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Precious moments
Woman’s sudden seizure uncovers brain tumor and appreciation for what’s most dear

By NAN BIALEK

June 1, 2008

All that Ann Quale of Mequon can remember about the seizure that struck her "totally out of the blue" on the afternoon of Oct. 17, 2007, is coming groggily back to consciousness at about the same time her two young boys got off the school bus.

Ann, 44, the full-time mom of P.J., 7, and Willy, 5, had been refinishing a dresser in her garage. Nothing in her health records, her lifestyle or her family history could have predicted the sudden seizure episode. So when her husband, Peter, arrived home early from work that day, he had no clue as to what was happening to his wife of 10 years.

P.J. rushed to meet his dad.

"Something’s wrong with Mommy," P.J. told him.

Peter wasn’t sure what to think as P.J. described Ann’s symptoms.

"He said she doesn’t remember this and that, and her lips are all black," Peter recalls. Ann apparently had hit her mouth on the dresser as she fell during the seizure.

Peter found Ann standing at the kitchen sink, still reeling and confused. It had been a windy day, so Ann had closed the garage door to work on the dresser. Peter guessed that Ann had somehow been overcome by fumes from the staining chemicals. He guessed wrong.

A call to the Poison Control Center sent the Quales in another direction. After listening to Peter describe Ann’s symptoms, the woman at the other end of the hot line strongly recommended that he get Ann to a hospital emergency room. A neighbor took care of P.J. and Willy, and the Quales picked up Ann’s mother on the way to the hospital.

At Columbia St. Mary’s Ozaukee, the Quales began a journey he describes as almost surreal. A CAT scan revealed the source of Ann’s seizure — a tumor on the frontal lobe of her brain.

"Basically, they told (Peter) it didn’t look good," Ann says. "They told him I probably had a year to live."

Peter, trying to absorb the shock of the diagnosis, decided to keep that information to himself. "They sent us home that night; it was the longest night of my life," Peter says.

The next morning, as the Quales were trying to contact the family’s primary physician, a neighbor dropped by and recommended they consult Dr. Arvind Ahuja, a neurosurgeon at Aurora St. Luke’s Hospital in Milwaukee.

Within 15 minutes, they had an appointment to see Ahuja that same day. At Aurora St. Luke’s, magnetic resonance imaging technology confirmed the diagnosis. Ann was suffering from brain cancer. She was immediately admitted to the hospital.

"She had a big frontal tumor; about 6 centimeters, bigger than an orange," Ahuja says. "It was pressing on the brain."

Surgery was scheduled for the next day. Ann, learning of the seriousness of her illness, did not question Ahuja’s recommendation. There was no other option, she says.

"It all happened so fast," she says. "It was kind of a whirlwind."

Ann had to find a way to explain the situation to her boys. "Mommy’s got a bump in her head," she told them, "and they’ve got to get the bump out."

Ann’s "bump" was a rare form of malignant brain tumor known as oligodendroglioma, occurring in approximately nine in every 1 million people. Most patients are in their 40s and 50s at the time of diagnosis, Ahuja says. The cause of the condition is unknown.

Until the seizure, Ann says she had no idea that anything was amiss. There is no way of knowing how long she’d had the tumor. Other than a few sinus infections, she had not been sick for at least 10 years.

"It’s like a lottery ticket. It’s just random," she says.

Ahuja surgically removed the tumor, along with microscopic bits of brain tissue surrounding it in an effort to prevent the tumor from returning.

Peter, meanwhile, kept watch in the hospital’s surgical waiting room.

"It was pretty nerve-wracking. Of course, a lot of family was there with us," he says.

Ahuja emerged from the operating room with news. The doctor says he believes Ann "will do very well. (The tumor) may return, but the chance is less than 5 percent over the next 10 years."

At Aurora St. Luke’s, Ann says, she was treated as if she were a member of Ahuja’s family. Peter was encouraged to bring P.J. and Willy to visit their mother the day after surgery. Nurses plopped the boys in office chairs and took them for rides down the hallways.

Although Ann expected to be hospitalized for four days, she was home just two days after the operation.

Since the surgery, she has been undergoing radiation therapy and chemotherapy and is resuming her active lifestyle. She cooks, cleans, exercises, and she’s looking forward to getting back to volunteering at the boys’ school, Donges Bay Elementary. The Quales went skiing in Vail, Colo., in January and Ann hopes to rejoin her hockey team for its next season.

"It’s been three months and I’m still learning how to cope with it," Peter says. "I cope with it by being positive. I guess you look at life a little differently; you appreciate what you have."

The Quales are particularly grateful for the outpouring of support they have received from family and friends, which, Ann says, "would blow your mind."

She is coming away from the entire experience with a renewed appreciation for the people she holds dear.

"Life is just not always what it seems," Ann says. "Everything becomes more precious."

 


This article was featured in the March 2008 issue of