March 2023 Notes

Page 1


A publication of the Acoustic Neuroma Association

IN THIS ISSUE

Medical Report 4

Patient Stories 6

Support Groups 8

ANA Volunteers 10

AN COMMUNITY

The ANA began as a way for acoustic neuroma patients to connect with, and learn from, each other. Though we do much more than that, we still hold connecting and informing patients as our chief mission.

Support Groups

Find a group that fits your demographics, location, or experience. These groups meet regularly as a way for patients to learn from each other.

Community Connections

These informal meeting opportunities, organized by ANA volunteers and held in local communities. offer casual networking time and support through shared experiences.

One-on-One Support

Peer mentors are acoustic neuroma patients and family members/caregivers who are willing to talk about their acoustic neuroma experience. These volunteers provide information, encouragement, and support to other acoustic neuroma patients via telephone, email, and video.

Discussion Forum

Connect with other patients through our online forum for peer-to-peer support at anausa.org/forum

NEW TO THE ANA

If you’re new to the ANA community or are looking to engage more deeply, there are more resources available at anausa.org/community

INTERESTED IN GETTING INVOLVED?

To learn more about volunteering, contact us at 770-205-8211 or volunteers@anausa.org

CONNECT

You can also connect with us and find more resources on social media. Tag us in your posts or send messages directly to our pages—there is a lot of support in this community!

ANAssociation

AcousticNeuromaAssociation

acousticneuromaassociation

Acoustic Neuroma Association anassociation

Are You a Healthcare Provider?

We can help connect you with the AN community

If you are a healthcare provider and are interested in finding out more about ways to partner with the ANA, we would be happy to discuss options with you and your team.

Collaborative relationships provide opportunities to connect with the AN community, and we strive to create programs that offer information and support to those affected by acoustic neuroma/ vestibular schwannoma.

Your participation with the ANA helps to ensure that no acoustic neuroma patient faces this diagnosis alone or uninformed, and we thank you for your work. We look forward to partnering with you in the future.

Please contact Holly Green at hollygreen@anausa.org to get started.

Eye Care After Acoustic Neuroma Surgery

Information to help you navigate AN-related eye problems.

Proper eye care is vitally important in helping you effectively manage your AN-related eye issues and prevent further damage. This publication provides you with options and strategies for better managing the eye issues that affect acoustic neuroma patients, including when to see a medical professional.

GET YOUR COPY TODAY

This publication is free to ANA members and can be viewed in the member section of the ANA website. To request a print version, please contact us. Non-members can order online at anausa.org/shop

This free educational event includes presentations for patients at all stages of the AN journey, as well as Q&A time and networking opportunities. Registration opens soon. For more information, visit anausa.org/patient-events EVENTS

Join the ANA for a Full-Day Patient Event

SATURDAY, SEPTEMBER 23, 2023

Hosted by UH Cleveland Medical Center Cleveland, OH

ANA COMMUNITY

CONNECT AND DISCUSS

We recently reached out to our social media community for eye care tips and their best strategies for dealing with eye issues. Here’s what they had to say.

I had facial paralysis, and my eyelid was not fully closing. I got the eyelid weight. The difference was remarkable. It’s essential to protect your cornea.

—Bonny

I had a spring implanted in my upper lid rather than a weight. The spring has helped so much!

—Joelle

I ended up having to have a heavier eyelid weight put in. That helped a lot. But the best help was the scleral lens.

—Shayla

If you can find wrap-around sunglasses, they’re great for protection—not only from sunlight, but from wind! Also, please get your corneas checked regularly (at least yearly) to make sure that you’re keeping your eyes well lubricated.

—Valerie

I use the ointment in my eye at night and tape my lid shut. My eye has improved so much!

—Diana

I use lubricating drops during the day and an ointment with a moisture chamber at night. I also do warm compresses, which soothes any irritation. I use sunglasses for sun and wind protection.

—Melinda

BOARD OF DIRECTORS

President Meredith Mueller Daly, C.P.C.

Vice President Ronson Mahla

Treasurer Tracy Denmark Schwimmer

Secretary Samira Rajabi, Ph.D.

Past President

Neil D. Donnenfeld, MBA

Founder & President Emeritus

Virginia Fickel Ehr

Members at Large

Kimberly Ary

Robin Batra

Randall Berger

Robert Chernoff

Cody Cooper

Kathy Hill

David Kellogg

Hela Kelsch, D.O.

Greg Kingsley

Jay Magrisso

Mary Ann Mugel

Nancy Rhein

STAFF

Jim Shea Chief Executive Officer

Matthew Balte Manager, Membership and Development

Holly Green Manager, Healthcare Community Partnerships

My doctor consulted with and brought in an ophthalmologist. I suggest everyone see one. They will keep checking for the dry spots and give advice or meds to help. Saved my sight!

—Kelly

Titanium eye weight changed my life. I rarely need drops now and less eye issues overall.

—Sonia

Melanie Hutchins Manager, Volunteer Programs and Publications

Christina McCurdy Accounting Coordinator

Stephanie Rommer Manager, Digital Communications and Events

Donna Sweigart Outreach and Support Coordinator

MEDICAL ADVISORY BOARD

Co-Chair

Calhoun D. Cunningham, III, M.D. Duke Health

Co-Chair

David S. Haynes, M.D., M.M.H.C., F.A.C.S. Vanderbilt University Medical Center

Siviero Agazzi, M.D., MBA, F.A.C.S. University of South Florida Health

Chrisfouad R. Alabiad, M.D. Bascom Palmer Eye Institute

Matthew L. Carlson, M.D. Mayo Clinic

Steven D. Chang, M.D. Stanford Neuroscience Health

Christopher J. Farrell, M.D. Thomas Jefferson University Hospital

Melvin Field, M.D. AdventHealth

Steven L. Giannotta, M.D. Keck Medicine of USC

P. Daniel Knott, M.D., F.A.C.S. UC San Francisco

J. Walter Kutz, Jr., M.D. UT Southwestern Medical Center

Jeffrey D. Markey, M.D. ENT Associates of Greater Kansas City

Jennifer Moliterno, M.D., FAANS Yale University

Joseph J. Montano, Ed.D. Weill Cornell Medicine

Ravi N. Samy, M.D., F.A.C.S. UC Gardner Neuroscience Institute

Marc S. Schwartz, M.D. UC San Diego Health

Megan Sherod, Ph.D. University of Central Florida

William H. Slattery, III, M.D. House Clinic

Konstantina Stankovic, M.D., Ph.D., F.A.C.S. Stanford University School of Medicine

R. Mark Wiet, M.D., F.A.C.S. Rush University Medical Center

Daniel M. Zeitler, M.D., F.A.C.S. Virginia Mason Medical Center

Combatting Dry Eye

Treatment and management of dry eye manifestations for patients with acoustic neuromas

Acoustic neuromas, also known as vestibular schwannomas, are benign neoplasms of Schwann cells that develop on the eighth cranial nerve, or vestibulocochlear nerve, in approximately four out of 100,000 people.1 These Schwann cells are responsible for forming an insulated layer over all nerves to maintain proper development and function. If overproduced, Schwann cells can affect the function of the eighth cranial nerve, leading to symptoms of hearing loss and poor balance.1

