The little train robbery

So as my doctors have prohibited me from driving due to my poor eyesight, I have become more confident and adept at getting around on Seattle’s public transportation. As I mentioned in my last post, my Orca card and light rail are a revelation, I ride the train several times a day and love its speed, efficiency and proximity to home. My ability to use public transport gives me independence that is really important to me. And the bus? Well, the bus is a great service and resource but I almost always would rather walk than wait. (That said, I could hug and kiss the geniuses who created “One Bus Away” for the iPhone to know in real time when the next bus is coming, I use it multiple times a day and it is the most useful and brilliant application ever.)

Yet as I am sure many thousands of longtime bus riders in South Seattle have noted long before me, there have been a number of experiences where I have felt less than safe walking by myself in the dark, in the rain, on deserted, poorly lit streets, often with my laptop in my backpack. (The worst so far was the walk from Rainier Health and Fitness to Othello street – dark, deserted, busted sidewalks, pools of water.) I feel like I am a fairly street smart person having lived in the South End for more than a decade and having worked as a journalist in many tough environments. I am often chastised for going all kinds of places by myself, without fear, but the past month has reminded me how poor a lot of our infrastructure and public safety (street lighting, sidewalks that are covered in water forcing people to walk on Rainier) continues to be.

Despite this, I feel like I have been getting around pretty well considering my poor vision makes me jumpy and am getting more confident about new bus routes and coming home by myself a little later. This confidence was shattered though last night. While coming home from an event for work at the UW, I was on the last leg of my bus and train journey and had gotten off at my usual Link stop in Columbia City around 10:30 p.m. and was walking on Alaska toward Rainier just a few blocks from the train to meet friends on my way home (a stretch I have always felt no qualms about) when a young man ran up behind me, grabbed me from behind, pushed me to the side and yanked my purse off from across my chest and body and then ran away across into a side street. Thankfully, because my purse was open on the top my wallet fell out in the street while he was running so I retrieved it.

I ran to Rainier and within minutes my friends were there to get me (thank you all) as I was super scared and shocked. While he did not get my wallet, he got my address, bank account number and house keys.

When I got home I called the police who came relatively quickly (I was surprised they came at all) and took a report. The officer asked if I was injured and whether my eye problem was a result of the robbery, and when we told them it was from brain surgery, then he said, “Well after brain surgery, getting robbed is nothing.” Which was really funny. Although I have to say that brain surgery did not shake my confidence or my overall trust in the safety of my environment like this experience did. The police officer said he would put in a request for monitoring of my house (we are changing the locks today).

He then told us that I was the latest in a string of robberies of people getting off the train, the others having been at the Othello station. He said the steady stream of riders on a schedule creates a great opportunity for people to rob train riders. This is a public safety issue that I hope will get more attention. So just a reminder to folks to be careful, conscious of your surroundings and take sensible precautions, especially at night. Despite my friends’ admonitions, I will still be taking the train and the bus but will be even more careful in the future and will probably have to “phone a friend” if I need a ride at night. Thanks again to everyone for all your support.

P.S. – For those following along on the medical bill count, this week brought an additional $37,000 bill (surgeons) and when I called to make financial arrangements on my portion was told not to bother just yet because there was another $30,000 in surgeon bills pending. This brings our running tally so far (for those keeping score at home to: $217,000! How’s that Health Care Reform bill coming along again? While I am extremely lucky to have health insurance, please call your Senators today to tell them to vote for the bill WITH A ROBUST PUBLIC OPTION INCLUDED – so that no one has to go bankrupt (or worse) because they get sick.

Just a little patience

At my birthday dinner, you can kind of see the diplopia (crossed eye) in my right eye.

So I had intended to write this update last week, but my efforts conflicted with my equally strong desire to avoid using the computer as much as possible when I am not at work. But I did want to let folks know the outcome of last Wednesday’s MRI and the subsequent appointment with the Harborview neurosurgeons. As many of you know, I have had some challenges in the past with claustrophobia and MRIs but am pleased to report that with only 3 MG of assistance from my dear friend Ativan I was able to get through the MRI without panic or distress. This was due to several factors that I wish I had known before my first disastrous MRI and that you might want to consider if you are choosing an MRI provider for your head.

