Wednesday, December 1, 2010
There Is Nothing Wrong With You
My friend Sue keeps telling me that. I don't know why it's so important for her that there be nothing "wrong" with me. Part of the problem is probably that she didn't meet me until after the accident. She only knows me as I am now, so for her, there's nothing to compare, no "before" to my "after".
I find it extremely difficult to deal with the "oh, you're fine" attitude. While it is true that brain injuries, especially the mild ones, can be largely invisible injuries, I am impacted daily by my new modus operandi.
I say "new". It's been almost four years since the accident. It's still new to me. Comparatively speaking 37 years versus four - yeah, it's still new.
I understand that many of my friends and cohorts are hitting their midlife stride. With that comes some alterations, changes in vision, hearing, perhaps mild cognitive decline, "Where DID I leave my keys?" But it is fleeting. It is occasional. It is not pervasive. Let me say this definitively, It is NOT the same as a brain injury.
Misplacing your keys occasionally because you're overbooked, or overworked or overtired or over caffeinated doesn't compare. (I know you all mean well when you say things that attempt to normalize or minimize but at some point it just becomes frustrating.)
As an illustration of my point, I offer an example. On Tuesday I dropped of some artwork for a show. I needed to fill out cards which were taped to the backs of each painting. They listed the title of the piece, my name, the medium and the price. I was in the midst of a migraine so from the get go, I wasn't at the top of my game. I made some error and apologized, telling Sue, who was sitting across the table from me, that I wasn't having a good day. She's known me long enough to know that's my code for a "Bad Brain Day". She laughed, made a dismissive gesture and said, "Oh, you're FINE. There's nothing wrong with you."
I seethed, and continued to fill out the cards for my six painting.
After I finished, I said my goodbyes and I left, four crumpled cards balled up in my jacket pocket. On one, I'd written down the wrong media. Another, I'm mis-spelled a word in the title. The third I'd written something on the wrong line, and the fourth - on the fourth card I had spelled my last name incorrectly.
I spelled my name wrong.
How often do you spell your name incorrectly?
How often do you make THAT many mistakes in rapid succession?
The more I think about this incident, the more I want to believe Sue. As I try to come to terms with who I am now, I want to accept my new abilities and limitations as simply factual, without judgement or disappointment or regret. This is how I am. This is who I am. While I am definitely changed, and have definitely lost some speed and some ability, I need to stop judging that fact and, by extension, myself. In that sense, perhaps there really is nothing wrong with me.
Friday, October 22, 2010
You Can Take of Leave It If You Please
Suicide is a hot topic right now. There's been a rash of teen suicides in the U.S. that are being connected in the media, and in many people's opinion, with bullying.
I maintain the unpopular and challenging opinion that healthy people do not commit suicide. Even when the situations in their lives appear bad, or even hopeless, psychologically health people seek different alternatives.
Acknowledging that this is uncomfortable for many people, let me also say that placing blame is one way to make sense out of what feels to many to be a senseless act. We want to know "why". It is a basic human need. We want to make sense out of things that are difficult. How many times have we all heard someone say, "If would all be easier, if I could just understand..."?
It's easier to blame something bullying than to try to understand why someone felt that killing themselves was their only option. Bullying is wrong. People who bully are bad. If the bullying was the final stressor in a series of stressors that pushes someone over the edge, so to speak, then we can feel good about blaming the bullies for the suicide.
But...
There is one problem with this logic. The bullies aren't the ones who pull the trigger, or swallow the pills, or open the vein.
If someone decides to rob a bank because his friends repeatedly taunt him and egg him on society still holds the bank robber responsible for his actions. We each have choices. We choose to seek help or succumb to bullying or torment or financial stressors. People choose their fate. They choose to live or die.
The bully does not make that choice for them. THEY choose for themselves.
With that being said, there are factors that make reasonable choices about suicide more difficult. Being a child or teenager is one of them. Adolescent brains do not have the impulse control abilities of a fully mature brain. What that means is that adolescents have a harder time stopping themselves from doing things, especially when those things relate to peers, or coincide with heightened emotional states.
Ok, once again, adolescence + heightened emotions + peers = bad judgement.
Add a brain injury into that mix and you've got a recipe for disaster.
Brain injury often affects something called "Executive Function". Executive Function is the brain's decision making ability. Brain injury can also damage impulse control and other areas of behavior and emotional regulation.
