Tuesday, May 31, 2016

BioAid Hearing Aids

The Biologically Inspired Hearing Aid

    The core of the BioAid project is a novel hearing aid algorithm based on our knowledge of the biological processes that occur in the ear.

    NEWS FLASH: August 21st, 2013 – NEWAPP RELEASED

    Aud1
    Now available on the App Store, Aud1 is a new assistive listening app that implements the features requested by the BioAid user community. These features include, but are not limited to . .
    • Dual algorithm technology, allowing settings for each ear to be adjusted independently.
    • Advanced connectivity options, allowing use of high quality audio peripherals to improve sound quality.
    • Stereo linkage technology to preserve spatial cues when the app is used with stereo input hardware.
    • Fine grain control over the dynamic range of the processed sound.
    • High optimization for extremely low processing delay.
    • Automatic storage of preferred settings, even if the device runs out of power.
    • Adjustable input and output gain controls to fully utilize the dynamic range of the device.
    • Detection of accidental removal of headphones, preventing annoying feedback in public places.
    Aud1 pushes the boundaries of assistive listening technology on mobile platforms and it is available for download now. 
    A free implementation of the BioAid algorithm can be downloaded on the app store. The app turns your iOS device into a hearing aid by processing sound from the microphone, then delivering the processed sound over headphones in real time. Care has been taken to make the user interface to the BioAid app very simple. However, please read the information on this site to get the best possible user experience.
    The algorithm source code is freely available. This allows others to contribute by creating and evaluating their own implementations of the hearing aid.
    Thank you for your interest in the BioAid project.

    Monday, May 30, 2016

    The Laryngospasms: Waking Up Is Hard To Do!


    History[edit]

    The group can be traced back to a 1990 Christmas party for students of the Minneapolis School of Anesthesia. A few of the then-students were singing various songs, one of them being Neil Sedaka's Breaking Up Is Hard To Do. When a senior student suggested that the song be sung as "Waking Up Is Hard To Do", the group was formed. The group's first performance was for the graduation ceremonies of the 1991 class of the Minneapolis School of Anesthesia. This first performance was witnessed by several officers of the Minnesota Association of Nurse Anesthetists. These officers approached the group and ask them to perform at the American Association of Nurse Anesthetists' National Conference, to be held inNashville, Tennessee, late in the summer of 1991. This was the group's first national performance.


    Seven Reasons to attend our Acoustic Neuroma San Diego Support Group:


    1) Find out you're not crazy: In many cases, your physician may never have heard of the symptoms you're complaining about. Frequently, the surgery team does little follow-up with their patients. You will be passed on to your regular physician, somebody that knows little about AN's. For example, my physician asked me recently about my AN and I told him SSD was a huge problem. We were sitting knees to knees in a small examination room and my physician has a huge voice. He asked, "Can you hear me?" I replied that I could and he told me I had nothing to worry about. 

    2) Reassure others that you're not crazy: If we don't have facial paralysis, most of us have a silent illness - one that doesn't show or display anything to the outside world. All of our
    boo-boo's are inside. If you have relatives or friends who are "doubtful" about your suffering, bring them along to a meeting. There you'll find others who....

    • Say "what?" a million times a day
    • Are exhausted at 3 o'clock in the afternoon
    • Complain about balloon head, or wonky head
    • Walk into door jambs
    • Stagger around parking lots
    • Choose restaurants, not on service nor on the food, but on the ACOUSTICS!
    3) Your caregiver(s) get a chance to talk to each other. They play "second banana" all
    the time to you and your illness, but they are critically important. While we all appreciate
    them, who have they got to vent to? At meetings, they can converse with an understanding ear.

    4) Information about physicians, treatments, audiologists etc. is often shared.

    5) You can find others in a particular sub-group of people...i.e. young people under
    30; people with BAHA implants; people over 70; musicians. We have one small
    group who all had surgery around the same time and meet for lunches and compare notes
    on their progress.

    6) People share tips about hearing devices; coping in stores, seating in restaurants,
    dealing with people who think you're drunk; explaining your illness to children etc.,
    etc.

