两年前的夏天, 安德鲁·帕彭弗斯(Andrew Papenfus)在圣克拉拉大学(Santa Clara University)的一个孩子们的夏季篮球训练营担任教练,那天下午他正在享受这个过程,突然在投篮抢篮板时摔倒在地.
脑肿瘤手术后的反弹
At 22, 帕彭弗斯是年轻力量和活力的写照:他是圣克拉拉大学篮球队的队员,当时他大三, studying marketing and entrepreneurship. 但是在那个夏天, 这位身高6英尺6英寸的瘦长前锋因严重的癫痫发作而躺在硬木上.
Testing at a local hospital revealed he had a tumor in his brain. 有人把他介绍给 Dr. 一位伯杰他是加州大学旧金山分校神经外科主任,2014年10月成功切除了肿瘤.
今天, Papenfus is a newly minted college graduate, 快乐, healthy and grateful to be looking forward to a bright future.
第一次癫痫发作是怎样的?
I remember feeling a tiny bit funny just before, like I was struggling to keep up with the drill we were doing. And then I went for a three-pointer but missed. 我去抢篮板球的时候, 我突然有一种感觉,我的腿筋撕裂了,因为我在地上,感觉几乎瘫痪.
I felt my body tense up and convulsions taking over. It then hit me that I was having a major seizure. 事情开始变黑,我真的记得我在想我是不是快死了,甚至已经死了.
一切都很混乱,但我隐约听到我的一位教练在敦促我放松和呼吸. 我还记得听到万斯·乔伊(Vance Joy)的《十大赌博平台排行榜》(Riptide)的片段在我脑海中闪过. 大约两三分钟后,我醒了过来,尽管有一段时间我还是很不清醒.
How did the doctors make your diagnosis?
I was immediately taken to a nearby hospital and they did a CT scan. It was taking a long time for them to come back to me with results, and while I knew that this often happens in ERs, I still had a feeling something was up. Then they sent me for an MRI of my brain. 我清楚地记得,我躺在核磁共振成像仪前,有一种强烈的感觉,觉得他们会发现一些不好的东西. 果然, 核磁共振检查后, they called and said that they had something of concern to talk to me about.
那时我父母还没到, 当我收到这个消息的时候,我很感激很多教练,他们就像我的第二个家人一样和我在一起. 值班的神经外科十大赌博平台排行榜告诉我,我需要马上做活检——就在第二天, 事实上. This would be able to tell us if it was cancerous or not.
What did you feel when they suggested you have a brain biopsy right away?
原来,那家十大赌博平台排行榜的一位护士是我父亲多年前的同事——他是科罗拉多州的一名急诊室十大赌博平台排行榜. 所以即使他们没有和我在一起, 他们能够事先与团队进行交谈,并感到很舒服.
As for the actual surgery, well, they are drilling into your skull! 但经济复苏并没有那么糟糕. 他们只取一小部分组织样本. 我在十大赌博平台排行榜呆了一两天,大部分时间都在紧张地等待结果. 结果出来的时候, they told me I had a grade 2 astrocytoma, which is in a bit of gray area in terms of whether it's cancerous or not. 它确实需要切除,但幸运的是,它是一个生长缓慢的肿瘤,所以我还有一点时间. It was then that I was given the referral to see Dr. 伯杰.
活检手术后发生了什么?
我感觉非常好——尽管我现在知道我的大脑里有一个肿瘤,而且我正在服用抗癫痫药物. Two weeks later, I was cleared to play basketball again. 他们说我可能会再次癫痫发作,但没人知道什么时候或有多严重. 事实上, I did have another a few weeks later (again, 在球场上), and I realized that I had to slow down a bit.
What happened at your first meeting with Dr. 伯杰和加州大学旧金山分校的团队?
我只记得他的自信和关心给我留下了深刻的印象. 他真的理解我想要保持活跃的想法,以及篮球对我有多重要. I never felt like just another patient with him, and 事实上 everyone at UCSF was so positive and reassuring. Dr. 伯杰在向我介绍我的选择时,对一切都直截了当,令人耳目一新. 当然,我知道肿瘤一定要切除,但问题是什么时候切除. 这很大程度上取决于我.
