Saturday, February 4, 2012






PHOTOSHEALINGWORDS.ORG

Wednesday January 25, 2012


Luke 1:37 ... I fell strong :) ... God's Healing Words Spoken Through His Word ... Amen!


Praying With Confidence

Lord … God …
These are the little things that we can do in our life for others ; as a return for what all God has done to all of us...
What We Believe – Trust

Jesus Christ,  Father God, give us ears to hear Your promptings to intercede and the will to obey. Amen.
Amen

Chemotherapy Avastin (CDH) + Novocure (clinical trial -UIC) + ProCure & Chemotherapy TMZ (ProCure CDH)

Praxis tasks, fine motor skills, and less word finding abilities... Automatics, numbers, days, months, singing, dysfluency and expressive language skills ... Sort , Common missing , Dizziness and Coediting automatics opposites sequence
123/mon-tue-wed/jan-feb-mar etc…

Nothing Will Be Impossible!

Luke 1:37 For with God nothing shall be impossible.
... I fell strong :) ...

God's Healing Words Spoken Through His Word ... Amen!

Do not be afraid - I am with you! (Isaiah 43.1-5)

I am prayer for U ...Upholding you in the everlasting arms of a God for whom all things are possible.
So ... sure 100% ....





Feb 3, 2012
by Jean Mathew

20120127 Detroit Church Visit 01
Jan 27, 2012
by Jean Mathew


NovoCure ... Training
Jan 26, 2012
by Jean Mathew






Chicago and Kerala -
Jan 15, 2012
by Jean Mathew
Photos taken during 2010,11,12 with Bible Verses... You are allowed to take printout for your personal purpose. If you are selling this copyrighted photography with Bible Verses, Please give at-least 60% to S.T.E.C.I Chicago Parish as offering for helping Ministries like RBC's Daily Bread, Wall photos are daily Bible devotionals that I put to my photography with embedded Bible Verse; The best of the snaps that I took that week/month ... Most of these quotes are taken from devotionals like ...


Thanks,
Jean Mathew
Together we're better - American Brain Tumor Association Connections Support Community
233 Hillandale Dr,
Bloomingdale, IL , 60108


Y!:
jeanmathew6
Mail:
jean.mathew@gmail.com
Skype:
jeanmathew060681
Mobile: 630-363-4743
Home:
630-295-8236
Work :
678-447-6767
facebook/jean.mathew
ATRIX@facebook

On Fri, Feb 3, 2012 at 9:49 PM, Jean Mathew <jean.mathew@gmail.com> wrote:

Wikipedia, the free encyclopedia ...
Hi,
This is happened for me on this Monday (1 Feb 2012), I just want to let you know on this …The last October Seizure was partial but this time it was full. (Girish and OFB call 911) – that is ....
Girish Help...

1:19
For I know that this shall turn to my salvation through your prayer, and the supply of the Spirit of Jesus Christ,
1:20
According to my earnest expectation and my hope, that in nothing I shall be ashamed, but that with all boldness, as always, so now also Christ shall be magnified in my body, whether it be by life, or by death.
Thanks,
Jean

Amma…
Mr. Mathai Alex
Mrs. Kunjunjamma Alex
Mrs. Elsie Periaswamy.





Sudden Unexpected Death in Epilepsy, or SUDEP

is a term used when a person with epilepsy suddenly dies, and the reason for the death results from unexplained respiratory failure or cardiac arrest after seizures. SUDEP is sometimes referred to as "Sudden Unexplained Death in Epilepsy", as the cause of SUDEP is unknown. Post mortem examination usually reveals no abnormalities in victims. Of those who die from SUDEP, it is most common in people who have generalised tonic-clonic seizures, especially in young adults age 20-50. The average age of those dying from SUDEP is estimated to be between 28–35 years, and SUDEP very rarely occurs in children. The most important 'risk factors' seem to be poor seizure control and seizures occurring during sleep.


