SarahStrong Brain Tumor Awareness

SarahStrong Brain Tumor Awareness Supporting Sarah's Fight against a brainstem tumor Sept 2018, Sarah was diagnosed with a brainstem tumor. They found a tumor on her brainstem.

She had 3 jobs, working as a CNA, PCT and Personal Caregiver. While at the beach in early Sept her hands went numb. The following week she had an MRI , doctor was thinking pinched nerve due to lifting patients. Sarah had been struggling with severe headaches, nausea and vomiting the previous month, we thought she was over doing things with 3 jobs, living on her own. November 2018 Sarah took a turn for the worse, seizure like episodes leaving her weak, and at times unable to walk, using a walker and wheelchair. Vomiting, nausea, headaches, numbness in extremities. We as a family decided our only option was to proceed with a biopsy despite the risks we needed to know what exactly we are dealing with and how to treat this monster. BTW.Sarah has a great sense of humor....the tumor has a name, Toby, if you have ever watched the show The Office, Toby is a character no one likes �. The biopsy is very risky being deep in her brainstem so we decide to make the holidays the best we could and biopsy after first of the year. Feb 5th 2019 was biopsy day, terrifying as it was, we were given the news.. this is a Pilocystic Astrocytoma Grade 1, slow growing tumor with a Braf V600e mutation, meaning this mutation promotes cell growth potentially one day causing the tumor to be more aggressive. Next step 6 weeks of daily radiation, May 19th 2019 was last day of radiation!!! Sarah decided to go back to work the following week, Unfortunately June 26th 2019 Sarah had a seizure and and back in the hospital. Tumor is stable, The symptoms are still overpowering her life. Sarah is now out of work.. we see a level 4 seizure specialist in Sept. We have found a THC nosespray that stops the seizures within seconds of them starting. The medications she is on make her sleep a good 14 hours a day. Shes exhausted and weak from the littlest activities. Still has 2 to 3 seizures a day...some days are more depending on activity. This has been only a snapshot of the 2019.. Lots of doctors visits, hospitalizations, medications, physical therapy. May 2020, Sarah was still having non epileptic seizures, during a doctor visit at Moffitt Sarah had a seizure, ended up in the ER. The Neurologist and his PA found she was on Reglan for nausea. Evidently you should not be on Reglan for more than 12 weeks, as it can cause Tardive dyskinesia, tremors, seizures... she was left on it for 18 months! We also found out Sarahs adrenal glands stopped working and not producing Cortisol. She will have to take hydrocortisone steroid daily to deal with Adrenal Insufficiency (AI) can be life threatening if she goes into crisis.

2021, started out with ER visit for Covid. Hallucinations, vomiting, all the fun stuff. As the year went on Sarah was more active, not using the wheelchair and trying not to use the walker. The seizure activity decreased. Still symptomatic.. nausea, vomiting, balance issues, headaches, neuropathy in both ands and feet, tardive, tremors and seizures. MRI's, doctors visits and lots of medications. Bit with every medication comes a side effect. Applied for disability and denied 2 times.

2022, No change to the tumor, however still symptomatic , all the same from above but now Sarah has carpal tunnel in both hands. Severe nerve pain in her hands causing issues with day to day routine. Unfortunately the signals in her brain are not working right, all that can be done is adjust medications to try to decrease the pain. At the same time work on adjusting the hydrocortisone daily to help deal with the mental and physical stress to keep her from going into Adrenal crisis. Things are not expected to get better. With all of this she is not able to work. We will have to get a disability attorney involved and hope the 3rd time works. As frustrating and overwhelming things get, it always

02/06/2024

Sarah update because it's been awhile. We had a Neuro visit today, 3 month check up. Sarahs hands and feet have been causing her alot of pain, she has peripheral neuropathy and newly diagnosed today with secondary erythromelalgia.

Peripheral neuropathy happens when the nerves that are located outside of the brain and spinal cord (peripheral nerves) are damaged. This condition often causes weakness, numbness and pain, usually in the hands and feet. It also can affect other areas and body functions including digestion and urination.

Erythromelalgia is a rare disorder that causes intermittent sensations of burning and redness. It primarily occurs on the feet. In rare cases, it can also affect the hands, arms, legs, face, and ears.

Needless to say, very uncomfortable and painful.
Once again no real treatment. Headaches, nausea, fatigue, vertigo, adrenal insufficiency are all part of the daily routine. Still lots of meds with their own side effects.

I have had a couple people ask about progress on social security disability, she was recently denied for the 3rd time. We have a NEW atty that is fighting that but still no real income and unable to work.

For all those that have taken the time to read and keep up on Sarah's journey, We appreciate you!

10/15/2023

Sarah update....
Sarah was able to go home yesterday. The final diagnosis is early signs of sepsis and adrenal crisis. Thankfully Carah and I realized that when we saw her and gave her the emergency cortisol shot while EMS was on their way.
So much to be thankful for this Sunday afternoon...
Huge Thank you to Pasco County Fire House 19! They were awesome! NorthBay hospital by far the best hospital around!! From security, volunteers, nursing staff and doctors, every single person was so incredibly nice and happy to help.

10/12/2023

Sarah update:
As alot of you saw we had gone to the Noah Kahan concert Tuesday night. Sarah was not feeling 100%. Wednesday morning Sarah was running 102.7 fever, lethargic and could not get her up. We called for EMS and was transported to North Bay. They have run all sorts of test even a lumbar puncture, we are waiting on results to come back but sounds like we will be here a few more days. Keep her in your prayers

07/26/2023

Update 07/25/23
Sarah recently had an MRI. While the tumor itself is stable, the MRI did show white matter of the supratentorial brain, likely reflecting chronic small vessel ischemic change.