A vestibular schwannoma, if large enough, can press against adjacent cranial nerves, including those that innervate the eyes. When these nerves are compromised, they can affect functions of the eye, such as eyelid closure, corneal sensitivity, and ocular muscle movement.2 Patients who are diagnosed with an AN or are planning for tumor resection, should be referred to an optometrist or ophthalmologist for ocular evaluation to prevent ocular complications from developing or worsening. Due to its proximity to the eighth nerve, the seventh nerve—or facial nerve—is primarily affected. In fact, approximately 14% of AN patients develop facial nerve damage after schwannoma resection.2 Impairment to this nerve will then disrupt function of the facial muscles, including the orbicularis oculi, which innervates the upper and lower eyelids. It is responsible for closing, blinking, and winking the eyes. A dysfunctional muscle will not be able to close the eyelid completely, causing a condition known as lagophthalmos. In Figure 1, the patient is unable to blink all the way, leading to a very dry and exposed eye, causing pain, redness, tearing, and blurred vision. Proper eyelid function is necessary to maintain a lubricated eye and preserve corneal health and vision. An additional cranial nerve affected by a schwannoma compression or resection is the fifth, or trigeminal nerve.

This nerve is responsible for facial and corneal sensation. When impaired, the cornea becomes anesthetized, known as neurotrophic keratitis (NK). Patients with NK can have serious ocular complications because they cannot feel or sense any symptoms of dryness, pain, burning, irritation, or foreign body. If not managed properly, these patients can develop ocular complications, such as punctate epithelial erosions, that may progress to an ulcer, infection, or even perforation. This can lead to permanent vision loss.

Lastly, the sixth nerve, or abducens nerve, is susceptible to dysfunction if the tumor is directly compressing it. The abducens nerve is responsible for innervating the lateral rectus, an extraocular muscle responsible for turning the eye outward. A compressed nerve will not stimulate the muscle and inhibits the eye’s movement, effectively leading to double vision.

It is imperative to counsel patients about potential ocular risks and complications from AN and AN tumor resection. An urgent referral for an ophthalmic assessment is warranted in any case of AN. An eye care professional will be able to evaluate eyelid positioning, blink rate, corneal sensation, ocular surface health, tear film quality, eye muscle movement, and alignment. The best treatment plan will be determined depending on the underlying ocular condition.

According to the Tear Film Ocular Surface Society’s Dry Eye Workshop II study, there should be a step-by-step method to treat any type of dry eye disease.4

The first step is to modify the environment and diet, and eliminate medications that may potentially worsen dryness. Avoid dry, windy, smoky, and low-humidity environments. While asleep, consider using a standing fan instead of the ceiling fan to avoid drying the ocular surface. If lagophthalmos is present, closing the eyes with an eye mask or eyelid tape will prevent the eyes from drying out during sleep. For daytime comfort, moisture chamber glasses are beneficial as they contain either a silicone or foam insert on the inside of the frame that traps moisture. These glasses also prevent air, wind, dust, or any type of environmental factors from irritating the ocular surface.

Diet plays an essential role as it can improve ocular surface inflammation and tear film quality. Increasing omega-3 fatty acids is proven to improve dry eye signs and symptoms.4 Omega-3 fatty acids contain eicosatetraenoic acid (EPA) and docosahexaenoic acid (DHA) which have anti-inflammatory properties.4 If taken through diet, consider eating salmon, tuna, walnuts, edamame, kale, spinach, or whole grains.5

On the contrary, there are certain medications known to worsen dry eye symptoms, including antihistamines, diuretics, SSRIs, oral contraceptives, estrogen, oral isotretinoin, and more.4 If you are taking any of these medications, please consult with your primary care provider and prescribing doctors to try to adjust your medications.

Ocular lubricants, including artificial tears, gels, and ointments are first line therapies for treating any form of dry eye. Preservative-free tears are preferred, as these do not contain preservatives that can be toxic to the cornea. Another method to improve dry eye symptoms is the use of collagen or silicone plugs. These are inserted into the tear duct to prevent the tears from draining out of the eye, and allow the tears to stay on the ocular surface longer. If symptoms persist, prescription eye drops such as topical steroids or immunomodulators may be warranted.

Patients with facial nerve paralysis develop lagophthalmos, which leads to corneal exposure and dryness. It is imperative that the eyelid spreads tears across the ocular surface naturally while blinking. These patients will need to consider more invasive treatments such as gold weight implantation or springs.5 These are surgically implanted into the upper eyelid to promote a natural blink and regain eyelid function. Another surgical option for lagophthalmos is a tarsorrhaphy, where the surgeon sews the upper and lower eyelids together to cover the ocular surface and provide protection. Tarsorrhaphies can be temporary or permanent depending on the patient’s condition.

Patients requiring a long-term solution that do not benefit from the above therapies can consider a non-invasive option of a rigid scleral contact lens (SL).6 SLs are hard, gas permeable domes of plastic that are fit by an optometrist to provide moisture and comfort to an exposed or dry eye. The SL is filled with a sterile, preservativefree saline and placed on the eye with a small suction cup. (Figure 2). This requires an extensive fitting process where an optometrist designs a custom lens for

each individual patient to ensure the lens provides good comfort and vision, and does not compromise corneal or scleral health.

The SL rests on the white part of the eye, the sclera, and vaults over the cornea, thus forming a fluid reservoir between the lens and the eye. (Figure 3). The fluid reservoir is composed of the preservative-free saline, and is in direct contact with the cornea, providing a constant flow of hydration. The SL protects the cornea from environmental factors and promotes lubrication, healing, and comfort. It helps alleviate symptoms of burning, stinging, discomfort, redness, and more. SLs can even improve visual function for patients who have corneal epithelial erosions or scarring. The lens acts as a barrier to the environment, shielding the cornea from drying out, but also from any potential trauma. Dry eye and lagophthalmos are just two ocular conditions that may warrant scleral lenses. Other conditions include NK, irregular corneas from pathologies, trauma, infections, postsurgical complications, and more.6

In summary, there are several readily available treatment options for patients with dry eye manifestations from AN. The goal is to protect and preserve the

ocular surface while providing comfort to these patients. Therapies begin conservatively with ocular lubricants, gels, and supplements. However, for more advanced conditions, patients may need a more permanent solution with the use of a SL. Any patient who is diagnosed with AN should be referred to an ophthalmologist or optometrist for close monitoring and management.

Christina Abuata, O.D. is an optometrist at the Alkek Eye Center at the Baylor College of Medicine in Houston. She completed a cornea and contact lens fellowship at the University of Houston and a BostonSight PROSE clinical fellowship. She currently manages and treats patients with unique ocular surface conditions with specialty contact lenses, such as scleral lenses and PROSE (Prosthetic Replacement of the Ocular Surface Ecosystem).

References: References available upon request, or you can view a PDF that includes references by logging into the Member Portal on the ANA website. Click the March 2023 newsletter to access.

