Showing posts with label support. Show all posts
Showing posts with label support. Show all posts

Wednesday, 30 December 2015

2015..the year that was

All year I have been meaning to sit down and write an update but something has always popped up and I just haven't been able to find the time!

2015 started off positively!  Dom was weaning off Keppra (anti-seizure med) and was looking forward to driving again.  He had to slowly come off Keppra and be seizure free for 6 weeks and then he could drive again!  On Janurary 2 I got up at about 6am and took a pregnancy test...it was positive!!!  Dom & I had been trying for about 12 months before he had the stroke, and we had only just started trying again when I took the test!  Having a baby is something we have wanted for a few years and I was devastated that it didn't happen right away.   Then Dom had a stroke and all thoughts of a baby disappeared for the time being.  After the surgery in September 2014, we decided that we would try again.  After so many negative test results I wasn't overly hopeful, so it was the best way to start the new year!

February 17, four days after his last Keppra dose, Dom had a seizure.  It was a Grand Mal and lasted 6 minutes.  We were stopped at traffic lights just outside the police station on Flinders Street after coming off the freeway, we were on our way to an appointment with Dom's gastroenterologist.  The possibility of Dom having a seizure was always there, it had just slipped our minds.  So this seizure took us by complete surprise!  I had just asked Dom which lane I needed to be in once we cleared the intersection and he didn't answer me.  I looked over and the seizure was starting.  I froze!  I was so shocked!  A million thoughts raced through my mind...the first one, I'm sure was "Oh Fuck!", followed quickly by "shit, where do I move the car to?" I put the hazard lights on as the lady in the car in front of me got out to help me.  She could see what was happening in her rearview mirror!  The lady opened the back door and I laid Dom's seat back.  He was frothing at the mouth so I rolled him over and the lady called an ambulance.  The seizure finally stopped and we waited for the ambulance.  A policeman on his way to work stopped behind me with his lights on so that we didn't run the risk of someone driving into the back of the car.  Dom was taken by ambulance to the Royal Melbourne Hospital and I followed in the car (while shoving sultanas in my mouth!  At 6 weeks pregnant morning sickness had truly kicked in...I was hoping I wouldn't vomit in the car!)  Dom was restarted on Keppra, after having a second seizure that lasted 2 minutes in Emergency.  He stayed overnight in the short stay section of Emergency.  I brought him home on the 18th of Feb - the 10th anniversary of us being together!  A lovely nurse provided me with a handful of sickbags after seeing me sitting on the end of Dom's bed clutching one like my life depended on it!  Morning sickness turned into all day & night sickness!

We're expecting a girl!
Dom and I naively believed that once he went back on Keppra he would have no more seizures and life would go back to the way it was with all our focus being on our baby.  That was not to be.  Dom struggled a bit with the seizure because it took quite a while for him to recover - physically and mentally.  He remembered about the first 10 seconds of the seizure and those memories terrified him.  He remembered being in immense pain and actually fractured another three vertebrae in his spine.  The stroke and seizures from June 25, 2014 left him with a compression fracture in his L1, the February seizures resulted in compression fractures in L2, L3 & L4.  Since June 2014 Dom has now shrunk 6cm! I joked that because I love him so much he will be able to fit in my bag if he kept shrinking, then we would go everywhere together!  And so the road to recovery began, again.  The fractures have made a lot of things quite difficult for Dom.  He cannot hold things in front of him with his arms outstretched, he struggles to bend over as well.  Over time this has improved, however weakness is still evident and the pain often leaves him extremely fatigued, but he pushes on!

