Ignorance is Bliss

Well I had a bummer of a day yesterday, which, given what I have been through, seems more like it should be the type of day I have regularly and not as rare as bummer days have been coming. Yesterday's bummer began with intense frustration I was having with the left side. Who knew a person could actually develop dislike and anger at their own leg and arm? I have had hundreds of patients dealing with limb pain and never had one tell me they were pissed off at the affected limb but yesterday saw me being the one who was literally upset at my left leg and arm for being so uncooperative and for not doing what I was asking my them to do. They are still misbehaving but the new day has brought me a reality check that my left leg and arm are part of me and they are slowly in the process of recovery.
My PT in Cortez had to deal with the temper tantrum that I threw at the left side yesterday and pointed out part of my frustration is actually my mental awareness taking hold and that there was a time when my left side was weaker and less coordinated but I didn't get so mad at it because my awareness was so limited that I didn't seem to care like I do now. "Ignorance is bliss" was how he described my mindset and the bliss was what got me through those tougher days at the hospital. Now I have to accept improvements do NOT happen daily like they used to. Recovery is slower and less rewarding now but fortunately the ignorance is gone and mental awareness is improving. I plan on spending some time sharpening my medical brain by hanging out at the clinic I used to work and earn a living at but now I will just be doing some CMEs (Continuing Medial Education unit) and helping when needed, like front office stuff. I think that just hanging out will lead to my ability to return to my job and I will not do that until I feel that I can do a safe and effective job because I refuse to put anyone's life/health at risk.

How is She Doing?

Reading through past posts, I realize that sometimes we don't do a good job of simply stating how Marilyn is doing. So here it is. We are five months out from her injury and by all accounts - medical and therapuetic - she is doing well. The main challenge in our first five weeks home was the lack of expert neurological monitoring. We had to go a bit on faith that she was improving. So on our return to Craig last week, it was great to hear both her nuero docs and the neuropsychologist reiterate that Marilyn was doing very well and would continue to do very well.

Her left side continues to strengthen and become less clumsy. As the snow melts out here in Dolores, we are hopeful that she can begin to walk around town without having to depend on someone to walk with her. She still has double vision and this remains the main obstacle to complete independence. Without her vision resolved, she cannot drive, steps and uneven ground are harder to negotiate and vision in dim light or darkness is very difficult.

To this end, we are continuing with prism glasses and aggressive therapy to resolve the eye issue. The other end of the equation is suppression - which will happen anyway, so we figure out why not try the new in the event that it works.

From the outside looking in, I see Marilyn becoming sharper every single day. That's the best way I can describe it. We're certainly not at a point where I forget she is injured, (although I really look forward to that day) but it is at least becoming more and more background. And that allows me to hand her more and more of her life back, which will be the subject of my next post....

"...Your Own Reason and Your Own Common Sense."

"Believe Nothing, No Matter Where You Have Read It Or Who Has Said It, Not Even If I Have Said It, Unless It Agrees With..." This is another refrigerator magnet quote, this one from Buddha which, given my new re-found reasons and new re-found common sense, has resulted in some new found beliefs. I got back from yet another trip to Denver for some follow up care. In all honesty, I was not looking forward to it in the slightest because I believed it was a just another big reminder of the fateful bike accident that brought me to Craig Hospital in Denver in the first place. But, like Buddha said, my own common sense was being being tested and the dreadful thoughts were of different outcome. It was actually comforting to see the therapists who cared for me when I was hospitalized. What took me by unpleasant surprise was the overwhelmingly obvious fact that Craig didn't close its doors when I was discharged but the hospital continues admitting new brain injured patients. The very horrifying reality that brain injuries do happen in such massive frequencies and quantities was what hit me hard. Knowing now from my personal experience that their lives will be indescribably changed forever after a TBI was what saddened me and brought me to tears.
My second common sense check was my 37th birthday, my first birthday (but not last) since the accident. I did have a wonderful time with Gareth, and ended the day with the belief that I dodged a deathday to get to celebrate a birthday. I do not consider myself lucky that I didn't die or end up in a wheelchair, that would make death and spinal cord injuries unlucky, and they are truths that we have in the world and if you think you are lucky because you didn't spend today in a wheelchair then you obviously have too much time on your hands. I am lucky that I can use my left arm to drink a beverage and that I am working on walking, and it is the presence of these actions, not the absence of an action, like death, that I am working hard every day to achieve. The bike accident and its results can't be changed, but my actions to improve myself can make the future brighter for me and Gareth so I will continue daily to push for that belief.

