{"id":778,"date":"2013-08-07T10:52:50","date_gmt":"2013-08-07T09:52:50","guid":{"rendered":"http:\/\/jordantheheadcase.wordpress.com\/?p=778"},"modified":"2024-06-01T11:16:02","modified_gmt":"2024-06-01T11:16:02","slug":"living-with-hydrocephalus-so-how-does-it-actually-feel-to-have-a-shunt","status":"publish","type":"post","link":"https:\/\/jordantheheadcase.com\/index.php\/2013\/08\/07\/living-with-hydrocephalus-so-how-does-it-actually-feel-to-have-a-shunt\/","title":{"rendered":"How does it actually feel to have a shunt? &#8211; Living with hydrocephalus"},"content":{"rendered":"<p style=\"text-align:justify;\"><strong>At the time of this &#8216;going to press&#8217; (ie 7th August), my own shunt has decided to play up so tomorrow I am going to hospital in London to see my surgeon.\u00a0 I am keeping my fingers crossed for no more surgery &#8211; but I think I already know what the outcome is going to be!\u00a0 My apologies for not having updated this blog for so long and for probably not being able to update it for a while after today.\u00a0 I hope to resume to normal service shortly!\u00a0 <\/strong><\/p>\n<p style=\"text-align:justify;\">After having yet another discussion with a fellow shuntee about the odd things we can feel\/hear with our shunts, I thought it might help to write about them here, in case newly-shunted people are worried about what they might be experiencing.\u00a0 I am currently on my third shunt in the thirteen years since my diagnosis and I have had two different types; the Codman Programmable and now a Miethke ProGAV.\u00a0 Both of them have presented different sensations and sounds once implanted.\u00a0 Some are quite funny, some are a little unsettling at first but all are easier to deal with once you understand what is causing them.<br \/>\n<strong>So what does a shunt look like?<\/strong><br \/>\nIt looks like this:<\/p>\n<figure id=\"attachment_975\" aria-describedby=\"caption-attachment-975\" style=\"width: 246px\" class=\"wp-caption alignleft\"><a href=\"http:\/\/jordantheheadcase.files.wordpress.com\/2013\/07\/a-shunt.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-975 \" alt=\"This is a basic model; the valve part (lumpy part) will probably look different depending on what kind of model you have.  (picture courtesy of neuroanimations.com).\" src=\"http:\/\/jordantheheadcase.files.wordpress.com\/2013\/07\/a-shunt.jpg\" width=\"246\" height=\"205\" \/><\/a><figcaption id=\"caption-attachment-975\" class=\"wp-caption-text\">This is a basic model; the valve part (lumpy part) will probably look different depending on what kind of model you have. (picture courtesy of neuroanimations.com).<\/figcaption><\/figure>\n<p><!--more--><\/p>\n<p style=\"text-align:justify;\">The ventricular catheter part goes into the brain, where the fluid is, the valve sits under your skin around the rear of your ear (that rhymes!) and the distal catheter is tunnelled down to your peritoneal cavity, in your abdominal area.\u00a0 It is easy to forget that essentially a shunt is not wanted by the body.\u00a0 <em>Needed<\/em> by it, yes; wanted, no.\u00a0 It is a foreign part and doesn&#8217;t sit &#8216;naturally&#8217; anywhere.\u00a0 So at times it can feel a bit odd.\u00a0 The actual procedure to get it in there is quite rough; I&#8217;ve seen a couple of shunt surgery videos on YouTube watching them has certainly made me feel grateful for general anaesthetics!\u00a0 There&#8217;s a lot of tunneling, pushing and pulling so you&#8217;re going to feel sore afterwards, that&#8217;s for sure.\u00a0 It&#8217;s true that some people who have a shunt truly forget that it&#8217;s there.\u00a0 But I am often aware of it and when I&#8217;ve put it to my surgeons over the years, it&#8217;s been met with varying degrees of scepticism!\u00a0 Many people don&#8217;t feel or hear anything strange at all and that is as normal as noticing the strange stuff. \u00a0 Everyone is different and the points I&#8217;ve listed here have been the most frequently discussed issues on the hydrocephalus forums I&#8217;ve been on over the years and the various chats I&#8217;ve had with my fellow ward neighbours during my hospital stays.