And the weekend is right around the corner. Now I can get some things done.

blue sky over the prairie
Just keep going…

I hate being really busy. Some people love it. I hate it. I find it confusing and irritating and counter-productive. “Don’t think, just react,” seems to be the battle cry of the modern world, but if you think about … how far has that gotten us?

I think we could do with more thinking and less reacting. Living life like it’s not a game being played for fun and profit, but simply — yes, simply — doing the best you can with what you have.

Things have been cooking… I’ve talked to two recruiters in the past week about potential jobs. Neither of the two prospects was a good fit, and that helped me clarify more how I want to move forward. I’ve been wanting to “hole up” and dig into a future in cutting-edge data. You know, just block out the rest of the world and live my life with data.

But as much as I would like to dive into a sexy new field, I’m not sure I really want to be chasing after that. I’m not up on all the latest technology, and people are looking for pretty intense qualifications. I could get those qualifications, but it’s more trouble than feels worth it. Plus, it’s not good for me to huddle off in a corner by myself and never have contact with other people. I really need interaction. If I work from home more than 1 day in a row, I start to get irritable and irrational. Interacting with people — not just numbers — keeps me sane.

Rather than trying to rekindle the glory of my past (when I could spend hours and days and weeks on end all by myself, wrangling with code), I now want to focus on more social types of work — more interactive, more socially stimulating. I work well with techie people. Geeks. Nerds. Subject matter experts. I love trading knowledge and trivia tidbits. And they get along with me pretty well, I have to say. Because we’re “of a kind”.

And at this point in my life, I need to stick with what I’m best at and develop from there, not cast about, looking for the next greatest thing. The tech scene is totally different, today, than it was 20 years ago. I should know. I helped build it, 20 years ago.

Anyway, these are just some things on my mind. Work has been extremely busy, lately, and nobody knows what’s happening… if we’re going to have jobs in another few months. There are rumblings in the rumor mill (of course there are, when aren’t there?) In the midst of it all, I’m extremely busy with my work — so much so, that I haven’t had as much time as usual for my own interests. Like this blog.

I have a handful of other irons in the fire, and I’ve been working on them. But everything feels rushed and cramped, and I hate that feeling.

Busy. Too busy.

What I actually realize about myself is that I push myself to busy-ness when I get tired. And I’ve been getting more and more tired over the past weeks. So, I have added more stuff to my plate, which is not helpful.

It’s unsustainable.

So, I’ve been getting more sleep, lately. And I’ve been thinking more strategically. Not just diving in with “tactics”, but stepping back and figuring out how I can do what I want to do in a more clever, more manageable (and sustainable) way.

Lo and behold, I got some ideas.

Some of it has to do with having a longer timeline for some projects — not having to have them done right away, but giving them time to percolate, so I don’t sink a ton of time and energy into things that aren’t actually good ideas, to begin with.

Some of it is about keeping things simple. Just narrowing my focus and concentrating on a select set of a handful of projects, instead of casting far and wide and spreading myself too thin. I forget just how scattered I can get, how my brain gets going around developing side-interests, off-shoots of concepts and ideas and interests. When I get tired, I’m even more susceptible to that tendency. And I’ve been tired.

So, how to avoid this in the future? I’ve gone ’round the barn on a handful of boondoggles, over the past weeks, and I need to not have that happen again. I’m doing what’s necessary to keep myself on track now, and I need to keep that up.

The weekend is coming. I can get a whole lot done, when I’m focused and concentrating on what’s in front of me, instead of letting my brain get scattered and run in every conceivable direction.

Less is more, sometimes. And I’ve got a lot to do. So, it’s time to do less. And get more done.

Yes! The weekend. I have a feeling this is going to be good.

The day after that inevitable sleepless night

sleeping chameleon
I’m feeling a little out-of-it today.

So, my sleep has been going really well, lately. I’ve been getting anywhere between 7.25 and 8.5 hours a night, regularly, which is great.

Last night was not one of those nights. I tossed and turned, couldn’t get comfortable, had a lot of aches and pains, couldn’t turn my head off… you know the drill. And all the while, my head is thinking, “Dude, you need to turn yourself off. Now.

