Thursday, 12 September 2019

The Aussie Battler Brain That Fought Mighty Hard To Regain

While I initially had a notebook always by my side to write down the constant stream of thoughts, concerns, reminders and general hospital activities/tests/operations (as a smart reassurance measure that I was actually still alive - and not in a coma or dead like I morbidly insisted throughout those initial weeks of living with two acquired brain injuries at just 26 years of age - with concrete evidence easily accessible for whenever I did get anxious and/or confused), if I couldn't find it (because you tend to lose items on a regular basis without your mind's short term memory 'reception', hippocampus #toputitmildly #stilldo), I proactively would send myself easily-accessible emails instead. 
Above: This email I sent to myself (#coolkid) was just two weeks after the second stroke when I constantly was unsure what date it was or even the day of the week, what I had for breakfast thirty minutes earlier or who spoke to me in great detail about their day merely a few seconds ago
Returning to my bed after a quick minute spent in the bathroom was a confusing + confronting challenge as I had no idea which neuro ward hospital bed was mine (despite it being the same one with all my fanfare/gifts from kind visitors surrounding it in a small room of beds the entire six weeks I 'vacationed' there), what I had done/where I had trekked just a few measly seconds earlier.
Like something you'd see in a cruel movie plot, I had instantly acquired such severe long-term disability which demanded full-time supervision/care and after initially surviving, the morbid odds were LIKELY that I'd die soon afterwards - the email's content shows rather remarkable conversations and thoughts had during such otherwise intensely frightening times (especially with the spelling of homophones being the topic of conversation among teacher colleagues who had so kindly visited the neuro ward) and the perfect kind of deflection from the warped life path I was now forced on.
There's even a punny joke during such about Ireland having the fastest growing capital city - it's always 'Dublin' (/'doublin') - so kudos to my mind for still being able to grasp clever puns!
St George's Hospital, London U.K.
November 2012

I woke up like this. 
The second stroke ended my youthful life abruptly and without an ounce of compassion. 
Suddenly, I had to accept that my life, despite otherwise being in its prime, was now, unlike most young people all around me, built with fragile matchsticks, any incorrect move could then be the end of me right then and there. 
Despite the lack of care and support by our current society (#bethechange), the majority of stroke sufferers die within the immediate years following and young people are not exempt from such horrifying statistics. It's not 10% like other illnesses that currently get special days/weeks/months/entire time dedicated to them and celebrated/honoured profusely by the media and the general public who have willingly & openly acknowledged and supported. Think about it; when was the last time (/any time) you gave consideration, concern and/or support towards a stroke organisation and/or stroke sufferers with a morning tea, a donation/fundraising event or even just with a social media content share about stroke fatalities and/or a young life living with the constant debilitating disabilities and effects (direct & indirect) of stroke? Without hesitation, I can confidently deduce that most have never. 
Why is the world's biggest cause of adult disability and the 2nd largest cause of death (only to heart disease) constantly & cruelly dismissed?
This agonising thought continues to linger as I fight through each day with my constant invisible struggle to keep on living, to reclaim some of my former life and to have worth in others' lives too.
Let me take a moment to give thanks to the magnitude of quality people in my life who have, during such a long-winded torturous ordeal, consistently & genuinely listened without judgement, understood without pretension, provided support & inclusion without question, loved without condition and validated without comparison. 
The genuine compassion, consideration, respect and insight so many loving people have consistently shown towards this constant intense struggle over the majority of my adult years (when I can offer them nothing in return) has been the the silver lining of my life's mammoth dark cloud.
Such kind supporters have wisely looked at how life can be like outside of their comfortable bubble, ensuring to make me feel understood & valued.
In my opinion, being understood, together with being of worth to others, are not to be taken for granted and contribute to the most important aspects to living a fulfilling life, sick or healthy. It's about the sincere connections you make, amiright?!
Overall, such an arduous experience (that is stroke and the considerable effects - direct and indirect - uncontrollably inflicted) has since made a Kitty Kat who is a more compassionate person to those who have shown consideration, respect and consistency by looking at life outside of their bubble for others who may look 'fine' yet are actually continually struggling just to get by every moment of their day (it seems to be increasingly difficult for people to do with our current world's narcissistic, 'what's in it for me?' mentality).
The bi-brain damage and its debilitating effects that have lingered for most of my adult years now could not be overcome with what had previously made me thrive; it was a new playing ground (/battlefield) with new rules and a bias that would make the strongest person question why they survived.
Despite growing up in a tourism community where I regularly enjoyed engaging with new people and seeing life through their eyes from an early age, the strokes have encouraged an even further appreciation for meeting new souls and seeing their perspective on a topic I think is so often warped by ignorance, judgement & comparison by those who analyse the former brain-damage-free 'you' and what you previously could offer them to the updated, evolved stroke survivor.
It may come as a surprise to you that someone who often feels judged unfairly these days, embraces new people so openly but I have found some can be incredibly supportive, kind and open-minded.
Isn't that just so beautiful to discover about the human race?!
Thank you to those genuine souls, you are the Kitty Kat's meow (plus the genuine long-term Klubbers who are always writing love notes, sending treats and including me in their lives)!
Genuine people are just what a stroke survivor needs, the time you've known them prior to brain damage has shown to not necessarily come into it.
While I still like to embrace new people just like I did before strokes (#tourismfamily), it has actually surprised me how supportive they can be when I have nothing to offer them and yet some people I've known for years, if not decades, have not necessarily been as thoughtful, consistent and compassionate.
My current life sometimes feels like a hellish prison - one that I cannot escape (and have been forced into with no direct fault on my part) yet due to the (current) vast ignorance of brain injuries by society, others so often regard it as not a big deal and/or not their problem to understand nor support.
It honestly brightens my day to know others sincerely care despite not being able to offer them anything, even when I have lost so much in various aspects of my young life and only continue to suffer throughout my days.  
Cheers to those who continue to bring the sunshine to my rainy day, support in my darkest hour and read this little ole brain blog, you are amazing
While 2012's two strokes killed approximately a baboon's worth of neurons, I still am quite capable of knowing my ultimate worth - although I am at times still forgetful, I am one who is unforgettable and I shall continue to hold value for myself and this hard-working brain that has oh-so-battled to regain.