\u00a0 You honestly probably won&#8217;t experience even a couple of them; I&#8217;ve just added this list as a &#8216;just in case&#8217;&#8230;if you ever start to experience any of these things, you can check back to ensure that you&#8217;re not simply going mad.\u00a0\u00a0 If you are going mad&#8230;.well, I can&#8217;t help you there!<\/p>\n<div class=\"text\">The Good Stuff<\/div>\n<ul>\n<li style=\"text-align:justify;\"><em><strong>You can&#8217;t hear or feel a thing!<\/strong><\/em> &#8211; this is obviously the preferred outcome for many.\u00a0 My first shunt was a Codman and after the initial recovery period following the op to put it in place, I couldn&#8217;t really feel it there at all.\u00a0 The bottom end went into my heart.\u00a0 This isn&#8217;t done as often these days; surgeons prefer to place the bottom end of the tubing in the peritoneal cavity, by your abdomen.\u00a0 But whilst it was in my heart, I couldn&#8217;t feel it in any way.\u00a0 Other than the fact my head felt sooooo much better than before the surgery!\u00a0 See, shunts can be problem-free for many people and the clever little devices keep you alive which, frankly, rocks.<\/li>\n<li style=\"text-align:justify;\"><em><strong>You have a good excuse if you don&#8217;t like fast fairground rides!<\/strong><\/em> &#8211; okay, so this one may apply to me only.\u00a0 I don&#8217;t like rollercoasters or any fast rides.\u00a0 Having nearly passed out on the Teacup Ride at Thorpe Park a couple of years ago (all that spinning!\u00a0 It looked so safe and tame!), I know now to steer well clear of rollercoasters\/big dippers\/any scary-ass rides.\u00a0 I know this may not be &#8216;good stuff&#8217; if you love them.\u00a0 Alas, shunted heads can&#8217;t make pressure changes as fast as non-shunted heads so you may suffer a bit on a fast ride, so it may be better to avoid them altogether. It&#8217;s better to be safe than sorry.\u00a0 But hey, you can have fun watching your friends scream their heads off on them instead!<\/li>\n<li style=\"text-align:justify;\"><em><strong>You get special treatment at airports<\/strong><\/em> &#8211; as in, you don&#8217;t have to go through those doorframe-esque body scanners.\u00a0 These days, many shunt valves won&#8217;t be affected by magnetic scanners at airports or anywhere else they may use them.\u00a0 But some do.\u00a0 So flash your <a href=\"http:\/\/www.shinecharity.org.uk\/shuntalertcards\" target=\"_blank\" rel=\"noopener\">&#8216;shunt alert card&#8217;<\/a> at the security guards (you can get one from <a href=\"http:\/\/www.shinecharity.org.uk\/\" target=\"_blank\" rel=\"noopener\">SHINE<\/a> &#8211; they&#8217;re very important folks!) and they&#8217;ll use a wand instead, whilst avoiding your head.\u00a0 Okay, so it&#8217;s not exactly VIP treatment.\u00a0 But it makes you feel special when you flash your card.<\/li>\n<li style=\"text-align:justify;\"><em><strong>You can impress<\/strong><\/em> <em><strong>people!<\/strong><\/em> &#8211; you can show off your head scars when they&#8217;re fresh (men especially for some reason seem to be impressed by them), make the little bit of tubing that goes down your neck (which is usually slightly visible) wiggle when you move your head side-to-side and generally regale people at parties with your tale of brain surgery.\u00a0 If, like me, you get way too embarrassed to do that, you can just bask in the knowledge that everyone who knows you have a shunt and battle a condition like this will generally admire you for being a brave soul.<\/li>\n<\/ul>\n<div class=\"text\">The Odd-But-Not-Unpleasant Stuff<\/div>\n<ul>\n<li style=\"text-align:justify;\"><strong><em>&#8216;Buzzing&#8217; in the head from the valve<\/em> <\/strong>&#8211; ah, yes &#8211; the buzzing!