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Cyberknife radiosurgery? (Read 29518 times)
Potter
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Re: Cyberknife radiosurgery?
Reply #50 - Aug 3rd, 2010 at 1:54pm
 
WOW Neal must be a miracle recovery. Ten fifty nine and you're back online.  Brain surgery must be easier than I thought.

            Potter
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Neal
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Re: Cyberknife radiosurgery?
Reply #51 - Aug 3rd, 2010 at 2:21pm
 
Potter wrote on Aug 3rd, 2010 at 1:54pm:
WOW Neal must be a miracle recovery. Ten fifty nine and you're back online.  Brain surgery must be easier than I thought.

            Potter


Got home around 11:00 AM CST. Will post a report shortly (as soon as I can type it).
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Neal
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Re: Cyberknife radiosurgery?
Reply #52 - Aug 3rd, 2010 at 3:09pm
 
CKRS Report Part II - The Procedure

       I woke up, took my morning dose of the medrol. An hour before the procedure, I took the Ativan. The we went off to the CyberKnife facility. I arrived there about 8:45 AM CST.
       Since I had already had the MRI, CT scan, and had the mask already fitted, everything was ready and I was on the table right around 9:00.
        I got on the table, they fitted the mask on,  put some relatively loose-fitting straps on my arms and ankles down and they put the music in that I had brought (Bach's Brandenburg Concertos - the kind of music I expect is playing when you get to Heaven (but I digress)). They also gave me a foam ring thing to hold onto about mid-belly, also to help keep me from moving around. They then left the room and shut the humongous Cheyenne Mountain NORAD-type looking door.
        So they start the procedure.  I just lay there and the machine moves around here and there from time to time, stops for a while now and again and doses me with Gamma radiation. Did not feel a thing. After around an hour, they come in and take the mask off and get me off the table. My face looked like it had been in a waffle iron afterwards due to the net-type form of the mask! Now the pressure marks are gone. They tell me the neurosurgeon's office will send me a letter about the procedure and will also set up a follow up visit with him "in about a month." Remember, they said it would probably take several weeks for the nerve root to be deadened and for the full effects to be realized.
       Right now I don't feel anything different. As a matter of fact, The Beast came calling about an hour ago, and he was pissed! I suspect this is more due to the steroids than anything else.
        But anyway I hope this works and doesn't have any deleterious effects, as some of you have indicated. And I sure as hell hope The Beast doesn't do a switcheroo and start on my right side sometime in the future. In that event, and if we substitute "d" for "f", I would be "well and truly ducked", as the neurosurgeon said they can only do this once. However, I am aware of one
gentleman who had both sides done with the Gamma Knife (one side twice), because the first time it didn't work, the second time it did on that side, then The Beast switched sides. He told the neurologist and neurosurgeon that he would blow his brains out if they didn't do it (I think he even took the weapon to the neurosurgeon's office and said he would do it right there). They acquiesced to his demand. I guess an in-office suicide would not make for good press!
       The deed is done, and only time will tell if it works.
       I do want to say thanks to all of you for all for your support, and also to those who gave well-reasoned arguments against the procedure.
       I will keep you guys n gals posted.
       PF days & nights to all!
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Re: Cyberknife radiosurgery?
Reply #53 - Aug 3rd, 2010 at 3:41pm
 
And we will keep you in our prayers, here's hoping to success and pain free times in your future!

Joe
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Re: Cyberknife radiosurgery?
Reply #54 - Aug 3rd, 2010 at 3:56pm
 
Guiseppi wrote on Aug 3rd, 2010 at 3:41pm:
And we will keep you in our prayers, here's hoping to success and pain free times in your future!

Joe


Ditto!!!!!!
Smiley
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Re: Cyberknife radiosurgery?
Reply #55 - Aug 3rd, 2010 at 4:59pm
 
What Joe said said it for all of us.  That is what we all want for each other.  We just disagree on the best way to get there sometimes. Smiley

Jerry
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Re: Cyberknife radiosurgery?
Reply #56 - Aug 3rd, 2010 at 7:31pm
 
Wow, that is faster than imitrex!  I hope your well kind sir!

PF & Cluster Free!

Hey, I'm down to 2 or 3 a day now, down from 7-8. I'm
feeling good, can get a few hrs sleep here and there.

Get Well Soon,
Boski
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Re: Cyberknife radiosurgery?
Reply #57 - Aug 4th, 2010 at 1:04pm
 
CKRS Report Part III- Post Operative Day 1 - Report #1

       Well yesterday I had a total of 4 attacks, the last 2 of which were in the 8-10 range. Felt like crap (well, more crappy than usual) after the 3rd one. The first one, a relative lightweight to the others,  was pre-surgery, around 4:30/5:00 am. Second was somewhere around 12:00-1:00 pm. Third was around 6:00 pm. Fourth was around 11:45 pm. The 6 pm one was the worst of the lot.
       Today so far I have not noticed any loss of sensation, blink reflex, etc. Nailed again in the 4:30/5:00 am time range this morning.
        Considering the actual overall increase in number of attacks and of the pain levels, I am hoping The Beast is in his death throes! Let's hope the Gamma radiation did not turn The Beast from a Bruce Banner to The Incredible Hulk! "Beast smash puny Neal! Rrarr!"
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Re: Cyberknife radiosurgery?
Reply #58 - Aug 4th, 2010 at 1:43pm
 
Oh, Dam!  Might just be the stiring of the brain!  Hang in!
I hope you feel better buddy! 