May saw another seizure.  This one happened at home.  We were going to bed (well I was already snuggled in), Dom was in the ensuite, he came out and as he walked through the door the seizure had begun in his arms.  I managed to get him to hear me telling him he needed to lay down on the floor.  Being 4 months pregnant I was reluctant to do a lot, but I managed to lie him down and this seizure lasted about 4 minutes.  I called an ambulance and my mum.  I needed her with me in case I was too tired to drive.  Funny how I thought of things like that once I was pregnant.  Back in June 2014 I drove after a couple of hours sleep.  Amazing how my thinking and concerns changed!  The ambulance took Dom to Werribee Mercy where he had some blood tests and was sent home at about 2am.  I came home with more sick bags - thanks to that lovely doctor!  From May things got a bit worse for Dom.  He struggled with the fear and anxiety surrounding his seizures.  The idea of another seizure terrified him.  He would constantly say to me "I'd rather die than have another one" or "if I have another one I hope it kills me".  This thinking was insane to me.  I had watched every second of his seizures and I could see the pain he was in, yet not once did I think he would be better off dead.  Dom's Keppra dose was increased and he suffered the side-effects of that.  He became highly anxious, extremely depressed and by July he was having suicidal thoughts resulting in him making plans and giving me passwords and advice on how to manage money once he was gone.  I didn't trust Dom to not harm himself while I was at work so he couldn't be left alone.  His dad, brother or cousin would stay with him while I was at work.  I remember one Friday quite vividly.  We woke up in the morning to my alarm and I was feeling quite tired, I said to Dom that I wished I didn't have to go to work.  He said to me that I should take the day off.  I thought about it, but decided I couldn't.  I'd missed too many sessions with my classes because I'd stayed home with Dom or taken him to appointments.  My Year 12 class had a SAC and I needed to be there.  He was disappointed I said no, but there was nothing I could do.  We got ready for the day and as I was leaving I gave Dom a kiss goodbye and asked him "will you be here when I get home?"  He had hardly spoken to me since I had said I couldn't take the day off work.  He replied "today, I'm not sure, I don't think so.  Remember I'll always love you"  Well, shit.  Walking out the front door after hearing that was the hardest thing I have ever done.  I told his brother not to let him out of his sight and to call me if he needed me.  I cried the whole way to work!  He was perfectly happy a couple of hours later when we spoke on the phone and had no idea I'd spent the morning crying because of what he had said...I wanted to kill him!  Ironic huh?

Dom started seeing a psychologist and his Neurologist at RMH referred him to the Neuropsychiatrist as the suicidal thoughts were alarming.  Dom's Keppra dose was reduced and he was started on Sodium Valporate to try to control the seizures, he also started on anti-depressants.  He improved.  His moods improved.  He was no longer suicidal and was handling the idea of another seizure much better.  He became more positive, I felt like I had gotten the old Dom back.  On August 3, my first day of maternity leave, I drove Dom into Melbourne so he could work in the office, rather than from home.  I treated myself to some retail therapy and enjoyed bumming round the city.  I was looking froward to doing it again!  That night Dom had another seizure.  It lasted two minutes and he was able to call me before it began.  He was on the couch when it happened, so I supported him so he wouldn't fall off, very challenging at 7 months pregnant!  Called an ambulance and my mum - I have a very well established little routine now!  The ambulance took Dom to the Footscray Hospital. Mum and I witness some interesting people during our little stint in the waiting room! I think my poor mum is traumatised for life!  We came home a few hours later.

Again Dom was pretty shook up after the seizure, but he handled it better than I expected.  After talking with each other about what scared him most with the seizures we were able to come up with a new plan to reduce the anxiety around the seizures.  Dom would remain incoherent and incommunicable for approximately 30 -50 minutes after the seizures would end.  In that time I would have already called and ambulance and so after each seizure the first thing Dom consciously remembered was being surrounded by strangers - the paramedics.  Which would freak him out.  He wouldn't know where he was, what happened, how long it had happened etc.  Hence, the fear.  And so we decided I would only call an ambulance if he was injured during the seizure or if it lasted more than 4 minutes.  This plan was supported by the Neuropsychiatrist, Neurologist and the Psychologist.
During Dom's sessions with the Psychologist, which, in the beginning, he wouldn't go into unless I went in with him, the Psychologist was able to pick up that I was suffering Post Traumatic Stress Disorder (PTSD) from the seizures.  I already knew that, but had thought if I ignored the nightmares and flashbacks I would be ok.  Her concern was how that would increase the chances of me suffering Post Natal Depression after I had our baby.  And so I began to see the Psychologist and started using some strategies to help with the flashbacks and nightmares, which in turn helped reduce Dom's anxiety around seizures.  I had gotten so bad that I was seeing people, not just Dom, but anyone and everyone around me having a seizure from a simple movement.  A lady at worked sneezed and I almost pounced on her thinking she was having a seizure.  A guy in the car in front of me was brushing his hair while we were stopped at traffic lights - I saw it as him having a seizure.  Dom would roll over in bed at night and I'd think it was a seizure.  Very stressful way to live and not good for me, the baby or Dom!  I am now much better.  Still have my moments though they don't happen as often.  Still, my fear is not good for me, the stress is not healthy and can increase the chances of my baby developing anxiety now or in the future.  (Really need to book an appointment with the Psychologist again...will once I finish this!)