1. The head cage for the MRI at Harborview (unlike Inland Imaging at Pacific Medical Clinic where I went before) is open around the neck instead of closed, so if the radiology tech were to be suddenly electrocuted or sucked into a sinkhole during the MRI

This is what Harborview's head cage looked like - so open and free!

(a common occurence, I am sure), you could actually free yourself from the machine and escape. The ones at Pac-Med literally lock down around your head so you are completely vulnerable and trapped inside (I could not find a picture of this, but it reminded me of medieval stocks).

2. This could just be my imagination, but not only was the head cage larger at Harborview, but the MRI machine seemed larger as well, adding to the feeling of security.

3. The technician (just like you see in the movies) at the Harborview MRI was really wonderful and was able to talk to me throughout the procedure, giving me reassuring updates like “this segment will take three minutes” and so on. This made me feel like I was not alone and there was an end in sight. (The tech at Pac-Med said he could not talk to me because he could not hear me and vice versa, very scary.)

So with MRI completed, I went for my appointment with the neurosurgeon. After a wait, the neurosurgeon arrived to ask me how I was doing and to let me know the MRI was clear. This was not a surprise to me as it had only been eight weeks since my surgery and the kind of calcified tumor I had most likely took around a decade to grow. That said, a clear MRI is a clear MRI and I am grateful for that and the surgeons’ skilled and thorough excavation of my tumor. I then went through my sizable list of questions/concerns for him, which I am so glad I prepared in advance, for example (and I am paraphrasing): When would my jaw begin to open more than a quarter inch? (“Be patient, use your fingers to manually pull your jaw apart to stretch it out” REALLY??) How often am I supposed to patch my good eye? (“Every two hours”) When will I stop having pain everyday? (“Be patient, you had major surgery”) When will I be able to see again? (“Be patient, if it’s not better in six months, we will be concerned”) When can I drive? (“We will see in two months, at your next followup, be patient”) When can I go back to work/working out/skydiving? (“You can do as much as you want as long as you don’t experience adverse reactions”)

This last one had me puzzled. How would I know I was experiencing “adverse reactions” until I had the adverse reaction? Wasn’t this like being a human guinea pig? Did I really want to try to exercise myself into a seizure to see where my outer limits are? But despite pressing this question, I got no further advice. No advice about what adverse signs to watch for when exercising/skydiving, no advice on what is “normal” for a person in my situation to do or push themselves to do. This is a tough call to make because each person reacts differently due to their overall health and fitness level. He did tell me I should ease back into work and not try to work full time at first, which was helpful advice and what I had already been advised to do by my awesome boss Pramila. He also told me to stop taking narcotics completely and instead take a the max amount of ibuprofen all day every day but I have been slightly defying this order and taking a half of a Vicodin each night to combat nightly head pain and pressure that ibuprofen cannot overcome.

So the overarching message was to have patience, but as someone who is not known for patience, it’s hard to accept that there is not much I can do but take it easy and wait to get better. I am so very ready to be able to see again. This is very frustrating to me but I am trying to find forbearance (but it’s hard to locate when you can’t see too well).

Armed with this useful arsenal of new knowledge I returned to work part time at OneAmerica the following day and have been working part time since (four hours a day). It’s been a fairly smooth process, I learned the hard way on Friday that my bad eye does not want me staring at a computer screen for four hours straight and that I must mix up my activities during the day or face screaming pain and swelling. But other than that – and my frequent difficulty leaving on time – the slow pace of reintegration has been very manageable for me and it feels good to begin chipping away at the projects that I have not been able to tackle and to again begin to do my part. To get through the day, I use my good eye for computer work and then try to patch it during meetings, etc.

As I am not allowed to drive (you are all much safer) I have been commuting from work in the International District in the afternoons on our fantastic, spanking new Link light rail. It takes about 15 minutes (if that) to get from the ID to Columbia City and the trains are fast, slick and always on time. I then either walk or bus the additional 1.5 miles or so home. I cannot tell you how much of a sense of freedom it gives me to know I can zip around town on light rail and have some transportation independence. If you have not yet experienced the elegant beauty of the light rail, you should hop on and take a ride, it’s lovely. Oh, and the Orca card? A vision in plastic.