Consider a neural injury as an 'invisible brain cloud' persistently + aggressively following a survivor around no matter how hard they try to pretend their day is as sunny and exhilarating as those around them.
Imagine being in your youthful adult years having to continually (#thereisneveranyescapingyourmind) struggle, compensate & adapt with such dark & gloomy conditions on top of all the loss, restrictions, judgement, alienation and uphill battles.
Even with considerable damage sustained and the ongoing struggles of such a bleak environment for so long (/indefinitely), it should be noted that survivors of brain injuries still (in my opinion, generally speaking) want to be out there living life, progressing through it just like the next person + regardless of what has happened to us, the need to be included, appreciated, considered & celebrated like the rest of society should be incredibly important as it can help in boosting sacred morale and ensuring vital purpose and validation of one's life is kept in check.
Such a constant struggle shouldn't mean that people avoid, turn their back and/or judge, but this is the current tendency for those living with brain injuries and people feel totally comfortable in treating us that ignorant way because it is presently accepted.
Why do some still grapple to acknowledge and show sympathy for brain injury survivors who are constantly struggling to live on? 
This should not be where our focus is after suffering something as catastrophic as stroke but so much time and energy has been taken up in sheer anguish over the lack of understanding, consideration and nurture that I have been dealt now as a young stroke survivor.
The poor behaviour and harsh actions by some towards those continually suffering from such mind torment needs to be called out; the invisible brain cloud is aggressive, extremely cruel and ever-shadowing the lives of those constantly struggling through life as a brain injury survivor, how others treat us should be the last thing we need to worry about.
Consider us. Respect us. Celebrate us.

Some have even suggested thinking of an injured mind as a window.
 While a typical person may have an easily manageable & maintained piece of glass for their brain, this particular window is always dirty and no matter how rigorous & long you scrub, you just cannot take all the stains away.
With time and mighty hard work, some of the stains (pain, disability, loss, struggle and isolation) may be lifted (such is never promised by any means) but for many of us stroke survivors who weren't fortunate enough to receive appropriate medical assistance (I actively sought such
within minutes of my second stroke which has caused the most strife out of the two, yet the medical help I received was not appropriate for what I was suffering - at a world-renowned hospital for neurology! As it became quite clear, the Emergency Ward is not the Neurology Ward - which specialises in the complex mind and its vast science around the clock - hence the general assumption *not official diagnosis* of a virus of the brain - that initially frightened me more than a stroke given my previous ignorance about stroke, in particular - while hanging out in the Emergency Ward which led to the incorrect treatment given the second stroke's location was first hidden from view, deep inside the brain in the limbic system during the initial CT scan), the body's 'window' is continually opaque and there is no guarantee that it will ever be crystal clear again. We have no choice but to continually work hard at cleaning the window & improving its visibility, trying to make out what little we can now see outside of it and how we can make the most out of what we have since been left with, continually struggling to find the purpose and joy in such and for the most part, an internal, invisible struggle which extent is not yet widely recognised nor understood by others. 

"Brain injuries turn the familiar unfamiliar."
 This is the starting point for an insightful video created by two brain injury lawyers, De Caro & Kaplen, who have delved deep into the lives of those living with such constant struggle & extreme loss.  
Both brain injury lawyers know the urgent need for society to better understand the cruel aftermath of surviving a substantial brain injury and that it is not always as straightforward and apparent as it may seem simply by judging a survivor's physical abilities, appearance and their particular attitude to their acquired - yet unwanted & unwarranted - life
The clever online vid offers a raw perspective not often revealed to the public about brain injury survivors and their vulnerability, their constant struggle + the added pressure set by our present society to 'just get over it - you're fortunate just to still be alive - and/or leave us out of it'.
"If you’re a traumatic brain injury survivor, 
are you frustrated by being told how lucky you are? 
How your injury could have been much worse? How you look great? 
For those suffering from a TBI it’s difficult to explain how they feel."

Like an acquired brain injury (ABI), a traumatic brain injury (TBI) can also be known as an 'invisible injury' due to the vast range of effects that can be suffered by survivors which are not physically visible including debilitating aphasia, amnesia, fatigue and anxiety. They are extreme cases and not necessarily comparable with someone who is free of injuries to the mind (even if they too feel they have similar symptoms in their damage-free minds).
Despite such intense and constant struggles (that strike instantly yet linger indefinitely), such brain battlers may physically look 'fine'. 
The 'invisible brain cloud' is just one analogy to help others grasp such a complex illness constantly suffered by survivors of brain injuries.

Australia's Stroke Foundation has their fingers on the pulse with the informative + encouraging podcast called Enable Me.
Such aims to offer almighty hope for those struggling to live on post brain attacks + help stroke survivors lead fuller lives; a major cause of my intense angst and prolonged misery is that my life has been so utterly limited for now almost a decade.  The majority of my adult years has been spent in constant struggle, restriction, exclusion and deep inner pain - the prime youthful years cruelly snatched from my hands.
Simply knowing there are such considerate people helping + including stroke survivors who are so often forgotten by our current society truly warms my blood and you know I love to have warm blood pumping around this hungry brain of mine!

Enable Me Podcast:
 Episode 22 -
Hidden Disability
August 2019

Enlightening firsthand perspective from a TBI survivor about living with an invisible disability -
My Life With The Invisible Disability Of Traumatic Brain Injury

Above: While it initially may seem like a supportive act to try to relate to what some stroke survivors are always suffering with so you can make a quick connection (essentially to feed the good ole ego), it ultimately is downplaying the extreme restrictions, confronting disabilities & vast constant struggles (that an outsider could not simply + swiftly comprehend) which have suddenly - and for so many, uncontrollably - been forced into their lives on a full-time basis.
Unfortunately, it isn't yet comparable to others for the majority of brain damage consequences caused by something as serious and complex as stroke.
Instead, I'd suggest commending stroke survivors on their individual rehabilitation journey, what is so often a constant challenge behind closed doors and not discussed, or even recognising what has managed to have been savoured; deliberately celebrate who they are in the present time whilst still acknowledging all that they have been through, how far they have come and what hope lies ahead
Having a brain injury is now a part of who they are, it is not to be dismissed and forgotten but it isn't to be the focus either; here we are now, let's embrace it and turn that heinous negative experience into a positive life-reaffirming journey for us all.