Daddy & Grace- only minutes old.
Our little family Sept 18.
In the countdown to my due date, September 13, the stress my being in labour would place on Dom was a big concern.  We were worried he would have a seizure while I was in labour or in the days following the birth.  How the hell would I handle that along with a newborn?  Labour lasted 54 hours, starting at 4pm on the 15th of September.  By the 17th we went to hospital at 4am and our little girl, Grace Alice, arrived at 6:38pm that night.  Of course it couldn't be straight forward.  My blood pressure was scarily high so I had to have an epidural.  Then the placenta wasn't in tact and I ended up being taken to surgery to have a D & C and given two blood transfusions.  What was supposed to be a 2 day stay in hospital turned into a 5 day stay.  The nurses were well aware of Dom's medical history and were lovely to us; helping me with night feeds and nappy changes so we didn't wake Dom.
Mummy looking worse for wear!
First family portrait
 Grace 8 weeks old.



Dom had a seizure on October 31st.  It lasted 2 minutes and left me shaken.  No idea why this one scared me more than the others.  I just know I felt so alone when this seizure happened.  Maybe it was my hormones after having a baby?
Daddy & Grace watching TV
I rang my mum, she came and looked after Grace while I looked after Dom.  Dom was fine.  He felt it coming so sat on the couch.  I stayed with him through the seizure then helped him afterwards.  This seizure was the worst in my mind because of how angry and aggressive Dom became after it.  He was confused (nothing new after a seizure), but this made him frustrated - he was frustrated he couldn't go where he wanted to without my help, he couldn't find the bathroom and so he got angry.  Dom never gets angry with me, despite how much I may spend on a shopping spree!  So this was new and scary because he was still not with it properly and so he wasn't listening to me when I explained things to him.  He has no memory of these 45 minutes, but has apologised endlessly which breaks my heart.  He has no idea of what's happening or what he's doing yet he apologises anyway.

Grace's arrival in our lives was so wonderful.  She gave us a new focus.  We almost forgot about seizures and the anxiety and stress surrounding them.  We were happy and tired, grateful and tired, in love with our little girl and did I mention tired?  Being a parent is the best thing ever, tiredness included.  Its been hard but wonderful.  A baby has led to a lot of adjustments in our lives.  We had to shift our focus from Dom to Grace.  I felt like I was the mother of two children instead of one at times.  I have had to learn to take a step back from hovering over Dom and he has had to start putting Grace and I before him.  We have fallen into a great routine and as Grace has gotten older Dom has been able to do more things with and for Grace.  At the start he struggled to pick her up because of his back, but he has persevered and is now able to bath her and everything!  He absolutely adores his little girl!  Nothing brightens my day more than to hear him talking to Grace and her responding chatter that only she understands.  His smile when I bring Grace to him is blinding.  He is no longer as fearful of seizures, he has accepted they quite possibly could be a permanent part of his future.  A future he talks about, a future he plans for, a future he is looking forward to.  I haven't given up hope that his seizures will be controlled with meds, but Dom doesn't like to dwell on hoping for that in case it can't happen.  He just wants to be able to move forward, and if that includes the occasional seizure then so be it.

And so here we are on December 31, 2015.  Dom hasn't had a seizure since October 31, Grace is 15 weeks old and chattering to us non-stop (something she gets from her mummy).   She has her daddy's smile and eagerness to know everything, while she got my temper and hopefully strength.  The twist in our roller coaster of a life has taught me a few things.  One, I didn't realise how many people doubted my love for Dom until they've said to me "good on you for staying with him".  Let me make it very clear, not once, ever, in the past 18 months did I ever contemplate leaving Dom.  Yes, I thought about life without him in it, but the only way he wouldn't be in my life would be if he had died, not because I chose to leave.  When I said "for better or worse, in sickness and health" I meant it.  Please don't insult me by commenting on my staying with Dom, I'm his wife, with him is where I belong and where I want to be.  Two, friends have not stayed friends, but others have become more.  I am sad that not all of our friends have been as understanding as we've needed, but I choose to look past that to the friends that have continuously gone above and beyond for Dom, Grace and I.  You know who you are and we love you so much.  Three, despite the challenging times we have faced, Dom & I have come out the other side stronger and now with our beautiful baby girl.

