Archives for category: Brain Injury

I had a moment yesterday. Feelings of loneliness and despair began to well up seemingly out of “nowhere”. It wasn’t “nowhere”, of course, these are troubling, baffling times for ethical compassionate people who want (and work) to see good in the world. I took a moment to shed some private tears and regain my balance, to self-soothe, and step back from thoughts of things I can’t influence directly or change in any practical immediate way.

“Breathe, exhale, relax.” I reminded myself. It helped and the evening moved on.

There’s still blue sky overhead.

If you’re hurting and struggling with the strange terrible times we’re in, you’re not alone, I promise you. Be kind. Be considerate. Be your best self in spite of seeming to be surrounded by a world of monsters. Look with scorn on terrible people, but don’t let them transform you. Don’t become the thing you find detestable. Don’t let the bad acts and cruelty of the world make you cruel, yourself. Resist the poor choices your own anger and fear nudge you towards and stand firm on your resolve and your convictions. Be the person you most want to be, not whatever facsimile of humanity it may seem that you are expected or encouraged to become by circumstances, systems, or corrupt individuals. Be honest. Be real. Speak truth to power. Make the wisest choices you can for the greatest good within your family, tribe, and community. Be the change you wish to see in the world. It’s not a platitude if you make it real in your own experience.

Remember that the goblin king has no power over you. He is a farce. He is a fiction. Make your own choices. Use your own words. Be the main character in your story, instead of an NPC in the game of life.

It’s a new day. A new beginning.

This morning I watch the sunrise. I listen to birds singing cheerily along the trail. No tears. I am okay right now. Sometimes shit gets hard because I actually do care, and all by itself that can be a hell of a burden to bear. It’s an interesting path I’ve chosen in life, and it isn’t paved, and I don’t have a map. Sometimes the going is easy, sometimes it is difficult. Regardless, it is a worthy journey of being and becoming, and I walk on.

I sigh quietly as I walk. Trolls and monsters and lines on maps – it’s a strange and sometimes scary world, but the journey is the destination and it isn’t really “about” any of that. Those are worldly distractions. I remind myself to be present, here, now. To be kind. To be the woman I most want to be. To make wise choices. To listen well and deeply, and to love with my whole heart.

I listen to my footsteps on the trail. The clock is ticking. It’s time to begin again.

I went to the usual trailhead of my favorite weekend morning hike. Pretty morning, but… the trailhead is busier than usual. A parked vehicle (vacant but with hazard lights left on), an especially disreputable looking old van (windows covered by foil), and an old RV with signs of being someone’s long-term dwelling, are in the parking lot. My skin crawls, and I experience a sense of “stranger danger”. I could be overreacting, but by the time I could be certain that I am or am not, it could easily be too late, eh? I move on, and go to the western trailhead of the park, on the far side, nearer to my usual “halfway point”. I’ll walk the trail in a different direction, approaching the views from the other side, and I’ll take a route that doesn’t approach the other trailhead at all (skirting the marsh instead of crossing it).

A calm sentinel.

It’s a lovely morning, and I’ve no regrets over the change of direction. I walk the trail contentedly. I see geese, and nutria, robins and squirrels. I walk along the river for a while. I look across a different bit of meadow, at a different stand of trees on the other side.

A change of perspective.

The morning is chilly but not cold, and I am warm from walking. I feel relaxed and rested, and my (quite minor) seasonal allergies are not vexing me; I remembered to add allergy meds to my morning medication. I feel comfortable in my skin and merry as I walk. I am supported by my cane (it’s actually a very strong, lightweight Leki trekking pole with some shock absorbtion), and my ankle does not yet ache from the walking, nor do my feet hurt. I would be walking in spite of those things, but it’s nice not having to fight that pain, this morning.

I think about the day ahead, but my thoughts are scattered, fractured by distractions: birds, flowers, movement in the underbrush. I walk on, enjoying the scents of Spring. I try, briefly, to recall whether I have errands to run, but I fail, and for the moment I don’t actually care. I’m wrapped in this moment, now, and it’s quite enough.

