Adult Life after a Traumatic Brain Injury

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.

@earthchild

Hi Sue,
I realize this post was made some time ago, but a BP of 200 is not ok, especially with an aneurysm. First I will think to see if the BP machine is one you can trust, like a new model, batteries ok, etc. Then to see if it has specific directions (like hold arm at heart level) etc. If that’s correct, then some things can cause potential misreads, like shaking or tremors, talking during the measurement, and having an irregular heart rate like atrial fibrillation. Since machines are not perfect. I would suggest a cardiologist consult. There are a few things here that can be ruled out to give you peace of mind, or that may be co-existing with the TBI. Please consider a cardiac workup today, and if your well working meter reads BP 200, I would call 911 as this requires timely expert intervention.

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Hi....luckily after suffering for a year and a half, taking my BP three times a day and keeping a record of each reading, my cardiologist would just have his PA send a message saying "Take another Clonidine". I was up to a mixture of 9 BP pills a day and my BP was still well over 200. Of course I worried mainly about having a stroke, but I was getting nowhere. Up until my accident my BP was in the 130's of which I also kept a record every day, they said I had stage 3 kidney disease so they were trying to get the readings even lower. So I knew exactly when it would top 200 that it was from the TBI. I went one day with my husband to see his cardiologist, funny thing, he is in the same office as my doctor who was just pushing the Clonidine. I mentioned to his nurse my issues and she said the other doctor was a high BP specialist. He took over my care. Put me on 3 pills a day (down from 9) and in less then a week my numbers came right down. I still suffer daily from head pain behind my left ear. I was diagnosed from the TBI with my eyes being out of sync with each other, who knew that was a thing. I also have something called "Abnormal Auditory Perception". I misunderstand when people speak to me. Something called "Convergence Insufficiency" and "Abnormal Optokintic Response." And they had more test to be done. They want $27,000. to treat me. I'm 75....I'll pass on that. My Neurologist confirmed that I do not have memory loss from old age, dementia or Alzheimers. It's all from the TBI. So I just let people think I'm a nutty old lady, I do not look 75....so most people when I speak think I'm just plain nuts!

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@dawnpereda

Lisa,
Thank you for sharing your story! I am often amazed at what a person can go through because of a brain injury. As an adult, I feel that, our symptoms are viewed differently or may not be seen for what they really are. I'm so glad that you stayed strong and got through some very dark times. Love and support from family can be so very helpful. Belief in a higher power also carries me on a daily basis. I spend a good portion of my day "talking" to God. I try to be thankful for what I have and to not spend too much time grieving for what I have lost. Some days that's easier than others. The last sentence of your post is so encouraging!

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Your reply was just as encouraging to me. Thank you. You have given me some idea on how to deal with my brain results since falls and accidents.
Take care and God Bless to all out there reading!

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@brainhiccups0122

Hi @loismay, I experienced a TBI over 3 years ago. I experienced extreme exhaustion, sleeping 20 hrs a day for the first several months. I lost my ability to connect my thoughts in a coherent way, let alone get the actual words from my brain and out of my mouth! In addition, I suffered with severe balance issues, memory loss, extreme sensitivity to light, visual disturbances, double vision, inability to read or retain information, nausea, headaches and more. I found it beyond exceptionally difficult to find care in NM. It was well over a year before I could get a neurology appointment! UNM neuro-opthomology was very helpful, it took 9 months to get an appointment there. InVision in ABQ was excellent!! When I saw Michelle Cohen, I FINALLY found a provider who completely understood my post-concussive symptoms, condition and how to address them. I cried, I was so relieved to find a healthcare provider who didn't dismiss me. She had a fountain of resources to share and I cannot say enough about her and her staff of providers. I lived in Santa Fe and a family member had to drive me to my appointments in ABQ as I couldn't handle driving more than a short distance for well over two years. I also had a fantastic cognitive rehab therapist at St. Vincents in SF. Additionally, I did vestibular therapy with Sarah Cohen in SF.
It has been three and a half years and I'm still not fully back to myself. My healthcare providers helped me understand that 1) I am not crazy, 2) I am not alone in this, 3) My brain is a very fragile egg, it could take 10 years to 'unscramble' it, 4) that I need to be compassionate with myself because the people around me do not fully understand what I am going through. I was too exhausted to explain to my loved ones what was going on, I had difficulty getting my words out, I frequently became confused or emotionally overwhelmed and I felt horrible all of the time.
The good news is that I can speak fluently now, my visual symptoms have subsided remarkably (I still do exercises and wear specialized glasses), I function in social situations, and my life has returned largely to 'normal' - it's just not my pre-normal. There are many small things that are still with me- I'm still sensitive to blinking lights but my light-related issues are fading, my cognition is not as good but it continues to improve, my balance is not what it was but I can take a walk now without bumping into walls or going sideways, I can read for pleasure now!
All I can say to anyone is to hang in there! The brain is incredibly elastic and takes a long time to heal. My life was very dark- for a long time. However, three and a half years later it is continuing to improve. Slooooowly but surely I am getting back to myself and you will too - it may be a new 'normal' but don't discount how much time it may take.
I am so grateful to have found this group. More evidence that I'm not alone in my recovery!

