This past week has really tested me and put me through the ringer. The same day I left for the ER, I was feeling good! I was feeling stronger and making gifts for my students! I was working on these right before I had to go to the ER. Aren't they cute?
THE LEAK: Well anyways, it was September 18th and I was just sitting and watching T.V. I had already showered and felt good and was wearing a head band. During this time I did have the "jello head," but the doctors said as long as it didn't get bigger or leak, it should be alright. As I was sitting there, I felt something wet on my head. I lifted up my head band and I felt liquid coming out. At first I thought, "Maybe my mom didn't dry my hair all the way!" BUT... I ran to the restroom and took off the head band and yellow liquid started draining out of my front incision (a different area from the last leakage site). I was disgusted and called my mom, because she had just run up town. After calling my mom, I called my dad and he headed home from work. I put the "feminine pad" head band back on and I will tell you... I was furious. Anger. Frustration. Panic. I threw a huge fit. I knew how bad I wanted to leave the hospital after my last visit and I knew that it was not a good sign that my head was leaking! My dad called some doctors and after some discussion we decided it would be best to go to the OSU Hospital ER.
The ER: As I've already said I did not want to have to end up in the ER. I was in a really negative mood. After our 2 1/2 hour drive to Columbus, we walked in to the ER and it was packed full. People everywhere... Andrew and I and my mom and dad had to separate for a little while. This ER was like Cedar Point or Disney World. Great people watching opportunities. A young mother was actually sucking her thumb when her daughter was running around the waiting room. We arrived to the ER around 9ish and were admitted into JUST an ER room at 1:30 AM. After some time in the ER room, I was checked out and two Neuro Residents drained the fluid in my head with a needle. They took my fluid to test for an infection and wrapped my head up in a crazy-tight head gauze. It was pulled half-way over my eyes and I couldn't see! We were in the ER room until 5:00 PM of the next day (Sept. 19)!
After being admitted to the hospital, we got a really nice room and were so thankful! Tarah also arrived, which made me so happy. Eventually, my Neurosurgeon visited me and informed us that he would need to perform another craniotomy to fix the dura in my skull and install a drain in the ventricle to help keep pressure off the dura so it would heal. My Neurosurgeon suspected holes in the dura, which was what was allowing the fluid to leak and build up under my skin. Finally, during this craniotomy he said he would determine if the skull bone was infected. If it was, he would throw it away, fix the dura, and then at a later date he would install a plate over the infected skull area that he threw away. After the Neurosurgeon left, my mom, dad, sister, Garrett, and Andrew were just relieved. We had peace within us and knew that everything would be fine. So, what did we do? We ordered delicious pizza from Adriatico's Pizza. It really was good and they delivered right to my hospital room. :)
Here is a diagram of a brain... to let you know where the dura is and of course the skull. I had to research a little! :)
Here is a diagram of a brain... to let you know where the dura is and of course the skull. I had to research a little! :)
My 2nd Craniotomy: On September 20th at noon I had my 2nd craniotomy. I was ready for it and in full trust of God and of course, my Neurosurgeon. He is not the same guy who removed the actual tumor, but I really like him and trust in his ability. The surgery was 5 hours long (but felt like nothing for me). I did extremely well during my surgery, but there were many holes in the dura (like he suspected) and some were pretty large. He fixed those up and placed a temporary drain through the center of my brain to the ventricle to control the pressure in my brain for the next few days. He wanted to see if my body would be able to naturally absorb the fluid on its own. If not, he said they would have to install a permanent shunt in my head. Also, during the surgery he determined my skull piece was NOT infected (Thank God) and he didn't have to throw it away and I won't need to have a plate there to cover it up. That was a blessing! Overall, it was a success!
