Tag: TBI

Episode 17

Posted on by Michele

“Is this a normal size bed” I whispered timidly.

“Yes.” My husband just stared at me…not sure what to expect next. “Why?”

“It feels like I’m too big for it. Like it belongs in a dollhouse.”

“No. I promise, everything is perfectly normal sized”.

I had only woken from my coma a few days prior and things were still a bit foggy. We really didn’t give that a second thought considering everything else.

There was never a shortage of things to worry about and focus on with my recovery. Sometimes the issues were mundane like headaches, which you’d expect after brain trauma. Other times, the problems were bizarre and complicated and as impossible to describe as they were to believe. I routinely saw snakes. Not actual snakes, but snakes made out of triangular prisms. I always explained it to doctors the same way each time: one triangle is right side up, the next is upside down, then right side up, and so on until it forms a chain…or a snake. They are semi-translucent and shimmery like prisms casting rainbows. They slither through my field of vision. Only appearing in my left eye. Always just my left eye. It starts with one, then two, then there are so many that I cannot see out of my left eye. It can last anywhere from 30 minutes to two hours or it can stop just as quickly as it started. None of the doctors could figure out what was causing the snakes…except to say it wasn’t my eyes. My eyes were perfect. Well finally! SOMETHING on me got a clean bill of health! The overwhelming assumption was that the episodes were ocular migraines and there was really no cure. So I learned to live with them.

As my recovery progressed, new problems popped up almost weekly it seemed. I went to speech therapy to help my memory. I went to Occupational Therapy to help focus my vision issues. I went to Vestibular Therapy to help with my balance and dizziness. I saw Neuro Opthamologists for the ongoing vision problems that no one could explain. I was having trouble focusing despite having perfect vision. I couldn’t get my eyes to communicate what they were seeing to my brain. The snakes were making appearances three times per week or more and I was really beginning to hate them. It got to the point that my husband could just look at me and see the expression on my face and say “snakes?” And I would just nod my head.

As a survivor, I feel like I am constantly going to the doctor or finding things that are wrong. It’s overwhelming and disheartening. I was keeping things to myself either because I didn’t think they were important or I felt like I was being a hypochondriac. I had this vision that the doctors see my name and think “oh gosh, her again…what NOW?!” So I just tuck things away and hope they’ll go away on their own or, at the very least, not kill me.

I had been struggling with weird feelings of the room or the furniture being too small for me again or everything pushing away in a tunnel. And so many times, I had to stop when I was walking because the floor was moving. It felt as though I was always on a people mover or an escalator and I couldn’t get my footing. It was the strangest feeling to walk into a room and all of a sudden, it felt like the ceiling was coming down on my head. I had mentioned this a few times to my husband, but never to the doctors because it just seemed weird and I’ve been laughed at for the snakes before, I could only imagine what this would cause.

As I learned to live with all of these new problems and navigate my daily headaches, I had the spell at Chik-fil-A that I recounted in Episode 14. That issue actually brought me some closure that I wasn’t expecting. On that particular day, the ER told me my potassium was dangerously low and they seemed to think that was the end of it. I followed up with my neurologist the following week though and they initially wanted me to see a cardiologist, but as we talked through the symptoms I had and what exactly happened, they decided that it would be ideal for me to see an epilepsy specialist for a 7 day EEG. I was full of emotion…perplexed, scared, defiant…I didn’t have epilepsy! That’s not what this was. Seriously…hadn’t I been through enough?

I succumbed to another doctor and more tests. After all, I’m the one that wanted answers.

I went for my tests and as the days passed, they weren’t able to find anything definitive. They kept me sleep deprived to trigger a seizure, which wasn’t hard since I don’t sleep anyway. They’d see blips on the screen where I’d get close to one, but it would never fully form into the wave. And then the doctor came in to talk about what he had seen and the experiences he heard from me. Based on all of my symptoms, he believed that I did, in fact, have epilepsy. Seizures can start any time after brain trauma…from months to years afterwards so this wasn’t unusual. He also thought that I had something called Alice In Wonderland Syndrome. I actually started laughing at him because I thought he was kidding. Then I thought he was making fun of me. Turns out it’s actually a disease and I had it.

