I
was up bright and early at 5:00AM this morning to go to the hospital for the
last test to evaluate me for surgery: the WADA test.
The
WADA test is named after Juhn Atsushi Wada, a Japanese Canadian Neurologist and
Epileptologist. This test is for cerebral hemispheric language function, as
well as a memory representation in each hemisphere.
Once
I got there, they attached the EEG leads to my scalp like they had done
previously on the first test I had back in May. The process took about 45
minutes or so to measure my head, mark it, and attach the electrodes to the
scalp. Let’s just say that these are not the “extensions” girls want for their
hair!
After
that, an EEG Technician took me down to my recovery room to get me started. They
put in an IV, drew labs, as well as attaching more electrodes, and doing the
regular check-up (temperature, blood pressure, pulse, and paper work). After
about 30 minutes or so, they wheeled me down to the Angio Suite where the WADA test
was to be performed.
The
room was filled with staff to help with the test. It was a large white room
with one small bed to lie on, as well as computer screens, x-ray like devices,
and other equipment. After I got all set up, they cleaned the area where my
right Femoral artery is, and prepped it for the procedure. The main person
administering the test injected a numbing drug into the area where the catheter
was to go through; it burned for about 15 seconds, and then I no longer had
feeling there.
When
the area was completely numb, he inserted a catheter that went all the way up
to my brain; I felt pressure each time the catheter was moved. I glanced over
every now and then, and could see an x-ray image of the electrodes attached to
my scalp, as well as the blood vessels in my brain; I was blown away! It was something
that not very many of us get to see!
Sodium
Amobarbital (a drug to put one side of the brain to sleep) was injected through
the catheter to put one side of my brain to sleep. I could feel a warm
sensation at the site where the catheter was inserted, and one side of my body
felt sleepy. My Neuropsychologist walked in to give me the memory tests for
each hemisphere of the brain.
First,
she asked me to raise both of my arms up and count to 20 out loud until one of
my arms fell down (this shows the side of the brain that has been put to
sleep); the left side of the brain controls the right side of the body, and the
right side of the brain controls the left side of the body. I can’t remember
which arm fell down first, but I know that it was really hard to stay awake and
alert.
For
one hemisphere, she showed me objects that she had shown me the day before to
check my memory, and asked if I recognized these objects. I was a little more
alert that time, and could hear her speaking; I tried really hard to remember. She
also gave me a couple of sentences to read back to her; I had to hyper focus,
because my vision was a bit blurry. I read the sentences when my vision wasn’t
blurry. In between hemispheres, they take about a 30-minute or so break until the
Sodium Amobarbital wares off, so they can start the other hemisphere.
As
for the other hemisphere, I put both of my arms up and counted to twenty when
my right arm dropped (which I believe is due to the dominance of the left
hemisphere of my brain). This test was more difficult; I was really sleepy
and the Neuropsychologist had to keep asking me to stay awake. I was shown
pictures I had seen the day before, but it took me a while to wake up, focus,
and remember the names of things she pointed to on the picture. I tried my
hardest to speak, but I had a difficult time! It was like my brain was trying
hard to respond, but what came out was a quiet mumble of an answer.
Once
I came to, they removed the catheter, and cleaned and bandaged the site to
prepare me to come home. I was wheeled back to my recovery room where my mom
was waiting for me. It took a while to even get me to the state of being awake
enough to remove the IV and other wires. I had an incredible nursing staff! I
have to take it easy the next few days so that my artery won’t swell or bleed.
I
have no clue how well I performed, and probably won’t until I get the call on
the 20th if surgery is a go. It’s crazy that I have already gone through all
of the tests for pre-surgical evaluation!
The
journey continues!