"Meals are generally acknowledged to be the most practical offering to be made to sick people and their families. 
Not always though - certain illnesses do not elicit the 'casserole' response."

Maybe people keep their distance because they feel that the relationship is now regarded one-way and they may get nothing back as it is yet to be considered noble to support those with mental health struggles/brain injuries (like it is with less debilitating illnesses that may physically present themselves), instead dismissing/avoiding/shaming/ignoring seems to be the accepted tactic by many in our present society #bethechange.
Think about it; when was the last time you cooked a meal as a supportive gesture for someone struggling with their mind? 
No doubt you have done the same for those with other illnesses (i.e.: Have a cold? Here's my renowned chicken soup!), so why is the mind cruelly tossed aside? 
You can support brain injuries and mental health diseases + conditions just the same as you support other illnesses with some tasty bites, no worries! 
Thank you to the truly thoughtful souls who go against the (present) norm and have so kindly given considerate treats in my (mighty-long) hour of need, there definitely have been some compassionate supporters out there (and them + the divine meals are easily stored in the long-term memory bank so not necessarily done in vain #emotionalattachment), with a special mention to Jack Attack & especially Mother Duck, who give such scrumptious joy on a regular basis
#nomnomnomnom
Have you ever also noticed this concerning & incredibly ignorant trend (detailed in telling article by Australia's SBSbelow)?


"The fact is that this is the second time in six months that I’ve faced a major health crisis, but it’s the first time that I’ve had anyone cook for me or bring me flowers. 
Because last time it wasn’t a limb that needed to heal; it was my mind.

 Despite the gains in awareness, it is still the case that most people experiencing a mental health crisis face stigma, silence, and isolation...Despite clear anti-discrimination legislation, almost a quarter of respondents to a 2014 survey reported being discriminated against or avoided at work after a disclosure of mental illness and about HALF of the respondents who had been job seeking perceived that they had not been hired because of their illness & close to 1/4 of respondents reported  being discriminated.

...Despite clear anti-discrimination legislation, almost a quarter of respondents to a 2014 survey reported being discriminated against or avoided at work after a disclosure of mental illness and about HALF of the respondents who had been job seeking perceived that they had not been hired because of their illness & almost 1/4 of respondents reported being discriminated against or avoided at work after a disclosure of mental illness.The situation has a silencing effect; even those of us who try to brave the stigma and disclose to some colleagues or managers that we are undergoing treatment for a psychological condition are rarely as open about this as we might be about a physical illness or injury.

We shouldn't underestimate how important it is for people with mental health struggles to be accepted and helped by those around them.

I've been struck by how healing it has been to be able to talk over the trauma of my injury and the frustrations of my recovery with friends, on social media and in the lunch room at work.

People are sympathetic. They're open about their own similar experiences. They are eager to help and to listen to me whinge about the everyday frustrations of reduced mobility.
Yet, I usually don't have the luxury of talking about the (arguably more serious) medical condition that has impacted on my life for many years.
I have great admiration for people who go public with their mental health struggles, working to lift stigma and refusing to accept that they don't deserve help and sympathy.
Recently a friend documented her experience with hospitalisation for major depression on social media, bringing light to a process that is often unseen outside sensationalised movie scenes.
Expressing her frustration at the stigma -- feared and actual -- of telling workmates that she needed help, she quipped, 'no one sends you flowers for a broken brain'.
I can only hope that changes. Maybe if I find myself in a mental health crisis again, I'll be brave enough to ask for the same flowers and chocolates that were forthcoming after my injury.
Or even better, maybe we can all work on being brave enough to offer the same care and sympathy to those we know are struggling with invisible wounds, and something altogether more complicated than influenza."

By Donna Kay
The thought-provoking Australian documentary shines a much-needed light on the mental health woes of young men and how an Aussie Rules footy team has intentionally moved their goal posts (<<had to #punintended) so that the mental health of their team players is included in their top priorities with a supportive, open environment where the blokes now feel comfortable about being vulnerable around each other instead of the former 'tough guy' act that previously was the generally-expected vibe of the club. 

Such a positive shift means the lads no longer have to suffer in silence and even get hugs off of their coach.

Too bloody sweet if you ask me!
Above: How my 'shattered' sense of self was like on the inside during those morbid years after the second massive stroke (which statistically speaking, should have been the death of me #overtwothirdsofstrokesufferersdiewithintheimmediateyearsfollowingabrainattack)
when I initially didn't even know if I was funny (the heartbreak, truly), if I could possibly ever return to the classroom without scaring/confusing students given debilitating short-term memory loss, how to simply function independently with the since-acquired extreme levels of anxiety & constant lack of (basic) spatial navigationwhether I was genuinely valued, considered and loved by others since I could no longer offer them what I previously had while now being one with complex special needs and/or if I could ever live a fulfilling life without around-the-clock assistance and extensive & agonising planning.

