Gray Matters

December 11, 2011

Dates on upcoming 2012 support groups…

Filed under: Uncategorized — Heidi @ 12:35 pm

2012


San Diego/Mission Valley Support Group

Access to Independence (a2i)  –  Conference Room,   8885 Rio San Diego Drive, Suite 131   San Diego CA, 92108   (619) 293-3500                                                   First Tuesday of each month -

Tuesday, January 3rd, 5:30 – 7:30 PM

Tuesday, February 7th, 5:30 – 7:30 PM

Tuesday, March 6th, 5:30 – 7:30 PM

Tuesday, April 3rd, 5:30 – 7:30 PM

Tuesday, May 5th, 5:30 – 7:30 PM

Tuesday, June 1st, 5:30 – 7:30 PM

Tuesday, July 3rd, 5:30 – 7:30 PM

Tuesday, August 7th,, 5:30 – 7:30 PM

Tuesday, September 4th, 5:30 – 7:30 PM

Tuesday, October 2nd, 5:30 – 7:30 PM

Tuesday, November 6th, 5:30 – 7:30 PM

Tuesday, December 4th, 5:30 – 7:30 PM

North County Support Group

Del Mar Library,  1309 Camino del Mar, Del Mar, CA 92014,    Third Thursday of the month,  5:30-7:30 PM

Thursday, January 26th,  5:30 – 7:30 PM (not third Thursday due to room availability)

Thursday, February 16th,  5:30 – 7:30 PM

Thursday, March 15th,  5:30 – 7:30 PM

Why attend a brain injury support group?

*   Emotional healing comes through interpersonal contact

*   Sharing of similar experiences helps members feel less isolated and more empowered to deal with daily challenges

*   Encouragement comes from learning about the achievements of others who have overcome similar difficulties

*   In contributing, members feel useful and the experience gives meaning to their lives

*   Education results from the exchange of information and personal experiences

*   Enhances interpersonal skills

*   Socializing establishes and teaches the importance of maintaining important connections with people

*   Self-expression – as emotions are experienced and released, creates a greater understanding of oneself and one’s capabilities can be better accessed

*   Involves confidence building

*   A supportive and non-judgmental environment allows for honest self-expression and better interpersonal communication

*   A sense of growth occurs

*   Long-term members see new participants and reminisce about where they began and how far they have come in their personal journey.

*   Gray Matters Support Groups are uplifting and FUN!

February 2, 2012

Foreward of Gray Matters, By Janis Ruoff

Filed under: Uncategorized — Heidi @ 12:05 pm

FOREWORD

This inspiring book of poetry by Heidi Lerner offers readers an opportunity to experience the shattered and confusing world of recovery from a traumatic brain injury through the perspective of someone who has been there.  Research has shown that approximately 5.3 million people in our country live with the effects of an injury to their brain, and over 30,000 children and youth are disabled from brain injury each yeari – but these are only statistics.  It is the individual person’s unique experience and recovery from brain injury that we need to better understand.  Brain injury can happen to you, me, or anyone we know at a moment’s notice; life is forever changed for that person and those connected to him or her.

Aldous Huxley said, “experience is not what happens to you, it is what you do with what happens to you” (Texts and Pretexts, 1933).  In writing this book of profound and sensitive poetry, Ms. Lerner has used her own traumatic experience to help others.  She shows us the process that a survivor of brain injury goes through in using disoriented and confused thinking to figure out the world again.  She shows us the complexities of brain injury recovery through the language of poetry that helps us to feel brain injury rather than merely observe it or study it as a professionally interesting “subject”.

Cognitive disability resulting from a brain injury is often described as a hidden disability, because most people do not fully understand the vast scope of cognition.  All too often, we ignore what is right in front of us.  A little girl struggling to keep up in school; a lonely teenager who just can’t connect with his friends anymore; or an unemployed man or woman who has lost another job because no one explained how to do some things he used to know how to do (for neither s/he nor the boss recognized s/he had lost that knowledge or skill).  These are the day-to-day problems that people with brain injuries live with that so few people fully understand and have adequate training to help.

