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A Survivor’s Story

by Martin E. Millard © 2000

“Hey what’s wrong with you, did you get smacked in the head or something?” “Yes. As a matter of fact I did. Thanks for noticing.”

Two years ago, when I was 18 years old, I tripped and fell on a sidewalk and hit the front part of my head on a cinder block wall. My memory of the events is sketchy and that’s also one of the symptoms of ABI. What I do remember is walking down the sidewalk and being hit in the face with a low tree branch and at the same time tripping on an uplifted portion of sidewalk. I remember being thrown violently forward into the wall. I then apparently blacked out for a period of several minutes to a half hour. I’m not sure. My next memory which I see, even today, as though in a fog or dream, was of sitting up where I had fallen and not being able to see anything at all. Everything was totally black. I rubbed my eyes, thinking maybe there was a cloth over them. When I did so, I could feel something sticky on my forehead and face. I later learned that this was blood that had come from a massive goose egg on my forehead. After a few minutes my eyesight slowly faded back in from black to gray and then to increasing light until I could see again. I remember looking around and I knew where I was, then I must have blacked out again, because I don’t remember anything until I was in the emergency room of the hospital. What I surmised later was that I had apparently somehow managed to walk the couple of blocks to my house where my father found me slumped at the front door. It was my father who took me to the hospital, I later learned.

Now, about that goose egg. When I say that it was massive, that’s exactly what I mean. The center of my forehead above the bridge of my nose looked like a very large goose egg. I know this, because I have photos taken the day after the fall. I was like a human unicorn. The doctors at the hospital dressed my wounds and were going to admit me, but they then decided it would be okay to release me to my father so long as my father watched me all night, to be sure I didn’t bleed from the ears (which is apparently not a good thing with head injuries). I got through the night okay and was supposed to start my summer job as a ticket taker at the local county fair the next day, and while I wanted to go in, my father had me stay home so he could be sure I wasn’t bleeding from the ears or showing any signs that he should take me back to the hospital. However, when I called in to my work they told me that they really needed me, so I did go in the following day. I still had a headache and the goose egg was still there, but my boss gave me an easy gate to work at. I thought I’d be able to just shake off the injury. After all, most of us will fall down or get hit in the head at sometime or other in life and life just goes on with no problem. Oh, I was getting almost daily headaches, but I figured that they’d eventually go away. The odd thing, though, was that when I’d be in bright light I’d feel an increasing warmth on my forehead and then the headaches. I figured I must be imagining this and just kept taking Tylenol for the headaches. Apparently, I was also moody after the fall, and I couldn’t take any type of psychological pressure. Sometimes I’d cry when under pressure, sometimes I’d get angry.

As the weeks went on, however, my parents started noticing that I was sleeping all day long. I’d go to bed at, say, 7:00 pm and then I wouldn’t wake up until someone woke me up which was sometimes at 6:00 the following night. I think I would have just kept sleeping if no one woke me up. At first, my parents didn’t associate this sleeping with the fall, and took me to the doctor to be checked for mono and thyroid problems. All the tests came back negative, but then one doctor noticed that my left eye wasn’t tracking properly and she sent me to an ophthalmologist who discovered a visual field problem. A CT scan followed that came back negative.

Next there was a visit to a neurologist and the realization that I had lost my sense of smell and that I couldn’t figure out things such as “A stitch in time saves nine.” It was also noted that my speech was excruciatingly slow and labored, and that I had a flat emotionless way of speaking. As to my speech, I have a problem because I just can’t get the words out and sometimes use inappropriate words or simply accept the words put into my mouth by others who get tired of waiting for me to speak and fill in the gaps for me. It’s frustrating when I try to say something intelligent or witty and nothing comes out. It’s as though at those times, there’s no connection between my brain which is thinking the words and my speech muscles. Sometimes I get words out but they’re just the opposite of what I mean to say. Say “Good Morning” to me and I may say “Good Evening,” even if it’s early in the day.

Another difference is in my sense of humor. I now think slap stick humor is extremely funny and before the fall I didn’t. Hmmm. Since Jerry Lewis is so popular in France, I wonder if maybe the French have all fallen on their heads. Never mind.