Dom now has epilepsy as a result of the stroke.  He will be on warfarin for the rest of his life, along with anti-seizure meds.  He will begin a new treatment for his Ulcerative Colitis in the new year.  We are looking forward to the idea of having the UC under control.  Doctors are still working on stabilising the epilepsy and are positive that they can get Dom seizure free.  He still can't drive as he has to be seizure free for 6 months before he will be allowed to drive again.  This gets him down but I just point out that he has the best looking taxi driver at his disposal :-)  We are looking forward to 2016.  We have set ourselves some goals and will work towards achieving them.  Dom wants to go back to working in Melbourne rather than at home and he wants to be able to take the train in and out of the city to do it.  While 2015 didn't go the way we would have liked it to, and it did seem a hell of a lot harder than 2014 ever was, we've survived it and have starting living again, rather than getting through each day, we are living each day.
Our little family bright & early
on Christmas morning.
Present time!
We are looking forward to a happy & health 2016.

Tuesday, 28 October 2014

World Stroke Day 2014

WORLD STROKE DAY: Wednesday October 29, 2014


Today is World Stroke Day and it is also 4 months after Dom had his stroke!  The journey through rehabilitation and recovery has been long, and at times felt never ending.  The light at the end of the tunnel has teased us by coming closer and moving further away.  Specialist appointments result in a barrage of feelings from anger and frustration to elation and positivity.

Over the past month, through a host of specialist appointments, we have discovered that Dom's stroke resulted in a number of factors aligning at the same time - factors which were unpreventable.  I think this is the hardest part to accept - that we couldn't have done anything to prevent his stroke, and that there is not a lot we can do to prevent another one except ensure he takes his Warfarin.  Its the helplessness that is the hardest to process.

As a wife I want to take care of my husband, look after him, make him happy, love him for my whole life.  Some days it feels like stroke is the dreaded rain cloud hanging over a day of outdoor fun.  Its not something I can forget, seeing him in the hospital - so sick, and me being unable to do anything to change that for him.  I would do anything to switch the roles, to have the stroke so he doesn't have to go through all this.  Although when I think about that properly, Dom would probably prefer it not be me that had the stroke - I can be a moody bitch at the best of times, let alone when I'm sick or injured.

The World Stroke Organisation http://www.world-stroke.org/  is using the 2014 World Stroke Day for their 'I am Woman' campaign:








"The World Stroke Organization (WSO) is calling for immediate action to address the global epidemic of stroke. 
The “I Am Woman” campaign reinforces the fact that while stroke does not discriminate between sexes, women are more at risk of
having a stroke and in many cases are the primary caregiver to an affected husband, father, partner, daughter or son."
http://www.worldstrokecampaign.org/get-involved/campaign-advocacy-brochures.html

 Objectives of the World Stroke Campaign and World Stroke Day - http://www.world-stroke.org/advocacy/world-stroke-campaign

  • Raise awareness on the profound and universal impact of stroke on human life and suffering;
  • Increase understanding of the solutions that exist. Prevention is the most readily applicable and affordable part of knowledge. Key actions must be made to encourage healthy environments to support healthy behaviors.
  • Translate knowledge into action. Transdisciplinary teams must be encouraged to develop expertise and translate evidence into practice. Establish simple but comprehensive stroke units. Stroke units have long proven their worth, even in their most basic form.  And, work towards building a healthcare system that responds to the needs of each individual living with the impact of stroke.
Generate a movement that stimulates collective responsibility and action. Families, community-based groups, professional societies, national governments and the international community all need to support the delivery of programs and services to all persons affected by stroke, as well as fight for better access to basic health services.
- See more at: http://www.world-stroke.org/advocacy/world-stroke-campaign#sthash.Q6Ft89ul.dpuf



1 in 6 people will have a stroke in their lifetime.  Women are at greater risk than men of having a stroke, but women are also more likely to be carers of a stroke survivor.  So today, World Stroke Day, take a moment to think about your loved ones and how 1 in 6 could effect you and the ones you love - what are you going to do to prevent becoming a stroke statistic?