Easier said than done. I think I got maybe 5 hours…? If I was lucky. And now I’m feeling out of it, foggy, irritable. Not the way I want to feel, first thing on Monday morning.

Every now and then I have a night like that. Sometimes, it can’t be helped. Of course, my schedule was way off — I changed things up in a big way, yesterday, and went for an afternoon swim with my spouse. We’ve been meaning to get to the really excellent saltwater pool of a hotel about 20 minutes from home. They have a great fitness center, too, and they’re less expensive than a lot of fitness centers I’ve been to. Plus, they have “adult time” blocked off for adults who just need to do laps. Or sit in the hot tub.

My spouse has some pretty significant mobility issues, and they need to get in a pool and move — take the gravity pressure off — as well as sit in the hot tub for a few minutes to ease the back pain.

So, we actually got our sh*t together and headed up the road shortly after noon. Got there in good time. Signed in, changed, and headed for the pool. We took our time, obviously, because of the mobility business. But before long, we were in the water.

Unfortunately, the guests weren’t honoring the “adult time” block — there were a bunch of screaming kids in the water, splashing around and generally being kids. That made it a little challenging to just chill out and do exercises/laps. Eventually, the kids left, so I could do some laps and my spouse could do their water exercises in peace. Then the hot tub… just sitting in the water and soaking felt fantastic.

I also got to spend some time in the sauna. They have one of those, too, which is a huge bonus for me — I’ve been wanting to get in the sauna for years, but haven’t had access — more on that later.  I didn’t stay in too long (that’s not healthy — 10 minutes tops is recommended). But I did get a bit of heat, which is so important. Especially on cold rainy days like yesterday.

So, I got in a swim on the weekend, which is huge for me. And I can do it again, anytime I like. I got a sauna. I didn’t get on the weight machines, but I can do that some other time. They have good machines. A whole range. I look forward to using them.

And my spouse got their workout in, which is borderline epic. They’ve been saying they’d do it for months and months. And now it’s happened. And that’s a very, very good thing.

When we got home, I was wiped out. Just spent. I needed to sleep, in any case, and then the workout pushed me even further. So, I got a nap, when we got home. I slept for 2 and a half hours… then lay in bed for another 15 minutes. By the time I was up and around, it was late. I had to make supper. Then we watched the latest Jason Bourne movie. And that cranked me up. Then I got in trouble for putting my spouse’s delicates in the dryer (I put them on low, which is basically just tossing them around in a cool breeze, which I thought was fine). And it looked like I’d ruined one of their favorite tops… until we read the label, and it turned out I’d actually done exactly what they told me to do…

So, there was lateness.

And excitement.

And arguing.

And a bit of door-slamming on my part.

And then a little bit of humor, when my spouse came to find me and show me that the top was completely ruined.

It was a full day.

And I didn’t get enough sleep, last night.

But that’ll happen, now and then.

The important thing is, yesterday was a really, really good day, and we/I accomplished a helluva lot that needed to get done.

It’s Monday. Time to bring it.

Onward.

Morning fog… morning agitation

village in valley with fog and sunrise
Today I’m feeling foggy, like this village – but less pretty (Photo credit: Sebastian Unrau)

One of the most bothersome parts of TBI is the irritability that comes when I’m foggy and tired. Like today. And last night.

I have had a really long and full week. I wasn’t expecting it to be as challenging as it has been — a lot of people have been out of the office at a conference, so it’s been quiet. Kind of.

Lots of stuff has “blown up”, though. And that hasn’t been good. I’m taking it personally, when projects don’t go as planned, even though there are whole teams of people not bothering to pay attention, these days.

So, that’s been exciting. And tiring.

Meanwhile, at home, things have been wearing, as well. I don’t get a break, when I get home. It’s more work. Everything feels like work.

Of course, if I can get some extra rest, it’s fine. But that hasn’t been happening. If anything, I’ve had earlier days than usual, lately, and that’s been taking a toll, as well.

The toll is angry outbursts.

Getting more tweaked about things that don’t normally bother me.

Blowing things out of proportion.

And then feeling terrible about myself, because I couldn’t keep my cool.

