TBI – Survivors, Caregivers, Family, and Friends

COVID-19 Omicron Variant is Not Less Severe

by
Columbia University Professor Emeritus, Dr. David Figurski
presented by
Donna O’Donnell Figurski

 

(Disclaimer: The World Health Organization <WHO> has officially named the new coronavirus as SARS-CoV-2 <severe acute respiratory syndrome coronavirus #2> and the disease it causes as COVID-19 <coronavirus infectious disease of 2019>.  Because the majority of people, including much of the press, commonly refer to the virus as “COVID-19” or “COVID,” to avoid confusion, I use COVID-19 as the name of the virus.)

David Figurski

David H. Figurski, Ph.D Survivor of Brain Injury

The omicron COVID-19 variant should be respected as much as any other form of the virus. U.S. deaths are higher than from the delta variant at its peak.

I’ve heard it suggested that letting yourself get infected with the omicron variant is a way to become immune to COVID-19.

RColumbia virologist Dr. Vincent Racaniello discusses the “mildness” of the    omicron  variant with Dr. Daniel Griffin, a New York physician in Columbia’ s Department of Infectious Diseases. Listen to minute 15:00-16:10 of Dr. Racaniello’s TWiV (This Week in Virology) podcast #859, which is also Dr. Griffin’s clinical update #99.

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Survivors SPEAK OUT! Dawn Wasserman Corbelli

 presented by

Donna O’Donnell Figurski

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

Dawn Wasserman CorbelliDawn Corbelli

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

Colorado Springs, Colorado, USA      corbelli@q.com

3. On what date did you have your brain injury? At what age?

February 13, 2008

At the time of the accident, I was 39 years old, and my daughter, Veronica, was 15 years old.

4. How did your brain injury occur?

Car accident

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

The day of our car accidentR-4

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

I was hospitalized. There I had X-rays and a CT (computerized tomography) scan. Staples were put in my head, I had to use a catheter, and I was given morphine.

My daughter had exploratory surgery, X-rays, an MRI (magnetic resonance imaging), life-support, and many other things that I do not know because I lost my memory for seven weeks.

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

I was not in a coma.

My daughter was in a coma for two weeks and one day.

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

I did speech, occupational, and physical therapies – inpatient for two weeks and outpatient for months.

My daughter was in speech, occupational, and physical therapies – inpatient for six hours/day for 2½ months and outpatient for over a year. She had physical therapy on and off throughout the years since our accident (almost 14 years ago now). She also participated in manual therapy in which specially trained therapists put pressure on muscle tissue and manipulate joints in an attempt to decrease back pain caused by muscle spasm, muscle tension, and joint dysfunction.

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

Dawn Wasserman Corbelli 2My disabilities are memory loss, lack of comprehension, decreased cognitive speed, balance difficulty, vertigo, a very short temper, and extreme mood changes. I became more depressed, and I now suffer severe anxiety. I have bipolar disorder that has been exacerbated due to my moderate brain injury. When driving, I would sometimes forget where I was, where I was going, and why. It happens less now, but it still happens. My math skills have become extremely poor. I couldn’t read for years; I read like a five-year-old trying to put words together. I am capable of reading well now.

My daughter has a severe traumatic brain injury (TBI). She has a sheared brain stem that causes trouble with swallowing. (She frequently chokes on her own saliva.) She was paralyzed on her left side, but she now has full use of it. She has severe short-term memory loss, and she also suffers from long-term memory loss. (She has forgotten the three months before our accident and the three months after.) Her cognitive speed and the speed of her speech has been affected, but not to a great extent. She cannot run due to her previously paralyzed left side. She has a great deal of chronic pain. She broke her pelvis in eight places, both of her hips, and her left ankle, all of which cause her pain daily. She cannot stand in one place for more than a few minutes. Her left ankle swells up. She has balance issues.

Because my daughter’s hypothalamus was damaged, she gained 4.5 pounds a week after leaving the hospital until she gained 70 pounds, which she still carries today. Her body thermometer is also broken. She is hot all the time and doesn’t even wear a coat in 30-degree weather. Her personality is sexually perverse. Her mind is frequently on sex and, with very little filter, she speaks frequently in a sexual manner, but it is much better than it used to be. She is quite impulsive, and she has poor decision-making skills, which can sometimes leave her in danger. For years, she would take off her shirt in public to show her breasts. When we are there to guide her, we can keep this from happening. She takes things very literally. If someone makes a suggestion that is inappropriate, she will take it seriously. She does what her friends do (for example, not wearing a seatbelt). She has a severe mood disorder. Sometimes severe anxiety makes her cry for long periods of time. She is on medication. Sometimes it works, and sometimes, not. So we have been going through med changes for the past couple years.

Note: She was very stable pre TBI.

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

We are deep believers in the Lord and believe that everything happens for a reason. Now we cannot imagine our life any other way. For many years, we lost all of our friends, and we were very lonely. But we always had each other and became best friends. Life with a brain injury is very difficult. But we have always seen and appreciated our blessings and have learned to find joy in every day again. Our faith brought us through and carried us when we couldn’t carry ourselves.