    7) You can help others! Giving away what you've got that's helpful is very therapeutic. If
    you want to help with the group, let me know. You can open and fold chairs, hand out
    nametags, help with the sign-in sheet. If you have ideas about speakers, or locations for
    meetings, or for general improvements, let us know.

    Next Meeting: Saturday, June 11th. 1:00 - 4:00 Mission Valley Library, San Diego.
    RSVP: Helen McHargue at Foodsmarts@gmail.com or 760-728-0309



    Friday, March 4, 2016

    Animation of Acoustic Neuroma Growth


    Here's an excellent animation of the growth of an acoustic neuroma from the Acoustic Neuroma Association NSW. Their website address is: www.users.tpg.com.au




    Wednesday, February 24, 2016

    Hearing in Restaurants


    From KARE11. com/advice for foodies with hearing loss
    MINNEAPOLIS -- With new restaurants opening nearly ever week, the Twin Cities restaurant scene is hot! But for anyone with hearing challenges, choosing a new eatery can be harder than deciding what to eat.
    Local hearing care professional Taiha Wagner joined us on KARE11 News @ 4 with some advice for foodies with hearing loss on how to make the most of their night out.  The following is a Q and A with Taiha:
    Q: How many people struggle with hearing challenges?
    ·         As of 2015, 48 million people have significant hearing loss and struggle with hearing challenges (according to the CHC).
    ·         Everything from ear infections to prolonged exposure to loud electronics or music… even everyday noise like traffic can hurt a someone’s hearing.
    ·         What people may not realize is some hearing loss is completely preventable, but it’s not reversible.
    ·         That’s why it’s so important to have your hearing checked annually, and if there’s a need, to get the proper care. Unfortunately, many people overlook it or are too embarrassed to seek the help they need.
    ·         And often times, hearing loss can keep people from enjoying life to the fullest -- many choosing to avoid loud situations, like restaurants.  
    Q:  Are there things that restaurants can do better to help diners with hearing challenges?
    ·         It’s important for them to just be aware that many of their customers likely have hearing challenges.
    ·         Restaurants can offer printed lists of daily specials so that no one misses out.
    ·         And restaurants that are accommodating to the needs of their diners will likely have repeat customers. It can be as simple as letting a server know who they should stand next to when talking to the table.  
    Q: So what can people who have hearing loss do to still enjoy a night out at a crowded restaurant?
    A: Read Online Reviews
    ·         Many restaurant rating systems now include noise level as one of the criteria.
    ·         For example, Zagat now has a "Good for Quiet Conversation" search category. Others likely do as well.
    A: Look for Sound Absorbing Decor
    ·         When you’re doing you research online, be sure to check out the photos in addition to the menu.
    ·         Look for restaurants that have carpet, drapes, broken walls instead of walls of windows and booths. All of these things help to dampen the sounds of a busy restaurant.
    A: Be Choosy About Your Seat
    ·         Once you find a restaurant that you want to try, call ahead to ask for a corner table or a table near a wall.
    ·         Walls eliminate distractions and help buffer some of the noise.
    ·         A booth is also often a good choice if it has high back seats.
    ·         If you’re dining with a group, arrive early so that you can pick the best seat at the table, based on your hearing needs.
    A: Let Technology Help
    ·         Hearing aids have come a long way, and there are many different state-of-the-art options available.
    ·         In fact, many new hearing aids even have crowd-settings that help direct your hearing and limit background noise.

    Sunday, February 21, 2016

    Magnetic pulses to the brain deliver long-lasting relief for tinnitus patients

    Here's a very interesting article for all of us who suffer with tinnitus.



    Magnetic pulses to the brain deliver long-lasting relief for tinnitus patients: Depression treatment tool holds tremendous promise for patients with debilitating condition: In the largest US clinical trial of its kind researchers found that transcranial magnetic stimulation significantly improved tinnitus symptoms for more than half of study participants.