The wider impact of stroke, including the extreme socio-economic effects, in particular - how my Mum, while now being a great-grandmother wanting to retire and relax, has been forced to care for one of her adult descendants on a full-time basis for now close to a decade, how those sincere friends of mine have to be kind enough to include me in their plans + make me feel appreciated by them when I don't really have much to offer them now I'm brain damaged, plus how schools that I (fortunately am able to) work and volunteer at have to consider my particular restrictions while still honing in on my savoured knowledge and capabilities as a qualified primary school teacher + ensuring to value my input despite the blatant challenges - are what eat away at my life (and those closest to me), at my will and at my sacred progression through this ever-growing uphill crusade. 
As I have cruelly (& unfortunately) witnessed firsthand as a young stroke survivor, our current society doesn't yet (<<operative word) seem to notice or have much sympathy for those with brain damage (generally speaking) despite what parts of the brain are still so brilliantly shining and easily accessible. I wish it was an ever-so-different  environment, although I'm proactively out there educating the masses & raising awareness of stroke (especially for those in their youthful years #oneinfivestrokes) + its confronting aftermath (possible preventionunavoidable strokesidentificationrehabilitationvisible + invisible consequencesdirect + indirect strugglesattitudes + presumptions from outsiders and support for survivors & their carers/PAs) and the ultimate value of people who have suffered brain injuries, but you too can help shift the focus of stroke survivors in society to not victims with whom you should judge, abandon &/or avoid (like is the currently accepted expectation and tendency) but determined (and celebrated!) survivors who have shown immense inner strength to rise out of those harsh + overpowering stroke ashes as a phoenix regenerated with new purpose and further worth than ever before

Game Of Thrones' 'Mother Of Dragons', British Actor, 
Emlia Clarke 
- An Aneurysm Survivor - 
Backs British National Healthcare Plan To Support Young Stroke Survivors
“In my worst moments, I wanted to pull the plug. I asked the medical staff to let me die. My job - my entire dream of what my life would be - centred on language, on communication. Without that, I was lost,” 
 Fortunately for Clarke, the aftermath of her aneurysm has been labelled a 'recovery' and she now feels 100%, although this is not the case for so many who suffer from brain attacks, including those who too have youth on their side. 

Personally, I can't even say I have recovered completely from my first stroke which I don't even think/worry about (until official neuropsych testing is executed & the effects of my strokes - and my entire bloody brain - are highlighted + analysed to the max!) so I still feel lost at times with my life, with my worth, with my purpose and with my cherished progression. A recovery would be a dream to me now. 
Refreshingly, Clarke has acknowledged how brain injuries are still considered taboo to discuss by society and that so often survivors are constantly suffering from an invisible illness that is far more complex than outsiders may initially realise.

Let us get this conversation going, we are still here, we are still ever-so-worthy.

Clarke's own mental health charity, SameYou, brings to light the “deeply damaging effect” a brain injury can have on all aspects of a patient’s life, including personally as well as socially and professionally speaking #youcanneverescapeyourmind.
It's time we all acknowledge such a conniving & egocentric form of manipulation presently disguised as 'support'
It is not.
 In reality, it actually ithe last thing someone who is constantly struggling needs, just like you wouldn't give fruit nut chocolate to a loved one who has a nut allergy as a 'get well soon' gesture when they have been admitted to hospital with an earlier reactionIt only makes the situation so much worse, even at times, life threatening. 
Of course, such a treatment (/tasty 'treat'may be appropriate for someone else in a completely different situation, but for someone who needs pure support (and nut-free bites in the analogy's case) during extreme struggles, 'be positive' is not supportive and is in itself an oxymoron as the recipient then tends to feel horrible about their mindset when they previously were only getting by because they were holding onto their particular attitude to keep on going. 
As I have found myself in the aftermath of my two debilitating strokes, certain people can actually be poisonous to a stroke survivor's rehab journey and I am truly fortunate to be able to identify such with my particular executive functioning in the brain's frontal lobe still in fine working order.
How can such a toxic approach possibly still be accepted in our otherwise-advanced world? 
It needs to stop.
Discover more - 

...Support is putting yourself in someone’s shoes and accepting their feelings for what they are.The hard-to-face truth is, supporting people isn’t about being 'positive'.  In fact, when you force positivity down someone’s throat, it can actually have the opposite effect. 
'Toxic positivity' can make people feel unsafe expressing their negativity 
and negativity thrives in isolation.

It can make people think there’s something wrong with them for not 'simply choosing' happiness and shame is negativity’s enabling best friend

You can't sprinkle positivity dust on them and make their problems go away. 

And honestly, when people are seeking help & support, they're usually not looking for straight-up, inspirational poster positivity. 

More often, they're looking for validation that their negative feelings are OK

If sympathy is shouting down at someone while they're stuck in a hole, empathy is getting into the hole with them. 

If toxic positivity is telling someone to 'just look at the bright side' (<<best to never say that in a serious situation, it only downplays and cruelly shames), support is putting yourself in someone else’s shoes and accepting their feelings for what they are."
 - By Sarah Schuster

 Do become familiar with the sneaky yet definite contrast between genuine support and toxic positivity; one may not have even previously realised they're using such harmful words to someone who is struggling given such harsh communication seems to be so currently accepted by a concerning number in our society. Unfortunately, the majority of the ignorant phrases (in chart above) have actually been said to me (instantly put in the broken brain's long-term memory bank given absolute shock and disappointment felt #emotionalconnection) during such an already-challenging-and-alienating ordeal over the majority of my adult years that has seen my entire life ripped out from under my feet and with it, the previous purpose, progression and joy it once had. Such careless remarks can still be considered acceptable by some in society, but as the article wisely points out, you don't yell at a flower to 'just' grow; you give it nutrients, nurture, water and sunshine - unconditional support.

 Why is it still so hard for some to treat others with the same compassion & consideration? 

"Being positive has become a new form of moral correctness,"

- award-winning Harvard Medical School psychologist, Dr Susan David, founder & co-director of the Institute of Coaching at McLean Hospital of Harvard University Medical School + an instructor in psychology at Harvard University & also the author of #1-Wall-Street-Journal-best-seller, Emotional Agility (= a very busy + clever person!).

Brain whizz, Dr David, has also given an enlightening TED Talk on how a positive mantra can actually turn out to be a negative influence on your life -
How To Be A Better Human:
The Gift & Power Of Emotional Courage 

 Just Say 'No' To The Cult Of Positivity -
 - accepting our real feelings as they are instead of dismissing them with a fake mask is thought to be more beneficial for us in the long run.

YES!  