So, I’ll try again today. Take a nap later.

And keep going.

Onward.

Seems strange that we don’t know more about #concussion

According to the CDC’s web page(s) on TBI and Concussion:

How big is the problem?

  • In 2013,1 about 2.8 million TBI-related emergency department (ED) visits, hospitalizations, and deaths occurred in the United States.
    • TBI contributed to the deaths of nearly 50,000 people.
    • TBI was a diagnosis in more than 282,000 hospitalizations and 2.5 million ED visits.  These consisted of TBI alone or TBI in combination with other injuries.
  • Over the span of six years (2007–2013), while rates of TBI-related ED visits increased by 47%, hospitalization rates decreased by 2.5% and death rates decreased by 5%.
  • In 2012, an estimated 329,290 children (age 19 or younger) were treated in U.S. EDs for sports and recreation-related injuries that included a diagnosis of concussion or TBI.3
    • From 2001 to 2012, the rate of ED visits for sports and recreation-related injuries with a diagnosis of concussion or TBI, alone or in combination with other injuries, more than doubled among children (age 19 or younger).3

What are the leading causes of TBI?

  • In 2013,1 falls were the leading cause of TBI. Falls accounted for 47% of all TBI-related ED visits, hospitalizations, and deaths in the United States. Falls disproportionately affect the youngest and oldest age groups:

    • More than half (54%) of TBI-related ED visits hospitalizations, and deaths among children 0 to 14 years were caused by falls.
    • Nearly 4 in 5 (79%) TBI-related ED visits, hospitalizations, and deaths in adults aged 65 and older were caused by falls.
  • Being struck by or against an object was the second leading cause of TBI, accounting for about 15% of TBI-related ED visits, hospitalizations, and deaths in the United States in 2013.

    • Over 1 in 5 (22%) TBI-related ED visits, hospitalizations, and deaths in children less than 15 years of age were caused by being struck by or against an object.
  • Among all age groups, motor vehicle crashes were the third overall leading cause of TBI-related ED visits, hospitalizations, and deaths (14%). When looking at just TBI-related deaths, motor vehicle crashes were the third leading cause (19%) in 2013.

  • Intentional self-harm was the second leading cause of TBI-related deaths (33%) in 2013.

That, to me, is a pretty big deal. And that’s not even counting the costs of concussion to all the people who sustain them, as well as the friends, family members, co-workers, and employers involved.

While other diseases, injuries, conditions, etc. have “epidemic” status and get a whole lot of attention and visibility drawn to them, concussion / TBI still lurks just under the surface. Maybe because it’s so scary for people. Maybe because it’s so invisible. Maybe because people still have this perception of TBI as being “just a clunk on the head” that’s no big deal.

Guess what — it is a big deal. And it affects your whole person.

So, maybe people really do get that. They just don’t have the ways of thinking/taking about it in a productive way.

Maybe we just aren’t properly equipped.

I’m not sure there’s ever a way to properly equip people to confront their deepest, darkest fears. But the right information goes a long way.

Also, having standards of care, getting the word out on a regular basis about how to understand and handle concussion / TBI, and not treating it like a taboo that can’t be discussed in polite company… that would help, too. Heck, if we could just discuss it, period, that would be a positive development.

Well, that’s what this blog is about. Sharing information, as well as discussing what it’s like from a personal point of view. It’s important. And it doesn’t happen that often, in a productive and pro-active way. At least, not compared to the frequency with which it happens.

It really doesn’t.

Except here, of course.

So, as always, onward…

Getting the right information about #concussion

train tracks rounding a bend and disappearing
Who can say what lies ahead?

It never ceases to amaze me, how little is generally known about concussion / mild TBI. Either it’s dismissed, or it’s viewed with a combination of fear and horror. Just mentioning to someone that you’ve had one (or two, or — like me — 9) can seriously alter their perception of you.

I’ve had conversations with people who I thought would “get it”. But as soon as I mentioned my history of mild TBI, their manner changed from collegial to guarded. As though they were waiting for me to slip up or do something stupid.