    Tuesday, February 2, 2016

    Watch and Wait

    A very interesting article about "watching and waiting."


    http://www.stuff.co.nz/life-style/well-good/76484297/why-i-let-a-brain-tumour-go-untouched-for-10-years

    Tuesday, January 26, 2016

    Meeting: March 5th, 2016

    Date/Time: Saturday, March 5th, 2016
    1:00-4:00

    Location: San Diego Public Library - La Jolla - Riford Branch
    7555 Draper Avenue at Pearl Street
    La Jolla, CA 92037

    Directions: Take the La Jolla Parkway Exit from the 15 freeway
    Follow the road which turns into Torrey Pines Rd.
    Go 1.5 miles and turn left onto Girard Ave.
    Take 1st right onto Pearl Street for .2 miles
    Turn right on Draper Avenue
    Library is on the right.
    There is a small parking lot and street parking around the area.

    Topic:

    San Diego Local Support Group “Caring and Sharing”
    For this meeting, there will be no guest speaker. You will be speakers. Everybody who wishes to do so will have 5 or 10 minutes (depending on the number who attend) to share with the group. Suggested topics for discussion:

    • How you were diagnosed
    • What treatment you chose or are considering and why?
    • For post-treatment patients, how you are coping?
    • Caregivers: How, what, when and why?
    • Family members/loved ones: How your family life has been changed post AN.
    • The single best piece of advice you can offer to your fellow AN’ers, caregivers or family members.


    This meeting will be very informal. We’re planning to have plenty of time to meet, greet, socialize and compare notes. As most of you know, our own membership has an incredible reservoir of real life experiences they are willing to share.

    If you have a hearing aid or hearing device that you are pleased with, bring it along so the others can see it. If you have been prescribed a medication that is effective, bring it along and others can take note for discussions with their own doctors. If you’ve had successful physical or vestibular therapy bring information about it.

    We will also have copies of the amazing list of resources Wanda Crook prepared for us last year. And, our list of free referrals will be on hand. Take this opportunity to update your library of AN literature. We have updated versions of most of the AN titles.

    Please join us at the beautiful La Jolla library for a great afternoon!


    Please RSVP to your local support group leader:

    Helen McHargue: email: foodsmarts@gmail.com Phone: 760-728-0309
    Cell Phone on day of meeting only: (619) 602-8175



    Thursday, December 24, 2015

    Toxic secretions from intracranial tumor damage the inner ear | EurekAlert! Science News

    Toxic secretions from intracranial tumor damage the inner ear | EurekAlert! Science News

    Monday, December 21, 2015

    January 16th, 2016 Meeting

    Mark your calendars! First meeting of the new year will be a tour of the
      San Diego Gamma Knife Center. 

    Date: Jan. 16th
    Time: 1:00 - 4:00

    Topics: Tour of the center and an overview of gamma knife technology presented by Dr. Kenneth Ott, Neurosurgeon. Following the tour we will have a caring and sharing gathering.

    To RSVP: Helen McHargue, local support group leader/facilitator at 760-728-0309 or email: foodsmarts@gmail.com

    San Diego Gamma Knife Center
    9834 Genesee Ave. #110
    La Jolla, CA 92037
    858-452-5020 or coordinator, Paul Loflin at 858-204-9155

    Directions can be found at www.sdgkc.com/about/directions/

    Tuesday, September 1, 2015

    On the Acoustic Neuroma Friends Facebook page, we asked what items one should pack up to take to the hospital for surgery. Following are the suggestions:


    • A sleeping mask to block out light
    • One ear plug (or two if you still have hearing in both ears) - hospitals can be soooo noisy.
    • Pajamas (2 pairs) with a button front top and with wide sleeves to accommodate IV lines. 
    • Slippers with non-skid soles and which will stay securely on your feet. Not scuffie type.
    • Recharging plugs for your electronic devices. Bring a long cord.
    • Hard candies to suck - many people complained about dry throat.
    • Hand lotion
    • Lip balm
    • Normal grooming items: deodorant, hairbrush, toothpaste, toothbrush. 
    • Box of chocolates or candies for nurses. They will really appreciate it.
    • Glasses with one temple removed (so it doesn't interfere with bandages).
    • Sunglasses, preferably wrap-around for the ride home.
    • Make sure you have nice clean sheets to slip into when you get home. 
    • Everybody should have one of these T-shirts:
    R E Henkel Brem. Brain Surgery Survivor. Picture from Acoustic Neuroma Friends Facebook page.