  Below: A recent instant example of someone I had only just met sprinkling their good vibes and blessed belief all over this struggling stroke survivor.
Including the little neg that I'd forget them in five minutes' time (#tooright #strokesgettheblokes) being balanced with his own memory challenges with retaining people's names given the brain's hippocampus-hindering alcohol session.
^^The world needs more people like this quality lad! 

Life is far more fulfilling when you make connections and feel genuinely valued.
 Disappointingly, there has been a distinct shift in some people's treatment since the brain attacks due to the (current & concerning) ignorance of strokes and acquired brain injuries + the widely-accepted avoidance climate (especially for those who suffer such when young), the unwarranted stigma attached to mental health woes and my (perceived) worth to them now with all that I have lost in brain abilities, life progression and social status.  
It is truly mind boggling that it is currently accepted by society as a whole (#elephantintheroom) and that any issues since strokes with friendships seems to be put on the person with the brain injury, regardless of what part of the brain the injury struck, what they are constantly suffering from, how much they give to the friendships & the poor treatment they can be dealt.
Time for action. Let's be more like the kind fella above! 
July 2019  
  A simple way to show genuine support - 
Above: A prime example of the kind of support, belief and reassurance a young stroke survivor (whose life was essentially ruined) needs from others, even years later.
While I apologised for my repetitive nature (with the first message to one of my older siblings in the event I sent him the same photo already) that comes with losing one's hippocampus, one of my kind big bros (there are five *volunteer* security guard-bros and they're incredibly supportive & nurturing of me and this challenging life chapter -  fortunately so are all my fam which isn't always the case for stroke survivors, who are so often abandoned/avoided/judged/dismissed by some #unacceptable) looked at the bright side of a (here's hoping, temporary) trait others could (and certainly do) easily get annoyed about and accepted me just the way I (now) am, brain damage & all.
What a true blue gem!
Thank you for loving me at my worst, sincere sorts! It is what makes all the difference.
August 2019

A telling article about the disappointing byproduct of stroke not often discussed but (currently seems to be) widely accepted & even expected -
 Friends: Where Did They Go?
(^^*'Friends')
If you abandon someone with a less debilitating and/or fatal illness (to stroke #secondbiggestkiller #numberonecauseofadultdisability), society seems to openly judge the poor treatment by others and their cruel abandonment - and rightly so.
Yet, even with such promising advances in medicine and the world in 2019 (including insightful, witty brain blogs!), if you dismiss and/or abandon someone who has suffered a brain injury, others generally don't bat an eyelid, it's ALL on the person who has had the cerebral infarction
Currently, the common presumption seems to be that the person with brain damage must be the problem.
Are we really that simple-minded a species?
It is absolutely appalling how little society (people from all backgrounds & age groups) presently tends to regard people with brain injuries and urgently needs to be addressed as seriously as poor treatment towards those with other illnesses (that are not as harsh/fatal/life-changing as stroke). 

 Below: As a two-time stroke recipient, surely I am allowed to make jokes about strokes & if you are a shining supporter in my company, you too can make jokes about my 'bloody' strokes (my kind family & mates certainly did from day one when I was on the brink of death!) - the more the merrier actually. It helps lift the mood - self-deprecating humour is the Aussie way after all!
Especially at (incredibly lame 'sitcom') The Big Bang Theory's expense!

"It was really confusing for me, not understanding why Mum didn't know who I was or what my name was,"
- Portia Green,
daughter of young stroke survivor, 
Judi Green
explains,
"that made me quite angry at her. My brother and I just didn't respect her much because she didn't even know our name. I kept saying that I just wanted the old mummy back."


Like my second massive brain attack, Judi surprised doctors and survived the stroke (that struck her mind at 39), also going back home after just a month of testing and rehab at hospital (home is said to help move things forward for a survivor after the initial hospital rehab, it by no way means you have recovered) and struggled to adapt to this suddenly-newfound world that was cruelly forced upon Judi and her family.  
It took a substantial 10 years of hard work to exceed her doctor's expectations & 
regain lost skills, including simply speaking, driving, cooking, running and memory retention. Otherwise standard skills I too had to relearn (and continue to improve on) post Stroke 2.  
Later, when Judi's daughter, Portia, grew up, she became an assistant nurse and it was through her medical profession and particular focus which included working with stroke sufferers that Portia gained 'massive insight' into her mum's own tortuous struggles as a stroke survivor

"That was the pivotal moment when I went, 'oh my gosh, there are two sides to this story',"
- Daughter of young stroke survivor, Judi, Portia, explains, 
"& I can't imagine how hard it would have been for my mum. Maybe everything isn't her fault."

Portia's sage advice for other stroke survivors and their supporters?
 "There is hope for everybody"
YES! 



Thanks to Toronto's Centre for Addiction & Mental Health (CAMH), a useful technique has been established to assist in identifying the likelihood of someone developing Alzheimer's disease. 
As a starter, an analysis of whether patients are accurately aware of their memory concerns helps in deciphering if someone is at risk of developing Alzheimer's disease
Skilfully, CAMH used patients' awareness of their memory concerns as the basis to predict whether the patients will develop Alzheimer's disease later down the track. According to the Journal of Clinical Psychiatry's studypeople were more likely to progress to debilitating Alzheimer's disease if they were not aware of their memory loss (like I was not initially conscious of - in terms of true extent - with life-hindering anterograde amnesia aka short term memory loss after losing the part of the brain first struck by Alzheimer's disease, the hippocampus), a condition called anosognosia.
Intriguingly, although memory loss is a renowned early symptom of Alzheimer's disease, its mere presence does not always reflect one developing dementia in the future.

As someone who lost their brain's cherished hippocampus (often the first part of the brain to die from Alzheimer's disease), I can vouch for the 'awareness' factor as during my time at hospital, darling Nurse Gilly made a point of telling me that while my brain was generating new neural routes around the two 'chunks' of cerebral infarctions in those initial weeks, my particular demeanour was changing from being initially carefree and jovial to then anxious and emotional due to the injured mind's axonal sprouting of new neural pathways (around the damage) then allowing the ability to eventually grasp the actual severity of the situation and all that I had tragically lost in my life + the heartbreaking life I'd now be forced to lead ahead - indefinitely - as a horrible result. 

