Back On Plan, Back On Track

Here’s another New Year’s resolution: Start actively managing my time and activities again, in such a way that I keep the big picture in mind and don’t get mired in needless levels of detail.

Perhaps more than anything else in my recovery from TBI, using a planner and tracking my success has been a huge part of my improvement. It’s not just something that makes it easier for me to keep track of what I should be doing, but it makes it easier for me to keep track of what I managed to accomplish and why I did or did not accomplish it.

I have come up with several systems over the years, ranging from something as complex as a full-scale database-driven web application that lets me track and chart my progress, to something as simple as a notebook with handwritten to-do items in it. My use has ranged from the fanatical and almost compulsive, to the lackadaisical and what-ever.

And I’ve had mixed results. At first, when I was focusing intently on my performance and picking apart every single thing I did and analyzing the whys and wherefores about it all, I did gain a much better understanding of myself and what worked and didn’t work for me. But I also spent a whole lot of time fiddling with details, and I got mired in them, as well, which is one of my big hurdles I have to deal with.

Later, when I was just writing everything down, I found myself not doing a very good job of prioritizing. I would find myself writing down all sorts of things I would like to do, instead of limiting myself to the things I had to do, and the waters got truly muddied.

And I gave up the whole task-tracking thing. I just skated along, pretty much, and rolled with everything. Most of the time things went pretty well — except when they didn’t. When they went bad, they REALLY went bad.

Now I find, after taking on increasing responsibilities at work, that I need to get back to actively managing my time and activities. I need to develop a new system for tracking things — stuff I cannot afford to NOT do. This is important. It’s really, really important. I’ve been missing some deadlines at work, and I’ve also been having some difficulty figuring out the level of detail I need to get into in my daily activities. And I’ve been having trouble with dividing the work between what I should do and what others should do. I get turned around in my head and I don’t want to take the time to sit back and reexamine and sort things through, so I just dive in, myself, and do things that others should be doing.

This is really hitting home again, after having decided to ignore the few noticeable TBI-related deficits I have (lacking short-term memory, susceptibility to distractability, attentional issues, fatigue, and getting caught up in all sorts of needless detail, whilst missing the big picture). I guess part of me decided, “Oh, I’m fine now!” and went off on its own, thinking it could wander around the unfamiliar neighborhoods of the metropolis of life without a map. Now I’m finding — yet again — that I need to not do this. I need to slow down, take a deep breath, and resume my active management of my time and my activities and my issues.

Help When You Need It

Doing my morning bLog reading, I came across this post — http://dancingbeastie.wordpress.com/2010/12/10/something-on-my-mind/ – and I could really relate, as I’m sure many of us can. The writer sustained what was a significant head injury while snowboarding last spring, and she didn’t get the care she needed till months later. The account of her injury and the ensung care (or lack thereof) as well as her reaction to the events was pretty telling. She talks about getting back on the slopes within days (rather than sitting out the remainder of her ski holiday), in terms of being a personality / cultural thing (she’s British). On the surface, yes, it does seem like a personal decision. And maybeΒ it is very British. But at the same time, that kind of stubbornness and eagerness to just get back in the game goes hand in hand with head injury. She also fell and hit her head again, shortly after her first fall. I’m sure that didn’t help much.

Anyway, I woke up this morning with a powerful urge to keep more regular track of my daily experiences, in light of the aspects of my life I’m seeking to change — namely, the challenges that have gotten in my way, thanks to traumatic brain injury and the behavioral/emotional/mental/physical issues that have arisen as a result. It’s the holiday season, and a lot of folks are spending more and more time with people they know and love (or don’t πŸ˜‰ and times like this can be incredibly challenging for folks living with TBI.

Head injury, like few other conditions, can wreak havoc with your identity, your sense of self, and how you express that to the world around you. People who never experience a serious illness or life-altering injury (or who are in denial after the fact) can have a really hard time understanding why TBI is such a big deal. You just got clunked on the head, right? What’s the problem? Other people have worse injuries and recover without a lot of visible problems, so why can’t you? Aren’t you just looking for attention? Feeling lonely and lazy? What’s up with you anyway? Grow up already!

Not only is this counter-productive, but it’s also harmful. But it’s pretty human, as well. It is true that everyone has problems, and a lot of people feel pressure to just get on with it (and do), despite their challenges. And when others lag or don’t appear to be trying “hard enough” they can be downright cruel. It’s not helpful. Sometimes all it takes is a kind word or a pause to let a person catch up, for the difficulties to be eased. But people are always in a rush, it seems. If they slow down, it might mean they have to think about what’s going on in front of them, and that scares them.

It scares them to death.

Then again, sometimes help comes in the unlikeliest of ways. A close friend of mine (probably my closest friend, who is more like family to me) was hospitalized a few weeks back, with an infection that went undetected and untreated for nearly a month. By the time the EMTs showed up at their front door, they could barely move, let alone walk. It was touch and go for about a week, then they got transferred to another hospital. For most of the time, I was traveling for business, and I wasn’t even aware that they were in the hospital. Only when I got back, did they call and say, “Oh, guess what — I’m in the hospital” all chipper and cheery-like.

Only when I pressed for details did I learn that the fever they’d been running had spiked to 104+ several times, and they hadn’t eaten anything for days. Hm. It seemed like they’d been hiding their situation from everyone, not taking it that seriously. It really pissed me off — I felt like I’d come this close to losing a member of my family, because their pride or their stubbornness kept them from speaking up.

But the more I think about it, the more I realize that in their situation, I probably would have done the same thing — and worse. Serious illness, including a very high fever, has a way of clouding your judgment, and when you’re adamantly self-reliant (like both I and my friend are), well, you can get yourself into a whole world of hurt. I would hazard to say that if I’d been in that situation and I’d been alone (their spouse was also out of town during most of their worsening episodes), I might not have even gotten to the hospital, because I wouldn’t have talked to anybody about my health, I would have kept on blithely chatting about this and that, and I would certainly not have volunteered information about being ill (which to me feels like being weak).

So, who am I to judge my friend for not speaking up sooner? I’ve really had to think hard about this, lately, as I help them do things like take their dog to the vet and call daily to keep their spirits up. They’re learning to ask for help, and I need to learn to do the same, myself. I am fortunate to have a spouse to help me, and I have a neuropsych who is amazing. But all too often, when I’m struggling with things, I don’t mention it to them and try to do it all myself.