Ms. Lerner’s book will no doubt raise public awareness about the thoughts, feelings, and needs of someone with a brain injury, as well as the need for increased support and education regarding this disability.  Readers will enjoy a book of beautiful poetry that demonstrates that after a brain injury, a person is not only still able to function, but is able to live, reflect, write, and give meaning to the experience for others.

Janis Ruoff, PhD – Special Education Administration (now retired),  Director, Center for Education and Human Services in Acquired Brain Injury, George Washington University.


It’s a Good Life

Filed under: Uncategorized — Heidi @ 11:54 am

Dedication to my book, Gray Matters:


It’s a Good Life

Everything was fine,

Then one day,

My life buckled under.

Now I walk around,

And my scars are under cover.

I swam up and jumped aboard again.

Sure, there are some functional irregularities,

But I’m glad to have another time around the bend.

This is a “Cheers” to those that trauma has taken for a fall,

For we all agree that it is a good life, after all!

It’s a Good Life

Filed under: Uncategorized — Heidi @ 11:36 am

Dedication to the book, Gray Matters:

It’s a Good Life

Everything was fine,

Then one day,

My life buckled under.

Now I walk around,

And my scars are under cover.

I swam up and jumped aboard again.

Sure, there are some functional irregularities,

But I’m glad to have another time around the bend.

This is a “Cheers” to those that trauma has taken for a fall,

For we all agree that it is a good life, after all!

February 1, 2012

Aphasia – Words sometimes don’t work

Filed under: Health — Heidi @ 10:29 am

A frustrating dilemma for many stroke and/or brain injury survivors is the inherent difficulty with word recognition (i.e. Aphasia). The following information is important to directly quote The National Aphasia Association’s website, http://www.aphasia.org…

“Aphasia is a communication impairment usually acquired as a result of a stroke or other brain injury. It affects both the ability to express oneself through speech, gesture, and writing, or  to understand the speech, gesture, and writing of others. Aphasia thus changes the way in which we communicate with those people most important to us: family, friends, and co-workers., The impact of aphasia on relationships may be profound, or only slight. No two people with aphasia are alike with respect to severity, former speech and language skills, or personality. But in all cases it is essential for the person to communicate as successfully as possible from the very beginning of the recovery process…”

“Aphasia is an acquired communication disorder that impairs a person’s ability to process language, but does not affect intelligence. Aphasia impairs the ability to speak and understand others, and most people with aphasia experience difficulty reading and writing…  Aphasia affects about one million Americans — or 1 in 250 people — and is more common than Parkinson’s Disease, cerebral palsy or muscular dystrophy. More than 100,000 Americans acquire the disorder each year. However, most people have never heard of it.”Here are some suggestions to help communicate with a person with aphasia:

  • Make sure you have the person’s attention before communicating.

  • During conversation, minimize or eliminate background noise (such as television, radio, other people) as much as possible.
  • Keep communication simple but adult. Simplify your own sentence structure and reduce your own rate of speech. You don’t need to speak louder than normal but do emphasize key words. Don’t talk down to the person with aphasia.
  • Encourage and use other modes of communication (writing, drawing, yes/no responses, choices, gestures, eye contact, facial expressions) in addition to speech.
  • Give them time to talk and let them have a reasonable amount of time to respond. Avoid speaking for the person with aphasia except when necessary and ask permission before doing so.
  • Praise all attempts to speak; make speaking a pleasant experience and provide stimulating conversation. Downplay errors and avoid frequent criticisms/corrections. Avoid insisting that each word be produced perfectly.
  • Augment speech with gesture and visual aids whenever possible. Repeat a statement when necessary.
  • Encourage them to be as independent as possible. Avoid being overprotective.
  • Whenever possible continue normal activities (such as dinner with family, company, going out). Do not shield people with aphasia from family or friends or ignore them in a group conversation. Rather, try to involve them in family decision-making as much as possible. Keep them informed of events but avoid burdening them with day to day details.

