad stuff, I forget all of the things. I forget people. We are both frustrated and I know my poor family is. They have to live with a once very competent woman who describes things with vague words and hand gestures now. It is just a hard situation. Even trying to figure out if I am capable of living on my own without hurting myself. I think that I can but with someone to check on me here and there. Without disability, that is just a thought right now. I am actually thankful that I have the opportunity to stay with my parents because I have developed a special relationship with them that I think can only be borne out of a difficult situation like ours.
This week, I have my first physical and occupational therapy visit. I don’t expect it to be horrible, but I have a lot that needs to be worked on. I need to be able to write, do dishes, wash my hair, do my own pedicures. I need to be able to stand in heels, lift boxes, perform, and they have to figure out what is happening with my voice. The left side of my throat seems to be lazy and that is problematic. I don’t see the speech therapist for two weeks! I have been waiting for six months actually because of paperwork mix ups and then scheduling. I am scheduled out to March. We will see how they schedule out PT and OT. I am hoping not more than two days a week, but they like that 3 days a week stuff.
All of this has to happen for several months, then my neurologist will review all of the data and see where or whether progress was made in different areas and from there we determine the next step either treatment OR testing! They will give me another three month period to see if the treatment works or what the test results say and this is how it always works. It is not some easy process where the doctor has found a lump on my brain and we know where the problem is coming from. So far my brain looks normal, that is even more disturbing because it gives no clues to the seizures or the memory loss or the pain or the nausea.
So, if you are new to this process, I pray that you get everything diagnosed quickly, but don’t be surprised when you discover that this tends to be a process that can take years to get answers or discover that there are no answers known to medical science at this point, but they will keep an eye on research.
Don’t be shocked if you are a medical oddity. You will have horrible days of wanting to strangle every Ivy League doctor out there, but we are the door openers. We are the ones who keep pushing so that the research is done, so that the answers are found. So that someone else won’t have to go through what we are going through.
We want memory patients to have access to the few memory meds available if their doctor thinks that is it in the patient’s best interest. Insurance companies shouldn’t be overriding the decision of someone who is actually with the patient if that doctor has a clean record.
We want neuropathy patients to be heard. It doesn’t matter if it isn’t on the images, scans, or recordings, THE PAIN IS REAL! I have been in therapy, and I had a neuropsychologist recommend that I go to therapy. He didn’t even read my file. He figured I was just a hypochondriac who lost her keys occasionally and had these headaches that sound like horror fantasy. I told the neurologist that I was ready to kill that man and please don’t make me see him again. He wouldn’t even do the exam. Pissed the neuro off. Some doctors see one thing in your file and focus on that and then delay your treatment because someone has to now come clean up after them and PROVE them wrong. Thanks, neuropsych.
If you are on the support team of someone who is on or starting a medical journey, just know that it IS FRUSTRATING and that is normal for things to take forever and you are truly blessed when things go quickly. If they go slowly, it will be hard, but try to make the most of every day and make the effort to have more good days than bad. You may be in for a long ride.