Monday, July 28, 2014

Some things I learned along the way

me and my darlings at Mt. Rainier
I've received comments from some folks out there who are either preparing for parotid surgery or are recovering from parotid surgery, and I realized it would be great to provide a little "tidbits" type of post. Something with some tips I learned along the way. Something that helped me while planning for the surgery. And see those cute kids to the right? Well, they are what helped me stay strong, to keep believing in myself, and to push harder everyday. This is not a family blog so I've kept my family pictures and stories out of it, but I wanted to give you a little peak into my world.

First and foremost, the surgery is absolutely scary. There's no denying the horrific stories you'll find when you search online. But when you think about it, the majority of people like to vocalize their complaints (with service, be it food service, customer service, etc), but very rarely do you hear people vocalize their happiness. People don't often go out to eat and then boast about it online when they've had a great server, but yet when their service is bad, they are quick to go online and bash the company. So that means the majority of stories you'll read are just that, folks who've had a horrible story, surgery or recovery. And while that's never a good thing, the sheer number of stories out there makes it seem like every single parotid surgery ends  with tragic results. That's absolutely not the truth; I'm living proof of that! And that's mainly the reason I started this blog... to track my surgery and recovery, and to provide a (what-I-hoped-would-be) positive story for others going through the same thing.

My number one recommendation is to get a second opinion once you've been diagnosed with a parotid tumor, or any tumor or disease for that matter. I realize it takes time to get into these specialist's offices (trust me, I've waited months to get into some of the best!), but you can even have your primary doctor call them and try to get you in at an earlier date if they don't have anything for a while. If nothing else, you must absolutely get a second opinion if your doctor recommends surgery. So, ask around for another ENT in your area, even if it means traveling an hour or so to visit them. It's worth it to have another opinion and be sure you are comfortable with how they'll do the surgery.

Another tip - ask your surgeon if they'll be using a nerve monitor during the surgery. This seems to be commonplace these days, especially in the United States, but you never know. It's worth asking. And if they aren't able to do that, definitely get another opinion. That nerve monitor alerts the surgeon when they are getting too close to the facial nerve. Ask your surgeon lots of other questions too. Don't be afraid to ask about the surgery, ask for details, and even ask if they have a previous patient who you could speak with about their recovery. I tried this but was told nobody has ever been willing to leave their name and number for folks to call with questions, and with HIPPA in the United States, doctors can't just give out anyone's name/number.

If you've got an upcoming appointment with your ENT, write down all your questions and ask them. I've been known to show up with my notebook of at least 15-20 questions for each appointment. There were yes/no questions, "if yes to #3....  if no to #3..... " questions, diagram questions, and even drawings I wanted to show me exactly where the incisions would be made. I had all sorts of questions over the years as we watched the tumor grow, and then even more questions as I read the horror stories about surgeries.

You can call and ask your ENT's nurse these questions too. And believe me, once a surgery date was set, I called my nurses every few days with more questions. The girls got to know me on a first name basis and they were AWESOME in helping calm my fears of the surgery. And they honestly spent so much time on the phone with me, sometimes telling me they'd call back at the end of the day so they could talk for longer periods of time. It was exactly what I needed for such a scary surgery. It also saved me the hour trip down to the city just to ask the surgeon these questions.

Allow yourself to have breakdowns. They are normal and healthy. Cry and let it out. Trust me, I've had plenty of them - usually right after I put the kids to bed and they had given me great big hugs. Sometimes I cried to my husband, but I was sure he had heard enough of my fears, so I usually just locked myself in my room and freaked out alone.

And once you've allowed yourself time to freak out, put on Bob Marley's Three Little Birds and think "every little thing gonna be alright". That song still brings me to tears today when I hear it because it was truly my mantra in getting through all of this.

My last suggestion would be to for you all to start your own little blog to follow your journey. If nothing else, it can be a place for you to track your progress during recovery. And believe me, the first few weeks it feels like you're making no progress at all, but then you can look back and say "hey, I wasn't able to do that just 3 days ago..."; every little bit further you can turn your neck, lift a pasta pot full of water, sleep on your side, pick up the kids and just go about your daily activities, you'll feel that much better about your decision to get the surgery.