Veronica believes life is better because many blessings came from our injuries. Our lives are not really “better” or “worse”; it is as God has planned. He gives us the strength to get through any situation, and we do what we have to do even during the difficulties. Veronica believes she is a better person and is much closer to God now. My bipolar episodes are worse now, but, thankfully, I do not have them very often.

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

I miss my very sharp thinking. I am slower, and there are many things I just do not understand without them being explained to me in a different way – with the use of different words now.

My daughter misses having stable moods. She does not have the independence she always dreamed of. She lives at home, cannot drive, and cannot work. Since she was 10 years old, she knew she wanted to go to college at ASU (Arizona State University); join the Air Force, like her parents did; and

12. What do you enjoy most in your post-brain-injury life?Dawn Wasserman Corbelli Family

I enjoy my family. I enjoy staying home with Veronica. Who wouldn’t want to raise their child twice if given the blessed chance?

Veronica enjoys spending time with her boyfriend most.

13. What do you like least about your brain injury?

I dislike that I forget so much and that it sometimes frustrates my husband.

Veronica hates her deficits, especially the short-term memory loss, the anger, and her labile moods.

14. Has anything helped you to accept your brain injury?smart-cartoon-clipart-1

After 12 years, I saw a wonderful counselor who taught me that my deficits have nothing to do with my intelligence.

For Veronica, the fact that her family and friends accept her brain injury helps her accept it. Her boyfriend did not know her pre injury and loves her just the way she is. 

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

Yes. My husband and older daughter are very protective of us now. We all worry that if we can’t get a hold of each other, the one we are trying to get a hold of is on the side of the road dead in a car accident.

Being sexually perverse and very touchy feely, Veronica ended up being raped twice by different people we knew. That ended friendships, of course.

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

For many years, we had no social life or friends outside of our family. Veronica and I were very lonely for friends and ever so grateful every day that we had each other. We prayed for a very long time – years – for new friends to come into our lives, and they eventually did. A family (the husband is Greg’s best friend); the wife is my best friend, and their grown children and their families are Veronica’s best friends. We spend evenings, a week, and often a day on the weekend with this family. And after eleven lonely years, Veronica has a boyfriend again.  

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

I am Veronica’s main caregiver, but my husband and I both are co-guardians of Veronica.

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

My husband will be retired, and we plan on doing some traveling. I hope to be promoting the book I recently published and maybe another.Dawn Wasserman Corbelli Book

Veronica hopes to be moved out, with a man (maybe this boyfriend), and not be living at home.

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 survivors with your specific kind of brain injury.

Use Google maps so that if you are driving and you forget where you are, where you are going, and why, at least you will know where you are.

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

The biggest problem daily is memory loss. I have learned how to manage it pretty well on a daily basis. Write everything down that you want to remember. Keep paper in every room of your house and in the car if you drive. Be responsible for your own notetaking. That way you cannot blame anyone else for your forgetfulness. Put notes anywhere they will help you remember. Put them in the kitchen on the counter, taped to the microwave, in the bathroom, on the toilet seat, or on the steering wheel of the car if it will help.

If a brain injury survivor’s loved ones do not accept the new person he or she has become, neither will the survivor accept himself or herself. So, survivors, allow yourself to grieve, but don’t ever say, “I miss the old you.”

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I am so honored to be featured on Sue Bavey’s website, Sue’s Musings – Indie Spotlight. Sue features authors to take a glimpse into their journey to publication. Each story is different and intriguing. I hope you will find my story interesting and that you will take the time to read my book, PRISONERS WITHOUT BARS: A CAREGIVER’S TALE. I’ve been told it will make you laugh, cry, and G-A-S-P! Please let me know if you did any?

donna o’donnell figurski – author

Prisoners (print) Amazon US Paperback
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Survivors SPEAK OUT! Gail Waitkun

 presented by

Donna O’Donnell Figurski

24 Gail Waitkun 3 105769029_10221153417692680_1997538277250787609_n

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

Gail Waitkun

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

Portland, Maine, U.S.A.

3. On what date did you have your brain injury?

February 25, 2015

At what age?

60

4. How did your brain injury occur?

It was the tipping point of twelve head injuries incurred over my life. The first eleven were sports-related; the last was a seemingly innocuous jolt of my head (whiplash).whiplash-583bc2a7e4b74

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

I realized I had a problem soon after my accident, although I drove home. The desk manager at the car repair place suggested I be seen by a doctor. I did not think I was acting any differently … but, apparently, she did. I then decided I should probably go to the hospital. I lived alone, and there was no one to assist me.

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

I was seen at Mercy hospital where I was given an MRI (magnetic resonance imaging) and diagnosed with a grade 3 concussion. (A severe concussion, lasting longer with greater impact. A grade 3 concussion is generally considered the most severe of this type of traumatic brain injury.) There was no treatment. I was actually allowed to leave and drive myself home!