Eh, well. Whatever. I can’t get too bent out of shape about it. After all, it’s largely not their fault. We just don’t have a lot of good information about concussion / mild TBI. Nor do we have stellar management practices. It’s either negligent, or it’s over-protective. And unless I’ve been under my rock too long (always a chance of that), I don’t believe there are widely recognized, standardized best practices for docs and patients, alike.

We’re getting there. But we’re not there yet.

That being said, I’m working on updating my series 10 Things I Wish Someone Told Me After My Concussion(s) I collected 10 posts in one place, and I also published it as an eBook, to give people more access to it. But looking at it last night, when I had some time to myself, I see I really need to both expand it, as well as create a more condensed, high-level version of it.

The point of the collection is to let people know they’re not alone – and to share with them things that really would have helped me, had I known about them sooner. When you hit your head hard enough to alter your consciousness, it can impact you heavily. It might not be obvious from the outside right away, and it may take a few hours or days or weeks (sometimes even months) for things to start to get weird, but something actually has changed inside your skull.

We need to know this. Not just from doctors when we think to consult with them. Not just from experts, who have all the domain expertise. But in the general population. That’s why I’m expanding the book into print — because I want to get it out to libraries, as well as to individuals. It’ll be on Amazon, just like the eBook is.

I’ll be updating this site, too, as I go along, adding more information to help clarify. This is important. People need to know. It can’t protect them from that first impact, but it might just help them deal with that — and possibly avoid the next impact that becomes even more likely when you’re already concussed.

Watch this space.

For this news … and more.

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

Top 10 Things I Wish They'd Told Me After My Concussion(s)
Top 10 Things I Wish They’d Told Me After My Concussion(s)
Price: $2.99
Have you had a concussion? A mild TBI? If you’ve recently had a head injury, you’re not alone. Millions of Americans have a brain injury every year. Sports, falls, assaults, auto accidents, and more all contribute. To take care of yourself and get better, there’s a lot you need to know.
What can you expect? Why do you feel so weird? Why are you getting so angry? How do you take care of yourself? How long will it take for your symptoms to clear up? Will this fatigue ever end?
This “beginner’s guide to concussion” gives you an insider’s view of what it’s like, what you can expect, what you might experience, and why you feel the way you do. Written by a multiple mild TBI survivor with decades of recovery experience, “10 Things I Wish They’d Told Me After My Concussion(s)” fills in the blanks of this puzzling condition and talks about anger, fatigue, frustration, the neurological basis of your situation, and more. There is always more to learn with concussion. And this book is a place to start.

Who’s stopped by in the last month

picture of world readership from the last 30 days
Who all has stopped by in the past month

I just checked my stats from the past 30 days, and it looks like word has gotten out about this blog. Or people have been finding their way here. The breakdowns of countries are below – this is just the past 30 days, but the range of countries is pretty extensive.

world readership statistics from the last 30 days
The full list of visitors from the last 30 days

Retrieving my past, making peace with my present

footprint in sand with wave coming near
We all leave our own individual tracks

I’ve been on a bit of an emotional “tear”, lately. I hate when this happens, but now that spring is (finally) here and people are coming out of hibernation, I’m interacting with more people these days, than I have in a long time.

I’m also in contact with my parents more, which is a fairly complex undertaking, at times.

And it brings up all kinds of “old stuff”, which is a pain in the neck. Things like my parents’ disappointment in how I turned out, compared to my other siblings. I went my own way in the world — partly because I wanted to, partly because I repeatedly failed at doing things the way they were expected — and they’ve never quite made peace with it.

Case in point: I never graduated from college. I went for 4 years, and I did pretty well while I was there. But my exciting life (including trouble with the law and a series of mild TBIs from car accidents) got the better of me, and I couldn’t organize myself well enough to finish. My parents never quite forgave me for that, even though I’ve been extremely successful in my chosen profession, I’ve done a fantastic job of providing for my household, and I’m a valued member of my community.

Just the other week, after all these years, my father was giving me a hard time for not finishing school. As though that’s the only measure of my worth or ability to perform.

