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Waiting to see our Surgeon and Fear of the Unknown (Read 6048 times)
momtols
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Waiting to see our Surgeon and Fear of the Unknown
Jan 29th, 2012 at 6:12pm
 
Hello Everyone;  I have been "creeping" the site since my daughter's diagnosis of MoyaMoya on December 29th - she was rushed to the hospital on December 26th with stroke like symptoms - she also had pneumonia and was very sick. 

I have reached out to a couple of members but really have just been trying to absorb everything I can about this disease.  My Daughter Kerri-Lynn is 20 years old and has Down syndrome, she also had surgery at 3 to repair a serious Heart Defect - which we are happy to say has been very successful.  Our appointment with the Neurosurgeon is Feb 20th in Toronto.  I know that we will get most of our questions answered soon, but I have a few questions I was hoping someone could answer for me.

1.  Are 5 blockages a lot?  Is there a chance she won't be a candidate for surgery?
2.   Now that she is on blood thinners - what is the chance of her having another stroke prior to surgery - and is there anything we can do to prevent it from happening?
3.  Does everyone have 2 surgeries?  If so, how far are they usually apart?
4.  How long do most people wait between diagnosis and surgery?
5.  Has anyone heard of Dr. Tymianski - if so what did you think of him?

Thanks in advance for any help you can provide. 

Deb
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DJ
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Re: Waiting to see our Surgeon and Fear of the Unknown
Reply #1 - Jan 30th, 2012 at 7:59am
 
Hi Deb,

Sorry to hear about your daughter's stroke.  I hope the appointment with the Neurosurgeon in Toronto goes well.

Obviously, I am not a doctor, but I can try to answer you questions with my own personal experience:

1.  Five blockages?  Sounds like a lot, but it all depends on how much the blockages are.  If they're small, not as much of a concern... larger blockages are more concerning.

2.  I would say that there is a higher risk of hemorrhage while on blood thinners.  Moyamoya vessels are fragile and can bleed very easily.

3.  At centers where they specialize in the treatment of moyamoya, a lot of people have the direct (STA-MCA) surgery seven days apart.  It depends on the type of surgery and how well the patient is doing.  With the indirect surgery they will sometimes do both sides at the same time.

4.  Moyamoya specialists try to get patients in for surgery as soon as possible after diagnosis.

5.  I haven't personally heard of Dr. Tymianski but there are several posts about him on the "doctors" board.  I would suggest typing his name in the Google search at the top of this page.  It will search all of the moyamoya.com message board threads for his name.

Hope this helps some.  HANG IN THERE!

Smiley

DJ
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Adversity does not build character... it reveals it...  I help my neighbor and my neighbor helps someone else. Life is a wonderful circle!
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momtols
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Re: Waiting to see our Surgeon and Fear of the Unknown
Reply #2 - Jan 30th, 2012 at 8:39pm
 
Thanks DJ - that is very helpful.  I didn't mean to say she is on a blood thinner - she is on a baby aspirin every day.  The waiting is very hard - but having this site will certainly allow me the opportunity to ask the right questions.  Thanks for everything you do to keep this site going.

Deb
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Re: Waiting to see our Surgeon and Fear of the Unknown
Reply #3 - Jan 30th, 2012 at 9:10pm
 
It's my pleasure to be able to help Deb.  I'm honored to do it.

Aspirin... right.  I am on 325mg daily and will be for life.  Probably not as big of a deal that being on actual "blood thinners".

Ask any time you think of something!