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

No

8. Did you do rehab?

Yes

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

I had initial evaluations/meetings and perhaps four weeks of testing and rehab. There were an occupational therapist, a physical therapist, and a neuropsychiatrist. I did not meet with any one of them more than three or four times. As my insurance time was dependent upon my schooling participation (I was completing a nursing degree), I had only the time afforded by my contract.

411-LKXRQhL._SX311_BO1,204,203,200_9. What problems or disabilities, if any, resulted from your brain injury
(e.g., balance, perception, personality, etc.)?

The following is edited information taken from my book: Heal Your TBI.

  • Altered sense of smell
  • Altered taste
  • Anxiety; feeling “hot-wired” comes and goes
  • Balance problems
  • Body temperature fluctuation (too hot, too cold)
  • Difficulty with conversations (hard to follow, respond in the moment, or connect thoughts and ideas)
  • Dizziness
  • Difficulty focusing on a single task
  • Eye problems, blurred vision, floaters, changes in vision, light sensitivity, night vision challenges
  • Headaches
  • Highly emotional
  • Inactivity, lethargy, no energy
  • Indecisive
  • Isolation (self-imposed)
  • Lost career and relationships
  • Loss of smell (I did not realize to what extent this was for me until I was tested.)
  • Loss of taste (I did not realize to what extent this was for me until I was tested.)
  • Hypersensitive to hyper-stimulation
  • Impulsive; saying whatever comes into my mind
  • Inability to drive
  • Loss in confidence
  • Memory problems
  • Overstimulated; can’t fall asleep
  • Pain (unexplained)
  • Personality changes; cranky, sad, depressed, angry, craving solitude (not normal)
  • Problems in judgement
  • Peripheral vision problems
  • Sadness
  • Sleep issues; sleeping constantly on and off, difficulty staying asleep, restlessness, baddreams
  • Sleepy – off and on throughout the day
  • Stuttering and slurred speech
  • Trouble holding onto new information
  • Trouble making or holding eye contact whenspeaking
  • Trouble remembering important daily information (e.g., if I paid a bill)
  • Weight gain, change in the brain and gut connection
  • Errors in writing things, spelling issues, mathissues/executive functioning skills compromised

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

My life is better. It has been enhanced by my brain injury and the necessary steps I had to take to move forward. My life has changed, as now I feel a sense of purpose and I have been given a gift of service. There is much to be done in this area.gift-clipart-animated-8

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

I miss my ability to process information quickly – thinking and responding in the moment. However, this improves with every opportunity I have to interact.

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

I enjoy my newly acquired purpose, commitment, and confidence; an ability to persevere without caring about what other people think; my newfound knowledge; and an ability to help others.

13. What do you like least about your brain injury?

I dislike my injury, but my subsequent challenges were a gift.

14. Has anything helped you to accept your brain injury?

Yes. Important were my attitude and my mindset about what my brain injury has presented in the form of an opportunity to help initiate important changes.

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

My brain injury has absolutely affected relationships! It has enhanced many relationships and has helped “separate the wheat from the chaff.” As with all significant life-events, my injury has a way of helping me see things more clearly. This will happen for you if you are open to accepting the changes and using your creativity and appreciation for the opportunities these events offer.

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

My social life was indeed changed as I lost my ability to remain on my planned path. Those individuals in my profession carried on … as they should have. As they were involved in a career that was particularly constraining in allowing them to have a social life outside of their colleagues and career, I fell out of touch with them. Now, I have developed new interests and goals. This new career path has placed me in the company of others who are on a similar path – one that assists those who are in need. So my circle of friends has expanded in a wonderful and fulfilling way. The “old” friends are still there … but they are not actively present in my life.

17. Who is your main caregiver? Do you understand what it takes to be a caregiver?03 GAIL WAITKUN 2 copy

I am my main caregiver. I do understand what caregiving requires. I have written two books to help others so that they don’t need to take six years to experience improvements.

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

My plans are to continue writing, to develop tools that will assist the brain injured, and to speak publically to those directly involved with diagnosing brain injuries and to those who care for the brain injured and/or are in contact with them. I plan on reaching them through my writings, speaking engagements, and coaching. I intend on having facilities with an established universal protocol for helping those in need. They will be specifically for the recovery of brain injured athletes.

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 survivors with your specific kind of brain injury.

Yes! Get a qEEG read with the LORETA method. (Electroencephalography <EEG> is the measurement of electrical patterns at the surface of the scalp which reflect cortical activity, and are commonly referred to as “brainwaves.” Quantitative EEG <qEEG> is the analysis of the digitized EEG, and in lay terms this sometimes is also called “Brain Mapping.” The LORETA method <LOw-Resolution Electromagnetic Tomography Analysis> is a relatively new method for localizing the electric activity in the brain based on scalp potentials from multiple channel EEG recordings.) Do neurofeedback as designed by the results of that test administered by a qualified individual. Get a complete body scan (MRI) after an accident to insure the compromised areas that you may not be aware of because of your brain’s inability to serve you. Hire a coach who specializes in brain injury … especially someone who has gone through the process firsthand … as he or she will really know what is happening and what needs to be done in order to help.