I walk, thinking about my beloved Traveling Partner, sleeping at home. He’ll likely be quite sore today after physical therapy yesterday. I resolve to keep myself occupied until he alerts me that he’s up and about for the day, to do what little I can to ensure he gets the rest he also needs. I smile. My heart is filled with love and my thoughts with fond memories. He is so much part of my life and experience after 15 years together. May 1st is our anniversary, but “that moment” that he truly became part of my life and my future was actually on his birthday, in December, at the end of 2009. By February we were the best of friends, by June he had moved in with me. Even then, I don’t think either of us anticipated marriage being part of our journey (less than a year later), we were both pretty sour on the notion from our past experiences. Still, here we are. Feels almost as if we’ve “always” been together. It’s easy to forget what a short time it has been. I grin to myself as I walk. He could not be more dear to me, nor further entangled in my heart. I am wrapped in his love every moment of every day. I sigh happily, and keep walking.

An enormous flock of Canada geese pass overhead. I think about my Granny, and wish that she could have met my Traveling Partner. I think she would have liked him. I know my Dad would have. I chuckle over the ways of men, and wonder what it might have been like had my Dad and my partner had a chance to enjoy each other’s company? I walk on wondering when I stopped being angry at my father? When had I truly forgiven him? It’s clear that I have… How strange. I once thought I never could.

Time passes, and the passage of time heals a lot of hurts, given a chance. Forgiveness isn’t for those who have hurt or wronged us, my Traveling Partner was right about that; forgiveness benefits most the one who forgives. Forgiveness is a letting go of the terrible weight of lasting pain and lingering rage. Forgiveness is another way to begin again.

My footsteps on the path are regular and even, steady like the tick of a clock. The clock is ticking. I walk on, with new perspective, toward the next curve on the path, the next opportunity to begin again. It’s time. It’s always time. I’m okay with that.

Prices have been going up noticably since the election, and longer. They rarely go down. Some of this is due to human greed. Sometimes it’s about demand for a limited supply. Sometimes it’s about chaos and uncertainty, and regulatory bullshit. There’s always someone making money off of rising prices, though it may not be who we assume it is.

Recent price of blueberries. I am waiting impatiently for the blueberries in my garden.

I’m as frustrated and angry as anyone else over the weird petty and destructive policy making coming out of Washington DC these days. 61 (almost 62) and I’ve never seen the bullshit quite so deep. We have failed to elect a competent, skillful, effective government (unless your goal was to bring about the decline of Democracy altogether). It’s pretty horrific. I’m not sure what everyday folks were expecting – or how they were played so easily by power-seeking billionaires.

…Still…

Life goes on. Mostly pretty comfortably routine, moment to moment. I’m not personally reliant on the market fluctuations, beyond how such things affect the prices of groceries and gas (and they definitely do). I have been spending less with greater care, like a lot of people. It’s necessary. Instead of steak, we have chili. Instead of dining out, we cook at home (which is healthier anyway). Instead of going to a distant specialty market for some interesting ingredient I can’t get locally, I use a recipe that doesn’t require exotic ingredients at all. Choices are being made every day. I’m still choosing to live well, as much as I can, but I’m choosing to do so more affordably. It’s clearly necessary, and I may as well get really good at it. Soon enough things like oranges and bananas may become seasonal, coffee may become a luxury for the wealthy, and dining out impractical due to the lack of restaurants still in business.

… Sorry. I’m being a bit gloomy, eh? I’m in a ferocious amount of pain today and it may be coloring my thinking. I’m just saying, maybe it’s time to embrace simpler things and more affordable pleasures, disconnect from the Internet and social media, go outside, and exist in the real world among real people, and be less dependent on so many systems thoroughly outside my own control? I do remember a life before the Internet existed at all… A time when bad news didn’t travel as far or as fast, and it was more difficult to deceive or influence an entire population. I mean… I think I remember that world. Certainly there were fewer billionaires and they weren’t straight up buying the fucking government for their own benefit.

I stretch and sigh, and remind myself to be here, now, and let that shit go.

An excellent pot of chili, and an affordable hearty meal.