Once I got back up to my ICU room, I wanted one thing. One thing. FOOD! In particular, a Wendy's frosty. I have become quite addicted to frostys. They are so creamy and just feels good to eat. So after eating ice chips, I got to have a small frosty... and then my dad got me another! :) I may have had 3 small frostys that night. I am a solider when it comes to eating and drinking after surgery. You have to give me a break though, before the surgery I hadn't eaten for many, many hours! Steroids + Starvation =
I spent the rest of my hospital visit in the ICU. It was tough, because there were visiting hours and stricter rules. During the first few days in the ICU, I was hooked up to that temporary drain ventricle, which prevented me from leaving my bed at all. I had to sit up at a certain degrees, which kept me at bed rest. Bed rest is not fun. Best rest means you are not getting stronger, you are hooked up to a bladder catheter, and you have to use a bed pan to have a bowel movement! The bed pan was hard and very upsetting to me. I struggled with it and cried when I had to use it. You have to really humble yourself and just realize that there's no other choice. It was really hard for me when I had a male nurse to help me with it too. However, my favorite nurse (Kimmy) comforted me a lot with it and made me feel more comfortable. Boy, could she tell good stories and crack me up during the whole thing! She's a good nurse! During the days when I was on bed rest and the doctors were observing how much fluid I was draining through the drain ventricle, my Neurosurgeon decided I would need a shunt installed. He said my body was not absorbing the fluid fast enough and he feared the fluid would start coming back under my skin and "jello-head" would return! See... he said that since my skin has been having fluid underneath it for so long, it is easier for the fluid to come back and easier to stretch out. He also said they would be putting the shunt on the left side of my head (which is my side with hair), so he would have to shave part of my left side of the head. He said I would just have hair on the back of my head. After some time to think, I told him I just wanted him to shave all my hair off to be at the same length. He agreed and I felt good about my decision. I still feel good about it, even though it is hard. During my surgery, Andrew shaved his head so we will both have short hair! We are going to race and see whose hair grows out faster. He is so cute and sweet. I'll have to take a picture of both of us together with our stubbles! So, on September 22nd he said they were hoping to have the shunt surgery as soon as possible (like the 23rd or 24th), as long as the Infectious Disease doctors said I didn't have an infection. The problem with putting a shunt in with an infection would be my shunt would become infected and then of course more surgery for me! He told me I couldn't eat after midnight, just in case we had the surgery the next day.
(This is Andrew after he shaved his head and is testing out my new hat!)
The Waiting Game: I'm all good when they tell me I can't eat after midnight, because I am going to sleep anyways. However, when breakfast hours start to emerge... I get antsy. It was even harder, because I didn't know 100% if I was going to have surgery today. Was I starving myself for no reason!? We kept trying to find out all day whether or not I would have the shunt surgery today. Finally, the Neuro-Residents came in and told us that I was "scheduled" for 3, but the surgery wasn't 100% yet. They were still waiting on the Infectious Disease doctors to let them know if there was any infection. Well, finally the ID doctors gave the go ahead and said that no bacteria cultures were growing! Yay! I was on for surgery, but didn't know exactly when.
The Shunt Surgery: I had the shunt surgery on Septemeber 23, 2013 at 5:00 PM and it lasted until 7:00 PM. This was an interesting surgery. By far the most painful I've had (yet it was supposed to be the quickest and simplest)! Before the surgery, they told me they weren't going to put me under as much anesthesia. I wasn't worried, but something happened at the end of the surgery. I'm not sure if they took the air tube out while I was waking up or what, but I was in a panic. They took me straight to my room after the surgery, but the entire time I thought I was at a beach party and was shot. I had pain in my abdomen, where they made an incision... but in my after-surgery panic, I thought I was shot on the beach. When I saw this nurse practitioner that I really liked, I thought she saved my life. I was crying so hard and in a complete panicked state! After calming down and realizing I was out of surgery, safe, and not shot... I was still in a lot of pain. The abdomen incision was really, really painful! Here is a diagram of what the shunt looks like and it explains why I had to have an incision in my abdomen!
After calming down from the surgery, I got to see my favorite nurse before she left her shift. She hugged me and gave me an after-surgery present. It was a delicious chocolate cupcake, buckeye treats, and something else I forget that I ate as soon as I was allowed. Again, I had some ice chips and my parents, Tarah/Garrett, and Andrew got me a Wendy's frosty. :) Then, they got me another one. My Neurosurgeon told them he didn't think I would be able to eat, but ohhhh I did! He said the surgery went great and the shunt was installed!
Recovering for the shunt surgery has been tough. The incision in my abdomen was very sore for the first few days (and still is, but getting a ton better). He had to cut through muscle, which has made it hard to move. My body feels like it has aged 50 years or more and I am just working my way back to ME!