With my new Magnabilities Nugget necklace (thanks Toshi!). You can kind of see how my scar/scab/incision looks on the right side.

A special thanks to everyone who sent their birthday wishes, it was a special birthday for me and I was again reminded how blessed I am to be surrounded by such a loving and amazing community. We should all be so lucky.

To see or not to see

So there are just five days until I am scheduled for another MRI and a followup with my neurosurgeon on Nov. 4. While I have no idea what he will say, I am looking at it like a countdown to returning to work and am measuring my progress against it. Although I have not been away from work or done so little for so long since I was in middle school, I am amazed I am not going stir crazy. I think partly this is because it’s just not that easy or pleasant to do much of anything without being able to see and because I feel like my recuperation is my “job” right now and I plan to work as hard as I need to to get better as soon as possible.

I have actually been able to get out of the house and my sweatpants for some events lately, such as the Alliance for Education fundraiser

A rare moment not wearing loungewear at the Alliance for Education dinner. It was nice to feel "normal" for a bit though several women STARED at my head like I was an alien. What's up with that?

(which was fun but very tiring) but for the most part, my days consist of my couch and CNN. (If you need anyone to do media monitoring on an issue, I’m your gal.) I have seen every political ad running more times than I could count and could now do a thesis on Election 09’s best/worst political ads.

Over the past week I have devised some creative workarounds to allow for greater functionality in my right (bad) eye. I was told to try to patch the good eye to strengthen the bad one but was reluctant to do it because when the good eye was patched, I was unable to see, read, balance myself, walk because my vision was so poor. But I followed a hunch and went to Walgreen’s and bought some low-powered reading glasses that allow me to see much better from about a foot away and farther. I coupled them with some nice cosmetic applicator sponges that help buffer my very, very fragile head from the earpieces of the glasses. I still cannot see up close but I can hold things a foot away to read them. This is a huge development for me and has led to a vast improvement (even after the readers are removed) in the acuity in my right eye because I have been patching much, much more.

However, the very bad news is that while my sight is improving individually in now both eyes, together, they are still a disaster.

What it looks like to me to use two eyes.

They are persistently crossed (or experiencing what is called diplopia, I learned) and therefore I end up closing the right eye when I want to see anything. This adds strain to my left eye, weakens my right and makes it impossible for my brain to rewire itself correctly for binocular vision. Hopefully I will know more next week if it’s a muscle issue, a brain issue or both in getting the diplopia to stop. But it’s extremely frustrating, tiring and dizzying to see the world this way.

Other ongoing issues are my headaches, which are still a daily occurrence and range from deep pressure headaches to stabbing pains. The stabbing pains apparently are nerves reconnecting and cannot be managed with painkillers but the pressure headaches are managed with Vicodin. I still have no feeling in my right temporal area (around my eye and skull on right side) and my right eye is very heavy and weak. I suffered a setback a few days ago when a well-meaning person accidentally bumped my right temple creating a bump, additional

My eye patch, reading glasses and cosmetic applicator concoction on top of my new hat. I think it's very LL Cool J.

pressure and bruising. In addition to the headaches, I still cannot open my mouth more than a quarter-inch because of the surgical removal of my tumor-infiltrated jaw muscle. I have been doing the exercises they suggested (putting a tablespoon in my mouth and turning it vertically) but it does not seem to be helping. This is very frustrating as well as it is difficult to eat, brush my teeth, etc., without being able to open my mouth.

But on the good news front, I am still blessed daily with an amazing array of friends, family and colleagues who have continued to support me through this. The Food Tidings system has been a godsend on so many levels, it is so wonderful to reconnect with good people over a good meal. And “good meal” does not begin to do justice to the incredible, delicious food I have received over the past month. From Mehdi’s award-worthy Moroccan? chicken to Rebekah’s pasta-salad perfection and Sabina’s amazing Pakistani food, it’s been a cultural and community experience that is as much a boost for my spirits as my stomach. A special thanks again to OneAmerica’s board and staff who have continued to not only assure me that my most important job is healing but have also generously helped me keep my house in order. In addition, I have received a number of amazing and thoughtful gifts, including most recently a beautiful, thoughtfully crafted, handmade replacement for the hospital-issued muslin “beanie” I have been using every day to keep glasses and pillow pressure off my head. I have also found a great deal of comfort from my fellow benign tumor patients at the group It’s Just Benign. The site, dedicated to “provide information, support, and a means of