These guidelines are intended to enhance communication with persons who have aphasia. However, they cannot guarantee that communication will be immediate or on a par with former skills.”

Does Aphasia Affect a Person’s Intelligence?

NO. A person with aphasia may have difficulty retrieving words and names, but the person’s intelligence is basically intact. Aphasia is not like Alzheimer’s disease; for people with aphasia it is the ability to access ideas and thoughts through language – not the ideas and thoughts themselves- that is disrupted. But because people with aphasia have difficulty communicating, others often mistakenly assume they are mentally ill or have mental retardation.

Are All Cases of Aphasia Alike?

No. There are many types of aphasia. Some people have difficulty speaking while others may struggle to follow a conversation. In some people, aphasia is fairly mild and you might not notice it right away. In other cases, it can be very severe, affecting speaking, writing, reading, and listening. While specific symptoms can vary greatly, what all people with aphasia have in common are difficulties in communicating

The study was supported by National Science Foundation grants, and a National Institute on Deafness and Other Communications Disorders grant.
Contact: Karen Mallet – Georgetown University Medical Center
Source: Georgetown University Medical Center press release
Image Source: Neuroscience image adpated from an unrelated image shared at Wikimedia Commons by By Bkroeger via CC-BY-SA-3.0

January 18, 2012

January’s blessings

Filed under: Uncategorized — Heidi @ 7:29 pm

What is it about January that beckons us to set our gaze beyond our feet, up the road, past the fence, and towards the horizon?  What is it about the ringing in of a new year that makes us regard the future like children with a ball of colorful Play-Doh – warming it, kneading it, stretching and bending it, until it becomes something useful, beautiful, or just plain silly.  What pleasure it gives us to approach something as vague and innocuous, and yet, as full of potential, as a “new year”.

The power we have to continuously shape and define how we live our lives through the choices we make is not a freedom to be taken lightly.  The fact that we can, at our own time and place, exercise the liberty to create changes in our lives, is one of the true glories of being human.

Denise Bissonnette’s True Livelihood Newsletter

I feel we can grab hold and thrust our core desires into the new year!   With persistence and faith, we can follow through.  We can allow ourselves to stumble, but NEVER SAY NEVER!!!

A Blessing for Longing

By John O’Donohue

Blessed be the longing that brought you here
And quickens your soul with wonder.

May you have the courage to listen to the voice of desire
That disturbs you when you have settled for something safe.

May you have the wisdom to enter generously into your own unease
To discover the new direction your longing wants you to take.

May the forms of your belonging – in love, creativity and friendship-
Be equal to the grandeur and the call of your spirit.

May your dreams gradually reveal the destination of your desire.

May a secret Providence guide your thought and nurture your feeling.

May your mind inhabit your life with the sureness
With which your body inhabits the world.

May your heart never be haunted by ghost structures of old damage.

May you come to accept your longing as divine urgency.

May you know the urgency which with the world longs for you and awaits your gift.

- Excerpt from “To Bless the Space Between Us”, Doubleday, Copyright 2008, John O’Donohue

January 17, 2012

Reasons to Love Vitamin C

Filed under: Uncategorized — Heidi @ 12:27 pm

Vitamin C is generally considered to be an important “nutrient,” but its perceived value usually ends there. Only rarely does the public (and the medical profession) glimpse its true potential in the prevention and treatment of disease — and this because, by legal definition (in the US), only FDA-approved drugs can prevent, treat and cure disease.