This is a major sticking point for me, and it has come up at work, as well as at home and in a clinical rehab setting. I tend to take on too much, bite off more than I can chew… don’t think through everything that needs to be done, before I commit to more things… and I end up over my head (yet again) but never asking for help. It’s like there’s a part of me that hates to admit that I need help, that hates to articulate to others what I need (that’s an ongoing problem), that hates to accept help from others.

I think a major factor in this is (as I touched on briefly above) that I often struggle with articulating what I need help with. I get turned around in my head, I get all backed up, I get confused and convoluted, and I frankly don’t even KNOW where I need the most help. Then I get self-conscious and embarrassed, because I feel like I should know this, I should be able to figure it out, and I can’t tell if it’s me, the TBIs, or the situation, that is confusing me. Ultimately, I end up just pushing through and fudging it and if I’m lucky things come out right.

But sometimes they don’t, which is a problem.

How many times can I screw things up, till I wear out my welcome? Really…?

So, on top of the anxiety I feel about getting things wrong, there’s the added anxiety that comes from my past screw-ups (which always seem significant and dramatic to me), and the creeping sensation that it’s only a matter of time till people figure out A) that I’m not all I’m cracked up to be, B) prone to mess up, C) a real pain in the ass, and D) not a very good team player. I feel – so many times – like I’m racing the clock, just trying to enjoy what I can, while I can, till the whole lot comes falling down around my ears, and I’m out looking for another job or friendship or social connection.

Nothing lasts forever. How could it? If I’m involved, sooner or later, I will manage to screw things up royally, without ever realizing it. By the time it sinks in that I’ve said or done something WRONG, it will be too late. Everyone will be pissed off at me, everyone will hate my guts, everyone will want me gone. And I won’t even understand why — till much later, after the damage is done and it’s way too late for “I’m sorry.”

Pessimistic? Or just experienced. I’m fortunate to have access to someone who can actually help me get past this kind of stuff. But there’s still a part of me that clings like crazy to the idea that I CAN DO IT MYSELF. I don’t need help. I don’t need anyone’s help. And people who offer a hand seem to be insulting me, and I just slap their hand away, cursing them for reaching out. In fact, the worst thing that people can do for me, sometimes, is help me. It’s just more reminders that I’m deficient, that I can’t make it, that there’s something wrong with me.

And yet, that’s probably the same mindset that landed my friend in the hospital. Granted, their fever wasn’t accompanied by any other palpable symptoms, and even when they went to the doctor, they couldn’t find anything. But they have the same stubborn streak as I, and I can see my own behavior mirrored in their fever-addled-brain-directed choices. Except that my own streak happens on a daily basis, and it undermines me in small, subtle, significant ways that ultimately add up to a lot of behavioral erosion.

TBI is a bitch.

You know, some days I feel like I’m still on that football or soccer field, itching to get back in the game after getting concussed. It happened to me several times when I was in high school, and each time I got my bell rung, though I was confused and wobbly and bumbling, I still was bound and determined to get back in the game. I couldn’t bear to be on the sidelines. I couldn’t stand to be benched. It drove me absolutely crazy. I had to get back in. I had to get back in the game. And any attempt to help me rest and recover from the hits I pushed off. Only when my coaches forbade me to get back on the playing field, did I relent. And then quite reluctantly.

These days, the equivalent of that antsiness to GET BACK IN THE GAME comes around work and home life. I don’t want to be sidelined by my TBIs. I don’t want to have to go to bed at 10, so I can get 8 hours by 6 a.m. I don’t want to have to slow down and think through everything I do. I just want to DO. I don’t want to be disqualified from participating in all the events that others do. I want to be out and about this holiday season, milling around at the malls, talking to store clerks, shootin’ the sh*t with my neighbors as we compare our winter defense gear. I want to be in the midst of the excitement, soaking up all the sounds of the season, going to concerts, to events, seeing it all, experiencing it all.

But I can’t. Because when I do, I pay a price. I’ve paid a pretty steep price, these past weeks, pushing myself as hard as I have. And the price has not only been my health and my cognitive functioning, but also the ability to help my friend when they were in the hospital. I could only see them for two days of the two weeks, because I was either busy with work, or I was coming down with bronchitis. I wanted to help. I really did. But I was sidelined. Because I didn’t take myself out of the game when I should have — or at least sat out a few periods.

Well, it’s all grist for the mill. Fodder for the livestock. These are the lessons I need to learn on a daily basis — taking good care isn’t about depriving myself of things (much as it feels that way). It’s about picking and choosing my activities and choosing NOT to do some things, so I can make sure I can have the energy and the resources for the things I really want to do and experience. It’s about quality, not quantity. And it’s about recognizing when I need to reach out for assistance from people to get where I’m going. It’s hard — it’s so, so, so very hard — for me to figure out when I need help and when I don’t (sometimes when I ask for help, others knock me down, saying I’m not trying hard enough, myself, and I need to quit asking them to do my job for me). Even harder, is asking for the help when I need it.

It’s baffling and confusing, so I usually don’t even bother. And that’s where I get into trouble.

Lessons, lessons, and more lessons. More New Year’s resolutions keep coming to mind — Learn To Ask For Help is one of them.

Learn When To Ask
Learn How To Ask
Practice Asking for Help on a regular basis.

It’s key. It could be the key to my survival.

Stamina, stamina, more stamina

In the midst of all my busy-ness of the past month or so, one thing I have been very grateful for, is my stamina. Okay, so I over-extended myself a good deal, and I ended up getting sick. But I actually got sick about a month later than I “should” have. Last year this time, I almost went into pneumonia — I got sick sooner (on less activity) and it progressed quicker. It also took me longer to get over it. After two days of meds, I’m feeling, well, almost perky.

In my own TBI recovery, few things have made as much of a difference, as taking care of my own physical body. The last year, in particular, has seen some great progress. Unbelievable progress, in fact, that has my neuropsych a bit breathless and eager to hear each week what I’m doing now.

While behavior modification and mindfulness practice and taking good notes and keeping to a regular schedule has helped, the foundation of it all is sound physical fitness. I’m not talking about hitting the gym 3 times a week and getting ripped. I’m talking about getting regular exercise that gets me in good enough shape that I can get through the day without being completely depleted.

