TBI – Survivors, Caregivers, Family, and Friends

Stimulation of Specific Neurons Enhances Recovery

Research at Stanford newsboy-thUniversity examined recovery from stroke in mice, but its significance will affect future therapy for brain injuries in humans. The scientists were the first to use a relatively new technique, called “optogenetics,” for studies of the brain. They engineered mice to make a light-sensitive protein in the motor cortex of the brain. They also implanted an optical fiber so they could use light to stimulate that protein, and therefore those neurons specifically.

Stroke-impaired mice (stroke mice) that were stimulated with light recovered significantly more in tests of coordination, balance, and muscle mass than did stroke mice that were not stimulated. Unlike the only drug currently used for strokes, which works to dissolve a clot and must be given within a few hours of a clot-induced stroke, the neural stimulation was effective even five days after a stroke. There were no side effects from stimulating the brains of healthy mice in the same way.

The scientists also found that stimulated stroke mice showed better weight gain than did unstimulated stroke mice. Also, the brains of stimulated stroke mice showed enhanced blood flow, produced more natural neural growth factors, and made more of a protein that strengthens neural circuits during therapy, when compared to the brains of unstimulated stroke mice.

This research is just beginning. The objective is to identify specific neural circuits that have roles in the recovery of the brain to injury. Once the circuits are known, implants that stimulate specific neurons in humans (as is being done now to control epilepsy) and/or new therapies will enhance recovery from brain injury. (Full story)

(Clip Art compliments of Bing.)

SPEAK OUT! – Kelly Reader

by

Donna O’Donnell Figurski

 

Reader Eric & Reader, Kelly Spouse1. What is your name? (last name optional)

 Kelly Reader

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

 Railton, Tasmania     kelly.reader@gmail.com

3. What is the TBI survivor’s relationship to you? How old was the survivor when he/she had the TBI? What caused your survivor’s TBI?

My TBI survivor is my husband, Eric. He was 29 when he has his accident seven months ago on Boxing Day 2013. He was sitting on the back of a trailer, tavelling along a gravel road, when they hit a bump. He fell off – hitting his head.

4. On what date did you begin care for your TBI survivor? Were you the main caregiver? Are you now? How old were you when you began care?

I began my caring role when Eric was released from the hospital on the 6th of February 2014. I was 33, and I was his main caregiver throughout his recovery.

5. Were you caring for anyone else at that time (e.g., children, parents, etc.)?

No. I used to be a full-time caregiver for my mum, but she passed away last May.

6. Were you employed at the time of your survivor’s TBI? If so, were you able to continue working?

I was studying to become a vet nurse when Eric had his accident. Because of the stress, I could not concentrate on my studies and had to ask for a deferment.

7. Did you have any help? If so, what kind and for how long?

Eric has had an Occupational Therapist since he came home, and she has been amazing. She helped us with whatever we needed, and she is still continuing today.

8. When did your support of the survivor begin (e.g., immediately – in hospital, when survivor returned home, etc.)?

As soon as Eric was hurt, he was flown to a hospital four hours away from our hometown. My sister Sally and I spent six weeks at Eric’s bedside every day, until he was released from the hospital. Being away from home for so long was hard.

9. Was your survivor in a coma? If so, what did you do at that time?

Eric was in an induced coma for two days, before they allowed him to wake up. They told me that he might not pull through, so this time was very hard. I stayed by his side hoping he would make it.

10. Did your survivor have rehab? If so, what kind of rehab (i.e., In-patient and/or Out-patient and Occupational, Physical, Speech, and/or Other)? How long was the rehab? Where were you when this was happening?

Eric spent four weeks in a rehab unit at the hospital, where he did physiotherapy and brain activities. When he came home, he went to physiotherapy twice a week. He is now going once a fortnight.

11. What problems or disabilities of your TBI survivor required your care, if any?

When Eric first came home, he required 24-hour supervision because he was not safe to be left alone. He has memory problems, so forgetting to take tablets or turn the stove off was a real problem. He suffered tremors in his hand and legs. Also his balance when walking was not safe.