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I too fell in a skiing accident in 2007. All of the attention was paid to my fractured back and none ever to my head even though I had become such a different woman. My husband and children noticed that I was different but attributed it to my pain. I needed to have them see that it was more than that, that I needed help and needed it badly. After having made so many unusual for me mistakes, definite personality changes like responding in ways I never would have if I were normal, inability to follow a recipe, leaving water running and flooding out a room, repeating myself when telling stories, being late for everything, always late, after all of this and finally even a serious suicide attempt the help I need has not come. No one has a place for me to get help. I have suffered the embarrassment of the suicide attempt and being punished by doctors for having done such a bad thing. They didn’t know what was the matter. It’s amazing to me that people don’t automatically recognize TBI’s. It’s a chronic problem but one that no one talk about. I now watch football players getting tackled and I cringe. Why don’t they know that these men are hurting themselves?
Well, over the past month I have fallen twice, planted my face first on the ground both times. My brain hurts, sounds hurt, light hurts, I’m exhausted. I broke by arm and my tooth went through my lip and chin.
No one has checked for a brain injury. I don’t even know how they do that but I know that my brain has been injured two more times and that it still hurts just like my arm.
What can I do?

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@loismay

9 years was my response to another members post and the 6 month was since my forceful fall on hard cement, first point of contact was the middle back of head. I cannot find any place near so. NM wherethey will treat PPCS oe TBI and I pray I will find a place.

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Hi @loismay, I experienced a TBI over 3 years ago. I experienced extreme exhaustion, sleeping 20 hrs a day for the first several months. I lost my ability to connect my thoughts in a coherent way, let alone get the actual words from my brain and out of my mouth! In addition, I suffered with severe balance issues, memory loss, extreme sensitivity to light, visual disturbances, double vision, inability to read or retain information, nausea, headaches and more. I found it beyond exceptionally difficult to find care in NM. It was well over a year before I could get a neurology appointment! UNM neuro-opthomology was very helpful, it took 9 months to get an appointment there. InVision in ABQ was excellent!! When I saw Michelle Cohen, I FINALLY found a provider who completely understood my post-concussive symptoms, condition and how to address them. I cried, I was so relieved to find a healthcare provider who didn't dismiss me. She had a fountain of resources to share and I cannot say enough about her and her staff of providers. I lived in Santa Fe and a family member had to drive me to my appointments in ABQ as I couldn't handle driving more than a short distance for well over two years. I also had a fantastic cognitive rehab therapist at St. Vincents in SF. Additionally, I did vestibular therapy with Sarah Cohen in SF.
It has been three and a half years and I'm still not fully back to myself. My healthcare providers helped me understand that 1) I am not crazy, 2) I am not alone in this, 3) My brain is a very fragile egg, it could take 10 years to 'unscramble' it, 4) that I need to be compassionate with myself because the people around me do not fully understand what I am going through. I was too exhausted to explain to my loved ones what was going on, I had difficulty getting my words out, I frequently became confused or emotionally overwhelmed and I felt horrible all of the time.
The good news is that I can speak fluently now, my visual symptoms have subsided remarkably (I still do exercises and wear specialized glasses), I function in social situations, and my life has returned largely to 'normal' - it's just not my pre-normal. There are many small things that are still with me- I'm still sensitive to blinking lights but my light-related issues are fading, my cognition is not as good but it continues to improve, my balance is not what it was but I can take a walk now without bumping into walls or going sideways, I can read for pleasure now!
All I can say to anyone is to hang in there! The brain is incredibly elastic and takes a long time to heal. My life was very dark- for a long time. However, three and a half years later it is continuing to improve. Slooooowly but surely I am getting back to myself and you will too - it may be a new 'normal' but don't discount how much time it may take.
I am so grateful to have found this group. More evidence that I'm not alone in my recovery!

