Howdy Hydrocephalus

Understanding my unique gyroscope


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More than Just Surviving!

I found this great blog post and they get it!

Adjusting and transitioning after brain injury is a very hard but worthwhile process.

It is more often overlooked than addressed. When you are not given support or resources to move forward and find the new you it is a long process to gain footing to be able to move forward in a meaningful way.

It is easier for therapists to say you are just depressed or anxious and treat with a pill. I have experienced this and I just shake my head and think to myself “no shit Sherlock…Where did you park your squad car. And wonder if they would be saying this shit if they had experienced the same thing.”

Please read this blog post. https://tlcrehab.wordpress.com/

I think if the therapists, doctors, helpers had to spend a month in the shoes of a brain-injured person or persons with any other lesser known condition, their care, compassion and treatment suggestions may be completely different

 


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Chronic Pain & TBI

Chronic Pain is a beast. It is not pain from over doing it at the gym, lifting heavy objects or mountain biking, it is pain that does not respond to over the counter medicines and it is often brushed aside by stating that the pain is “psychological”. And when the pain doesn’t go away or get treated, your life can begin to unravel quite quickly. Sleep, cognitive, concentration, appetite, daily activities are negatively affected when chronic pain is not treated or under control. This then leads to anxiety and depression that only add the nasty mix and do not help in day to day living. Because your energy is now taken up by doing everything in your power to accept and move through the pain. You breathe, continue with limited activities, say affirmations, think positive, try herbal supplements and anything and everything that people suggest to try to find some relief. Until it all becomes too much and then you sink into that pit of despair because all the tools in your tool box no longer work. You question worth, value and place here on earth. You can not handle the feel of clothes on your skin, or even someone touching your. Your body is so inflamed that you are old beyond your years. You do not go out because any activity is no longer easy or fun. Joy and happiness are suck from your soul as you are bone weary with every move. You calculate how many years left and if you have the mental and physical strength to actually continue to be here in this pain every day until die. You start to think of ways out…anything to just get rid of this damn pain.  This cycle will repeat itself until….

You finally find a Doctor who understands that chronic pain is real and begins to treat the pain. There is not a text book type way to treat chronic pain. It is more like experimenting with different treatment options until a positive response is obtained. This approach takes time, patience and sometimes putting up with a lot of side effects from different medicines. 

My chronic pain is two-fold; the 24 hour a day migraine with the added bonus of cluster-like headaches that feel like ice picks through the eye. This pain is never gone but for the most part it is managed. The second part to my chronic pain is my neuropathic pain due to nerve injury or nerve mis-communication and response to pain. This has always been on the right side of my body. It feels like burning fire ants, burning and shooting pain that is continually there. Between my knee and ankle fluctuates from burning to feeling like wood. I have had this for five years and it will always be a part of my life.

However, last November, I went off my Pristiq because I told the Doctor that I was doing well and that I was not depressed so I didn’t need it. So I went off the meds.  Then comes January to March where I begin to lose it all. My Neurogenic pain is not just on my right side, it was on my left side too. My chest felt like it was on fire with the flames flickering upwards to my neck and nose. I was worried. My skin was horrible. The itchyness I had on my arm, chest, legs and back was so bad that I was looking like a meth head with open cuts.

Turns out that my Pristiq was not for depression but for my neurogenic pain. An off label use for it…oh didn’t know that. Thus my brain doctor will continue to see me because she just rocks at figuring out what the hell is wrong with me when no one else gives a shit. Also she prescribed this awesome cream that does not contain steroids but instead lanocain and gabapentin to help topically for my pain. Also endless itching is also from neurogenic pain. The nerves are just all messed up and sending weird signals.

So now my pain is not through the roof. It is not 100% managed yet…still annoying as hell. I really do not like the way my chest feels but I really have no choice but to accept it. I hope we can still find a better management solution. I am looking forward to my June appointment to see what my next trials will be.


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4 Year Anniversary

On September 4, 2016 I celebrated my fourth anniversay of my brain surgery. I thought about writing that day but I couldn’t bring myself to write. 

There have been some amazing hurtles that I have overcome in the last four years. I have become a stronger, wiser person. My brain continues to heal as I push myself. Life have become liveable and enjoyable again now that we have found suitable meds. I have overcome on the other side of some very dark questionable times as well. I held out and did not quit or give up. I have enough awareness now to be blown away. I know in my head what I have accomplished, but so many people do not because having a disability that is not visible leads to many assumptions.

I still have my sketchy quirks to work on. I notice them now more than ever. For example, my sense of time is often out and I still have not found a good calendar program that has a great nag alarm for my android phone. I still think I can remember a lot more than what I can so I decide not to put items in my calendar and of course I forget. I often forget what I promise to do…mmmm three weeks of saying I will put the boys phones up for sale and I still haven’t done it. I remember, then start and get distracted and then forget until  I am reminded. I have a hard time with conversations still. I will get nervous and keep talking and talking and talking. I often forget the clues that the conversation is over. I still have a hard time with ending a conversation. I am not too sure if the person has ended the conversation or how to end without being rude or too abrupt.

