Just when you think you might know all there is to know about how to heal your brain after a traumatic head injury (or how to prevent your brain from a dementia downslide), there’s more. Last week, during Vermont’s 30^th Brain Injury Association Conference, I sat in awe of how much I didn’t know when Chiropractor, Wellness Expert, and Clinical Director of  Vizuri Health Center Dr. Bill Schenck  spoke about the relationship between the gut and the brain. In his presentation, “Fix Your Gut, Fix Your Brain,” he could not have underscored more the three fundamental things that can been done to fix your brain. Exercise. Sleep. Healthy foods. While the first two do not directly relate to the gut, they do impact the functioning of the brain.

So, where to start?

Move. Exercise helps the body heal itself. It increases nerve growth in the brain, makes new connections between neurons, and forms new arteries. The more we move, “burn, pant, and sweat,” as Dr. Schenck says, the more human growth hormone we produce, which promotes cell replication stabilizes blood sugar, and maintains testosterone (good for male and females). Moving the spine alone is responsible for 90% of stimulation to the spine, he says. If you’re like me, and are inclined at times to choose the computer over the elliptical, remember, sitting is the new smoking.

Sleep: Damage to neurons do not recover from loss of sleep, meaning less than seven hours a night. Most of us need between 7-9 hours. And the last two hours are the most crucial: that’s when toxins  are cleared from the brain, namely tau proteins, proteins associated with Alzheimer’s. So, as much as you you say you’re all good with five, six, hours of sleep, your brain is not as happy as you might think.

Healthy Foods:

Because there’s no harm in repetition (right?), I’ll start with what Dr. Schneck told us, which we’ve all heard a million times over: Eat a rainbow of veggies and fruits. Everyday. If the name of the fruit ends in berry, it’s good for you (thank you Dr. Schenck for that one!) I know, this makes me sound like an advertisement, but, hey, so what: “Eat More Kale.” And don’t forget avocado. (Is avocado a fruit or a vegetable? I can never remember.)

If possible, eat foods that are fresh, organic, local, and non-GMO. Again, what we’ve heard a million times over: Avoid foods with a high glycemic index (a ranking of carbohydrates in foods and how they affect glucose levels), like all things white (white bread, white rice, white potatoes, white pasta, you get the idea). But certain white foods are okay. Cauliflower, coconut, and one I never would have thought of: Daikon radish – Dr. Schenck says it’s alkalizing, and from what I learned in nursing school light-years ago, our bodies are happiest when in the middle, not too acidic, not too alkaline. An acidic environment is a recipe for illness and chronic disease. If you can’t bear to give up potatoes, the good news is this: sweet potatoes are on the good list, so too are Yukon gold.

Of course, we also need protein. The best source comes from wild caught salmon. Not the farm-raised stuff that’s injected with dye and makes the salmon look like a pink Crayola crayon. East coast salmon is most likely farm-raised, so its’ best to go with Alaskan. It just so happens to be the season for Alaskan salmon, so now’s the time to stock up. Make sure you avoid fish high up on the food chain: the higher up, the more mercury – not at all good for the brain. If you’re an uncompromising carnivore, make sure what you put in your gut is local and grass fed. The same goes for eggs. Grain fed meats, eggs, grain fed anything, cause chronic inflammation in the body.

When Dr. Schenck talked about oils, I sat up a bit straighter in my chair (I thought I was doing such a good job using only good oils.) I’ve been smearing Earth Balance on my toast for years, and when he mentioned safflower and canola oils as being toxic, I thought, yikes, both are among the first ingredients in the  yummy, buttery spread I’ve come to love. Soy, which is 95% GMO, is a no-no too (also in some Earth Balance products). And corn, as in Mazola. These toxic oils, which have too much omega 6, also cause inflammation in the body. Corn alone can lead to “leaky gut.” So what oils are on the yes list?  Fish oil ranks at the top. For a healthy brain, we need DHA, so the more DHA from fish oils the better. The best source comes from squid. (Sorry, fried calamari doesn’t count. All fried food is on the no-no list; yes, even french fries, unless they’re baked, and made from sweet potatoes, or Yukon Gold.) Added sugar too is a no-no, so is alcohol (Though, I’m thinking one glass of red wine in the evening has to be okay. Doesn’t it count as a fruit? It’s made from grapes. Yes, that’s a fruit.)