Research has estimated that approximat
ely 50,000 people die each year in the USA from status epilepticus (prolonged seizures), SUDEP, and other seizure-related causes. SUDEP accounts for 8-17% of deaths in people with epilepsy[2]. Roughly 1 in 100 sufferers of severe epilepsy die of SUDEP every year[3]. For sufferers of mild idiopathic epilepsy (epilepsy of unknown cause), the figure drops to 1 in 1,000 per year.
The non-profit organization Citizens United for Research in Epilepsy (CURE) has led efforts in granting research to prevent and find the cause of SUDEP


Sudden Unexpected Death in Epilepsy
Sudden unexpected death occurs in a small number of people who have epilepsy. People most at risk are those with severe frequent seizures. Preventing seizures as much as possible with treatment may reduce the risk of sudden death. A support group may be helpful if you are suddenly bereaved by an unexpected death of a loved-one.
What is sudden unexpected death in epilepsy?
Sudden Unexpected Death in Epilepsy (SUDEP) is a term used when a person with epilepsy suddenly dies and the reason for the death is not known. For example, it is not due to injury or to drowning following or during a seizure, and it is not due to a prolonged and severe seizure (status epilepticus).

What causes sudden unexpected death in epilepsy?
The cause is not known. If a post-mortem examination is done on a person who dies of SUDEP, no abnormality is found to account for the death. There are various theories as to why a person with epilepsy may die suddenly. One theory is that a seizure may affect a part of the brain that controls heart or breathing function, and so the heart and/or breathing just stop during a seizure.

How common is sudden unexpected death in epilepsy?
The risk of SUDEP is small for most people with epilepsy. It is estimated to cause about 500 deaths per year in the UK. This sounds a lot; however, when you compare it to the number of people who have epilepsy, it is quite rare.

Of those who die from SUDEP, it is most common in people who have generalised tonic-clonic seizures, especially in young adults. The most important 'risk factors' seem to be poor seizure control, and seizures occurring during sleep.

Note: epilepsy is common. About 1 in 30 people in the UK develops epilepsy at some stage. Most people with epilepsy have a normal lifespan and do not die of SUDEP.
In people with severe epilepsy (frequent and severe tonic-clonic seizures), it is estimated that about 1 in 200 dies of SUDEP each year.
In people with mild idiopathic epilepsy (epilepsy of unknown cause), it is estimated that about 1 in 1000 dies of SUDEP each year.
In people who are in remission, the risk of SUDEP seems to be negligible (very low). The term 'in remission' means that you have had seizures in the past, but have none or very few at present. This is either because of treatment, or because the epilepsy has settled down.

How can the risk be minimised?
If you have epilepsy, it may be possible to reduce the small risk of dying from SUDEP by:
Preventing seizures as much as possible. This is usually by medication. In some people, surgery is used to prevent seizures when medication has not been successful in preventing seizures. However, in some cases it is not possible to stop seizures fully. (See separate leaflet called 'Epilepsy - Treatments' for details.)
Being aware of the potential risk of night-time seizures. Some people only have seizures at night when asleep (or have them more often at night). As the risk of SUDEP is still present even for night-time seizures, if possible, you should try to prevent these seizures as much as you can. This may mean a review of medication. But again, in some people it is not possible to prevent seizures fully.

Bereavement due to sudden unexpected death in epilepsy
The sudden death of a loved one for any reason (such as due to SUDEP) is very upsetting and traumatic. If you have lost someone close due to this condition, it may be best to talk it through with your GP, or with the GP of the affected person. It is a tragic event where usually nothing could have been done to prevent it from happening. Some people find that it helps to get informat
Epilepsy Facts
Epilepsy affects over 3 million Americans of all ages – more than multiple sclerosis, cerebral palsy, muscular dystrophy, and Parkinson’s disease combined. Almost 500 new cases of epilepsy are diagnosed every day in the United States. Epilepsy affects 50,000,000 people worldwide.