Figure 1
Figure 3
Figure 2

MY EYE CARE JOURNEY

Eye Care Tips for a Better Quality of Life

At age 60, I had retrosigmoid surgery. The surgeon assured me that the tumor was 100% removed, and that my facial nerve was intact. I was aware of the possibility of facial paralysis, hearing loss, and other risks involved with surgery. Fortunately, however, my medical team was highly experienced, well informed, and communicative with each other and me.

I was back at home three days after surgery when I noticed that my left eye was uncomfortable. Per my doctor’s advice, I used drops, ointment, and plastic wrap–quite an ordeal.

One week post-surgery, my neurosurgeon suggested a consult with a plastic surgeon for an eyelid weight. My eyelid on my AN side was not fully closing, causing the discomfort. I had no idea what an eyelid weight was!

About a week later, I returned to the hospital for a 30-minute outpatient procedure with local anesthesia to surgically implant the weight. The surgeon inserted the tiny disk onto the outside of my upper eyelid. A couple of stitches later, I went home and applied ice for pain. I was amazed at the quick relief the eyelid weight was to my eye!

I am also a contact lens wearer, but I had to wear glasses during this time. In about three to four months, my facial paralysis improved, and my eyelid started to close better on its own.

About a year later, the weight was removed in a similar procedure, and I was able to wear my contact lenses again. Soon though, I realized my vision was blurry. My plastic surgeon recommended that I see an ophthalmologist about a scleral lens, so I went to see the specialist at Wilmer Eye Institute.

The ophthalmologist observed that my eyelid was not closing fully all the time, and that my cornea was becoming scarred, an unhealthy condition. A scleral lens would protect the cornea. It is an oversized rigid lens that has a little bump in the center to

I am grateful for the aftercare given to my eyes following AN surgery, and I urge you to ask your doctor to refer you to specialists that may be able to help you achieve a better quality of life.

hold sterile saline on the cornea. The edges of the lens rest on the white (or sclera) of the eye.

Scleral lenses are similar to contacts, and are custom made to your prescription for your affected eye. Since they’re custom made, there is a fitting process. This involves the doctor inserting the lens for about two hours, then reexamining the eye. This happened over three consecutive days and finally, the fitting was complete. It was not an uncomfortable process.

I have been wearing the lens daily for the last 3+ years. Care of the lens is similar to my soft contact lens, and was demonstrated for me. I also practiced inserting and removing the lens, which was a little tricky at first. I attend yearly follow-ups for the

scleral lens, and see my regular optometrist for my soft lens. The scleral lens is considered a prosthetic device and was covered by my private insurance.

About three years later, I ordered a replacement lens, due to wear and tear, at a cost of $12.50–quite a bargain! After I received the new lens from the manufacturer, I sent my gently used one back; it was polished and returned to me.

I am grateful for the aftercare given to my eyes following AN surgery, and I urge you to ask your doctor to refer you to specialists that may be able to help you achieve a better quality of life.

MY EYE CARE JOURNEY

Navigating a Difficult Eye Care Journey

One of the outcomes of my successful retrosigmoid surgery to remove an acoustic neuroma was the muscles around my right eye becoming paralyzed. The probability of this sort of eye disability from acoustic neuroma surgery is low, but it does happen occasionally.

My upper eyelid would no longer fully close when blinking or sleeping. My lower eyelid drooped, constantly dripping tears, and the dripping was exacerbated by the inability of the upper lid to completely close and windshield wipe away the natural flow of tears.

My eye issues manifested soon after surgery, so I was quickly scheduled for oculoplastic surgery to place a small platinum weight inside the upper eyelid— to give blinking a gravity assist, tighten the edges of my eyelids, and bulk up my lower eyelid with tissue from elsewhere in my body, lessening the lower lid’s droop.

In the years since, I’ve had repeated surgeries on the eye—one, because my initial platinum weight worked its way through the skin and had to be removed, and another to reimplant a heavier platinum weight to give me even more assistance when blinking. I have been plagued by eye dryness, as well as a ten-fold increase in invasive particulate matter (and stray eyelashes) unavoidably invading my eyeball.

I’ve also had lash ptosis on the upper lid to adjust the lid so that my upper eyelashes wouldn’t continue growing down— sometimes scratching the eye. The lash ptosis didn’t help much, and I continue to have eyelashes that scrape my right eye.

I keep my eye lubricated throughout the day to prevent scratches from particles and lashes. I’m also in the process of getting fitted for a scleral contact lens to better protect my cornea.

You can try eye patches during the day if you fancy the pirate look. This keeps the eye somewhat protected, but you still need to use drops.

I’ve been fortunate to have the best medical care in all of this. The following eye care specialists have been helpful for me: an oculoplastic surgeon, a facial nerve surgeon, an ophthalmologist (one that specializes in the scleral/PROSE lens), and an optometrist. There are also links to helpful resources for eye care products on the ANA website.

I wish you all the best in your eye care journeys.

HELPFUL TIPS

• If you have eye dryness for any reason, it is crucial to protect your cornea from drying out. During the day, I use eye drops about every 30 minutes. The brand I prefer is Refresh Liquigel.

• If you need overnight protection, eye lubricant such as Lacrilube helps a great deal. This is a vaseline-like ointment. Hold your lower lid open a bit and squeeze a small line of ointment under your lower lid. The next morning you will need to use a lot of saline solution to rinse your eye to remove nighttime accumulation. You can also use saline solution to rinse your eye at night.

• Cover your affected eye at night. There are several methods you can use. For example, Glad Press-N-Seal works well to plaster your eyelids shut. Cut a small piece and press it into your face over your closed eye. Note: This is an effective low-cost solution but, in my case, it had a downside. By pressing the eyelids flat, I inadvertently trained my upper eyelashes to grow down into my eye. So instead, at night, I use either an adhesive, plastic moisture-retaining bubble over my eye (needs soap, hot water and gentle scrubbing to remove the bubble in the morning) or silicon moisture-retaining goggles. These are comfortable at night, easy to put on and take off, though they can be expensive. You can also try eye patches during the day if you fancy the pirate look. This keeps the eye somewhat protected, but you still need to use drops.

SUPPORT GROUPS

SUPPORT GROUPS AND CONTACT INFORMATION

Thank you to all of our support group leaders and co-leaders, all of whom are acoustic neuroma patients or care partners. We are grateful for the incredible amount of support and encouragement they provide to others by scheduling and facilitating opportunities to meet, network, and learn about acoustic neuroma topics of interest.

