Samain Moon of the Winter Solstice
My cousin Leisa, second youngest of all the Keaton cousins (mom’s side of our family), has had an aneurysm found, repaired and then slipped into a coma as a result of a stroke. Part of her skull has been removed to reduce pressure on the brain from swelling and a second aneurysm has been found, too small to repair right now.
This is eerily reminiscent of Mom’s stroke back in 1964. Mom was 46, though, younger than Leisa who is in her late 50’s. Here’s the link: Mom had two congenital aneurysms, one just below each temple. In 1964 stroke care and aneurysm repair had no where near the sophistication, armamentarium and clinical experience available today, 47 years later.
Mom might have survived her stroke, might even have had her aneurysms discovered before one burst, with 2011 treatment. Leisa’s fortunate in that regard, though no one ever wants to test the standard of care.
Even sadder and more distressing my friend Jane’s daughter, Em, 42, died this week of lung cancer. Never a smoker, a runner, a healthy lifestyle in place she never really had a chance. She received a diagnosis of stage 4, meaning metastatic, in 2008. She rallied and did well for a time, but the disease had become too well established and finally overwhelmed her.
Death and suffering are common notes in the symphony of each of our lives, bass notes, struck down in the resonant lower registers of our souls. No matter how common, how usual or how expected both reverberate, clang around in our depths.
Reading Em’s Caringbridge entries brought me to tears, the anguish of a younger mother’s death; one I know, know too well. Loss can throw us down a dark well; it did me, one it took several years and a lot of help to crawl up from.
The hope we all can share and that those who will grieve us can, too, is the multiple ways in which our lives continue to ripple out through our children, our family, our extended family and friends, through our work and our works. As far as I can tell, this legacy is our immortality.
A false aneurysm or pseudo-aneurysm does not primarily involve such distortion of the vessel. It is a collection of blood leaking completely out of an artery or vein, but confined next to the vessel by the surrounding tissue. This blood-filled cavity will eventually either thrombose (clot) enough to seal the leak or rupture out of the tougher tissue enclosing it and flow freely between layers of other tissues or into looser tissues. Pseudoaneurysms can be caused by trauma that punctures the artery and are a known complication of percutaneous arterial procedures, such as arteriography, arterial grafting, or use of an artery for injection. Like true aneurysms, they may be felt as an abnormal pulsatile mass on palpation..;’;
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