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.

Profile picture for morkat @morkat

I can empathize with you, so sorry about your TBI. I suffered brain damage after being put in medical coma, they were afraid I would lose my airway. I was 62 at the time and worked as Director of Grants for a college. I was in very bad shape afterwards and the brain damage wasn't found until about 2 weeks after discharge. My whole job revolved around reading and writing. When I looked at the PC screen all the words melted down the page; I never went back to work, never even cleaned my office out. I found the Sepsis Alliance great, many survivors have brain damage. Also, The Brain Injury Association is a national organization that takes in both acquired and traumatic brain injury. I don't know what state you are in but put BIA in your browser, it should take you right the info. They are nice people who understand your condition, you are dealing with people who know all the latest treatments and resources that can help you. I did regain the ability to read, but not to my former level. Good luck, if there is a support group in your area I suggest you try it. It did wonders for me.

i never went back

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@morkat Thank you for sharing that info. I struggle with seizures caused from a TBI after being bashed about the head by my partner at the time 20yrs ago that destroyed my life. I was put on meds for Epilepsy that made the seizures worse. They went from 2 a year to around 20 plus a year (22-24). I stopped the meds in 2012 but am always looking for something or somewhere to find new info. Sorry to hear about having to stop everything - no fun at all

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Profile picture for kayabbott @kayabbott

@laura1961 I'm on low dose generic Keppra and don't have side effects or any of the issues I had with older drugs such as phenytoin (dilantin) that are metabolized through the liver. Keppra is metabolized through the kidneys, so best if one has healthy kidneys. There are new treatments that don't involve drugs, and clinical trials that your neurologist should be familiar with. Here are some links, in case any are useful to you: https://www.mayoclinic.org/medical-professionals/neurology-neurosurgery/news/seeking-new-treatment-for-generalized-epilepsy/mac-20592034 https://my.clevelandclinic.org/health/diseases/atonic-seizure https://www.epilepsy.org.au/research/participate-in-research/

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@kayabbott Thank you for that information - I have Drop seizures but have not had time to look into these new meds yet. One was a link to an Epilepsy site here in Australia. Hope you are doing well.

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Thank you for your response. My EEG was canceled. My team has not rescheduled it, so I am not sure what is going on. I have a Thermoregulatory Sweat Test on April 9th. It is crazy, but right now, exercise makes my Blood Pressure and Heart Rate skyrocket. Being a runner, this is hard to live with. I hope my team can help me control my Heart Rate and Blood Pressure so I can exercise again. Happy Easter, and enjoy the biking as the weather gets nicer.

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I can empathize with you, so sorry about your TBI. I suffered brain damage after being put in medical coma, they were afraid I would lose my airway. I was 62 at the time and worked as Director of Grants for a college. I was in very bad shape afterwards and the brain damage wasn't found until about 2 weeks after discharge. My whole job revolved around reading and writing. When I looked at the PC screen all the words melted down the page; I never went back to work, never even cleaned my office out. I found the Sepsis Alliance great, many survivors have brain damage. Also, The Brain Injury Association is a national organization that takes in both acquired and traumatic brain injury. I don't know what state you are in but put BIA in your browser, it should take you right the info. They are nice people who understand your condition, you are dealing with people who know all the latest treatments and resources that can help you. I did regain the ability to read, but not to my former level. Good luck, if there is a support group in your area I suggest you try it. It did wonders for me.

i never went back

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Profile picture for jaberg @jaberg

Wow... I have read through everyone's posts. TBI's are hard. I was diagnosed with a Severe TBI when I was in a motor vehicle accident when I was 16, which left me in a two-week coma. I struggled for many, many years. I was put on seizure meds when I was in college because an EEG showed I had seizure activity in my brain, but I chose to eventually go off them because I was a zombie. I have always had these twitches, but never lost control. I know they are not seizures. After my accident, I got into cross country. Running has saved my life because no matter what I went through, the pain, I would run more/ push through it. For some reason, running releases endorphins and hormones that make me feel good about myself.