Probiotics:

Try Kombucha, the fermented drink that’s gluten-free, vegan, helps with digestion, boosts your immune system, and wards off high blood pressure and heart disease.  (Who knows, it might even heal your stubbed toe or mosquito bite or lazy eye – I’m a hard-core Kombucha drinker, and I’ve seen no results for the latter.)

Kimchee (my palate is still struggling with this), sauerkraut, tempeh, too are all good sources of probiotics.

Oh, one more thing on the no-no list I almost forgot to share from Dr. Schenck:  Avoid toxic people.

* Remember: I am not a nutritionist, dietician, medical doctor, exercise physiologist, sleep specialist, or wellness expert. I am a nurse turned writer who is living as whole a life as possible with a brain injury, and is interested in helping others struggling with a TBI.

(For information about how certain vitamins, such as vitamin D and omega 3, help heal a TBI, please see earlier postings on my website.)

Happy Healing!

For some – especially those of us who have sustained a traumatic brain injury (TBI) – football is synonymous with concussion. And since football season is upon us once again, I thought this would be the perfect time to re-visit the topic of concussions. To get more to the point, as the Brain Injury Association of Nova Scotia asks of us – both the brain-injured and non-brain-injured – “Please keep this in mind …”

A concussion is an invisible disability.

Everyone’s brain and brain injury are different. It is a many layered issue. If you’ve had a concussion and recovered, what worked for you may not be best for me.

A concussion is not just a headache. It affects everything I do.

It’s not that I don’t want to do things, it’s that I can’t.

I’m doing my best, but my best may not be your best.

My symptoms may change day-to-day. Because I’m doing better one day, does not mean I’m better overall. If I have a bad day after a good one, I am not making it up.

I am not attention-seeking. My pain is real. I need validation.

Due to my unpredictable symptoms, I have trouble meeting timeline expectations (i.e. in work settings).

If I over-exert myself physically or mentally, I may feel the effects of that for many days.

My emotions may be heightened. I may be more reactive to situations that didn’t bother me before.

I may have stress and anxiety from my injury and the recovery process.

I may have issues with my mental health afterward.

My self-worth may be impacted, especially if is tied to my ability and productivity.

I may need some scheduled down-time and alone time. It doesn’t mean I don’t enjoy your company; I just need to take care of myself first.

The fact that it’s hard for me to articulate my symptoms and feelings is part of the injury.

Thank you, everyone, for reading this!

And thank you, Brain Injury Association of Nova Scotia.

I’m here to share some good news. My story, “Tilt-A-Whirl,” has been published in issue 12 of Tahoma Literary Review. How many of us have been to an amusement park? Do you remember the Tilt-A-Whirl? You know, that ride that whips you around and around, your body being pulled one way, your head, and brain, being pulled the other. For some reason, I used to love that vertigo-like feeling as a kid, but that was long before my brain injury. Now, forget it; I’ll take a ticket for the merry-go-round.

If you haven’t had the woozy, though weirdly fun, experience of riding on a Tilt-A-Whirl, then you’re in for a good time: “Tilt-A-Whirl” it invites you, my dear readers, into the dizzying yet sometimes comical life of a traumatic brain injury survivor (me), providing a zoomed-in snapshot of the inner workings of a brain re-wired by trauma. You get to travel along with me as I navigate my way through an afternoon of shopping. (I bet you can’t wait!) While “Tilt-A-Whirl” highlights my own, brain-drain experience, the story is far reaching. Even if you don’t have a brain injury, you may find that you have similar every-day experiences, though with different perspectives, to share. So, all you have to do is click here, and pay a nominal fee of $10.99 for a hard copy; $2.59 for digital (includes 28 other fantabulous literary perspectives on many of today’s social issues). Then buckle up, and enjoy the ride!