\u00a0 I first noticed this with the Miethke ProGAV valve. The Codman valve definitely didn&#8217;t do it.\u00a0 I say it&#8217;s a &#8216;buzz&#8217; &#8211; it&#8217;s really like a mechanical whirring sound &#8211; not unlike that made by the dial on a safe being turned (for those of you who watch many detective programmes on the telly!).\u00a0 Depending on how close to your ear the valve actually is determines how loud this sound is.\u00a0 My first ProGAV valve was positioned right behind my left ear and to be honest, the noise became quite annoying!\u00a0 It was like having an annoying bluebottle next to my ear which wouldn&#8217;t go away.\u00a0 <a href=\"http:\/\/jordantheheadcase.files.wordpress.com\/2013\/08\/cartoon-fly.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-983\" alt=\"cartoon fly\" src=\"http:\/\/jordantheheadcase.files.wordpress.com\/2013\/08\/cartoon-fly.jpg?w=150\" width=\"150\" height=\"123\" \/><\/a>Now that my new shunt is on my right side and slightly further back from my ear, it is pretty quiet in comparison.\u00a0 I hear it when I tilt my head back, stand up too quickly, or when something is causing the pressure in my head to be too high for the shunt setting, like a blocked nose from a cold or a general shunt malfunction.\u00a0 Mr Watkins once held a stethoscope over the valve area whilst I tilted my head back to see if he could hear it too&#8230;I think he did, if I remember correctly!\u00a0 Sometimes I&#8217;ll wake up around 3am with it buzzing away because when we enter the deep, REM stage of sleep, intracranial pressure can elevate by quite a lot; it&#8217;s perfectly normal but of course the shunt senses this as a problem and starts to drain like crazy.\u00a0 So it&#8217;s not uncommon to wake up with a buzzing head and a dizzy feeling in the early hours!\u00a0 It settles quickly again though.\u00a0 The only time I&#8217;ve <em>not<\/em> heard the valve working at appropriate times is when it&#8217;s been &#8216;stuck&#8217; or when it&#8217;s been tied off surgically.\u00a0 This really confirms to me that if I can hear it, it means it&#8217;s working fine, so it&#8217;s a good sound to be hearing!\u00a0 My surgeon was doubtful at first about all this but there have been quite a few of us now who can hear it so we can&#8217;t all be wrong!\u00a0 I must stress however that if you can&#8217;t hear yours, it doesn&#8217;t mean that it&#8217;s not working!\u00a0 Don&#8217;t panic if yours is quiet.\u00a0 It may just be a different valve type, too far away from your ear to detect it or simply something that you won&#8217;t pick up on.\u00a0 If for any reason your shunt stops working, you&#8217;ll pick up on other things anyway &#8211; like a bad and worsening headache!<\/li>\n<li style=\"text-align:justify;\"><em><strong>&#8216;Gurgling&#8217; in the head from the<\/strong><\/em><strong> <em>valve<\/em><\/strong><em> &#8211; <\/em>pretty much the same as above; my Codman gurgled when fluid was passing through the valve.\u00a0 Freaked me out the first time.\u00a0 Intrigued me the second time.\u00a0 Was pretty run-of-the-mill by the fourth time.<\/li>\n<li style=\"text-align:justify;\"><em><strong>Tugging or tightening of the shunt tubing<\/strong><\/em> &#8211; this is pretty common after the initial surgery to implant the shunt.\u00a0 After a few days it can feel like everything is getting very tight and stretched.\u00a0 I am not sure if this is just the healing process or scar tissue forming around it after the surgery, but either way it&#8217;s happened every single time and I now view it as quite normal.\u00a0 Nothing bad has ever come of it.\u00a0 It&#8217;s just uncomfortable for a bit. Sometimes this happens way after the surgery but that&#8217;s quite rare.\u00a0 I always check to see if the area that&#8217;s hurting is red, irritated or raised, or if I&#8217;ve got a temperature at the same time to ensure that an infection isn&#8217;t starting.