The challenge: 1000 days of relentless headaches, fatigue, no hockey, no sports, sensitivity to lights & sounds, drastically limited social life, poor tolerance to car rides, television & busy places. Would you accept?
If I had the choice, I wouldn’t want to touch that with a ten foot pole. I would rather take on a challenge to climb a mountain, attend graduate school, or run a marathon; all of which are certainly physically and mentally difficult in their own right. But that isn’t a choice I got to make. The challenge of post-concussion syndrome was thrust upon me, and 1000 days later, it isn’t even over yet.
December 14, 2013 marks 1000 days since my concussion (and no, I didn’t count that myself; there are websites to do that for me) I think this occasion is a good time to look back at the progress that has been made.
When I first got the concussion, I really didn’t know what to expect and kept trying to downplay that it wasn’t all that bad. Looking back, those days were pretty rough. If I was lucky enough to wake up feeling energetic with no headache, that would quickly change after so little activity such as having a shower and drying my hair. I would then be completely exhausted after being up for less than one hour and need to lie down again. There was an impulsiveness in my need to rest; I would get so tired, there would be only one thought in my head “I need to rest NOW” and would leave class to have a nap in the study room in the basement at my school. I felt the urgency to lie down the same way one feels the urgency to use the restroom after consuming too many liquids and holding it in all day. The headaches were really bad too. I remember trying to sleep at night but too distracted by the pulsating pain in my head. While lying down, the sound of my head pounding was overwhelming and would often find myself needing to sit up to make it ease. After a few months had passed, I tried to increase my walking as I thought this was how the recovery protocol would go. I thought it was time, but my brain had other plans.
It’s satisfying to be at a point now, where on a good day I can handle a 30 minute bike ride or walk at a brisk pace. I have even been able to give cross country skiing a try. It is a “refreshing” activity to get outside and enjoy the outdoors. I think deep down, I have a subconscious association of physical activity in the cold with utter joy due to the years of bliss out on a frigid hockey rink. Cross country skiing has also given me something else to focus on and distract me from the hockey void that comes this time of year. I exercise extreme caution, and fortunately my balance is in good shape (I passed the balance test at the specialist’s with flying colours). I have never been a downhill skier, and don’t think I ever will be due to the increased speed and risk of falling; I feel a lot more in control with cross country skiis.
Now I am also able to comfortably handle a 4 hour work day. Which is a decent amount considering there was a point where a 2 hour work day was pushing my limit. At the time it seemed so ridiculous to me that 2 hours would be overdoing it so I didn’t give it much thought. But right now I’m glad to say I feel better after a 4 hour work day than I did 16 months ago after a 2 hour work day.
Overall I have noticed improvement in my headaches. I still have headache symptoms at some point or another every single day (1000 consecutive days and counting) but they are not nearly as severe as they used to be. On a bad day, I often find myself wondering if there really is concrete gains or I have just become better at managing my condition and have been accustomed to this new way of living. While the latter is true to some degree, I think looking at the number of hours I can work is really one of the best indicators of progress, even if it is painstakingly slow. It essentially took 1 year to be able to handle an additional 2 hours per day of work.
Slow and steady wins the race, and it took time for me to warm up to this idea. Early on I would think, “slow progress isn’t what I’m after, I want to get better NOW!” But over time I have gained some perspective as the terrifying thought has often crept into my mind of “what if I am stuck this way for the rest of my life?”. When that seems like a possibility, small gains are big gains. A quote from Plato I stumbled across while browsing a concussion forum, summarizes this nicely:
“Never discourage anyone…who continually makes progress, no matter how slow.” -Plato (427 BC – 347 BC)