I know he’s not in the minority in that. The whole world seems to think that a college degree confers brilliance upon its owner — or at least basic competency. And if you don’t have that degree, you’re considered less-than. I get that all the time, when I’m job-hunting. And I’m wondering how long till the rope runs out on me, and I can’t actually GET a job, because I have no degree. It could happen. I just hope it doesn’t happen anytime soon. I have plenty more life to live, before I have to give it all up because I can’t get a job that pays more than minimum wage.

And that really cuts into my self-esteem. Being able to provide for my household is one of the biggest aspects of my self-image, and when I was struggling with holding down a job, it was brutal. It’s not optional for me, and I’ll go to any lengths, do just about any job, in order to keep our standard of living where I believe it should be. So, I’ve done what’s necessary. I’ve acquired skills, worked my ass off, really plowed through every conceivable obstacle to get where I am, today.

And I’ve done all this with a history of multiple mild TBIs that seemed to cut me down at every turn, when I was growing up, and then again when I was an adult and at critical turning points in my life.

Funny, how that works. Not ha-ha funny, but ironic. Weirdly ironic. Just when I’m about to turn a corner and really kick it into high gear… I get into a car accident, I fall down some stairs, I hit my head. Something.

Of course, looking back, it makes sense to me, now. Those times when I was about to turn a corner, I was so focused on turning that corner, that I failed to notice the hazards in my life. I can get extremely focused on My Main Goal, to the point where I block everything else out, and I go on auto-pilot. So, I can’t blame the world for my misfortunes. I’ve played a role in many of them.

But still, I do get a little tired of being lectured about not living up to my potential. I know I haven’t done that as well as I want, and it really burns. It aches. It tears me up inside. And there’s nothing I can do about the past.

But I have my present — which is really just a pale shadow of what I wished it would become, once upon a time. If I hadn’t gotten hurt regularly, when I was younger — a fresh concussion every other year or so, sometimes two of them within a few months of each other — I might have had more of a fighting chance. But what’s done is done.

And now I need to focus on the positives and keep myself moving forward, using everything I’ve lost, every hardship I’ve experienced, for the good.

Because, to be honest, this motivates me. All the missed opportunities, the screw-ups, the failures… they motivate me. Because I don’t want to do them again. I need to get back on the horse and try again. I need to keep going, keep moving forward in my life, keep looking for ways to contribute. I may not be in the top-flight leadership position I always expected to be in, oneday, but I can do my part in the place where I am right here, right now.

And there are advantages that I have, thanks to my concussion history. I have the advantage of knowing how capable I am at recovering. I have the advantage of knowing how concussion works, how it affects you, and what you can do to overcome it. I have the advantage of on-the-ground, hands-on life experience with TBI recovery, which is a far sight more than a lot of rehab professionals have. I have an insider’s view, and I’m able to articulate that to others who may need to hear about these things.

So, my experience is good for something.

And I have to wonder if maybe my distance from the standard-issue path to social acceptability and respect may actually work in my favor. Because I haven’t been in the mainstream as a fully-vested participant (I do a great impression of somebody with skin in that game, but I honestly don’t have the energy to play a leading role), my thought patterns haven’t been overtaken by the status quo. I’m always the outsider, in so many things, and that gives me a creative edge, as well as a motivational edge.

Because popularity and success and public acclaim haven’t been lavished on me, I haven’t been corrupted by those influences. And that’s a plus. Especially when it comes to talking about things as eclectic and as misunderstood as mild TBI. I have no investment in sticking with a party line, and I have no use for the usual platitudes and prejudices that seem to run the world.

All in all, I think I have plenty to be proud of. And when I look at my past and present through the lens of appreciating what all I’ve had to overcome (which my parents and most people will never begin to understand), it really eases the burn of all the disapproval, all the lectures, all the marginalization.

I have my life. And I’ve got a lot to be thankful for. I can never lose sight of that.

Looking back – what I’ve lost, what I’ve gained, what I’m giving back

surfers coming out of the end of a tube
We can do this

A little over a year ago, the neuropsych I’d been working with since 2008 changed jobs and relocated. It was a pretty big change for me. This was the person who’d agreed to work with me, when everyone else around me said there was nothing wrong with me, and I was just looking for attention. This individual saw something in me that they knew was in desperate need of help, and they were in a position to help me. That was rare.