Because my jaw muscle was partially removed, this is the most I can open my mouth.

communication for those diagnosed with benign brain tumors,” has been a lifeline for me. I have found shared experience, shared frustration and even the opportunity to provide support for others. Over the past few weeks, a lot of people have asked me why I asked for such gruesome pictures and video of such an awful experience to be taken and I said I wanted it done because it might serve to help or provide comfort to others. This week, I was incredibly moved and gratified by a response I received to my post-surgery video from another “It’s Just Benign” member who is anxiously awaiting her craniotomy for a meningioma. She said:

Honestly Naomi, I really had a good cry after watching your video…I think I’ve been holding in all my feelings and worries for a long time and seeing you talking only 4 hours post surgery….well the damn broke. I too have searched high and low all over the net, I swear I could pass a few medical exams lol ok maybe not, but certainly been a bit educated on brain tumors I’ve been worried that I wouldn’t be able to even converse after surgery, worried about the amount of pain there would…but watching your video and hearing your voice…it really comforted me. I guess what I am saying is I can read all the typed words in the world on the net….but *seeing* it….made such of a difference to me! Thank you so much for posting your video….I just wanted to you to know that YOU did make a difference in someone’s life…you made one in mine…I’m a little calmer now…I feel a little bit braver too…

For those who did not believe I was mostly gray ...

A final thought, to all you over the years who didn’t believe me when I told you my hair was almost completely gray and no, my “Chocolate Cherry” haircolor was NOT naturally occurring but instead courtesy of L’oreal, well, now I have proof.

P.S. – To the devoted, generous and loving Albro family, my thoughts and best wishes are with you and Nate every day. I know the strength of your family and all those that love and support you will see you through. My best to you!

A matter of perspective

So I am now past the half-way point before I will see my neurosurgeon again, get another MRI and hopefully be cleared to return to work. It has been an up-and-down week, with discouragement over my eye progress coupled with a number of wonderful and rejuvenating visits with many different friends. A special thanks to Dawn Mason for her amazing, famous fish fry and blanket and to Tom Griffin for his home-grown meal and good-natured commiseration. One fun fact I learned this week was that my big ghastly Harborview bill actually did not even include the surgical staff and they will send a separate statement for that later. So this $150,000 was just the tip of the iceberg. More on this as I know it.

I finally got in to see someone at Harborview regarding my ongoing pain and anxiety and discuss my progress. The ARNP assured me I was making good progress and advised me to not be frustrated with my ongoing vision problem. She said if I was not able to see in around three months, it would be cause for some concern but at this point, it was simply par for the course. I also talked with her about my continued jaw problem (I cannot open my mouth more than about a third of an inch due to tumor infiltration in my TMJ and the removal of part of my jaw muscle). She suggested doing stretching exercises using a tablespoon turned vertically inside my mouth to stretch my jaw. I have been doing this regularly and it seems to be helping slightly. It is nice to have some recuperative tasks to do and feel like I am helping myself. She also addressed my ongoing pain issues and said the sharp shooting pain I have been having is common for people in my situation and represents healing and the nerves reconnecting in my head, which is a good thing. The bad news is that she said painkillers don’t work on this problem but she did prescribe Vicodin for the deeper headaches I have been having which is reassuring.