ALABAMA, MOBILE

Alan Heffernan 251-621-5665 alanheff@gmail.com

ARIZONA, PHOENIX

Tracy Denmark Schwimmer 602-561-1855 marcschwim@aol.com

ARIZONA, TUCSON

Carol Franklin

520-490-5035 lefsequeen53@gmail.com

Tricia Jennings 520-825-9845 azchipster@gmail.com

CALIFORNIA, LOS ANGELES

Kimberly Ary kimberly.ary3@gmail.com

Leah Keith leahkeith@me.com

CALIFORNIA, PALO ALTO

Christina Esfehani

650-575-6990 esfehani@yahoo.com

Mark McLaren 925-838-8175 calpedaler @earthlink.net

CALIFORNIA, SACRAMENTO

Hazel Berman

916-983-9313 hazelannb @sbcglobal.net

CALIFORNIA, SAN DIEGO

Margaret Briggs

619-500-6141 glmrchk@gmail.com

Melissa Diaz missdiaz@me.com

Helen McHargue 760-728-0309 foodsmarts@gmail.com

CALIFORNIA, SAN FRANCISCO/OAKLAND

Carol Most Walker 415-889-3547 carol@wedrinktea.com

Tom Sattler 415-864-0764 tsattler@gmail.com

COLORADO, DENVER

Ginnie Ferraro 303-469-6391 ginnietennis @hotmail.com

DC, WASHINGTON

Michelle Nemeth 703-772-7114

michelle.f.nemeth @gmail.com

Allison Shaffer 301-279-9166 akgshaffer@gmail.com

FLORIDA, JACKSONVILLE

Dyanne Hughes 904-624-0940 dyhughes55 @comcast.net

GEORGIA, ATLANTA Meredith Daly 678-525-1941 meredith @meredithdaly.com

ILLINOIS, CHICAGO Leah Jenks 708-954-7774 leahgjenks@gmail.com

KENTUCKY, LOUISVILLE Kathy Gardner 502-593-9224 kathyc0407@aol.com

LOUISIANA, NEW ORLEANS Joan Lemmon 504-261-6490 joanmlemmon @gmail.com

MICHIGAN, STATE OF Rick May 734-812-8054 rmay726@gmail.com

MINNESOTA, MINNEAPOLIS/ST. PAUL Steve Blons 612-925-5926 bodysoul@earthlink.net

Laura Ferenci

612-501-2248 lkferenci@gmail.com

MISSOURI, COLUMBIA Carol Gardner 573-690-3296 carolhgardner @gmail.com

MISSOURI, ST. LOUIS

Agnes Garino 314-821-1905 algarino@sbcglobal.net

Phyllis Trulock 314-822-3221 ptru20@yahoo.com

NEW HAMPSHIRE, LEBANON (CoSponsored Group with Dartmouth-Hitchcock Medical Center)

Shannon Bagley shannon.m.bagley @hitchcock.org

NEW JERSEY –CHERRY HILL

Iryna Mosendz 609-705-6623 lutrinas@gmail.com

NEW YORK, ALBANY/ MID-HUDSON

Tracey Collins 581-382-3283 Tracey.Collins6273 @gmail.com

NEW YORK, NEW YORK CITY

Miranda Warren Sacharin 925-297-9435 m.sacharin@gmail.com

NEW YORK, ROCHESTER/SYRACUSE

Tom Banach

585-732-4377 tom_banach @hotmail.com

NORTH CAROLINA, STATE OF Stewart Binder 919-624-3256 marylandterp.888 @gmail.com

Lisa Fisher 412-996-2386 lfisher@rubollc.com

OHIO, CINCINNATI (DOWNTOWN)

Emily Praeter 513-265-1350 elpraeter@gmail.com

OHIO, CINCINNATI (WEST CHESTER)

Alice Wedding 513-831-0336 aj2mydad@yahoo.com

OHIO, COLUMBUS

Natalie Epps 614-735-0739 natalie.p.epps @gmail.com

OHIO, NORTHEAST/ CLEVELAND

Pat Gillespie 330-605-7224, cpgillespie@hotmail.com

OREGON, PORTLAND

David Noyes 503-419-7418 dcnoyes@comcast.net

PENNSYLVANIA, PHILADELPHIA

Marya Camilleri 215-313-0727 maryavancam @yahoo.com

PENNSYLVANIA, READING

Nancy Graffius 610-939-9114 ngraffius@comcast.net

RHODE ISLAND, EAST GREENWICH (SE NEW ENGLAND) Tony DiBella 401-523-9467 ajd@orgtransitions.com

SOUTH CAROLINA, COLUMBIA

Ricky and Robyn Roberson 803-729-4040 rroberson @millsautogroup.com

TENNESSEE, NASHVILLE

Lauren Vaden 615-232-4929 tarheelbluesy@gmail.com

TEXAS, DALLAS/ FORT WORTH

Linda Dorasami 817-244-0615 anausa.dfw@gmail.com

Laura Spence 972-974-1516 lauraspencetx @gmail.com

TEXAS, HOUSTON

Mariana Irato 832-474-4090 mariana_irato @yahoo.com

Shawn and Connie Wilkins 832-458-0236 connie.jo.wilkins @gmail.com

VIRGINIA, ROANOKE

Johnny Diaz 904-738-5063 johnny.diaz@yahoo.com

WISCONSIN, GREEN BAY

Bonnie Simon 920-731-4647 bjs3323@gmail.com

WISCONSIN, MILWAUKEE

Judy Jones 414-491-6249 jjonescurran539 @gmail.com

If there is not a support group in your area, contact volunteers@anausa.org for information about opportunites near you.

SPECIALTY CARE

SUPPORT GROUPS

online only

AFTERCARE/ POST-TREATMENT

SUPPORT GROUP

Bonny Lally

410-660-1259 bdaymusic@gmail.com

CAREGIVER

SUPPORT GROUP

Sara Wasserman

928-301-8781 artspeaks10 @hotmail.com

FACIAL PARALYSIS

SUPPORT GROUP

Tara Paul 303-868-7181 tnpaul@comcast.net

HEADACHES (PRE-TREATMENT)

SUPPORT GROUP

Ken Posner

248-464-0808 kennyposner @gmail.com

HEADACHES (POST-TREATMENT)

SUPPORT GROUP

Agnes Garino 314-821-1905 algarino@sbcglobal.net

MUSICIANS WITH AN SUPPORT GROUP

Stefanie Batson-Martin 407-493-7095 floridaswimmer14 @aol.com

NEWLY DIAGNOSED/ PRE-TREATMENT

SUPPORT GROUP

Chad Nye

407-496-8357 chadnye@gmail.com

REGROWTH

SUPPORT GROUP

Miranda Warren Sacharin 925-297-9435 m.sacharin@gmail.com

YOUNG ADULT

SUPPORT GROUP

Michelle Nemeth

703-772-7114

michelle.f.nemeth @gmail.com

Emily Truell

920-229-5201 emily@lacamp ground.com

HIGHLIGHTS FROM 2022 SUPPORT GROUP MEETINGS

The ANA continues to expand its network of support groups, providing a variety of options for your convenience, including geographic groups, virtual specialty groups, and co-sponsored groups with our medical partners. Providing encouragement is an important component of ANA support groups, but meetings provide so much more! Take advantage of guest speakers, panel discussions, informational presentations, and networking time. Meetings are free, open to all interested persons, and highlight a broad range of topics, including those below presented in 2022:

BALANCE ISSUES, DIZZINESS, AND VESTIBULAR THERAPY

• Dizziness in AN patients

• Hearing and Balance Following Radiosurgery

• Yoga for Balance

COGNITIVE/EMOTIONAL

• Living Well with Persistent Uncertainty

• Medical Trauma and Coping with Anxiety

FACIAL ISSUES AND REHABILITATION OPTIONS

• Facial Neuromuscular Rehabilitation

• Innovations in the Assessment, Education, and Management of Patients with Facial Paralysis

• Surgical Rehab Options for Facial Paralysis

• The Importance of the Facial Nerve in the Symptoms and the Treatment of AN

GENERAL/ MISCELLANEOUS TOPICS

• AN Case Presentations and Panel Discussion

• Taste Changes Associated with AN

HEARING ISSUES, DEVICES, AND TINNITUS

• Hearing Assistive Technology

• Hypnosis Therapy for Tinnitus Reduction

• Tinnitus Management

• Hearing Technology Options

RESEARCH/ ON THE HORIZON

• From Surgical to Pharmaceutical: Emerging Treatment Options

• AN Treatment Options: Development of a New Decision Aid

TREATMENT OPTIONS

• AN Management Based on Patient Outcomes and Quality of Life

• Conservative Management Options after Diagnosis

• Considerations in AN Management

• Modern Management of AN

• Observation for ANs –When Is It Appropriate?

