Considering TBI : Staying safe during the holidays

This looks familiar – and not in a good way.

Well, I almost did it again. I almost fell down some stairs while rushing around during Thanksgiving activities. Nine years ago tomorrow, I fell down a flight of stairs while packing to home after Thanksgiving. I completely screwed myself up. Trashed my life. Almost lost everything. And I didn’t even realize what was happening, while it was happening.

That fall in 2004 happened because I was standing at the top of some stairs and I turned around to do something, then my feet went out from under me. The same thing happened yesterday, while I was getting ready to head out to Thanksgiving dinner. I was starting to go down the stairs, when I remembered something I needed to take with me, and I turned around, while my body momentum was moving forward. My feet slipped on the stairs, and I stumbled down a couple of steps, before I caught myself. Fortunately, this time I was wearing shoes. When I fell in 2004, I was wearing socks. And I managed to stop myself from going head-first down the stairs, when my feet went out from under me.

Hm. Wake-up call. Time to slow down. Pay attention. Take things one at a time, instead of doing a couple of things at one time — like going down and up stairs at the same time.

Slow down. Don’t do everything at once. Just chill.

I paused for a moment and caught my breath and realized what had almost just happened. Then I slowly turned around and went back upstairs — much, much more slowly than before.

And I got through the day without getting hurt.

Even better, I had an amazing day, and everything turned out well, for a variety of reasons — including not falling down stairs and hurting myself.

As the holiday season officially kicks off, I have to really pay attention to things in the coming six weeks, to get through to the other side in one piece. I know what sets me off, and I know what makes things more difficult for me than usual, and the holidays are just the time when all those things come together in a perfect storm that aggravates my TBI symptoms and also puts me at risk for another injury (like yesterday).

  1. I need to remember that I’m dealing with TBI issues, and I can’t just push myself blindly like I have no limitations. We all have limitations, and mine are especially pronounced during the holidays. I need to be uber-mindful of my issues — not in a way that holds me back, but in a realistic way that keeps me from doing serious damage to myself.
  2. Make sure I get plenty of rest. Nothing kills the joy faster than fatigue-induced irritability. And given my history of melting down and flipping out during many holiday seasons past, my spouse is particularly on-guard around me during this time. So things can escalate quickly. And that’s not good. Shouting matches and flip-outs just because I’m tired, are no way to spend the holidays. Fortunately, staying rested takes care of a lot of this. Naps help, too, so I’ll be doing a lot of that this holiday season. Whenever I can.
  3. Eat smart.  When I get tired, I tend to boost my energy with sugar-containing foods, and the holidays are chock-full of them. Pies, cookies, candy… it’s all around me, and since I need to push harder to do everything, I fall back on them. A lot. Which just makes things harder in the long run, because it throws off my sugar and it makes my joints ache, which then makes me more irritable. AND sugar feeds infections, so I have more trouble with colds and sinus infections. I have to have a lot of willpower to avoid that stuff – and it doesn’t always work. But if I can enjoy with moderation… it’s not so terrible.
  4. Give myself time. Don’t rush around with everyone else. Give myself more time to do things like go to the library or food shopping or running errands. Just take my time, so I don’t get trampled by everyone else who’s stampeding around. Do I need to go out to the store today? Not one bit. Black Friday will be fine without me.
  5. Take frequent breaks. I get very irritable for a bunch of reasons during the holidays, so it pays to just take a break regularly, let me catch up with myself, and simmer down if I’m getting revved. It really helps for me to cut myself a break and give myself some extra time off by myself when I need it. Planning my breaks helps, too, because then I can keep from getting stuck in a “loop” and pushing myself past where I should be backing off and taking a break.
  6. Get a lot of exercise. I start my days with movement and stretching, and I get out and walk whenever I can. I also try to do some heavy lifting, now and then, as well as working around the yard and house. Yesterday I got a workout with roasting that turkey — a lot of lifting and bending and reaching. I’m actually sore, which is a good sign for me. This helps my body process all the extra stuff I’m putting into it, and it also helps clear my head. Both of these are important for being happy during the holidays.

These are things I can do, in general, to make my life better during the holidays. Not doing these things can result in experiences like falling down stairs, having confrontations with police officers, and losing it at work — none of which will add to my holiday cheer quotient.

It’s all a big-ass learning process. Onward.