Where the tumor is located is an issue. It is along the lateral aspect of the left medulla and around the left vertebral artery on her brainstem.
Sarah has had increased numbness and pain in her hands and feet, nausea, pressure feeling in her head, fatigue and an increase in seizures. Basically just sitting there causing havoc.

Unfortunately Sarahs case us not textbook. It's treating symptoms with meds and more meds which seem to cause more issues.
I know when Sarah was initially diagnosed we asked for suggestions on 2nd opinions and we were completely inundated and overwhelmed with the entire situation. I am reaching back out to you all for recommendations or suggestions . We cannot continue to throw medications at the situation. We need to find someone that has an idea of what can be done. We as always appreciate your love and support.

Our apologies for not catching everyone up on the Dr. Visit from Monday. So recently we found that the neuropathy in Sar...
03/02/2023

Our apologies for not catching everyone up on the Dr. Visit from Monday.

So recently we found that the neuropathy in Sarah's feet is at 78% severe nerve damage and her hands are at 52%. We asked about how we can try to fix our improve this and we're told not to go down that rabbit hole.
Right now immediate focus is on Sarah having acute pancreatitis and her liver and spleen are enlarged. We are following up with another Dr on Friday morning. We are still working on getting her disability thru the state, it can take until August before a decision is made. In the mean time if anyone needs help doing a few small things, filing, organizing anything that she can make a few dollars doing, she would be happy to have the opportunity!

11/30/2020... Sarah is on long-term disability which will run out this coming year. S… Tammy Howsare needs your support for Sarah Howsare Brain Tumor Expenses

As we come to the end of 2022, we find ourselves with a lot to be thankful for. It's been a little over 4 years ago sinc...
01/01/2023

As we come to the end of 2022, we find ourselves with a lot to be thankful for. It's been a little over 4 years ago since the brain tumor diagnosis. There have been improvements and some setbacks, but at the end of the day, Sarah is still standing and fighting. Her strength, courage, and beautiful smile keep us in awe most days.

As a mom, watching the difficulties she experiences on a daily bases hurts my heart, but seeing her strength and grace to get thru them makes me so incredibly proud!

Next week, Wednesday, we have an appointment with a specialist to see if they can help with the neuropathy (numbness and pain) in her hands and feet. Feb 1st is MRI day at Moffitt.

There have been a lot of you who ask about disability. We are still trying to get the state system to cooperate. She has been denied twice. Let's hope 3rd time is the charm, but I have been told they have until Oct 2023 to make their decision. In the meantime, we all pitch in to make sure our girl has what she needs.

Please continue to keep her in your thoughts and prayers. Keep sending her those positive vibes. Those are what gives her the strength to get thru those tough days, to not give up and throw in the towel.

11/28/2022

Appt with Sarah Howsare at Moffitt went ok. Dr. not happy with swelling in hands and the level of pain in her hands and feet. Took 14 tubes of blood. Checking everything under the sun. He has an idea but not willing to discuss until labs come back. We will know more in a couple of weeks.

10/31/2022

Tomorrow thru Nov 5th is International Brain Tumor Awareness Week. Take a minute to send all those affected by this terrible disease some positive thoughts and prayers this week. Remember not all wounds are visible, be kind and patient with people. You don't know what people are going through, what it takes for people like Sarah just to get out of bed and do the simple daily life things.

Tomorrow thru Nov 5th is International Brain Tumor Awareness Week. Take a minute to send all those affected by this terr...
10/28/2022

Tomorrow thru Nov 5th is International Brain Tumor Awareness Week. Take a minute to send all those affected by this terrible disease some positive thoughts and prayers this week. Remember not all wounds are visible, be kind and patient with people. You don't know what people are going through, what it takes for people like Sarah just to get out of bed and do the simple daily life things.

10/13/2022

So we just realized we haven't updated since July. Things are pretty stable as far as the tumor goes, symptoms are about the same... nausea, headaches. What has become worse is the neuropathy in Sarah's hands and feet and extreme nerve pain in her hands. As you can imagine trying to do every day things that we take for granted she struggles with. Picking up a cup or phone but can't feel those things in your hands. We appreciate your continued support, thoughts and prayers. We are still fighting the state to approve sarah for disability as she still cannot work due to her above symptoms and seizures.
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Sarahs GFM is still active in the bio on this page or if you would like to donate to the to help spread awareness to brain tumors and research. See link below

The American Brain Tumor Association is the nation’s oldest nonprofit organization dedicated to brain tumor education, support, and research. Forty-five years ago, in 1973, the ABTA was founded by two mothers determined to find answers that, at the time, were not yet available. Since then, the ABT...

07/20/2022

Today's visit was as expected. Stable, No growth! So Toby remains chillin in his hammock wrecking hvoac

It's been a while since we have given an update on Sarah. Lately Sarah has not been feeling well. Nausea is as bad as it...
06/22/2022

It's been a while since we have given an update on Sarah.

Lately Sarah has not been feeling well. Nausea is as bad as it gets, severe fatigue, sweating and then freezing, I think her temperature gauge has gone crazy. Neuropathy in her hands and feet is still a significant issue. The nerve pain in her hands is unbearable most days. Joint pain makes getting up moving not alot of fun. Her new GP saw her today. Unfortunately these things she just has to live with. He said he reviewed her history and he knows she has been through hell, But she has to keep fighting every day, no matter how tired, how much pain, she has to push herself to do things.
She goes back to Moffitt Monday to see the Endocrinologist and Neurologist. July 20th is MRI day.
We are still fighting for disability, the attorney is very hopeful this time.
Keep sending those positive thoughts her way.

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Dunedin, FL

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