• Overview of Treatment Options and Strategies for Facial Nerve and Hearing Preservation

• Radiosurgery Options

• Surgical Options

• The AN Toolbox: An Individualized Approach to Treatment

• Treatment Options: What Are Reasonable Outcome Expectations?

• What to Expect After AN Surgery

HERE’S WHAT YOU’RE SAYING ABOUT OUR SUPPORT GROUPS AND MEETINGS…

In the few meetings I have attended, I’ve really appreciated your kindness and understanding, along with leadership.

—Chuck

You really helped me connect with my fellow AN Warriors when I felt alone in my journey.

—Natalie

Thank you to the ANA, the volunteers who facilitate/ moderate the support groups, and all of those who participate and share their experiences.

—Phyllis

Thank you...the fact that I knew you were there for me and others with AN really made the path much smoother and less scary. You supported me in a way family and friends cannot.

—Donna

Great group of people, and glad to know I am not alone.

—Janice

Thanks for bringing us these great programs!!

—Elaine

ANA VOLUNTEERS

VOLUNTEER PROFILE

In Conversation

ANA speaks with volunteer, Carol Franklin, support group leader, Tucson, AZ

Acoustic Neuroma Association:

What has surprised you most about volunteering?

Carol Franklin: As a long-time volunteer–soon to be 20 years!–I continue to be amazed at the bravery and sincerity of individuals who attend our support group meetings. Each individual’s story is unique, and they are willing to share their experiences when they are most vulnerable. The exchange of ideas and suggestions is so helpful to everyone. We support one another and grow together as individuals and as a group.

ANA: What do you wish other people knew about the ANA?

Franklin: I have seen the ANA change and grow in the most positive ways. The website has an incredible amount of information available. There are so many options to engage and learn. I particularly like the ability to participate in other support group meetings and events virtually–these opportunities have opened doors for everyone, and I hope others are taking advantage of these resources.

ANA: Tell us about some of the people you have met while you’ve been involved with the ANA. Franklin: I have a new group of best friends through the Tucson support group. There is no substitute for getting to know someone who has gone through the same major health experience as you.

ANA: What might someone be surprised to know about you?

Franklin: This is a funny question because, typically, I can cite the fact that I had brain surgery as my most unique aspect! My husband and I have dedicated 35 years to being foster parents for children and adults with disabilities. Those individuals enhanced our lives, and we continue to see some of them long after they have moved on.

ANA: What would you tell someone who is thinking about volunteering?

Franklin: Just jump in and get started! You will never regret it.

ANA: What do you do when you aren’t volunteering?

Franklin: I am enjoying retired life, which includes travel, bicycling, golf, and hiking. We plan trips that incorporate all of these activities, and it is a wonderful reward after years of hard work.

ANA: Can you share a tip that helped you during your AN journey?

Franklin: The biggest challenge for my recuperation from AN surgery was learning to be patient during the healing process. Having never had surgery before, I naively expected my body to return to “normal” in a few days, just as if I had a minor illness. Be patient and enjoy each day.

ANA: What inspires you to engage with and support the ANA?

Franklin: The support group attendees inspire me to continue to be involved. New attendees need the support of our experienced, core group members, and many of the attendees are my friends. I leave each meeting feeling renewed, and I’m glad that I continue to volunteer.

2022 ANA SUPPORT GROUPS BY THE NUMBERS SUPPORT GROUPS

9

39

19

1,200

103

61

Support group attendance Support group meetings Support group leaders/co-leaders

MOST POPULAR TOPICS

• Treatment Options

• Hearing Issues, Devices, Tinnitus

• Facial Issues and Rehabilitation Options

• Caring, Sharing, Networking, and Support

• Cognitive and Emotional

• Research and Emerging Treatment Options

ONLINE SUPPORT

1,936

(about 12 per day)

ANA Discussion Forum new users

16

Number of closed Facebook support groups moderated by ANA staff and volunteers

Eric’s Story

Finding Balance After Acoustic Neuroma

You’d think a retired military veteran who worked as a police officer for 26 years might slow down. But 60-year-old Eric Moyes doesn’t do “slow.”

“I enjoy mountain biking, golfing, physical fitness, and the outdoors,” says Moyes, a dad of three and grandfather who still works part time at the sheriff’s department in Joliet, Illinois.

A few years ago, Moyes felt severe head pain during his gym workouts. He didn’t know he had a growing acoustic neuroma, but he knew he should see a doctor. His troubles started almost two decades earlier, however, when shortly after his time in the military, Moyes felt a sharp headache while working out at the gym.

“I went to the emergency room,” he says. “They did their tests, and they said they couldn’t explain it.”

The pain disappeared—until almost 20 years later when it suddenly came back.

Moyes waited it out, thinking it would come and go like before. He laid off exercise for a few days, but as soon as he started again, the pain returned. His doctor took an MRI.

“He comes in and says, ‘You’ve got a tumor in your head.’ I probably turned as white as a ghost.”

The physician referred him to Mark Wiet, M.D., at RUSH who explained that the tumor was only a few millimeters in size.

“When the tumors start to grow,” explains Dr. Wiet, “you can continue to watch them while they’re small, go ahead and take them out with surgery, or you can treat them with radiation.”

Moyes and Wiet chose observation. But in 2017, Wiet showed Moyes an image of the growing tumor and suggested it was time to remove it.

Reach out to someone who went through it, to join communities, or contact organizations that will inspire you.

“I was like, ‘All right, let’s do this.’”

The surgery went smoothly. Within 48 hours, Moyes was walking, but he still had a difficult recovery ahead. His main concern was the risk of facial palsy.

“I remember speaking to the resident,” Moyes says. “I asked, ‘Is my face moving all right?’ And he said, ‘Yes. But things could get worse before they get better.’”

Moyes went home and continued to improve. He took walks through the neighborhood and worked on his balance. Then one day, as he was looking in the mirror, he noticed the left side of his mouth drooping. It seemed his greatest concern was coming true.

Wiet put Moyes on a 19-day prednisone regimen, which, in Moyes’ view, was the

hardest part of recovery. Because of the steroid medication, he only slept about three hours each day. Moyes also felt selfconscious about being in public. Luckily, a friend persuaded him to get outside, and it changed his perspective.