A visit to another neurologist confirmed the ABI (acquired brain injury) indicated by the first, but he had no suggestions about what I could do about the symptoms, including my almost daily headaches. Then I went to another doctor and by luck this one had been a combat doctor in Viet Nam who had treated Marines who had combat related head injuries. He said that he’d seen many similar cases and that the problem with the headaches was that there was probably too much light entering one or both eyes. In my case, because of the left eye flutter and because the headaches seemed to be mostly on that side, it seemed logical to assume that the problem was the left eye. He suggested that I wear an eye patch or dark glasses when I was in bright light. I took his advice and the headaches did seem to lessen when I did block most of the light from the left eye. My parents also started noticing that I was moodier and more passive than before. The way they’d describe it was that I looked like a 90-year-old man in a deck chair on a ship, because I’d sit before the computer with a blanket covering me.

Another odd result of the fall was that I started pronouncing my last name differently than other members of the family. They all pronounce it MillARD, while I now pronounce it MillERD. I just can’t seem to get MillARD out.

That’s the way it is with ABI. There are often some major things that one notices and links up to the fall once one is aware of the condition but there are also lots of little or subtle things that are also different. Some of these differences I noticed by myself, but it took others to notice some of the others. I was somehow a different person after the fall. The problem was connecting up the dots, and figuring out that all these odd things were directly related to the fall. Anyway, I started doing some research on ABI, and soon discovered that I had symptoms that weren’t uncommon. Eventually, my parents learned of an ABI clinic in our city, and I was tested and taken into the program, where I’m learning to compensate for whatever it is I’ve lost as a result of the ABI.

Much of the retraining has to do with the memory. I now have what’s called Swiss-cheese memory. I can remember my social security number, but I can’t tell you what I just wrote three sentences ago, unless I reread it. I may remember what I saw on TV last night, but not what I ate. Thanks to the clinic, and being around the 80 or so other people at the clinic, I’ve started to realize that the various symptoms I have are not some sort of congenital personal flaw but can all be traced back to the fall.

One of these problems I have is in my junior college classes. When a professor writes something on the blackboard I have to look up after each letter of each word when I try to write it in my notes. This takes a lot of time and I never seem to be able to get all the notes down.

Before the fall, I wasn’t a great student and since the fall, I’m not a great student either, but I did manage to get two  A’s  in computer classes after the fall. Some who are aware of my fall and condition have said “Two A’s? We should all be so lucky to fall on our heads.” The truth is that ABI doesn’t make one dumber nor smarter than one was before the fall, it just often changes things such as mental speed and the way we process information as well as the other symptoms I’ve mentioned. In my case, I think I appear dumb to others because it usually takes me a while to answer when someone speaks to me and as already mentioned I often can’t get the right words out even when I finally do answer.

One particularly mortifying incident happened in one of my college classes. The professor told the class that anyone who gave a speech in front of the class would get an automatic 20 points added to their final grade, no matter how good or bad the speech was. However, after I gave my speech, the professor told me, in front of the whole class, that I wouldn’t get the 20 points because my speech was so halting and bad that I didn’t deserve the points. I then told him that I thought he was aware of my brain injury. He apparently wasn’t, so he apologized and did give me the 20 points. Of course I was so embarrassed by this incident that I could have dug a hole and crawled into it.

There are other things as well that are different now in addition to the speech problems, the headaches, the loss of my sense of smell, the long sleeping hours and on and on. One thing is that I can’t stand some sounds. One of these sounds that drives me up the wall is an alarm clock. Oh, I know, you’re probably saying that drives you up the wall too, but I mean it really, really, really drives me up the wall and if an alarm clock goes off in my presence, my day is over. I have to go to bed for the rest of the day, I’m so jangled by the sound.

Thanks to the clinic and with the help of my family, I’m learning to live with my ABI. I’ll probably never be the same as before the fall, but I should be able to live a fairly normal life with some adjustments. After junior college I hope to go to law school and then to specialize in computer law.

Perhaps my story will help others to understand the silent epidemic of Acquired Brain Injury.

Martin E. Millard

 

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San Diego Brain Injury Foundation
Email: Director of Operations
P.O. Box 84601
San Diego, California 92138-4601
(619) 294-6541

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