Another illuminating development this week was the receipt of my medical chart / notes from the frontotemporal craniotomy I went through. Because I was pretty much out of it during the surgery and after, I felt like I knew the least of everyone about what actually happened to me and what the surgeons ended up doing during the surgery. I received the notes/chart on Monday and while I do not understand a lot of it, was able to get the gist of it. If I understand it correctly, in a nutshell, the surgery was much more extensive and the tumor much more invasive than I had thought previously (the surgeons used the word “drill” so often I started to think it was written by Sarah Palin). As they went in to remove it, they found more and more tumor had permeated my skull in places they had not expected. This resulted in the surgeons needing to remove more bone than they had expected and creating the blood loss and blood transfusions I would need after. I learned a number of other things, including the fact that the small incision in my stomach to graft fat into my head was not as small as I had thought, being that they actually removed two golf ball sized pieces of fat from my stomach to put in my head and then used three layers of sutures in my stomach to hold it all together.  This helped to explain why the area has been so sore for so long. (Update: Now that the swelling has dissipated, I just noticed a large “divet” in my stomach where this tissue had been. I will spare you the pictures.) I also learned that the post-surgery CT and MRI actually showed no reduction in the level of proptosis (protrusion) in my skull because the tumor was so effectively ossified (bone infiltrated) and actually permanently changed the shape of my skull. All the gory details can be found here (tumor nerds, rejoice!) as I have posted the notes for posterity and particularly for folks in a similar situation.

Finally, people keep remarking on how good my eye and scar look. It’s definitely true my eye looks much more normal than it did before. It opens more often and seems to track movement better. It’s also true that my incision is looking better, less scabby and bloody and much tighter. But what’s harder to explain and impossible to see from the outside looking in is how difficult it continues to be to see with both eyes. I can see with my left eye by itself but combined with the right eye, it becomes extremely difficult. To illustrate this, I have put together a composite of what it looks like for me when I try to use two eyes to see. It’s not a perfect representation, but it gives a general idea. After a very encouraging meeting with my amazingly supportive boss this week, I have redoubled my efforts to patch the good eye and force the bad eye to heal. While this is not an enjoyable process, it is a necessary one and I am determined to do as much as I can to get better. Thanks again everyone for your ongoing love and support.

What it looks like to me to use two eyes.

Status update and why we need health-care reform

Many people have asked me about the pathology status of my tumor and while I was not too concerned about it being malignant (this is really unusual for meningiomas) I WAS very concerned about what grade of tumor it turned out to be (this is how meningiomas are classified). I finally talked to Harborview about this on Friday and while they were a little vague about the details, they said the tumor was determined to be a “Grade 1″ or lowest grade type of meningioma. This is good news and means that the tumor is less likely to recur and even if it does, it will grow more slowly than a higher grade tumor and therefore be easier to track. So for those folks who were worried the tumor might be cancerous, it looks like I am clear on that front. For more details, I asked Harborview to send me the surgical chart that details all this.

Food Tidings delivery from Parker Wolf.

However all is not copacetic in Naomi-land. I also talked with Harborview on Friday about the fact that I was nearly completely out of narcotic painkillers despite the fact I was still having a great deal of pain on a daily basis. I was then told I should not be having too much pain at this stage and when I asked, “Well, what if I AM in pain?” I was told that I should try to get through the weekend and then they would need to see me today to figure out what was going on. She then conceded that after a surgery like mine, it was not at all surprising that I would still be in pain. (Not sure how that is logically consistent, but go figure.) So after a pain-filled weekend (most recent manifestation being piercing, nail-like pains on both sides of my head) I called them this morning for the aforementioned appointment and got no call back. So this is discouraging and worrying, as I am now out of narcotic painkiller with no reduction in pain. Meanwhile, my eyesight has also shown no sign of improvement, with the eye strain possibly a cause for the headaches as well.

In other news, after trying to research permanent vision loss after a frontal-temporal craniotomy this weekend on Google (did you know most states allow you to drive if you have only one eye? Good news!), I discovered my little thrown-together blog came up as the tenth highest ranked search result. This was shocking to me and prompted me to make a number of improvements to the blog, particular for folks in a similar situation who might be looking for a little guidance and shared experience. In addition, I spent quite a bit of time this weekend FINALLY responding to the hundreds of beautiful and touching comments on the blog, so if you left one, please check for my response as it took me a long time to tap them out with my one eye. Thank you all so much for your kind thoughts and expressions of support, I was moved beyond words to finally read them all.

Finally, so I have wanted to take my recent experience with the health-care system and turn it into some kind of useful propaganda for the advancement of health-care reform (with a public option) but have frankly not had the energy so far to do much. But I am sure all my beloved Noggin readers are already steadfast advocates for reform and have been lobbying their elected representatives repeatedly.

