#2 Thing I wish they’d told me after my concussion(s)

2. When the brain is injured, it can release a lot of chemicals that do strange things to the connections that help you think.

Everybody up and out there! GO-GO-GO!!!
Everybody up and out there! GO-GO-GO!!!

Concussion / mild TBI causes the brain to go hyperactive. It’s been injured, and it starts sending out all sorts of messages to the cells without any particular order. It “knows” it’s been injured, and it starts telling itself it needs to Get Going! Go! Go! GO!

It’s like a commander in war, or a coach in a critical game shouting at the team. The cells themselves start firing on all cylinders – in any and every direction – like soldiers pinned down and desperate to fight their way to safety, firing their guns in all directions with no thought of who or what they might hit. The panicked cells start sending out impulses and communications to each other in no particular order.

In the process, a lot of chemicals that should really stay inside cells, get on the outside. And a lot of chemicals that should stay on the outside, get inside the cells. It’s like a panicked football coach telling every single player to get on the field for a play – offense, defense, special teams, and even the kicker, athletic trainers, and support staff end up on the field, running in all directions, none of them quite sure what’s supposed to happen, or what they’re supposed to do.

All they know is, the coach is yelling GO! GO! GO! and they’re going.

Scientists call this process a “neurometabolic cascade” — a chain reaction that releases all sorts of interesting biochemical substances into places of the brain that normally shouldn’t have them there. Cell walls get “breached” and the stuff that used to be inside gets outside, and the stuff that used to be outside gets inside.

In concussion / mild TBI, your brain is literally flooded with chemicals that shouldn’t be where they are. If you’ve ever had your basement flooded, or you’ve seen pictures of a flood aftermath, you get the general idea of what happens to the brain.

Even after the initial excitation is over, it takes a while for the brain’s processes to return to normal. Just like a flood leaves a coating of gunk behind it, all the chemicals in the wrong places leave gunk on the connections in your brain.

Depending on the concussion, there may be a lot of “gunk” that your brain needs to clear out before its connections can begin to heal and be repaired.

During that time – sometimes it’s days, sometimes weeks, sometimes months (it varies from person to person) – your brain has to work extra overtime to clean up its act. The problem is, it takes extra energy for it to do that – and the metabolic energy-producing process involved is negatively affected by concussion.

So, just at the time when the brain needs more energy to clean out and heal, it’s less able to produce the energy it needs.

Feels like a fog - 'cause it is
Feels like a fog – ’cause it is

The net result? You may feel like you’re walking around in a fog. And you are.

Your brain’s connections are “fogged up” by the extra gunk that got released when you got “dinged”. It’s a terrible feeling – especially if you’re the kind of person who’s always on the go, always active and involved in life. If you “just bumped your head”, it might not make any sense to feel the way you do – but you feel this way for a very good reason: your brain is still trying to clean itself out, so it can get on with the healing process.

You’re not stupid – it just feels that way. And chances are good that you won’t feel that way forever.

Think of what happens when water gets in your gas tank. The engine doesn’t much like it, and it lets you know. It sputters and coughs and can sound like it has a nasty cold. Likewise, when all those neurochemicals clog up your system after a brain injury, the engine inside your head starts to behave strangely, too.

Depending on your injury, some of the connections themselves might actually be frayed or broken… but you won’t be able to tell, until after the neurochemical gunk has been cleared away.

What to do?

Sleep, clean drinking water, and nutritious food have all been shown to help.

Some people take supplements like fish oil to help, but some people (like me) have reactions to it, so it’s really best to keep things super-simple.

Just resting and taking a break from all the screens, and not doing a lot of mental activity are highly recommended. T.V., reading, video games, Facebook, surfing the web, emailing… all those things get your brain riled up, so you need to step away from them for a while, so your brain can catch up with itself.

Sleeping is actually one of the best things you can do for yourself, because it’s been shown to help clear out gunk from the brain. While we are asleep, the brain is literally washing itself, so one of the smartest things you can do after a concussion is give it plenty of opportunity to do the work for you.

