Adult Life after a Traumatic Brain Injury (TBI)

Posted by Dawn Pereda @dawnpereda, Sep 27, 2017

Hi, My name is Dawn and I am an RN. Just over two years ago I received a work related injury. This injury has left me with a traumatic brain injury (TBI). Even though two years have passed, I still suffer with lingering tbi symptoms. I have some issues with memory. Some things I remember with no problems, other things I just don't remember and I can't explain why... I also suffer with issues related to mood dis-regulation. I can be angry at times and not understand why or end up having explosive outbursts. This has greatly impacted my life. I still work but no longer with patients. Also, this has been a huge turn around for my family. I'm no longer the mom who has everything under control. I used to work full time, manage my kids' schedules, pay household bills, and keep my house clean. Now I struggle to remember to brush my hair before leaving for work. My husband pays the bills and my kids write their schedules on a large calendar (that hangs in our dining room) so I can visually be reminded where they are and what they are doing. I am a "new" me and I never would have imagined this journey for myself.

I know there are things out there for youth that suffer from concussion/tbi, but I don't always find a lot of discussion/support for adults, like myself. I get up every day and work to live my life to its fullest. If you would like to know more about my life and journey, you can listen to a podcast that I did with my family. Its called "Terrible, Thanks For Asking". We're season 1, episode 5. Its brutally honest. If any of this rings true to your life please join this discussion with me. Thanks for your time!

Interested in more discussions like this? Go to the Traumatic Brain Injury (TBI) Support Group.

@kdubois

Hi @dawnpereda, I have a brain injury also, and it's taken me years to come to terms with what happened to me and how to negotiate life when I'm not "me" anymore. Even worse is that I learned that I never even needed the brain surgery that caused the injury (basically, my home medical center misdiagnosed me and led me to having the surgery -- which I never, ever needed). Thankfully, the doctors at Mayo that tested me to figure out exactly what brain issues I have also took ample time afterward to ensure that I was okay and helped me figure out my path forward.

My symptoms: incredibly irritable for no reason, horrible memory, horrible attention issues, very easily overwhelmed, unable to prioritize (down to the level of not being able to organize my thoughts), inability to find the correct words to say (always on the tip of my tongue), transposing numbers in writing and in speech, inability to decode information (for example, while watching Jeopardy, I know that I know the answer and that the information is in my brain, and I know if a contestant answering is correct or incorrect, but I cannot retrieve and say the answer)... a definite change in who I was prior to April 20, 2009 (<-- the date of my surgery).

My injury is primarily in my right frontal lobe, so Mayo figured out that my executive functioning is impaired, which explains all of my issues. (Interestingly, it's not that my memory is bad, but my attention is compromised so much that things never get into my memory.)

I know that I will never be the same, but it can get better. Here's what I've done...

I see a psychologist who deals with medical stuff regularly. We talk about what happened, and I am slowly learning to forgive my doctors and learn to adjust to my new brain.

I also work with a neuropsychologist on something called Cognitive Behavioral Therapy (CBT). He is teaching me how to use other parts of my brain to take over the functions lost by the injured part of my brain.

For example, as of last June, I was unable to remember a simple, three-item grocery list five minutes after I had tried to remember it. Then I'd write the items on a sticky note and attach it to my wallet, and I'd even forget that I had the list with me at the store. But now, by using strategies my doctor taught me, I can remember 80% of a grocery list 30 days later.

He's also taught me simple tricks to help focus oxygen to my frontal lobes to help my thinking, refocus negative thoughts elsewhere, control and slow down emotions, etc. I no longer bite my family's heads off for no reason. I don't get as easily stressed out. I can now actually learn new things again. I kid you not... this stuff works!

I suggest finding a neuropsychologist who works with patients on CBT. It has helped me significantly, and honestly, I wish that they'd teach people those tricks starting in late childhood. I feel that the things I'm learning would benefit most people and help us all be able to manage our lives as a whole.

There is hope!

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Hi. I just recently contacted mayo. I had to have part of my temporal lobe removed 11 years ago. I've been having worsing cognitive function since then and no one can figure out why it'd getting worse. Any advice about my appointment with mayo?

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@baurigema

Hi. I just recently contacted mayo. I had to have part of my temporal lobe removed 11 years ago. I've been having worsing cognitive function since then and no one can figure out why it'd getting worse. Any advice about my appointment with mayo?

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Left temporal lobe? It would be good to have a list for the mayo doctors on what cognitive functions are declining and how. Such as finding words or other left temporal lobe hits. How is your short compared to long-term memory recall, and any other changes that may or may not be related (balance, emotions, ...anything different). Any changes in your EEG or MRI compared to the past? Would cognitive therapy be useful for you? My moderate TBI was 33 years ago and it nailed by left temporal and basal frontal lobes; I haven't noticed any declines yet other than age associated (I'm 70), and some minor neuropathy.

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@kayabbott

Left temporal lobe? It would be good to have a list for the mayo doctors on what cognitive functions are declining and how. Such as finding words or other left temporal lobe hits. How is your short compared to long-term memory recall, and any other changes that may or may not be related (balance, emotions, ...anything different). Any changes in your EEG or MRI compared to the past? Would cognitive therapy be useful for you? My moderate TBI was 33 years ago and it nailed by left temporal and basal frontal lobes; I haven't noticed any declines yet other than age associated (I'm 70), and some minor neuropathy.

