Friday, August 17, 2018

The Dark Side of TBI


If you’re offended by language and real talk, this post is not going to be for you. Because sometimes, when what’s in your head is itching to come out, it’s best to simply remove the filter and let it say whatever it wishes by using your fingers as nothing more than a conduit.

Brain injuries can be a son of a bitch.  Not just because of the menial inconveniences they illicit, but because they're forever attempting to manipulate your thoughts and actions. The brain understands you even when you don’t understand yourself and it’ll slowly work on your weaknesses by creating doubts, fears, emotions, actions, depression, and leaving you with nothing but the fallout and consequences to deal with later. Of course, this isn’t guaranteed to happen but from the stories of others, I’ve been able to gather that my experiences are not abnormal….and they can be fucking frightening.

Killing myself has been a topic of conversation within my head numerous times.  And it's always striking when I'm feeling my lowest or when I'm mentally fatigued because it's a bitch like that.  I finally revealed this to my wife a few weeks ago, while deeply intoxicated off a shit load of Irish whiskey. For clarity, I’ve never come close to even taking a single step toward any actions that would take me down that road.  But it has given my insight into the minds of those who have and those who may be considering it.  I'm thankful that I have and have had the resources available to inform me of this possibility before it ever happened.  When added to my long time interest in psychology, I am no doubt fortunate in many respects.  I can’t even begin to imagine how others felt in previous years before we began to gain some understanding into the long term effects of brain trauma. It’s the main reason why I no longer watch football, especially the NFL. What many of those former players had to suffer through because of what was hidden is fucking haunting to anyone who’s experiencing the side effects of TBI. Not only did they have to suffer through the effects of the injuries, but to then be repeatedly told that nothing was actually wrong and “it was in their head”, (the irony of that statement is not lost on me) ect; what a gross indignity to experience simply so millionaires could become billionaires.

And not only did the NFL players suffer because the research was stymied, but so did other players from college down to high school and pee wees. Military veterans couldn’t have received proper care even if the VA wasn’t a shit show, and treatment for those in car and other accidents was never as good as it could have been for over 20 years because the research that could have enhanced treatment procedures was never performed. If it seems like I’m a little jaded, it’s because I am.

The fact is, I was always going to end up here. Even if the initial information had been revealed back in the late 80’s and early 90’s, there’s a good chance it would not have advanced enough to be of much use to me. Add in the fact a tree literally landed on top of me, getting a fucked up human processor was probably always in the cards. That’s OK, I can deal with it. It sucks sometimes, but I’m making due; pretty much. If nothing else, because self-awareness is something I’m continuously working on, I believe I have a fantastic opportunity to use my situation to help others. And that’s what’s promoted me to write this. People need to know that they’re not alone.

As I mentioned earlier, the thought of ending it all, i.e, committing suicide, is one that seems to always be fighting to make itself known. It’s not always there, but especially when I’m feeling down, it’s voice will speak a little louder and I’ll have to mentally drop kick it back into its hole. Sadness is a big one.  Long term frustration can be as well.  As can be the presentation of new symptoms that also align with other disorders and diseases. When they’re fatal ones, having such news revealed on on top of an already fragile emotional state can be completely over fucking whelming let me tell ya. Your broken brain will head off in every God damn direction imaginable and trying to slow it down is near damn impossible. 

And why shouldn’t it? Now that scientists and medical professionals are studying the short and long term affects of brain injuries, daily, words like Alzheimer, dementia, Parkinson's, ALS, Lewy Body, and of course, CTE, are being associated. When you’re 35, already nervous at best and scared at worst because you have blank spots in your memory, forget things, have trouble retaining new information, and have to work through anxiety issues every now and again, being constantly presented with the possibility that your future holds no memory of your life, well, telling the world it can fuck off simply seems appropriate.

I don’t have solutions. Hell, at the moment I don’t have any theories to speak of. I’m in the same boat as other people in that I’m simply looking for a path that will work for me. I’m sleeping more than I’d prefer. On top of the symptoms mentioned above, I’m currently battling fatigue, dysphagia, aphasia, headaches, sensitivity to sight and sound, some other speech issues, memory lapses, and perhaps most frustrating of all, a complete lack of ability to concentrate when my fatigue hits a certain stage. Many days I come home from work, eat and head immediately to bed for a nap that lasts anywhere from 20 minutes to an hour and 20 minutes. When I wake, I’m about half of who I was in the morning and only for a few hours, and then it’s back to bed for a good nights recharge (hopefully).

In the mornings I’m good for anywhere from 5 to 7 hours before there is a noticeable decline in my cognition.  After that I can still do activities but generally they need to be tasks I've done before and work off muscle memory, if you will.  I can work outside on the tractor, clean the house, cook dinner, ect but studying becomes extremely difficult to impossible, discussing complex ideas is a no-go, and even holding some conversations can be an exercise in futility.  Clearly this does not just impact me but my entire family as well because we have to work around such issues as well as it limits my ability to have the kinds of interactions I'd prefer.  I have not had an opportunity recently to test if it’s the same if I get a couple days of rest because I’ve not had an opportunity to get a couple days worth of rest. Admittedly I have some theories I’d like to try so I can begin finding more concrete solutions but in general, life doesn’t give a fuck about my theories so like most others, I push on and try to figure things out when I can.