12. How has your life changed since you became a caregiver? Is it better? Is it worse?

I was a caregiver for my mum since I was 16 years old, so my whole life has revolved around caring for someone I love. If I had to do it all over again, I would. To see how much progress Eric has made since his accident has been so rewarding. To know that I helped him get there makes every heartbreaking moment worth it.

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

Eric has always been the strong one in our marriage. When he had his accident, the roles were reversed, and I had to take over doing a lot of the bill management, etc. He was always my protector when things went wrong. After his accident, I didn’t have that anymore. Things are better now. He is becoming that same person again.

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

Eric has become sensitive since his accident – something he never showed before. He always had a wall up and wouldn’t let anyone inside. Now, if he watches a sad movie, he will cry. I love this new sensitive side of him, as I feel I can talk to him more. He will let me be a part of his life he never shared before.

15. What do you like least about TBI?

The mood swings are not so bad these days, but in the beginning, they were a nightmare. His moods would change so dramatically it put a real strain on our marriage.

16. Has anything helped you to accept your survivor’s TBI?

When I feel down, I tell myself that he was one of the lucky ones to survive and that I’m lucky to still have him in my life.

17. Has your survivor’s injury affected your home life and relationships and, if so, how?

It put a strain on our marriage because I had to be his caregiver – something he never wanted to happen. I had to be by his side 24/7 for the first four months after he was released from the hospital. That was really hard for him, as he was so used to going to work and having his freedom. Some days he would lash out at me for something that he was in the wrong for, but because of his memory problems, he didn’t remember what he had done.

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

Our social life has changed for the better, as we spend more time with family and friends now because we realise that life is too short to waste.

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

I would like to have a family – something that we were working on before his accident. I feel it would make our lives complete.

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

Just be there for them when they need a shoulder to cry on. Don’t take anything they say to you in the heat of the moment to heart, as it’s not what they feel about you. It’s just the frustration coming out.Reader Eric & Reader, Kelly Spouse gchjcbfd

 

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

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

(Photo compliments of Kelly.)

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

 

 

SPEAK OUT! Itty-Bitty GIANT Steps

Lisa Head…My Itty-Bitty Giant Step is that today, after rehab, I changed the spark plugs in my car. It required me to follow three steps. I was slow, but it went very well. I’m excited that I am learning new things!

Itty-Bitty GIant Steps for BlogJodi Jizmejian…A few days ago when my husband (my caregiver) and I were grocery shopping, I was looking for an item on my list and walked past the water and REMEMBERED that I needed distilled water, which was not on my handwritten list, but was on a list in my phone.  My husband said, “In the past, you wouldn’t have remembered.” Yay for me! My “memory” is igniting.

DuWayne Hall… Itty-Bitty Giant Steps – what does it mean? I lost a friend. I do not mean that the friend died – I mean that I had a friend, and then I didn’t have a friend. Well, my PTSD (post-traumatic stress disorder) has kept me from feeling for 23 years, and last month that all changed overnight! It took a female friend’s attention to snap me out of it, and I am excited. It was my friend that I lost. She is having the same issues I am, and we are relearning feelings together. I’m having a hard time trusting emotion that I have not felt for years. We are working on it as a team.

Cheri Richardson Hicks…I just changed Carson’s diaper. Granted, it was a pull-up, but it was much harder than changing Spencer’s diaper. (Carson is two years old, and Spencer, 6 months old.) Baby steps. All I want to do is be a mommy again.

Cheri Richardson Hicks…I, yes – meeeeeeee, just got Spencer out of bed, fed him a bottle, and changed his diaper. No easy task for an almost 20-pound baby. He sort of had the look on his face of being in a roller coaster ride the whole time. But I did it!

YOU did it!

Congratulations to all contributors!

(Clip Art compliments of Bing.)