I left the hospital that day with new diagnoses and more medicine to add to my massive pill caddy. I was struggling somewhere between relief that I wasn’t crazy and anger that there was yet another thing wrong with me.

It’s been 10 months now and I’m doing much better. I’ve had some seizures…mostly when I get extremely tired or worn out. The seizure medicine has stopped the Alice In Wonderland episodes for the most part…occasionally I have episodes where I am too big for a room and that seems to also happen when I am exhausted. And a very interesting success was that the snakes have entirely disappeared. It turns out, they were seizures as well. When I noticed they had stopped, I mentioned them to my epilepsy doctor. I had never considered mentioning it to that team before because I never considered that they were seizures. So finally, after 3 years, I have said goodbye to the prismatic snakes that haunted me several times per week. I’m learning to take things in stride and I have found an even deeper love for Wonderland.

Maybe Alice had it right…

“You’re entirely bonkers. But I’ll tell you a secret. All the best people are.”

 

 

 

Episode 16

Posted on by Michele

It’s been a long time since I’ve paced in the shadows of the moonlight. I’ve been having flashbacks and panic attacks for hours now. It all seems so sudden. I was perfectly fine earlier. The only thing that helps when I get like this is to pace and randomly sit wherever I am for brief moments. Then pace again. Over and over the cycle goes until I can breathe again. Until I can feel the fear slip away and feel more of myself returning into my body. Until I can stop seeing myself dying on a bathroom floor.

I watched fireworks this year on Saturday night for the first time since my rupture. This was the first year that the sound of the booms and the flashing lights haven’t curled me up into a ball counting the minutes until the explosions stopped. Seeing the shadows of the flares through my closed eyes reminds me of bright hospital lights overhead as I was being wheeled from the ambulance after my rupture, when my reality transformed my vision.

I have the perfect view of my town’s firework show right from my house. I can sit in the comfort of my house and watch every brightly colored sequence. It’s a sight to behold. So this year, we gathered some snacks and took our seats and watched the show and it was beautiful. There were a few times that I had to close my eyes and do some deep breathing exercises, but overall, I handled it. Unless the panic was delayed, I did great. The next morning, I woke up in a “mood”. Not bad, but not good either. I knew something was off. I just wasn’t feeling good on the Fourth, but couldn’t put my finger on what was wrong. As night fell, my neighbors started setting off small fireworks and I could feel myself getting twitchy. I was watching TV and I was becoming agitated and irritable. I finally just put earplugs in and went to bed. Almost immediately, I started having flashbacks of me laying on the bathroom floor.

My flashbacks devolved into these “what-if” scenarios that my brain started making up. What if I had been at work that Saturday? What if it had happened there? How long would it have taken someone to find me in that bathroom? Would I have died? Would they have known that it was my head without me having had the luxury of screaming “my head” to someone standing next to me? Since the local hospitals missed my brain bleed for nearly 5 weeks, how long would it take for them to figure it out when I came in unconscious?

Insert panicked breathing. 

I began pacing to clear my head. As if the soft fall of my footsteps will chase away the demons that fill my head with images of terror and despair. Ultimately, it’s because I don’t know what else to do. I can’t outrun these visions. I stop and I am always lying on that bathroom floor waiting to be saved. I stop and my brain has concocted another scenario that hasn’t happened, and likely never will, but that I add to the growing list of things that I’m now terrified of. In reality of course, my sister was there to catch me…literally and figuratively; but in these scenarios, I’m always alone. Never sure if someone will find me before I die.

I decided tonight to let the pain be heard. I stopped pacing long enough to write and while I poured over the words, the tears poured out right along with them and I was reminded that it is okay to feel all the things.