\u00a0 The chances of that are slim but it&#8217;s always good to be cautious with shunts! \u00a0 Of course, it&#8217;s different if the tubing has actually kinked, got caught under the diaphragm or is lying somewhere it shouldn&#8217;t (see the first bullet point in the next category) but believe me, you&#8217;ll be aware of that if that&#8217;s the case!<\/li>\n<li style=\"text-align:justify;\"><em><strong>Weather or not?<\/strong><\/em> &#8211; surgeons and registrars generally say no.\u00a0 Patients generally say yes.\u00a0 The question of whether the weather affects the shunt or how your head feels is often a big debate in the hydrocephalus world!\u00a0 Because everyone is different, it&#8217;s impossible to say a definite yes or no.\u00a0 However, the amount of fellow patients I have met over the years and the various discussions I&#8217;ve read on hydrocephalus online support forums has indicated that yes, weather can certainly affect how your head feels.\u00a0 Take this heatwave we&#8217;re having; I have been fine up until&#8230;..thunderstorm day!\u00a0 I know my head is way, <em>way<\/em> more pressure-sensitive than many fellow shuntees I have met, so I&#8217;m not surprised that I&#8217;ve been floored for two days during this humid, moisture-filled-atmosphere couple of days.\u00a0 Today I feel very slightly better but I know it&#8217;s going to be another day or two at least before I get back to my &#8216;normal&#8217;.\u00a0 Many of my friends on the hydro forum I belong to online have been suffering as well, for the same reasons.\u00a0 Some are worse when it rains.\u00a0 Some suffer when it&#8217;s hot.\u00a0 Some heads can&#8217;t handle the cold.\u00a0 One woman I know who has a shunt has a terrible time during a full moon.\u00a0 Not everyone suffers with weather, but some do, so if it happens to you, don&#8217;t fret or panic; it&#8217;ll pass!\u00a0 Just keep an eye on the weather forecasts, identify what weather systems are your triggers and take it easy on those days.<\/li>\n<\/ul>\n<div class=\"text\">The Not-So-Pleasant-But-Doesn&#8217;t-Happen-To-Many-People-So-Don&#8217;t-Worry-Too-Much Stuff<\/div>\n<ul>\n<li style=\"text-align:justify;\"><em><strong>Stabbing pains from tubing getting caught up in your abdomen<\/strong><\/em> &#8211; nope, it doesn&#8217;t happen a lot to people.\u00a0 But it happened to me for a couple of years and so I thought I&#8217;d mention it, just in case you&#8217;re experiencing it and think it&#8217;s &#8216;normal&#8217;; it&#8217;s not.\u00a0 Basically, there&#8217;s a lot of shunt tubing in your peritoneal cavity- see the diagram!\u00a0\n<figure id=\"attachment_978\" aria-describedby=\"caption-attachment-978\" style=\"width: 343px\" class=\"wp-caption alignright\"><a href=\"http:\/\/jordantheheadcase.files.wordpress.com\/2013\/07\/shunt-neuroanimations.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-978\" alt=\"That's a whole lotta tubing to move about!  Cool pic from neuroanimations.com\" src=\"http:\/\/jordantheheadcase.files.wordpress.com\/2013\/07\/shunt-neuroanimations.jpg\" width=\"343\" height=\"294\" \/><\/a><figcaption id=\"caption-attachment-978\" class=\"wp-caption-text\">That&#8217;s a whole lotta tubing to move about! Cool pic from neuroanimations.com<\/figcaption><\/figure>\n<p>The tubing is bendy and it moves about as you digest food, breathe and so on.\u00a0 But sometimes it can be maybe a bit too long or just sit awkwardly.\u00a0 That&#8217;s when it can get caught up.\u00a0 Mine would catch underneath my diaphragm; the end of the tube dug into it and so it would move when I breathed in, jabbing deeper into the lining of the diaphragm.\u00a0 Man. Alive.\u00a0 I&#8217;m pretty good at managing pain but this really was something else.\u00a0 You&#8217;ll know if it&#8217;s happening; sharp, stabbing pains which worsen when you breathe in.\u00a0 I know three other shuntee friends who have had this happen to them; for two of us (myself included) it resolved on its own but not before several horrid episodes and even two hospital admissions.