Chronic Pain

Holding on vs letting go…

Happy Brain Injury Awareness Day, 2021. Because of the pandemic, the briefing on Capitol Hill was conducted virtually, which allowed me to participate for the first time. This briefing was held by the Congressional Brain Injury Taskforce and the focus this year was, no shock, the effect of Covid 19 on the TBI population. There was a lot of scientific talk thrown around, but the most remarkable contribution, to me, came from former football player, Eric Washington, whose life was dramatically altered by concussions. Mr. Washington expressed a thought that I have had many, many times throughout this pandemic. He pointed out that now everyone in our country has experienced something similar to what those with brain injuries do- everything in life changing on a dime. Each “normal,” daily activity has had to be altered and reimagined through this pandemic; much as the lives of TBI patients have had to be. We all have been left with a year, (or a lifetime), unlike what we may have imagined. What we do with it is up to us.

#concussion, #pcs

More than “just a headache.”

Warning: political opinions ahead.

Recently, the president of the United States ordered air attacks which resulted in retaliatory missile attacks against our troops in Iraq. To date, 50 US service people have been diagnosed with Traumatic Brain Injuries. Instead of recognizing these injuries as serious, and potentially life-altering, the person who is in charge of these brave service members chose to minimize their diagnosis. To quote the president, talking about these soldiers, he said “I heard they had headaches and a couple of other things, but I can report that it’s not very serious.”

On the contrary, President Trump. The United States Defense and Veterans Brain Injury Center has written, “The high rate of TBI and blast-related concussion events resulting from current combat operations directly impacts the health and safety of individual service members and subsequently the level of unit readiness and troop retention. 

If The United States Department of Defense recognizes TBI as a very serious injury, shouldn’t the leader of our country? Shouldn’t he, at the very least, refrain from making such uninformed commentary?

*Insert knowing eye-roll*

At one time, we had a president who cared enough to be informed about an issue before he spoke. Back in 2014, President Obama said, “I’ve seen in my visits to wounded warriors [that] traumatic brain injury is one of the signature issues of the wars in Iraq and Afghanistan.” That year, the US, along with the NCAA committed 30 million dollars for concussion research- research that is going to help care for these newly wounded soldiers.

The National Institute of Health recognizes that there is no such thing as a “mild” traumatic brain injury. If only the person in charge of our troops did. The Veterans of Foreign Wars group is demanding an apology for Trump’s erroneous comments. I hope they receive it.


Chronic Pain

The Role of Sex in Concussion Treatment

Today is International Women’s Day- perfect timing for the latest release of Challenge Magazine from the Brain Injury Association of America.

https://www.biausa.org/public-affairs/public-awareness/news/the-challenge-women-in-brain-injury-issue-available-online

More and more research suggests that while men suffer more brain injuries per year, women’s brains are more susceptible to concussions.

There is also research supporting that women’s brains are more complex (but we won’t tell the men that 😉)

It’s becoming increasingly clear that women and men need individual treatment plans regarding their injuries- or the discrepancies will continue to grow.

PINK CONCUSSIONS is an organization formed to do just that. From their website:

PINK Concussions is the FIRST EVER non-profit organization with a highly personal and urgent mission to improve the pre-injury education and post-injury medical care for women and girls challenged by brain injury including concussion incurred from sport, violence, accidents or military service

Today, on International Women’s Day, I, for one, am thankful for the research and development about women’s concussions, and I hope it continues. I also pray that one day, they will find a cure for long-term PCS sufferers like me. Until then, I will continue to fight and try to remain hopeful.

Chronic Pain

In a flash..

IT all happened without me even realizing it was happening.  I had just dropped my girls off at daycare, and I was sitting at a cross intersestion, waiting to make a left turn my school. I was watching the traffic pattern- trying to anticipate when it would be my turn to edge ahead.  There was a pick up truck directly in front of me.  He had his turn signal on- as I did- we were both turning left.

And then, the flash happened.  I didn’t see it coming, nor did a I realize, at first, how significant that moment would be in my life.  In a flash, my and my familiy’s life changed.