This is key. It’s vital, because at the end of the day (literally) I need to tend to some of my most important relationships — my spouse and my friends. I need to have energy left over to work aroud the house and yard, and run the errands that make my regular life possible. If I don’t have stamina and endurance, I become fatigued. When I am fatigued, whatever good intentions my brain may have tend to fall by the wayside and get lost in the shuffle.

Being over-tired fries me in very dangerous ways, so if I can find a way to be less tired and better rested, then I have a fighting chance of rebuilding my life.

And that’s what I’ve been doing. Looking back on the past years, it amazes me that I was as stuck as I was, that I was as badly off as I was. At the time, I figured that’s just how things were going to be for me — a never-ending series of catastrophes and chaos. I figured that was my lot in life, and I didn’t bother to look beyond that. I was in constant fire-fighting mode, which didn’t do much for my nervous system. Being fried all the time, being on constant alert, being in perpetual reaction mode… all potent ingredients for traumatic stress. But I figured that was my lot in life, so why bother changing it?

Hindsight is 20/20, of course, and looking back, I can see that a chief ingredient in my chaos was a bone-tiredness that I got in the habit of ignoring. I’ve fallen back into that old way, in the past weeks, as my job responsibilities have mounted at year-end. I haven’t given myself time to rest, because when I slow down, I start to get nervous, I start to feel pain, and I start to feel bothered and unsetttled and anxious… which feeds my drive to DO.

Now, as I see a little more chaos creeping up around me, and I struggle with things at work that “should” be no-brainers, and I forget critical things that people told me (and then they yell at me because of it), I receive yet another wake-up call. PAY ATTENTION. Look at what’s going on around you. It’s not someone else’s fault. You’re making this happen, at least in part, by straying from the things you know you need to do. KNOCK IT OFF. Get back on the bus, and keep with the program.

Yeah, I’m taking my pills with a big helping of humble pie. The labels say “Take with Food” so I guess that’s okay πŸ˜‰

Anyway, for the first time in several days, I worked out this morning. I could only do so much and I couldn’t push myself that hard, because I’m still recovering. But I did manage to get in a workout. I did manage to get moving and work up a little bit of a sweat. It’s good. I’m not quite 100%, but I’m getting there. And this weekend I’ll have a chance to rest.

After all, stamina and endurance and training all require ample rest. Lest I forget…

TBI – The New Frontier

Well, now I’ve done it. I’m out of commission for yet another day. This bronchitis is accompanied by a sinus infection, and between the two of them, I’m not a happy camper. I pushed myself too hard over the past couple of weeks. I worked crazy long hours. I didn’t keep to my routine. I didn’t eat all the fruits and vegetables I usually eat. And I didn’t do my regular exercise. I’m not saying that going off track is the only reason I’ve been out of work most of this week, but it certainly didn’t help me.

I know this time of year is more stressful than most for me. I know that this time of year is a challenge. But I didn’t factor it in, and I fell into the old habits of pushing myself even harder, instead of taking time to pause and really catch up with myself. I fell back into my loner persona, started to isolate more, and I stopped keeping lines of communication open. I got into that I-can-do-it-all-by-myself frame of mind, and it took its toll.

In times like these, I can tell my great-great grandparents were midwestern farmers. They were members of the generation that moved out to the prairie in the nation’s heartland to “open” it for farming. They took with them a rock-solid work ethic and a conviction that they were correct in every assumption and had every right to tear up the prairie and plant wheat wherever it could grow.

With the benefit of hindsight, it’s easy to see how misguided so many of them were. For the land evolves in ways that sustain it, and when you tear up eons worth of good practice — that network of grasses that kept the soil in its place and fed the food chain that kept the whole ecosystem going — sometimes bad things happen. Storms come. Extreme weather happens. Winds come. And if there’s nothing to keep it all in place, well, it has a way of washing and blowing away.

I’m not sure that ever occurred to my great-great-grandparents, when they first dropped their harrows into the rich prairie earth. They were from Back East, so what did they have to compare the experience with? All they probably saw was miles and miles of rich, fertile, uncharted territory, just waiting for them to drop a plow in and dig up, sow, and then cover with waving fields of grain. I doubt very much that they ever consulted with the local Native American tribes about their plans. The Indians were “heatherns” and were to be either avoided or converted. Converted to their religion, their way of thinking, which included taking dominion over all the earth in order to fulfill their destiny of conquerors and masters of this world, before going to their reward in the next.

Yes, it’s doubtful my ancestors ever consulted with the locals about what they had in mind. Even when they married the local tribal women (as one of my great-great-grandfathers did), I don’t believe the subject of land stewardship ever came up.

This is all projection and conjecture, of course. I’m using my own personal perspective as a guidepost. Personally, I don’t believe that people change that much over time. We may shift and take different points of view, now and then, but our underlying natures stay more or less the same. Different times and different places cause us to draw on different interests and skills and perspectives, but our core nature remains the same… and that holds true of character traits that run in families.

Traits do stay true to family lines, you know. A friend of mine who was separated from half of their birth family before they had clear memory of them, reunited with their long-lost biological relatives a number of years ago, and they said it was poignantly uncanny, the way they all “clicked”. They hadn’t been anywhere near each other for something like 20 years, but they were all so similar in subtle yet important ways, that they just KNEW they were family.

I have the same kind of sense about my own forebears. I have pictures of them, given to me by my grandfather, who is nearly 100 years old, that I keep in my study. Some pictures are stashed in a cupboard, and others I’ve framed and hung on the wall. Austere, earnest, no-nonsense. My ancestors look out at me from across the years, and I can see in their eyes that conviction, that assurance, that they are RIGHT to be doing what they are doing, that they HAVE the right to do what they do, and the one and only antidote for insecurity or lack of confidence is to just Keep Going. Keep Searching. Keep Striving. No matter what, just keep on keepin’ on.

That keepin’ on was firmly rooted in a self-sufficiency that endures to this day in their progeny, myself included. I saw it in both sets of grandparents, who never let anything stand between them and the tasks they were about to undertake. One side of my family stayed in the farming business, and when we went to see those grandparents, the care of the farm and completion of chores preceded all else. I once asked my grandfather why he didn’t have breakfast before he went out to feed the cows, and he responded with a sort of surprised dismay that I had to even ask, “First we feed. First we feed. Then we eat.”

