This is the post excerpt.
This July marks one full year of brain injury rehabilitation for a moderate TBI suffered late 2015. Treatment professionals and doctors had a lot to say. They told me I wouldn’t walk, write, see, or talk the same – properly and safely; that I would never be the same person. I was told that I should give up on my dreams, because I would never be able to work again in any capacity close to prior functioning. From the start I had the encouragement and guidance of my best friend and life partner. She helped remind me who I am, and was one of the only people who stuck around to help, to love, and to remain loyal in my life.
I am a fighter. I refuse limitation. I work to develop my mind and my heart during these couple years . Through this season of challenge, I lived in skilled nursing facilities, assisted rehab day programs, and brain injury outpatient services. Neurologists, neuro-endocrinologist, psychiatrist, speech, occupational therapy, cognitive rehabilitation therapy, physical therapy, education therapy, and the list goes on. I am nowhere near healed or back in action. But every day is a small shuffle towards progress, pride, and self empowerment.
Never give up on yourself. Never give up on your dreams – dreams keep you alive, and nobody can take them from you. Nobody.
Changing and challenges are inevitable for all of us. Do not only heal the wound, work always to develop both your heart and your body. It can be very difficult to get through life – all of us to know this, from time to time. So take the challenge as an opportunity to heal your wounds, relationships, and also to cultivate self compassion, acceptance, and belief in the myth and magic that life ceaselessly offers with every new dawn we wake to find.
I love and respect you all. Good luck and stay strong, no matter what your story.
I’ve fallen in love. I’ve been in love. But I’ve never thought about what it is to be in love. My girlfriend of over 10 years now quit her job and it’s a grad program early and flew home to be a full-time caretaker for me when I first had my TBI in late 2015. Things between us are so much different now, she and I are both so traumatized; we are so scared for the future. We don’t often sit and exist to gather like we used to, just having fun and being in the moment living life.
Now, I know she has become resentful because we have had to watch all of her friends and the people around us move forward and onward with their lives, while we seem to stay stuck on the sidelines -waiting for a breeze to lift us up and back into the night; padded softly between the aspirations and dreams we shared and held together. None of them may even come in the slightest given reality. But the dreams we held were never as inportant as the bond of love we held together. While this recovery process threatens to rip us apart, it will never leave us truly separate. Dreams will form anew, and this wake up call has shown me they’re just celestial symphonies playing to us each and setting us up to want and expect to figure out the path, to reach the dream, to settle at last and know the universe is a puzzle we’ve figured out. But the problem is this sojourn towards the skies, towards dreams of reverence and feeling special sharing the lies that achievement ends our search and breaks some finishing line at the outer bounds of the universe. Every time you reach those Outabounds the universe will expand once again, new dreams will be there for you to follow in the dreams of the past whether you cheat them where they fell to the wayside will never let you settle yourself; you’ll never rest when we light our life’s satisfaction like thousands of fireflies cauught in a lantern. Brief sparks of beauty and the inevitable opposite experience. But there is one way to be sure life held you right – to hold your love for another human being and feel, in every moment that you remind yourself, the person changes and the world around us will never stop for our selfish wish. So I cherish my girlfriend’s compassion and companionship like the grace of a sunset. Even right now, she is in my head and in my moment, and that’s all I need to feel alive. That’s all I need to feel fulfilled from life and all its spirals of defeat and oppositely wonderful grandeurs.
So tomorrow I’ll go back to battle; but now I’ll be thinking about how fortunate I am to have all of those years with my lover; to be in love with such harmony and meaningful purpose too far in the mysteries of the depths to understand why life is love; why it is that life is to be in love. If we can remind ourselves of that, none shall lay buried with the loneliness of a single headstone. But instead we may all become dreamers again, sleeping in our new bed of flowers.
Tritos NA, et al. Endocr Pract. 2015.
Show full citation
OBJECTIVE: Traumatic brain injury (TBI) is now recognized as a major public health concern in the United States and is associated with substantial morbidity and mortality in both children and adults. Several lines of evidence indicate that TBI-induced hypopituitarism is not infrequent in TBI survivors and may contribute to the burden of illness in this population. The goal of this article is to review the published data and propose an approach for the neuroendocrine evaluation and management of these patients.
METHODS: To identify pertinent articles, electronic literature searches were conducted using the following keywords: “traumatic brain injury,” “pituitary,” “hypopituitarism,” “growth hormone deficiency,” “hypogonadism,” “hypoadrenalism,” and “hypothyroidism.” Relevant articles were identified and considered for inclusion in the present article.
RESULTS: TBI-induced hypopituitarism appears to be more common in patients with severe TBI. However, patients with mild TBI or those with repeated, sports-, or blast-related TBI are also at risk for hypopituitarism. Deficiencies of growth hormone and gonadotropins appear to be most common and have been associated with increased morbidity in this population. A systematic approach is advised in order to establish the presence of pituitary hormone deficiencies and implement appropriate replacement therapies.
CONCLUSION: The presence of traumatic hypopituitarism should be considered during the acute phase as well as during the rehabilitation phase of patients with TBI. All patients with moderate to severe TBI require evaluation of pituitary function. In addition, symptomatic patients with mild TBI and impaired quality of life are at risk for hypopituitarism and should be offered neuroendocrine testing.
PMID 26172127 [PubMed – indexed for MEDLINE]
Full text at journal site
Endocr Pract. 2015 Jul;21(7):851-3.