I am here again today because a box fell on the back of my head at a leisurely, seasonal job that I took for the socialization aspect. It has been hard because when I, a TBI patient who had a concussion 30 years ago, was treated like a regular person. I had to advocate for myself because I was given the "wait and see" protocol. When I got in to see a General Neurologist, it was still the "wait and see" protocol. The Brain Rehab Physical Therapy I was in wasn't working, so all my sessions were canceled. I am having problems with fluctuations in my blood pressure. My baseline pre-2nd concussion was 100/70, and now resting BP is around 130/80, and when I exercise, it can get up to 150's/130's. Also, my twitches have turned into clearly visible involuntary jerks. I have an EEG scheduled in late April that I fear will show seizure activity in my brain. I do not want to be put on seizure meds when I have never had a problem with seizures. I have many other diagnoses

I understand the struggles TBI patients go through. I haven't experienced problems with seizures, and my heart goes out to all. If anyone can relate to anything I have written, it is nice to know I am not alone. Finding Mayo Connect was good for me, and I look forward to reading any updates. The support has been a good change because I currently dread Mato Appointments. I may need support going to future appointments, so I was thinking about asking my mom to go with me.

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@jaberg If you do need to go on seizure meds, current ones are not zombie drugs, and there are other options as well. If your BP is not stable, then it would also be good to get a cardiology workup as well. Knowledge is important, particular with the changes from your work injury. Hopefully you can keep up with the exercise, I know it helped me (I'm 72 now, and biking cuz of old knees and weights). Meditation has been useful as well, particularly when I can't turn my brain off (figuratively speaking). Let us know how it goes for you.

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Wow... I have read through everyone's posts. TBI's are hard. I was diagnosed with a Severe TBI when I was in a motor vehicle accident when I was 16, which left me in a two-week coma. I struggled for many, many years. I was put on seizure meds when I was in college because an EEG showed I had seizure activity in my brain, but I chose to eventually go off them because I was a zombie. I have always had these twitches, but never lost control. I know they are not seizures. After my accident, I got into cross country. Running has saved my life because no matter what I went through, the pain, I would run more/ push through it. For some reason, running releases endorphins and hormones that make me feel good about myself.

I am here again today because a box fell on the back of my head at a leisurely, seasonal job that I took for the socialization aspect. It has been hard because when I, a TBI patient who had a concussion 30 years ago, was treated like a regular person. I had to advocate for myself because I was given the "wait and see" protocol. When I got in to see a General Neurologist, it was still the "wait and see" protocol. The Brain Rehab Physical Therapy I was in wasn't working, so all my sessions were canceled. I am having problems with fluctuations in my blood pressure. My baseline pre-2nd concussion was 100/70, and now resting BP is around 130/80, and when I exercise, it can get up to 150's/130's. Also, my twitches have turned into clearly visible involuntary jerks. I have an EEG scheduled in late April that I fear will show seizure activity in my brain. I do not want to be put on seizure meds when I have never had a problem with seizures. I have many other diagnoses

I understand the struggles TBI patients go through. I haven't experienced problems with seizures, and my heart goes out to all. If anyone can relate to anything I have written, it is nice to know I am not alone. Finding Mayo Connect was good for me, and I look forward to reading any updates. The support has been a good change because I currently dread Mato Appointments. I may need support going to future appointments, so I was thinking about asking my mom to go with me.

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Profile picture for laura @laura1961

@kayabbott How did you rewire your brain? I have struggled with seizures for 20 years now after a TBI. My seizures have become Drop seizures the last few years & I would love to be able to rewire my brain. Not very nice what the people at your work said. I read something on this Mayo clinic site today that spoke about Cognitive Behavioral Therapy CBT that I will look into in Australia.

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@laura1961 - For context, I do not have a traumatic brain injury. I did, however, have cognitive behavioral therapy (CBT) years ago. I didn't purposefully go to a counselor who used that method, but the counselor my doctor sent me to happened to use that method often.