Statement from craniotomy and hospital stay - click for detail

I did though want to post my most recent statement from Harborview from my surgery as further evidence as to why we need reform NOW. Imagine if amid all the fear, uncertainty, physical pain and stress of a tumor diagnosis I also had to deal with not having health insurance. Imagine facing the very real possibility of choosing between medical bankruptcy or death? This is a choice that too many people are faced with and we MUST find a solution NOW.

Thank you, thank you, thank you!

This is Naomi trying to eke out a post with my one good eye. Thank you to my amazing sister Toshi for coming to the blog rescue today as I seem to be much less capable of keeping it updated than she is. But I really, really wanted to be able to express my extreme appreciation and gratitude to the literally hundreds of people who have been so incredibly thoughtful, kind, generous and loving over the past few weeks. I truly believe that my recovery process is accelerated by all the positive energy and encouragement I have received from you all. I count myself lucky in so many ways and the bulk of the reason is that I am blessed with the community I am surrounded by. I wish everyone could be so lucky. I wish I could name and thank each and every one of you for all the generosity you have extended to me but I do not want to leave anyone out. So just a few notable thanks:

• To my amazing employer OneAmerica for your incredibly generous gift of a housecleaning service to help relieve the burden of housecleaning for us during this time. We were amazed and awed by Ana’s skill and competence and are so very grateful for the help. Also, a huge thank you to my boss and friend Pramila Jayapal at OneAmerica for not just encouraging me but insisting that I take all the time I need to heal and not over-ambitiously try to sneak work.
• To all my wonderful and talented Food Tidings providers. I do not think I have ever eaten so well in my life, with a bounty of delicious, healthy and rejuvenating meals delivered with not just love but wonderful conversation and companionship. Becka, Mara, Annie, Carson, Sabrina, Victoria, Stacey, Teresa, Mehdi and Erica, Jena, Anita, Karin, Andre, Parker, Auntie Theresa, Uncle Dan, Ahmed – thank you SO very much for everything and a special thank you to Carson for making it all happen.
  
• To my out-of-town friends who have sent me gifts and treats in the mail, it always makes my day while I am sitting at home to see the UPS or Fed-Ex truck pull up and realize something has actually come for me! Seth and Julie, Meg and Tara, Cleo and Richie, Eddie and Michael, thank you so much for brightening my days.
• To my much-loved rock of a girlfriend Ann, thank you for being there for me 24-7 for the past three weeks. Your presence and love has provided me much comfort every day. You bring me all my copious medicines twice a day, take care of all my aches and pains, keep the house together, drive me everywhere, do all the housework and make sure I am always loved and supported. And to the rest of the daily support crew: Liz, Karen T., Lana, Nikken, Catherine, Mara, Allen, Carson, Toshi, Ma and Pa, Nugget, Jeannie, et al, you are all my beloved family and bring laughter and joy into my life and home every day.
  

So people keep asking me “How are you doing?” The answer is always complicated for me, because I am trying to maintain perspective and not feel discouraged, but it is hard sometimes. Everyone tells me how great they think my eye looks – they say it is open more often and seems to track movement better than before. However from my perspective, it is as bad as ever and possibly even worse. I printed some eye charts and have them on my wall so I can track my eye progress and on a good day, I can only read the second line on the chart with my bad eye. I am supposed to be patching over my good eye for at least two hours a day to help strengthen my bad eye but find it unbearably frustrating. When my good eye is patched, I can barely walk much less see, as I have no balance or depth perception. When I am supposedly using both eyes, I find myself closing my bad eye all the time, as it is the only way I can see. The bad eye is not only useless for vision but also hurts quite a bit from the inside and the outside.