One other insight into my personal life - this man below is my husband. He's been my rock, my shining star, my courage to go on. He's provided me with strength during times I had nothing left in me. Not just during this parotid tumor craziness, but in other periods of my life when I've felt defeated, deflated and just about as low as I could feel. I am so blessed to have him by my side.

We all need someone we can lean on, someone who can hold our hand during times of pain, sit with us at the doctor's office and take notes, and help us out when we come home from the hospital. For the record, my husband was a lousy note taker (he was overwhelmed with all the medical jargon tossed around!), but my mom stepped in and went with me to make sure all my surgery questions were answered. So find that someone in your life who will help with those things. Don't go at it alone, it will only stress you even more.

*the pictures above were taken after my surgery, so you can see my smile was not affected, and really, my face didn't change at all. The small scars on the side by my ear, and down my neck, are so very minuscule now, I hardly think about them. And I never worry about anyone noticing, because it's really not very noticeable at all!

19 comments:

  1. I have been reading your blog in tears at times. I have a parotid tumor and a thyroid nodule. It's been a nightmare, all of it. It's so hard to talk to anyone because nobody totally gets the "they have to cut my face open". Or that I may have thyroid cancer. I had a nodule before that went shrank but a new one grew in the past two years and tested follicular. Then I have that parotid tumor-- so I'm up for two surgeries at once. I also had an ultrasound on my birthday (this is how all this started). I'm also a pessimist that is trying to change. I hear all the "bad news" at these appointments. I had to laugh too- the Bob Marley song has been my motto. I hear it and start crying, hoping it's a sign I will be okay. And lastly, I'm in PA- saw a ENT at Penn Med last week but I am going to a second and possible third opinion. Anyway, your blog is helpful. I have been blogging just to get some things out of my head and it helps. I hope all is well with you. :^) Elisa

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  2. Oh my goodness Elisa, I'm so sorry I haven't responded sooner! I am awful about checking my email. I am sorry you are going through all of this, and to have to deal with the parotid and thyroid tumors at the same time is definitely no fun. It's exhausting, both mentally and physically, running back and forth for tests and doctors appointments. Who did you see at Penn? And yes, definitely get several opinions, no matter who you saw! I highly recommend Dr. Ara Chalian, but I had seen others before him. If you need a shoulder to lean on, please email me - I check Kymber33(at)gmail.com much more frequently. Try to stay positive (yes, easier said than done)... and know that ALL CAN GO WELL. It happened to me, and it can happen for you too. There are too many negative posts all over the internet, but focus in on the few positive ones (and remember people don't write or speak up when they are happy, but they love to complain and raise hell when they aren't).

    xoxoxo,
    Kym

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  3. Thank you. Thank you. Thank you! I found out today that the lump under my ear is more than likely a parotid tumor & will require surgery. I'm the type of person who is never sick & never has to go to the doctor so this experience is starting to become terrifying. I'm waiting on the results of my first biopsy and have a ct scan scheduled for this Tuesday. Your blog has helped me understand exactly what I'm trying to prepare myself for. Again, thank you so much.

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    1. Mine was also just below my ear and my doc 17 years ago thought it was just a hardened lymph node and not to worry. When it got swollen last summer, my (new) doc wanted it checked out. Now it is completely "checked out" during my surgery 2 days ago. I have had many sleepless nights but am now looking forward to recovery. Thanks for this blog and everyone's comments, I have felt much better about the tumor.

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  4. Thank you. Thank you. Thank you! I found out today that the lump under my ear is more than likely a parotid tumor & will require surgery. I'm the type of person who is never sick & never has to go to the doctor so this experience is starting to become terrifying. I'm waiting on the results of my first biopsy and have a ct scan scheduled for this Tuesday. Your blog has helped me understand exactly what I'm trying to prepare myself for. Again, thank you so much.