Nobody, but nobody else, believed me, when I tried to tell them how much I was struggling. They didn’t seem to care that I’d lost a really good job and that I was bouncing around from one situation to another (they seemed to think I should just be grateful that I could work at all).

Nobody seemed to care that I’d parted ways with hundreds of thousands of dollars in hard-earned performance stock options and retirement savings (they seemed to think I was being greedy to want that much money).

Heck, I’m not sure anybody even believed me when I told them how much money I’d gotten, thanks to busting my ass for years and years at one of the top financial services companies on the planet. They looked at me, in my post-TBI state, and they drew very different conclusions.

Nobody seemed to realize just how rocky my marriage had become. Even I didn’t realize that. I couldn’t detect any great love for my spouse, for years at a time. I was married because, well, that’s what I was. But I harbored no great affection for this person I’d lived with for nearly 20 years, and when my neuropsych asked me if I loved them, I just shrugged and said, “I guess so.”

Nobody seemed to believe me at all, when I talked about how my skill level was a fraction of what it once was. I used to be an incredibly gifted programmer, and if you have money in a retirement account, you’re probably using websites I personally helped design and build. (You’re welcome.) The people I worked with all knew that. I was a legend in their midst. A folk hero. A thought leader — a leader, period. But nobody outside my very narrow professional sphere actually got that. They didn’t realize. Because they weren’t smart or experienced or in-the-know enough to actually get it. Nothing against them. They just didn’t get it. At all.

My neuropsych did, however. I mean, for the most part. I think they were pretty skeptical when I’d was eloquent about all the amazing things I used to be able to do. And they never seemed that sympathetic, when I bemoaned the loss of those former “chops”.  But we had a pretty good working rapport, overall, and I’d made some fantastic progress, thanks to being able to check in with them, each week. I developed my own ways of rehabbing my brain — and my life. I kicked ass, to be honest. And in 40 years of working in TBI rehab, they said they’d never seen a recovery as dramatic as mine.

They had fairly low expectations of me, when I started working with them. But they didn’t know me, yet. And they had no idea what all I was capable of doing. They found out. And when they moved on, it was a loss for them to not witness my recovery, week after week. I’m not being conceited. It’s an objective fact.

It was a personal loss for me when they moved on, as well, because I’d become fond of this individual. Even though they were a “healthcare provider” in a specific role and they billed me for their services, the relationship felt more like a mentoring arrangement, than a rehab situation. I was working on aspects of my life that were well beyond the scope of basic TBI recovery, anyway, and the areas of my life that I addressed — all of which were severely impacted by my concussion(s) — were hardly the kinds of things you’d list for insurance purposes.

I was fixing my marriage. I was fixing my career. I was fixing my sleeping and eating and exercise patterns. I was fixing my self-image. I was fixing my Sense-Of-Self, and all that it affected — which is/was everything. I was fixing my life. I’m not sure what they indicated on the insurance billing forms, but I’m sure most of what we worked on wouldn’t have “flown”.

Anyway, life goes on. Things change. People switch jobs and move away.  This is not news. And that’s what happened with me. It was a bit of a jolt, to start working with a new neuropsych each week — someone with a very different perspective on life, not to mention about 30 years less professional experience than my old neuropsych. This new one is very good to work with. But they’re different. And we’ve had our own bumps and hurdles along the way.

One thing I notice, however, is that this new neuropsych is a lot less discouraging around Type A activities. My old neuropsych spent an awful lot of time trying to convince me to get off my Alpha “high horse” and chill out. That did help me, because I was stressing myself out terribly over things, when I should have been allowing myself to rest and recuperate from my Daily Push. At the same time, it also held me back. Because to be perfectly honest, I do best when I’m at the top of my game. Losing access to that peak aspect of myself was a pretty devastating loss to me. And having someone tell me, “Oh, that shouldn’t matter to you as much as it does,” was frustrating, irritating, confounding. Just not helpful at all.

