TBI – Survivors, Caregivers, Family, and Friends

Archive for September, 2014

Survivors SPEAK OUT! . . . . . . Michelle

SPEAK OUT! – Michelle

by

Donna O’Donnell Figurski

Lawson, Michelle Shell 2

Michelle

1. What is your name? (last name optional)

Michelle

2. Where do you live? (city and/or state and/or country) Email (optional)

Indiana, USA

3. When did you have your TBI? At what age?

February 16, 1999.  I was 16 (my sophomore year in high school).

4. How did your TBI occur?

I was in a vehicle going south. The driver passed a vehicle at a stop sign. He was going 90 mph in a 30 mph zone. An eastbound vehicle T-boned us on my side. I was ejected from the vehicle, thrown 60 ft., and came within inches of a loading dock. I was dead on the scene, and the paramedics had to revive me. In the process, they punctured my vocal cords. I still talk low, and it takes a lot to speak up.

5. When did you (or someone) first realize you had a problem?

I think right away. The doctors actually told my mother that I would pretty much be a vegetable.

6. What kind of emergency treatment, if any, did you have?

I didn’t have to have any surgery.

7. Were you in a coma? If so, how long?

Yes. I was in a coma for 2 1/2 weeks.

8. Did you do rehab? What kind of rehab (i.e., inpatient or outpatient and occupational, physical, speech, and/or other)?
How long were you in rehab?

I had to do a year of speech therapy and physical therapy as an outpatient.

9. What problems or disabilities, if any, resulted from your TBI
(e.g., balance, perception, personality, etc.)?

I have a balance problem and short/long-term memory loss. I have developed fibromyalgia, which the doctor thinks is a result of the accident. I also have arthritis.

10. How has your life changed? Is it better? Is it worse?

Since the age of 2, I wanted to be a police officer or go into the military. I can’t do either because of the memory loss and the risk of getting hit in the head. I had a lot of anger towards the driver for a few years after the accident, but I learned to forgive him. I realized that everything happens for a reason. Sometimes I don’t like having TBI, but I wouldn’t go back and change it. It’s part of who I am today, and God only knows who I would have become if the accident didn’t happen. It may have been worse. I don’t remember who I was before (personality, etc.).

11. What do you miss the most from your pre-TBI life?

Refer to the answer above.

12. What do you enjoy most in your post-TBI life?

Refer to the answer above.

13. What do you like least about your TBI?

My memory loss, the fear of having Alzheimer’s or dementia, and dying before I get old because of having a brain injury.

14. Has anything helped you to accept your TBI?

No. Just about everything that I have had to relearn, I have done on my own.

15. Has your injury affected your home life and relationships and, if so, how?

(No Answer)

16. Has your social life been altered or changed and, if so, how?

Yes. I lost all my friends, but I gained new ones. I tend not to have any close/best friends though. I do wish very badly that I did have a best friend – sometimes it’s hard to accept that I don’t anymore.  I stay to myself, due to my being extremely paranoid about saying something wrong, being put down, or not being accepted.

17. Who is your main caregiver? Do you understand what it takes to be a caregiver?

Mainly myself, but my mother, as well as my husband, helps me on remembering things.

18. What are your future plans? What do you expect/hope to be doing ten years from now?

To have completed college and to be a teacher with my own classroom.

19. Are you able to provide a helpful hint that may have taken you a long time to learn, but which you wished you had known earlier? If so, please state what it is to potentially help other TBI survivors with your specific kind of TBI.

(No answer)

20. What advice would you offer to other TBI survivors? Do you have any other comments that you would like to add?

Lawson, Michelle Shell

Michelle

Be patient, forgive, keep God in your life at all times, and remember to always love. Also NEVER forget how short life can be.

Thank you, Michelle, for taking part in this interview. I hope that your experience will offer some hope, comfort, and inspiration to my readers.

(Disclaimer: The views or opinions in this post are solely that of the interviewee.)

(Photos compliments of Michelle.)

If you would like to be a part of the SPEAK OUT! project, please go to TBI Survivor Interview Questionnaire for a copy of the questions and the release form.

SPEAK OUT! NewsBit . . . . . . . . Changing a Negative Feeling About a Memory

Changing a Negative Feeling About a Memory

newsboy-thThis is exciting, but complicated, basic research. Here I simplify the main experiments. Neuroscientists at the Massachusetts Institute of Technology (MIT) have identified a neuronal circuit in mice that associates a positive or negative feeling with a memory. In a tour de force of molecular studies of the brain, the researchers conducted experiments that provide considerable hope for future therapy in humans with syndromes like PTSD (post-traumatic stress disorder), anxiety, and depression. The scientists were able to turn a memory associated with a negative feeling into a memory that has a more positive feeling and vice versa.