On September 24th, I was able to get out of bed! I'll be honest, I was in a lot pain with my ab incision... but it was amazing to be able to move. I had to get x-rays and that was pretty painful to move. The good news was that my Neurosurgeon told us we would probably be able to leave tomorrow! Unfortunately, I had an extremely rough night. It was the first and only night my parents/Andrew all slept over at Andrew's apartment. I really wanted all of them to get a good night's rest! When I was first assigned to my night nurse, I thought he was really nice. He did have a very nice/professional way about him. Once my parents left though, I just felt like he was saying things to me that were upsetting me. I had to pee a lot throughout the night... a lot. I asked him if I could use the actual restroom and he said yes to the first two times, but then made me use the commode (portable toilet) the rest of the night. If you know me, I hate the commode and I felt like I was was building strength walking to the the actual restroom. Out of embarrassment of using the restroom so much I said, "I don't know why I'm peeing so much..." He said, "I would suggest not drinking water for the rest of the night." I couldn't believe he suggested that, because I just had surgery and I am supposed to drink water! Next, this nurse asked me if I was feeling any pain. I said a little in my abdomen incision, but I told him I was struggling to sleep, because my mind was racing. I have been prescribed a medicine to help with anxiety for the time being (with what I've been going through). I asked him if I could take this medicine and he said, "I think you need to just hold off on that medicine. You need to learn to use natural coping skills to calm yourself down and go to sleep." He shamed me! I was sickly upset because of this. I felt like he was not doing his job and putting his opinion in places it doesn't belong. I pray he doesn't do this to other patients. It isn't a good feeling and I hope God talks to him. Early on the morning of September 25th, about six Neuro-Residents came into my room. They took off my head gauze and the gauze covering my abdomen incision. It was shocking! I was so emotional to see myself shaved for the first time with huge incisions on my head. I cried a lot... it is hard to look so different. I can handle the shaved head, but my puffy face makes it 10x harder. However, I keep praying and telling myself... this is temporary. The swelling in my entire body will go away. I have to go through this and I will look me again someday! In that moment when I saw all the incisions, I lost it though. Thankfully, another Neuro-Resident came back to cover up only the incisions. Therefore, right now, I have these white strips covering up my incisions. I actually get to take them off today and wash my head with baby shampoo.
My Discharge Day: It is tough to get out of a hospital. It's a slow process and another waiting game. My parents returned at 10:00 AM (visiting hours are awful). You know how I was really upset after seeing my shaved head and from having a rough night with the nurse? Well, I just cried all morning. Throughout this entire experience, I have cried once in awhile. I have my normal weak moments, but I don't think I've cried this much. My parents were furious about the nurse and felt bad they left me. I was glad that they got a good night's rest though. Finally, after my dad started making things happen and talking to many people, they got the ball rolling with my discharge. By dinner time I was discharged!!! We met Andrew at Panda Express for dinner. I was standing outside Panda Express with my parents, feeling very self conscious about my shaved head and bandages. I will never forget the moment when I saw Andrew walking toward me with his shaved head. He was full of smiles and looked at me like I was the most beautiful thing. It brings me to tears that I've found Andrew. He made me feel so much better and took away my insecurities. Panda Express was enjoyable and then we went home.
This whole experience has brought my family so close. When I say my family, I mean me, my mom, dad, sister, Andrew, and Garrett (my brother-in-law). Our relationships are so strong and it is amazing. We have spent so much time together just supporting each other. My mom and dad have gotten so close to Andrew, as well. They were close before, but now it is undeniable. Tarah and Garrett have just been so committed to my recovery and have been there every step of the way. My mom and dad are completely amazing. Every step of the way they have been there. Their unconditional love for me is amazing. I love you guys!
Being home is such a blessing. Despite the fact that I feel extremely old and weak, I am feeling stronger each day. I am taking every day just one day at a time. It's all I can do. I have a ton of thank you notes to write, because SO many people have been so generous to me. Thank you for the cards, flowers, facebook comments, text messages, and phone calls. I struggle with talking on the phone lately. I also am not up for a ton of visitors yet... I will eventually want visitors! I can feel that after these surgeries, I am moving in the right direction. Before, I was not improving as much as I should have been, but now I feel like I am working my way up!
(Tarah painting my toenails... She is amazing!)
Now that I am home, I am praying things continue to improve. Today is a great day and I am trying to live in the moment. Please pray that the fluid stays away and the shunt does its job. I am hoping to start chemo/radiation in a few weeks and continue to improve. I appreciate all of you who are praying and thinking of me. I want to make a shout out to my cousin, Kristen Jacobs or the future Kristen Snyder. She is getting married tomorrow and I am really hoping to attend! I love you, Kristen! I love you too, Cory! You are one lucky man! :)
With all my trust in the Lord,
Erica Jacobs
Once I got back up to my ICU room, I wanted one thing. One thing. FOOD! In particular, a Wendy's frosty. I have become quite addicted to frostys. They are so creamy and just feels good to eat. So after eating ice chips, I got to have a small frosty... and then my dad got me another! :) I may have had 3 small frostys that night. I am a solider when it comes to eating and drinking after surgery. You have to give me a break though, before the surgery I hadn't eaten for many, many hours! Steroids + Starvation =
The first picture is after my 2nd craniotomy. The doctor wrote on my face to let him know which side of my head he was operating on! The 2nd picture is Tarah and I before the craniotomy.