Keep a good out look!  It will get better!  It will!

Peace,
Boski
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Re: Cyberknife radiosurgery?
Reply #59 - Aug 4th, 2010 at 1:58pm
 
Neal, you using any abortives? Did the surgery preclude you from 02, trex etc? Hoping it is the beasts last hurrah before he is smitten!

Joe
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Re: Cyberknife radiosurgery?
Reply #60 - Aug 4th, 2010 at 8:24pm
 
Quote:
so far I have not noticed any loss of sensation, blink reflex, etc.


Is the loss of a blink reflex a real possibilty???   Smiley   I have to say, I never considered that if one side of your head was numb...that would naturally occur.  Wow.

Please keep us posted Neal.
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Re: Cyberknife radiosurgery?
Reply #61 - Aug 4th, 2010 at 10:00pm
 
Guiseppi wrote on Aug 4th, 2010 at 1:58pm:
Neal, you using any abortives? Did the surgery preclude you from 02, trex etc? Hoping it is the beasts last hurrah before he is smitten!

Joe


Oh hell yeah I am! Trex + 5-10 mg Lortab. Lortab for after the trex, cause although the trex gets rid of the "main" headache, it just feels like I've 1/2 my face ripped off once it's worked. Lortab is not by itself a good abortive, as I think most of us know. Sadly O2 hasn't been the wonder for me it has been for a lot of you guys n gals.
     My stockpile of trex is starting to run low, though. I learned a few years ago it was better to stockpile the trex due to the chintzy nature of the insurance co. Only covers 8 injections (4 kits) per month. So I go ahead and get the 8 shots/month whether in cycle or not. Around $850 or so for 8 shots when I'd already gotten the monthly allotment adds up to some serious $$$!
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Re: Cyberknife radiosurgery?
Reply #62 - Aug 4th, 2010 at 10:04pm
 
Linda_Howell wrote on Aug 4th, 2010 at 8:24pm:
Quote:
so far I have not noticed any loss of sensation, blink reflex, etc.


Is the loss of a blink reflex a real possibilty???   Smiley 


     Not per the docs - but one or more people in this thread mentioned it.
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Re: Cyberknife radiosurgery?
Reply #63 - Aug 4th, 2010 at 10:32pm
 
Neal,

You've said a couple of times the O2 does not work for you.  There is no criticism intended here, but my question is at what flow rate have you tried, and with what mask?  I found it not to work for me several years ago, but when I got the O2ptimask and went to 25 L/min I got good results.  You might want to check out Batch's post concerning PH and O2 use.  I know it doesn't work for everyone, but most of us have been able to do very well with it. 

Jerry
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Re: Cyberknife radiosurgery?
Reply #64 - Aug 5th, 2010 at 12:48am
 
My 2˘ Mask is well worth the $27.50!

Hey Imitrex is way high $$$ we all know that and now I know
why they only give us the 1 box a month limit. The smart
ones at GSK say imitrex is not a daily use drug and that is
why we suffer in pain.  So, yes in cycle or out, get your
imitrex every month and you should have enough when you need it.
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Re: Cyberknife radiosurgery?
Reply #65 - Aug 5th, 2010 at 11:57am
 
Callico wrote on Aug 4th, 2010 at 10:32pm:
Neal,

You've said a couple of times the O2 does not work for you.  There is no criticism intended here, but my question is at what flow rate have you tried, and with what mask?  I found it not to work for me several years ago, but when I got the O2ptimask and went to 25 L/min I got good results.  You might want to check out Batch's post concerning PH and O2 use.  I know it doesn't work for everyone, but most of us have been able to do very well with it. 

Jerry


       At first I was prescribed 10-15 LPM. During that time, 11 LPM seemed to work best (but it only worked about 1/3 of the time. So I later tried up to 30 LPM (they had to order a special regulator for that high a rate, and it took some doing to get them to do it), with similar results, i.e., working less often than I desired. Mask type in both cases was a non-rebreather.
       Just searched for and found Batch's post about the pH method. Kinda just skimmed it over, but it looks interesting. I may give it a try in the near future.
       But I am trying to hold off on those things so that my reports of the CKRS procedure won't be skewed by other attempts. I am trying to let there be a more accurate an honest report of the results. Donating my body to science and all that, you know. But if it doesn't kill The Beast soon (in
the next few weeks), other options will be considered!
        Next report coming soon ....
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Re: Cyberknife radiosurgery?
Reply #66 - Aug 5th, 2010 at 12:16pm
 