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@kayabbott

Regarding stripped emotional filters, give yourself time and space to recover. If the world is crowding in on you then find escapes into books, TV, music, exercise, or wherever you feel safe. If someone is confrontational (a low bar with TBIs) then back off rather than engaging. Find people or TBI counselors that you can talk with about what you are going through.

My filters are all in place. The emotional filters took 1.5 years, and corresponded to completing my dissertation and graduating with a PhD. I realized that I was beating up on myself for not doing well enough, and it didn't hit me (so to speak) that I accomplished a lot under difficult conditions. To recover from TBIs takes a lot of mental, physical, and emotional work and one doesn't always see how hard it is until it is in the rearview mirror.
The only lasting damage from my TBI was minor balance (damage to left inner ear), possibly slightly suppressed smell and taste (olfactory bulbs), and some aphasia: finding and remembering words and numbers. Considering that I wrote papers as a research scientist, it isn't bad enough to limit me. The longest recovery was driving and tasting beef, getting back to 100% on driving took about 8 years because I could see the subtle differences between before and after. Driving is surprisingly complicated, juggling a lot of info and stimuli at the same time.

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Hi Kay,
You are a superstar! I hope you don’t think aphasia is ok just because you don’t need to use big words anyway. Felling “Normal” is relative to your normal, no one elses, and you deserve to reach for it on most days! Thank you for sharing your story in years. So many facts do not include “years” of recovery.
I have been recovering, and you’re right that it’s hard to see progress until it’s hindsight. But those moments are great when they happen!

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@sadivari

I take three pills before bed around midnight. It's not uncommon around 5:00 a.m. to have head pain wake me. Or something touches me and I get startled and wake up in a panic. Especially if something touches my face. My BP that time of night and also when I wake up is usually over 200, or in the 190's. Today my high was 213/112 at 11:37 a.m. at 4:32 it dropped to 125/70 (this is more unusual then the higher number) it's combined with either a fever of 100.4 - 100.7 or like all day yesterday just severe chills. Yesterday I was unable to get off the couch I felt awful. First reading was 171/98 @ 9:25 a.m. later in the day it was 214/103 at 9:56 p.m. after taking 9 BP pills...very frustrating as I do have an aneurysm I'm concerned about. I do take a photo of each reading if not the doctors would not believe this is happening. No issues like this before the brain injury. No one will address that. I keep getting excuses. I really am afraid of a stroke.

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Hi Sue,
I realize this post was made some time ago, but a BP of 200 is not ok, especially with an aneurysm. First I will think to see if the BP machine is one you can trust, like a new model, batteries ok, etc. Then to see if it has specific directions (like hold arm at heart level) etc. If that’s correct, then some things can cause potential misreads, like shaking or tremors, talking during the measurement, and having an irregular heart rate like atrial fibrillation. Since machines are not perfect. I would suggest a cardiologist consult. There are a few things here that can be ruled out to give you peace of mind, or that may be co-existing with the TBI. Please consider a cardiac workup today, and if your well working meter reads BP 200, I would call 911 as this requires timely expert intervention.

REPLY
@lisalucier

Hi, @loismay. I see you've joined Mayo Clinic Connect rather recently, so I wanted to welcome you. I am glad to hear this site helps you realize you are not alone.

Pardon me if I misunderstood in any way, but I wanted to clarify whether you have had the TBI for 6 months or 9 years?

Either way, what has helped you keep up hope with TBI?

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9 years was my response to another members post and the 6 month was since my forceful fall on hard cement, first point of contact was the middle back of head. I cannot find any place near so. NM wherethey will treat PPCS oe TBI and I pray I will find a place.

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@loismay

I have only been suffering for 6 months, 9 years of suffering symptoms is beyond belief. Why is there so little awareness of TBI or PCS and its debillatating, life altering changes.