    Tuesday, July 21, 2015

    Support Group Meeting August 15th, 2015


    Mark your calendars!!



    SAN DIEGO, CALIFORNIA
    LOCAL SUPPORT GROUP MEETING INVITATION
    Please plan to join us at the next meeting of your local Acoustic Neuroma Support Group.
    We welcome you to learn about the latest treatment options, to network with other acoustic neuroma patients and find encouragement and support.

    DATE/TIME:
    Saturday, August 15th, 2015
    1:00 - 4:00 p.m.

    PLEASE NOTE NEW MEETING LOCATION:
    San Diego Public Library – Rancho Bernardo Branch
    17110 Bernardo Center Drive, San Diego, CA  92128
    MAP/DIRECTIONS:  See back of invitation.

    TOPICS:
    Health Benefits of Tai Chi and Its Role in Rehabilitation
    Presented by Patricia Hoekman, 14 year Tai Chi Practitioner and Private Instructor
    Be prepared to participate – dress with mobility in mind.  Tai chi is especially useful for improving balance and preventing falls—a major concern for acoustic neuroma patients because it targets all the physical components needed to stay upright—leg strength, flexibility, range of motion, and reflexes.
    Meet and Greet, Caring and Sharing, Group Discussion Time
    Please bring a snack to share.  Bottled water will be available free of charge.  

    TO RSVP, PLEASE CONTACT YOUR LOCAL SUPPORT GROUP LEADERS:
    Wanda Crook, Local Support Group Leader/Facilitator
    Phone 760-315-2599 or Email:  movementlearningcenter@att.net
    Helen McHargue, Local Support Group Leader/Facilitator
    Phone 760-728-0309 or Email:  foodsmarts@gmail.com
    Wanda Crook, PT, and Helen McHargue, an acoustic neuroma post-treatment patient, will facilitate meeting.

    ●NOTE Social Media Sites
    Facebook - Acoustic Neuroma Association San Diego Support Group (ANASDSG)
    ANA San Diego Support Group Blog - www.anasandiegosupport.blogspot.com
    Who should attend?  Family members, caregivers, friends and interested persons are encouraged to attend.
    Benefits of attending a local support group include communicating in a nurturing, non-judgmental environment with others who have shared a common acoustic neuroma experience; sharing information on dealing with specific problems, educational opportunities about the latest acoustic neuroma topics of interest; and providing emotional support to all patients, both pre- and post-treatment. This helps in reducing the isolation and loneliness that many acoustic neuroma patients feel.



    Directions

    Note New Meeting Location:  San Diego Public Library Rancho Bernardo Branch
    17110 Bernardo Center Drive
    Rancho Bernardo, CA 92128

    Directions:
    From I-15 north or south, take Rancho Bernardo Rd (exit 26) east bound.
    At first traffic light, Bernardo Center Drive, turn left. 
    Turn left again on Park Terrace, driving uphill towards Hilton Garden Inn/Kaiser Permanente/24 hour fitness and the UBS building. The library is on the left in a complex with Souplantation and Stir Fry Mongolian Grill.







    Note: This location is about 30 minutes from downtown San Diego

    Tuesday, April 14, 2015

    Lip reading

    Free lip reading lessons.


    https://www.lipreading.org/lipreading-missing-words

    Friday, March 13, 2015

    Join us on Saturday May 16th at the La Jolla Library!






    SAN DIEGO, CALIFORNIA
    LOCAL SUPPORT GROUP MEETING INVITATION
    Please plan to join us at the next meeting of your local Acoustic Neuroma Support Group.
    We welcome you to learn about the latest treatment options, to network with other acoustic neuroma patients and find encouragement and support.

    DATE/TIME:
    Saturday, May 16, 2015
    1:00 - 4:00 p.m.

