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                        USENET REC.MUSIC.REM
                    R.E.M. ILLNESS FAQ ADDENDUM
                       (Last revised 8/12/95)
                   [For the most recent version,
                 email rgh3@cornell.edu for a copy.]
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  This document is intended to answer the frequently asked questions
  regarding recent illnesses and surgeries undergone by the members of
  R.E.M. during the course of their World Tour this last years.

  As always, if you have any additional information, please email it
  to me (include your sources so I can verify everything), 
  rgh3@cornell.edu, and I will update this document.

   -  Don't post reports unless you have solid facts with
      a source you can authoritatively cite;
   -  Be aware that "gallows humor" about medical conditions will
      likely not be appreciated and will probably get you flamed
      on rec.music.rem;
   -  Be aware of the time lag between Usenet servers that affect the
      order of postings (in other words, some of the folks who ask for
      information on the subject may not yet have seen all the postings
      that you have... be patient with people);
   -  For information on tour dates and cancellations see the separate
      document "World Tour Mini-FAQ" posted also to rec.music.rem, or
      available by email request to rgh3@cornell.edu.

Contents of this Mini-FAQ:

o "Summary of basic information on Michael Stipe's surgery"
o "What is an inguinal hernia?"
o "So is Europe bad luck for R.E.M. or what?"
  ---
o "Summary of basic information on Bill Berry's aneurysm"
o "What is the text of the Fan Club postcard mailed out in March?"
o "What was Warner Brothers' official, early response to all of
   the rumors about Bill's condition?"
o "What is an aneurysm? (two definitions)"
  ---
o "Summary of basic information on Mike Mills' surgery"
o "What is a laparotomy?"

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o "Summary of basic information on Michael Stipe's surgery"

  According to the Tuesday, 8/15 edition of the Athens Daily News, the 
  R.E.M. Athens home office issued a press release that Michael Stipe
  had been diagnosed with an inguinal hernia sometime before the band
  had been scheduled to perform a concert in Prague, Czech Republic.
  Because the band had twice before cancelled the show in Prague due
  to band member illness, they decided to wait until after this show,
  which was the last on the current European leg of the tour anyhow,
  to return to the United States for Stipe's surgery.

  The press release reports that Stipe was admitted to Emory
  University Hospital in Atlanta where the surgery was performed 
  in an hour-long procedure without complications.  (Stipe was
  released from the hospital on Monday.)

  Stipe is expected to be ready to resume the tour in several weeks, 
  when the band is scheduled to begin the final leg of the tour with
  a show in Miami on Sept. 8. 

o "What is an inguinal hernia?"

  The Athens Daily News article quoted an unnamed Emory University
  health professional as explaining that an inguinal hernia is "a 
  weakness in the connective tissue between the abdominal wall muscle 
  and the ligaments in the groin (the fold where the abdomen attaches 
  to the thigh.)  The condition allows the intestines to slide 
  through an opening.  'Inguinal' implies that the condition involves 
  the groin."

o "So is Europe bad luck for R.E.M. or what?"

  One might be tempted to joke so, given Bill Berry's bout with Rocky
  Mountain Spotted Fever there several years back, coupled with this
  years' brain aneurysm, and now Mike Mills' and Michael Stipes surgery.

  Bertis Downs [R.E.M.'s lawyer] was quoted by the Atlanta Journal-
  Constitution, rebuffed the suggestion.  "That's incorrect," he said, "We
  get great medical care there.  [The glass] is half empty or half full.
  It's very unfortunate."

  Peter Buck was quoted as joking that he will be looking both ways
  before crossing the street now, being the only band member left who
  has not suffered health problems on the tour.

  ------------------------------------------------------------------

o "Summary of basic information on Bill Berry's aneurysm"

  Bill Berry, R.E.M.'s drummer, took ill during a concert at Lausanne,
  Switzerland's Patinoire Auditorium on Wednesday, March 1st, with a
  headache severe enough that he was forced to leave the stage. Upon
  examination in a local hospital, Berry was determined to have at
  least one aneurysm (see below for definitions) on the right hand
  surface of his brain, which needed surgery to correct. His recovery
  has proceeded smoothly and on Tuesday, 3/21, he was released from
  the hospital and recuperated at an undisclosed location.

  While the first European leg of the tour was cancelled (some
  European newsgroup members have said their tickets are being exchanged
  for European shows later in the year), MTV reported on 4/16 that the
  U.S. portion of the tour would in fact continue as of 5/15, with a few
  dates between 5/9 and 5/15 (AZ, Nevada, and S. Calif.) to be
  rescheduled for the fall.  See the "World Tour" Mini-FAQ for the
  lastest information on tour cancellations and rescheduling.

o "What is the text of the Fan Club postcard mailed out in March?"

                      A Note To Our Friends

   As Bill continues his recovery, all of us are counting our blessings
   that he is okay and his health will be fully restored. How soon we do not
   know, and when the tour will resume is still very much up in the air. But
   first things first, which is for Bill to get well, and that is happening
   day by day.

   Three weeks to the day after his surgery, Bill played a vigorous 18
   holes of golf, and seemed very much on his game. His spirits are good,
   especially considering all that he has been through.

   Among the many positive things to come out of this unexpected and scary
   turn of events has been the incredible outpouring of support for Bill that
   has come from all quarters - people on the street, friends, fans, and
   family. He is much loved, and all those thoughts and pryayers have
   definitely been a comfort to him and the rest of us.