I breathe, exhale, and relax. I think about the romaine lettuce and bok choy growing in the garden. I think about the radishes, carrots, and spinach sprouting in neat rows, and the onions and leeks standing tall in their corner of the garden. I feel myself relax. What matters most? How can I best care for hearth and home and family? It’s important to do more than exist in difficult times. It is helpful to act, to choose, and to create the life I want to live and the world I’d like to live in. Yes, there are surely assholes, nitwits, and idiots literally everywhere, but I don’t have to hang out with them, or allow my life to become about them. I’m free to choose differently.

It’s raining this morning. Not a hard rain, just occasional sprinkles, but the wind is blowing like those rain drops have places to be, right now. lol I don’t let it stop me from getting a walk in, this morning, in spite of the pain I’m in. This morning it’s both the headache and the arthritis. I deal with it, and walk on, grateful to walk another mile. I walk with my thoughts to my halfway point and stop for a little while, to write and reflect and watch dawn become a new day.

I think about ignorance and failure for some little while, and ponder all the many things I don’t (and possibly can’t) know. It’s a good time to buy books and read more. I often find inspiration and even real hope between the pages of a book. My own journey suggests that reading may be one of the most valuable skills a human primate can develop and use. I’m proud of the small library of excellent books I’ve accumulated over time. I’ve read nearly all of them, with some exceptions (some of the books my Traveling Partner owns are distinctly outside my areas of interest), but I cherish even those; they represent more to learn and know. They are well-chosen, well-written and purposeful.

I smile to myself. My book wishlist is huge. I definitely don’t have space for all of them, but… I’ll continue to add to the books I own. How to cook things. How to make things. How to survive things. How to garden and how to fight tyranny. How to think and how to paint. How to listen and how to love, and books about why all those things matter. I sigh contentedly thinking about books and gardening, and what it means (to me) to live a good life. The wind blows, tossing the trees from side to side. The dense gray clouds overhead don’t appear to move at all, they are a smooth homogeneous mass other than the strip of blue sky peaking through near the eastern horizon.

I finish my writing, and get to my feet. The clock is ticking, and it’s time to begin again.

I’m sipping my coffee and ignoring (as much as I can) the chronic pain of my osteo-arthritis, which radiates upward from my spinal fusion, which was done years ago, when the state of the art was quite different than it is today. I knew then that my surgery was a new approach to the problem, and that some outcomes were unknown. The goal was to prevent me from ending up in a wheelchair partially paralyzed, and to allow me to continue to serve on active duty (Army). I guess for most values of success, my surgeries were a great success. I’m still walking. I did continue to serve (was even deployed to war in the 90s’), after a period of convalescent “retirement”, although I got “RIF’d” after that war (which broke my heart, but is an altogether unrelated story). So, generally, I’ve nothing to regret about that surgery if I’m just thinking about those details. But…

…There were consequences – of both the injury itself, and the surgeries that followed. The arthritis started to develop in my spine about 3 years after my surgeries. I didn’t understand why I was in so much pain all the time, and it took a rather stupid amount of time for that to be appropriately diagnosed; I was young. Medical bias being a real thing, many doctors were persistently just as “mystified” as I was. What could be causing my pain? How could I have arthritis at my young age? I still feel frustration and annoyance by that lack of curiosity, and lack of diagnostic skill (or persistance). Pain they could not feel themselves did not matter to them.

Then, there were the other things… the persistent chronic itch below my left shoulder blade, that I couldn’t quite reach and that scratching didn’t ease. A “phantom itch” that still bothers me occasionally (CBT really helped with that). A chronically cramped muscle down low on my back, on the left side of my body, most likely a result of the disturbed section of musculature attaching to my spine being put back “not quite in the right place” during my surgery (to make room for the hardware that was there for a year) and which healed into a new, less than ideal, location. This, too, still bothers me, often. Most of it I had to “figure out” in pieces, with limited help from too many doctors, and a lot of study. Sexual challenges (both neurological, and also to do with practical matters like lubrication) that were awkward to discuss were another thing; I was past 60 before a physician finally said, with some surprise, “of course that’s related to your spinal injury” after looking at my records, surgical reports, and images, and listening to me with great care. She seemed so matter-of-fact about it, I ended up enraged for days that no one else had said as much. I went through some shit over that issue with more than one lover, I can tell you. Turned out it wasn’t “my fault” or “a lack of desire”, or anything I could actually do much about; I have a spinal injury. Duh. I spent a few days moping around pretty pissed off about it.