I strive to make the majority of my posts positive but sometimes things suck and need to be called like they are.  At times I don’t have an ability to put on a face for the world and it simply get's what I have. It seems to be happening more and more lately and I honestly don’t know whether it’s good or bad. TBI and post concussion are real thing but also still in their infancy with regard to medical understanding, treatment, and public knowledge and acceptance. Whether I’ll actually have any impact through my experiences is difficult, if not impossible to say. But...but, I certainly hope this isn’t all for naught.

And while this seems like I’m bitching, and I guess I sort of am, it’s also honest. As is the fact that there are people in this world a hell of a lot worse off than I am.  Still, it doesn’t change that this shit gets to you. It wears you down when certain situations happen and you understand your reactions, behaviors, and memories are not the same as they once were. I don’t know what made me write this tonight. Perhaps it was just time. I feel like while I’ve been fighting back against this TBI/PCS issue, I’ve also been letting in lead the way in most respects. I’ve been reactionary to what it’s thrown at me and I'm finally attempting to take the necessary steps to take back some control. To try and not be so completely exhausted at the end of the day I can barely hold a conversation or attempt to learn something new. To try and take this bitch by the horns so I can truly find ways to adapt and overcome the obstacles.

 Or perhaps I needed to write this because while my intent was to let others know they’re not alone, I need to know I’m not alone too.




If you or someone you know is considering suicide, please reach out to someone who'll listen.  Whether it's a friend, family member, professional, or group.  Linked are some resources who can help.

https://suicidepreventionlifeline.org/
https://suicidepreventionlifeline.org/help-yourself/veterans/


4 comments:

  1. I was struck in the head by a flying baseball bat. I had a compound skull fracture as the fat end of the bat landed squarely in my skull and pushed into my brain. I Suffer from apraxia, my emotions go haywire all the time. Lights sounds etc too much over stimulate me to where I become anxious and want to run away. I do so well for a month maybe a month and a half then suddenly I fall completely apart and spiral down and before I notice it it's to late and in such a hole that the top seems miles away. It's been 3 years and I have no direction in life. I went from working full time, smiling happy go lucky person to driving for Amazon flex delivering packages to front doors because I get so nervous trying to talk to people. You're right that suicide creeps in when I'm at my weakest. My boyfriend is at wits end because he doesn't know what more he can do to help me out of these holes it becomes a burden and when he tries I lash out yell scream become unreasonable. Which once that dies down I hate myself for getting like that. I spent 4 years working on my life myself becoming solely independent taking care of myself and my life before my TBI. Now I'm a burden on my family financially because I'm unable to take full care of myself anymore. It sucks. I have no idea what to do to change my course or even find one anymore. The bat landed directly on 3 areas where they meet... the blue orange and green. Primarily the speech was affected as it took me 2 months to be able to fully make sentences again. Any advice you may have would help me so much. Thank you for putting into words exactly how I feel everyday.

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    1. Hi Mike. First, let me apologize that it's taken me so long to respond. It's been an exceptionally rough week (I'm actually working on a post about it it was that crazy) and my ability to be clear has been extremely compromised to put it nicely. I also want to thank you for sharing your story because I recognize much of what you wrote in myself. As you seemed to gain some relief from knowing that your experiences are not unknown to others, as have I.
      First, as I read your story, my first thought was to go and hug your boyfriend either right now or as quickly as you can upon reading this. I'm a caregiver (literally) for my wife as well as at times on the receiving end of her care when things are rough so I understand very well the emotional tole of what this does to both of you and hugs and kisses go a long way. Second, plan times to have conversations. Not just when you're feeling like shit, but when you're feeling good as well. Not only do you want him to know how you're feeling, but you two need to work together to understand what works, what doesn't, where you make adjustments in life so that you're able to limit that set backs. I'm hell at doing it honestly. It's been two years and I think I may finally be at the point of accepting that I can not do some things I could in the past. That my brain AND body do not work the same. Admission of such has been slow in coming but now that I am, it feels like some things may be changing for the positive.
      Given that I don't know you I have no idea whether this is the case for you as well, but something I thing often holds me back is the desire to hold onto the person that I was instead of not just accepting that I'm different, but working to understand all the ways it's the case. Maybe I can't do task A the same way but perhaps I can do it differently. If I can't do task A at all, is there a replacement task I can do that I do or may enjoy as much? It's a process for sure but by not holding tight to the past, I've been finding some pretty cool opportunities that I wouldn't have otherwise.
      Lastly, it's clear that you understand things are different and I think that's a huge step. I know it was for me. It was a year before I'd even make that admission and it's been another year basically to admit that those differences are enough that I'm required to make adjustments. Sit down and talk to your BF and any others who play a major role in your life. Tell them what you're telling me. They may not understand 100% but it seems like you have people who want what's best. Share my post if you think it'll help ( I swear that's not a plug, lol) or you can't find the exact words.
      And when you're done with those discussions, hug those people as well. Because you need it and most likely, so do they.

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