I just ask you all to remember that when someone tells you the fireworks are a trigger for their PTSD, don’t scoff because they weren’t in combat. Or a victim of gun violence. There are so many other types of trauma that can be activated by the sound of explosions and the flashing of lights. And not every aneurysm survivor has the same recovery story. Be patient. Be kind.

If you are a survivor…be gentle with yourself. Recovery isn’t easy. Some days are brutal and they sneak up on you. Give yourself some grace. You’ve been through hell.

 

Episode 14

Posted on by Michele

I have been absent lately. I haven’t published for awhile and several folks have reached out to me wondering where I have been. Honestly, the last few months have been rough for several reasons, but one thing I have learned is that sometimes you just need to step away and take care of yourself. For the first time, I listened to my body…and my soul…and I took some time for me. Sometimes life hits you hard and amidst it all you need to listen to the voice in your head that’s telling you to slow down. But I’m getting myself back into the mode of fighting for survivors and sharing my story.

It was February 21, 2020. I’ll never forget that date. My mom was lying in a hospital bed at home and we knew she didn’t have long. I was headed up to be by her side. We had already said our goodbyes privately by phone earlier in the week and she left me a voicemail so that I would always have her voice to listen to on tough days. I woke up that morning and steeled myself for the long days ahead. I knew this was going to be draining…physically and emotionally, but I needed to be there for my dad, my siblings, and her.

We left the house and stopped at Chik-fil-A to grab some breakfast before driving the three hours “home.” We had already been through this journey with my mother-in-law years before my aneurysm, but that was unexpected. My mom had fought lung cancer valiantly for two years and took a quick turn just in the last month. When we got to the restaurant, I stood in line and noticed I was feeling…off. My legs felt like concrete and rubber at the same time. My husband had to prod me forward to the counter to order. As I began to order, the words wouldn’t come out and things were slow and seemed to slur from my mouth. I just looked up at my husband terrified. He looked at me questioningly and ordered for me. The unspoken thought between us was that my brain was overwhelmed with the grief and stress that was coming. Add stress to brain trauma and things get even more challenging.

I recovered quickly and walked to a booth and sat down. Our food was brought over and we ate in relative silence. I sat staring out the window over my husband’s shoulder, watching the steady stream of cars go past. In a blink of an eye, he was a mile away as the wall behind him pushed away and his voice trailed off into a tunnel. Suddenly sound was distorted, I was shaking and nauseous, and I heard a voice come out of my body that was unrecognizable say “honey, honey, there’s something wrong” and in that moment, my head dropped back and I lost consciousness.

I regained consciousness in what felt like hours later, but what was actually mere seconds. My husband was asking if I was okay. My hands were still shaking pretty badly, but everything else was returning to normal. My vision seemed restored. My hearing was back to normal. I was no longer dizzy or nauseous, although I had no desire to finish my breakfast. My husband asked if I could walk and get to the car. I told him I could and I took his arm for stability. He got me loaded into the car and he got into the driver’s seat and he asked “where do you want to go?” I gave him a weird look and said “mom’s”…as if there was any other option. He looked at me as if I had two heads and said “we’re going to a hospital…which one? I’m sorry but you have to go get a brain scan”. I was furious…muttering under my breath like a teenager angry with a parent. I sat there in the passenger seat with my arms folded across my chest muttering under my breath something along the lines of “you and your damn brain scans.”

We arrived at urgent care and they took me back immediately because of my history. They did a brain scan before even getting me into a room. The scan came back normal but blood work showed an extremely low level of potassium. They were concerned about a possible heart attack and transported me by ambulance to a hospital for care. I kept asking if this is what caused the episode in the morning and everyone just kept saying it was concerning. After the entire day, several pills, and 4 bags of potassium infusions, they sent me home with orders to follow up with my family doctor. I ended up on prescription potassium pills because no matter what we did, my potassium just wouldn’t stay in the normal range.