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  5. Hi Ashley - I'll be praying for you today as you have the CT scan, and receive results of the biopsy. Please keep me posted, and if you have any questions or want to talk about surgery or tests or how to prepare for it all, please just let me know. I'm more than happy to talk it through. It was pretty crazy for me and it seemed no one had that positive story online, so I'm MORE than happy to share my experience and help you through it.
    xoxox,
    Kym

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  6. Hi Kym! I'm scheduled for a pleiomorphic adenoma removal (submandibular gland) in just about a month and was so grateful to stumble upon this blog. I love that you focused on the positives and am so happy you had a good experience (praying for the same for myself!). This will be my 5th surgery - and I'm not even 20 years old yet - so i'm pretty familiar with the routine but would appreciate any insight or maybe some good questions to ask at my pre-op appointment. I am definitely asking him about that nerve monitor because I would like to keep my face and smile just how it is! Thank you so much for creating this blog; it most definitely helped prepare myself for what i'm about to be going through!

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    1. Hi Megan,
      I am so sorry I am just now responding to you. Have you had your surgery? If not, let me know and I'll dig around for my old journal from before the surgery. Hope you're doing well.
      xoxox,
      Kym

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    2. I actually just had my surgery on wednesday and am happy to report that i am doing great! Thank you for your thoughtfulness! :)

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    3. Hi Megan,
      Even I am scheduled for a surgery on Sep 2nd 2016 for the same cause as yours (pleomorphic adenoma - submandibular gland). I have been doing my own search for quite a while since I got diagonised. I coundt find any cases on submandibular gland as they say it is rare. Was just going through Kym's blog that I stumbled upon your comment. I hope the post surgery effects of paratoid an dsubmandibular gland are quite similar. But just wanted to hear out from the one's who had been through it.
      Was there any numbness and facial weakness? Swelling? How long did it take for the recovery? Did they attached a drain on the wound after the surgery? How did u feel right after the surgery and the weeks and months that followed by?
      Thank you in advance :-)

      -Gune

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  7. So I was diagnosed with a pleomorphic adenoma on April 20th. I had my MRI then. I have a 6 mos. MRI in October. They think it's benign but won't know until they cut it out and biopsy it. They can't do an FNA/FNAC because of its location. They don't want to just go in & cut it out because of location and risks. I could experience full paralysis. I could be permanently hoarse or completely lose my ability to speak at all.
    I have no idea what to expect. I have no idea what to ask. If it doesn't grow, they'll see me semi-annually until it starts growing and then go in & remove it. If it does start growing - if it's gotten any bigger in October, they'll go in & remove it right away. I mentioned wanting to wait the 10 years they're willing at the most to wait, because by then my girls should be out of high school. The doctor doesn't seem thrilled by that idea.

    I'm terrified but I have people saying "oh, it's JUST a tumor. It's not cancer." Really? REALLY? We won't even know what type of cells it is until they take it out. It has a slim, but still there, chance of becoming cancerous. I'm only in my 30s. I'm willing to undergo chemotherapy, if needed, and lose all my hair, as long as I'm here to watch my girls grow up.

    And I have found very little information and zero support groups for it. Any suggestions? Advice? What questions do I need to ask?

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  8. Hi - wow, so first let me say I'm sorry to hear all of this. And please don't let anyone tell you it's "just" a tumor. It's no less scary than knowing it's cancer right now. And in fact, you won't know anything until it comes out. I did go along and just watch mine for a few years, but it kept growing (although I honestly couldn't feel it from outside my neck, but the MRI results showed growth).

    Second, get another opinion from another ENT doctor. Try to find out who the best is in your area. Ask your primary care for a referral, and then still ask around. If you're anywhere in the North East area of the US, I'd say come to the Hospital of the University of Penn and see Dr. Ara Chalian. He's amazing.

    Third, yes, it's tough with no groups and no where really to turn - you wind up "googling" it and read some scary stories. But that's where I got the idea to start this blog, to provide what I had hoped to be a positive story. And I'm glad I documented it because I think it has helped a lot of people.

    Ask why they can't biopsy it, where is it located? Is there another surgeon who would be more comfortable attempting a biopsy of it? How large is it? My suggestion would be contacting a big hospital near you and asking for their radiology department and let them know you're inquiring about an FNA, and ask if you can send them your MRI images to them for review. Then their specialists can see if it's something they may be able to get to without causing a problem.