Do you see how any of these symptoms can make a bad situation infinitely worse when dealing with multiple external stressors (bullying, death in the family, poverty, legal issues, etc.).
The following article is about the suicide death of a football player who, after autopsy, was found to have suffered repeated brain injuries.
http://www.cnn.com/2010/HEALTH/09/14/thomas.football.brain/index.html?hpt=C2
So what's the answer? I don't pretend to know. Perhaps there isn't one. However, I am suggesting that subtle brain injuries are very likely behind some of the adolescent behavior which adults find distressing like AD/HD, ODD, Depression, and Suicidality. I am suggesting that people, especially adolescents, with a known Brain Injury should be monitored differently than uninjured people.
I am suggesting that these injuries can, in some people, create a perfect storm of depression, hopelessness, frustration and impulse control and can end in suicide.
I am also suggesting that there is always more than one reason why someone commits suicide, and the easy answers aren't necessarily the best, or most illuminating.
Thursday, September 23, 2010
Acme Overload (100th Post!)
Tuesday, September 21, 2010
The Habit of Joy
Saturday, September 18, 2010
Who Am I?
A dance that's walked,
A song that's spoke,
I laugh so hard I almost choke,
When I think about myself."
-Maya Angelou
Yesterday's post got me thinking about how my idea of self has altered since the accident, which made me realise that any injury or acquired disability is an assault or, at the very least, a challenge to the self.
But what is the self? Who am I? Who are you? Are you your idea of yourself or something else?
How does our self-image relate to the reality of who we are? Does it relate? Does it matter if our idea of who we are is vastly different than others' idea of who we are?
My idea of who I was changed drastically during my recovery. For years I was what I could do. I was my intellect. I was my achievements. I was my talent. I was my ability to stay up for three days and get ANY project done at the last minute.
Now... all that has changed. Or, at least it feels different from the inside. None of those things feel the same as they did before. Now, I feel as though I am my injuries. I am my story. I am my limitations.
At the same time, I understand that most people who meet me can't immediately tell that there is anything wrong with me. Some of them never notice. On one level that is a relief. I still pass as "normal". On the other hand, my injury is invisible. No one knows how hard things are for me now. No one knows unless I tell them, and often, that just feels like complaining.
I'm caught in that no-man's land of non grievously injured enough to be an inspirational recovery story, and walking away unscathed. I'm stuck with a life, and a self that has been irrevocably changed. Perhaps in some ways for the better, in others, definitely for the worse.
I cannot deny that I have been changed by this experience. Perhaps the most difficult thing to accept is that change is inevitable, even we are changeable. We tend to think that we will always be as we are. Or at least, that if we change, it will be by our choice. That's just not the case. Change comes, whether we are prepared or not. Do we move with it, and choose the outcome, or fight the inevitable, changing against our will while desperately clinging to the idea of what we were?
*** Blog Contest: Download, print and color the image in this entry and email it to lmestishen@comcast.net. Be sure to include your name and address. The winner (my choice, obviously, gets a copy of one of my favorite books.
Friday, September 17, 2010
Who's Who
I freaked out.
Tuesday, August 17, 2010
A Verry Merry Unbirthday to Blog
How distracted am I? Well, I missed my one year blog anniversary. (This was supposed to be a year-long project.) Yeah, I was supposed to write everyday too, we see how that worked out.
One might conclude that if I'd been writing here more often, I would have noticed that I had reached the one year anniversary. You'd be correct.
Still, I suppose it is something to celebrate, even late, even though my posting has been sporadic at best. Do I even bother writing something like, "I'll try to post more often."? Eh. Trying is for losers. Only what you do matters.
I've been sacrificing my health in order to finish my internship. (I've been trying to stay active and eat better.) See what I mean, trying doesn't count for anything. You might as well just replace the word "trying" with "failing".
The hours are uncomfortable for me. Longer than I am able to sustain and remain functional. When I get home, I'm mostly useless. My mountains of paperwork continue to grow. The physical improvements that I was seeing when I was consistently working out and stretching have mostly disappeared. Strange isn't it, that we scramble for jobs so we can afford health insurance in order to pay for medicines and treatments that we wouldn't need if we had more time and energy to take better care of ourselves?
Although I have been enjoying the internship, I look forward to it ending, if only so I can get back in shape, and get back on a normal sleep schedule. I'm sleeping, at best, two hours in a row, then waking, eventually falling back to sleep, sleeping two hours, waking...all through the night. It's not the most conducive to rest and restoration.