As it would come to be, many agonising months were spent in morbid Limbo when I wasn't even sure of my own existence (which would have been even more upsetting and challenging for my full-time carer, Mother Duck, to witness + she then had to go to work as a mental health registered nurse too so absolutely no break from dealing with extreme mind woes of others for her, the selfless sort) until I eventually accepted & effectively processed the extreme devastation that had happened in my life.
 Fortunately, in my particular situation, I had the added bonus that my bruised brain was improving with every day so my heart truly goes out to those constantly suffering from Alzheimer's disease who do not get such a luxury as hope.
+

In the above enlightening article by Australian TV channel, SBS (move over 'Sex Before Soccer'SBS now stands for 'Strokes Before Soccer'), a man who suffers from dementia is asked to repeat just three words merely a few minutes after being told themSeems pretty simple (and even as far to say, condescending) to most, but with dementia first striking the brain's hippocampus (the mind's 'memory reception'), the lovely ole chap could not remember the first two (only holding onto the very last one, perhaps because he was repeating it until being asked to say it a few seconds later - a coping strategy I did myself during such confronting rehab tests, not then realising that there were actually two other words beforehand because I had forgotten all about them). 

This is exactly what my bi-damaged brain was like after Stroke 2 that suddenly killed the hippocampus (mirroring the start of Alzheimer's disease that takes over the brain's hippocampus initially). 
 It may seem incredibly preposterous to those who haven't had their hippocampus
suddenly taken away (it even seemed far fetched to myself as I was experiencing it 
 firsthand and after, when people were relaying the challenge to me! 'No, I couldn't possibly be forgetting something just a few seconds later - after all, I'm renowned for my exquisite 'elephant memory'!'), but it is indeed the cold reality for those who so cruelly lose such a vital part of their being, their purpose, their life.

Also in the eye-opening article, a young Australian lad, Jeremy Cassar, reflects on his grandfather, Robert Zarb's difficult struggle living with dementia that includes the sheer torment of being unable to simply get the right words to express oneself being made only worse by the fact others then treated him like a child (this too has indeed happened in my life since strokes with some people I come into contact with despite my particular executive functioning part of the brain - its 'CEO', if you will - still in fine working form, receiving high results in official & comprehensive neuropsychological assessments). 

"All we could do was hold onto the memory of who he was before the decline and  try our hardest not to let the image of this deteriorating alien linger in the memory.
The focus needs to be on what is still capable & shining, not on what has been
lost. 
One of the most frustrating realities for both my Nonno, as well as for us, is the fact that for much of the decline it was as if he was aware of it, but couldn't do
 anything about it... 
Often the words hung on the tip of his tongue and watching the process of trying  to spit them out was torturous. We’re an emotional family and I often wonder if we were perhaps a little too impatient in these moments and didn’t create the silence to communicate as much as he was capable.  
My Nonno cottoned on to the fact we were treating him like a child and it was obvious he didn’t like it."
- young Australian, Jeremy Cassar
reflecting on his grandfather's constantly-challenging, alienating world (living with dementia) in the above article.

Below: Witness the beautiful mind shining during such devastating destruction 
Below: This little Kitty Kat still needs to constantly scaffold life's otherwise straight-forward tasks close to seven considerable years (the majority of my intended prime adult years spent continually suffering - and counting) post my last brain attack. 
Can you believe it? 
 Something the general population takes for granted (some may experience a mild form of short term memory loss & a lack of spatial navigation when intoxicated which can affect your brain's hippocampus function, at least it's just a brief moment & not permanently dead like my dodgy one!) being such a frequent brain drain for me

Not only do I still struggle with spatial navigation & short term memory, but I understandably can become anxious (#toputitlightly #hippocampusalsoregulatesemotions) during such confronting scenarios that most my age would not even realise can be an intense struggle.
Such an ongoing challenge means I should not be left alone when out in public, still to this day, seven long torturous years on (all the while in my supposedly 'youthful' years).
The above screenshot of a message I sent via Facebook to a mate this year with a reminder of where we were seated as a few short minutes spent in the restrooms means I (still) will not only forget where I was just seated but also how to simply get back there, sometimes even who I was with (<< an incredibly depressing Hollywood-film-in-the-making right there).
Such an ongoing, confronting struggle captures just some of the daily measures needed to ensure I can maintain/regain some form of independence (yet those in my company are well aware to send search parties if I do not return promptly, so there goes the 'independence' theory). 
Anxiety has been a nasty by-product of my strokes that I had previously never truly experienced before in my life and this particular invisible effect of stroke still is utterly debilitating, so long since the brain attacks.
I wish others understood it as well as they tend to grasp a physical disability.
Despite it being almost seven long challenging years since the brain injuries struck,
 I am still not back on the life trajectory I had previously carved out and was executing well (or is at least comparable to the vast majority of people my age) regardless of the sheer effort I and my support network have put in to make this life tolerable and full of purpose & progress again, 
still constantly struggling, still not at all 'recovered'.
The majority of my adult years now cruelly
 (and uncontrollably) spent in this painful Limbo world with little understanding by outsiders of the constant struggle, frequent exclusion and need for sophisticated scaffolding that has been forced upon me in my youth.
 Such intense anxiety makes perfect sense considering what the mind has been through. Trying to keep my chin up - something that is helped so much by my kind and considerate supporters. Legends!
June 2019
Rehab daily exercises
Close to seven agonising years (most of my adult years) 
since the commencement of suffering from the effects of two brain attacks when I was forced into living this constantly challenging, restricted life
August 2019
A bunch of Aussie legends are shifting the focus of what it can be like to live with Parkinson's disease (PDby creating a unique & empowering approach to the daily struggle experienced when one has such an aggressive disease of the mindThis unique outlook to their fitness regime has shown a decrease in PD symptoms and their severity where being active and enjoyment are together intertwined with promising results including maintaining + building strength, endurance and balance
One particular member who has had PD since 2004 is retired pharmacist, Adrian Unger (below - you'll love his work!).  Unger proactively ensures to regularly train through Punchin' Parko's, which is said to assist in taking control of the debilitating symptoms so often associated with Parkinson's disease.
YEW! 
Mighty strong fellas 'taking a swing' at their symptoms all over the world 
= What a noble 'knockout'!
YES! It's about time.