My grandmother’s presence, too, was always marked by the prevalence of work. Most of our interactions with her took place in the kitchen, where she was usually working. If she wasn’t in the kitchen, she was in the room next to it, sewing or folding laundry, or she was out in the side yard hanging up laundry. There was never any question of her sitting down and playing a game with us. Games were for children who didn’t have chores to do. And as we kids played round after round of the one board game on hand, or made up our own games, or ran around in the outside yard, there was always a hint of bemused borderline disapproval, that we kids weren’t doing something useful with our time.

I’m sure my parents got an earful, every now and then, when my grandparents’ patience wore thin with our leisurely game-playing. Once, I spent a week with my cousins at their farm, helping with haying and milking and work around the farm. I wasn’t much use to them. Couldn’t even manage to get up at 4 a.m. with the rest of them. But then, I was a city kid. Part of me thinks it had something to do with my mTBIs, but maybe it was just me.

Anyway, on the other side of my family, my grandparents were first-time entrants into the world of professionalism. My grandfather had gone to college, while his brothers stayed on the farm, and he’d worked his way up in the world, acquiring more degrees, until he became a full Ph.D. and a leading faculty member at a small college in a rural area. Again, visiting those grandparents was a keen reminder of how much had changed in the world since they were kids. My siblings and I loved to play and run and get into trouble, but my grandparents had every expectation that we would be doing some sort of useful work, if we had free time on our hands. Rambunctiousness was a sign that you hadn’t exhausted yourself at hard labor, and there wasn’t a whole lot of tolerance for this. Idle hands… devil’s workshop…

As a kid, I often wondered at the austerity of their outlooks, but now as an adult (probably about the same age as they were, when they were my disapproving grandparents), I get it. Time is for using. Energy is for working. Life is for making good on some promise you carry within your heart. And if you have extra time on your hands, something must be wrong. You must be underutilized or coddling yourself. You must not be doing the Right Thing.

That’s where I’ve been for the past couple of weeks — feverishly Doing The Right Thing… doing and doing and doing some more… making good progress on getting things done… being ultra-productive and fulfilling my obligations… building alliances at work and identifying priorities and strategies… all this and more. I’ve been in a whirlwind of sorts, a hyper-productive, focused, intent whirlwind of activity — all geared towards the pressing goal of wrapping up all the year-end activities I’ve got on my plate, so I can move into 2011 with a clean slate.

I haven’t had much time or interest in slowing down, frankly. And this is where my mTBI issues come in. I’ve talked before about using analgesic stress to soothe pain and aches and get my mind off my discomfort. Well, since I’ve been picking up the pace at work, the headaches have returned and the body aches have come back. I’ve been in pain, of some kind or another, for a couple of months, probably. I’ve been tired. And when I’m tired, I have pain. And hypersensitivity to sensations of hot, cold, touch. I haven’t been able to be touched on my hands an arms and back for weeks; the contact is too uncomfortable.

And to cut the pain, I’ve been pushing myself even harder. All the adrenaline and noradrenaline and ephiphrine and norepinephrine (and God knows what other good stuff) have been pumping through my veins, focusing my attention on What’s Most Important (work things) and blocking off the distractions of What Doesn’t Matter As Much (physical health things). When I’ve been up to my eyeballs in work, I haven’t noticed the headaches as much, I haven’t been bothered by the pain in my joints and hands and arms and back as much, I haven’t been vexed by the increasing fuzziness in my head… as much.

As a result, I’ve gotten myself into trouble. Pushed myself too hard. This often happens at this time of year. I think that Thanksgiving being the anniversary of several of my mTBIs doesn’t help — it sets me off emotionally. And the holidays, when I’m around friends and family members more, and I have to interact with people in unstructured social situations (where I am more inclined to say stupid-ass things and speak out of turn and sometimes say and do inappropriate things)… well, it all gets to me. I don’t like to admit it, but it does. It really, really gets to me. Even when I navigate well, it wipes me out.

So, I push myself even harder. And lo and behold, I get sick. Right around this time of year, almost like clockwork. My doctor says it’s common, and a lot of people have this happen, since they’re traveling and they come in contact with more people and more viruses and whatnot. Common or not, I can’t really afford it. I know this. I am well aware of this. But I’ll be damned if I can do anything about it.

Till now. One of my New Year’s resolutions that just came to me now is to do a much better job about monitoring my physical health — when things are going well. Now, I’ve been doing really well with tracking my physical well-being over the past year or so, and I’ve made tremendous strides forward, dropping extra weight and keeping it off, exercising regularly, and eating better. I’ve made really good progress, I have to say. But looking back, I see that I was much better and tracking my health choices and behavior when things were not going well at work or in the world in general. When I was stressed with work, I could easily find the motivation to work out regularly and put my focus on my physical well-being. I think that was because work was so dissatisfying and disillusioning for me, I had to find something that was MINE, that I could call My Own. It helped me compensate for tough times on the job. And that’s the place it had in my life.

Now, though, things are going really well at work. I’m very happy with my job and everyone I’m working with, and I’m intensely grateful to have found this connection, this place, this place to call my professional home. And perhaps as a result, I feel less inclined to focus a lot of attention on my physical well-being. I’ve backed off considerably on my work-outs, reducing the focus and intensity, even the frequency. I’ve slipped a little bit, and it’s showing.

My work is very rewarding, and I love the sense of fulfillment it brings me. But my head has been crowding out my body, and that’s not good.

Come to think of it, it’s been crowding out other things, as well. I’ve been spending longer hours at it, so I’ve been at home less. And I haven’t been writing here as much as I’d like. I think part of the lapse with this blog/site has been related to me wanting to just get my mind off my difficulties and not have to dwell so very much on my challenges. When things are going well, who wants to think about fatigue and emotional volatility? When I manage to keep myself from lashing out and over-reacting (by chance, as much as by design), why would I want to think about the inner workings of my impulse control? In a way, I have been getting lucky, lately, and I’ve kind of been faking my way through things, slipping back in to my old patterns of nodding and saying “Uh huh” like I understand, when my mind is really somewhere else, or I’m — yet again — telling myself that I’ll be able to figure out what was just said to me later on. But then I don’t.

I want to do well at this job. I want to do really well. And I can’t bear the thought of mTBI getting the way of my success.