SUDEP FAQ
In two-thirds of patients diagnosed with epilepsy, the cause is unknown.



Epilepsy can develop at any age and can be a result of genetics, stroke, head injury, and many other factors.



In over thirty percent of patients, seizures cannot be controlled with treatment. Uncontrolled seizures may lead to brain damage and death. Many more have only partial control of their seizures.



The severe epilepsy syndromes of childhood can cause developmental delay and brain damage, leading to a lifetime of dependency and continually accruing costs—both medical and societal.



It is estimated that up to 50,000 deaths occur annually in the U.S. from status epilepticus (prolonged seizures), Sudden Unexplained Death in Epilepsy (SUDEP), and other seizure-related causes such as drowning and other accidents.



The mortality rate among people with epilepsy is two to three times higher than the general population and the risk of sudden death is twenty-four times greater.



Recurring seizures are also a burden for those living with brain tumors and other disorders such as cerebral palsy, mental retardation, autism, Alzheimer’s disease, stroke, multiple sclerosis, tuberous sclerosis, and a variety of genetic syndromes.



There is a strong association between epilepsy and depression: more than one of every three persons with epilepsy will also be affected by depression, and people with a history of depression have a higher risk of developing epilepsy.



Historically, epilepsy research has been under-funded. Federal dollars spent on research pale in comparison to those spent on other diseases, many of which affect fewer people than epilepsy.



For many soldiers suffering traumatic brain injury on the battlefield, epilepsy will be a long-term consequence.Brain surgery is a procedure to treat problems in the brain and the surrounding structures.
Description
Before surgery, the hair on part of the scalp is shaved, and the area is cleaned. The doctor makes a surgical cut through the scalp. The location of this cut depends on where the problem in the brain is located.
The surgeon creates a hole in the skull and removes a piece, called a bone flap.
If possible, the surgeon will make a smaller hole and insert a tube with a light and camera on the end. This is called an endoscope. The surgery will be done with tools placed through the endoscope. MRI or CT can help guide the doctor to the proper place in the brain.
During surgery, your surgeon may:
· Clip off an aneurysm to prevent blood flow
· Remove a tumor or a piece of tumor for a biopsy
· Remove abnormal brain tissue
· Drain blood or an infection
The bone flap is usually replaced after surgery, using small metal plates, sutures, or wires. The bone flap may not be put back if your surgery involved a tumor or an infection, or if the brain was swollen. (This is called a craniectomy.)
The time it takes for the surgery depends on the problem being treated.
Why the Procedure Is Performed
Brain surgery may be done if you have:
· Brain tumor
· Bleeding (hemorrhage) in the brain
· Blood clots (hematomas) in the brain
· Weaknesses in blood vessels (See: Brain aneurysm repair)
· Abnormal blood vessels in the brain (arteriovenous malformations; AVM)
· Damage to tissues covering the brain (dura)
· Infections in the brain (brain abscesses)
· Severe nerve or face pain (such as trigeminal neuralgia or tic douloureux)
· Skull fracture
· Pressure in the brain after an injury or stroke
· Certain brain diseases (such as Parkinson’s disease) that may be helped with an implanted electronic device
Risks
Risks for any anesthesia are:
· Reactions to medications
· Problems breathing
Possible risks of brain surgery are:
· Surgery on any one area may cause problems with speech, memory, muscleweakness, balance, vision, coordination, and other functions. These problems may last a short while or they may not go away.
· Blood clot or bleeding in the brain
· Seizures
· Stroke
· Coma
· Infection in the brain, in the wound, or in the skull
· Brain swelling
Before the Procedure
Your doctor will examine you, and may order laboratory and x-ray tests.
Always tell your doctor or nurse:
· If you could be pregnant
· What drugs you are taking, even drugs, supplements, vitamins, or herbs you bought without a prescription
· If you have been drinking a lot of alcohol
· If you take aspirin or anti-inflammatory drugs such as ibuprofen
· If you have allergies or reactions to medications or iodine
During the days before the surgery:
· You may be asked to stop taking aspirin, ibuprofen, warfarin (Coumadin), and any other drugs that make it hard for your blood to clot.
· Ask your doctor which drugs you should still take on the day of the surgery.
· Always try to stop smoking. Ask your doctor for help.
· Your doctor or nurse may ask you to wash your hair with a special shampoo the night before surgery.
On the day of the surgery:
· You will usually be asked not to drink or eat anything for 8 to 12 hours before the surgery.
· Take the drugs your doctor told you to take with a small sip of water.
· Your doctor or nurse will tell you when to arrive at the hospital.
After the Procedure
After surgery, you'll be closely monitored by your health care team to make sure your brain is working properly. The doctor or nurse may ask you questions, shine a light in your eyes, and ask you to do simple tasks. You may need oxygen for a few days.
The head of your bed will be kept raised to help reduce swelling of your face or head, which is normal.
Medicines will be given to relieve pain.
You will usually stay in the hospital for 3 to 7 days. You may need physical therapy (rehabilitation).
Outlook (Prognosis)
How well you do after brain surgery depends on the condition being treated, your general health, which part of the brain is involved, and the specific type of surgery