On the Air – Brain Injury Radio

“Prisoner Without Bars” (segment 2) (Oops – aborted show)

by

Donna O’Donnell Figurski

images-1I’m sorry! Извините! Lo siento! Desculpe! סליחה! Mille Excuses! λυπάμαι! Scusami! Entschuldigung! ごめんなさい! jag är ledsen!

Like I said, “I’m sorry!

Yesterday I was excited to air my second show on “Another Fork in the Road.” I did all my “HOMEFUN” (as I always called it with my 1st and 3rd grade students). My notes were ready at my side. I logged into the studio, opened the chat room, checked my mic, and waited for the countdown. “Your show will start in 5, 4, 3, 2, 1 second. You are on the Air.” I waited still for the prerecorded introduction music and ad to run down. I waited for the dead space, which indicates that I am indeed live. That is my time to start talking – and I did for a brief second or two – until I realized that a male voice was still talking. I soon realized that a prerecorded show was playing. How that happened – I do not know. (But as my son said to me after the show, “Well, looks like you ran into another fork in the road!”) There seem to be a lot of them, but they just add interest to your life, and you move on.

Anyway, I left the studio to troubleshoot the problem behind the scenes in the tech part of the show, but there was nothing to be done. The prerecorded show was irreversible. And so I apologize to all those who came to find a “dark” studio.

As my son also said, “I bet your next show will be extra good.” And it will. But PLEASE NOTE THE CHANGE OF DAY AND THE NEW DATES. Because of scheduling conflicts, my show is moving to the 1st and 3rd Sundays of every month. It will still air at 5:00 pm Pacific time. The show I had planned to do yesterday (segment 2 of David’s and my story) will now be at 5:00 PDT on Sunday, September 7. The final part (segment 3) will be on Sunday, September 21. On my next show (Sunday, October 5), David will be my guest to give his perspective.

Whenever there is a fifth Sunday in a month, I will co-host the show with Julie Sharp Kintz, who is another host on Brain Injury Radio. Julie’s show, “Quantum Leap,” airs opposite mine on the 2nd and 4th Sundays of each month. So every Sunday, there will always be live entertainment from 5:00 pm to 6:30 pm by Julie or me or both. (Julie and I plan to co-host the show on Sunday, August 31.)

I hope you will be listening every Sunday at 5:00 Pacific time.

See you “On the Air!

(Clip Art compliments of Bing.)

 

Come one! Come ALL!putthis_on_calendar_clip_art

What:        “Another Fork in the Road” on Brain Injury Radio Network:                               “Prisoner Without Bars” (part 2)

Why:         Donna continues her story of David’s Traumatic Brain Injury and their life together after TBI.

Where:     Brain Injury Radio Network

When:       Monday, August 18, 2014

Time:         5:00p PDT (6:00p MDT, 7:00p CDT, and 8:00p EDT) 90 minute show

How:         Click: Brain Injury Radio Network.

Call In:    424-243-9540

Call In:     855-473-3711 toll free in USA

Call In:    202-559-7907 free outside US

or SKYPE

If you miss the show, but would like to still hear the interview, you can access the archive on On Demand listening (Archived show) will be available after the show

(Clip Art compliments of Bing.)

Music May Optimize the Brain

I found this interesting, short (4 min 45 sec) video on the blog “Beyond Injury,” which is authored by Scott, who was diagnosed with brain cancer. I thought the video should be reposted here for you. It shows how listening to music Brain th-2or – better yet – playing it stimulates several parts of the brain simultaneously, unlike other activities. The video says that musicians’ brains have developed a higher level of functioning, including – but not limited to – problem solving, perceiving emotional cues, expanding fine-motor skills, and enhancing memory. Maybe the stimulation from music will enhance recovery from TBI. But, be aware that there is no hard evidence showing a link between music and recovery from TBI. Neuroscientists do know, however, that music benefits a healthy brain. It is reasonable to expect that an activity that enhances many brain functions should at least be beneficial to TBI survivors with deficits in any of those functions.