If you feel at all light-headed, no worries, it will pass, I promise.

And, please, feel free to invite a friend, or two or three, to ride/read along with you.

Again, enjoy the ride!

It’s been nearly fifteen years since I sustained a traumatic brain injury, and though you would think my brain should have fully healed by now, that’s not the case. In reality, the healing process for most brain injuries is ongoing, a lifetime of ongoing. I’ve submitted to all kinds of therapies over the years – cognitive therapy, herbal therapy, meditation, yoga, medications, e-stim, the list goes on. Now, in my efforts toward continued healing, I am a believer in  vision therapy.

Fifteen years ago, even as recent as three years ago, if someone had mentioned vision therapy to me as a possible treatment for my sensitivity to bright lights, as a solution to the dizzying fatigue I experience when in the grocery store, a shopping mall, at a July 4^thcelebration with dozens of fireworks lighting the night sky in frenzied colors, I would said, “What? Why vision therapy? And what the heck do you mean by vision therapy anyway?” Though knew of certain kinds of therapies for vision difficulties, like a lazy eye (I had to wear an eye-patch when I was a kid to correct my right eye that wandered like a toddler first learning to walk), I had never heard of vision therapy as a treatment option for TBI-related vision difficulties (FYI: not  only injuries caused by external trauma, but also injuries that are acquired, like a stroke or a tumor, can affect visual processing.)

We typically think of vision as what we see, but, dare I use a cliché, there’s more to vision than meets the eye. Vision also includes how the brain processes what we see. So, though I have 20/20 vision (when wearing my glasses), my brain struggles with interpreting images sent from the retina.

I’ve known for a long time now that something is wrong with my brain’s ability to process visual information, but because I’ve become used to melting into a puddle of confusion every time I walk down the cereal isle, with its endless options of whole-wheat, sugar free, and non-GMO, I’ve forgotten what it’s like to feel balanced and solid on two feet. (Thank God my husband loves to shop, sparing my brain the energy depletion of just walking into a store.)

Sometimes my brain signal’s my eye to read words on the page as a blurred mess, or my mind’s eye misconstrues words. When out for a walk, I sometimes see things coming at me from my right or left, like a flying rock, or a rogue tree branch, or an angry bird, when in fact none of those things are there at all. Not too long ago, my brain interpreted a fire hydrant as a dog. (No, I’m not on drugs, not the kind you might think I’m on anyway.)

Finally, just this past month, I decided it was about time I see an optometrist for a visual processing assessment. Honestly, the hour-and-a-half of testing was more like eye gymnastics. Here’s just a fraction of what that workout involved:

A kinetic field test in which I looked through a viewfinder with one eye closed. With that same eye fixed on a center point, the examiner shifted a pointer with a white tip beyond my visual field. Each time the pointer returned, I let her know that I could see it. I did this several times, each time the tip of the pointer a different color. Then I followed the same process with the opposite eye.

After that, I spent more than an hour with the optometrist. She first asked me to read various lines of letters on an eye chart. Then, as I looked through a viewfinder, she flickered a foggy, whitish light onto a chart that made it appear as if the letter U was floating all over the place, and asked me if I could see double. Yes, I did, but only once. Other than that, my eyes had trouble keeping up with the U. Then she had me close my eyes, and while she jingled a set of keys, I tried to touch them with one finger. I can’t explain exactly what the test reveals, but since the auditory and visual neuro-pathways run close together, if you’re struggling with visual processing it makes sense that you might also have difficulties with auditory stimuli, as in hyper-sensitivity to certain sounds. (The sound of crinkling plastic bags drives me crazy.)