Medical History:- (updated on 4 Feb 2012)
Feb 3 – Temodar
Feb 2 – ProtonCure
Chemotherapy (Avatin) + novocure + ProtonCure (radiation therapy + Temodar – 4-5 week)
Jan 25 – novocure started
Jan 23:  I went to the Proton Therapy Center and completed the CT simulation, it will take about 10-12 business days for the planning team to complete my treatment plan.  A member from the team will contact me when the plan is ready and will schedule my treatment sessions.  At this point they anticipate it to start the week of February 1st.  The proton therapy has been approved by my insurance.
 
I understand that you will be scheduling the times for my medications once I start the Proton Therapy. 
Will you email me the medication name and the times I should take those medications.  I will be free tomorrow if you want to contact me and I will try to have my friend Elsie be part of the conversation with you. On Wednesday, Thursday, Friday, I am booked with appointments, but I will be free on Saturday again.

Currently, this is my medication schedule
6:30am DEXAMETHASONE
6:00 am FAMOTIDINE
7:00am Keppra
6:30pm DEXAMETHASONE
7:00pm Keppra

SULFAMETH/TMP DS TAB –
ONDANSETRON
TEMODAR
These 3 medications will be started during proton therapy.  How should I schedule these medications with the above medications.


Jan 19: Saw Andria Baumgartner- Speech Language Pathologist (CDH): Recommends skill therapy services- to focus on fill in sentences for word recall, and increase expressive language skill. She will fax you the notes from my visit. – Praxis tasks, buttoning, putting on watches, and fine motor skills, and less word finding abilities. Activity work: automatics, numbers, days, months, singing.
Goal: progressing and improvement and phoneme cues, less dysfluency.
Plan: focus on automatics, fill in sentences for work recall, breath support to show rate, and increase expressive language skills.

Jan 18: Yesterday and today morning have wheezing & difficulty breathing... I have seizure 17 Jan'11 - last 5 min. I take Lorazepam 1 mg. Yesterday and today i try buttoning, putting on watches, week right.

Jan 16: Met with Dr. Sweeney at CDH ProtonCure. Mock session and marking the site for radiation therapy on Mon 23’ Jan for ProCure Proton Therapy. They are trying to get approval from my insurance for the proton therapy. The financial advisor stated that all information has been submitted to my insurance today (Jan 19th - Jocelin – 630-821-6384) and it should take 1-2 weeks before I hear anything from them. My insurance is out of network and they are trying to get approval for in network and that is why it is taking time for approval.

