It’s been awhile since I blogged. That’s because I have spent the last two to three years navigating a frustrating, complacent, and at times, brilliant health-care system. Michelle suffered a severe TBI in 1998 and had made remarkable progress to the point where she was walking with a walker. Then about three years ago her physical ability began to deteriorate. She developed severe spasticity, went from a minimal assist to a maximum assist transfer, had trouble standing, and developed high blood pressure.
I took her to her neurologist who referred her to a neurosurgeon for testing. The neurosurgeon told me that frankly he did not know why I was there. He said, “I don’t diagnose, I fix.” He then sent me to another neurologist who specialized in movement issues. This neurologist recommended a CAT scan and an MRI of her head. The MRI technician would not do an MRI without knowing what type of shunt she had. I did not know so the MRI was never done although the CAT scan showed there were no problems with her shunt.
Several months later she went to the ER on Christmas day. There was a lump on the side of her neck where the tubing of her shunt ran and she was having terrible outbursts. They did another CAT scan there and another test on her shunt. She was in the ER for over five hours and after four hours began to have loud outbursts. The tests showed that there were no problems and my discharge notes were on how to control temper tantrums in children. Obviously, the ER physician had no understanding of brain injury and I resolved I would never enter that hospital again.
I found a new team of physicians at New York Presbyterian Hospital. I went to the hospital on Long Island to pick up the copies of her tests from Christmas and as I read them I saw that there was the possibility of a shunt fracture. No one had told me this. When I took the reports and the scans to her new neurosurgeon he did follow-up tests and indeed it was found that her shunt was fractured in her abdominal area. The shunt was surgically repaired and afterwards she made some progress, (she could now do weight bearing) but she still had a great deal of spasticity. I contacted a new neurologist at New York Presbyterian and contacted the hospital in Chicago for her medical records in order to try to determine what type of shunt she had. The medical records were sent, I was told, but they never arrived. I then contacted the Chicago office of the neurosurgeon who had done the original shunt surgery. The surgeon was no longer there but his partner informed me that her shunt was not MRI compatible. We were therefore limited to only CAT scans. We did CAT scans of her head and spine and all seemed well.
I still wanted to know what was causing these symptoms and I still had trouble accepting that her shunt was not MRI compatible since the shunt was implanted in 1998 and she had had an MRI in 1999. I had my own copies of the MRI done in 1999 and I took them to her new neurologist. He was able to tell from these that she could have an MRI. I also tracked down the neurosurgeon who had put the shunt in and found him in Florida. I faxed him his operating notes and he too verified that her shunt was non-programmable and an MRI could be done. The MRI technicians were hesitant but her new neurologist informed them that it was safe to do an MRI. The MRIs of her brain came back showing no problems. But then we did an MRI of her spine and discovered that she had a large cyst in her spine. We finally found the cause of her symptoms and on March 11th she will undergo spine surgery.
The neuro team on Long Island was only treating symptoms and not getting to the cause of the problem. The neurosurgeon in Chicago, who probably never tried to find out what type of shunt she had but played it safe by saying that her shunt was not MRI compatible, delayed the process by a year while the cyst kept growing. The team in the city followed the symptoms until they finally found the cause. I hope someone will learn from this posting.
Great to hear the result so far. I hope the surgery will significantly help her.
Excellent blog. Unfortunately shows the level of ineptitude prevalent at even the supposed highest levels of humanity.
I’ll keep you updated.
Marilyn, you are amazing! Lucky for Michelle!
No…just a badass Mom.
All my best for Michelle and the amazing Martone family.
Fran Fico
And when are we having that lunch?
Oh Marilyn, you always had determination. I will pray for you and MIchelle.
Thanks Marcia.
Oh my, taking on the medical establishment! Good for you Marilyn,I do hope others will read this and know that determination and lack of intimidation go along way in caring for our family.
But it’s exhausting.
Thank you Marilyn for posting this. You & Michelle have been & will be in my prayersl .
My son who has an acquired TBI
had a ventriculostomy done this summer so as to avoid shunt issues in future .
That went well , however there were complications as his IV dislodged & spilled subcutaneously burning his arm severely ( Dilantin burns ) , subsequent infection , surgery on the infected arm , then MRSA set in . An overnight procedure became a nightmare … & 3 weeks in hospital in isolation . Debriding & wound care for arm continued for next 3 months . He continues to work hard . Spasticity is our enemy as well . We pray walking for him & will never give up hope for that , peace & blesssings .
Mary Eisenhauer
Mary,I know. That’s the roller coaster ride of brain injury. But we just keep going because what else can we do. I’ll keep your son and family in my prayers also. Unfortunately individuals with TBIs have so few advocates and so few people understand it.
Mrs. Martone, you are truly an inspiration. It is amazing what you do for Michelle. I will keep you both in my prayers.
Liz
No, just a mom.
Not “just” a mom….a mom who is driven, tenacious, stubborn, and refuses to give up. You’re every bit as heroic as Michelle is…. in fact, your whole family is. I guess it’s genetics.
You’re in my prayers.
Thanks, Pat. Hope you are doing well.
Dear Marilyn:
All for love. It truly does conquer all. Your fortitude in the face of such carelessness and ineptitude is awesome. You all will be in our prayers.
May the work of the Holy Spirit in you, continue to fill you with wisdom and every grace you need as you advocate for Michelle. May you continue to have all the energy and good health as you continue on this noble journey.
May Jesus listen to us all as we bring Michelle before him, (like the friends who made a hole in the roof to bring their friend right before him for healing)…
May he touch her, and bring her to wholeness. ( I always like to remind him that Scripture says, “nothing is impossible with God.”)
With love,
Rosemary Murello
My goal is to try to convince everyone of how important it is to be an advocate for your loved one.
Spinal cyst! My mom had the same surgery last summer and is faring well. I hope the surgeons know what they are getting into handing Michelle as she is a surgery pro. Godspeed baby!