\u00a0 For the other, a small surgery was needed to shorten the tubing.\u00a0 If you think this may be happening to you, tell your surgeon.\u00a0 Don&#8217;t leave it because it is painful and you&#8217;ll need to get it moved if it keeps up.\u00a0 But to be honest the likelihood of it happening is remote.\u00a0 So this is just a heads-up really&#8230;.just in case!<\/li>\n<li style=\"text-align:justify;\"><em><strong>Blockage\/infection\/underdraining\/overdraining<\/strong><\/em> &#8211; these are the four main problems that <em>can<\/em> occur with shunts and I&#8217;ll cover them in another post another time.\u00a0 They are each very specific and I&#8217;ve experienced all of them and two of them (infection and overdraining) quite a few times&#8230;.but again, I do seem to be rare in that.\u00a0 These are very much in the minority in their presentation rates and you don&#8217;t really need to worry about them; just know what to look out for.\u00a0 I&#8217;ll link to the posts on each as soon as I&#8217;ve finished them.\u00a0 They can sound scary but to be honest every time I&#8217;ve had any of them, the problem has been resolved quickly once it&#8217;s been identified.\u00a0 Nothing is dangerous as long as you don&#8217;t do what I was starting to get good at, which is &#8216;not wanting to kick up a fuss&#8217;!!\u00a0 So don&#8217;t sweat the small stuff as they say&#8230;.because the chance of any of those happening to you is indeed small.<\/li>\n<\/ul>\n<p style=\"text-align:justify;\">And that&#8217;s all folks!\u00a0 The good, the middling and the not-so-good-but-rare.\u00a0 If I think of anything else, I&#8217;ll add it on.\u00a0 However your shunt makes itself known, remember to think of it kindly, even if it&#8217;s buzzing\/gurgling\/feeling tight.\u00a0 Its keeping you alive, so it&#8217;s the best friend you could have.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>At the time of this &#8216;going to press&#8217; (ie 7th August), my own shunt has decided to play up so tomorrow I am going to hospital in London to see my surgeon.\u00a0 I am keeping my fingers crossed for no more surgery &#8211; but I think I already know what the outcome is going to [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":978,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[4,6],"tags":[19,22,56,63,82,113],"class_list":["post-778","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-living-with-hydrocephalus-the-truth-not-the-textbook","category-most-popular-posts","tag-brain","tag-brain-surgery","tag-health","tag-hydrocephalus","tag-neurosurgery","tag-vp-shunt"],"jetpack_featured_media_url":"https:\/\/jordantheheadcase.com\/wp-content\/uploads\/2013\/07\/shunt-neuroanimations-1.jpg","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/jordantheheadcase.com\/index.php\/wp-json\/wp\/v2\/posts\/778","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/jordantheheadcase.com\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/jordantheheadcase.com\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/jordantheheadcase.com\/index.php\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/jordantheheadcase.com\/index.php\/wp-json\/wp\/v2\/comments?post=778"}],"version-history":[{"count":1,"href":"https:\/\/jordantheheadcase.com\/index.php\/wp-json\/wp\/v2\/posts\/778\/revisions"}],"predecessor-version":[{"id":2324,"href":"https:\/\/jordantheheadcase.com\/index.php\/wp-json\/wp\/v2\/posts\/778\/revisions\/2324"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/jordantheheadcase.com\/index.php\/wp-json\/wp\/v2\/media\/978"}],"wp:attachment":[{"href":"https:\/\/jordantheheadcase.com\/index.php\/wp-json\/wp\/v2\/media?parent=778"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/jordantheheadcase.com\/index.php\/wp-json\/wp\/v2\/categories?post=778"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/jordantheheadcase.com\/index.php\/wp-json\/wp\/v2\/tags?post=778"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}