20. What advice would you offer to other brain-injury survivors? Do you have any other comments that you would like to add?13 GAIL WAITKUN Heal Their TBI 182937333_10223542933629085_7895588353411287889_n copy

I would like those of you who are challenged by a brain injury to know that the body is geared to total wellness … and, when provided the opportunity, can recover completely. Mindset is key, as is a team of people who can support you in your recovery. Isolation is deadly and will not help. It is best to allow yourself to be open to those who are willing to help and to know that, although those individuals may not totally understand all the time, their willingness to help and, most especially, their love can be the most powerful of all therapies and medicines.

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COVID-19: Vaccines (Part 3 of 3): You’re Safe if You’re Vaccinated

by
Columbia University Professor Emeritus, Dr. David Figurski
presented by
Donna O’Donnell Figurski

(Disclaimer: The World Health Organization <WHO> has officially named the new coronavirus as SARS-CoV-2 and the disease it causes as COVID-19.  Because the majority of people, including much of the press, commonly refer to the virus as “COVID-19,” to avoid confusion, I use COVID-19 as the name of the virus.)

David Figurski

David H. Figurski, Ph.D & Survivor of Brain Injury

     Some things people need to know about vaccination and life after vaccination.

     If you’re healthy, you don’t need a booster, but it won’t hurt to get it. Donna and I will get the booster because we’re in the senior demographic, and our immune systems may have declined somewhat.

     Vaccinated people can get infected, but their disease will be mild or asymptomatic. There is no such thing as a “breakthrough infection.” All vaccines allow infection, but prevent severe disease.

Because vaccination doesn’t prevent infection, we definitely don’t want to infect any of the as-yet-unvaccinated children. We always wear our masks around children and try to keep a distance between them and us.

vaccine Stop Coronavirus, covid – 19 , China, Wuhan, Danger, vector Illustration.

For the reasons I discuss below, virologists in my former department at Columbia say the vaccines will protect you from all the variants we know about – despite all the hysteria.

Columbia virologist Vincent Racaniello continues to emphasize that there are no data to support increased transmissibility of any variant. Delta might be widespread for any one of a number of possible reasons.

All the US vaccines are safe. Because of them, my fears of hospitalization and death are gone.

But we still may be susceptible to getting Long COVID (see below). (There aren’t enough data yet on whether vaccinated people can still get Long COVID.) The reason this is an issue is because Long COVID can apparently be brought on by a mild infection.

4i9pkz4ATEven though we’ve been vaccinated, we are still being careful. We try to mix with vaccinated people only. We try to avoid people and places that might be hot spots for infection. We only eat on restaurant patios; we never eat inside. We still practice social-distancing when we can, and we still wash our hands thoroughly and use disinfectant if we can’t wash our hands.

But we have also relaxed several things. Donna now goes into stores, but she always wears her mask. We’ve traveled by car, so we have stayed in motels. Although we don’t eat inside, we have walked through several restaurants with our masks on. Also, we’ve eliminated some precautions with our mail and our food packages.

You can stop here.

If you want more detail, the following is an easily understood explanation of what the vaccines do and why they’re so protective.

All the currently approved US vaccines are directed to one viral protein: the Spike protein. Spike proteins decorate the virus coat. They are responsible for allowing the virus to bind to a protein (ACE2) on the surface of lung cells. Because the viral-encoded Spike protein and the host-encoded ACE2 protein bind to each other, the virus can bind to the lung cell and get inside to start an infection. This means the lung cell will be hijacked and reprogrammed to make more virus particles. Each infected cell will release thousands of new virus particles. They can then attach to more lung cells. And the cycle repeats. You can easily see how a virus can quickly overwhelm its host animal.

(Incidentally, the Spike protein probably got its name because pictures (electron micrographs) of the virus show that it resembles a “mace,” a weapon used in medieval times. The head of the mace had spikes which did the damage. Similarly, the coronavirus particle is coated with “spikes.” They are made from trimers (assemblies of three copies of a single kind of protein) of the Spike protein. Coronavirus definitely got its name from pictures. Several Spike protein trimers on the surface of each virus particle make the virus look like a cartoon-drawing of the sun. The spikes on the virus look like the “corona” of the sun.)

Antibodies work by binding to the Spike protein and preventing the Spike protein from binding the lung cell’s ACE2 protein. As a result, the virus can’t bind a lung cell to start an infection.

All proteins are made up of a series of amino acids linked end to end. The Spike protein has 1273 amino acids. The sequence and types of amino acids (of which there are 20) determine the property and the folding of the Spike protein. The proteins are molecular machines. There are tens of thousands of different proteins in the human body – each one doing a unique job. The virus-encoded Spike protein is the viral machine that makes it possible for the SARS-2 coronavirus to infect lung cells.