CKRS Report Part III - Post-Operative Day 1 - Report #2

       Well yesterday I had a total of only 3 attacks. Last one was around 9:45 pm CST. That last one was the worst of the bunch, but not as bad as the 6pm one the previous day (the day of the procedure). My thinking on this is that maybe the Medrol, a steroid, is treating me (sort of) ike Prednisone used to. In the past Pred would, after a few days, virtuallly eliminate the attacks for maybe a week or 2, and then The Beast would come back with a vengeance. Perhaps I am having a similar effect here. So I won't be saying I'm cured if all of a sudden the attacks stop - I'll wait a couple of weeks after such cessation of cluster activity before I come to that conclusion, due to the introduction of the steroids into the mix.   
       I still cannot tell any losss of sensation from the procedure.

CKRS Report Part III -Post-Operative Day 2 - Report # 1

       Well so far today I have had one attack, around 4:30 - 5:00 AM CST. Worse than the last one yesterday (9:45 pm). Feel like crap, but we all have that effect after an attack.
       Still no loss of sensation.
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Re: Cyberknife radiosurgery?
Reply #67 - Aug 5th, 2010 at 12:17pm
 
Good luck Neal.  I hope it works for you. Keep the reports coming.
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Re: Cyberknife radiosurgery?
Reply #68 - Aug 5th, 2010 at 4:07pm
 
Do keep the updates coming Neal, still praying for complete success!

Joe
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Re: Cyberknife radiosurgery?
Reply #69 - Aug 5th, 2010 at 10:38pm
 
Medrol IS prednisone.
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Re: Cyberknife radiosurgery?
Reply #70 - Aug 6th, 2010 at 11:45am
 
CKRS Report Part III-Post-Operative Day 2 - Report Number 2

       Well, I had another attack at approximately 10:45 PM CST last night. Also experienced some "shadows" yesterday, but shadows are easier to deal with than full-blown attacks. But that's 2 attacks instead of 4. Not quite as bad as the others, but still pretty bad. 2 attacks in a day is a lot better than 4!

CKRS Report Part III - Post-Operative Day 3 - Report # 1

      Still had my 4:30-5:00 AM CST visit. Not quite as bad, though. Having some very mild shadows as I write this.
       I still cannot discern any change in sensation in my face. FYI - the methodology I have been using for this is that a) I test both sides by sticking (gently!) a pin on various spots on each side of my face, and b) I also run the end of a pen across parts of my face as well.
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Re: Cyberknife radiosurgery?
Reply #71 - Aug 6th, 2010 at 11:59am
 
Brew wrote on Aug 5th, 2010 at 10:38pm:
Medrol IS prednisone.


     Not exactly. The chemical formula for prednisone is C21H26O5; while the chemical formula for medrol (methylprednisolone) is C22H30O5. Only a few atoms' worth of difference, but still different.
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Re: Cyberknife radiosurgery?
Reply #72 - Aug 6th, 2010 at 1:30pm
 
Neal wrote on Aug 6th, 2010 at 11:59am:
     Not exactly. The chemical formula for prednisone is C21H26O5; while the chemical formula for medrol (methylprednisolone) is C22H30O5. Only a few atoms' worth of difference, but still different. 

Okay, I'll give you that.
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Re: Cyberknife radiosurgery?
Reply #73 - Aug 7th, 2010 at 1:20pm
 
Prednisone vs Methlyprednisolone...  They're both potent  corticosteroids with methylprednisolone the more potent of the two by 20%.  According to the corticosteroid converter at Multimedia File Viewing and Clickable Links are available for Registered Members only!!  You need to Login or Register you can replace a 25mg dose of prednisone with a 20mg dose of methylprednisolone.

My question to Neal is this...  If a potent corticosteriod like methylprednisolone, which usually prevents cluster headaches better than 60% of the time for most of us isn't working and the cyberknife radiosurgery has had less than desired efficacy... how long are your cluster headaches lasting and would an average time of 7 minutes to abort them to a pain free state with oxygen therapy at flow rates that support hyperventilation provide enough incentive to give it a try?

Take care,

V/R, Batch
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Re: Cyberknife radiosurgery?
Reply #74 - Aug 7th, 2010 at 2:36pm
 
CKRS Report Part III - Post-Operative Day 3- Report # 2

     Other than the previously mentioned early morning visit, I only had shadows off and on during the day.

CKRS Report Part III- Post-Operative Day 4 -Report #1

     Got hit around 12:45 am CST. Used Imitrex. Bad, but not as bad as some of the others. Also got hit by what has become The Beast's favorite time to play with me lately, around 4:30- 5:00 am CST. Took more Imitrex. Fairly consistent "shadows", easily dealt with with Lortab 5mg.
     Took the last of the Medrol today. Hopefully it won't treat me like prednisone used to - temporary relief then an increase in frequency and severity of attacks. Hoping the trigeminal nerve root will give way to the Gamma radiation beamed at it for about an hour during the procedure.
     Still no noticeable loss of sensation in my face and head.
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