I don't know what is next for me after this internship ends. I don't know what kind of work I will a) be lucky enough to find, and b) be able to sustain. Staying in school, in a doctoral program, was a great way to hide. I could stay in school for another 5 years and not have to worry about "getting a real job" and trying to fit my broken brain into a "normal" work week. Either way, it looks like I will have a bit of time once I'm finished before I re-enter the workforce.
Even if I do get hired, it's probably going to be a contract position which will only pay if a client actually shows up. Yes, I've seen others in these types of positions sit around all day waiting for clients and have NO ONE show up. Since these are contractor jobs, I'll be paying for my own insurance, etc. This is if I'm even lucky enough to get one of these. Locally, one of the biggest social services companies just fired a slew of people. There are plenty of folks out there with more experience who will be after the same jobs I want.
I hope this was the correct choice. I hope all this "research" I've been doing can be of benefit to someone.
Oh, yeah, and "YAY!" for the Mildlytraumatic year anniversary! I guess I should change the tag-line if I'm going to continue this.
Friday, August 13, 2010
The Secret Ingredient
I do. I don't like it, but I do. I like admitting that I do even less.
I resent people who have a system.
Thursday, July 15, 2010
Ooooh, That Smell
Tuesday, May 18, 2010
Saturday, April 24, 2010
But...
All the subtle changes since the accident have made me feel like a different person. I feel like me, but not me at the same time. I am not tired like this. I do not have trouble finding words. I do not have attention problems, or difficulty reading.
But I am all those things. I have all those things.
And slowly, I've been coming to terms with these new parameters. Some of them are, admittedly, more difficult to accept than others. All in all, they are disorienting.
I don't like the "new" me. I don't want to be like this. I didn't ask to change in these ways, and I'm angry that I'm being forced to be less than I was "before".
But...
(There is a "but".)
Sometimes, especially in the last several weeks, I've got this strange, almost exhilarating feeling. It's the feeling you get when you have nothing to lose, the feeling you get when, having nothing to lose, you decide to just jump in and see what happens.
I feel like I could change anything I wanted right now.
Sure, I had a plan, I spent the last several years working toward very specific goals. They aren't working out. I did everything right. I worked VERY hard. I amazed myself and others with my dedication and focus. But...
(Another "but".)
But it isn't working out. Having followed and completed all the right steps, I'm not where I should be. I went to school. I got the grades. I got the recommendations. I got the test scores. What I didn't get was an acceptance letter to the doctoral program I wanted. Actually, I didn't get an acceptance letter to ANY doctoral program. What the hell did I do wrong? Was I just so awful at the interview? Are there really THAT many people who did as well as or better than I did?
Maybe there are. Perhaps I overestimated my own worth and achievements. Either way, I've spent months and months working very hard for something I am not going to get.
So now what?
Part of me says, "anything at all". With nothing to lose, anything is possible.
Don't mistake this for a healthy attitude, because I'm not sure that it is. On some level, this scares the heck out of me. I really do feel like I have nothing to lose. I feel that, if none of this mattered anyway, if all my hard work and effort were for naught, then what does matter? Who cares? I might as well stay home and knit toilet seat covers and sell that at the local flea market. It would be less stressful, that's for sure.
I haven't figured this out yet. I don't know if I ever will. I don't even know if it matters if I do, or if I don't.
Thursday, April 22, 2010
Cello? I Can't Hear You
Friday, April 9, 2010
Muddy Blurder
Saturday, April 3, 2010
I had this great quote about the innocence of childhood, which, like the innocence of childhood, I lost, so you get Hemingway instead.
All this was brought on by the Peep Show photo at the left. You see, when I was a kid, my Mom and Gram used to tell me stories about when they were kids. One of the things that I always used to love hearing about were the "Peep Shows". Now don't go there. When my mother was a child, she went to a fair, possibly the Bloomsburg Fair, and they had a display of newly hatched chicks and the more approachable fluffy yellow, yet slightly older, chicks. The fluffy yellow chicks were provided with chick-sized Ferris wheels and sliding boards and merry-go-rounds for their chick amusement.
Apparently, they actually did hop onto the Ferris wheel ride and slide down the sliding board.