At least finding this site helps me realize I am not alone asking "Where did I go?" "Who am I today?"

We need help with adjusting. Hope has to exist.

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Hi, @loismay. I see you've joined Mayo Clinic Connect rather recently, so I wanted to welcome you. I am glad to hear this site helps you realize you are not alone.

Pardon me if I misunderstood in any way, but I wanted to clarify whether you have had the TBI for 6 months or 9 years?

Either way, what has helped you keep up hope with TBI?

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@csimeroth

Hi Dawn. Thank you for creating this outlet. To you and everyone who has posted, I offer my sympathy for the loss of your former self. Nine years ago, I suffered a high-speed head-on by a driver not looking where he was going. Concussion and multiple spinal injuries. I lost most of my words and after 6 months with a dictionary on my lap, got most of them back. (I start losing them again if I don't do crosswords daily.) I continue to suffer from every single symptom in the "Persistent Post-Concussion Syndrome" listing. I am better than I was the first couple of years after the accident, But so far away from where I used to be. Executive function is so lacking I used to sit by my dresser and cry because I couldn't figure out how to pick an outfit and get dressed. (I learned to wear a "uniform.") Ocular migraines are so bad I bump into people and trip on pets. My best advice is to never stop doing battle for yourself. Advocacy for TBI patients just isn't there, so if you don't have a loved one who is willing to fight with you, hire a psychologist to get to know your case and help you. Strangely, my best help has come from you-tubers, mainly with autism, who share what helps them with their sensory, communication, cognitive and energy issues. (search "autism accommodations" or "autism life hacks") For those of you with severe medical issues ongoing (BP, unbearable headaches, etc) I say shame on your primary care providers for not fighting to help you. Get your medical record copies and write a timeline of symptoms beginning with your injury, and the next time you are in a crisis take it all to the ER and demand help and answers. Keep going until you find improvement. Finally, the therapy you had at the beginning needs to be ongoing -- use it or lose it. Keep doing your physical therapy exercises, practice radical self-care and protect yourself from the stimuli and unhelpful persons that harm you. I will be praying for you all.
(Currently suffering severe burnout and exhaustion from trying to do half of what I used to ...I hold out hope it will improve soon)

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I have only been suffering for 6 months, 9 years of suffering symptoms is beyond belief. Why is there so little awareness of TBI or PCS and its debillatating, life altering changes.

At least finding this site helps me realize I am not alone asking "Where did I go?" "Who am I today?"

We need help with adjusting. Hope has to exist.

REPLY

Hi Dawn. Thank you for creating this outlet. To you and everyone who has posted, I offer my sympathy for the loss of your former self. Nine years ago, I suffered a high-speed head-on by a driver not looking where he was going. Concussion and multiple spinal injuries. I lost most of my words and after 6 months with a dictionary on my lap, got most of them back. (I start losing them again if I don't do crosswords daily.) I continue to suffer from every single symptom in the "Persistent Post-Concussion Syndrome" listing. I am better than I was the first couple of years after the accident, But so far away from where I used to be. Executive function is so lacking I used to sit by my dresser and cry because I couldn't figure out how to pick an outfit and get dressed. (I learned to wear a "uniform.") Ocular migraines are so bad I bump into people and trip on pets. My best advice is to never stop doing battle for yourself. Advocacy for TBI patients just isn't there, so if you don't have a loved one who is willing to fight with you, hire a psychologist to get to know your case and help you. Strangely, my best help has come from you-tubers, mainly with autism, who share what helps them with their sensory, communication, cognitive and energy issues. (search "autism accommodations" or "autism life hacks") For those of you with severe medical issues ongoing (BP, unbearable headaches, etc) I say shame on your primary care providers for not fighting to help you. Get your medical record copies and write a timeline of symptoms beginning with your injury, and the next time you are in a crisis take it all to the ER and demand help and answers. Keep going until you find improvement. Finally, the therapy you had at the beginning needs to be ongoing -- use it or lose it. Keep doing your physical therapy exercises, practice radical self-care and protect yourself from the stimuli and unhelpful persons that harm you. I will be praying for you all.
(Currently suffering severe burnout and exhaustion from trying to do half of what I used to ...I hold out hope it will improve soon)

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