Then, while looking through the viewfinder, the optometrist slipped in and out of the machine various shades of lenses, and asked which ones made my vision blurry, versus ones that made me see with clarity. A strange thing happened at one point. As she slipped in one of the lenses (one with a blue tint), I felt my stomach relax, a letting go of something – anxiety, stress. When I told her what had happened, she nodded, explaining that some people experience a visceral relaxation. I couldn’t believe it. I wanted more blue, more of letting go. That’s when she said I would benefit from therapeutic glasses with blue-tinted lenses. They’re nothing like every-day prescription glasses; they’re designed as a treatment for visual processing issues. At first, you wear them for only a few hours a day, slowly increasing the amount of hours over time. I’m still waiting for my new glasses to arrive in the mail.

Meanwhile, in an effort to recruit new brain/vision-related neuro-pathways, I’m following the optometrist’s instructions and practicing in-home eye-tracking gymnastics five days a week. While the exercises are yet one more thing on my brain-health to-do list, they’re worth it. After all, it would be nice to go for a walk without worrying about getting bit by a firehydrant.

Are you in search of herbal support for a traumatic brain injury? While I am not an herbalist or naturopath, I’ve taken an interest in herbal remedies that might enhance my brain function. After attending this past year’s annual brain injury conference in Vermont, then seeing a naturopath to discuss herbal support for my  chronic fatigue, anxiety, and brain fog related to a TBI, here’s what I learned (*Many of the following have been part of my daily brain-building routine for a long time; others I have recently added, or increased the dosages of, under the supervision of my naturopath):

To reduce short and long term impacts of inflamation on brain tissue, herbalist Guido Mase recommends taking flavonoids like blueberries. One cup a day provides protection for all neurodegenerative disorders. The good new is this: heat does not damage the berries, and freezing them increases the bioavailability of flavonoids. (Thank goodness, because I have countless quart bags full of blueberries in my freezer.)

Curcumin, which comes from turmeric, is another flavonoid that has long been used as an anti-inflammatory; it is specifically used to treat TBIs. My naturopath recommended one TBS three times a day of turmeric, with pepper and some kind of fat to aid in absorption. FYI: it tastes terrible, so I often mix it with yogurt.

Essential fatty acids, like omega 3, help regulate what is called “pro-inflammatory signals” in the brain. Mase recommends 2,000 -4,000 mg of omega 3 oil daily, or three to five TBS of ground seeds. I currently take 4,000 mg a day (soft gels).

Among the more than 300 enzymatic processes in which Magnesium is involved, this powerhouse mineral supports cognitive function, strengthens memory, improves learning abilities, regulates mood, and reduces anxiety and depression (which often accompanies a TBI). I’ve been taking 400 mg a day for several months.

Vitamin D, a fat-soluble vitamin, has been linked to fatigue after a TBI. It also plays a role in immune health. Since I live in Vermont, where sunshine is much like a rare commodity, I’ve been taking 1,000 IU a day, but recently increased to 5,000 IU at the recommendation of my naturopath. While I’m told it’s difficult to overdose on Vitamin D, especially if you live in the Northeast, I encourage you to speak with your doctor/medical provider before rushing out to the pharmacy to purchase a 240-day supply.

For anxiety and insomnia: Lavela is a clinically studied lavender oil shown to promote relaxation and reduce anxiety. I’ve been taking one before bedtime for a little more than two weeks; my naturopath says it takes about three weeks to notice any change.

GABA supplements: GABA (Gamma-aminobutyric acid) is a transmitter that regulates communication between brain cells. It plays a large role in behavior, cognition, and the body’s response to stress. Studies have shown that when neurons become overexcited, GABA helps to alleviate the attendant anxiety. Decreased levels of GABA are linked to depression, sleep disorders, anxiety, and more. While I wait for the Lavela to take full effect, I take two GABA chewable tablets before bed each night.