My organizational skills of planning and connecting from a to b to c to d is still a work in progress. I am not walking in a circle in my room trying to figure out what I need to do first but I will go from basement to upstairs to get one specific thing and in that two sets of stairs, I will forget what that item was. I will look around and grab something, walk back down stairs  and start working on what I was doing again until I remember what I wanted from up stairs. The process then repeats itself numerous times  or days. So sometimes getting things done is painful.

I tend to hyper-focus on new things and block out everything…like kids, meals, laundry. I bought a cricut which has been taking up all my time. I am loving the fact that I am suing Adobe Illustrator, manipulating graphics and fonts to create items to sell. I am looking forward to developing my crafty hobbies into a small biz. I am even looking into furthering my education. I am looking at my art therapy post diploma rather than recreation therapy certificate. The post grad diploma is a step forward rather than backwards with a general certificate where they want you to take their technical communications course even though I could probably teach it. How to write an email, proposal letter, make a brochure, resume….yawn. No challenge there. The only problem is to pay for my course. I have no idea what is available out there for resources to help pay.

So many steps and mountains climbed. A few more to climb but it all seems achievable now. Here is to how great and adaptable humans are. How strong we can be and how we can continue to learn on a daily basis. I am truly grateful! I am truly grateful to have been faced with all of this. If I hadn’t been challenged, I would not have grown so much. I look forward to tomorrow, the next day and to see how fare more I will come in the future. 


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Breaking the Seal


I have not written since June 21, 2016 after my Endocrinology tests. There was not much to write about. Okay I admit there has been plenty to write about. My two little energy pills twice a day has allowed me to use the hash tag #summeroffun. I have had the most energy since December 2011. We did kayaking, paddle boarding, walking, easy hikes. I stayed up later than ever. I even painted two walls in the house spur of the moment. Don’t get me wrong these were not all day events.  Maybe  1-2 hour activities with a break then a rest and then another activity then break and even a third activity that day. It has been amazing on that aspect but I was still feeling fatigued and weak. I still was losing weight for July but from August 10th to today I was on holidays where I ate more than normal with big breakfasts, large dinners and plenty of junk food in between. I drank a lot too…those empty beer calories but those beer taste so good sitting on a deck BBQing. From that unhealthy summer binge at least my weight was stabilized and gained 2lbs. When I went to for my follow up Endocrinology appt. on August 22, 2016 I weighed 126lbs.So from undiagnosed hydrocephalus to brain surgery on  September 4, 2012 20 to August 25 , 2016 I was peeing every 15 minutes. I really have no idea how many times I would go pee because it would be in a sleeping pill delirium. I know always at least 6 or more times. I would get about 2-3 hours sleep and then the pee train would start. But hubby says that I go even then but I am most likely sleep walking  and don’t remember. So in reality I was getting very little sleep every night. 

My peeing was overlooked. I mentioned it to my neurosurgeon more than once and he just said I should drink less so I did. With my brain injury, I was not self-aware of how bad my peeing still was after surgery. I had other things going on too such as neurogenic stutter, getting my right side to cooperate, feeling confused and trying to overcome daily chronic pain. 

So I think last summer when I was camping at Elkwater Park I got really dehydrated. So I made it a priority to drink more water. I needed to get in my 8-10 glasses then an electrolyte powder and more water if out walking or in the sun. This is when I first noticed my peeing all the time. This lasted until about December where I couln’t take it anymore so I cut back my water consumption and went to myt GP. Between December 2015 until April 2016 I had many blood tests for Diabetes Mellitus (DM) and each one came back negative. 

I had begun to lose weight. I had no appetite and was nauseated all the time. My sides and belly would hurt. My hair was falling out all the time and I had very dry skin with a persistent rash that would not go away. I had only enough energy to take kids to school, crawl back to bed, sleep all day only to get out to pick up boys. Libido was non-existent. I would wake up each morning feeling like I was hung over.  I was going to the bathroom so frequently that I was going through at least one of those double toilet paper rolls every day. 

Ouch as my  nethers began to feel sore and every time I wiped it was like sandpaper. My life revolved around bathrooms. How long I could make it until the next bathroom. I would pee at least 4 times leading up to leaving house. If local short trip pee when arrive. Pee again at next store…followed the same pattern over until I got home again.

After my testing in June, I decreased the amount I drank even more. But nothing changed. All I can compare it to is if you are drinking with friends at a pub and go to the bathroom and they bug you about “breaking the seal and that you are in trouble for the  rest of the night”. 

So basically if you are drinking and finally go to the bathroom; your bladder will not hold anymore and want to go pee more frequently. So my life had become an out of control broken seal nightmare. That not only affected me but my family as well. That is until August 25, 2016.
I had my follow up appointment with the Endocrinologist on August 22. I found out that my growth hormone was great but my anti-diuretic hormone was not so great. He diagnosed me Central Diabetes Insipidus (DI).  The Doctor said that I most likely acquired it from my ETV surgery. He said that all I would need to take is one spray of vasopressin before bed (maybe one during day too) and that it will work quickly. That you could tell if the meds would work within a couple days. 