Did you know? 
Woah, easy there dragonfly-tiger! It must be their inner fighting 'dragon' shining through.
Now that's an impressive fact to bet your friend on and make a quick buck!

Dragonfly: The Perfect Killer
Who would have thought it?
The neuroscience of hearing -
How The Brain Processes Auditory Signals 

Above: What a lovely gesture/hand sign (^^'I love you')! We certainly love your (and your supportive family's) refreshing attitude to life, dear Marlee Matlin.

Martin's own booksI'll Scream Later & Deaf Child Crossing, display her exceptional mindset - do read such a unique and inspiring perspective today!
Who else turns down the volume of the car's stereo when needing to concentrate on their spatial navigation in relation to where they need to travel to while driving a new route? Perhaps you even laughed at such a unique requirement that your brain has so instinctively instructed of you. Turns out the clever librarians and tennis umpires were onto something when they incessantly insisted we be quiet!
“When the brain rests, it is able to integrate internal and external information into 'a conscious work space'."
A credible study that was published in a 2002 edition of Psychological Science (Vol. 13, No. 9) examined the effects that the relocation of Munich’s airport had on children’s health and cognition, in particular. The results (found by examining the changes in blood pressure and blood circulation during instances of both silence and noise) demonstrated that silence can release tension in the body and in the brain, while noise was shown to cause one to then feel tense and stressed. The unsurprising results demonstrate that silence seems to have the opposite effect on the brain to noise (a teacher knows this all too well #tennisumpirestoo #quietplease). 

While noise may cause stress and strain, silence can release the tension in the brain and body
When was the last time you consciously sat in absolute silence? I personally need to up my silence game #youwillthankmelater!

What makes this scientific discovery (further analysed in a recent Finnish research article by Frontiers In Human Neuroscience) even more intriguing & reputable is the role almighty silence has particularly played in my life after Stroke Two killed the brain's (right hemisphere) hippocampus and how easily triggered I have become since the second stroke by certain (otherwise standard) sounds when trying to focus or even simply attempting to fall asleep (an out-of-body, stressful experience that I know - even at the time - is not a typical trigger for others/prior to strokes and I should calm the F down, amIright?!).


Music In The Brain 


Brain's Music Pleasure Zone Identified

Above: According to some clever researchers, the brain's nucleus accumbens (above left), located deep inside, right near the hippocampus (above right, which too is affected by music through emotion and memory), produces the strongest response to bangersIt then comes as no surprise to discover cute little nuccy-a is sometimes referred to as the brain's 'reward centre'.

Think about that strong desire you get to put on some feel-good tunes just when you need a pick-me-up or hearing a classic beat on the radio that makes you perform some epic (at least to you) air drums like you're Keith Moon, making yourself then feel like a million bucks! 

The pleasure you experience when listening to music you enjoy releases the brain's reward chemical, dopamineand helps drive motivation.
Magical music!

Who else likes to put on music when they are about to embark on something they don't really want to do? That's just your ever-efficient brain instinctively picking up the pieces!
Interestingly, the 
results of the study's brain scans also showed a direct correlation between the nucleus accumbens' emotional response and the amount of money people were willing to give up for the beat. Not bloody surprised!

Exercise your meaty mind with classic Australian musical game show -

Fast fact about your hungry noggin' - 
The Brain's Temporal Lobe Identifies Song Names

Do you feel old mind mate, TL, working when you're listening to the radio in a vehicle and a song you haven't heard in years pops on, instantly taking you back to yesteryear as you finalllly recall the name of the artist & song title?! Personally, I have found great solace in my temporal lobe's intact abilities post strokes (especially when correct identification is done in a mere millisecond, you hear me?!), shining away, making me realise just how talented & hard-working my (bi-broken) brain still is despite what has been smashed to smithereens.  
Also, given my competitive nature, I shall challenge anyone to a song-guessing comp when out and about listening to tunes. Identifying compositions is quite the entertainment, especially when your brain thinks it's a completely different song or you create a brand new song title given your own mind's associations with a particular beat!

 A thought-provoking excerpt from one Music On The Brain episode that will certainly get you more inclined to regularly feed your sacred mind with magnificent music -
If you had to make a playlist of your life, what would be on it? 
And if, toward the end of your life, your mind and memories were fading away,
would this soundtrack help bring them back? 
Catalyst takes you inside an extraordinary new program which is revealing that personalised playlists can re-awaken the brains of people with advanced dementia ... & even allow people with severe Parkinson's to unfreeze and move. 
Along the way we look more deeply at the power of music in all our lives - why is it so emotional, so memorable and so powerful that even when much of the brain is gone, music can bring it alive?

Australia's ABC are all over profound podcasts
Be completely in awe of the vast power of the human mind, even during times of sheer terror (i.e.: hospital patients in comas) when it is teamed with music through this intriguing chat.
Very impressive work, you little harmonic rippers!

'The St Matthew Miracle' -
From classic Bach to rock 'n' roll royalty, The BeatlesAndrew Schulmanbelowa medical musician, offers his special talents & performs some of the songs that have shown to be effective with treating patients in the ICU

Schulman's aptly named 'Penicillin Playlist' 
is described as 'waking the spirit', encouraging those who are comatose to finally awaken.

Such a wise bloke has also written a book:

Learn more about the sheer power of tunes at the intriguing Music And Medicine website.