What I thought I understood.

Why am I on about this, today? It’s to do with perspective and knowledge, and how those create our understanding (or don’t). I knew coming out of my surgery all those years ago that I had a permanent “30% stenosis”, and I felt that I understood what that meant. I mean, words having meaning, and I knew the meanings of the words…so… I understand? Don’t I? I thought I “got it”. My lack of real understanding was stunning, and it would be decades before that changed. It wasn’t actually a doctor that changed my understanding. It was math – and a moment at the dining room table with my Traveling Partner; a “lightbulb moment” to do with circles, that was completely unrelated to my spine, my injury, or my pain. lol (Pay attention in school, kids – math matters, and it’s useful stuff.) Something clicked.

What I hadn’t understood, in spite of seeing the images, reading the reports, and discussing with doctors, was what my stenosis meant in my case, specifically. For many years, I imagined 30% percent stenosis as a uniform 30% reduction in a circular area. (I felt pretty stupid when my understanding changed.) Firstly, the spinal canal as a “tubular structure” is not a beautifully perfect mathematical cylinder wherein a slice would appear circular. Not at all. It’s quite different than that. Also, and more importantly, my injury (which crushed two vertebrae, and broke off a spinous process which was then forced into my spinal canal by the impact and subsequently could not be removed) and the repair of that injury did not result in anything like a uniform reduction in area all the way around. Not even close.

Geometry for the win. lol

Reality doesn’t care what we believe. Our pain doesn’t care what we think we understand about our body. Reality is. Pain is. Conditions are what they are regardless of our understanding. So, for years I had struggled with symptoms that made no sense to me – because I so poorly understood my condition – and which I could then not clearly articulate to doctors, who may also not have understood my condition, because (let’s just be real about this, eh) doctors are also human and also have limitations to their own knowledge (and limitations on the amount of time they can spend reading patient histories with the care needed). I understand more/better now, but… I’m still limited by all the things I do not know. I still live within a reality that I perhaps only partially understand because of those limits.

…And reality doesn’t care at all what I understand…

Our perspective and our knowledge limit our understanding – but reality goes on being real, regardless of what we think we know or how we think we understand the world around us.

I breathe, exhale, and relax. Living with the pain is pretty much a requirement. There is no option to live without it, at least not now, not really. I do my best. Maybe that reality will change at some point in the future? Technology changes. Medical progress is made. I’ve learned to practice fairly skillful pain management in the meantime. I’m not complaining, not really. Good self-care and skillful pain management may not add up to a “cure for pain” – but it does help.

I sip my coffee thinking about my Traveling Partner, his injury, his surgery, his progress… he’s come so far, so fast, relatively speaking (although I know it doesn’t feel that way to him). We both deal with pain, and I don’t personally see a future where that’s not a thing we deal with, each having our own experience, each doing our best. I feel fortunate to have a better understanding of my injury than I once did. I’m grateful for a conversation at the dining room table about math and circles and ratios and areas, and grateful for a partnership that understands pain and makes room for love anyway. Grateful for love. Things could be worse.

I look out the window. My mind wanders away from the pain I’m in – probably a change for the better. It doesn’t do to dwell on the pain. Don’t get me started about this fucking headache. I sigh quietly and glance at my calendar, and the clock. It’s time to begin again.

Huh. Just for a moment I had the strange sense that I was completely wrong about the day, and that instead of the Monday I was thinking it was, as I sat here in the office, it was – perhaps – only Sunday, and I did not need to be here at all. A quick double-check of the calendar (and then my phone, and then the tiny date/time at the bottom right of my computer screen for good measure) reassured me that indeed it is Monday. I may not be overly enthused about that, on its own, but I am at least not incorrect about what day it is. lol

A perspective on some orange flowers.