My friends keep reminding me that my doctor said it would be between 3-6 months before my right eye is back to full functionality and that I need to be patient and not get frustrated with my slow progress. But as someone who relies entirely on sight for their career, its extremely nerve racking to think I will be like this for that long. In addition, while I am now completely off the time-release Oxycontin, the pain in my head continues unabated. People also tell me my incision looks great and is healing beautifully, but again, from my perspective, my head still looks and feels like a painful freak show and I fail to appreciate the elegance and beauty of the highly sophisticated sewing job I received from my uber talented surgeons. The pain seems to worsen over the course of the day and I have had to increase my use of the Oxycodone significantly to keep ahead of it. And I was reminded yesterday after a slight bump in the head delivered unintentionally by my beloved niece Nugget how fragile my head is, after the bump turned swiftly into swelling and bruising. But still there have been some signs of progress. I actually went out of the house at night for the first time this weekend, going to several birthday parties. While I get extremely tired very easily and early, it was still nice to get out of the house and actually meet some new people like a regular person. I have been trying to “ambulate” most days at Seward Park which is not only physically therapeutic but a great way to collect healing “qi” as my friend Jena taught me.

So that’s pretty much where I am at. I uploaded a bunch of pictures on Facebook from the past few days for your viewing pleasure. Once again, thank you all for you kind words of support, encouragement, food and companionship. I am truly a lucky, lucky gal. Much love to you all! – Naomi

My new hat from my friend Jena

Eye charts I printed to chart my progress. I can still only read the second line with my bad eye.

Naomi update!

Posted by Naomi’s sister (Naomi is still having trouble writing…)

Naomi, while still in the midst of what promises to be a long recovery period (3-6 months for full eye function), is doing well. Her pain is under control throughout most of the day and she is generally in very good spirits. She continues to be surrounded by friends and family and is regularly walking 2 miles to the point at Seward park and back. Naomi is still adjusting to her forced sabbatical from work and that adjustment is manifesting in night-time anxiety, but Ann is helping Naomi through the stress.

For those of you who are hesitant to visit – don’t be. Naomi, like all Ishisaka’s of her generation, is extremely extroverted and draws energy and strength from interactions with her loved ones. Naomi would love to see you all and refuses to take naps during the day anyway so…

Thank-you to everyone who is supporting Naomi from near and far, bringing meals (a HUGE help), walking with her at Seward Park, providing fresh flowers and snacks, running to the drugstore, etc, etc. You all Rock!

New Photo Gallery!

Naomi and her Niece Evie (the Nugget) yesterday afternoon

Railroad tracks gone … now more like a one-way, one-lane gravel road

Today we went to Harborview for my first post-surgery follow-up appointment with the nurse practitioner. She removed my stitches, which again, was NOT painless, despite what she kept telling me. So there’s good news and bad news. The good news is that the symptoms I am having are totally normal and to be expected (killer headaches, swelling on the right side of my head, inability to see out of my right eye, poor eye alignment and double vision). The bad news is that the symptoms are normal, to be expected and are likely to continue for the forseeable future – possibly months. Today was supposed to be the first day of a reduction in the pain medication I have been taking but it was not to be – the pain and headaches were worse today than they have been in days. There is NO way I am going to be able to reduce the amount of painkillers at this rate. This was very discouraging, as was the continuing difficulties with my right eye. The inability to see makes ordinary things – eating, reading, writing, etc. – extremely difficult and frustrating. Not to mention the fact that I will not be able to drive for a quite a long time to come. I am scheduled for another MRI and an appointment my neurosurgeon Dr. Sekhar in four weeks to make sure there is no residual tumor or visible recurrence and to check the progress of the healing of my eye, although they warned me it could likely take around three months to regain full functionality in my right eye.

Had another nice day visiting with friends at home. Had visits from a number of lovely people and a fantastic food delivery from Stacey – wh0 made curried sweet potato soup, figs with bleu cheese and molten chocolate cake. Another friend, Parker, brought by some crocheted hats – ones that will be warm but that can be stretched and will not be abrasive against my still-vulnerable incisions.

New photos uploaded to the Web … Visit the gallery below for new pics of the post-stitches look

After stitches removed

I’m BAAACK! Well, a little bit …

Naomi here! Hello my beautiful community of friends and family! After about a weeklong hiatus, I am back to blogging solo! My sister (along with my entire network of support) has done a fantastic job of keeping you all updated, which has been a tremendous comfort for me. I had hoped to start writing my own updates sooner, but am still finding it incredibly difficult to see with (basically) just one eye. While people remark on my eye improvement daily, from the inside looking out, it doesn’t feel much better. Everything out of my right eye is still cross-eyed basically and I cannot get my vision to align. So reading/typing continue to be very difficult although I am trying to keep the good eye patched over for stretches of the day so that I can build back the strength in my bad eye.