Lion’s Mane: this mushroom is considered a “superfood” for the brain, nerves, and immune system, and has been found to induce what is called “nerve growth factor.” Taking Lion’s mane, consistently and in concentrated doses, helps improve memory, and has been used to treat mild cognitive impairment. My husband is a mushroom forager, so we (or I should say he) made our own tincture. Based on the recommendation of Guido Mase, I started taking 1 tsp three times a day back in October. The recipe my husband and I followed to make the tincture included taking a two week break after three months.

For more information on herbal supplements and TBI, go to Guido Mase’s twitter page and scroll down to his tweet from October 10, 2017: “Herbal Support for a Traumatic Brain Injury.”

* Please consult with your physician/medical provider before taking any of the above supplements. Again, this post is for informational purposes only.

Below is a piece I wrote at the urging of author, editor, and teacher Donald Quist. He asked me to contribute my reflections about how I’ve changed over the previous ten years to his project Past Ten in which various writers share similar recollections. As Donald says, the personal stories in Past Ten are a “testament to the transformative power of time and the human capacity to turn the unpredictable into art.”
Enjoy!

June 21, 2007

It’s 2:06 p.m. The summer solstice. I’m sitting at my desk at the Vermont Lung Association, where I work as an administrative assistant. I’m tapping at the computer keys, logging contributions from donors into an Excel spreadsheet longer than this day. My fingertips turn numb with boredom. My vision blurs from all the lines and rectangles and numbers. Bringg, bringg, bringg. My head thumps with each shrill ring of the telephone. I answer the call from a board member, and pencil his message on a sticky note to be passed on to the CEO. But when I hang up I’ve forgotten his name. Bob? Jim? Ted? My brain’s gas tank is near empty, and I want to lay my head on my desk, nap away this day. I want to sleep off my traumatic brain injury, close my eyes against a diagnosis that still paper cuts my tongue each time I speak it.

It’s been three years since my head smacked against the pavement when a car mowed me down, and no amount of sleep, or even the continuous sunlight on this day can burn off the smog obscuring my mind’s eye from seeing with any kind of mental clarity. I want this day to end. But I must keep tapping, plugging in numbers and names and dates. Filling up the rectangles of a spreadsheet is like filling in the white spaces of my unsure-where-I’m-going-life. How long I’ll pretend I’m happy working here in an office that smells like a basement, with plastic window blinds that clack each time artificial air from the vent gusts its cold breath into the room, I don’t know.

Of course, I’d rather be standing by a newborn’s crib side, where I stood as a nurse for fifteen years. Where I changed diapers, bottle-fed infants their mamas breast milk, cuddled preemies in cotton receiving blankets. But that was before the crash. Now my broken brain couldn’t bear the constant noise of a neonatal intensive care unit: wailing newborns, alarming monitors, dinging IV pumps. That’s why I am here, at this desk, where it’s mostly quiet and I’m asked only to accomplish one job at a time, like filling in rectangle after rectangle. Because it takes all of me to get through this day, I don’t have the mental energy to imagine the formula or function of my future. So I keep tapping.

The planet has raced around the sun ten times since that day. A decade. Another summer solstice has arrived, and I’m still tapping at the computer keys. I’ve figured out my life’s formula, or at least I think I have. With each keystroke, I fill up my own spreadsheet, one I created in 2010, when I enrolled in graduate school for an MFA in writing. That spreadsheet I have replaced with draft after draft of my memoir, with my favorite quotes from authors, blog posts to write, books to read, more books to write.

My brain still must work hard to hold onto names, though, and it still gets low gas mileage. Words and phrases skid away from me, emerge in anagrams, end in ellipses or in incomplete sentences. But I now look forward to the longest day of the year. The sun equals hope; as the days expand, it’s hope that keeps me from tearing up my draft and throwing it in the trash. Hope is the formula and function that carries me through the winter solstice, into the next decade.

Please visit Past Ten to read more inspiring stories.