Life at Home

It is hard to believe that we are into our fourth week back in Dolores. The first week was challenging, with the glaring reality that life was going to be much different from how it was when we walked out the door last fall. Desire loomed large with sharp memories of our previous lives all around us. Since returning, we've both expressed the desire to go to sleep and then wake up in the morning with the day ahead only offering the challenge of our respective jobs as opposed to the overbearing focus on recovery. But, slowly we’ve adjusted with many thanks for so much help from our friends. And since our expectations of life upon return were low – scratch that – non-existent, each day often brings an unexpected treat. Soaking in a hot spring, walking around town amongst sky high piles of snow and ice, braving a visit to the pub, Marilyn dragged out of the rec center after four hours of workout, and even a handful of ski days for me are a few. Time and therapy are our allies and enemies now, patience our peacemaker. Faith brightens and brings the horizon closer.

"If you`re going through hell, keep going"

I hope everyone knows we made it home (to Dolores) about 2 weeks ago. I want everyone (including Gareth) to know that Gareth has been my inspiration to continue to put forth the efforts that are clearly required for me to resume my life as it once was and will be again someday, so I thank, love, and admire you Gareth. I continue to pray (to Buddha) our future will be an improvement over the present, which is a hell and a challenge on many fronts. We will keep going through this hell until we have made it through, Gareth, just you keep believing, because I see that we will be a stronger, more resilient couple when we have survived this....(blog title and reference is a Winston Churchill quote on a greeting card that I came across while going through the myriad of my belongings when I got home; it is now posted on our refrigerator and seems to fit the situation). My thanks to the Osprey Corp for my "Gareth time" -we both have learned his value, which Osprey has finally reclaimed now that we have made it home! Hoping my patients will get to claim me back soon too!

The single most challenging aspect of being home is that the last time I was here, I had nothing physically wrong with me. The reminders of my life as it was prior to the bike accident are just everywhere. The snow, however, is not a reminder and does not bring back any memories of life in Dolores (this is more snow than I have ever seen here, yeah skiers!) I am also struggling with my inability to do things in a timely fashion (but I am getting a bit quicker, though still a bit sloppy, not a new feature but one that has been magnified by the injury and is definitely a challenge for Gareth to keep up with!) The list of my little physical deficits could go on but I will spare everyone and not list them here.

However, being home has its positive sides: my own bed and belongings; the doggies; the wonderful friends who have given up their free time to drive me to Cortez to get to therapy; my physical, occupational, and speech therapists; no more "hospital" dinners and frequent "whenever needed" espressos! The sheer amount of occupational therapies we all do daily is amazing and forcing me to keep getting better at doing the littlest things. Keep praying that my left side and my vision strengthen and I will see you all as soon as I can (let's hope I only see one of you and not two, which is the double vision rearing its ugly head)...marilyn

To Begin Again

The title of a nice tune by an old friend. There is another old tune he covered called "A House is Not a Home". Such was the feeling on my two initial trips back to Dolores. The first, a week before Christmas, gave me the chance to reground myself at work. Each night I would come home to a house, so well taken care of by friends in our absence but still woefully vacant with remnants of our vacation departure scattered about. Marilyn's silent belongings, untouched and unmoved by her in so long pondered the fine line between a box in the attic and the hand of their owner.

The second trip followed Marilyn's discharge from inpatient and transition to outpatient at Craig. My parent's home allowed her a "soft launch" into the real world as she refined her healing with yet another team of superb therapists. This time the dogs came back and we roamed the house as a trio, unsettled and incomplete.