So, like my one grandfather, I take care of business first. I push myself to take care of the tasks that sit before me, and I take care of myself later. The main thing is to feed. Feed the stream. Feed the lake. Feed the flow of work and activity and occupation that creates the world around me/us. Feed the yawning, never-sated beast of “productivity” that is a chasm that is never filled, an ancient Roman at a feast who gorges on delicacies, then throws up the lot, so they can return again to the feasting table to gorge on yet more.

It’s an interesting mix, that combination of austerity and indulgence. Self-sacrifice and disregard for your own well-being has its own rewards, hidden in the deepest recesses of the soul that seeks its perpetual salvation through the cleansing purge of hard work. Work, work, work some more. Extend yourself and break yourself and wear yourself out, for that is what is called for. That is what is required. And if you do any less, you will be Less Than. A burden. A hindrance to all others who manage to do their parts — and then some. The work is never done. How can it be? Seasons come and go, and there will always be a new turning of the year to bring need of new sowing, new tending, new reaping. These cycles never end, whether you are on a Kansas wheat farm or sitting at a keyboard in a cubicle in a converted mill in Hoboken.

They never end. Ever. It’s up to us to manage the whole business.

Manage… When I think about managing the whole lot, it both piques my interest and dismays me. Because I don’t only need to manage my workload and my professional responsibilities. I need to manage myself, as well. I’m not saying I’m the only one — plenty of people have issues they need to manage (and the world might be a whole lot better place, if more people did that, in fact). Anger management. Stress management. Post-traumatic stress. Recollections from past jobs where similar situations went badly, and you’re trying like crazy to not let that happen again.

But with mTBI/post-concussive syndrome/head injury (whatever you want to call it), it’s a whole other situation. Not only are most people unaware of the issues you’re managing, but the one person who IS aware (you), is the one who was impacted, and while you may have just a little less resources and energy to work with, the fact remains that the full responsibility for managing your emotional life, your behavioral expressions… is YOU.

And while that can be a very empowering place to be (putting the power of choice in your hands), it can also be tremendously scary and frustrating and self-defeating. You need help. You have to have help. But maybe nobody can see what exact help you need, except for you — and you’re the one who’s struggling. The one person who is able to communicate your needs to the rest of the world, is the one who’s impaired. Maybe you can tell what help you need, maybe you can’t. It’s never certain, never simple. And it’s totally unescapable. It’s kind of like being out at sea in a leaky boat, and having no place to get supplies to make repairs, except a collection of distant islands that you might be able to row to… but you’re not sure which island has the supplies you need, and once you get there, you’re not sure if anyone will be willing to give them to you. Even worse, is when you’ve got other people in the leaky boat, who are depending on you to get where they need to go.

It’s like being out in the desert, running out of water, looking for an oasis, and seeing all sorts of images in the distance, but not knowing if they’re mirages or not. Even your camel is struggling, as you press across the blazing hot sands. But you can’t tell if you’re going in the right direction. Heaven help you, if you’re at the head of a caravan with women and children depending on you.

Sometimes, all you can do is pray. And press on.

And again, I think back to my ancestors on the prairie. What was it like for them, when they arrived there? It must have been exciting and terrifying all at the same time. The place looked completely different from what they were used to. Lots of opportunity – for good and for ill. I grew up hearing lots of stories from my grandfathers about farming accidents and falls from high hay mows, so I have to wonder how prevalent TBI was in that world. Indeed, one of my great-great-uncles “got hit on the head and was never the same again”. TBI, to some degree or another, was not unknown to that world.

But proverbially out at sea in their leaky boat, what distant shores did they have to row to? Who can say? There was no one out there to help them. The nearest doctor was a day’s ride away, and even if they brought him, there was only so much he could do. Hospitals were not in abundance, and even the closest house was hours away on horseback. They lived on the frontier. It was every man, woman, and child for themself. And if you pressed your neighbors for help with things that you could do yourself and drained their precious resources, you endangered them, as well.

Self-sufficiency. It was the lifeblood of the family unit, the lifeblood of the community. Where certainty failed, religious faith stepped in. It’s no coincidence that my ancestors were deeply religious people. In the frontier world, who could afford not to be? You had to have something — something bigger than yourself — to keep your spirits up, and convince you that all this work was Worth It.

And looking around at the world of TBI recovery, I see so many similarities and correspondences between that frontier world and my own world. I live in a slice of reality where real help is not readily available, and even if I go the distance to fetch a qualified expert, they may not be able to help me. There’s only so much anyone can do. I’m out in a world that’s made new on a regular basis, in part because my memory for the old world fades more quickly than I like to admit… in part because I’m in the largely uncharted territory of actively recovering from multiple mild traumatic brain injuries in a culture and society that is largely oblivious to my situation and deeply intolerant of my kind of difficulties, not to mention deeply pessimistic about my odds of success.

And yet, here I am. Here I stay. Like my great-great-grandparents who weathered the intensity of locust swarms, bitter cold prairie winters, and the constant uncertainty of next year’s crop, and stuck it out, I’m sticking this out. My ancestors may differ from me in that they chose to head west, they chose that way of life, and they took that on consciously as a life-changing decision, whereas I never chose these injuries. But the decision to deal with this all… well, that IS my choice. And it’s one I make consciously (almost) every single day.

On bad days — like the past few — I lament my plight and cry to whatever force is out there that This Is Not Fair! I beg for relief and petition for help — though I can’t quite put my finger on what kind of help. I rail and rant and curse it all.

But that doesn’t budge anything. And it doesn’t help. Ultimately, I come back to the place where I am right now — humbled by my failed attempts at “normalcy”, observing myself in this place, in this life, realizing how far I’ve come, trying to remember how things used to be, so I can value how things are now. I try to right myself in my little leaky boat and row a little harder towards the shore I’ve chosen. I check the direction of the wind, I bail water out of the hull, I stretch the cramps out of my arms, and I press on. I press on, anyway.

This land of TBI is a new frontier. Each and every day. And to the extent to which I recognize and remember that my injuries were not by my choice, but my recovery IS, I have a chance at making my life new. Each and every day. I can step up to the challenges of this uncharted territory and renew my resolve to move forward. Some days are better than others. Some steps take me farther than others. But so long as I just keep moving, and I keep balance in my mind and hope in my heart, I have a chance.

I have a chance to not just survive. But to thrive.