A distracted driver ran right jnto the back of my minivan- causing my full travel mug  to be tossed across my front seat.  Likewise, it caused my head and neck to be tossed forward and back, two times over.  My brain bounced within my skull and my neck was strained beyond its capacity, and with these injuries, my life was forever changed.

It can happen to anyone- and it can happen in a flash- so embrace each moment for all that it is worth- you never know if it could be the end of the old, and the start of your new life.

Be aware, and don’t believe The Myth of Mild Concussion.

 

Chronic Pain

Is it Friday, yet?

It is currently lunch time on Wednesday, and when I add it up, I have spent approx. 9 hours in doctors’ offices, and 3 hours at the dentist so far this week. To be fair, 2 hours of the doctor visits were for my oldest daughter, and the dentist was for my youngest daughter, but I am still one tired momma.

When you throw in “normal” everyday activities like showering, dressing, food prep and consumption, I feel like I have used up all of my spoons very early in the week. So for the rest of today- or at least for the next few hours, this is my view-

(Notice the ears of my always faithful, comforter in chief.❤️)

To summarize the result of my appointments, I have to consult with a pulmonologist because a sleep study showed that I am losing oxygenation when I sleep (not like apnea when you stop breathing). My rheumatologist also suspects an auto-immune response in my body- though she hasn’t pinpointed what, yet. My bloodwork is negative, and she suspects seronegative arthritis, a form of rheumatoid arthritis. This is all a bit nerve-wracking to me as my mother passed from auto-immune disorders three years ago. Knowing that the brain injuries can lead to disruptions in ALL areas of the body, I have legitimate reason to be concerned.

I am also being referred to a OMT Physical Medicine and Rehab doctor to treat me for allodynia and other pain issues. The lucky part of that is the doctors I was referred to are former co-residents with my CURRENT PMMR doctor that I see for concussion management– but I have to be honest, it’s completely overwhelming to think of adding two more doctors to my mix- not to mention that the therapy docs are 45 min away. I am already going to one medical massage per week and one-two physical therapy sessions- along with whatever other appointments come my way. It would be overwhelming for a person with a healthy brain and body to navigate this all, but for a spoonie like me, it feels like I am standing in front of a mountain that I need to climb, and the terrain goes straight up the face.

My head is spinning, and I am employing all of my “just do the next, right thing” beliefs, ala Glennon Doyle, and that is the only thing making it possible for me to crawl out of my bed each day. I WANT to spend my time and energy anywhere but in the doctor’s office or on my couch, but that seems to be my path for the next few weeks, at least. (Did I mention that my daughter ALSO has to have PT twice a week for a shoulder injury?)

It’s all a bit much, and it’s time to bring in the reinforcements. So I would like to know, what is YOUR best spoonie tips for surviving when doctor and therapy appointments are adding up?

(Bonus points if they don’t cost a lot of money- it’s easy to outsource cleaning, laundry and meals when money isn’t an object, but when facing some high out of pocket expenses, that has to be factored in, as well.)

I hope to have enough energy to finish my post about vestibular therapy, soon- so be on the lookout!

Chronic Pain

Sometimes, I feel like that pony…

Some days, I feel like I only have one “trick” up my sleeve, and today is one of them. Perhaps it is because I did “too much” yesterday. I had a physical therapy session for myself, and then had to pick my daughter up early from school for her own PT session. I then went out with my family for a quick bite, returned home to help with a homework assignment, and dissected the plot of a television show with my oldest daughter. Oh, and then I had to shower and blow my hair half- dry before turning in to bed. These are all mundane tasks for the healthy person, but maybe that was all too much for one, mid-winter day. I never know the answer.