At last we are all here and the house is becoming a home again. Marilyn has "settled in" with a vengeance. On her first day home she tore apart bookshelves, delved deeply into her "very-hard-to-walk-in" closet, took a shower, made lunch, played with the dogs, threw on her Sorels and walked to the end of the block and finally went to bed at 11pm. All this from someone who by all TBI professional accounts should have been overwhelmed and exhausted by the return home.

There are many times that the weight of all that has happened and all that lies ahead threatens to crush me. More often than not that is when Marilyn rescues me. She tells me she is eager to see everyone again, she will dance again, she will see single vision again, her mind and wit will be sharp as a diamond again, she will return to her patients again, she will hike for miles again and stand atop a high peak smiling (after insisting that she could never make it) - again. I don't mind waiting.

Homeward Bound!

We will be in Dolores in just over 24 hours. Everyone who has worked with me at Craig Hospital has been telling me to be careful because being immersed in the home environment can be exhausting, but I am happy to go back home.

My P.T. gave me the go ahead to do some walking around town, so let's take walks to work on my walking endurance (no doggies yet cause they could pull or trip me). I will need a walking partner and I will be needing car rides to Cortez for my PT, OT and ST so that would be great! Trust me in saying that the last thing I want is to get in another accident so let's be careful! I am off to Dolores tomorrow morning so hopefully I will get to see the locals soon and I can't wait to see Gareth here in Denver tonight and the doggies tomorrow!

A note about my energy level. It abandons me right now with little notice so if I take a nap in the middle of you telling me something that is not your speech content it is my injury.

Bye!

OUTPATIENT POSITIVITY

I am writing after my first week as an outpatient. I will start off saying that there are improvements but it will be a long tough battle for me: re-learning to hold a cup (with my left hand); not dribbling when I drink; brushing my teeth or hair (with my left hand because I am left handed). Imagine if you lost all muscle use of a leg and someone tells you to stand. That is when you realize how much muscle you do use when you stand and it is gone and has to be re-worked so you can stand correctly! So every day these little occupational therapies happen spontaneously now (with no occupational therapist) and I must count the little things I improved and learned as success. You all do these things hundreds of times and do not give them a second thought (don't start thinking your tiny activities are such big successes now unless you are me ok?) Anyway, I am not in the hospital and I am getting better slowly. (Positive thought as encouraged by my shrink and easy to do because it is true!)

Craig Hospital discharge

Hello everyone!

I am staying with Gareth's parents in Golden, Colo since being discharged which is really cool of them since he will be home in Dolores during the week. I guess the info I got from my attending this week regarding how discharge can make the patients very tired held true for me as I was exhausted and tired (They refer to this change as a "reintegration into society" -uh oh, you all have been warned of my "reintegration").

As for the discharge: my therapists are all as dedicated as I could want and my eyes are being treated for the double vision with rotation (pray for that) and my lack of ability to produce the neurochemical Serotonin is being treated with low dose antidepressant which has ceased my inappropriate laughing (emotional lability) but can not put a stop to the appropriate laughing.

My medical knowledge of Traumatic Brain Injury (TBI) has taken a leap since I have been considered a "severe" TBI -patient and now I am hoping that this experience will influence my future in medicine somewhat - look out patients because I am being influenced by this experience. See you soon Doloreans but keep in mind how tired I may be!

Brain Therapy

Looks like I will be discharged from inpatient tomorrow but will stay here for rehab for the next 2 1/2 weeks for the quality of rehab here at Craig. I am so happy though not to have to spend my days as an inpatient but I still have a great deal of recovering to do on the outside. I am looking forward to getting back to Dolores and recovering at my own pace.
Melissa, a college friend, just visited during the exams my therapists administered to evaluate my progress and to make recommendations for my future therapists, and thank God she was here to verify the difficulty of the speech therapy I am taking to keep my brain sharp. I am thankful to have that quality of brain sharpening and hope it can keep the brain continuing to rehabilitate as the left side of my body is.
Looks like I will comtinue the neuro-psych counseling at home too as the psych stuff grabs me and the frustration is difficult for me to figure out but essential to my getting through this difficult situation and an important part of my recovery. Thank God Melissa and Gareth confirm that my personality is still fully present since I feel the smartass in me is still fully present and as charming as ever!!