    PLEASE NOTE NEW MEETING LOCATION:
    San Diego Public Library - La Jolla-Riford Branch
    7555 Draper Avenue at Pearl Street
    La Jolla, CA 92037
    MAP/DIRECTIONS:  See back of invitation.

    TOPICS:  ● Making the Most of your Health Care Visits
    ● Strategies for Selecting a Medical Professional
    ● Questions to Ask Before, During and After Treatment
    When initially diagnosed, few patients have a clear idea of where to turn in their selection of a qualified medical professional for treatment of their tumor or the questions to ask.  Please join us for a group discussion to help prepare you for your acoustic neuroma journey and feel more confident in the treatment you choose, as well as specialists that can provide post-treatment therapies and rehabilitation.  We will also discuss tips to help you make the most of your doctor appointments, so you can be actively engaged and communicate effectively with your health care team. 
    ● Caring and Sharing

    TO RSVP, PLEASE CONTACT YOUR LOCAL SUPPORT GROUP LEADERS:
    Wanda Crook, Local Support Group Leader/Facilitator
    Phone 760-315-2599 or Email:  movementlearningcenter@att.net
    Helen McHargue, Local Support Group Leader/Facilitator 
    Phone 760-728-0309 or Email:  foodsmarts@gmail.com
    Wanda Crook, PT, and Helen McHargue, an acoustic neuroma post-treatment patient, will facilitate meeting.

    ●NOTE Social Media Sites
    Facebook - Acoustic Neuroma Association San Diego Support Group (ANASDSG)
    ANA San Diego Support Group Blog - www.anasandiegosupport.blogspot.com
    Who should attend?  Family members, caregivers, friends and interested persons are encouraged to attend.
    Benefits of attending a local support group include communicating in a nurturing, non-judgmental environment with others who have shared a common acoustic neuroma experience; sharing information on dealing with specific problems, educational opportunities about the latest acoustic neuroma topics of interest; and providing emotional support to all patients, both pre- and post-treatment. This helps in reducing the isolation and loneliness that many acoustic neuroma patients feel.




    Directions

    Take the La Jolla Parkway Exit from the I5 freeway.
    Follow the road which turns into Torrey Pines Rd. 
    Go 1.5 miles and turn left onto Girard Ave. 
    Take 1st right onto Pearl Street for .2 miles. 
    Turn right onto Draper Avenue. 
    Library is on the right. 






    USC Surgery on Litlle Leaguer

    http://news.usc.edu/77196/thanks-to-usc-neurosurgeons-little-leaguer-is-back-in-the-game/

    Sunday, February 8, 2015

    Meeting Saturday, February 21st, 2015


    ACOUSTIC NEUROMA ASSOCIATION



    SAN DIEGO, CALIFORNIA
    LOCAL SUPPORT GROUP MEETING INVITATION
    Please plan to join us at the next meeting of your local Acoustic Neuroma Support Group.
    We welcome you to learn about the latest treatment options, to network with other acoustic neuroma patients and find encouragement and support.

    DATE/TIME:
    Saturday, February 21, 2015
    1:00 - 3:00 p.m.
    NOTE:  PLEASE PLAN TO ARRIVE PROMPTLY AT 12:45 PM AND MEET AT THE SECURITY DESK, THE CONFERENCE ROOM IS NOT ACCESSIBLE WITHOUT A SECURITY ESCORT.

    PLEASE NOTE NEW MEETING LOCATION:
    Scripps Proton Therapy Center Main Conference Room
    9730 Summers Ridge Road
    San Diego, CA 92121
    PARKING/DIRECTIONS:  See attachment.

    TOPICS:
    ● Overview of Proton Therapy and Radiation Treatment Options for Acoustic Neuroma
    Presented by Ryan Grover, MD, Radiation Oncologist
    ● Tour of Proton Therapy Center

    PLEASE RSVP WITH YOUR LOCAL SUPPORT GROUP LEADERS:
    NOTE:  An RSVP is appreciated and is extremely helpful in planning successful meetings!
    Wanda Crook, Local Support Group Leader/Facilitator
    Phone 760-315-2599 or Email:  movementlearningcenter@att.net
    Helen McHargue, Local Support Group Leader/Facilitator
    Phone 760-728-0309 or Email:  foodsmarts@gmail.com
    Wanda Crook, PT, and Helen McHargue, an acoustic neuroma post-treatment patient, will facilitate meeting.