I had long thought this to be a figment of my mother's imagination, until this year, when I saw a similar stair and sliding board arrangement for ducklings at the PA Farm Show. That will teach me not to believe my momma.
So I grew up hearing about these "Peep" shows. We called chicks, "peeps". She also told me about buying pink and blue dyed chicks at Renniger's Market and flower shops when she was a kid. They'd sell them around Easter, and even I remember boxes of little yellow and white chicks for sale on Sunday's at "the auction" when I was very young. Sadly, or maybe not so sadly for the chiklets, party-colored chicks had fallen out of fashion by the time I was a kid in the early 70's. Still, there are square black and white photos of me, at about two-years old, reaching a tentative index finger toward a tiny, oblivious peep, staring up at my comparative hugeness from the news-paper covered kitchen floor. Peeps were delicate, and I was always told to pet them with "one finger" to avoid an untimely peep death caused by my juvenile exuberance.
The peeps magically disappeared when they started to grow pin feathers and get ugly. I have no memory of this, but I am assured that they lived long happy lives on Wagner's farm. Wagner was our milkman and came every week to the house to deliver our glass bottled milk. I'm pretty sure that PETA would challenge the "long happy lives" part of that equation, but for the sake of maintaining my relatively happy childhood, I intend to continue believing just that.
The punchline to this story came years later as my family and I were driving to Philadelphia. I must have been about six or seven, and could read well for my age. As we travelled down Rt 61, I noticed a sign on a storefront we were passing. Excitedly, I yelled out from the backseat, "Oh look, a peep show! Can we go?"
You could have heard a pin drop. I'm surprised that my Grandfather didn't slam on the brakes and kill us all.
Really, it was an innocent mistake on my part. I'd been hearing these stories about "peep shows" and there was a sign for one. Of course it was also a sign for the "local" Adult Shop, but I wouldn't know what that was for another few years. All I knew then was that I'd said something that horrified everyone in the car and that the advertised "peep show" was definitely NOT the type of peep show I thought it was.
No one adequately explained, at the time, what that type of peep show was.
My cunning plan was to bring this all around and talk about the loss of innocence that occurs after an injury or serious illness, but instead I'm going to leave that (mostly) unsaid, and just leave you with the image of me, hands splayed against the backseat window, wishing for all the world to see pink and blue peeps joyously riding miniature Ferris wheels.
Truth be told, and with all apologies to PETA, I'd still like to see that.
Wednesday, March 31, 2010
You Say, "College," I say, "Collage"
Thursday, March 18, 2010
Possibility
Tuesday, February 23, 2010
Life With a TBI
http://www.youtube.com/watch?v=FgtHvBF4t-E
Last week I had interviews for several doctoral programs. One of the interviewers asked about my TBI, and I explained my injury and symptoms. He looked at me curiously, cocked his head to the side and said, "Hmmm, I guess you're one of the 8%." I must have raised and eyebrow or something, and he clarified. "Most people get better in the first six weeks or so."
Oh.
I couldn't decide if he was implying that he didn't believe me or just making an innocent comment.
Then again, in psychology, no comment is an innocent comment.
So I've been doing a bit of research on lingering symptoms, and recovery in general. The link above is to a video that is quite good, showing a range of after effects and a variety of people who are living with this type of injury.
Brain injuries, if they are not profound, really are invisible injuries, but they are most definitely there, even if they are only perceived by those of us who have them.
Monday, February 22, 2010
Sing Out, Louise!
news.bbc.co.uk/2/hi/science/nature/8526699.stm
Friday, January 22, 2010
A Deaf In the Family
These days, my hearing is crap. I can't hear worth a damn in crowded places, or even not so crowded places when there are multiple people talking. Background noise and music does me in, as well as phones and cell phones.
The phone thing is especially difficult as there are certain vocal ranges that are just impossible for me to understand. Women are more difficult on the cell phone as is my uncle, who has a rather deep voice. My friend Georges is impossible.
I hate, HATE, telling people about this. I feel like an idiot when I'm constantly asking people to repeat themselves. On the phone, I blame the phone or the connection. Sometimes, I fake a disconnection and just hang up, and email later.