But this new neuropsych is a bit Type A, themself — a “gleeful Alpha”, as I call them — someone who’s happiest when they are at the top of their game, very motivated, very driven, very oriented towards Excellence In All Things. Their approach is much more high-energy. From the moment I step in their office, I have to be on my toes. I have to be sharp. I have to respond quickly. I have to push myself. I can’t sit back and chill out, like with the last one. This one is much more demanding, and while it was a pretty tough transition for me, at the start, after a year, I realize that their working style is really what I wanted from my old neuropsych — but never got, much to my former chagrin and dismay.

Now it’s a totally different game with me. And I realize, looking back on the past year, that I’ve actually jumped ahead in my functionality in some significant ways. I’ve improved at work. I’ve improved at life. I’m better at holding conversations. I’m better at socializing. I’m better at keeping myself focused and on-point. And I’m actually functioning at a level far better than any I functioned at before my accident in 2004.

That’s pretty amazing, if you think about it. Because I’ve had no less than nine different mild TBIs / concussions in the course of my life, and the cumulative effects (both in my brain function and attitude) really took a significant toll on me. That last accident in 2004, when I fell down those stairs and hit my head a bunch of times on the way down… the difference I eventually felt in myself was like night and day, compared to how I’d been before.

Now, though, I’m actually back to where I want to be. Sure, there are areas in my life where I’m not nearly as sharp as I used to be. I have a heckuva time handling programming logic, these days. But in other ways, I’ve built up skills that I never had before. I’ve learned new things about myself and developed additional competencies that I might never have bothered to develop, had I never gotten hurt and lost so many of the things I used to take for granted.

That’s pretty amazing to me. And it’s counter-intuitive, according to the standard-issue brain injury rehab “party line”. When you injure your brain, you’re not supposed to fully recover. Not really. And you’re certainly not supposed to recover to a point that’s actually more advanced than you were, prior to your accident. Oh, sure, sometimes people become geniuses after they get clunked on the head. They develop skills in math or art or some other area. But in terms of everyday functioning, those basic, often boring aspects of life that get all scrambled up after TBI? Nah, that’s not expected to be restored.

We’re supposed to settle for a “new normal” of a diminished life. Broken relationships. Broken marriages. Lower standards of living. Less career development. Less money. Less influence. Less power over our lives and self-determination.

Huh. How ’bout that…

I, for one, have no interest in living that way. And I’ve had to really work my ass off, over the past 10+ years, to get to a place where I am actually happy with the direction my life is headed. It’s not enough for me to be content with how things are. I need to be happy with where things are headed. And this new neuropsych has given me a nice break from the “chill out – just be glad you’re alive” kind of approach my old neuropsych tried to instill in me, week after week, for all those years.

They never completely succeeded in that mission, I have to say. And good thing. I’ve never been able to let go of my desire to get back to the functioning level I was at, before. And now that I’m feeling even more “back”, than I ever have, I look ahead of me and wonder about what’s next.

What is next? Well, another blog. One devoted to Peak Performance Concussion Recovery. To the high-performing, Type A, peak experience folks who get clunked on the head and watch their lives fall apart… as the medical establishment fails to help them, and people around them fail to understand the nature and extent of the impact of a “simple” blow to the head.

Concussion is not simple, no matter what people say. And brain injury (because concussion is a brain injury) is not a simple, straight-forward path you can follow, with 7-10 days of rest, followed by 8-12 weeks of rehab, whereupon you’re expected to get back to normal life, at the level you used to be at.

Concussion isn’t always straightforward, especially for people who are accustomed to operating at levels far above the median. And the expectations people have for recovery tend to be dismally low.

So, I’m doing something about that. I’ve kept this blog to chart my own recovery, my struggles and challenges and wins, along the way. It’s been a personal journey. And it hasn’t always been pretty. Now it’s time to “bump it up” a little bit, and focus on the high performance aspects of my life. Because I always had them, and I continue to have them. Even after multiple concussions over the course of my life. I’m unabashedly Type A, and I know from personal experience, how devastating it can be to lose the capability to be Type A — to be who you are, what you are, and why you are.

I also know from personal experience how to Get Back. I’ve worked my ass off, for the past 10+ years, and I’ve actually achieved what I set out to do. There were days when I gave up on the idea of ever having the kind of life I wanted. There were days when I just had to accept that things weren’t feeling or working better for me, and it felt like it was always going to be that way.