I spent the rest of my hospital visit in the ICU. It was tough, because there were visiting hours and stricter rules. During the first few days in the ICU, I was hooked up to that temporary drain ventricle, which prevented me from leaving my bed at all. I had to sit up at a certain degrees, which kept me at bed rest. Bed rest is not fun. Best rest means you are not getting stronger, you are hooked up to a bladder catheter, and you have to use a bed pan to have a bowel movement! The bed pan was hard and very upsetting to me. I struggled with it and cried when I had to use it. You have to really humble yourself and just realize that there's no other choice. It was really hard for me when I had a male nurse to help me with it too. However, my favorite nurse (Kimmy) comforted me a lot with it and made me feel more comfortable. Boy, could she tell good stories and crack me up during the whole thing! She's a good nurse! During the days when I was on bed rest and the doctors were observing how much fluid I was draining through the drain ventricle, my Neurosurgeon decided I would need a shunt installed. He said my body was not absorbing the fluid fast enough and he feared the fluid would start coming back under my skin and "jello-head" would return! See... he said that since my skin has been having fluid underneath it for so long, it is easier for the fluid to come back and easier to stretch out. He also said they would be putting the shunt on the left side of my head (which is my side with hair), so he would have to shave part of my left side of the head. He said I would just have hair on the back of my head. After some time to think, I told him I just wanted him to shave all my hair off to be at the same length. He agreed and I felt good about my decision. I still feel good about it, even though it is hard. During my surgery, Andrew shaved his head so we will both have short hair! We are going to race and see whose hair grows out faster. He is so cute and sweet. I'll have to take a picture of both of us together with our stubbles! So, on September 22nd he said they were hoping to have the shunt surgery as soon as possible (like the 23rd or 24th), as long as the Infectious Disease doctors said I didn't have an infection. The problem with putting a shunt in with an infection would be my shunt would become infected and then of course more surgery for me! He told me I couldn't eat after midnight, just in case we had the surgery the next day.
(This is Andrew after he shaved his head and is testing out my new hat!)
The Waiting Game: I'm all good when they tell me I can't eat after midnight, because I am going to sleep anyways. However, when breakfast hours start to emerge... I get antsy. It was even harder, because I didn't know 100% if I was going to have surgery today. Was I starving myself for no reason!? We kept trying to find out all day whether or not I would have the shunt surgery today. Finally, the Neuro-Residents came in and told us that I was "scheduled" for 3, but the surgery wasn't 100% yet. They were still waiting on the Infectious Disease doctors to let them know if there was any infection. Well, finally the ID doctors gave the go ahead and said that no bacteria cultures were growing! Yay! I was on for surgery, but didn't know exactly when.
The Shunt Surgery: I had the shunt surgery on Septemeber 23, 2013 at 5:00 PM and it lasted until 7:00 PM. This was an interesting surgery. By far the most painful I've had (yet it was supposed to be the quickest and simplest)! Before the surgery, they told me they weren't going to put me under as much anesthesia. I wasn't worried, but something happened at the end of the surgery. I'm not sure if they took the air tube out while I was waking up or what, but I was in a panic. They took me straight to my room after the surgery, but the entire time I thought I was at a beach party and was shot. I had pain in my abdomen, where they made an incision... but in my after-surgery panic, I thought I was shot on the beach. When I saw this nurse practitioner that I really liked, I thought she saved my life. I was crying so hard and in a complete panicked state! After calming down and realizing I was out of surgery, safe, and not shot... I was still in a lot of pain. The abdomen incision was really, really painful! Here is a diagram of what the shunt looks like and it explains why I had to have an incision in my abdomen!
After calming down from the surgery, I got to see my favorite nurse before she left her shift. She hugged me and gave me an after-surgery present. It was a delicious chocolate cupcake, buckeye treats, and something else I forget that I ate as soon as I was allowed. Again, I had some ice chips and my parents, Tarah/Garrett, and Andrew got me a Wendy's frosty. :) Then, they got me another one. My Neurosurgeon told them he didn't think I would be able to eat, but ohhhh I did! He said the surgery went great and the shunt was installed!
Recovering for the shunt surgery has been tough. The incision in my abdomen was very sore for the first few days (and still is, but getting a ton better). He had to cut through muscle, which has made it hard to move. My body feels like it has aged 50 years or more and I am just working my way back to ME!