见见护理团队
What made you decide to go ahead with the surgery when you did?
I had been a walk-on player at Santa Clara, 从那时起,我成为了球队的队长,并且刚刚度过了一个伟大的赛季, 我不想放弃这一切. 所以时间是关键. Dr. 伯杰解释说我可以, 如果我愿意, 等到赛季结束,也就是下一个春天,再做手术. 一开始这是我的计划. I love basketball so much and I had worked so hard. 如果一切顺利,我想我也许还能打半个赛季.
In the end, I sat with the decision for nearly three weeks. And I changed my mind – I wanted to do it as soon as possible. 我很清楚,我不想拿我的长期未来和长期健康冒险. 我想有一天当爸爸.
And of course, there were the continuing seizures to consider. 一方面, if you haven't been seizure-free for 90 days you can't drive, 所以我都做不到. 所以我只是一天一天地过下去,不去担心可能会发生或不会发生的事情. There's that saying: "Worry is interest on a debt you may never pay." Still, there were definitely days where I would cry and think the worst.
What were the days/moments before surgery at UCSF like?
My surgery was initially scheduled for Sept. 23, 而是因为我最后有点不舒服,在手术前发烧了, 它被推迟到10月. 6. 但当约会到来的时候,我已经有点紧张了. So I just said goodbye, told them I loved them and was put under anesthesia.
Your surgery was unique in that you were awake during it, right? 那是什么感觉??
你开始的时候完全没有, but once they get into your brain and are about to start removing the tumor, 他们把你叫醒. 这样他们就可以让你说话和移动,同时他们一点一点地切除肿瘤, to ensure they aren't harming functional tissue. 因为我肿瘤的位置, 他们有可能不得不切开我大脑中控制右腿的部分.
I actually had a seizure during the surgery – which Dr. 伯杰告诉过我可能会发生——为了控制这种情况,他们把一种冷溶液倒在我的大脑上. 最疯狂的是,对我来说,我觉得他们把冷水泼在我的腿上. 所有的系统都交叉了! 经过四五个小时的手术,他们终于结束了手术,把我送到了康复室.
What was recovery and getting back to normal life like?
Dr. 伯杰 said that he was able to get 100 percent of the tumor, 这很好, 但是要做到这一点, he did have to push into functional tissue a tiny bit. So right away I couldn't really control my right foot. This was definitely scary because of my athletics, 但是再一次, this was something I'd talked through honestly with Dr. 伯杰. Beside the fact that it wouldn't likely be permanent, this is something that had to be done to safeguard my long-term health.
Still, that first week or two was tough. I started physical therapy to strengthen my right foot right away. It took three agonizing days to get movement back in my foot, and I had to use a brace to hold it up because it was floppy. I immediately started rehab on my foot to regain strength. My mom came for a whole month to help me, 我的大学给她安排了住处, 所以我和她呆在那里.
How did you manage to stay emotionally strong through all of this?
在这段旅程中,我很大程度上依赖于我强烈的宗教信仰——以及支持我的家人, 朋友们,尤其是我的女朋友, 达尼. 她真的是我的靠山. 整体, this whole experience definitely has put some things in perspective, 让我非常感激能回来和我的队友一起打球是多么的棒. 我很高兴我能够激励那些与各种健康斗争的人——这样我就可以证明,有了积极的态度,你真的可以克服任何困难.
What is your prognosis and do you have any limitations now?
我感觉很棒. There's no way to guarantee that something won't grow back. 这不太可能,但也不是不可能. And, despite the fact that I am tumor-free, seizures remain possible. 我有过几次. 伯杰向我解释说这并不罕见,可能是由于我大脑受影响区域附近的疤痕组织造成的. 但这些癫痫发作与第一次发作完全不同,第一次发作持续了几分钟. Some of these are 20 seconds and are mild. 最近一次是在大约20秒的时间里,我感觉我的右腿不在我的控制之下. Otherwise, I'm totally healthy and can do anything I want.
更多病人的故事
Actress Hits Her Head – 十大赌博平台排行榜 Discover a 脑瘤
故事是这样的:一位女演员从吊床上摔下来,核磁共振成像显示出一个肿瘤, a UCSF brain-mapping technique and a special surgeon "saved" her brain.
开始阅读