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On February 05, 2023 I suffered a hemorrhagic stroke. I would later learn that this occurred in the Brachium Pontis, in the Peduncle, at the base of my brain stem. This has been referred to as one of, if not the, worst places to have this bleed. I have a congenital defect in my brain termed a cavernous malformation/venous anomaly, aka “cavernoma”.
The neurosurgeon team at the University of Tennessee elected not to perform surgery as it would appear that the only applicable access to the cavernoma is through the skull and brain matter. Having to travel so deeply into my brain and down to the stem causes the surgeons a severe risk of inducing a brain stem stroke. If this occurred, it could result in partial/total permanent paralysis, vegetative state, or death. Essentially, the risks outweigh the rewards.
My symptoms actually began on February 04, with a consistent tendency to sway to the right. This continued into that evening as I was attending a concert at ETSU. I originally thought I was experiencing some type of inner ear issue. I woke out my sleep at 0630 on the morning of the 5th with the urge to vomit, severe and uncontrollable vertigo. I could not get anything under control and ultimately called 911. This would be the first of four ambulance trips I would take.
The bleed is slightly positioned to the right side of the brain stem, so mostly it is my right side that is affected. At this point I am essentially having to relearn how to walk. I push myself as hard as possible to not use the walker, but not all days are effective. My right eye has hard nystagmus and does not focus in sync with the left. This leads to dizziness/vertigo and a general lack of coordination. My right arm and hand do not work in coordination with my left which leads to additional lack of coordination. I did begin my PT exercises on my right leg and eyes from the literature sent home with me upon discharge. It’s not hard, but it’s also not easy.
Most everyone is optimistic that as the blood reabsorbs into the brain matter my symptoms will improve in time. No one can calculate the rate of absorption and time frame of symptom recovery. Additionally, assuming I am able to recover from the current symptoms, if not removed/repaired, the cavernoma can bleed again at any time for any reason. This essentially renders me a “ticking time bomb”, which is not helpful to my mental state, nor promising for my ability to return to the workforce, at least at the same capacity.
With the help of my mother, we have applied for Supplemental Security Income, Social Security Disability, SNAP, and attempted Tenncare/Medicaid. SSI is 8% complete with review of my application. Disability has 292 days to render a decision. Tennessee elected not to expand Tenncare/Medicaid, so it would appear I have to be on the Disability (if approved) for 2 years and then I can receive Tenncare automatically. Basically, 3 years of waiting and fighting I suppose?
In the meantime, I still have the Ambetter of Tennessee plan I purchased through the ACA Marketplace which costs $106.42 after something like $468 of tax credit deduction. I have fulfilled my $8300.00 deductible and $8500.00 out-of-pocket maximum with the help of a 90% financial assistance approval from Ballad Health (Bristol Regional Medical Center). At this point, Ambetter is supposed to be paying all “medically necessary and covered” expenses.
My family and I have several charities assisting me with my mortgage, electric and water bill, and food pantries. Obviously, I cannot perform any work, so I have zero income and I’ve even been denied assistance through the ACP (Affordable Connectivity Program), which lowers your internet bill by $40/month. They said I made too much money last year. Huh? What about the inability to produce income this year? I just dunno sometimes.
I spend a large portion of my days lying in bed playing Ultimate Golf on my phone or listening to music. For some reason, it is easier to focus on the small screen of the phone vs. a television or staring out into the woods. Working on the computer is extremely difficult and leads to dizziness and nausea. I am grateful that my mother could be here to help me fill out all the applications and such. I feel so badly for those less fortunate than me that don’t have computers, scanners, printers, and don’t even know what a PDF file is. I cry every time I think about it or attempt to express it to others.
I have received a referral from my PCP, approved by Ambetter to see Dr. Rohan Chitale at Vanderbilt University in Nashville for a 2nd opinion on April 11, 2023. I am doing my best to remain optimistic, but if I am being honest, I feel like the information and assessments I have received from the inception of this illness, related to the location of the cavernoma and proximity to the base of my brain stem continue to not be favorable for safe removal/repair. I may just not be “fixable”. If this turns out to be the case, I will adapt to my new life as best I can. I just have to figure out how to survive until the Disability assistance can be approved.