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Right temporal lobe. Both my short term and long term memory are gone. My long term is a little better though. I have problems with memory, speaking, cfs, balance basically everything cognitive and nerve related but there's no change is any test, blood work, anything. The problem is is that new symptoms keep arising and getting worse. I'm losing hope that anyone can help.

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@baurigema

Right temporal lobe. Both my short term and long term memory are gone. My long term is a little better though. I have problems with memory, speaking, cfs, balance basically everything cognitive and nerve related but there's no change is any test, blood work, anything. The problem is is that new symptoms keep arising and getting worse. I'm losing hope that anyone can help.

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Hopefully Mayo can do more detailed investigation in case there is something other doctors missed (a common occurrence based on my experience) in your brain, hormone, autoimmune, or other tests.

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I had a TBI and 8 hour brain surgery. Now I have memory problems, vision impaired and epilepsy. I can't see anything well enough to do anything fast. I have no depth perception. I carry my address and phone # in my purse because I can't remember it all. My family is all dead from cancer and my friends all moved out of this expensive shit-hole. When I applied for disability they denied me!! This is in Vancouver, Canada. I wrote them a scathing letter back explaining why I can't work. I had a good job. I wouldn't quit so I could lie around and do nothing! I am 57 years old today. They Federal government gives me $1200/month which pays my rent and the Provincial government gives me $300/month to buy food, cleaning products, pay bills and take the bus. It doesn't add up. I was homeless before but now I share an apt with a room-mate I hate. I live off my credit card until I can't make that bill payment. I just want to say to the Feds, Pierre Trudeau and the BC provincial government FK U! I hope you get old, lie around in dirty diapers and have bed sores. If you can't pay the enormous taxes that we pay here, the government literally wants you dead.

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I feel this. I concentrate on what I can do, not what I can't.
I'm having success with Brahmari Breathing 10 minuteS per day. I do it first thing in the AM in bed. See Life Spa com and John Douillard in Boulder, CO

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Wow, oh, wow! Dear(s) @dawnpereda & @beauregard & @kayabbott & @crawford & @gwen72 &Otherd,

All of us are probably different of brain problems of us are TBI people. Memory is a big problem - the past and . I lost the past memory from my family like in Christmas also lost when I was a manager plus at my city; how about playing music again or driving again; how about names in my mind and on.

How about physical problem like swimming again, but I did not control parts of my body like the right-side of my leg.

Well, thx folks,
Greg D.

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Fortunately, I had only a MILD TBI, followed by symptoms of dysfunctional nervous system....now 9 years since the initial injury to my spine during a traumatic hip replacement surgery. Is this the appropriate support group?

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@cd8

Fortunately, I had only a MILD TBI, followed by symptoms of dysfunctional nervous system....now 9 years since the initial injury to my spine during a traumatic hip replacement surgery. Is this the appropriate support group?

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Hi, @cd8 - hi, and welcome to Mayo Clinic Connect. This is indeed the correct group, the Traumatic Brain Injury support group in a discussion called "Adult Life after a Traumatic Brain Injury (TBI)."

You mentioned an initial injury to your spine during a traumatic hip replacement surgery and then symptoms of a dysfunctional nervous system. Will you tell a bit more about what types of symptoms these were?

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In the hip replacement surgery recovery room (August 27, 2015), when I woke up,(groggy from the anesthesia) I was covered in sweat. My first night out of the hospital (in the "re-hab center), I woke up in TERROR at 3am, with severe PRESSURE in my head, dizziness, slight frontal headache, ringing in right ear [my nervous system was reacting to vibrations of the wall in my room from an oxygen concentrator up against the wall in the adjacent room=first symptoms of CENTRAL SENSITIZATION SYNDROME--hypersensitivity to most all sensory stimuli: sound, light, smell, temperature, motion/ vibration, touch/pain etc. As days progressed, I had neck pain/upper left jaw pain, difficulty concentrating. unable to focus on a task, (BRAINFOG) excessive sweating episodes, waking up in the middle of the night with "linked" severe pain in HEAD and "new hip", (not knowing what was triggering what). I had vision problems/blurred vision, had several falls, difficulty swallowing/choking, difficulty with abstract thinking (unable to continue with my garment design & implementation endeavors), unable to get restorative sleep, PTSD episodes---- most all this continues 9 years post-op!! With the post-op rehab process, I was so hypersensitive, physical therapy was NOT effective/too much hip pain. [Surgery team discounted my symptoms/refused MRI/refused to schedule my 12 month appt at 12 months post-op, & abruptly departed in February 2017/denying my symptoms] 2nd opinion orthopedic MD diagnosed "severely eroded gluteal tendon at the attachment point in March 2017 (but too much pain to proceed with PRP). 2nd opinion hip surgeon commented " trauma to the SPINE". TBI neurotherapist Phd [author of book: Understanding Mild traumatic brain injury] diagnosed MILD TRAUMATIC BRAIN INJURY April 2018, but retired shortly thereafter & not replaced. Neurologist diagnosed post-traumatic cervicogenic headache, basilar migraine in Feb 2018. Chronic centralized pain diagnosed Nov 2019. Behavioral optometrist diagnosed "Post-trauma vision syndrome" in Nov 2021. ENT MD diagnosed hyperacusis in April 2022 . [new PCP in Nov 2018, verified (in April 2023 "most all symptoms lead to "AUTONOMIC DYSFUNCTION/DYSAUTONOMIA"); 2d opinion neurologist diagnosed "Functional Disease of Central Nervous system", & PPPD (motion hypersensitivity) May 2023.

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