Monthly Archives: December 2012

Originally posted on WHO IS "THE REAL, THE TRUE, THE LIVING" JESUS?:
From history we can see the way that some faced their troubles and triumphed. Here are just a few from history… Cripple him, and you have…

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There may be disability…but there is also ABILITY (and abilities – large ones)

“There may be disability…but there is also ABILITY (and abilities – large ones). Just be patient… trust…and they will some day become apparent!

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Shattered dreams rebuilt anew

Told he’d not walk again after a serious crash, a teen cyclist had other ideas.

Fraser Sharp in the hills above Tauranga, where he has been in training for the half-ironman. Photo / Alan Gibson

Brain injuries took away Fraser Sharp’s speech and physical movement 20 years ago. But this summer, he is preparing for an ironman race – 12 hours of running, swimming and cycling – to prove anything’s possible with dedication.

Mr Sharp recalls the Auckland rehab centre where he learned to speak and walk again in 1993.

He was 16 years old and had just woken up from a month-long coma – with a changed personality and disabilities.

Doctors said he wouldn’t walk again and had only an 8 per cent chance of regaining control of the right side of his body.

But Mr Sharp had emerged from the coma with a drive that seemed to cut through it all.

“It was all the brain knew how to do – get back on the bike,” he says. Continue reading

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Fatigue After Brain Injury: BrainLine Talks With Dr. Nathan Zasler

BrainLine sat down with Dr. Nathan Zasler to talk about the issues of fatigue after a traumatic brain injury. Dr. Zasler is an internationally respected neuro-rehabilitation physician who specializes in brain injury.
BrainLine: Describe fatigue. What exactly is traumatic brain injury-related fatigue?
Dr. Zasler: Think about a car. It needs gas to run. If your tank is low, your car will start sputtering and then stop once you have reached the end of your reserve. It’s the same way with fatigue after TBI. Fatigue is caused by a decrease in physiological reserve, which includes a person’s physical and mental reserves. When your brain is “tapped out,” you feel tired. Basically, when a person’s brain is overtaxed, fatigue will set in.
Although one formal definition of fatigue that has been proposed states that it is the failure to initiate or sustain attention or physical activity that requires self-motivation, there continues to be debate about how best to define “fatigue.” In part, it’s difficult to define the term because fatigue is subjective — that is, it is solely based on patient report — and it is really more a symptom than a diagnosis. Just like it is difficult to tell if someone is in pain, it is also challenging to know if someone suffers from fatigue unless they tell you so. But generally, people with TBI have described fatigue as a sense of mental or physical tiredness, exhaustion, lack of energy, and/or low vitality. Unfortunately, we don’t have any definitive screening tools for fatigue, so there is no universal way to measure it.
Cognitive and physical fatigue can occur separately or together, but most people seem to have more problems with the mental side of fatigue after a brain injury. They say they are not as quick as they used to be, mental tasks that were once easy are much more difficult, and they tire far more easily even doing something that used to be simple like reading, studying, or working.
Although there are limited long-term studies, some research indicates that fatigue is usually short-lived after most mild TBIs. And in my experience as a physiatrist, fatigue in patients with mild TBI usually lasts no longer than three to six months. However, for some people with mild TBI, their fatigue is more persistent.
BrainLine: How common is fatigue after a brain injury?
Dr. Zasler: In the general population, fatigue is a common complaint with some studies citing an incidence of 10 percent. But for people with traumatic brain injury, it is one of the most common problems post-injury. Fatigue affects not only people with moderate to severe TBI, but also those with mild TBI. And we still need more research to better understand this issue.
BrainLine: What does fatigue look like after TBI?
Dr. Zasler: The spectrum of fatigue is as broad as the spectrum of traumatic brain injury, itself. Everyone’s brain injury is different and everyone’s symptoms will be different. There are also many variables when it comes to post-TBI fatigue — from levels of severity to pervasiveness. Some people may be very fatigued all the time and others may only be fatigued after mental or physical exertion.
Most people who have fatigue resulting from brain injury only experience the problem at certain times and not all the time. They have more energy in the morning and tend to be more tired later in the day. People’s levels of fatigue also depend on how much they are pushing themselves physically or cognitively, and whether they are making time to rest periodically during the day and pace themselves.
Depression, anxiety, or stress can also contribute to the degree of a person’s fatigue or, alternatively, may even be the cause of the fatigue. Not everyone with a TBI will experience fatigue due to their brain injury. So, each person’s levels of fatigue, if present, may change over time during their recovery, in terms of both cause and level of severity.
Continue reading

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“The past is history, the future is a mystery, today is a gift…that’s why it is called the present.”

“The past is history, the future is a mystery, today is a gift…that’s why it is called the present.”

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Originally posted on braininjuryselfrehabilitation:
Are you exhausted or constantly fatigued after brain injury? Anyone suffering from chronic excessive fatigue or exhaustion?  Is it “normal” or “excessive”? You might have an underlying condition that has not been diagnosed or treated yet.…

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Originally posted on Inside the Mind of a Grand Prix champion:
“Let us not be defined by the limits that hold, tie us down, but rather by the opportunities, bright ones that lie ahead.”

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“When the world is filled with love, people’s hearts are overflowing with hope.”

Picture from (thanks) “When the world is filled with love, people’s hearts are overflowing with hope.” – – craig

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