Dangerously dizzy… but life won’t wait

I’ve been increasingly dizzy, the past few days. My left ear is squishy and has been making its presence felt. Pressure in my head, and fatigue… I haven’t had good sleep hygiene, for the past few weeks, and it’s catching up with me.

It’s a scary thing, because it’s so disruptive for my daily life. I have things to do and stuff to accomplish, but if I stand up too quickly or move too suddenly, the whole world starts to rush and spin and I get very sick on my stomach. It also makes me extremely irritable, so I snap out at every little thing, which makes me very difficult to deal with at times.

The only thing that really saves me, is being totally focused on what I’m doing, and not moving much while I’m doing it. Working at the computer is a perfect solution for me, because I have to sit up straight and stay focused on the screen in front of me.

The only problem is, it’s Saturday… a few days before I take off on my marathon trip to see family… and I have a whole lot to get done. Dizziness puts me in more danger of falling or having an accident. If I’m not careful, I can get in a lot of trouble. The last thing I need this holiday season is another concussion — most of my adulthood injuries have coincided with holidays, when I was running around like a chicken with my head cut off and wasn’t paying proper attention. I was fatigued and disoriented… and I fell or had a car accident. Not good.

Yes,  I need to be very, very careful, in everything I do.

I think a big part of the problem I’m having right now is the impending holiday rush. The prospect of driving through several states to see multiple families, over the course of nearly a week is making me a little nervous, and that’s setting off my schedule and my focus.

I have been doing really well with keeping to my daily exercise, which helps.  I just finished my morning workout, in fact, and I feel noticeably better than I did before it. I worked up a sweat and got my heart pumping, which in turn moved the lymph through my system to clear out the grunge. I love lymph. So basic, so essential, so useful. Without it, I’d be in a heap of trouble, and I count my blessings that I don’t have lymph drainag problems, like folks with edema do.

Anyway, I’m feeling better, and I have a full day ahead of me. But I’m pacing myself. And I’ve blocked off time this afternoon to sleep. I haven’t had a good afternoon nap in weeks, and it’s taking its toll. If I don’t nap at least once over the weekend, it catches up with me — and that’s what’s been happening.

And now I’m really dizzy, with a lot of stuff to do, and I regret doing chores last Sunday, instead of taking my nap. I had three solid hours to myself, to use as I pleased, and I frittered away the time on futzing around and doing little chores that took longer than I expected.

Ah, well,  so it goes. At least I’m aware of my dizziness, so I can accommodate it and work with it. When I’m really, really dizzy, I find that keeping my posture ramrod straight and moving very slowly and deliberately helps tremendously. Also, if I sleep a lot and drink plenty of fluids and avoid sugar, that helps, too. I’ve taken medicine for vertigo, but it didn’t help a bit. Anyway, it turns out the medicine is really just for nausea that results from vertigo, not the vertigo itself — at least that’s what the PCP I had at the time told me. Come to think of it, they could have been wrong. They were a bit of an idiot, by average standards. (And it was a scary six months in my life, when they were my primary doctor.)

But now I’ve got a pretty good PCP, and I trust them a whole lot more than the last several I went to. Trusting your doctor is good. It simplifies a lot of things, in many ways, not least of which is the office visit experience.

But more on that later. Right now, I need to stay focused on my dizziness.

Tracking back over the past week, as it’s gotten steadily worse, I have been looking for what I’ve been doing differently that has contributed to this. The one thing that I’ve been doing regularly, that is very different from before, is that I’ve been eating pieces of chocolate to keep myself going. Not just chocolate, mind you, but those little Dove chocolates with peanut butter in the middle. I thought that the peanut butter would give them more staying power, but what I’ve noticed over the past week is how much sugar is in those little puppies.

Zoinks! Who eats this stuff regularly?! They’re dangerous! Sure, they give me a little pick-me-up when I need it — like driving home late from work when it’s very dark, I’m very tired, and I’m having a hard time seeing. But I’m finding that when I eat one, I crave another one about 10 minutes later — like I spike, and then I crash and am worse off than before, so I need another “little” piece of candy to keep me going… and my system gets totally fried by all the sudden, extreme ups and downs.

Which contributes to my fatigue… and apparently my dizziness.

Not good.

So, while I’m doing my errands today, I’m going to remove the chocolates from my car — just throw them out — drink more water, eat more fruit, and be very, very careful when I’m out and about.

The last thing I need is another accident or fall.