Of the 1273-amino acids in Spike protein, only a few amino acids form the binding domain that allows binding of Spike protein to ACE2. Antibodies that bind to this binding domain of Spike protein inactivate the Spike protein and prevent the virus from infecting lung cells. Such antibodies are called “neutralizing antibodies.” The purpose of the vaccines is to stimulate the production of antibodies to the entire Spike protein, some of which will be neutralizing antibodies that can block infection. In other words, the neutralizing antibodies are a subset of all the antibodies produced that bind to the Spike protein. Because the Spike protein has lots of amino acids and lots of domains, it will stimulate lots of different antibodies that will bind the Spike protein, but only those that bind to the Spike domain that binds ACE2 are neutralizing antibodies. Only they will prevent the ability of the virus particles to bind to lung cells and get in.

The sequence of the 1273 amino acids in the Spike protein can also be seen as several smaller sequences of amino acids. Some small sequences of amino acids can fold properly and stimulate the formation of specific antibodies directed against that small domain. So most of the Spike-protein-specific antibodies bind the Spike protein at other places and do not block the ability of the virus to bind to and infect lung cells. The most relevant domain is the sequence of amino acids needed to form and fold properly so that Spike protein (and therefore the virus) can bind the lung cell’s ACE2 protein. Antibodies to that domain prevent binding of the virus to lung cells. These are the antibodies of interest – the so-called “neutralizing” antibodies. In fact, scientists are thinking of using only the amino acids that allow the proper structure of the ACE2-binding domain to form. If a vaccine can be made from the ACE2-binding domain only of the Spike protein, then maybe more neutralizing antibodies would be made, and the vaccine might even be better at preventing disease.

Some variants are known to bind the neutralizing antibodies less well. The virus has “seen” many vaccinated people, so there is “pressure” for the virus to change to ensure its survival. Some altered viruses randomly arise with slight changes, like differences in the amino acid used at a certain position of the Spike protein. (There is a reason why Nature allows DNA and RNA replication to make some random, but very rare, errors.) Some changed (=mutant=variant) viruses are still able to form a domain of Spike protein that can bind ACE2 yet evade some of the neutralizing antibodies that block the original Spike protein. Such changed viruses may do better and eventually become predominant. So random errors in replication can lead to viruses that have some ability to resist neutralizing antibodies, yet still bind to lung cells to start infection. These are what we are calling “variants.” Because the change increased the virus’ chance of escaping neutralizing antibodies, it survives better.  The arising of variants is evolution that we can see happening in real time.

But we got lucky! Some of the variants (like Delta) may escape some neutralizing antibodies. But we are still protected! The Spike protein also stimulates killer T cells, an important arm of the immune system that is usually ignored.

The killer T cell arm of the immune system is as potent as the more commonly known antibody arm. Not every protein has sequences that can instruct killer T cells, but Spike protein does. When a cell makes proteins, a small fraction of each protein being synthesized is chopped up, and small fragments of that protein are displayed on the surface of the cell. The immune system has a way to instruct a killer T cell to kill any cell making a foreign protein (that is, one not made by the human body). A killer T cell that has “learned” to recognize a fragment of Spike protein on a cell’s surface will kill the cell making it because that cell is considered to be making virus.

And that’s not all! The antibody arm of the immune system is less potent in the variants, but the killer T cell arm is completely unaffected. Not only that, but, whereas a variant resistant to the antibodies can affect an entire population, because of mechanism, it is impossible for a variant resistant to killer T cells to spread beyond a couple of individuals in the worst-case scenario.

Bottom line: All the Spike-protein-based vaccines we know about (Pfizer-BioNTech, Moderna, J&J, and the UK’s Oxford-Astra Zeneca) are protective beyond expectations. You’re safe if you’re vaccinated.

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Survivors SPEAK OUT!

presented by

Laura Miller – Brain Injury Survivor

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

Laura

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

London, Ontario, Canada     brainsageyoga@gmail.com 

3. On what date did you have your brain injury? At what age?

My first motor vehicle accident that caused a TBI (traumatic brain injury) with memory loss was June 5, 2002. I was 28. 

4. How did your brain injury occur?

I was rear-ended while I was stopped at a red light. I woke up to people around me and looking at me. They didn’t help whatsoever. My vehicle was seized, and I was very unsure of everything. At first, I didn’t even know I had had an accident. I didn’t know anything about my personals, like phone numbers, etc. All I saw when I tried to think was blackness. I was so cognitively impaired that finding the right words was very difficult. I didn’t know what my past was. I had no awareness or memories of events in my life, my child, or my child’s father.

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

At work, the customers noticed. It was thought that time off would help. But I went to the doctors a few weeks later. I thought I was concussed. It wasn’t my first concussion, so I thought it would get better. But I wasn’t getting better. The concussion was responsible for humiliating incontinence at night. I incorrectly thought I could handle the headaches, the noise, not understanding the concept of time, and the daily forgetting to do my pre-TBI mom and wife duties. I had a high-volume job with a multi-million-dollar company, but I had no memory of how to conduct my managerial duties. Unfortunately, in the grief of my confusion, I resigned. To this day, I consider that to be one of the worst mistakes of my life. All because of my accident and the brain injury.