But after years and years of heartache, blood, sweat, tears, grinding it out, day after day, balancing all the lessons learned, I feel like I’ve really come out on the other end, like a surfer thrust through the windy end of the tubular curl they’ve just passed through.

I’m back to performing. I’m back to being better every day. If I can do it, so can others. And my new blog is about speaking exactly to people who, like me, are totally committed to living the best life possible after TBI / concussion.

High performers come in all different shapes and sizes. Don’t get me wrong. You can be a peak performer as a stay-at-home spouse or parent. You can be can be a peak performer as an entrepreneur, an athlete, an artist, or a corporate ladder-climber… or whatever other direction you take in your life. The point we all have in common is that we’re determined to work on ourselves and be the best we can be, no matter what… to use the lessons that life throws at us to learn and grow and make our lives into something greater than they were, just last week.

I’ll still be blogging here as a personal practice. But there’s a real need to focus on high-performance concussion recovery. And so I’ll be doing that, now and in the future.

Onward.

#braininjury Q and A for today

head with brain opening and question marks coming outLooking at my site stats, here are some questions people asked or things they searched on — and then found their way to this blog.

  • are some people wired for failure

I think some people may be. I know people who cannot seem to help making one bad choice after another, who can’t seem to avoid screwing up, time and time again. “Failure” is relative, of course. If you look at all of your life experience as a series of opportunities to learn, failure is a great way to learn more than you ever thought possible. People who succeed at everything they do, don’t get the benefit of the lessons that come from failing to achieve your goals. Then again, some people never seem to learn. They seem almost addicted to messing up, and there’s not much you can do, when someone is in that state of mind. Of course, you can call their attention to ways they could do things differently, but not everybody can hear it, understand it, or put it into action. Unless they can, their failure isn’t going to do them much good, and that’s pretty depressing to watch.

  • can hot flashes be brought on by injury

Yes, I believe so. In the case of women, I believe menopause can be triggered by a brain injury. The endocrine system, which manages our hormones, is actually pretty easily impacted by brain injury, so it can really mess up how your body handles things. This goes for men, as well. We all have hormones. We all are affected by it. And it’s my understanding that the endocrine system manages our body temperature. So, if it’s affected, yeah – you can get hot flashes after injury. The other thing is that brain injury can put you in a state of persistent fight-flight, which pumps your system full of adrenaline and other stress hormones. I don’t know about you, but when I’m all hopped up on adrenaline, I heat up. So, that’s another way you can have hot flashes after injury — you system can run hotter, in general. And getting it to tame down can take a lot of work. It’s a good use of time to work on that, of course. It’s done wonders for me, I can tell you that.

  • zone out after brain injury

I did this for quite some time, after my TBI in 2004. I would sit in front of my computer at work, just looking at the screen, not even seeing what was there. It was bizarre. And people around me got pretty uncomfortable. One day, I was an over-the-top peak performer… the next, I was a zombie sitting in front of my computer, just staring at the screen. My brain was full of gunk that needed to get cleared out, so for weeks, even months, after my accident, I just zoned out. It took quite some time to get over that, but I did. I still zone out, now and then, but that’s usually because I’m over-tired or overwhelmed.

  • concussion and remembering names

Lots of things can keep us from remembering names. After my last concussion, I couldn’t remember names, nor could I remember faces. I’d have long, involved conversations at work with people, without any clue who they were or what their names were. Then I’d walk around the office, trying to find where they sat, so I could secretly check out their name plate and figure out who they were and what they had to do with me. In order to remember something, you have to make that memory, you have to encode it in your circuits. After TBI, your brain can be so scattered, you don’t have the concentrated attention to encode memories as well as before. This can improve over time. But then you get into remembering names… which is a whole other thing. Sometimes I can’t for the life of me remember who someone is, or what their name is — just last week, I couldn’t remember one of my relatives I knew quite well as a kid. I just drew a blank. But when I asked someone else who they were, it all came rushing back. It’s tricky. It’s kind of a minefield. But it can change. It can get better.