This does not mean, however, that essential nutrients like Vitamin C cannot in fact prevent and treat disease, i.e. only because it is illegal to speak truthfully about something, doesn’t mean that that something isn’t true.  The National Library of Medicine, in fact, contains thousands of studies demonstrating vitamin C’s ability to significantly improve health, with 220 disease applications documented on the research site GreenMedInfo.com alone.  The best thing ‘we the people’ can do, despite our lack of medical degrees and licensure, and without the FDA’s iron-fisted legal and regulatory apparatus on our side, is to use the peer-reviewed research at our disposal to inform and protect our treatment decisions.

Perhaps we must revisit an important moment in history to regain a sense of how profoundly vitamin C deficiency and vitamin C therapy can affect health. James Lind (1716-1794), pioneer of naval hygiene in the British Royal Navy, conducted the first ever clinical trial proving that citrus fruits cured scurvy. Lind’s discovery saved tens of thousands of seamen from the ravages of scurvy, spurring England’s naval supremacy, putatively changing the course of world history.

If significant historical events like these don’t provide enough evidence to vindicate the efficacy of nutrients like Vitamin C, molecular biology and the science of genetics can help to fill in the gaps.

It is a little known and under-appreciated fact that all humans are born with a serious, life-threatening genetic defect: namely, the inability to manufacture Vitamin C.

This defect occurred approximately 63 million years ago, when our haplorrhini (“simple nosed”) primate predecessors lost the gene (Gulnolactone oxidase pseudogene – GULOP), responsible for the manufacture of Vitamin C from glucose.

The ability to synthesize Vitamin C, in fact, has been lost several times in vertebrates, e.g. in guinea pigs, some bats, some fishes, passeriform birds and in primates of the suborder Haplorrhini, which includes monkes, apes and humans.

It was Linus Pauling, two time Nobel Laurette, and the world’s foremost vitamin C proponent, who first brought this inborn error of metabolism to popular light. Pauling advocated taking large doses of Vitamin C (up to 10-12 grams a day) in order to offset the deficiencies of our modern diet. He believed that it was our movement away from a vitamin C rich fruit-and-vegetable based diet that explained the modern epidemic of heart disease.

According to this perspective, without adequate Vitamin C we are unable to produce the collagen necessary to heal our arteries. The Vitamin C starved body compensates for this by increasing the production of a very small and sticky type of cholesterol known as lipoprotein A, which leads to the formation of atheromatous plaque (clogged arteries). Linus Pauling advocated taking large amounts of vitamin C in combination with the amino acid lysine to reverse the damage done to the arteries, and to prevent recurrence.*

Indeed, a study published in 2008 showed that higher plasma vitamin C levels are associated with a significantly reduced risk of stroke. Scientists from the clinical gerontology unit at Addnbrooke’s University Hospital in Cambridge, UK, tracked 20,649 men and women aged 40 to 79 years, between 1993 and 1997. The group was followed through March 2005. Individuals who had the highest vitamin C levels showed a 42% reduction in stroke risk! If you compare this with Plavix’s 8.7 – 9.4% risk reduction, and the profound side effects drugs like these generate, one begins to understand why the media projection of “vitamins are toxic” propaganda serves only the interests of the drug companies.


Before one goes out and buys a bargain bottle of Vitamin C tablets, one should be advised that ascorbic acid is not exactly the same thing as Vitamin C. Ascorbic acid is found within the Vitamin C complex as it exists in food, but is only one of a number of inseparable cofactors, such as rutin, bioflavonoids (vitamin p), factor k, factor j, factor p, ascorbinogen, protein chaperones, and various enzymes like tyrosinase, which together in their entirety constitute the whole food complex.

Ascorbic acid is also 10 times more acidic than the naturally buffered Vitamin C found in raw food, and will on occasions lead to stomach upset, calcium loss from the bones, and kidney stones, in susceptible individuals. Traditionally ascorbic acid is produced semi-synthetically from corn or rice starch through a heavily chemical dependent process. Ascorbic acid can be considered no more natural than white flour, and yet despite this fact, has very little toxicity relative to pharmaceuticals, and can be used in much higher doses than the FDA’s Recommended Daily Allowance without adverse side effects.