My ancestors were some of the European immigrants who stripped the prairie of its self-sustaining systems which had made a complex web of life there possible for eons before they arrived. The changes my ancestors wrought had a hand in harming the land and changing this nation for the worse. Now, on a much smaller individual scale, but perhaps with greater awareness, I have a chance to repair what damage I can find in my own immeidate world, and make whole some of the things which were once torn asunder.

My forebears were pioneers, and so am I.

Wagons, ho.

The benefits of a bad memory – Part II

Too late… I’m out of commission. The upper respiratory infection I’ve been fighting has fought back, and now it has turned into bronchitis. My doctor is keeping an eye on me, so it doesn’t turn into pneumonia, like it nearly did last year around this time. I need to be more careful, but in my mind and in my experience, my up-and-down health has been just one more thing to negotiate and endure. I need to work on paying closer attention to how I’m feeling, especially when I’m tired and stressed, which I’ve been for a number of weeks, now.

One more thing I have to work on. This really doesn’t end, does it?

OK… enough feeling sorry for myself. Back to the memory thing… Getting along with cognitive deficits has been a regular part of my life for as long as I can remember. In fact, I think it’s fair to say that they’ve been such a part of my life, that I never really realized that they WERE deficits, until someone tested me and pointed them out to me. I developed workarounds, ways of dealing, ways of coping, ways of compensating. To the point (as my neuropsych says) that it almost doesn’t matter that they’re there. I have found ways to live my life in spite of my limitations… in some ways, as though my limitations never even existed.

In a way, I think I’m lucky that I grew up without a clear sense of having been injured and “damaged”. I used to work with a person who was employed far below their capability, and when I did a little enquiring into their past, they told me that they’d had a bike accident when they were little and had a head injury that had impaired them. There I was, standing beside someone who may well have had the same degree of injury as I had when I was 8, but who had essentially given up (perhaps they’d been told they were supposed to give up?), and was working and operating at a much lower level than I was — primarily, it seems, because they decided that was all they were capable of doing. I came this close to telling them about my own experience, then I thought better of it and moved on to another job. It made no sense to me, to “blow my cover” and possibly make myself out to be less than how they perceived me — and that might very well have happened, had I dislosed.

I’m also extremely lucky that I didn’t get injured later in life. I think that growing up and getting used to things being set and usual in a particular way would be very difficult to have disrupted. I honestly can’t imagine having things be the way I expect them to be, my entire life. Some people seem to go through life with a firm certainty, a faith that is constantly reinforced and renewed, a set of expectations that are met over and over. I’m not one of those people. As long as I can remember, I’ve been surprised by things around me — and not always pleasantly. Between my tendency to confabulation (which is terribly embarrasing at times) and my memory issues, life has no lack of surprises for me. But surprises have happened so often and with such frequency, for so very long, that I’ve had to develop a flexibility that I rarely see others exercising. I have to stay on my toes, because I’m never sure if things will turn out the way I expect them to. I have to stay alert and engaged, because I need to be ready to shift and dance around in another direction, if the direction I’ve chosen turns out to be wrong. And that tends to happen. A lot. When I least expect it.

It happens a lot, when it comes to my memory. I’ll think I remember someone saying such-and-such to me, then I’ll start talking about it with them or someone else, and then I’ll realize I had it all wrong, and I’m mis-remembering again. So, I’ll need to adapt my response accordingly. I’ll think someone told me to turn left, when they really told me to turn right, and then when I come to the intersection, I’ll need to instantly turn on a dime, when I discover that I’m headed the wrong direction. I need to do this both quickly and smoothly. It’s no good bumbling about. I have to keep my composure and have it look like I KNOW that I was going in a direction other than what they said. And I have to make it look like I KNOW the right way to go.

To someone who hasn’t done this for most of their life, it probably seems like quite an undertaking. And I have to admit, it kind of is. But by now it’s second nature to me. I just manage to shift and change and adapt, from time to time as needed. I don’t get hung up on my adaptation, I don’t waste a lot of time brow-beating myself over my stupidity (in the moment, anyway). I just do what I have to, to get where I’m going, and it usually seems to work out.

Now, I’m not saying it always works out. Sometimes it doesn’t, and then it’s embarrasing. “What do you mean, you don’t remember?” is what my spouse says, as their brow knits and they turn away with a frightened shudder. I have to just shrug and say, “I just don’t.” It happens after long days when we’ve been out doing a lot, and I’m over-tired. It happens when we’re traveling in unfamiliar places and I’m over-taxed with trying to figure out the social landscape. It happens when I’m overwhelmed with too many details from life and work and everything, and I just can’t find the place in my head where I stored that piece of information.

At those times, it’s difficult. Perhaps moreso for my spouse than for me. At any rate, it’s not pleasant for either of us.

But those times don’t always happen. And bad memory isn’t always a bad thing.

How could a lousy memory possibly be good? Well, in the first place, if you believe (as I do and many sages over the years have reminded us) that all we have is NOW, then there’s not a whole lot of point in dwelling in the past. Lord almighty, if I dwelled in the past, I’d have no end of reasons to feel really BAD about myself and my life. It hasn’t been easy, I can tell you that. There’s been so much pain and disappointment and difficulty and struggle… good God, sometimes I wonder how I’ve made it through everything intact. But when I think about it, I realize that the thing that keeps me sane, the thing that keeps me HERE, is staying in the present, staying present to the immediate moment, and being mindfully involved in the life that unfolds before me, around me, all about me.

Indeed, some days I have so many issues with my balance (just try to get through the day in a happy frame of mind, when all you can think about is staying upright and not falling over and/or throwing up), that it’s all I can do to stay centered (literally). But somehow I do. I manage to keep upright. I manage to keep vertical. I manage. And I manage it by staying fully focused on the present, fully involved in what’s in front of me, and not getting distracted by the things going on around me.

True, it does lead (at times) to an edgy nastiness that is born of fatigue and frustration, but at the times when I’m relatively rested and keeping focused on the positive, I manage to stay present and stay centered.

Having a crappy memory is a little like that. Looking around me, I may or may not remember what’s happened in the past hours or days or weeks, and with this person or with that person or whomever. I may or may not recall the details of particular conversations, and I may or may not remember what I’m supposed to do as a result. But if I can stay centered in the present and follow the immediate clues about What Should Happen Next, then things have a way of coming together. Most of the time, anyway.