I continued to have strange feelings. It seemed to be monthly that I’d have an episode like the one that day at Chik-fil-A. In between those big events, I’d have other issues like feeling I was floating as I was walking or, even more strangely, suddenly feeling like I didn’t fit inside the space I was occupying. I had mentioned to the doctors early on in my recovery about some of the unusual feelings but I never really pressed it and it was just assumed that this was just part of my recovery. So often, I kept these things to myself because I felt like a hypochondriac. It always seems like there is “one more thing” and I hated feeling like I was crazy…or that they thought I was. However, as time went, all of these things started to bother me more. I began to ask more questions. I began to press for answers.

When I pushed on my neurology team, they thought it might be my heart and wanted me to talk to my family doctor. But as they heard more of my symptoms, they decided the best course of action was to send me to an epilepsy specialist for evaluation and possible EEG. My epilepsy team worked quickly to find an answer. I was scheduled quickly for a five-day video EEG stay in the hospital. It’s funny that the moment it was scheduled, a wave of fear washed over me. Perhaps ignorance really was bliss. Maybe I was better off just staying completely unaware of any problems.

Since my episodes seemed to be monthly, my doctors weren’t really convinced that we would catch anything on the EEG. We would need to be extremely lucky to catch that monthly occurrence, but we were going to try. We were all just hopeful to get some answers so that I could get the treatment needed to improve my life.   

When I arrived at the hospital, they got me settled into my room and began to connect me to what felt like thousands of wires. I was beginning to understand why Frankenstein was so angry. Because I was in the epilepsy unit, I couldn’t get up on my own. I was considered a fall risk because of the seizures so anytime I needed to go to the bathroom I had to call for a nurse. Anytime I wanted to sit in the chair, I had to call for a nurse. I couldn’t even let my husband help me. It had to be the nurse.

Once I was all hooked up and the cameras were active, it was fascinating to see how the EEG reacted to the simplest tasks like me chewing, laughing, smiling, or rolling my eyes. Every task was captured on the monitor.  Each motion was emblazoned on the screen and captured for the doctors to review. It was fascinating and creepy. I felt like a baby who just discovered their toes. I kept making faces and talking and moving so that I could watch the machine react. I’m sure the technicians watching were wondering what was wrong with me. I’m apparently just easily entertained. The newness eventually wore off and I settled in and watched tv and played games on my phone to pass the time. It was going to be a long five days.

That first morning, the doctor came in and told me that they didn’t capture anything but not to give up hope…we were just at the beginning. Somehow that didn’t reassure me. I wasn’t feeling very optimistic. The days were long and boring. I couldn’t move around. I couldn’t have visitors because of COVID-19 so it was just me and my husband. He was able to work.  I was bored out of my mind. The doctors decided to try to encourage seizures through sleep deprivation so they asked me to stay up as late as possible, but at least until 2:00 AM and no napping during the day. So day 2 became an even longer test of my abilities to keep myself entertained.

I managed to stay up until after 3:00 AM before finally falling asleep and, as is always the case in any hospital stay, I was up early because of the constant barrage of interruptions. When the resident came in that morning he told me that although I didn’t have a seizure, I did have a “pre-seizure”. He told me that the doctor would be in later to discuss. I was so excited because I felt like maybe we were finally on the verge of getting answers and that’s all I wanted.

When the doctor arrived with an entourage of students, I mentioned what the resident said that morning and it turns out that isn’t really “a thing” but apparently what he meant was that there were some indications that a seizure was starting but never fully formed. They wanted to try another night of no sleep. They wanted me to go longer if possible…which meant my exhaustion from the night before was only going to get worse. I understood the point of this, but it certainly wasn’t making me happy. I was becoming irritable and annoyed. I didn’t like being a guinea pig anymore. I didn’t care if we got answers. I just wanted sleep and to be left alone. But I signed up for this.

That night I pushed myself to stay up later. As the hours ticked slowly by, my exhaustion hung in the air. I could barely keep my eyes open after the night before and staying awake all day. The neuro fatigue was brutal and I finally collapsed. I have no idea what time I finally gave up, I just knew I couldn’t go anymore. I swear I only slept for minutes before early morning came and my next neuro check.