Below: 
In particular, the sleek clarinet with its vast range of notes can have a significant impact on your in-tune mind -
As you are certainly (now) well aware, the part of brain I lost after Stroke 2, hippocampus, contributes to processing emotions, such as when you are listening to music like the vibe-feeling child above.
Considered the most important brain structure to emotional responses is the amygdala which is hippocampus' neighbour in the mind's petite, yet crucial, limbic system (derived from 'limbis' to mean 'border of the brain' #fastfact).
Together, your mind's advanced hippocampus amygdala consistently work hard to process + retain memories & eventsmotivaterespond with emotionsensure we are safe and process odour effectively ('olfaction' - a noticeable effect of brain damage I've interestingly acquiredin particular, that has meant my dear Mother Duck currently avoids wearing certain perfumes I'm not a fan of while in my company & even has reduced her use of peanut oil when cooking - they can be particularly overwhelming and overbearing for my broken brain & I truly can't control the extreme reaction of disgust upon getting a whiff of certain aromas/offensive smells! Do any of my readers have similar reactions to certain smells?! So incredibly intriguing!).

A recent concerning influx of strokes is striking the movers & shakers while in their prime -

You may have already thought extensively about how complex & compelling the human mind is. What you're capable of, who you are and what you can achieve through your brain's own determination, strengths and drive as an advanced human being is truly remarkable. Obviously, being a primary school teacher, I have always had an avid fascination with the way living things think; it's the main reason I took an interest in education when I was in my teens considering my future endeavours at university. Seeing life from someone else's perspective and honing in on their particular merits to achieve & progress has been the ultimate reward as an educator. 
Then suddenly, at just 26 years of age, I was like a frail, confused child (and treated by some as such, still to this day), seemingly stripped of all my life's accomplishments + my cherished independence (by an unpreventable, undetected rare autoimmune disease & the two large brain attacks such caused), being forced to learn (with the particular brain power savoured) how to now live my life as a young person who has considerable brain damage and its corresponding effects, direct and indirect. It was a torturous path to be forced on with extreme confrontations & challenges at every corner and one I didn't previously have much insight into despite my own Mother Duck suffering a stroke (before I was alive) also while in her 20s (not connected to mine in any way). The worrying fact is that in the last decade alone, the number of young stroke patients (under 45) has INCREASED by OVER 40% (according to USA's reputable National Stroke Association & a thorough 2017 study published in JAMA Neurology, in particular) and the general public is still none the wiser; we (as a whole, generally speaking) still dismiss strokes, we still think it's not a big deal given you initially survived (especially if you physically look 'fine'), we still support less concerning health issues far more eagerly and with considerably more compassion.

This growing amount of young stroke sufferers had so much still to live and yet without warning or avoidance, it can be so aggressively taken away (acting FAST was out of my particular control, I was utterly dependent on others taking appropriate action while I experienced both strokes, including medical professionals who failed me in the two instances) and if such doesn't result in physical challenges caused by the brain attack/s, society currently seems to give little compassion and/or consideration.
Are we really that simple-minded that we need physical evidence in order to understand?
Disappointingly, it was within mere hours of my hospital discharge after my first stroke merely a week prior (when I went to meet friends at a London bar for the 2012 London Olympics' Opening Ceremony as a therapeutic form of deflection, not at all because I had 'recovered', doc's orders/submission) that I quickly (& unfortunately) discovered the vast ignorance of our current society surrounding strokes and in particular, how little people grasp what life can be like as a young stroke survivor living with extreme, constant battles through a range of invisible effects from such complex brain injuries.
A mere acquaintance came over to me, callously rubbed my face with his hand and when I asked why he was doing such an odd greeting (he hadn't even warmed me up first before his invasive onslaught), he responded with, 'get it? Stroke....Stroke your face!'Despite losing a decent amount of sacred neurons from the back of the vital brain and suddenly suffering from a sudden 50% visual field loss, a one-sided weakness & constant pins & needles down my body's RHS (among other constantly challenging 'iceberg' effects, although mostly invisible) just one week earlier, I knew that his particular behaviour was grossly unacceptable and that my rehab road would be torturous if only for the ignorant people I would regularly come into contact with. 
You would never treat someone who has had cancer (that is lower than stroke on both the cause of death & complex disability lists) with such disrespect & cruelty, there's far too much established respect and compassion by our current society for that.
 Yet, there was someone who felt so utterly comfortable with mocking me mere days after I had cheated death (although had traded in billions upon billions of crucial neurons) and then had been forced to start an undesirable form of life as a young person with special needs on the brink of death (close to 2/3 of stroke sufferers die in just the initial years following #majority) that they did it to my face and all the while with a smug evil smile on their dial.
The fact is, that wasn't to be the last time I'd suffer from such callous & ignorant treatment towards my invisible brain cloud & all the continual torment, exclusion & loss it has caused over most of my adulthood nor was it ever going to get any easier to handle.

An understandable (yet exceedingly judged 
unfairly) side effect of a brain injury that ought to be nurtured not critiqued -

The harsh, although so-often hidden, disabilities, together with the indirect effects of stroke, constantly impede on my life for now the majority of my adult years. 

It is not an easy feat to keep on living by any means just because my young 'Aussie battler' mind managed to hold on after the two massive strokes and their consequent life-hindering + life-changing brain damage.
Genuine support - showcased through inclusion, understanding & compassion - is what makes the difference but the treatment (by society, in general) of stroke survivors still has a considerably long way to go.
As many wise minds can attest to, diseases and conditions of the human brain are multi-faceted and incredibly complex often to an extent society shamelessly avoids, but I am hoping that through my own tragedy & frank insight, people (the young especially) gain a deeper understanding of just how torturous and challenging life can be for those who constantly suffer from fierce, unrelenting mind woes + how strong we are to then battle our minds every single second and also how sincere support, patience, consideration and humour truly make the difference.
Cheers to the genuine supporters of my passionate plight to keep on living
witty jokes (<< probably the same wretched ones on a continuous loop like I'm a forgetful dad! #youarewelcome) are coming your way!
#strongmind #doyouevenliftbrainbro

1 comment:

  1. Thank you so much for sharing your journey and allowing us to understand more about what a day in the life of a stroke survivor is like. And more awareness around brain injuries and mental health. It’s important that more people are aware and you sharing this is hopefully going to get a lot of people understanding better and even looking after those around them a bit better that suffer from
    These silent illnesses . You are amazing. Love you, Jacinta M.

    ReplyDelete