    ●NOTE Social Media Sites
    Facebook - Acoustic Neuroma Association San Diego Support Group (ANASDSG)
    ANA San Diego Support Group Blog - www.anasandiegosupport.blogspot.com
    Who should attend?  Family members, caregivers, friends and interested persons are encouraged to attend.
    Benefits of attending a local support group include communicating in a nurturing, non-judgmental environment with others who have shared a common acoustic neuroma experience; sharing information on dealing with specific problems, educational opportunities about the latest acoustic neuroma topics of interest; and providing emotional support to all patients, both pre- and post-treatment. This helps in reducing the isolation and loneliness that many acoustic neuroma patients feel.

    Thursday, October 16, 2014

    Vestibular Rehabilitation Presentation



    !!!!!!DIZZY!!!!!
    Mark your calendar for our next meeting: Saturday, Nov. 15th, 2014 from 1:00 - 4:00 p.m. at Sharp Grossmont Rehabilitation Center, Conference Room.

    Topic: Vestibular and Balance Rehabilitation
    The presentation, including demos on the Balance Master, will be about 1 hour in length, followed by time for questions and for meeting, greeting and sharing information. 

    Recently I spent some time "surfing" through the Vestibular Disorders Association (VEDA) website and found plenty of useful information. Much of it is simple validation of the symptoms/problems I personally experience with my AN and perhaps you do too. It's amazing how much our balance or lack of it affects our lives! This article is available on the web site in a PDF format if you wish to print it out. 



    How I feel sometimes. How about you?


    Tuesday, July 29, 2014

    NEXT MEETING: SUNDAY, AUGUST 10th

    The lovely meeting room at the La Jolla Public Library

    Next meeting: Sunday, August 10th at the La Jolla Public Library, 7555 Draper Avenue at Pearl Street, La Jolla, CA  

    Time 1:00 - 4:00

    Our speaker will be Marilyn Weinhouse.


    "Marilyn Weinhouse is the owner of Hear Gear, a company which sells Assisted Listening Devices. Marilyn herself is afflicted with moderate hearing loss and wears two hearing aids. After retiring from her career as a teacher, she decided to start a business selling assisted listening devices and teaching others about the latest technology to improve hearing. 

    Marilyn's presentation will cover the subjects of home hearing loops, personal amplifiers/listeners, TV listening systems, bluetooth products and MFI's- the "made for iphone" trend. 

    On her website,(click here or go to www.heargear.net) you can read more about Marilyn's interesting background and how she was inspired to help the hearing impaired understand the technology which can make our lives (and those of our loved ones) better. For a real treat and lots of great information, check out her interesting and entertaining blog by clicking here or at www.heargear.wordpress.com." 

    After Marilyn's presentation and a question and answer period, we will have plenty of time for an informal "meet and greet" where we can hear each other's stories and exchange information. La Jolla is beautiful all year long but particularly lovely during the hot summer months. Why not make a day out of this meeting; come early for brunch or stay after the meeting for a late lunch or early dinner at one of the many great restaurants. There are so many good options in the town.

    If you plan on coming, please let us know by calling Helen McHargue (760) 728-0309 or email: foodsmarts@gmail.com OR Wanda Crook at (760) 315-2599 or email: movementlearningcenter@att.net

    SEE YOU THERE!!!!!





    Thursday, June 5, 2014

    Meeting June 7th

    There will be a meeting of the San Diego Support Group on Saturday, June 7th at 1:00 - 4:00 p.m.
    Location: Tri City Medical Center - Meeting Room 5, 4002 Vista Way, Oceanside, CA 920056.

    Primary Topic: The Yale University Acoustic Neuroma Study which is the first causation study to determine whether are are possible genetic risk factors that cause AN. The meeting will provide the opportunity for the group to work together to take the survey and sample collection. We need everyone to participate in the first study of its kind.