Unite with me and Dom in the fight against stroke.  Contact me if you would like to purchase a Stroke Solidarity String or purchase directly from the Stroke Foundation - funds raised are donated to the Stroke Foundation.




I am woman...stroke affects me.  But I am thankful for the second chance Dom has at life, we will not waste it.  Help me raise awareness to fight stroke by sharing this blog with everyone you can.
We are still raising money for the Stroke Foundation via our Everyday Hero account; please donate if you can, and share this link so others can also donate: 

Our Wedding Day - January 7, 2012.


Wednesday, 3 September 2014

Stroke Ward Milestones!

Stroke Ward Milestones!

The weekend of July 5 & 6 was full of amazing progress!  By the evening of July 5 Dom had movement in his right foot and leg and slight movement in his right hand.  We were able to take him out and about in the wheelchair…well out and about to the cafeteria; still it was out of his room and the ward! 

On July 6 Dom had gained movement in his right arm from his fingertips to his elbow!  This was excellent news and put Dom in a more positive frame of mind, especially after his tough day on Friday with the rehab staff.  The nurses were impressed and astounded by the progress Dom was making.  He couldn’t wait to see the physio on Monday to see what else he would be able to do and what exercises he could do while he waited to go to rehab. 

Selfie in the cafeteria!
Dom spent Sunday afternoon in the cafeteria with all of his visitors – he had an iced coffee and was able to see everyone at once instead of only the two at a time when on the Stroke Ward. 


Things were now looking positive for a move to rehabilitation. 

Sunday, 31 August 2014

Recovery Stage 1

From HDU to Stroke Ward

On June 30, when I went in to visit Dom he looked pretty good - he seemed more alert and responsive than he had the previous few days.  When I arrived I spoke to him...asked if he missed me (he nodded his head 'yes').  I told him that I missed him and was dying for a hug!  He brought his left arm up to my right shoulder and pulled me down to him.  I cried on him while he rubbed my back.  Amazing how you don't realise how important a hug from your husband is until you can't have one whenever you want one anymore!  I quickly pulled myself together and focused my attention back on Dom and his recovery.  He was so happy to have the cerebral drainage tubes removed, he could feel them sitting on his pillow but couldn't move around to see what they were so they were a point of frustration for him.  It was such a small thing to have done, but seemed like a massive step in his recovery.

On July 1 he was assessed by the physio, Rosy, and she determined that Dom needed to sit in a chair.  As he hurt is back during the seizures he was hoisted into a reclining wheelchair that would allow him to lay back enough to take the pressure off his back.  He was very alert in the chair, but tired very quickly as he was in a position to visually take in more than he had been able to whilst lying in bed. Also, he was still in a bit of pain despite reclining the chair and this wore him out pretty quickly.  

Sitting in the wheel chair for about an hour each day became part of his routine.  Along with his neurological observations which consisted of questions like:
- What day is it today?
- What month are we in?
- What year are we in?
- Do you know where you are?
Dom explained to me a couple of weeks ago that he couldn't understand why the nurses kept asking him these questions.  At the time, he said he remembers thinking, why didn't you write the date down when I told you the last time?  And he said the "Do you know where you are?" question was so frustrating because he wanted to tell them that obviously it was a hospital and did it really matter which one...he wasn't going anywhere so he didn't need to know which hospital he was in.  He said that he remembers sometimes just pretending to be asleep and not answering the nurses when they'd come to ask their questions because he "couldn't be bothered with their stupid questions", he explained, "I knew the answers were in my head so that was enough for me".  

Dom was moved out of the High Dependency Unit and into Stroke Ward on the 2nd of July.  This was excellent news as it was another step in the right direction for his recovery.  He had a little more privacy and didn't have to be monitored as closely by the nurses. 