The morning has been a slightly odd one. I woke much earlier than necessary, but got up and made coffee and hit the road anyway. I didn’t have quite enough time to return to sleep, and definitely did have time to make a point to remember my packed lunch, and to make myself some good coffee. Even the commute was somewhat strange and definitely not routine in any way aside from the route I took. I hit every traffic light green, and there was almost no traffic at all. I drove the speed limit, feeling unstressed, unbothered, and unhurried (which makes sense since it was quite a bit earlier than I am usually on the road). The office is chilly in a Spring sort of way, and my thoughts linger in my garden, in spite of the darkness beyond the window. Funny thing; the weekend was quite productive, and I seem to recall it feeling “busy”, but… at least for the moment, I don’t really recall anything that stands out as eventful or special. No, I’m wrong – one thing does stand out; my Traveling Partner rebuilt, refreshed, and enhanced our household automation, updating and correcting some out-of-date programming and making upgrades that had been planned before his injury. Quite successful and useful, and delightful to use. There’s that. That stands out. Nothing much that I did comes to mind at all, but damn I’m sore like I did a bunch of stuff. LOL I also didn’t do a bunch of stuff – I was supposedly “taking it easy”, but I don’t feel like I actually managed that trick. Feels like I just did other stuff, instead of the usual stuff.

Same flowers, different point of view.

I rub my eyes, yawn, and sip my coffee. I still don’t feel quite awake yet, which is strange; I’ve been awake now for almost 3 hours. Groggy. Foolish. Mind wandering. Feeling vaguely purposeless and “out of focus” and caught in a sticky web of random thoughts and distractions. My sleep was restless, interrupted, and filled with strange dreams. I may not “need” more coffee…but I’m sure going to have more! lol The morning feels a bit surreal, so far. And chilly. It’s chillier in the office than it has been. As if in response to that observation, I notice the small heater that was left in this office space at some point. I sip my coffee and consider the option to use it, without acting on the thought. I could, though… If I choose to.

A different angle on the same theme.

I sigh to myself, and try to shake off my grogginess by literally trying to shake it off. The sight, reflected back at me in the window makes me laugh. The laughter does more to wake me up than the shaking did. I sip my coffee, now at that “perfect drinking temperature”, and think about my Traveling Partner sleeping at home. I hope he gets the rest he needs – he has a day of work planned (and specific projects in mind) with the Anxious Adventurer’s help. He’s recovered from his injury and surgery to a point that he has begun “picking up where he left off” on all manner of tasks and projects that fell to the side when he got hurt, although he still has a way to go before he will be “at 100%”, maybe a long way to go (there’s quite a lot of work involved in fully recovering from a spinal injury and surgery). I feel relieved and delighted to see him doing so well. I can’t even describe how worried I was at some points, and I don’t like to think about it.

It won’t always be flowers and garden paths; sometimes it’s an uneven path, an uncertain destination, and a distant horizon.

Being a caregiver has been one of the most difficult things I’ve ever undertaken. I give myself about a “C” on that endeavor, if I’m honest. Even with all of my best effort, I lacked experience and skill, and I fucked up a lot (and I was exhausted all the time), and I could have done so much better given time and training and more practice – but that wasn’t how things went down. I did my best. I can say that, and for most values of worth, it was enough – but fucking hell I wish I could have done more/better for longer. Caregiving is fucking exhausting. If you know someone who is a caregiver (or, frankly, a parent), be appreciative, considerate, and kind; that’s a lot of fucking work they’re undertaking to do, on top of trying to live their own life and manage their own self-care, and possibly also working a full time job (especially if they are committed to doing all of it well). Fuuuuck. That’s a lot. Sometimes it can feel like an inhuman amount of effort is required, and it can feel like the stakes are “too high”. Be helpful if you can – and for sure just don’t be an insensitive jerk about the situation, most especially if you’ve never had to provide full time caregiving yourself. It’s a hard mile to walk. I worried the entire time. Worried about the future. Worried about my beloved. Worried that I wasn’t good enough or capable enough – and painfully aware that things could be still worse.

Walking my own path, one step at a time.

I breathe, exhale, and relax. It’s just a routine (mostly) Monday. Things are okay for most values of “okay”, and the day begins well (if a bit groggily). It’s time to get on with that. Another beginning. Another day. Another mile to walk on my path. Time to begin again.