Sometimes, if I’m over-tired and not attentive, or if there’s missing information that I really need but can’t recall, the pooch can get screwed. Big-time. But overall, staying present helps.

And it helps not just with navigating the day-to-day but also with life in general. Working with my neuropsych, they’ve been telling me about how mindfulness helps you heal from TBI, develop new ways of living, and make even more of your life than you ever thought you could (TBI or no). And slowly but surely, it’s been dawning on me that what they’re talking about is something that I’ve been practicing for most of my life – not because I learned about it from someone else, but because that’s the only thing that’s ever saved me or helped me in the course of my daily life.

Mindfulness and presence and engaging with the world around me in the present moment is not something I would like to do. It’s something I HAVE to do. Because if I don’t, if I try to rely on my recollections, if I try to fall back on my memory, then I’m in for a world of hurt. I never know if what I’m remembering is correct or not. Literally. I could be spot-on, or I could be out in left field — SO far out in left field, that I’m actually in Wrigley Field when I think I’m in Yankee Stadium. But I never know till I get there, just how right or how wrong I am. So, it’s best to not rely on things like my memory or my recollections, for standard everyday living.

It’s best to remain present in the moment and deal with the moment as it comes.

If I don’t, I’m screwed.

The other benefit of a bad memory is nothing less than humility. How many times I’ve proclaimed proudly that I remember such-and-such, only to be informed that I’m completely wrong… I can’t even begin to say. It can be terribly disconcerting, not to mention embarrassing, and it’s taught me that it’s best to hold my tongue and follow others’ leads at those times when I’m absolutely “certain” about something. The times when I am most certain are often the times that I’m farthest off base, and the number of times I’ve been called on my flawed recollections… I can’t even begin to count. It’s awful and it sucks and it’s humiliating at times (especially in work settings), but oh, well… There’s only so much I can do about it.

The main thing is that I stay mindful of the difficulties I have and actively monitor them, so they don’t take over my life and make it a living hell for myself and everyone around me. It’s no good, to keep running around like a chicken with my head cut off, telling myself all sorts of silly things about how I “know” this and that and the other thing, when my ability to retain things — and recall them in highly charged circumstances — leaves a lot to be desired.

In a way, I think that even with my “unusual” memory issues, I’m not entirely unlike others. I believe that a LOT of people spend a LOT of time telling themselves that they “get” things that they really don’t. If anything, it seems like most people don’t fully grasp the things they profess to understand, inside and out. There’s a peculiar bravado in the Western tradition that impells us to pretend at expertise, as though that were the measure of our worthiness. As though the whole point of living were not to truly understand or truly appreciate or truly experience, but to give others the impression that we’re doing all that. As though the whole point of going about our lives were not so much to truly DO and BE, as to do a damned good impression of doing and being.

I see that everywhere I look. A close acquaintance of mine, love them as I do, is particularly adept at putting on a good face and creating the impression of doing and being things that others value and appreciate… and all the while, their true expression is far from that image they project. They project a pretty impressive image, too. In the eyes of others, they’re inclusive and open-minded and magnanimous and concerned about recycling and living lightly on the earth. And yet, behind closed doors, they’re alarmingly prejudiced, they’re prone to use racial epithets, they’re miserly and grasping, and they have to be reminded to put plastic bottles in available recycling bins.

Hypocrite? Perhaps. Human? Definitely. It’s hard not to judge, but I care deeply about this person and I know their heart is in the right place. When they’re centered and rested and are self-confident, they’re all they seem to be — and more. It’s when they get tired and defensive and afraid that things turn sour.

And that holds true for just about all of us. Saints, precious few of us are.

That’s what keeps thing exciting, I guess.

Well, I seem to have wandered from the topic a bit. But the long and the short of it is, there is more to me than my memory, and there is more to my daily life than what I remember doing a few hours or days or weeks or years ago.

In the intermittent absence of all that, there is always the present. Ever-present. So long as I’m here, I’ll always have that.

The benefits of a bad memory – Part I

I’ve been thinking lately about memory — how little I actually remember from my past. When I was a kid, I was a voracious reader. I often had my head in a book. Who could blame me? Most of my interactions with the outside world were less than stellar, and between my misunderstanding of what was going on around me, and others’ misunderstanding of me, about the last thing I wanted was to interact with others.

It was just a pain in the ass.

But I always had my books. Now, decades later, when I think back, I can’t remember much of the plots of the books I read. I was big into Lord of the Rings and the Chronicles of Narnia, but now when I watch the movies, I have a hard time remembering if that’s what I’d read about. Movies do have a way of deviating from the original plot, but some of the gaps in my memory are pretty alarming. Some of the books I recall loving the most — The Voyage of the Dawn Treader, for example (there’s a new movie out about it) — are total blanks when I try to remember what they were about. When I saw a recent trailer ad for the Dawn Treader movie, I felt an intense thrill of joy that the movie was coming out – so intense, I nearly cried, actually. But when I tried to explain to my spouse what the story was about, I drew a complete blank. All I knew was I had loved the story and it gave me a real rush to think about it.

Rush yes, memory, no. And my spouse got a little upset about me having no clear recollection of the plot. As though my memory were the only important part of my experience.

I think a lot about this, these days, which is new for me. Typically in the past, I’ve not gotten mired in the whole memory thing. I guess I’ve just developed so many coping mechanisms, that my poor memory doesn’t slow me down. In fact, when I took my neuropsych eval, several years back, I was truly surprised to find how bad my short-term memory was. I got so many things turned around and upside-down, you’d think I hadn’t even listened to what was being said to me. Au contraire — I had listened intently and I was usually utterly convinced that I was 100% right about everything, even when my scores came in at a fraction of what I should have remembered.

In a way, it’s disconcerting. But then again, these memory deficits have been so much a part of my life for so long, that it almost doesn’t even matter. I recently read a story about a woman who was face blind, and who didnt realize it till she was in her late 30’s. How could she have gotten through life, not recognizing anyone’s face, even after she’d met them many times over? Well, apparently she used other things, like people’s gait, their speaking, and other interactive types of cues and clues. And she got by. She had a career. She had friendships and intimate relationships. She got by. She improvised.

