Dr.Shawn Jennings
I am a 48 y.o. male family physician. I have suffered a dissection of my left vertebral artery. It infarcted the pons of my brainstem and some of my cerebellum. It happened May 13, 1999.
It has left me in a power chair with partial use of my left arm and almost no use of my right. I can walk with a walker for exercise with my wife holding onto my right hand. My walking is not functional as I cannot stand or sit independently. I can finally eat but have to be careful with clear fluids. I can talk in a low voice after years of practice. We call my language 'Drunkenese' because it does sound like I've had a few too many.
Here is my story:
Two weeks before my stroke I was driving between hospitals when a truck suddenly pulled out in front of me. I was in my Ford F-150 and slammed on my brakes. Somehow I missed her and she proceeded on as though nothing had just transpired.
I felt no symptoms until that noon when my neck started to ache. The pain spread up above my left ear. I assumed it was a whiplash injury, took a few Advil and finished my day.
Over the proceeding week I treated myself as though I had a whiplash. About a week after this mishap, I went out for my first golf game of the year. I had learned over the years that the people who had the best results from whiplash were those people who didn't 'baby' their injury.
The first hole I did well, I hit two perfect shots to the hole. I felt fine other then the soreness in my neck. I two putted for a par but as I headed off the green, I felt funny. I started to feel dizzy, nauseated, weak in the knees. Somehow I hit a good tee shot and proceeded to my ball, feeling dizzy and off balance. How I hit the next shot, I'm not sure but I did and even onto the green. I two putted and walked to the third hole. By the time I got there I could hardly stand. I finally told my golf partner that something was wrong and I had to quit.
We arranged a ride for me back to the clubhouse and then went to the Emergency Dept. At the Emergency Dept. they diagnosed me as having a vertigo secondary to an ear problem. I didn't think so; I wanted a CT scan, but I was a patient now, not a doctor, so I kept my opinions to myself.
Over the following days I felt unsteady but kept up my normal routine. One day while making rounds in the hospital, I approached a neurologist friend of mine and told him my story. He examined me quickly in his office and agreed I needed a CT scan.
He or I didn't know how necessary or urgent it would be, for three days later I had my brainstem stroke.
I had just finished rounds that day, was in my office parking lot, turned my head to backup, when bang it hit as I turned my head. I was able to call my wife on the cellular before I lapsed into a coma.
Bad luck plagued me at the Emergency Dept. : When they took the first CT scan I was having sonorous respirations and the CT scan was fuzzy but at least they saw no signs of gross stroke or bleed.
They now wasted valuable time - hours - waiting for a change in my clinical condition. When they realized my coma was deepening hours later, I was intubated and sent for a second CT. That showed the dissection in my left vertebral artery with thrombosis of my basilar artery.
An arteriogram was arranged and TPA administered. They opened up my artery 25% before the artery started to bleed and they had to suspend the procedure. To maintain that opening I was given Heparin.
I woke up Locked In later that night. I stayed Locked In for about four months. I only moved my eyelids. I was in a rehabilitative centre for nearly a year.
It is now three years since my stroke. I have functional use of my left hand. My right hand is opening and I can hold some things. I am in a power chair. I took my first step after two years. I now walk with a walker but I'm not independent with it. My right hand needs to be supported on the handle; I need assistance to stand and sit. But even these things are improving. Slow but I have a goal of being independent with my walking. It may take years but I will do it!
Hope is our most important asset.
Yours Truly
Shawn Jennings MD