Dom was still unable to move the right side of his body.  He had sensation in his arm, leg, hand and foot, but no movement.  He didn't seem to be too concerned about this; just a bit pissed off that he couldn't get his arm and leg to do what he wanted them to do. I didn't question him about the movement, I just kept reassuring him that it would get better and he would be ok.  I couldn't imagine what it would be like to go to work one day and then the next thing you are aware of is being in the hospital with paralysis in the right side of your body and part of skull missing. It would be so scary and so the last thing I wanted was for Dom to worry about it.  

On July 4 Dom was visited by some staff from the Rehabilitation clinic. They did some assessments and told Dom he was now on the waiting list at Royal Park and also Sunshine Hospital.  This was great news!  However, their assessments brought to Dom's attention how much paralysis he had and exactly what sort of condition he was in.  He hadn't been sheltered from his condition, the stroke, surgery or the paralysis...but all of the time I'd been spending with him I was positive and kept reassuring him.  The rehab staff spoke to Dom during the midday rest period when visitors were asked to leave the ward.  So he was left alone to ponder their questions about transitioning home. When I returned for the afternoon visiting period he was very frustrated, angry and depressed.  The rehab staff asked him questions like "Is there anyone to care for you if you leave rehab still requiring a hoist to move from a bed to a chair?"  I was not allowing myself to dwell on what sort of movement and mobility Dom would have when he came home - we'd just been informed he was on the rehab waiting list, I'd been focused on him getting better not worrying about what he'd be able to do when he came home. These questions were a big blow to Dom's confidence and mental state - he was no longer as confident in his ability to recover as he had been prior to their visit.  

Dr Matt came in and asked Dom if he'd allow Dr Matt to video tape some neurological assessments to use in a presentation he would give to his colleagues about CVT as it is so rare he wanted to take the opportunity to present it to others in the field.  Dom was hesitant to agree - he felt like it wasn't fair that all this had happened to him and he didn't want to be videoed doing things that he couldn't do.  He nodded agreement to Dr Matt and after he left us I spoke to Dom about looking for a positive out of all this. We needed to focus on how we could make the best of the shit situation.  If a positive was that we could help educate other doctors so that they could be aware of the symptoms of this type of stroke then perhaps other young couples wouldn't have to experience what we had.  I explained to Dom how lucky we were that he had the stroke at the Flinders Street station, because this resulted in him being taken to RMH where the Neurology team were directed by Professor Davis who was familiar with CVT and the treatment of it.  We were so lucky that Dom's gastroenterologist has had other UC patients suffer CVT and he was in contact with the Neurology team treating Dom.  We were lucky this whole thing happened the way it did.  Its horrible it happened but it could have been so much worse.  That's what I keep telling Dom to this day...when it all seems to be a little too hard we always think about how much worse it all could have been.  

Sunday, 17 August 2014

You're not alone

Two months ago my 30 year old husband had a stroke.  I have spoken with him and he agreed to my writing this blog to detail the journey we've been on so far in his recovery and rehabilitation in a hope to help us process what has happened but also to reassure any stroke victims and their families that you are not alone.  

This has been such an unpredictable and scary event in our lives and we were fortunate to have had amazing medical staff to guide us through this roller coaster of decisions and emotions.  We were also very overwhelmed by the amount of love and support offered to us by family and friends.  It is true, during times like this you realise who your true friends are!  

I am not claiming any expertise here, nor am I preaching to you about what you should do or how you should deal with this.  I am simply wanting to share my story with you in the hope that it can provide you with an insight into one person's stroke journey.  

If you, or anyone you know needs assistance call Lifeline: 13 11 14:

"Lifeline is a national charity providing all Australians experiencing a personal crisis with access to 24 hour crisis support and suicide prevention services.
Somewhere in Australia there is a new call to Lifeline every minute. People call Lifeline’s 24 hour crisis line
13 11 14 about:
  • Suicidal thoughts or attempts
  • Personal crisis
  • Anxiety
  • Depression
  • Loneliness
  • Abuse and trauma
  • Stresses from work, family or society
  • Self-help information for friends and family"

    Source: https://www.lifeline.org.au/ 
Forgive my inconsistent posts - it's hard to find the time between my own full-time work and assisting my husband through his rehabilitation.  

Join me in the Return from Stroke journey my husband and I are embarking on.