The doctor then set up MRIs (magnetic resonance images), CAT (computerized tomography) scans, and a few other appointments, and I found a lawyer as well. The lawyer set up neuropsychology testing. In the year following my accident, a diagnosis was made. I had a moderate traumatic brain injury (whiplash 3) with amnesia. I couldn’t remember how long the doctor had said it might take me to “heal” to my pre-TBI state. The neuropsychologist highly doubted I would ever return to my pre-TBI level of function. He said that, in his expert opinion, my brain injury was catastrophic and permanent. 

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

I had no emergency treatment. I should have had first responders immediately, but I didn’t for some reason. But a legal case was set up soon after the accident. The lawyer had me take tests, and several people were involved: a nurse case manager, a rehabilitation therapist, and a physiotherapist. Therapy was scheduled for my neck and shoulder and for speech. (My stutter was pretty bad, and, when my breathing got in the way of thinking, the stutter would get worse. I would start crying when my breath stopped from the panic of having no thoughts. My neck injury meant that my tongue couldn’t lift properly to pronounce certain words.) My personal research indicated that I may have a neurological hairline fracture, which can affect several parts of the brain. If so, it could explain my symptoms. Also, I had already had a pre-existing severe frontal lobe concussion when I was a child. I and others thought that this may have been responsible for my learning difficulties – not the learning disability I was diagnosed with. But my new injuries in 2002 stopped my learning dramatically. My TBI made a mess of my life. Like many other survivors, I had to do combat with my insurance company.

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

No

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

I had occupational therapy, a rehabilitation therapist, speech therapy, counselling, physio, massage, chiro, and gym. I had a team of about ten individuals. I feel to this day my therapy was very well organized. 

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

I had many difficulties with balance and my gait at first. I had throbbing headaches. 

Smells would make me vomit. My heart felt like it was going to jump out of my chest. I had no sense of direction, and I was completely unorganized. I couldn’t lift my right leg fully to get into the tub or to walk, so I had assistants for the first few years. I slept in a chair for almost three years because I couldn’t sit up or roll out of bed.

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

From 2002 to 2005, I had an additional three accidents, with a pregnancy loss in one of them. My marriage broke up. (I was married for ten years, but I had no memories of this marriage.) I was diagnosed as having clinical depression, and I was extremely suicidal. The medications helped neither. So, needless to say, my life got worse.

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

I don’t know. I have no clear memories.

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

I started having a better view of life with in-depth yoga. I also used my free time from being unable to work to see if maybe in the future I could become a teacher and be an inspiration to others in the brain injury and mental health communities. Yoga has the ability to calm the autonomic nervous-response system; calm the vagus nerve, which transmits information from the surface of the brain to tissues and organs elsewhere in the body; and chill out PTSD (post-traumatic stress disorder) and anxiety. (My anxiety was always heightened, but with my rehabilitation therapy of thought process, yoga, and meditation, my anxiety is now probably 50% controllable most days.)

13. What do you like least about your brain injury?

I dislike the grief. The grief of all my losses is still pretty hard for me.

14. Has anything helped you to accept your brain injury?

Not really, but I am doing work to try and accept my brain injury. My child is super-supportive and has been guiding me to be independent and to try a new way of life. I do yoga. I am going to neurology school. I now see that I am worthy of something in life. I work on acceptance multiple times a day.

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

Yes! My daughter and I still have struggles. She was under 10 when I was injured, and she had no true support other than her dad. I am thankful he was a good dad for her. Looking at her with no memory is a heartbreaking lens to deal with. As for romance, I haven’t had a real relationship since my divorce. I haven’t been in the right frame of mind. One day I hope the universe will align with my life and help me find true love.

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

I don’t do much socially, mostly because of my PTSD and my financial situation. I’m integrating my yoga life into volunteer work.

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

My daughter helps me and assists me with the big decisions. I also have about five other family members who keep regular contact. Even though it’s difficult, they will help if needed. But it’s important for me to be in charge of my own care and to live independently. This helps with my depression.

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

I’m trying to see how this yoga business will work out for me. I want to do workshops and classes. Maybe I could work alongside a rehabilitation therapist for TBI patients. I am writing an autobiography. I’d like to better my financial situation so my child will be set just in case. And I hope to be in a loving forever relationship as well.

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 survivors with your specific kind of brain injury.

Talk! No matter the dark thoughts, talk! I wouldn’t be here now if I hadn’t been honest about my thoughts of suicide. Keep negative friends away. Participate, even when your mood doesn’t want to! Know that one day, things will click, and your life will begin to change for the better. Your responsibilities for daily living may seem overwhelming at times, but never stop planning. It can be a time saver. (I plan all my meals in advance and make them on the weekend. I save at least eight hours a week by having my meals already made.)

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

Do yoga and meditate! Seriously, they’re life-changing.

Be educated on what depression medication does with TBI. (I plan to give a workshop on this topic.)

Stop repetitive thinking. (You can do this by smelling essential oils, having positive thoughts, or by doing deliberate simple actions, like moving a limb or picking up a picture.)