    We will have a general support meeting after the Yale study. If you do not wish to participate in this portion of the meeting, you may stop by for the Yale study only.

    Please come and participate. For statistical power and validity, the study requires 1000 AN patients. To date we have collected only 400 samples. Because there are so few us your sample submission REALLY COUNTS!!!!!

    Sunday, February 23, 2014

    Sleep Like the Dead


    overdriveonline.com


    If you suffer from tinnitus like many acoustic neuroma sufferers and have a hard time sleeping, you might benefit from some of the tips offered on the "Sleep Like the Dead" website. The site creator was an insomniac for many years and sleep research became his passion. He rates by surveying hundreds of users, sound masking machines, ear plugs and even sleeping pills. It's worth a look. 


    Sleep Like the Dead



    Tuesday, January 21, 2014

    Leah Keith Story

    Leah Keith produced the Mark Ruffalo interview which can be viewed on the ANA web site. 

    Here's an article she wrote about her AN experience. It appeared in the New York Times, Modern Love section, April 11th 2013. 

    Despite the Losses, So Much Gained


    Brian Rea
    By LEAH KEITH

    Dude was a doctor who wanted to leave medicine. We met almost 20 years ago, when he applied to a writing fellowship program at the movie studio where I was an executive.

    When I called him with the good news, he jumped up and down and screamed into the phone. Then he told me he didn’t hear anything after the word “accepted.” “To me,” he said, “you just sound like an angel.”

    No one had ever called me an angel before.

    Months later, Dude moved to Los Angeles. In the beginning of our professional relationship, I would give him notes on his screenplays.

    Our personal relationship happened later. I was a 26-year-old black woman from Georgia, and he was a New York Italian 13 years older. I don’t remember when or why he became Dude, but after the naming, he anointed me Lilly, short for Li’l Dude. From then on, we were those people to each other.

    Dude loved biking, hiking and anything I cooked. I loved Pilates, arctic martinis and anything he wrote. We sang. We danced. We watched movies and debated their merits. We read to each other before falling asleep.

    Our relationship was not an obvious one, but neither of us liked the obvious. Dude smelled like freshly folded laundry, baked chicken, red wine and loaves of bread as they rose in the oven. He said my smile lit up a room.

    Waiting for success was not easy for Dude. Achieving a No. 1 ranking in his Ivy League graduating class had been effortless compared with selling a screenplay. I tried to explain that in Hollywood, success equaled talent plus luck, but he didn’t understand, and I couldn’t understand why he didn’t understand. We argued. It felt like the beginning of the end of us.

    Dude broke up with me before leaving for the airport to bury his father. The phone call was as sudden to me as his ailing father’s death had been to him. I told myself I had pushed him too hard. I told myself I wasn’t “this” or “that” enough. I told myself he just didn’t love me as much as I loved him.

    Eventually, time brought on the occasional check-in phone call. I learned that to make ends meet, Dude took an administrative-assistant job at a Hollywood studio. “It’s better than staring into a microscope for hours,” he said.

    Hollywood, for him, had lost its luster. He was no longer writing, but he also had no interest in returning to medicine. I knew that I, as his marginally successful producer former girlfriend, had become a reminder of the only defeat he had ever known. I feigned excitement about his new job.

    I didn’t want to know much about his dating life, and he didn’t seem curious about mine. Calls became less frequent, and dinners happened only at birthdays. But when we were together, we laughed, ate, drank and sang as we always did. Then we returned to our separate lives.

    Everything changed two years ago, when my ear began to ring. I was awaiting a “green light” on an animated film. The ringing was loud and constant. I called Dude.
    After a hearing test, CT scan and M.R.I., my life turned into someone else’s movie. Dude said he would come with me to get the results. I didn’t stop him.

    I was found to have a 2.5-centimeter acoustic neuroma, a benign tumor of the nerve connecting the ear to the brain; it occurs in about 2 of every 100,000 people. Unbeknown to me, I had already experienced 50 percent hearing loss in my right ear, and my facial nerve had been engulfed by the tumor. Removing it would be difficult. Half of my face could become paralyzed.