Jan 18: I met Dr. Herbert Engelhard, University of Illinois Hospital in Chicago and have been approved trial case. NovoCure "Novo TTF" (TTF stands for "tumor-treating fields"). NovoCure training session will be on Thursday January 26th. An MRI will be done for the trial every 2 month at UIC.

Jan 12: Dr. Ayers office called and I have set up an appointment to see him on Friday January 27th @ CDH. I will have my next Avastin treatment at UIC on January 25th 2011. After I see Dr. Ayers on the 27th Jay 2011, they will set up my Avastin treatment at CDH Cancer Center.



3 Jan 2012 – subdural collection with reduced contrast enhancement with focal areas of cavitations that also appear to decreased in size. These effects may be due to the Avastin. Edema surrounding the surgical bed shows interval worsening with increasing mass effect an adjacent structures. Concern in raised that this increased edema may be producing the mass effect causing pain on the adjacent dura as well as well as the worsening of the speech difficulties…

MRI Report: 01/03/2012 , 12/01/2011 and dating back to 03/01/2008 ...
Multiple resections 19 Mar 2008, 19 Aug 2010 … Left front parietal craniotomy
Glioblastoma 3rd and Astrocytoma 1st / 2nd Anaplastic (Malignant, High Grade, III)
Now 3 cycles Avastin (8 Dec 2011)



Oct 2011: Start TEMODAR – 380 mg (5 days)  - 3 months …

Aug 2011 : There was no recurrence of tumor for these 2.5 years. Mar 2nd week’s MRI was clean and Jul 1st week’s MRI shows recurrence.  I am undergoing awake-craniotomy with speech mapping to remove tumor and cyst that formed in my left side of brain. Surgery is scheduled on 19th Aug 2011 at Provena Saint Joseph Medical Center - Joliet.

On March 1st 2008 I was taken to UIC Medical Center , Chicago with some seizure activity and syncopal episode and aphasia. MRI shows roughly 2-3 cm mass in left front temporal /parietal lobe.  I underwent surgical awake resection craniotomy  of the lesion on March 19th 2008. Pathology report showed grade III anaplastic asterocytoma (with a ki67 or 5-6%).
I took 4 cycles of 5 day radiation in May 2008 and started Temodar (www.temodar.com)  on Jun 2008 with  5 day/month with 180mg for 6 months and then taper off to 140mg and then to 100mg and stopped the medication by May 2009. I was put on Lyrica 75 mg night for 2 years and now I am off of this. I am taking Keppra (www.keppraxr.com)  1750 BID for controlling my seizure due to resection. Doctors are planning to taper off Keppra starting from March 2011 onwards; But I have to keep a minimum level of Keppra for a long time.
The latest MRI report taken on 10 Nov 2010 says that there is no evidence of recurrence, status post left frontopariental craintomy with underlying encephalomalacic changes, cystic change and gliosis without change from previous studies (6 MRI’s compared starting from 29 May 2009). The blood volume on the MRI perfusion study does not demonstrate any increased vascularity that could be associated with tumor recurrence.  Doctors will continue couple of MRI’s this year and will stop monitoring my case.
I went to Speech Therapy for 3 months after my surgery and Occupational therapy for 2 months ; Experiencing speech break if I am nervous or tired or when trying to say a new word that I did not say in these 3 years. I experience occasional numbness in the 1st and 2nd finger of my right hand if I did not get enough rest. Also a chance of getting partial seizure if I am missing a dose of my seizure medication; And I used to carry seizure breakthrough medication always with me. Health wise I am doing better now; doing regular walking and taking healthy diet with lots of antioxidants in my diet. I started by driving by March 2009 and enjoying the climate at Chicago. 

Dec 2011 - Diagnosis: -

To: "SOMA SINHA ROY" <somasr5@hotmail.com>
Hello,

Just wanted to give you some info regarding another neurooncologist, as you have requested, especially since Dr. Villano is leaving UIC.
I would highly recommend Dr. Nicholas Vick and his group, including Dr. Ryan Merrell and Dr. Nina Paleologos. Their office contact info is 847-570-1808 (phone), and 847-733-5137 (fax). They are located in Evanston, at NorthShore Hospital . Hope this helps.