After some technical difficulties, I finally downloaded all the photos from my weeklong hospital stay and uploaded them here. I apologize in advance if the are at all too bloody for you, but they seemed fairly PG to me. Visit the gallery here. http://gallery.me.com/naomiishisaka1#100039

NEW WEB GALLERY! Before surgery in pre-op.

Some other developments since our last update:

Buzzcut – After my friends nearly decided to call the Health Department on my seriously gross head of matted and dirty hair, I finally decided to take the plunge and shave it all off. It look a while to wash all the small woodland creatures out of it and then buzz it all (thanks Ann and Karen), but I am very happy with the outcome. It’s soft as a baby’s butt, clean and it turns out, doesn’t look too bad. Although I do have to be more conscious of scaring small children on the street. We now have a snazzy new haircutting kit for this purpose and are offering free buzz cuts to interested folks in our circle. Come by anytime and we will hook you up. I am calling our new shop Ishisaka’s Buzz and Stylez – We Cut Headz

FoodTidings – We’ve had five days now of FoodTidings now and I cannot tell you how wonderful and this system has been – not just for me but for my caregivers/helpers. We have already had just a stellar assortment of amazing, diverse, delicious and healthy foods, including wild King Salmon, Chicken Congee, Kugel, homemade baked Mac and Cheese, carrot and ginger soup, beet salad, homemade blueberry bars, Apple and Brie pizza and Full Tilt Ice Cream. While the food has been a delight and a huge part in getting back my appetite and battling nausea, about 75% of the enjoyment has come from seeing friends, sharing laughs and a meal together

Health Update – Overall, I think I am doing pretty well and am progressing as my doctors would hope. I still have quite a bit of pain in my head everyday (there is the basic deep head ache coupled with the sharp “breakthrough” pain.) I am taking apparently enough Oxycontin on a daily basis to anesthetize a rhinocerous but hopefully in a week or so we will begin to taper off a bit of the heavy narcotics. That would be welcome as they do make me very, very groggy and sleepy and put me in what a friend described as a “heroin stupor.” As I mentioned earlier, I am still having quite a bit of trouble with my right eye which is really bothersome and frustrating but will hopefully gradually improve. I have SO many people I want to write emails/notes to that I cannot get to if I cannot see properly but hopefully everyone will understand my delay. It’s not that I don’t have time, it’s just really hard to SEE.

A THOUSAND THANK YOUS – There really is no way to adequately convey the depth and sincerity of my appreciation for the hundreds of gifts – large and small – I have received over the past week from my incredible community of friends, family, colleagues and community contacts. From a beautiful and cozy blanket sent from my lovely friends Meg and Tara in Portland to the hundreds of “Atta Girl” messages I have received on Facebook and on this blog, it really is so deeply moving and humbling to receive your love and support. It’s a lifechanging experience and not one I will soon forget. I absolutely LOVE all the visitors – so please stop by! It’s great to see you all and the time is passing so quickly.

AMBULATING! - PICS BELOW – Many of you know Seward Park is my favorite place on Earth. My friend Michael thinks I actually do not have a house, but simply live somewhere in the park. Yesterday, Ann and Toshi and I went for a fairly ambitious mosey through the park – we went 1.8 miles – and while I do not think I could have done it without holding someone’s hand, I did it and it was so lovely to have the warmth of the sun, the beauty of the lake and a reminder of the things I really enjoy doing and that I can do them all again in time.

Ambulating at Seward Park!

Naomi at the the point with Ann

With sister Toshi

Naomi's Fuzzy Friends (Toshi had a little camera problem)

Thursday night update

Posted by Naomi’s sister

I have heard that Naomi may be up for taking over blog duties soon!  I, for one, am very excited for you all to hear about Naomi’s progress straight from the source.

For today though, a very quick update. Naomi is continuing to work hard at her recovery and is improving a little each day. Today she made her first big trip out, all the way to University Village for an entire two hour stretch. I understand she is exhausted from the trip but that it was a good one. She had many friends stop by throughout the day and is now preparing for what will hopefully be a restful and recuperative sleep.

More to come tomorrow -