    I hope this helps. Know that you're not alone. But also know that it's okay to be worried and anxious. The changes they say are slim for it to be cancer, but slim still means someone gets it, and you never know who that may be. But try to stay positive, and keep calling around. I have spent HOURS upon HOURS, days upon days, weeks upon weeks, calling doctors, following up with insurance, disputing charges, etc. It's certainly not easy, but it's your life. And you are worth it! Especially with your kiddos who need you to take care of them :)

    xoxox,
    Kym

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    1. Thanks. :) I have 3 doctors - all different practices (still ENT), who agree it is a pleomorphic adenoma. The radiology department at the hospital up here first diagnosed it and referred me to an ENT. The ENT here sent me an hour away to a university hospital. Radiology and the ENT at the university agree that they cannot get to it for an FNA/FNAC; however, radiology also thinks it's benign (at this point, anyway).
      The adenoma is not close enough to the outside of my cheek/skull base to get to easily, and it's not inside my mouth; it's closer to my throat. Just to get to it, the ENT is going to have to move my vocal chords - at the least; and that's not even knowing that he's going to have to cut in from the outside. He doesn't see the facial nerve growing through it, so that's good. It's more like the nerves are on top of it, so he'll still have to move things around. He said the least will be hoarseness and the most will be full paralysis and loss of ability to speak at all. I'll have to relearn to use my vocal chords if it's hoarseness and change in pitch. So there's that.

      I wanted to ask about symptoms/similarities. I have jaw pain, hoarseness after talking for a while, frequent sore throats. Did you or any of the other readers experience similar?

      Thanks for replying and sharing your journey! :)

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    2. Hi, sorry for the delayed response. I honestly didn't have any symptoms relating to the tumor. I would have never known it was there if it wasn't picked up on the MRI when they were trying to uncover the source to my blacking out spells (turned out to be b/c my blood pressure drops drastically from sitting to standing, and when I come to a quick stop after working out).

      Hopefully others will chime in with any symptoms they experienced. Please keep us posted when you have the follow-up in October!

      xoxox,
      Kym

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  9. Hi Kym, I really appreciated being able to read of your journey as I faced the removal of my benign pleomorphic adenoma on the L side. I found it just scratching my neck when mosquitoes were in our campground in June. I had the surgery just over 2 weeks ago (Nov. 23) so missed Thanksgiving pretty much, but I look forward to being able to entertain our family from out of town here for Christmas in just over a week. I wonder if you had EAR ACHES after your surgery and if so, for how long??? Mine are intermittent but have been occurring every day a few times. When I told my ENT that, he looked in my ear at my one week post-op apptmt. but didn't comment that there was any problem. I discovered that having a lemon in my water each morning caused stinging in the gland area where the surgery was, so that's on hold for I wonder how long? I read that you still have an uncomfortable sensation there when you have sour or spicy food, and you're four years out from your surgery. Without your blog, I would have had NO idea of what to expect post op. Fortunately I did NOT have any nausea afterwards. I was just hurting from the steri strips, swelling, and actual incision. I felt much better once the strips were off after a week. I quit taking the Hydrocodone after 3 days because of side effects I wasn't enjoying - feeling flushed with the red and hot face, being zonked, itchy skin, stomach ache. So I've been using extra strength Tylenol instead. Just yesterday I was down to just one in the evening, and today only one so far at mid afternoon. So I am getting more used to the dull pain in my neck area I guess. I just really don't enjoy the internal ear ache and am anxious to hear if you had that at all, and if so, for how long. Thanks again for your blog. It has been very comforting and informative.

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    1. Hi Mary Jane,

      I just replied to your comment on a separate post, but wanted to say how impressed I am at your ability to wean off the pain medicine so quickly. That's amazing! I'm so glad to hear you did not have the nausea after the surgery, and cut out Hydrocodone pretty quickly - that stuff is powerful.

      I don't remember an internal ear ache, but it could just be part of the normal healing process. All the muscles have to come back together, nerves regenerate (that's the craziest - the random shocking feelings you'll experience), skin must close up, etc.

      How is your swelling doing? Do you feel full in the back of your cheek from surgery? Are you able to sleep comfortably? I do hope you are enjoying your time with your family now that Christmas is just a few days away. Take care and please keep us posted. And ask any questions you may have.

      xoxox,
      Kym

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