I guess that’s what I’ve been doing, all along. Improvising. The more I think about it, the more I realize how much I rely on cues and clues from the outside world to point me in the right direction. I don’t always understand what people are saying to me right away, but if I ask questions or repeat back to them what they said, and if I follow the non-verbal clues they offer with their body language, I can get by. I can do better than get by. In fact, I’d hazard to say that my dependency on non-verbal clues actually helps me understand others better, than if I went with their words alone. Communication is never just about words. It’s about body language, tone of voice, etc.

And just as verbal misunderstandings don’t need to keep me from living my life, the same holds true for my memory issues. So I can’t remember what happened — exactly — 20 years ago. So what? So I can’t remember things that were said to me earlier that day. If I am living and working with people who can lend me clues about what was decided and said, I can make my way. And I can always write things down. I need to be careful I don’t write too many pointless things down, but I do have the note-taking option available to me.

There’s more to this that I want to explore, but I must get ready to go to the doctor. I’ve got a nasty cold that’s turning into an upper respiratory infection, and I can’t afford to be out of commission. More later…

Taking the day

… off. I’m feeling under the weather, with a handful of things I should probably do, but may/may not do today.

It’s cold today. Cold and gray. And my throat is thick and scratchy, accompanied by a tightness in my head that is making me nauseous. I’m a little shaky, a little weak, and I’m resenting everything about it. I’ve had my breakfast and I’ve drunk my tea. I’ve taken things to relieve my discomfort, but they don’t seem to be working as well as I’d hoped.

The one reasonable antidote seems to be a long hot shower (maybe a hot bath in epsom salts) and a long nap.

Even if I didn’t feel like borderline-crap, that would be a good option for how to spend a Sunday.Β  It’s been a long time since I took a day off.

Seriously. After my last fall in 2004, I rapidly descended into the land of no-paid-vacation-time-available. I took contract jobs that offered more hourly money, but no time off without losing pay. I also took jobs that were less challenging than I’d had before, at least in part because when I was challenged and tested, I would blow up or self-destruct. Whenever things got too “tight” I would either turn tail and run, or I would flip out and go off on people and get nasty and hostile, so they would turn tail and run.

That’s a lot of turning tail and running.

So, to compensate for that, I ended up doing a lot of work that gave me the “flexibility” to leave anytime I wanted, or to absolve me of any responsibility as a team member. As long as I was contracting, nobody could hold me to the highest standards. I was just a contractor, after all. How much could they expect? And if things went south, well, that was just part of the deal, right?

Right… except that at some point, living on the run gets old. And never having a paid vacation — having to constantly sweat making ends meet — gets old. At some point, it makes more sense to buckle down and deal with what is, instead of constantly running on to what’s next.

Which is where I am now. I’m settling in to this life that feels like the kind of life I have tried to have before, over and over again… yet I somehow always felt the need to “escape”. I told myself I was a free spirit. An artist. The kind of person that “regular” people could never understand. I told myself I was too unique for the mainstream, too misunderstood, unfairly treated, at odds with “normal” because I knew better.

I was convinced I knew better.

But now, with the perspective of the past several years of neuropsychological rehabilitation, I can see that all that running, all that averse-ness, all that hostility, was really just the crossed circuits of my brain makign excuses for their bad behavior to get me off the hook. I wasn’t superior and special. I was a multiple TBI survivor who was clueless about why things were all mucked up in my head, and who didn’t have the first clue about how to sort things out.

In all fairness, my brain was just doing what human brains do in impossible situations. I had been injured a bunch of times, and I had never gotten help to sort things out, so I had to come up with some explanation that made sense and kept me from going crazy. But at the very core of my experience was not a specialness that made me better (or worse) than others, but a real collection of difficulties that started when I was pretty young, that were never corrected or addressed properly.

They were never even recognized and understood, until the lights went on in my own head and I started to put things together.

Now that I know what the deal is/was with me, I’m free to choose my own ways of being and behaving that are consistent with a responsible adult. It involves not flying off the handle over every little thing, not being inflexible and rigid about things that matter to me but aren’t necessarily important to others, taking care of myself so I can sustain a level of effort that befits me, holding up my end of the bargain at work, and sticking it out, instead of attacking others and/or running offΒ  when things turn out differently than I want.

In return for my moderation, I get to take time off from work without endangering my immediate existence. I get to take the pressure off and take care of myself. I get to be human in ways that have eluded me for as long as I can remember. And that act of taking care of myself is both a privilege and an obligation — the kind of transformational duty that teaches me something in the process.

Taking the day…

It’s about more than a nap. But it’s also as simple as that.

It’s about more than drinking medicinal tea and checking in to see how my head and body are feeling (still about 65%, unfortunately). But that check-in is a thing I need to do simply and with singleminded focus.

It’s about being here. For sake of this moment and the next — and the moments I can’t even imagine, later this week/month/year/millenium.

And it’s also about knowing when to say when. I’m saying “when” now. Time for bed.

Just keep going

What a week it’s been. Two weeks, actually. My life has revolved around preparing for and participating in some business travel that’s worn me out and pushed me to the far reaches of my limits. Thankfully, the impact hasn’t been felt in terms of anger and temper episodes. Rather, I’ve been missing details, here and there, that in and of themselves don’t really count against me… but when tallied up, produce a bit of a conundrum in turning the situations around.

Missing key details, here and there. Speaking out of turn. Slight blunders that wouldn’t matter as much with people who aren’t paying attention… but that matter a lot, because people are taking note.

And in the midst of it, I am trying to keep my center. Find my center, really.

Of course, finding your center is great, provided you can keep it. Turns out, a close friend of mine was admitted to the hospital while I was traveling. They could have died. They didn’t, but it is unnerving to go away for a few days and return to find a really critical part of y0ur life in real danger.

I really can’t say more than this, right now. It’s upsetting. I am having some wonderful things happen with my work situation, and at the same time, a vital part of my personal life is hanging in the balance. It will all work out, I know, but I’m not sure I have the energy to deal with all of this constructively. Over-fatigue has been a big part of my life for a number of months, now. It’s not sustainable, and I need to make changes in my daily schedule that work for me — and that I can promote and defend from nay-sayers who don’t see the world through my eyes. Work is good, but as often happens, there are people who feel that the key to their success is not through improving their own performance, but undermining others’.

I can’t afford to let that stop me, however. Just keep going. Stay steady. Hang in there with my best friend and be there for them as best I can.

If increasing levels of challenge and difficulty in daily living are indicators of recovery, I must be getting more recovered every day.