Trust me, it’s no fun. Your brain is telling itself (and your body) to Go-Go-Go, but remember, it’s been injured, and it has no idea what you’re supposed to do. That’s just the neurotransmitters talking.


concussion-now-whatDid you know there’s a Kindle eBook version of this post? It’s expanded, along with the other posts in this “Top 10” segment.

You can get it on Amazon here$1.99, instant download

#1 Thing I wish they’d told me after my concussion(s)

1. You’ve had a brain injury.

There's a lot going on in "command central"
There’s a lot going on in “command central”

A concussion is a brain injury. A mild TBI is a brain injury. You don’t need to get knocked out. You don’t need to have amnesia. If you get dazed for even a few seconds, your brain can be injured. It’s very simple and very complicated at the same time.

Our brain is “command central”of our bodies and and minds, and an injury to the brain can affect physical systems, as well as mental ones. Vision, balance, hearing, coordination, taste, touch, pain sensations, digestion, sleep/wake cycles… and more… can be screwed up by a brain injury.

So, it’s not just about what’s in your head – it’s about everything that’s connected to your brain… your whole body and whole experience as a living, breathing human being can get messed up after a concussion / brain injury.

Even a “mild” TBI can do some serious damage, if you don’t treat it properly from the start. If you don’t take time to rest and you put extra stress and strain on your system, your body and brain may not have enough time to heal, and you can end up like me – with a lot of personal and professional problems that you have to sort out later.

Things get a little frayed...
Things get a little frayed…

The connections that help your brain think and messages to the rest of your body may have gotten disconnected and necessary information isn’t getting to the right places. Think of what happens when electrical wires get frayed and don’t let enough electricity through. The toaster starts making funny noises. The vacuum cleaner just stops for no reason. The cable to your smartphone starts making sputtering noises when you’re charging.

Just like the lights get dim when there’s a brown-out, your brain is having its own brown-out.

What to do?

Stop. Just stop. You may feel like you need to keep going at top speed, or you’re driven to go-go-go, but your brain has been injured, and you need to give it a break. This is serious business, and you need to take a pause and take good care of yourself.

People around you may claim you’re “faking it” or you’re just trying to get attention, but that says more about them than you. If you skimp on recovering from your concussion / brain injury now, you may end up paying for it later. I know from experience what it’s like to pay later, and it’s no fun.

Do yourself a favor and take a breather. Just stop. Rest. On the next page you’ll find out why.


concussion-now-whatDid you know there’s a Kindle eBook version of this post? It’s expanded, along with the other posts in this “Top 10” segment.

You can get it on Amazon here$1.99, instant download

10 Things I Wish Someone Told Me After My TBI(s)

Top-10
If only I’d known…

Follow the links with each topic to see a extended discussion of each.

These things took me years to learn. Actually, people knew them, but nobody thought to tell me. And the people who knew them, either didn’t tell me right away, or were not within reach of me.

Now, thanks to the interwebs, I’m passing them along. And I’m writing a short guide for people who also need to know this. It’s not long. It will have pictures. It will be basic and (hopefully) easily digestible, so even a “freshly” concussed person can use it.

Here they are:

  1. You’ve had a brain injury. Not once, when I was concussed, did anyone ever tell me that I had a brain injury. Not when I fell, or got hit, or got tackled, or was in a car accident. The idea that my brain was injured — and I had to take appropriate precautions — never came up. That may be because the idea of brain injury frightens people. They think of brain damage, and that makes them think of stupidity, idiocy, being “retarded”. There’s a lot of stigma around brain damage, so brain injury awareness takes a hit, as well. But if I’d know that my brain was injured, that could have made a difference in how I treated myself. I’ve known for over 30 years that the brain changes — I just needed to know that I needed to take appropriate action to heal. But I didn’t know. So, I didn’t do what was necessary.
  2. When the brain is injured, it can release a lot of chemicals that do strange things to the connections that help you think. The connections that help your brain think may have gotten disconnected and information isn’t getting to the right places — like when electrical wires are frayed and not enough electricity gets through. Just like the lights get dim when there’s a brown-out, your brain is having its own brown-out. There may also be a lot of “gunk” in your brain that needs to be cleared out, so that your connections can heal and be repaired.
  3. Your brain has changed. The connections that used to get information from one place to the next have changed, and your noggin isn’t processing things as fast as it used to.
  4. Your ability to plan and follow through may be affected — you may find pieces of information missing, here and there, and you may not pick up on every detail that you need to make the right decisions.
  5. You are probably going to be more distracted than usual. Your brain will get confused and not always know what details it should be paying attention to, or remembering. As a result, you might have more trouble remembering things — especially important things, like dates and schedules and appointments.
  6. All of this is going to make you feel very, very tired. You may need to sleep more than usual. Sleep also helps your brain clear out the gunk that gets released when it gets injured.
  7. Being tired makes you cranky. It also can make you more emotional than usual. You may find yourself behaving in “strange” ways, or thinking “strange” things. You may also find yourself getting much angrier than before — and much more quickly than before.
  8. You might feel like you are crazy… like you’re losing your mind. You’re not. Your brain is just “recalibrating” and figuring out how to do the things it used to do so easily.
  9. You may feel like this for a while. The best thing you can do is be patient with yourself and be aware of the ways that you are not functioning as well as you would like. Don’t rush it. These things take time. Eat healthy food, stay away from a lot of junk food, sugar, caffeine, and stress, drink plenty of water, and get lots of good sleep.
  10. Plenty of other people have had brain injuries / concussions, and most of them are getting on with their lives. You may notice some changes in your personality and abilities, but some of the changes may be for the better. Be patient. Pay attention. Be the best person you can. This is not the end.

concussion-now-whatDid you know there’s a Kindle eBook version of this post? It’s expanded with all the points I elaborate on, in the individual sections above.

You can get it on Amazon here$1.99, instant download

The New Science of Concussion Recovery

I’m not a snowboarder, but I’ve been up-side-down, looking at the sky plenty of times

Those who say “TBI recovery is not possible” can … [insert dismissal here]

Check out this article:

The New Science of Concussion Recovery

Breakthrough therapies are helping athletes recover from injuries previously thought untreatable. But many doctors remain unaware of the advancements.

It’s about seven months old… can’t believe I didn’t see it sooner.

Or maybe I did, and I forgot? That’s always possible.

From the article:

Therapies are tailored to the patient’s particular symptom set, since researchers now recognize six different types of concussions: anxiety/mood; cervical, which can lead to headaches; post-traumatic migraine; ocular dysfunction; vestibular, or difficulty with balance, motion, and coordination; and cognitive/fatigue, which causes concentration issues. A person suffering from an anxiety/mood concussion, for example, might become prone to angry outbursts, while someone with ocular dysfunction might feel woozy when surrounded by moving objects.

One of this year’s program visitors was Laura Fraser, whose concussion spanned three types (vestibular, ocular, and anxiety/mood). Her prescriptions included staring at a point on the wall while shaking her head, seeking out crowded places where people bustled around her, and focusing on objects at different distances. Her clinicians also insisted that she start exercising again. Running or biking, initially for 20 minutes a day, became part of her recovery program. “It was the opposite of what I’d been hearing for a whole year,” she says. But it worked. By December, she was symptom-free and cleared for more snowboarding.

“I could feel improvement every time I did the exercises,” says Fraser. “With the ‘just rest’ approach, I was waiting for something to happen,” she explains. By contrast, the active therapies gave her a sense of control over her injury.

I do take issue with how lightly they dismiss concussion / TBI. The article says, “Head injury symptoms that clear up overnight or within a few days shouldn’t pose a concern.”  And that concerns me a bit.

On the whole, the news about new treatments is encouraging, but it might be premature to declare victory in the Battle Against TBI. There’s a lot more to the story than you can get in one magazine article.

You be the judge. Read the whole article here: http://www.outsideonline.com/1928476/new-science-concussion-recovery

 

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