DJ
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Adversity does not build character... it reveals it...  I help my neighbor and my neighbor helps someone else. Life is a wonderful circle!
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eirelynsmom
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Re: Waiting to see our Surgeon and Fear of the Unknown
Reply #4 - Jan 31st, 2012 at 10:06am
 
Hi there.  We are currently at Stanford and my husband had surgery here with Dr. Steinberg last week.  While here and staying in the apartments they put us up in, we met 4 other families that flew in here from all over to have their surgery as well.  One of them also happened to be a patient with Down Syndrome as well.  This was his first surgery and he was here with his parents.  I believe he is a bit younger than your daughter.  I think it is great if you can find someone in your area who specializes in this disease and has done many surgeries specifically with moyamoya patients. I know my husband had surgery in our hometown in August, and although the surgeon seemed to know a lot about moyamoya, he had not done as many of these surgeries as Dr Steinberg.  I just know when you google or research the disease, one name comes up over and over again as a leader in the research and that is the doctor here at Stanford.  I wish now we had just come here originally instead of wasting time and a surgery in our hometown. Matt's experience here has been Outstanding...and completely different than what we experienced back in August with our surgery where we live. This is just my opinion...Smiley  just reaching out to help.

Good luck and keep us posted.

shari
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momtols
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Re: Waiting to see our Surgeon and Fear of the Unknown
Reply #5 - Jan 31st, 2012 at 8:36pm
 
Hi Shari;

I agree with you, Dr. Steinberg is certainly the leader with respect to Moyamoya.  I would like nothing better than to have him do my daughter's surgery, however we live in Canada and are not covered for out of country surgery.  The cost, I would imagine, would be more than we could afford.  We have an appointment with a surgeon in Toronto this month and it sounds like he does have experience with Moyamoya patients - but we really will have to see when we meet him.  I have read about your husband and I am glad things are going good for him.  This disease has turned our lives upside down and it just is another indication of how your life can change in a heartbeat.  Thanks for your post and the message about the little boy with DS - hope it went well for him.  I have reached out to a couple of other parents in the same situation as me and that does help.  However until we have some more answers I feel like I am on pins and needles.  Best of luck to Matt.

Deb
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momkaren
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Re: Waiting to see our Surgeon and Fear of the Unknown
Reply #6 - Feb 3rd, 2012 at 7:05pm
 
Hi Deb,

My son is 12 yrs old and has down syndrome and autism. He was diagnosed April 9th of last yr with Moyamoya after suffering a stroke that we were able to see. Tests showed he had already suffered 5 "silent" strokes before this one.

We live in Pennsylvania, but went to Boston Children's Hospital for him to have the surgery. He had surgery on both sides of his head at the same time on May 31st. The lack of blood flow on the left side was worse than the right side at the time. The surgery lasted almost 6 1/2 hrs, which was shorter than they originally expected. He is now on 1 81mg aspirin each day.


My son, Christopher is non verbal, so we do not know if he ever had any problems before hand such as headaches, numbness, etc. If he did, and we knew, maybe we could have prevented all or some of the strokes he had.

Best of luck to your daughter and family. Personally, I would prefer the surgery to be done as soon as possible. It is a scary waiting period.
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momtols
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Re: Waiting to see our Surgeon and Fear of the Unknown
Reply #7 - Feb 3rd, 2012 at 7:58pm
 
Hi Karen;

Thanks for your response - my goodness Christopher sure has been dealt a tough hand - hasn't he?  It would be very difficult to determine his level of pain/discomfort when he is non-verbal - I would guess as his mom though that you are pretty tuned into him and any changes, etc. 

When you say 5 silent strokes - does that mean 5 blockages?  We were told Kerri has 5 blockages.

I am hoping we have a quick surgery date - however when we called to confirm our appointment the Secretary advised that this surgeon is off for the month of March and May - so if she doesn't get scheduled in for April - we will have to wait until at least June - which will mean being on pins and needles that much longer - and trying to keep her stroke free.

Has Christopher recovered from the strokes?  Kerri is getting her mobility back - but we are not sure she will get full mobility - however she is doing better than we could have hoped.

Again thanks for your post - I hope all stays well with Christopher and I wish you all the best - our children are our greatest joy - but you certainly have a lot to deal with and I hope you have a support system to allow you time to yourself and the ability to re-energize when you need to.

Thinking about you and your family.  Deb
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