Learn how to breathe. (Proper breathing is so important to brain injury problems, like PTSD and anxiety.) I have a saying: “Once we own our breath, no one can steal our peace.”

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Survivors SPEAK OUT! Marcia Pelletiere

 presented by

Donna O’Donnell Figurski

4 Marcia Pelletiere

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

Marcia Pelletiere

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

New Jersey, USA

3. On what date did you have your brain injury?

June 2006

At what age?

52 years old

4. How did your brain injury occur?

I was stopped at a red light in the rain, when I was rear-ended by a Mack truck, since its brakes didn’t work well in the rain.4cf071c5aa7eb3f1cf526f24c8d8cdcf

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

Right away

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

I went to the Emergency Room. They gave me pain meds and released me – without an MRI (magnetic resonance imaging) or any other scans or tests.

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

No

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

Yes. I had physical, visual, and cognitive therapies. (Outpatient only)

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

A balance problem, body pain, vertigo, visual perception issues, short-term memory loss, and many other things.R29bb7d92f62ec64ba9bd5ff941bbb04d

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

After 15 years, my life is largely repaired. I learned a lot of valuable lessons. I credit some of the people who helped me with making my new life possible.

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

I miss being able to trust my brain to be reliable with dates and my eyes, with visual perception … things like that.

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

I appreciate what I have so much now. Everything is more precious.

13. What do you like least about your brain injury?

I dislike the way it caused me to spend so many years feeling disoriented and isolated. I was frustrated from not being able to communicate my inner “mess” and distress, from my visual and audio processing problems, and many other issues. Nowadays I live with only a few “leftovers” from the brain injury, and I’ve learned to manage those.

14. Has anything helped you to accept your brain injury?

My cognitive therapist was essential in my recovery. Also, my meeting other TBI (traumatic brain injury) patients was a huge help in accepting the reality of TBI.

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

Having a TBI is a strain on all relationships. Everything was much more difficult, and that made relaxed relating harder, to say the least!

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

Now I prioritize my relationships and appreciate the support that family and friends and brain-injury caregivers gave me when I needed it most.

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

I have been a caregiver, and I have had caregivers, so I understand a lot about caregiving – and about caregiver burnout! I am my own caregiver now, thank goodness! (I function very well these days. I feel very lucky.)

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

Marcia Pelletiere

Marcia Pelletiere’s books and recordings

I am doing what I want to do right now. I’m doing creative work; I’m also teaching; and I’m spending time with friends and family. In ten years, I hope to have enough health to still be doing creative work, to still be spending time with loved ones, and to be traveling.

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 survivors with your specific kind of brain injury.3 Marcia Pelletiere Survivor 2 Author 062021

Listen to your body. Make sure to keep trying to communicate what is happening, if you can. Find doctors and other caregivers who know about brain injury and who will listen to you and take your symptoms seriously. Check out problems (vision, balance, nausea, etc.) with neuro-optometrists and ENTs (ear, nose, and throat specialists).

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

Every brain injury is different. You are the expert on what your brain injury feels like. Don’t devalue your own experience! Your input with doctors and others is important.

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Survivors SPEAK OUT! Danielle Skranak

 presented by

Donna O’Donnell Figurski

Danielle Skranak 1 051621

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

Danielle Skranak

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

Washington DC, USA

3. On what date did you have your brain injury? At what age?

October 26, 2014     I was 19.

4. How did your brain injury occur?

I fell during Army Basic Training.

5. When did you (or someone) first realize you had a problem?ce3f3b31921bb023c9c1c8c8dcbb8f34

It was witnessed by my entire company.

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

I did not receive any emergency treatment.

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

No

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

I did not attend rehab or have any other outpatient therapy.

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

I had long-term and short-term memory loss, vertigo, and aphasia.

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

It’s neither better nor worse, just different. It made me become more independent, I suppose.

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

Easily remembering things and my memories 

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

Speaking about my injury and meeting other survivors 

13. What do you like least about your brain injury?

remember-note-wqq-hiI dislike how easily I forget stuff and having to constantly ensure I’m eating right – so my brain is working at its optimal capacity.

14. Has anything helped you to accept your brain injury?

Time, really. Nothing else has contributed. 

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

I was more easily manipulated. I was involved in a domestically violent relationship that did not end well.

16. Has your social life been altered or changed and, if so, how?Danielle Skranak 2 Ms Gilbert 051621

I used to easily trust people because so many wanted to help me, but I’ve since learned that you cannot trust everybody. That was a hard lesson for me to learn. 

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

N/A

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

I hope to be fully recovered and to help those who need help. Perhaps in the next few years, I will have earned my Juris doctorate.

Ra3aca9d8126fdc212dc543ced6b1071219. 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 survivors with your specific kind of brain injury.

I wish I would’ve known early on that not everyone’s recovery is the same. Some are longer; some, shorter. There’s no magic pill you can take to make recovery shorter. 

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

Take everything slowly. It’s not a sprint to recover.

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Holy Jumping Jugglers!