Today, I had to awaken an hour earlier than usual to take my youngest daughter in for some dental work. (Anytime my sleep is thrown off in the slightest, I can pay the price for days after). Whatever the reason is, today, I feel like I have accomplished all that I can for the day. And that is a difficult pill for me to swallow. As I lounge on my couch, huddled in a blanket to try and keep warm, I stare aimlessly at the tv, or social media- because I know that reading a book would be too taxing for my brain. I look at my family room that needs redecorated after taking all of our cozy Christmas decorations down, and I wish I had the energy to Pinterest -up some projects around my house. I try not to think of the ever-growing mound of laundry upstairs, and I take mental inventory of what we have in the refrigerator to try and determine an easy dinner to make. I do this all while keeping a watchful eye on the clock for when my girls will be home from school- because each day, I paste a smile on my face and greet my kids with whatever energy remains within me. On days like today, maybe that should count as my second trick– assisting with homework, the daily run-down, and extra-curricular activities– they all take energy that most people don’t ever have to think about. But, I do- and sometimes, it can be tricky.

#pcs, Chronic Pain

The question of rest

How do I determine when to push ahead, and when to listen to my body and rest? These are questions that I struggle with daily. Each morning, I wake up not feeling refreshed. I put one foot in front of the other and rely on the scientific theory, “An object in motion will stay in motion.”  I rely on this mantra as I push through the initial fog, reach for my medicine, and begin to fuel my body for the day.

After the hustle and bustle of getting the kids out of the door for school; I take time to assess my body and brain for how they are feeling each day.  What hurts most today? (Unfortunately, for the past 7 + years, it has never been ‘Does anything hurt?’) I also need to assess how alert I am. Am I following conversations well, or am I feeling confused? Is there any part of me that needs to be addressed before I can start my day?  Sometimes, my medicine will kick in and I feel more alert and capable after a half hour or so. Other days, I feel like my energy and focus are nowhere to be found. It can be incredibly random and therefore difficult to predict- all which can lead to more frustration if I let it. With it’s myriad of symptoms, there is no getting around it, living with Post Concussion Syndrome (PCS) is challenging.

 I check my schedule for the day to see if there are any appointments or errands that I must attend to, and if not, I typically take that time to sit on my couch, peruse social media, and flip between Good Morning America and the Today show as I continue to take inventory of myself.

Some days, I have non-negotiable appointments set up- and they can be both good and bad for me.  When I have to be out of the house, I typically get ready and go- no matter how I am feeling- and I deal with the consequences later. Doctor’s appointments and physical therapies can be both motivating and exhausting at the same time.  I rely on adrenaline to see me through, and I crash when I get home. Those days, I get frustrated because I feel like I have spent all of my “good energy” addressing my health and not doing anything fun or fulfilling- but I also can find solace in the fact that I have ticked concrete items off of my to-do list, therefore “earning” the exhaustion I feel.  The equation is balanced in that occasion. Other days, I may not have anything concrete on my schedule, only a list of tasks I would like to accomplish or things that I “should” do. These days can be trickier to navigate because logically, I know that my body DOES need more rest, so how do I balance what I would like to accomplish and what I should do?  How can I tell what would be best for me in the long run- to push or to rest?  Seven plus years into this journey, I still struggle daily with how to answer that question.  Sometimes, I even wonder if someone should be making that decision FOR me because it feels like too often, I have a tough time finding balance between the person I desire to be and the person I now am- and I still have a very difficult time accepting that fact. One day, I hope to be able to accept myself as I currently am, not who I was.

teaching, Uncategorized

Those who can, teach

“You should talk to…”  That is a phrase I often hear when someone I know encounters someone else with a concussion.   I feel like I was born to teach. From the first time I stepped in front of a classroom, I unearthed a strength and a voice from deep within that I don’t know if I would have discovered had I not found teaching. I found confidence that I did not know that I had.  Teaching, for me, was as natural as taking a breath. I didn’t ever have to think about it- I just did it.

But then, my classroom was taken away from me after my accident.  The day I realized that I would have to resign my position as a middle school teacher still remains one of the worst of my life–only to be overshadowed by the death of my mother.  I remember lying on the floor, wailing and questioning how unjust it was that I had worked so hard for my career- it was something that I never would have willingly walked away from.  And now, it was all slipping away from me even as I continued to race after it.

So I guess this is an outlet for me to be able to talk with other Brain Injury Survivors. I can use my 7+ years of experiences, both good and bad, to help point others towards therapies and self-care practices that may decrease their recovery time. That way, I can teach, again.