There are certain people I've told. I try to explain it to friends and family but even they just don't get it. Case in point, last weekend I was filming a short with my husband and some of our friends. One guy talks very softly. I missed about 80% of what he said. I felt like everyone was whispering and trying to cut me out of conversations. Paranoia set in. I was sure that my husband was just ignoring me as I'd ask him questions and he'd walk away. He claims he was answering or did answer. There was so much going on I will never be sure. He has a habit in busy situation of sort of calling out answers as he's moving or talking to other people so he may have been answering me but I thought he was talking to someone else. He tends not to address people directly, as in, "Yes, Lor, we need to move everyone to the other location."
Basically, I'm saying that I'm embarrassed that I'm deaf.
But I'm not really deaf. My ears work, it's my head that doesn't. Ha! So I'm even marginalized there. Does a Central Auditory Processing problem count as deafness? Or hearing impairment? It's a puzzlement.
I often use captions when I watch movies now. The background music and other noises is sometimes too much, or the speakers have accents...whatever. It's just easier to do that then to keep messing with the volume or re-watching segments to catch the dialogue.
Next week I will follow up with my OVR counselor. So far, that little experiment has been perfectly useless. I should qualify for assistance but now that I'm not working I don't know whether or not they'll be interested in helping me. The hearing aid that works best for me is, naturally, the most expensive one. It's about $2500. I nearly fell over when the audiologist told me the price.
Even if I get it, I'm going to be frantic that I'll lose it or break it or something stupid. Really, I'm not the best person with small expensive objects. Things tend to go missing around me. (Ok, I lose them. Or put them somewhere safe - so safe that I don't find them for three years.)
As it stands, I will have to suffer through tomorrow night. There's a showing of the films at the gallery that sponsored the 48 hour film competition. I want to go, obviously. I wrote the script and I think we did a really great job on the project. The Quiet Talker will be there as well, so I've got soft conversation in a noisy group setting to look forward to. Yay! Part of me wishes that Crenshaw would subtly clue people in to what's going on with me so I don't have to announce to everyone that I'm deaf as a post. I'd do it for him. We kind of had a fight about that Sunday night. He was yelling at me because I didn't say anything; I was yelling at him because he should know that if I'm walking away and ignoring what he's saying I probably didn't hear it in the first place.
I shouldn't have to fight about this crap with the people in my family. I shouldn't have to fight about it with my husband. I shouldn't have to fight with OVR.
In the meantime, "Don't make fun of me. I can't hear you."
Thursday, January 21, 2010
Healing 101
Thursday, January 7, 2010
Live, Learn, Learn Some More, Live Better
Monday, January 4, 2010
I Pity the Fool
That last quarter of last year's entries started to sound a bit like the transcript for my own private pity party. I'm hoping to stay away from that in 2010. No one wants to read my ceaseless griping. Heck, I don't even want to hear my ceaseless griping.
Stop griping, right?
I'm working on it.
So how to manage that? How do you keep a positive attitude in the midst of chronic pain and fatigue and overwhelming financial and relationship issues. Maybe it is just a matter of "butching up" and soldiering on.
Why is it that there are so many cliche's about pushing through problems?
Butch up. Man up. Soldier on. Get a grip. Put on your big girl panties. Deal with it. Keep a stiff upper lip. Just do it. Damn the martinis full speed ahead. Suffer in silence.
I'm sure I've missed some good ones. We definitely have a love/hate relationship with facing challenges. We don't want to have to face our own. We want to hear stories about people who overcame theirs, but we definitely don't want to hear any complains or even descriptions of challenges people are currently experiencing.
It's the Hollywood complex. We don't want to hear the struggle if we don't have the guaranteed triumphant ending.
Not everyone gets the triumphant ending. We can't even guarantee a triumphant ending for ourselves, and on some level we hate being reminded of that fact. It's like being reminded of our own mortality. We KNOW death is unavoidable, we just don't want to be reminded of it.
So my attempt here is to illuminate the process, the struggle and discovery of learning to live with a brain injury. Some days will be triumphant, some will not. I can't guarantee a Hollywood ending, but I'll try not to bore you, or myself in this process.
I don't want a pity party, even when I'm in the midst of throwing one for myself. What I really want is understanding. If you can understand how a person's life is impacted by their disability, you can move beyond pity and annoyance and see the little triumphs as well as the failures. The failures are perhaps the most important parts, because it is through failure that we learn.
My failure here has helped me to learn how I want to portray this injury and how I want to measure my successes. Letting you in, via this journal, means allowing you to see the struggle even when it isn't pretty and doesn't show me in a positive light. I hope that even then, something good may come of it.