                                                    Many Thanks,
                                                    R.E.M.
                                                    27 March 1995


o "What was Warner Brothers' official, early response to all of
   the rumors about Bill's condition?"

      NEW YORK, March 3 /PRNewswire/ -- The following is being issued by
  Warner Bros. Records:
      R.E.M. drummer Bill Berry was taken ill with an acute migraine
  90 minutes into the band's set at Lausanne's Patinoire Auditorium on
  Wednesday, March 1.
      Following overnight observation by Swiss doctors, an examination
  revealed that Berry, 36, had suffered a ruptured aneurysm (subarachnoid
  haemorrhage) on the right hand outside surface of his brain.  There was
  no internal bleeding.
      On Friday, March 3 an operating team performed a craniotomy.  This
  is a micro surgical procedure in which the aneurysm is clipped, securing
  it against any further bleeding.
      The operation was uneventful and 100% successful and the doctors are
  happy with Berry's recovery.
      Berry will spend the next week to 10 days recuperating in
  Switzerland.  The functions of his body and brain have not been impaired
  in any way and the doctors predict he'll be able to pick up his
  drumsticks within the next 2 to 3 weeks.
      The current R.E.M. tour will naturally be postponed for the
  foreseeable future.  But Berry is in good hands and good spirits and is
  expected to make a full and speedy recovery.

o "What is an aneurysm?"

  From the Grolier Encyclopedia:

  "aneurysm {an'-yur-izm}

  "An aneurysm is a widening or dilation of a blood vessel caused by thinning
  of the vessel wall.  A potentially lethal complication is the rupture of
  the vessel with resultant massive hemorrhage.  Aneurysms usually occur in
  arteries but may also be seen in the heart after local damage, or in
  veins.

  "Arterial aneurysms are more common than venous, occurring most often in
  elderly, diabetic, or hypertensive persons.  They may be caused by
  congenital thinning of the muscular portions of the artery, during
  atherosclerotic degeneration of the aorta or of the carotid or basilar
  arteries, by trauma to a vessel wall, by infectious injury, or by
  degeneration from other causes. The likelihood of rupture is increased by
  high blood pressure. Defects in arteries of the eye may result in miliary
  (small, multiple) aneurysms of the retina.

  "Treatment of a person with a ruptured aneurysm may include reduction of
  blood pressure, bed rest for two weeks, replacement of the weakened vessel
  by a graft or encasement in plastic, or mechanically stopping blood flow
  to or through the aneurysm."

  --------

  From the Oxford Handbook of Clinical Medicine:

  "Causes: Ruptured aneurysms, usually congenital Berry aneurysms...

  "Berry aneurysms: 15% are multiple. Common sites are the junction of the
  posterior communicating artery with internal carotid, the anterior
  communicating artery, and the middle cerebral artery. Genetic influence
  suggested. Skin biopsy may identify relatives at risk by demonstrating
  type III collagen deficiency (M Venning 1981 British Medical Journal II
  p824). Associated with polycystic kidneys, Ehlers-Danlos syndrome, coarc-
  tation of aorta.

  "Clinical features: A sudden severe headache, possibly with faintness and
  vomiting.

  "Rebleeding can occur in 30% of patients and is a common mode of death,
  often in the first five days, or around the 12th day from the initial
  attack. Vascular spasm follows a bleed, and can cause ischemia leading
  to neurological deficits which are permanent.

  "Treatment: Early consult with neurologist important, then angiography and
  surgery (to clip aneurysm) to reduce risk of rebleeding; this only is
  called for if patient is conscious and shows little neurological deficit.

  "Medical treatment calls for control of severe hypertension, analgesia for
  headaches, and bed rest for about four weeks. Calcium antagonists such
  as Nimodipine can be used to counter vascular spasm."

  ------------------------------------------------------------------------

o "Summary of basic information on Mike Mills' surgery"

  The July 12 edition of the _Athens Daily News_ reports that R.E.M. has
  once again been forced to cancel some shows in its "Monster" tour due
  to band member illness.

  This time, Mike Mills "underwent abdominal surgery Tuesday night in
  Germany, forcing the band to cancel its concert in Prague, Czech Republic."
  The article further quoted R.E.M. management as saying that the procedure
  performed was "a laparatomy to release an adhesion of the small intestine."
  (Note that Mills underwent an appendectomy in last year, some time before
  the start of the world tour, though as of this writing I have no information
  indicating this problem is related to that earlier surgery.)  The article
  stated that Mills will take at least a week and a half to recuperate, and
  that "concerts through July 20 have been cancelled."

o "What is a laparotomy?"

  It is a surgical incision through the flank or, more generally, through
  any part of the abdominal wall, to release an adhesion, which is the
  union of two surfaces that are normally separate (or any fibrous band
  that connects two such surfaces).  Surgery within the abdomen (such as
  the appendectomy Mike underwent last year) sometimes results in adhesions
  of scar tissue.  As an organ heals, fibrous scar tissue forms around
  the incision.  This scar tissue may cling to the surface of adjoining
  organs, causing them to kink.  While adhesions are usually painless and
  cause no difficulties, occasionally they will produce obstruction or
  malfunction by distorting the organ -- in which case surgery may
  be recommended to relieve the adhesion(s).

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Many thanks to all who contributed information to this text.
Questions? Email to: rgh3@cornell.edu


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