The medical team began to trickle in and the doctor sat at the foot of my bed. His easy bedside manner put me at ease as we walked through a battery of questions. He wanted to understand my symptoms in the past. He pressed for every detail that we could remember. He explained that they have not been able to catch an actual seizure while I was there. They were able to catch several blips that could  indicate a seizure may be about to form, but never did. But, most importantly, everything I have been telling him and other doctors about my events, indicate frontal lobe seizures and it correlates with the location of my aneurysm. He wanted to try me on seizure medicine to see if my symptoms improved. Basically, it was our best opportunity to prove our suspicions without keeping me in the hospital indefinitely.

He also diagnosed me with Alice In Wonderland Syndrome (AIWS), which I swear he made up and was making fun of me…did he think I had a Cheshire Cat too? As I sat there waiting for the punch line, he explained. Essentially, it is a condition where your visual perception is altered from reality. At first none of this sounded familiar, but as we continued to think more about it, pieces started to fall into place. My husband remembered that while I was recovering in ICU, I asked multiple times if I was in a “normal sized” bed because it seemed like I was too big for it. There were also times when I would walk into a room in our house and feel like the ceiling was coming down on me. Or that I was floating when I was walking. Or that the walls would push a mile away. All of these were things I never mentioned to doctors because they seemed silly…or crazy. I was so afraid that the doctors would look at my never ending list of ailments and think I had to be making this stuff up. So I suffered silently. He said that the seizure medicine should help these episodes too. He warned me to be patient as it often takes time to get the right dosage for seizure management, but we’d get there.

I was near tears. It may have been the exhaustion, but it finally felt like maybe we were getting some answers. On the flip side, that also meant that there were more problems. It was something I continued to struggle with…before my aneurysm, I had no health issues. I took no medications. Since that fateful day, I have typed lists of medications and illnesses because there are now too many to remember. It’s amazing how drastically things can change in an instant.

Episode 11

Posted on by Michele

I never thought much about mental health until my aneurysm ruptured. I knew there was a stigma around talking about it openly, although I didn’t understand that attitude. I had used counselors before when I sought treatment for an eating disorder, but I hadn’t thought about that in more than two decades.  

It didn’t take long into my recovery before I noticed my mental state was different. When I left the hospital two weeks after my aneurysm ruptured, we knew there was a chance that it could rupture again. The shape of the aneurysm prevented the surgeon from putting the platinum coils clear to the tip of the bulge. We were told that I would either need another surgery to put a stent across the neck or we could monitor it every 6 months through a procedure called an angiogram. The surgeon said that if left alone, it could potentially rupture again, but that could be 4 months from now…or 40 years…or never. That information planted a seed of fear, right next to the seed that was planted unknowingly the day my brain exploded.

As I began my recovery at home, I tried to ignore the nagging thoughts about another rupture, but every headache sent me into a panic. I’d never had an anxiety attack before, but it became yet another companion in my new life. I had flashbacks of the day of the rupture. I felt the hot knife that seemed to pierce through the top of my head that day. It felt real and it terrified me. These flashbacks hit unexpectedly and hard. I would cry, I was irritable, and I’d pace the house at night waiting for death to come for me. I fretted incessantly about why I was alive when so many others had died. I struggled to understand my new world.

I remember my first trip out to a restaurant with my husband and needing to use the restroom. I got to the door of the bathroom, but I couldn’t go in. There was a knot in my stomach. I broke out into a cold sweat. A sense of dread overwhelmed me. I went back to the table and told him that I wasn’t feeling well. We quickly left the restaurant and as soon as we got to the car, I burst into tears. My husband was panicked. Did my head hurt? Did we need to go to the hospital? What was wrong? I asked to please just go home. It turns out, my brain now associated public restrooms with the source of my trauma. My aneurysm ruptured while I was standing in a bathroom with my sister as we were getting ready for my niece’s bridal shower. I was now afraid of public bathrooms and it was debilitating.