(How relevant are studies done in mice? The mouse is an accepted animal model for humans. You might not expect it, but mice and humans are very similar genetically. The DNA sequences of the mouse and human chromosomes are known. Many mouse genes have sequences similar to human genes. They both code for proteins that have similar structures and do the same things. Because mouse and human genes are so similar, much of the underlying biology of mice and humans is also similar. Still there are differences. So until something has been shown to be true in humans, a scientist’s conclusions must be conservative. Most of the time, however, much is learned about humans from the mouse. It has become a convenient initial model for humans.)

The researchers at MIT engineered a virus that infects the mouse brain. They specifically infected either the hippocampus, the part of the brain that contains neurons that store contextual information about a memory (for example, the place), or the amygdala, the part of the brain that contains neurons that put a positive or negative emotional tag onto the memory. The engineered virus is essentially a dead-end. It doesn’t reproduce or harm the cell, but it does have an ability to cause infected neurons to make a light-sensitive protein – but only when the neuron is actively making a new memory. In this way, the researchers were able to make neurons involved in making a new memory sensitive to light. By implanting an optical fiber in the part of the brain that contained the light-sensitive neurons (i.e., in the hippocampus or in the amygdala), the scientists could use light to turn on these memory-making neurons at will. The general technique of using a light-sensitive protein to activate a cell is called “optogenetics.” When the light-sensitive neurons are activated by the researcher, the mice recall that memory with its associated positive or negative feeling. To make a memory with a positive feeling, male mice were allowed to mix with female mice. To make a memory having an associated negative feeling, mice were put into a special cage and given a mild electrical shock. For both kinds of memories, the neurons involved could be turned on by light.

The researchers then took the mice and put them into a cage with two compartments. When a mouse with a negative memory explored a particular compartment, the researchers turned on its bad-memory neurons by shining a laser into the optical fiber to activate those neurons. The mice “remembered” the bad feeling and avoided that compartment. When the experiment was done with the mice having a good memory, the mice preferred that compartment. These results were seen only when neurons of the hippocampus were activated. No change in mouse behavior was seen when amygdala neurons were activated. Whereas the amygdala is needed to add the positive or negative feeling to a memory, the researchers concluded that a memory with its associated feeling is stored in the hippocampus.

The researchers then asked if they could change a negative memory into a positive memory and vice versa. They took the male mice with the negative memory and mixed them with females to make a positive memory. When they used light to activate the bad-memory neurons, the positive feeling from mixing them with females dominated. Unexpectedly, those mice did not suddenly avoid the females when the researchers activated the bad-memory neurons. When the mice were put back into the cage with two compartments, they went randomly into both compartments, even when the researchers activated the bad-memory neurons with light. The bad memory was no longer causing them to avoid one of the compartments. The negative tag had been supplanted by the positive feeling. What happened to the first (negative) tag? Was it removed? Was it changed? This question is being investigated. When the experiment was reversed, the scientists found that the positive feeling became more negative.

This new research gives a molecular explanation for why emotion associated with a memory can be changed – the basis of current therapy. Dr. Susumu Tonegawa, who directed the research, believes that the amygdala has two kinds of neurons: neurons that can tag a memory with a positive feeling and other neurons that can tag a memory with a negative feeling. He wants to identify those two populations of cells and understand how they work at the molecular level. Such information will be valuable for the development of new therapies and drugs. (Full story)

(Clip Art compliments of Bing.)

On the Air . . . . . . . . . . . . . . . . . . . “Another Fork in the Road” meets “Quantum Leap”

Breaking News! Breaking News! Breaking News!

images-1“Another Fork in the Road” and “Quantum Leap” have merged for every 5th Sundays of a month. (August 31, 2014, November 30, 2014, March 29 2015, May 31, 2015, August 30, 2015, and November 29, 2015) Join Julie Sharp Kintz and me (Donna O’Donnell Figurski) in “Another Quantum Leap on the Road” as we explore topics directly related to Traumatic Brain Injury.

The topic for August 31, 2014 delved into how “Life Changes After TBI” from the viewpoints of both survivor (Julie) and caregiver (me).

It was a great show and a great discussion. Some of the topics we covered were:

1. Personality change in the survivor

2. Loss of old friends

3. Making new friends

4. Role reversal. Caregiver becomes dominant partner taking on ALL of the responsibilities

5. Loss of career/job

6. Loss of substantial income

7. Frustration of family and friends not understand the extent of TBI

If you missed the show, don’t fret. You can always listen to the archived show. I’ve included the link below.

Please SHARE!

I hope you’ll tune into my regular show the 1st and 3rd Sunday evenings of every month. The show airs at 5:00p Pacific time and runs for 90 minutes.

See you “On the Air!”

(Clip Art compliments of Bing.)

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