Marlboro Reds and MRIs

Way back when kids actually went to school, I won the award for perfect attendance for not missing any school days in a year.  My mom always told me I was her healthiest kid.  I think she appreciated that I didn’t get sick on road trips or require multiple trips to the ER to be sewn back together from running into walls.  Discounting late-night runs to the border for Taco Bell’s Nacho Bell Grande and a fog of other questionable college choices, I have mostly lived a healthy lifestyle.

So after going through two ultrasounds, an MRI, a cat scan with angiogram, a needle biopsy in my neck, countless blood tests, visits with an internist, endocrinologist, neurosurgeon, vascular surgeon, rheumatologist, and a neurologist –  all in the span of three weeks, I considered buying myself a pack of Marlboro Reds to puff on as I rode off into the sunset on a horse that would likely buck, leaving me concussed in some cornfield wondering what became of that little girl’s certificate of good health. (Yes, that’s a long sentence but it’s been a long few weeks friends.)

Still, I can’t help but feel immense gratitude.  If I hadn’t noticed a lump in my neck that led to the thyroid biopsy and a diagnosis of a multinodular goiter then I wouldn’t have seen my doctor.  I wouldn’t have told her about the chronic headaches and cluster of bizarre symptoms that prompted the MRI.  She was as surprised as I was when the results showed severe stenosis in the carotid artery.  And on the day that I received the official diagnosis from the cat scan of a dissected carotid artery with greater than 70 percent blockage, I was terrified.  I called a nurse practitioner friend to ask for her opinion.  She just happened to live across the street from a brilliant and compassionate neurosurgeon who agreed to see me that day to explain the diagnosis and treatment. At the time, none of it felt like a miracle.  It was hectic, confusing, sordid, and surreal that this 3-inch space on the right side of my neck had not one but two separate and unrelated diagnoses. Each made more complicated by their proximity to each other. Read more