    This was highly specialized surgery, and my doctor said I was blessed because the best surgeon was only 15 minutes away; he was the Michael Jordan of neurotology.I could feel Dude trying to contain his excitement about meeting His Airness of the ear and brain. I gave him permission to geek out. I figured someone should be happy about something.After the appointment with M. J., Dude and I walked silently. Once we arrived at my car, I broke down. Dude held me. 

    I was scheduled for a translabyrinthine craniotomy, the most conservative approach. I would be deaf in one ear, but if M. J. was as good as everyone said, I would still have the smile Dude had once loved.
    The movie I was producing was going into storyboards. During that time, Dude and I talked on the phone every night until I fell asleep. In my doubting moments, when I asked if we were doing the right thing, Dude would say: “We have the best surgeon. We chose the right surgery. We will be fine.”
    I liked that he used the word “We.”

    In my darkest moments, when I asked if he would still love me if I lost half my face, he said: “Hell, no. Deformed people make me nervous. So if Lilly’s face gets busted, Dude out.”
    We laughed, and then the man whose constant reply to my “I love you, Dude” had always been “Ugh” said: “I will always love you. No matter what happens.”

    “Here is your medical directive,” said the hush-toned woman on the other side of the table.
    Dude had joined me at 8:30 a.m. at the hospital, where I signed enough paperwork to buy a house. My mother and sister had flown in and waited outside the door while Dude and I handled the grimmest of business. Dude wouldn’t allow me to read the medical directive. He turned it over to the signing page and placed his hand over the words.
    “Sign!” he said.
    I did as told, but not before I turned to him and said: “Don’t pull the plug too soon. I’d like to become a Lifetime movie.”
    He smiled and nodded. That was all we said about the fact that I could die that day.

    My mother called Dude her “son,” and my sister referred to him as her “brother from another mother.” We had become an unconventional family.
    “Who ordered a pizza pie?” were the first words I heard from Dude as he entered my hospital room the next day carrying my dinner over his head. I smiled broadly. He smiled back even broader. I knew that he smiled because I could smile.

    The next days were filled with wobbly steps, tightly held hands and many firsts. After I got home, Dude and I continued our pre-op ritual with almost nightly phone calls.
    Thirteen months after my diagnosis, on an ordinary Tuesday in November, we talked for hours. He spoke of his love of James Brown and his longing for forbidden foods like bacon and foie gras. He made me ask Siri on my new iPhone to do pornographic things to him. We laughed until I fell asleep.
    The next day, Dude’s worried assistant (he was running the department now) called to say he hadn’t shown up for work. When I arrived at his apartment, the paramedics were leaving.
    Dude had died.

    He had not been ill. He had not had an accident. His heart was just done with its work.
    I held on to a railing, and the paramedic sat with me until my world stopped spinning. I knew once I entered the apartment, life would be forever divided. “Before Dude” and “After Dude” would preface everything.

    The police arrived. There were interviews, phone calls and a three-hour wait for the coroner. During it all, I stood behind the kitchen counter staring at the back of Dude’s always pristinely blow-dried head. Soon I would have to call his friends and family and divide their lives, too.

    Now Dude lives in photographs, one voice mail, one piece of video, one pair of hiking boots, his favorite jacket, a few worn sweatshirts, his watch, his cat, his screenplays, his copper pots and pans, his surgical instruments that he used to fry chicken, and the recesses of my memory.

    I will never again hear him explain that Miller Genuine Draft 64 only has 64 calories as justification for why it’s O.K. to drink a six-pack in one sitting. I will never hear him explain every stage of the Tour de France in a way that makes me wish I could ride a bike. I will never know that he is hanging on to my every word when I tell him some ridiculous story about my day, and I will never again hear him laugh at that story.

    When my rare tumor was found, I thought it was the worst thing that could ever happen to me. Now I know I was the luckiest woman in the world. For 13 lucky months, I got to stare into the abyss and feel safe jumping into it because a man who loved me promised to hold my hand all the way down.
    If I had known that I would be the one who had to let go, would I have done anything differently? No.

    Leah Keith is an independent live-action and animation film producer in Los Angeles.