“You know what,” Moyes thought, “I can deal with it. Put the vanity aside.”

One morning while shaving, Moyes saw his lip moving. Slowly but surely, he was regaining control.

Moyes’ life mostly returned to normal. In fact, his recent tests have shown no tumor recurrence or hearing loss. He stays active but still has some trouble with balance, and getting back to biking for the first time presented challenges.

“I went over the handlebars and crashed more times in those two hours than I probably had in my whole life.”

Still, Moyes considers himself lucky that his acoustic neuroma treatment and recovery went so well.

“I’m one of the fortunate ones,” he says. Moyes’ advice to others is to reach out to someone who went through it, to join communities, or contact organizations that will inspire you. He was motivated by others who got treatment and recovered.

“I like watching American Ninja Warrior,” he says. “And there was a person competing that had the same procedure. He was able to run those courses. So don’t let fear overcome you.”

If you need treatment for an acoustic neuroma, schedule your appointment at RUSH by calling 888-352-7874.

Understanding Cochlear Implants

Cochlear implants as an option for AN-related hearing loss

Most people diagnosed with an acoustic neuroma initially present with hearing loss in the affected ear. This hearing loss is usually progressive; however, about 10% of people will experience sudden hearing loss. Regardless of what treatment a person chooses—observation, radiation, or surgery—there is a moderately high risk of developing non-useful hearing in the ear with the acoustic neuroma over time. This is true even if the tumor does not grow. Most commonly, people with advanced hearing loss in one ear, singlesided deafness, experience difficulty identifying the direction sound is coming from. They also have trouble hearing other people speak when there is a lot of background noise. A subset of people also experience bothersome ringing or buzzing in the ear (tinnitus).

People who have advanced hearing loss in one ear from an acoustic neuroma are often recommended CROS-aids, or bone-conduction devices. These devices send sound from the deaf ear to the healthy ear. While these devices help people detect sound coming from the “deaf” side, they don’t allow sound localization or help filter background noise when a person is trying to concentrate on a specific conversation—for example, in a crowded restaurant. At least 70% of people decide to not use these technologies to improve one-sided hearing loss.

Cochlear implants are surgically implanted devices that are used to restore poor hearing in the implanted ear. Cochlear implants were first approved by the FDA in 1985 for people with deafness in both ears, and since that time, almost one million people have received a cochlear implant worldwide. Traditionally, cochlear

Reports from many centers, including Mayo Clinic, show that cochlear implants can work very well in some people with ANs.

implants were not offered to people with acoustic neuromas because it was thought that the implant would not work since the tumor pushes on the cochlear nerve. Over time, reports from many centers, including Mayo Clinic, have shown that, in fact, cochlear implants can work very well in some people with acoustic neuromas. Because the FDA recently approved cochlear implants for people with single-sided deafness, there has been a growing interest within the acoustic neuroma patient community. In contrast to bone conduction devices or CROS-aids, cochlear implants seek to restore hearing in the deaf ear, thereby restoring some of the benefits of having two working ears—specifically, sound localization and better speech understanding in background noise.

Though they do not restore “normal” hearing, cochlear implants can improve hearing. They also improve tinnitus for many people.

For a cochlear implant to work properly, the cochlea must not be overly scarred, and the cochlear nerve must be intact and reasonably healthy. Thus, most people with small tumors who are undergoing observation, and people who have had radiation, are likely to benefit from a cochlear implant. The recent literature shows that about half of people

who have acoustic neuroma surgery with the cochlear nerve preserved may receive benefit from a cochlear implant.

We recently reviewed our own records at the Mayo Clinic, and we are happy to report that most patients who underwent cochlear implantation with an acoustic neuroma, or after the removal of an acoustic neuroma, achieved useful hearing in their affected ear. In fact, as a group, scores on common hearing tests were close to those we might expect from a cochlear implant user who has never had an acoustic neuroma.

As in other studies, we found that patients who underwent radiation or are undergoing observation generally had better outcomes compared to those who had surgery, with 100% of these patients achieving usable hearing in their ear with a tumor. However, patients who had surgery may still benefit from an implant, as, in our analysis, two-thirds of patients who had surgery for their tumor were able to get usable hearing with their cochlear implant.

For some, such as those with larger tumors, it is difficult to maintain a sufficiently healthy cochlear nerve for a cochlear implant to function. Also, some people adjust reasonably well to hearing loss in one ear and choose not to use a device to assist with hearing. Also, even though cochlear implants are approved by the FDA for single-sided deafness, many insurance carriers do not cover cochlear implantation in this condition. Hopefully, insurance coverage will improve to cover this benefit more consistently for people who are otherwise good candidates and interested in pursuing cochlear implantation.

SPONSOR SPOTLIGHT

One of the country’s preeminent academic medical centers, University Hospitals Cleveland Medical Center’s Skull Base Center is renowned for joining advanced technology with a compassionate approach to care–a combination that leads to exceptional outcomes and lasting bonds between caregivers and patients.

The UH Ear, Nose & Throat Institute, in partnership with the UH Neurologic Institute, is at the forefront of the most advanced medical and surgical treatments for acoustic neuromas and skull-based disorders.

Because acoustic neuromas involve not just the brain, but also the nerves used in hearing, facial expression, and balance, we employ a multidisciplinary approach to treatment, with a team composed of world-renowned neurotologists, neurosurgeons, radiation oncologists, facial plastic surgeons, audiologists, radiologists, facial and vestibular physical therapists, speech pathologists, and nurse practitioners.

We offer live and virtual consultations with our physicians. Our navigator will help facilitate your initial visit and all follow-ups needed. To schedule an appointment or learn more, visit: UHhospitals.org/ ENTVirtualConsult or call 216-844-3048.

The experienced physicians in the departments of otolaryngology–head and neck surgery and neurosurgery at Ohio State University Wexner Medical Center have been successfully evaluating and treating patients with acoustic tumors for decades. We proudly provide a multidisciplinary approach to our care, combining the efforts of our neurotology, neurosurgery, audiology, radiation oncology, and neurology teams to ensure our patients have the safest, most advanced, most optimal outcomes. We also provide comprehensive same-day evaluations with multiple team members and offer online evaluations when possible.

For more information or to schedule an appointment, please call 614-366-3931 or visit go.osu.edu/ acousticneuroma

The UC San Diego Acoustic Neuroma Program provides unsurpassed AN care to patients across the country and around the world.

We are experienced. Rick Friedman, M.D., Ph.D., and Marc Schwartz, M.D., have the largest combined AN experience in the US, with more than 4,500 surgeries. They are experts in all three surgical approaches and in the use of radiosurgery/therapy.

We are unique, offering holistic, comprehensive care that includes vestibular therapy, osteopathic treatment to promote healing and patient comfort, and advanced hearing implant options.

We are compassionate. Our team includes patient navigators who have been through AN surgery, who can share their experiences and help guide patients through diagnosis, treatment, and follow-up care.