(Clip Art compliments of Bing.)

Comments are welcome.

SPEAK OUT! – Catherine (Cat) Brubaker

by

Donna O’Donnell Figurski

Catherine (Cat) Brubaker

Catherine (Cat) Brubaker

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

Catherine Brubaker

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

Tempe, Arizona, USA    
CatBrubaker@gmail.com

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

The first TBI was in 2010. I was 39. I had another TBI in 2011 at age 40.

4. How did your TBI occur?

1st TBI: assault     2nd TBI: car accident

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

I couldn’t get up without assistance.

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

1st TBI: After I went to see him, a doctor called 9-1-1. I was then treated in an Emergency Room. 2nd TBI: I was first treated in an Emergency Room. My treatment was then handled for a month by St. Joseph’s Neurological (Phoenix). That was followed by my living in a nursing home. I was then an outpatient.

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

No – both times.

8. Did you do rehab? What kind of rehab (i.e., Inpatient or Outpatient and Occupational, Physical, Speech, Other)?

Yes. I rehabbed as both an inpatient and an outpatient. I had all three therapies (occupational, physical, and speech). I highly recommend a recumbent tricycle.

How long were you in rehab?

I don’t remember.

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

Balance. Boundaries. Personality. Independence. Ability to function in everyday things

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

It’s taken everything – career and relationships. Walking was learned twice…But given everything, now I can ride my trike and paint…freedom.

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

Independence. Freedom. People saw me as capable. I felt I was dating material.

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

I got to ride my trike across the country.

13. What do you like least about your TBI?

It’s frustrating beyond belief. It is like a cage I can’t get out of. I sometimes can’t find words. I don’t like the headaches. I need to plan ahead. My thinking is sometimes not clear or engaged.

Catherine (Cat) Brubaker riding her recumbent tricycle on 5,200 mile diagonal crossing of USA - from Washinton (state) to Florida

Catherine (Cat) Brubaker riding her recumbent tricycle on 5,200 mile diagonal crossing of USA – from Anacortes, Washinton (state) to Key West, Florida (June/November 2014)

14. Has anything helped you to accept your TBI?

Triking with Dan Zimmerman. He deals with stroke every day.

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

Yes. I lost a 14-year relationship. I get angry and act out. I also have PTSD (post-traumatic stress disorder). It’s hard to maintain relationships – even new ones. I can’t say what I want to say. Miscommunication happens all the time.

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

Yes. I lost friends. I had been in a partnership. I stayed in my room for a year after I lost the partnership, my primary relationship.

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

I was in my mom’s care. One morning in November, I found her passed away. Now my caregiver is my brother. He and I live in my mom’s house.

Catherine (Cat) Brubaker - taking a break from riding in Glacier National Park in Montana (August 2014)

Catherine (Cat) Brubaker – taking a break from riding in Glacier National Park in Montana (August 2014)

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

Ride my trike. Inspire others to get up off of the couch. I hope to stop people from being depressed and to find purpose.

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.

Let go of “mad.” Earlier. I wish I did. There is so much less to carry around, and it makes room for “happy.” It gives you real joy and purpose.

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

If you can, adapt. You will overcome. Get a trike. You can balance three wheels, and it gives you freedom. I cherish mine.

Catherine (Cat) Brubaker "Triking Acoss America"

Catherine (Cat) Brubaker “Triking Acoss America”

(You’ll have to “peel it from my cold dead fingers.”) I have control, joy, and freedom. It allows me to explore the world and see new places.

 

If you want to learn more about Catherine’s adventures of Triking Across America go to Spokes Fighting Strokes Tour.

 

Thank you, Catherine, 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 Catherine.)

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! Itty-Bitty GIANT Steps

Itty-Bitty GIant Steps for BlogSPEAK OUT! Itty-Bitty Giant Steps will provide a venue for brain-injury survivors and caregivers to shout out their accomplishments of the week.