The difference between ascorbic acid and Vitamin C in whole food form was perfectly clear to Szent-Gyorgi who received a Nobel Prize in 1937 for discovering Vitamin C. Even though Szent-Gyorgi received international recognition for identifying ascorbic acid as Vitamin C, his later research lead him to conclude that ascorbic acid had very little anti-scurvy activity in and of itself. Szent-Gyorgi found that the vitamin C found in organ meats and food sources like paprika, where the aforementioned cofactors are intact, were far superior in combating scurvy. We would be well served to acknowledge that all raw fruits and vegetables contain a “life force” that can not be fully decomposed or reduced to the chemical skeleton within which the life force of “vitamin activity” works, no more than our life/soul can be reduced to the $10 or so worth of chemical building blocks that our body is composed of. Fortunately there are vitamin manufacturers out there who acknowledge this fact, and produce raw whole food concentrates rich in vitamin activity. When eating raw, organic fruits and vegetables is not an option, or when higher levels are needed, these supplements offer authentic therapeutic activity.

The history of vitamin C illustrates just how profoundly important it is for us to get these vital nutrients known as “vitamins,” and that they are best derived from food. If we choose to overlook the importance of vitamins in maintaining health, and yes, even preventing and reversing disease, we will be forced to accept a pharmaceutically driven medical perspective that believes that health is the absence of symptoms, and that symptoms are to be combated or driven back deep into our bodies with sublethal dosages of toxic chemicals, i.e. drugs. Such as perspective on disease is itself so diseased that there is no escaping the ill health that results from it. We must remember that there has never been a disease that has been caused by a lack of a drug…..therefore, why would it ever be considered sound medical practice to treat disease with drugs, as a first line of treatment?

*If Linus Pauling and other Vitamin C researchers are correct and a deficiency of Vitamin C causes the breakdown of collagen in the artery, aspirin therapy, which causes Vitamin C deficiency, would not be considered a safe way to reduce cardiac mortality. To the contrary, it would further destabilize the strength and elasticity of the artery leading to hemorrhage, which is the primary deadly side effect of aspirin therapy.

January 13, 2012

Brain Injury – Surviving Jail

Filed under: Uncategorized — Heidi @ 1:30 pm

Brain Injury – Surviving Jail

-   Heidi Lerner,

Gray Matters Survivor Outreach

Being arrested and held in custody can be a nerve-wracking experience for anyone; it can be dangerous for a survivor of a brain injury. In this article, Albert Finklestein will be used as an example.  He was recently mistakenly arrested, is fired up and he had much to say regarding the topic at the Gray Matters Brain Injury Support Group.

Finkelstein says “You are arrested and are being punished as you are guilty.  You are confined in an uncomfortable setting (i.e. no food or water, uncomfortable temperature in the room).  They take away medications (*** this is a scary risk factor and can even be life-threatening!). There is no communication and you are perceived as dangerous.   Interactions can lead to confrontation, even violence.  This can lead to further mistaken incarceration, even further strokes!” Risks for any person brought in custody become magnified for a person with a brain injury; it is unsettling for anyone, it is extremely bewildering for brain injury survivors to be held in custody.

“Brain injury survivors are more sensitized to perceived threats to themselves. This can affect their behavior, then police see their behavior and see them as a threat.  This can somersault and create more and more chaos.  This is due to a lack of understanding in the police department about a brain injury survivors’s experience.  They have no reference points in order to understand a person with brain injury’s personal experience.

There are said to be psychological resources within the police department or in the jails.  Though according to Albert, they are lacking and not available when the need arises.  Because the psychological resources are not available, police officers should have a minimal level of understanding of brain injury survivors sensitivities and needs.   They should recognize the dynamics of a person’s situation in jail, for a person with brain injury.  There should be a sensitivity training or additional psychological resources available.