We offer complimentary, no obligation record reviews and a phone consultation. All of us at the UC San Diego Acoustic Neuroma Program want you to feel truly cared for, from your first contact and for the rest of your life. Visit our website for more information: https://health.ucsd.edu/campaigns/Pages/acousticneuroma.aspx

At Vanderbilt Health, we make healthcare personal. Our Skull Base Center offers a multidisciplinary team of experts who focus on the treatment of acoustic neuroma. We are leaders in treating acoustic neuroma and other skull base tumors, using the latest therapies and technologies to tailor your personalized treatment plan.

A patient care coordinator is at the center of your Vanderbilt Health acoustic neuroma experience— scheduling appointments, collecting medical records, and answering questions. Your treatment team includes ENTs, radiologists, neurosurgeons, neurotologists, facial plastic surgeons, physical therapists, and audiologists. In addition, we have neuroanesthesia specialists and a unique 35-room neurosurgical ICU.

When diagnosed with an acoustic neuroma, you have many questions, and there are multiple treatment options to consider. Our patient care coordinator can help you get those answers, and set up an appointment with a top-ranked physician within one week. Self-referrals are accepted.

To learn more, call 615-637-3639 or visit VanderbiltHealth.com/program/acoustic-neuromas

ANA CONTRIBUTORS

OCTOBER-DECEMBER 2022

AN ARCHANGELS

($5,000+)

Christine Bakalar

Randall Berger

Gordon Brothers Group, LLC

Tom Kennedy

AN ANGELS

($2,500-$4,999)

Robert Chernoff

Becky Diggs

JoAnn Lashley

Jane Shuller

John Zipprich, II

GRAND BENEFACTORS

($1,000-$2,499)

Anonymous Donor

Jack Alweiss

Jeffrey D. Barr

Steven Chang, M.D.

Janet Chiavetta

Rhonda & James Cooper

Meredith Mueller Daly

Christopher Eisgruber

Christopher Farrell, M.D.

Deborah Gerughty

Todd W. Hoffman

Laura Homick

Vinit Jagdish

Sara Koppel

Margaret Lampazzi

Jamie Mieth

Joseph Musumeci

Susan O`Donnell

Julie Potter

Alexandra Riabova

Joyce Savage

Jim Shea

Dawn Stegelmann

Timothy Weaver

Jane Webb

ANA BENEFACTORS

($500-$999)

Anonymous Donor

O. Gordon Brewer

Joel Bryan

Michael Chicoine, M.D.

Neil D. Donnenfeld

Michael Gavigan

Janine & Mark Haun

Richard Hertel

Mary Hopkins

Barbara Hyatt

Mark Imhof

Nikhil Joshi

David Laufer

Robert Mann

Alan Micco, M.D.

Eric B. Parker

Michael Phillips

Susan Plassmeyer

Miranda Sacharin

Thomas Sattler, M.D.

Marc Schwartz, M.D.

John Sciortino

Thomas Velez

Carolyn Wells

ANA PATRONS

($250-$499)

Karen Baum

Daniel Bickel

Frederick Buckner

Edda & Michael Callahan

Cody Cooper

Laura Ferenci

Stanley Foster

Diane Garfield

Howard Goldman

Phyllis Helfand

Adam Hermsen

Linda & Roger Howard

Wendy Kahn

Robert Kaplan

Janice Kerr

John Keyes

Bonita Lally

Helena Lesher

Susan Lewis

Bobbie & Walter Lee Miller

Kari Mrazek

Francis Noordover

Chad Nye

Ronald Oleet

Curtis Palm

Analise Pietras

Mary Ann Richards

Jack Rodman

Maria Santiago

Kelly Scholl

Roger Tanski

Dr. Walter Weinstein

Charles Zug

Anonymous Donors

Denise Velez Armijos

Jeanette Baker

Sherry Ballance

Jeffrey Barr

Brett & Katie Bonner

Alfred Bove

Kathy Boyd

Judy Brinkman

Carolyn Britt

Broadridge Foundation

Deborah Carbaugh

Gary Cash

John Catalano

Dana Christensen

Brett Cohen

Kerrie Colleran

Diane Czech

Clarice Dalton

Jane L. Daly

Kayla Deal

Annamarie Dean

Ann Derouen

Kathy Devlin

Jan Diamond

Dennis Feinstein

Marilyn Findlay

Dorian Fisher

Anonymous

Donors

Gary Alcorn

Robin Batra

Howard Berg

Gwendolyn Berger

Tom Birkholz

Mary Blood

Michael Blum

Philip Bodner

Leah Brasch & Daniel Koch

Brasch

Marla Bronstein

Caryl Busse

James Byrne

Stuart Campbell

Wendy Carson

Cliff Carter

Stacey Chapman

Michael Charbonnet

Janette Chinnow

Irene Christodlous

Margene Coulter

John F. Craemer

Lois Creer

Edward Cronin

John Crute

Donald Cunningham

John Dardenne, Jr.

Andrew Davis

Gary Davis

Tim Dixon

Laurel Dorr

Susan Freyberg

Milton Geller

Lynne Goodman

Holly Green

Frank Grubbs

Jill Hecker

Maxine Hewett

Rose Hom

Dane Horna

Emily Jackson

Gail Kain

Elizabeth Kasper

Marlene Kazanis

Felix Kramer

Gavin Lambert

Ann-Marie Light

Ronna Linroth

Michael Logston

Grace Lovell

Jamie Luzader

Ceci McCurdy

Cynthia McDonnell

Lisa Miotti

Renee Moelders

Nikol Morrissey

Tara Paul

Ruth Perman

Barbara Port

Mary Price

Curtis Drake

David Duclett

Stephen Etkind

Paul Feigenbaum

Mary Fonner

Donna Lee Fowlie

Jill Frederick

Elizabeth Gamble

Carol Gardner

Robert Godzisz

Edward Goldberg

Jean Greer

Julie Gresack

Tammy Haddock

Ormond Hammond

Jerry Harnik

Barbara Harrington

David E. Heisel

Heather Homick

Randy Howard

Tony Howell

Eugene Hull

Jewish Community Foundation of Greater Mercer

Martin Kaiser

Mariam Kaplan

Arlene Katz

Kathleen Keats

Steven Kelly

Christine Kelly

Narayanan

Kulasekar

Kenneth Lahr

Judith & John LeNard

Limei Lin

Ann Lindenbaum

Laura Liss

William Litchfield

Carl Lofaro

Andrea Mack

Harry McCullough

Mark McLaren

Jeannie Meyer

Jim Morton

Frank Moseley

Herman Mullejans

Marcia Myer

Tammy Osborne

Terri & William Parsons

Michelle Passage

Richard Passler

Phyllis & Iain PearlBaxter

Deanne Pedroni

Jenifer Peischel

Michael Petillo

Betsy Poer

Mary Jane Polizzotto

Catherine Powderly

Robert Rahner

Pauline Reetz

James Robbins

Marilyn Rose

Richard Rothberger

Richard Ryon

Alan Sachter

Beverly & Richard Sanders

Anne Santorelli

Viktoria Schaub

Michael Schelle

Paul Selnick

Mary Ellen Semple

Lois Simon Charitable Foundation

Ronald Skow

James Smith

Barry Soroka

Phyllis Stewart

Stuart Tenhoor

John Thomason

Jill Tolle

Erik Toomre

Helen & Frank Vaccaro

Charles Vogel

Cynthia Waldman

Tom Wilk

Jill & Mark Winchell

Edmund Winter

Lewis Wirshba

June Wong

Randolph Worth

Kristina Yankeloff

Elissa & Ken Zaslow

Judy Reiss

Mary Rigsbee

Katherine Robinson

Stephanie Rommer

Blanche Ross

Elizabeth Runnalls

Eric Rzeppa

Marilyn P. Salchert

Phyllis Saltz

Judith Schooley

Bonni Silber

Douglas Sinclair

Carol Stanley

Ray Stolarczyk

Judith Tanenbaum

Ellen Taranto

Susan Tedter

George Thorne

Linda Tillema

Steven Tornberg

Valerie Trim

Bernard Tyler

Robert Vance

Jannifer L. West

Michelle Woods

Nicki Woolsey

The ANA would like to thank the following donors, who made philanthropic contributions from July through September 2022, who were not included in our previous issue of NOTES:

Randall Berger

$2,000 in support of our Research Challenge

Tracy and Marc Schwimmer

$1,250 in support of our Research Challenge; and $150 in support of the ANA General Operating Fund

We sincerely appreciate your support!

ANA DONORS ($100-$249)
ANA FRIENDS ($50-$99)

IN HONOR OF

ANA Volunteers

Marla Bronstein

The Bornholdt

Family

Andrea Mack

Meredith

Mueller Daly

Denise Velez

Armijos

Kathy Devlin

Broadridge Foundation

Cynthia McDonnell

Virginia Fickel Ehr

Marilyn Rose

Stuart Tenhoor

Garrett Harshman

Mary Ellen Semple

Hayden

Matthew Hessler

Julie Gresack

Laurie Hultman

Nikhil Joshi

Janice Kopec

John Catalano

Samantha Lambert

Gavin Lambert

Joe D. Lewis

Michelle Passage

Karen Marie Lonergan

Samantha Rollins

Dr. Thomas Sattler

Elizabeth Gamble

Dr. Friedman, Schwartz and the rest of the AN team at UCSD

Adam Hermsen

Dr. Sunny Sharma

Edward Goldberg

Scott & Julia Sittig

Kaela Sittig

Mary Spinks

Anonymous

Macy Tyler

Laura Kaschmitter

Kathy Larocco

Annamarie Dean

Phyllis Stewart

Hallie Wilk

Tom Wilk

Graeme Woodworth, M.D.

Paul Selnick

Joseph Yankeloff

Kristina Yankeloff

CORPORATE MATCHING GIFTS

Abbott Laboratories, EGC for Paul Collins

ADP, Inc. for Katharine Bohnenberger

Kevin Robbins

American Express Foundation for Joy Burden

Holly Erickson

AT&T Corporation for Anonymous

Eric Nelson

Chevron for Barry Abbott

Costco for Anonymous Dell for Anonymous Google for Anonymous

Gordon Brothers for Meredith Mueller

Daly

Hartford Fire Insurance for Cathy PokornySlater Intuit for Christy Nicholson

ITW Corporate for

Craig Simon McKesson Foundation for Terry Bliss

Microsoft Rewards Give with Bing for Anonymous PepsiCo for Donna van Gennep

Raytheon Technologies for Robert Landis

IN MEMORY OF

Gerald Nyeff

Abraham

Alfred Bove

Kevin Boris

Jamie Luzader

Amy Marlene

Grossman

Jewish Community Foundation of Greater Mercer

Sharon Kaplan

Phyllis Fried & Steven Goldenberg

Arlene Katz

Ann Lindenbaum

Phyllis Saltz

Elissa & Ken Zaslow

Sherrie Lynn

Kofsky-Weinstein

Dr. Walter Weinstein

Hazel Thompson

Betsy Poer

Reena Yonkosky, M.D.

Melanie Hutchins

FUNDRAISERS

AmazonSmile

Walk4Hearing

Connecticut

FACEBOOK

FUNDRAISING

Diana Bates

Cisalie Bechen

Jo Anna Brock Sizemore

Lupita Dejesus

Alison DePetris

Deb Hunter

Leslie Hyman

Mary Anne Kuhn Marquez

Nikki Lacobie

Kristi Lake Ferguson

Pamela McGehee

Edit Muhari

Yvonne Ocasio

Dana Patterson

Alana Quartuccio Bonillo

Dawn Raimondi

Mittendorf

Jane Rioux

Darielle Ruyle

Kirsten Schmidt

Diane Wescott

Ways to Give to the ANA

When you contribute to the ANA, you play a critical role in supporting the programs, activities, and events of the Acoustic Neuroma Association. You become a partner in our mission to continually improve the lives of acoustic neuroma patients and their families through communication, support, innovation, funding research, and partnerships with the medical community.

THERE ARE MANY WAYS FOR YOU TO CONTRIBUTE TO THE ANA.

• Online or Mail-In Donations

• Matching Gifts

• Gifts of Stock

• Planned Giving

• Giving Partners

• Fundraise for the ANA

SUSTAINING DONORS

Anonymous

Cody Cooper

Charles Delascasas

Lewis Erickson

Reva Greenbaum

Elizabeth Kasper

Renee Moelders

Bonni Silber

Vijesh Unnikrishnan

LEGACY SOCIETY MEMBERS

Anonymous

Jeffrey D. Barr

Sally Brock

Neil D. Donnenfeld, MBA

Virginia Fickel Ehr

Agnes Garino

Lauren & Alan

Goldberg

Miriam B. & Joseph Klein

Christine Larsen

Patricia Lupica

Kerri & Ronson Mahla

Dana McEntee

Jethro Montzka

Eileen & Fred Nervo

Phyllis Pearl-Baxter

Wanda D. Price

Glen Rivara

Kathleen Rogers

Marilyn Rose

Kimberly J. & Wayne A. Simington

Jane F. Simonds

Mary F. Snyder

Michael Stiller & Cynthia Fabian

Stuart TenHoor

Gail Toalson

Martha Toloudis

Scott Van Ells

Robert Vance

Robert Westerbeke

Lisa Wilder

John Zipprich, II

Make giving easy by becoming an ANA sustaining donor. It’s simple to set up recurring payments that make giving convenient for you. To learn more, visit anausa.org or call us at 770-205-8211.

For more information, please contact our office at 770-205-8211 or Matthew Balte at matthewbalte@anausa.org

Together for Better

Acoustic Neuroma Association

600 Peachtree Parkway, Suite 108 Cumming, GA 30041

770.205.8211 editor@ANAUSA.org

ANAUSA.org

ANA is a 501(c)(3) non-profit organization.

Your comments, ideas, suggestions, and financial support are needed and welcome.

ANA materials may not be reproduced or distributed without written permission. ANA members receive access to this/these publication(s) as part of their membership. Please contact support@anausa.org or call 770-205-8211 with any questions or comments.

We cannot recommend doctors, medical centers, or specific medical procedures and always suggest that one consult with a physician before making any medical decisions.

THANK YOU TO OUR ANNUAL SPONSORS

DIAMOND SPONSOR

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