If you made it to this point in my story, again, Thank You! As I move forward with this process I will place updates in the “Updates” section of the campaign. Please feel free to visit the page to read about my findings as I learn more about what can or cannot be done for me.
I don’t want anyone visiting this funding campaign to feel obligated to donate, but if you find yourself compelled and you have the financial ability, anything is appreciated and I am honored that you would care enough to choose me to contribute to! Those of you that participate in social media, please link my page out through your platforms. It will assist immensely.
Respectfully,
Steven Bolling
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Family and friends of Steven Bolling are raising money for the nonprofit Help Hope Live to fund uninsured medical expenses associated with his hemorrhagic stroke suffered on February 05, 2023.
Steven has chosen to fund raise for Help Hope Live in part because Help Hope Live assures fiscal accountability of funds raised and tax deductibility for contributors. Contributors can be sure donations will be used to pay or reimburse medical and related expenses. To make a tax-deductible donation to this fundraising campaign, click on the Give button. Help Hope Live retains only 3% (checks) or 5.65 (online) of monies raised. These monies are used to cover administrative costs only. Please share my page on your social media platforms.
For more information, please contact Help Hope Live at 800.642.8399.
Thank you for your support!
I traveled to Vanderbilt University Medical Center on April 11, 2023 to visit with Dr. Rohan Chitale for a 2nd opinion consultation.
My visit with him and his entire team went well and I was impressed and appreciative of their professionalism, efficiency, and warm embrace. The Program Manager and Nurse have already begun working on additional scans and correspondence with entities assisting me with my situation.
Like Dr. Gallati at the University of Tennessee, Dr. Chitale has also elected not to perform surgery at this time. Our plan is to monitor the cavernoma and my condition/symptoms over the next 12 months. He predicts up to 12 months to recover fully, or close to, from my current symptoms. It could be less. I'm working on my PT to help move things along. He did indicate that having two occurrences in close succession is concerning and if I experience a third bleed within the next 12 months it will likely become more emergent to perform the operation to remove the cavernoma.
In the event this becomes the case, all the previously mentioned risks are still relevant. Unfortunately, I also learned additional risks that had not been previously presented or discussed more fully. Difficult for me to process and even regurgitate this information, but I now know that additional risks include the following: Permanent facial palsy, permanent inability to swallow, requiring a feeding tube to survive, permanent nystagmus in the right eye, and the nausea and vomiting that has fully subsided at this point could return indefinitely. I still currently deal with what I term "swimmy head" at times, but I also learned this vertigo-type experience could also become permanent.
Dr. Chitale indicated he operates on only about 25% of cavernomas he encounters. I had already researched him enough to know he has no need to make a name for himself, i.e. gain notoriety from such a procedure. I fully understand that if he has to make the decision that we need to operate, it is because it is more critical.
It has been difficult to process all of this new information and I am definitely on a roller coaster ride day to day. My best efforts to deal with this will undoubtedly not always be my best at times, but as I have said to many people, as long as I have breath in my lungs and function in my brain I will keep pushing and fighting.
My family and I are grateful to everyone who took the time to visit, read, and/or contribute to my campaign so far, and in the future. Your contributions are already being disbursed from the campaign to cover expenses incurred and not covered by my health insurance plan.
Respectfully,
Steven Bolling
"always seek to understand"
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Stay positive and try hard as you can...
Rick Chenault
Love you brother. Wishing you healing at the speed of light.
jason endicott
Steven, I'm praying that hope and healing will be in your future and that you will get some good news on your April 11 hospital visit. Your courage is inspiring and I hope you get all the help you need.
Penny Lake
This is my nephew, please pray for him! If you can help, Thank you very much!
Jan Taylor
Make checks payable to:
Help Hope Live
Note in memo:
In honor of Steven Brian Bolling
Mail to:
Help Hope Live
2 Radnor Corporate Center
Suite 100
100 Matsonford Road
Radnor, PA 19087
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