CBT was really helpful in getting me to identify my own recurring negative thought patterns. I would not have even realized I had these.

I ultimately ended up thinking, "No wonder I feel terrible! I'm telling myself such awful things about myself all day long!"

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Profile picture for laura @laura1961

@kayabbott I have not had any meds since about 2012, as they were making my seizures worse or not helping at all. I have looked into a few new drugs, Epidiolex & the new version of Keppra I think it is Brivaracetam. I need to do some more research as I did not like the s/e from all the drugs I tried.

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@laura1961 I'm on low dose generic Keppra and don't have side effects or any of the issues I had with older drugs such as phenytoin (dilantin) that are metabolized through the liver. Keppra is metabolized through the kidneys, so best if one has healthy kidneys. There are new treatments that don't involve drugs, and clinical trials that your neurologist should be familiar with. Here are some links, in case any are useful to you: https://www.mayoclinic.org/medical-professionals/neurology-neurosurgery/news/seeking-new-treatment-for-generalized-epilepsy/mac-20592034 https://my.clevelandclinic.org/health/diseases/atonic-seizure https://www.epilepsy.org.au/research/participate-in-research/

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Profile picture for laura @laura1961

@kayabbott How did you rewire your brain? I have struggled with seizures for 20 years now after a TBI. My seizures have become Drop seizures the last few years & I would love to be able to rewire my brain. Not very nice what the people at your work said. I read something on this Mayo clinic site today that spoke about Cognitive Behavioral Therapy CBT that I will look into in Australia.

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@laura1961 The focus of rewiring is using more of our brain, to make up for or replace denting of abilities from areas of our brains that are damaged, The TBI changed us, as with any other loss in our lives. Cognitive Behavior Therapy would be good. Talk with you neurologist about the drop seizures and see if there are any new, and also clinical trial options.
Rewiring is mostly assessing your areas of strength, what still works, and exercising those as well as learning new skills. The brain is not a muscle, but still needs to work out. Increasing one's focus helps, reading books (I just finished The Grieving Brain by O'Connor [about grief and the brain]), getting enough physical exercise, and stepping outside one's comfort zone on social activities.
A damaged brain gets tired very quickly, so 32 years ago I would think, read, and write till my eyes started to lose focus, then nap, and begin again. I also tried to exercise every day, hard to do when one's fantasy life is naps, and meditated and got enough sleep. I suspect it is different for each of us, and also dependent on the damage. There is a lot of focus on people recovering from strokes, and I suspect some of the rewiring is the same. It is easy to get frustrated with rewiring, but like everything with the mind, it takes time with steps forward, plateaus, backward, but slowly increasing. https://www.healthline.com/health/rewiring-your-brain https://www.americanbrainfoundation.org/neuroplasticity-healing-after-tbi/

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Profile picture for kayabbott @kayabbott

@laura1961 DV is a physical and emotional assault. I hope your epilepsy meds are ones with minimal side effects; meds have changed a lot just in the last 10 years. I was at around 90% at 10 years, and probably gained another few percent since with challenging my brain with crossword, suduko, and other puzzles and hobbies. I cheat at the games cuz I'm working my brain, not my game scores. I will always have word finding blips and some aphasia, but it is me now. People don't realize how hard TBIs are, and we don't always have a good support network. I beat myself up emotionally because I wasn't healing quick enough and kept forgetting things. It would have been useful if I had written down the parts of me that were still whole. I tried to find areas where I was underutilizing my mind, things that I took for granted and still had. I hope they can find meds to control your seizures, and that you have people that are there for you.

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@kayabbott I have not had any meds since about 2012, as they were making my seizures worse or not helping at all. I have looked into a few new drugs, Epidiolex & the new version of Keppra I think it is Brivaracetam. I need to do some more research as I did not like the s/e from all the drugs I tried.

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