I was also constantly asking why I survived. What did I do to deserve to still be here? What made me so special? It plagued my thoughts constantly. I’d go to my doctor appointments and I kept hearing variations of “do you know how lucky you are to still be alive?” I’d hear it from the nurses, the front desk team, and even the doctors. It was like a knife to the heart every time. It seemed to cement that belief that I truly shouldn’t be here. That I wasn’t worthy of surviving.

My husband suggested that I talk to someone. I knew he was right because I was a complete mess. I reached out to countless therapists trying to get an appointment. Wait times were as long as 9 months to get an appointment. I finally found a psychologist who didn’t take insurance, but could see me that week. I was willing to pay anything. I needed help and I was desperate. At my first appointment, he suggested I find a therapist who practices a therapy called EMDR to help me with PTSD. He also prescribed a medication to help me with the flashbacks that were consuming my life. We then began to dig in to the survivor’s guilt.

People didn’t understand what I was going through. I was talking to a group of friends and mentioned how I was struggling with the question of “why was I still here?” One of my friends seemed shocked and told me I was being ridiculous because if he had cheated death, as I had, he’d be celebrating. That clear dismissal of my fears was heartbreaking. I felt like I was knocked down all over again. Maybe I was broken even worse than I thought. On top of everything else I had been through, now I thought there was something wrong with me mentally and I began to withdraw because I was afraid of what people would think…even the people who were supposed to love me. I felt so alone and adrift. I was trapped in a mind I no longer understood, dealing with a body that failed me in a way I still couldn’t quite process. I bottled these feelings up. I pretended everything was normal. I told people I was “fine.” I held it together every week until I reached the sanctuary of my therapist’s office when the cracks in the dam opened like giant fissures and the fears, doubts, and tears came spilling out to swallow me into the darkness.

Therapy was the best decision I ever made. We dove into every aspect of my life so that she could understand me. And, ultimately, so I could understand myself. I felt safe for the first time in a long time. She didn’t laugh at my fears or tell me that I was ridiculous for having them. In fact, she told me everything I was going through was to be expected given what I experienced. We jumped into the EMDR therapy and I learned techniques for managing my PTSD. Techniques that I could easily replicate in public without drawing attention to myself. I’ll be honest, it hasn’t worked as effectively as I had hoped, but it did get me past my fear of bathrooms (most of the time). I do notice that when I am struggling with exhaustion or an extreme headache, the PTSD more easily controls me, versus the other way around. But I continue to work on it.

My survivor’s guilt is a bit more challenging. I still hear statements from healthcare providers that make me cringe. Nurses who call me a “miracle” and want to hug me, even though they’ve just met me. As if, somehow, my luck will rub off on them. It is painful. It is excruciating when I meet family members who have lost a loved one and I feel like I should apologize for living when their loved one was taken before they were ready. How can I justify my surviving and even thriving, when they are trapped in the grief that my family escaped? When I hear stories in the news about aneurysms, my heart stops. Recently, Grant Imahara died from a ruptured brain aneurysm. In the days leading to his death, he complained about bad headaches, neck pain, and numbness/weakness. These are all symptoms but he didn’t know. Why didn’t he get to survive? Surely he has more to offer this world than I do.

These thoughts come crashing back so easily. I can quickly drown in the darkness. My saving grace is to remember that I have dedicated myself to helping others through advocacy. I don’t understand the universe or why God saw fit to save me. I don’t know if advocacy is my destiny or if there is something else out there, waiting around the next corner. What I do know is that I do have a purpose. And for now, my purpose is to emerge from the flames carrying water for others who are consumed. The battle with my demons isn’t over. I can tell my story without sobbing, but I still have days when I am overcome with fear, anger, uncertainty, and panic. I am a work in progress. But we, as a society, have more work to do too. We cannot continue to ignore the importance of mental health. We cannot make jokes and mock those who admit they need help. We don’t dismiss people who have cancer or diabetes. We have to learn that people’s feelings are valid and we should encourage each other, support each other, and nurture each other. And we certainly shouldn’t be ashamed to do all those things for ourselves either.