If you have an Itty-Bitty Giant Step and you would like to share it, just send an email to me at donnaodonnellfigurski@gmail.com. If you are on Facebook, you can simply send a Private Message to me. It need only be a sentence or two. I’ll gather the accomplishments and post them with your name on my blog approximately once a week. (If you do not want your last name to be posted, please tell me in your email or Private Message.)

I hope we have millions of Itty-Bitty Giant Steps.

 

Here are this week’s Itty-Bitty Giant Steps.

Cheri Richardson Hicks…My Itty-Bitty Giant Step is that I ventured away from outpatient therapy into a new program called Quest. It is a program that gets people back to work and back into the community. I really feel like this is what I need to get me to where I need to be, so it couldn’t have

Melinda's 100 piece puzzle

Melinda’s 100 piece puzzle

Melinda Murphy…Here is one for your Itty-Bitty Giant Steps. I used to be able to do 5000-piece puzzles in 2 or 3 days. I have not done any at all since the accident, until now. Four days, 2 tables, and only 100 pieces – but I did one, and I am thrilled (even if a piece was missing)!

Carmen Gaarder Kumm…Here is my Itty-Bitty Giant Step. I worked 4 1/5 hours today. I took three kids to town (20 minutes away), completed what needed to be done (I only forgot one thing, but my daughter will do that for me in the morning, as she is going anyway), picked up supper (knowing that I wouldn’t have much time once we got home), finished a Facebook page for our church, helped a bit with Vacation Bible School, picked green beans in the garden, and packed for the weekend away. I’m in bed before 10:00, and I don’t feel I overdid it…feeling good actually.

Donna O’Donnell Figurski (caregiver)…This week we have friends from Germany visiting us. They wanted to go to the Grand Canyon, which is about 4 hours from my home – too far for a day trip. Though David would have liked to go, he knew it would be too difficult for him, and he had seen it a few times before. He chose to remain home.

Caboose - haunted by ghost

Caboose – haunted by ghost

That’s where my dilemma came in. David is 9+ years out from his TBI and still deals with many issues, including balance deficits, and I have never left him alone at night. Though he is completely

able to stay at home during the day, I always worry about the night. David convinced me he would be just fine, and after much discussion and a ton of angst, I agreed to go with our friends to the canyon. I insisted that David and I be in constant cell-phone contact.

So off we went to Williams, Arizona, where I slept in a little red caboose, which is supposedly haunted. The ghost may or may not have made an appearance. The jury is still out on that one.

But the jury is in on my trip to the Grand Canyon and on David’s staying overnight by himself. He did it! I did it!

WE did it!

Congratulations to all contributors!

(Clip Art compliments of Bing.)

Meet Michael Coss

presented by

Donna O’Donnell Figurski

 

Michael Coss 2006

Michael Coss 2006

Michael Coss is the author of The Courage to Come Back: Triumph over TBI – A Story of Hope (2011) and the inspiration behind the creation of the Michael Coss Brain Injury Foundation. The foundation was created to raise money for children in need of financial support to access brain injury treatment. The proceeds from the sale of Michael’s book go directly to help the kids. The book is a moving account of Michael’s journey facing the challenges of traumatic brain injury.

Michael is also the winner of the 2011 Courage to Come Back Award for Physical Rehabilitation (Coastal Health). Michael will tell you that his life was changed forever, and it’s been changed for the good. First though, he will usually tell you that he is the very proud father of twins, Nathan and Danielle, who are now eight years old.

On May 18th, 2006, Michael was driving to Kelowna, British Columbia, Canada, with his former spouse and seven-month-old twins to attend a work function and stay with friends. Catastrophe struck while on the Coquilhalla highway — Michael lost control of the van, and it rolled at least one and a half times.