On September 24th, I was able to get out of bed! I'll be honest, I was in a lot pain with my ab incision... but it was amazing to be able to move. I had to get x-rays and that was pretty painful to move. The good news was that my Neurosurgeon told us we would probably be able to leave tomorrow! Unfortunately, I had an extremely rough night. It was the first and only night my parents/Andrew all slept over at Andrew's apartment. I really wanted all of them to get a good night's rest! When I was first assigned to my night nurse, I thought he was really nice. He did have a very nice/professional way about him. Once my parents left though, I just felt like he was saying things to me that were upsetting me. I had to pee a lot throughout the night... a lot. I asked him if I could use the actual restroom and he said yes to the first two times, but then made me use the commode (portable toilet) the rest of the night. If you know me, I hate the commode and I felt like I was was building strength walking to the the actual restroom. Out of embarrassment of using the restroom so much I said, "I don't know why I'm peeing so much..." He said, "I would suggest not drinking water for the rest of the night." I couldn't believe he suggested that, because I just had surgery and I am supposed to drink water! Next, this nurse asked me if I was feeling any pain. I said a little in my abdomen incision, but I told him I was struggling to sleep, because my mind was racing. I have been prescribed a medicine to help with anxiety for the time being (with what I've been going through). I asked him if I could take this medicine and he said, "I think you need to just hold off on that medicine. You need to learn to use natural coping skills to calm yourself down and go to sleep." He shamed me! I was sickly upset because of this. I felt like he was not doing his job and putting his opinion in places it doesn't belong. I pray he doesn't do this to other patients. It isn't a good feeling and I hope God talks to him. Early on the morning of September 25th, about six Neuro-Residents came into my room. They took off my head gauze and the gauze covering my abdomen incision. It was shocking! I was so emotional to see myself shaved for the first time with huge incisions on my head. I cried a lot... it is hard to look so different. I can handle the shaved head, but my puffy face makes it 10x harder. However, I keep praying and telling myself... this is temporary. The swelling in my entire body will go away. I have to go through this and I will look me again someday! In that moment when I saw all the incisions, I lost it though. Thankfully, another Neuro-Resident came back to cover up only the incisions. Therefore, right now, I have these white strips covering up my incisions. I actually get to take them off today and wash my head with baby shampoo.
My Discharge Day: It is tough to get out of a hospital. It's a slow process and another waiting game. My parents returned at 10:00 AM (visiting hours are awful). You know how I was really upset after seeing my shaved head and from having a rough night with the nurse? Well, I just cried all morning. Throughout this entire experience, I have cried once in awhile. I have my normal weak moments, but I don't think I've cried this much. My parents were furious about the nurse and felt bad they left me. I was glad that they got a good night's rest though. Finally, after my dad started making things happen and talking to many people, they got the ball rolling with my discharge. By dinner time I was discharged!!! We met Andrew at Panda Express for dinner. I was standing outside Panda Express with my parents, feeling very self conscious about my shaved head and bandages. I will never forget the moment when I saw Andrew walking toward me with his shaved head. He was full of smiles and looked at me like I was the most beautiful thing. It brings me to tears that I've found Andrew. He made me feel so much better and took away my insecurities. Panda Express was enjoyable and then we went home.
This whole experience has brought my family so close. When I say my family, I mean me, my mom, dad, sister, Andrew, and Garrett (my brother-in-law). Our relationships are so strong and it is amazing. We have spent so much time together just supporting each other. My mom and dad have gotten so close to Andrew, as well. They were close before, but now it is undeniable. Tarah and Garrett have just been so committed to my recovery and have been there every step of the way. My mom and dad are completely amazing. Every step of the way they have been there. Their unconditional love for me is amazing. I love you guys!
Being home is such a blessing. Despite the fact that I feel extremely old and weak, I am feeling stronger each day. I am taking every day just one day at a time. It's all I can do. I have a ton of thank you notes to write, because SO many people have been so generous to me. Thank you for the cards, flowers, facebook comments, text messages, and phone calls. I struggle with talking on the phone lately. I also am not up for a ton of visitors yet... I will eventually want visitors! I can feel that after these surgeries, I am moving in the right direction. Before, I was not improving as much as I should have been, but now I feel like I am working my way up!
(Tarah painting my toenails... She is amazing!)
Now that I am home, I am praying things continue to improve. Today is a great day and I am trying to live in the moment. Please pray that the fluid stays away and the shunt does its job. I am hoping to start chemo/radiation in a few weeks and continue to improve. I appreciate all of you who are praying and thinking of me. I want to make a shout out to my cousin, Kristen Jacobs or the future Kristen Snyder. She is getting married tomorrow and I am really hoping to attend! I love you, Kristen! I love you too, Cory! You are one lucky man! :)
With all my trust in the Lord,
Erica Jacobs