Remember when I told you I entered a children’s picture book contest, Spring Fling Kidlit Contest 2021? I had to write a story from scratch with only 150 words – no more!

I posted my story, BETSY’S RAINBOW BALLOONS, on Bookity Blog several weeks ago and forgot about it. Tonight one of my CPs (Critique Partners) sent me a message to tell me that I won an honorable mention for my story.

Holy Giggling Grasshoppers!

I can’t believe it. Just like my first graders always jumped for joy when they accomplished something fun, I am jumping for joy now. Yippee!!!

Holy Bopping Balloons!

Congratulations to the WINNERS and the other HONORABLE MENTIONS. Heck, congratulations to all who entered.

AND…. Drum Roll….THE WINNERS ARE!

A big RAINBOW thank you to the contest organizers, Kaitlyn Sanchez and Ciara O’Neal. What a lot of work!

Read more stories at Bookity Blog.

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COVID-19: Vaccines (Part 2 of 3): Protection by Antibodies is Only Part of the Story
by
Columbia University Professor Emeritus, Dr. David Figurski
presented by
Donna O’Donnell Figurski

(Disclaimer: The World Health Organization <WHO> has officially named the new coronavirus as SARS-CoV-2 and the disease it causes as COVID-19.  Because the majority of people, including much of the press, commonly refer to the virus as “COVID-19,” to avoid confusion, I use COVID-19 as the name of the virus.)

 

David H. Figurski, Ph.D & Survivor of Brain Injury

Vaccination against COVID-19 primes your immune system to be ready to use every defense it has to fight the virus. It stimulates the creation of a potent and specific defense tailored to fight the COVID-19 virus.

Vaccination has been shown to be amazingly effective. All three vaccines for COVID-19 that have been used in the US (Moderna, Pfizer, and Johnson & Johnson) are 100% effective in preventing both hospitalization and death.

When people think of vaccination, they usually think only of antibodies. But this ignores the stimulation of an equally potent arm of immune system.

The bottom line is that vaccination (1) stimulates the production of antibodies that bind to the virus to prevent infection and (2) creates and activates “killer” T cells that destroy cells that have been infected.

Because antibodies are only part of the defensive power of your immune system, no one should be worried about variants, despite hysterical articles by a largely ignorant press.  We should certainly continue to monitor variants, but there is nothing to be worried about yet.  The antibodies are less able to block virus, but they still work.  Importantly, the killer T cells are unaffected by any variant.

The T cell response after vaccination against COVID-19 is as potent as the antibody arm of the immune system.  Some people cannot make antibodies, yet they do well after infection by COVID-19.

Some facts:

Your immune system is composed of two parts.  A first line of defense (Innate Immunity) acts immediately against any foreign substance.  It is non-specific.  After about a week, a specific and more potent immunity (Adaptive Immunity) has developed. The adaptive arm uses antibodies and T cells.

Vaccination stimulates your adaptive immunity, so the antibodies and T cells are ready before infection.

Scientists don’t yet know how long the anti-COVID-19 antibody levels remain high, but data show that antibodies have remained high for six months so far.  You may need to get vaccinated every year, as you do for the flu virus.

The antibody level will eventually go down, but your immune system maintains a few “memory cells” of the antibody-producing cells. These cells make antibody-producing cells immediately after infection.  So your immune system is fully armed in 2-3 days.

I strongly urge you to listen to minutes 6:25-22:00 of the interview TWiV 736 <March 28, 2021>of Dr. Alessandro Sette, a world-renowned expert on T cells and COVID-19 from The La Jolla Institute for Immunology, by Dr. Vincent Racaniello, a virologist and expert on COVID-19 from Columbia U.  Dr. Sette gives a basic explanation of T cells, the response to COVID-19, and vaccination.

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Welcome to Harmony Kent Online

The home of all things books

Smorgasbord Blog Magazine

Blog magazine for lovers of health, food, books, music, humour and life in general

Pete Springer

Passionate Teacher and Future Children's Author

HOPE TBI

Help One Person Excel - To Be Independent

  WriteForKids - Writing Children's Books

Become a published children's book author via books, ebooks and apps.

For the Love of Books, Old and New

Katie Fischer, Writer and Reader of Stories

Charlie Bown

Children's Author

Jessica Hinrichs

“We write to taste life twice, in the moment and in retrospect.” ― Anais Nin

VIVIAN KIRKFIELD - Writer for Children

Picture Books Help Kids Soar

Mindy’s Writing Wonderland

For authors, parents, teachers & everyone who loves children’s books.

Kaitlyn Leann Sanchez

Literary Agent

Surviving Traumatic Brain Injury

TBI - Survivors, Caregivers, Family, and Friends

Claire Stibbe

Thriller Author and Blogger

The Care Factor

Loving someone with a Traumatic Brain Injury

Brain Injury Support Group of Duluth-Extension

Brain Injury Information and SUPPORT

Brain Aneurysm Global Insight

Brain Aneurysm, cerebral hemorrhaging, hemorrhage stroke

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