Albert said that he didn’t see any accommodations in the jail for people with disabilities.  He thinks that there is a need for jail settings to be inspected to assure they are keeping up with ADA standards.  A bare minimal raising of awareness needs to occur, so procedures can be modified.  People with brain injuries and all people with disabilities need a standard of care.  Under the present conditions, a person can die.  We are trying to avoid that.

January 10, 2012

What are some special design features that would make apartments more user-friendly for tenants with TBIs?

Filed under: Uncategorized — Heidi @ 12:05 pm

BI-IFEA (Brain injury-Ideas for Education & Advocacy

Madelaine Sayko

1. Many folks have visual issues so they like strong direct lighting BUT they also need to be able to have dark and control visual stimulation so dimmers, good windows with blinds (not just shades)
2. Organization is always an issue – many people like to visually see things but don’t want a mess – so built in cubby’s, walk in closet with lighting, walls with corkboard for pinning up messages or reminder notes
3. Balance is also an issue and can be a problem in bathrooms – grab bars in tubs and by toilets, sinks where a person can bend over and wash their face without bonking their head on anything
4. Easy accessible cabinets in the kitchen
5. Rooms do not have to be huge, sometimes a more manageable space is easier
6. Rugs can be good and bad – easy for pain from spinal injury but might cause more balance problems but avoid slippery floor materials
7. Lots of easy to reach outlets
8. Smoke alarms – everywhere
9. Larger print on dials and controls for ovens and microwaves
10. Railings on all steps inside and out
11. Sound proofing in walls/windows – noise can be very disturbing

January 4, 2012

Scholarship Opportunities…

Filed under: Uncategorized — Heidi @ 11:41 pm


A new grant-fed George Washington University, Brain Injury – Special Ed Masters Program…

This is a fantastic opportunity!!!  This is the Masters program that I went through under a new grant. Turns out that a woman that I studied with is now the Director of the program. It is exciting, because she is making it BRAIN INJURY FRIENDLY in a way that this program has never seen!!!   Of course it involves Masters level academics.  This program is open to survivors who are up for the challenge and anyone with the desire and will to work with children and adolescents with brain injuries.

There are two programs offered, a Masters and a Certificate (this is used to supplement another degree & give a specialty in brain injury). The certificate program can be obtained through distance learning (i.e. over the computer). The Certificate program is not grant-funded.   This new Masters program is a scholarship program (pays 75%) and it is not distance learning. In other words, you’d have to move to the DC area, but they can be flexible. If you want to start the Masters program, you can begin taking classes online and that will give you a semester to move to D.C.

I am working with Theresa (the Director) in starting a Service Learning or coaching program. This will give the students personal experience in interacting with brain injury survivors. In this way, professionals will come out of the program at least having a clue about what it is like to conscientiously interact with people with brain injury with a therapeutic tone.

Theresa Sacchi Armstrong, MA

Research Associate, Graduate School of Education and Human Development,

The George Washington University

tjsacchi@gwmail.gwu.edu,

(202)994-7306

A Master’s Degree Program with Teacher Licensure, Building Schools’ Capacity to Serve Students with Brain Injuries:For more information:     www.gsehd.gwu.edu/abi

Application :    http://www.gwu.edu/apply/

Brain Injury Certificate Program:    http://gsehd.gwu.edu/programs/brain/certificate

December 28, 2011

TBI: Not a Single Disease, but Many

Filed under: Uncategorized — Heidi @ 1:31 pm

http://www.linkedin.com/news?viewArticle=&articleID=948386499&gid=1678017&type=member&item=86366622&articleURL=http%3A%2F%2Fwww.familypracticenews.com%2Fnews%2Fmore-top-news%2Fsingle-view%2Ftbi-not-a-single-disease-but-many%2Fbd0288465a.html&urlhash=DsPS&goback=.gde_1678017_member_86366622

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