Miraculously, Michael’s former wife, Ann, and daughter, Danielle, escaped with only minor injuries, but Nathan and Michael were not as fortunate. Nathan spent several weeks at BC Children’s Hospital with head injuries. When the medical services arrived at the scene of the accident, Michael was unresponsive, even though the airbags had deployed and Michael had been restrained by his seatbelt. The Glasgow coma scale (CGS) rating at the scene was 8 out of a possible 15, which indicated a comatose state.

Michael was transported by air to Royal Inlands Hospital in Kamloops, where he was assessed by Neurosurgery. Bilateral ventriculoperitoneal shunts were inserted to relieve the pressure on Michael’s brain from the accumulation of fluid. Later he was transferred to Royal Columbian Hospital to be closer to his family. He remained comatose.

Michael’s injuries were nearly fatal, and despite comprehensive treatment at two hospitals, Michael remained in a coma for six and a half months. Doctors told his family that his chances of recovery were remote. His wife was devastated because she faced the possibility of raising their two babies without a father. Recommendations were made to Michael’s family to look for a long-term-care facility to look after him for the rest of his life.

But they did not know Michael Coss and his family. Michael’s family had researched hyperbaric oxygen therapy (HBOT), the medical use of oxygen at a level higher than atmospheric pressure. The treatments are commonly used in Asia and Europe and are available in Canada. But the treatments are not approved by Health Canada, and, therefore, they are not covered in Canada by medical insurance. The more the family learned, the more they came to believe that these treatments might work for Michael, though the treatments were prohibitively expensive and came with no guarantee.

His friends and co-workers saw a chance to mobilize and make a difference in Michael’s life. Within a few weeks, funds were raised by donations from friends, family, and his former work-colleagues at Molson Coors Canada.

Michael was transferred daily from Royal Columbian Hospital to the Richmond Hyperbaric Health Centre via ambulance. His mother, who accompanied him, would dampen a sponge with water to make him swallow and equalize the pressure within his ears. HBOT worked quickly, and on Christmas Eve of 2006, after half a year in a coma, Michael awoke and uttered his first words.

Only three months out of his coma, Michael learned about Rick Hansen’s Wheels in Motion events to raise funds for research and to improve the quality of life for people with spinal cord injuries. Michael was inspired by Rick Hansen and wanted to be a part of the event. In the midst of his rehabilitation, Michael canvassed his network, and once again they rallied in support. Friends, family members, Molson Coors co-workers, and other corporations raised over $22,000. His team (Team Cosco) not only won the award for the top fundraiser in Canada for Wheels in Motion 2007, but they also set a fundraising record for the entire six-year history of the program.

Through a long, intensive, and grueling rehabilitation, Michael relearned how to talk and eat. He is now relearning how to walk.Coss, Michael Survivor Family Photo Magazine COver

Today Michael serves as an inspiration, a motivational speaker, and a catalyst for traumatic brain injury survivors everywhere. He currently resides in a group-home not too far from his family and visits with them several times a week. His long-term goal is to be an able and active participant in his family’s life. Michael is not yet ready to walk to the park hand-in-hand with his children, but at least he is in training for it.

 

If you have a story to tell, please contact me at donnaodonnellfigurski@gmail.com

(Pictures compliments of Michael.)

(Clip Art compliments of Bing.)

 

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What Are the Effects of “Invisible” TBIs?

Brain th-2A traumatic brain injury survivor who has a physical disability deals with a problem that is obvious, but many survivors have brain injuries that are “invisible.” The problem with invisible TBIs is that the brain injuries are not obvious, yet they can cause serious difficulties for the survivors. Life may seem chaotic to a survivor with an invisible brain injury, but those in the “outside world” may think that nothing is wrong. As a result, some survivors face expectations that don’t reflect their reality. This disconnection is generally caused by the public’s lack of understanding about the myriad effects of brain injuries. Here is a site devoted to explaining the possible effects of “invisible” TBIs and what survivors can do to diminish them.

(Clip Art compliments of Bing.)

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