The appointment was positive but after being  to many doctors and on a Pharmacy of medicine and treatments that did not work I was really skeptical.  I had to wait until August 25th for my meds to come into town. I took it or tried to and went to bed.  I woke up the next day and felt refreshed. It was still a sleeping pill induced sleep but I was only  two or three times. I was amazed but still skeptical. It is the August 28th and I drove 3.5 hours without stopping to pee. It was the best drive in. A long while. I was not as tired and I was able to concentrate.  My vision didn’t go blurry either. Here is to re-balancing my ADH hormone, electrolytes and no longer being chronically dehydrated. Sorry toilet paper companies….you can shove your mega packs I will be using less of your products!!


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Degradation

The term degradation is used lots in environmental field. I have used it to describe soils, bed & bank stability and creeks etc…I never thought I would use it as a descriptor of my body until about a month ago.

deg·ra·da·tion
ˌdeɡrəˈdāSH(ə)n/
noun
the condition or process of degrading or being degraded.r
“a trail of human misery and degradation”
synonyms: humiliation, shame, loss of self-respect, abasement, indignity, ignominy More
GEOLOGY
the wearing down of rock by disintegration.

I feel that my body is wearing down; I have lost good muscle; weight; feel like I have bowling balls as feet – basically dazed and confused!

After my last Brain Clinic appt where I expressed how I felt I was losing it. I had went from gaining weight to losing weight with no changes in diet. I was no longer accepting that I had to pee a million times a day. I was sick of sleeping so much as my daily resting had climbed to 5/6 hours a day. I was sick of being out of breath when climb a set of stairs and questioned how I could go from swimming 20 minutes to barely two minutes. I explained that I was starting to feel cognitively like I was before surgery – the dementia-like symptoms. I told her my dermatology appts. did not help my wrinkled dry and rashly skin. Cuts were taking months to heal. I was forgetting where things were such as my Dr. Office’s that I was going to phototherapy three times a week.

So almost three months ago, my brain dr. Upped my dose of Pristiq and then set me up with a 24 hour urinalysis and blood work. I remembered to do the tests about two weeks after my brain clinic appt. Then I forgot about the tests. After someone asked about the test results, I exclaimed “Oh yeah…I forgot to find out. I just thought everything was A-OK because I didn’t hear back.”

I swear the next day after talking with my friend I get a call when “napping” I let it go to voicemail, like every other call I when I don’t recognize the number. It took me 20 times listening to message to get the number and I still didn’t understand what I had an appt. for. The person spoke too fast and too muffled for me to understand. So I dial the number and miss what the receptionist says. After I explain that someone left me a message, she looks me up on the computer.

It turned out to be the Endocrine Clinic had me in for an appointment that I didn’t know I had. The lady explains that the office is located in the “Old Children’s Hospital” as she was about to hang up…I say “Where are you located again?” She says “Old Children’s Hospital.” I say “Where…in Medicine Hat, Calgary, Edmonton?” She thought I was from Calgary. After that was worked out I got an address to Google and then waited anxiously for five days.

Chris and I met the with the Endocrinologist and it was a good appointment. He looked at test results, my history and said that “I was a complicated case” I thought “No shit Sherlock. Hope you can help me or I may end up in the looney bin” So he looked at me skin, rashes, throat, arms, legs, feet, skin etc…but doesn’t say much.

But what he does say is hopeful. He asks us “if we have medical insurance?” Chris says “yes…why is prescription expensive?” He says for insurance to cover prescription a couple tests are needed to confirm diagnosis. He is suspecting ADH (antidiuretic hormone) and Growth Hormone irregularities. He explained that they were hormones from the pituitary gland.

The doctor explains that a nurse will call to explain the tests and to book a date. He said that the tests could be a two to three months down the road. We leave with knowledge of the test names and feeling that a solution is around the corner.

IMG_1368.JPGI didn’t expect to hear from nurse so fast nor have my tests about a month after the Endocrinology Clinic appointment. I am to have two tests done. They both can not be completed the same day. So May 31, I have my water deprivation test. I can not eat or drink anything from 8:00pm the night before and the test begins at 8:00am the next day. I know I have to keep giving pee and blood samples until I lose a percentage of weight or they get the test results they want. The nurse said the test can go usually 4pm. The second test the next day is some sort of stimulation test where they take blood tests and then shoot you up with something. I didn’t take in that part of the conversation as she said she would go over everything with me during the water deprivation test.

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A tribute to zombie food

Thank you for posting this. My hubby went from the role of best friend, partner, and husband to caregiver added in the mix almost 4 years ago. This is not an easy road for anyone involved.

Word Wabbit

brain captionedIn a rare occurrence of whimsy at work, it was condoned for a short time that if we wanted to connect in a meaningful way to people, we would make comparisons to zombies. Needless to say, this didn’t catch on or last very long, but the idea sticks with me today as I think about brains.

Brains. We all have them. Not many of us consider ourselves smart enough to talk about them, but I think that by virtue of having one, we are entitled to our opinions.

TBI. TBI is a term I never heard before last summer. It stands for traumatic brain injury. And here all this time, I should have been much more interested in brains and how they work, but now that I know someone who has TBI, someone very close to me, the brain, and all of its magical workings, has become very important indeed.

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