the first week

What I remember from the first 48 hours after surgery is quite foggy. I know I felt lousy and due to the assortment of pain medication, I slept a lot. Furthermore, I was awakened constantly by nurses and professionals doing all sort of routine procedures on me–the typical stuff: Taking blood pressure, temperature, changing IV bags and so on and so fourth. All and all, I was comfortable for the most part but the minute the medicine wore off my whole body hurt something awful.

The first days in the TBU wing went quickly because of the endless amounts of testing, MRI’s, and just about every specialist under the sun stopping in to perform all sorts of testing. I can tell you that I slept any chance I got. The simple tasks were exhausting in the beginning. Things such as transferring me into a wheelchair or back into bed were very draining physically. Even watching television and reading for small amounts of time would just wear me down in a matter of minutes.

And through the first few days of recovery, the nurses, physical therapists and on call doctors (it was the weekend skeleton shifts) knew that I wasn’t bouncing back as rapidly as expected from this sort of procedure. My neurosurgeon just happened to be “off the grid” late in the week as well so it became difficult for us to obtain accurate updates as to what might have gone wrong during the surgery. My left arm and leg were not responding and felt uncomfortably tight. My sight was blurry with an odd sort of unfocus. The right side was weak but at least had feeling. It wasn’t until the fifth day of recovery that the doctors’ confirmed that indeed a blood vessel was hit during the procedure and the result was a stroke causing massive paralysis on the left side of my body.

Now, my immediate reaction to this news was, “Stroke, ok, what the hell does that mean?” But as I began to look around the room after the results were explained, I started to notice the expressions of unease and disappointment from professionals and family in that room. I quickly got that pit in the stomach feeling that this may not be good.

After the blast of just about the worst news possible from the neurosurgeon was unveiled, the decision was made that the best place for me to go was an inpatient Rehabilitation Hospital in the area. And that was fine by me. In that moment, I would have gone to Mars if it meant my left side would start functioning as normal.
The arrangements were made, and I was transported shortly after my status was downgraded from critical to stable. I still felt like crap, the damn doctor blew out the left side of my body, but I guess the positive is I was still on this side of the soil!

That first week post surgery was terribly confusing for all of us. None of us understood what was going on, nor did we have the medical expertise to even semi-diagnose why so many parts weren’t functioning correctly. I mostly slept due to fatigue thinking that I’d come to and everything would be back to normal. All I wanted to do was play my guitar, go back to my office, or go take a walk. I needed to get out of this place. I was already sick of being sick.

the diagnosis

 I could feel the swarm of panic, caution, and chaos as the medics unloaded me out of the ambulance.  Entering the Emergency Room, hospital staff took over asking me a slew of questions–most of which my mind could not process.   I was very nervous; that I do remember distinctly. 

 

Within a matter of minutes, IV’s were inserted, Electrodes were applied, CAT scan’s were ordered, and family was notified.  This would begin a plethora of tests, which in the days to follow would detect a cyst on the right side of the temporal lobe.   The scans turned into M.R.I’s and the testing turned into a diagnosis.  It became clear that whatever the “it” was, it did not belong in my head.  Two days later, upon confirmation of test results and review by a panel of Neurologists, the decision was made to operate…

the seizure

February 17, 2006. I loved the pace out there for starters–everything about it…the highways, the office buildings, and the flow of everyday life. I drive fast to begin with so the learning curve of becoming a “Jersey driver” came quite easy to me. My days as a sales manager were typically action packed. Combine that with an entrepreneur charged, fly-by-the-seat-of your-pants sales mentality, I was all over the state at all different times of the day.

This particular day was no different. I had appointments booked with sales reps which, from a timing standpoint, were extremely close together with long distances to cover from point A to B. So sure enough, I quickly recapped my meeting with my sales rep with keys in hand and shot up on to the Interstate towards the next exit ramp in route to New Brunswick.

In the world of outside sales, you learn all the short cuts, all the traffic routes and the times of day that certain roads become parking lots in metropolitan areas. All while listening to your favorite alternative music station that gives an updated traffic report every ten minutes or so (In this case that is WPRB, Princeton). In typical fashion, I had my side roads mapped out in my head to cut five minutes off my destination. I was just minutes from the intended office park and making fabulous time as I looked to my left and saw Rutgers stadium and my intended exit onto Route 18 to my right. I hit my turn signal and sped onto the highway heading southbound.

I positioned myself in the left lane and cruised the typical daily sights of the brackish waters of the Raritan River, Rutgers University, Johnson and Johnson Corporate headquarters to my right, and through the underpass. A train coming from New York City slowed above me passing over the culvert as I traveled underneath. That is the moment I lost consciousness…

Confusion…I am awake, my black Beemer is slammed up against a concrete median on the far side of an intersection approaching downtown New Brunswick. I looked down to find shards of glass everywhere–on the dashboard, in my lap, on the floor, and all over my passenger seat.

In a dazed state, I heard nervous voices all around the outside of my car. A police officer was trying to talk to me. I saw an SUV in front of me that was dented from the back bumper to the left rear door. A woman and another police officer were having a conversation. I looked in my rearview mirror and saw several emergency vehicles and traffic backed up for as far as my rearview mirror would permit me to see.

What happened? Where am I? Did I cause this accident? Was I the one they were discussing on the “up to the minute” traffic report just before the lunchtime rush that day?

A few points to make….

o I had taken a seizure for the first time in my life, which caused me to blackout behind the wheel.
o The shards of glass were not from the accident itself, but rather a police officer blasted open the passenger side window to get to me.
o I was taken by ambulance to Robert Wood Johnson hospital in New Brunswick for evaluation and treatment.
o The woman who was talking to the officer in front of me apparently saw me taking a seizure as I was going through the underpass. She accelerated, pulled over in front of my vehicle and let my car collide with hers to stop me as we were approaching a major intersection.
o Several attempts were made to reach out to this heroic woman. To this day, her identity remains unknown…