Best,
Soma Sinha Roy, MD

Dear Jean,
The nurse is on vacation this week. Dr. Engelhard will call you regarding your nausea medication; he also agrees that you should go to the ER. Please call your uncle regarding transport.
Best,
Dr. Soma
----

Jean, I would like for you to come in and obtain an MRI of the brain. It is best if you got it soon and through the ER (and they can take care of the Vicodin Rx). Can you do this soon? I am okay with Depakote.

John L. Villano, M.D., Ph.D
Director of Medical Neuro-Oncology,


From: Jean Mathew [mailto:jean.mathew@gmail.com]
Sent: Sunday, January 01, 2012 11:49 AM
To: John L Villano Cc: vmaynal@uic.edu; 'Morris, Kelly (PSJMC)'; jgolick@uic.edu
Subject: Regarding headaches and update...

Hi Dr. Villano,
I have had 2 days where I have had severe headache at my left frontal forehead area with nausea. The headaches disappear when I take the Vicodin 500mg. On 1/30/11 at night I took 1 vicodin and went to sleep and by morning it was better. On 1/31/11 night, I took another Vicodin and the headache got better. Again this morning I had another headache and took another vicodin and I feel better now. Last night I had muscle cramp on my right last 3 fingers and I took 0.5mg of Ativan for that. I also has had itching on my face and head and I have been taking loratadine tablet for the itching. I just want to know if it is alright for me to continue taking the Vicodin for my headaches and if so, I need another prescription for the Vicodin?

I just wanted to update you on my medication changes. My neuro doctor Roy Sucholeiki at Neurosciences Institute at CDH increased my Keppra dose to 1000mg tablet 2 times daily and stopped my Lyrica tablets. On 12/22/11, I had an appointment with Dr. Englehard and he gave me a prescription for Depakote ER 500mg 1 tablet 2 times daily, but he only wants me to take it if you approve it based on the condition of my liver. ( In 2008, I remember you had put me on Depakote and then stopped it because of something with my liver condition. At that time, you changed my medication to Keppra.) Please let me know what I should do regarding the Depakote.

I had 2 cycles of Avastin so far, and I think I will need to have a MRI after 2 more cycles of the Avastin. There has been some delay with the treatments (TTF) at Novocure and I think my MRI's will be delayed also. Can you give me a order for an MRI so I can do it after 2 more cycle of the Avastin? If I wait for Novocure, my MRI will be delayed.
Can you updated me on your new email and phone number?
Thanks,Jean


From: Mihailovic, Marko [mailto:miha@uic.edu]
Sent: Tuesday, January 03, 2012 9:22 PM
To: Jean Mathew; nbtorres@uic.edu; Watson, Karriem
Subject: RE: Phone : 630 363 4743

Hi Jean,
Yes, I have heard from Dr. E. that you are a good candidate for the NovoTTF commercial use. Therefore, Dr. E needs to see you again at his clinic.

Nancy,
please schedule an appointment w/Dr. E for pt, Jean Mathew, per Dr. Engelhard's request.

Thank you in advance,
Marko


Ref:-

From: Neema Cheriyath [mailto:goodneema@gmail.com]
Sent: Saturday, February 04, 2012 10:06
To: Jean Mathew
Cc: mvmathew@gmail.com
Subject: Re: FW: What for 911 - me too .... Seizures (SUDEP )
Hi Jean,

Was talking to acha and amma that we had a talk last day. Acha had discussed something about sudep sometime before with our cousin sethu chechi in US. Got to know some info about trained dogs in US, who could be of help in such a situation. Not sure if the below link could be of use to you. Anyways can u please take a look?


Neema
----

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