Monday, February 24, 2020

Anxiety and feeling inadequate

I know I am 6 weeks post brain surgery but i feel so useless. I continue to struggle with getting easily overwhelmed and feeling like I am on the verge of a panic attack every time I go out in the community and am beginning to wonder if I will ever be able to handle leaving the house again. I am also so cognitively out of it that I cannot be the mom that I need to be for Maeve and she really needs to be in daycare more but since I cannot work I do not get paid and therefore cannot send her to daycare. Speaking of my job, I know that it is not what I want to do (I really want to get involved with research on biomarkers for ASD)I also just cannot do it as the unpredictability and sensory/social overstimulation makes me very anxious and on the verge of a panic attack....I  have really struggled with this mental fog and sensitivity to sensory/social stimulation since my seizure and wonder what could be the cause: the concussion and then brain surgery or the keppra? I hate feeling like I am going to have a panic attack after driving my daughter to daycare and going to the grocery store....they only time I do not feel anxious is when I am hyper focused on a task. How can I live this way? I called my doctor and will be meeting him next week instead of next month to switch from Keppra.


Friday, February 7, 2020

2/7 post surgery limitations and frustrations

I have not really used facebook in years but find myself checking the site daily to read update in a wonderful community about individuals with Epidermoid Tumors (The Epidermoid Tumor Society or EBTS) and it has been and continues to be an incredible resource throughout this entire process. I love being able to connect with individuals with whom I can relate and turn to for support. For example, someone posted today about being anxious before surgery and then having the surgery not so bad but getting frustrated at not being able to pick up her children afterwards; since I completely related I posted the following reply:

" I completely relate to your experience! The anxiety prior to surgery was about 10x worse than the surgery itself. I also have a young daughter and it is incredibly frustrating being able to pick her up and play with her as I used to (crawling around the floor and bending over); I am also a little crazy about limiting screen time do you have any suggestions on how i can keep her busy? In addition, I am unable to work as I am a Behavior Analyst for Birth to Three which requires me to "be able to lift and carry 25-50 lbs" and lots of bending over "

I did not want to totally take over the post so I am going to post a bit more about my frustration here. Specifically, since I work as a contractor I am not getting paid for all of the time that I am not able to work and that is incredibly stressful not only because I need to be at least some money and love working with kids but also because I am not sure if/when I will be able to return to my job as an early interventionist. I have asked my boss if there is any office type work that I can do but unfortunately there is not. Will I need to look for a new job? What will I do?

I really need for my mind to be busy and feel a sense of control over something because although I have increased the variety of food that I am eating, I am obsessive about walking and controlling my food intake. I am now at ridiculously low weight and honestly look like a scary skeleton and while I want to gain weight I just can't seem to let go of the control. I am seeing my therapist again and sent her a manual for Cognitive Remediation Therapy for Eating Disorders and I am really hoping that it helps.

Thursday, January 30, 2020

Dream

I believe I have mentioned this before but what I would do if I won the lottery would be to work at  the Yale Child Study Center. "Why?"you may ask.< Because it would allow me to be what Dr. James McPartland aptly refers to as a Clinician/Scientist by combining two of my greatest passions 1)  directly interacting with and improving the quality of life of children and their families and 2) Being actively involved in scientific research to improve identification and treatment of individuals with developmental disabilities.

Why Yale? They are involved in cutting edge ASD research including early identification, early intervention, Pivotal Response Training,biologically-based tools to for objective identification and treatment, and gender differences.
  • My personal experience with the professionalism and outstanding quality of care that my family and I received during my experience of learning that I had an epidermoid brain tumor as well as it's removal. Why me? Why would I be a good fit? Insatiable appetite for learning. Specifically, unlike most people who relax by binge watching television shows, I immerse myself in learning everything I can about my special interests of neuroscience as well as best practices in naturalistic/behavioral ASD treatment.
  • Clinical experience as a BCBA has helped me anecdotally identify the strengths and  weaknesses of various treatment approaches.
  • My thesis on audiovisual-speech perception in children with ASDs using eye tracking and ERPs as well as the influence of social functioning on performance. 
  • Personal experience of having a brain tumor in my frontal/temporal lobe and how it's effect on my thinking and behavior potentially including characteristics of how ASD presents in females (social anxiety, camouflaging, difficulty reading social cues, executive dysfunction, incredible ability to hyper focus, attention to detail, obsessive compulsive tendencies including controlling my food and pursuing my special interests, sensitivity to sounds, cognitive rigidity, social naivety etc.
  • Tuesday, January 28, 2020

    Rundown

    One of my favorite coworkers just recently returned for work after taking time off and upon learning that I was on medical leave sent a really sweet message to check in and offer help. I wrote her back giving an explanation of what has happened over the past two months and thought that I might be helpful to post:

    Hi Janet! Thank you so much for checking in, you are so sweet! I am not sure how much how much you have been told about my situation but I am happy to bring you up to date: I had a grand mal seizure on November 24th in the bathroom of alls places and knocked myself out by hitting my head on the bath tub. Luckily my husband was home, dialed 911, and I was taken to the ER where they found a large mass in my right frontal/temporal lobe. I was then sent for an MRI where they determined that it was an epidermoid tumor that is benign but slowly growing and in contact with an artery. Me being me I did A BUNCH OF RESEARCH and found several neurosurgeons with expertise in this area, met with them, and was incredibly impressed by Dr. Piepmeier and his team at Yale. The craniotomy was done earlier this month and I am currently recovering at home with my family. Sorry for all the details but lol  I am not ashamed of anything (in fact, my research has revealed that the location of the tumor may explain a whole lot of issues that I ave experienced in recent years  including intense anxiety as well as difficulties with organizing, reading faces,  social interactions, mulltitaking, etc). I am going a little stir crazy at home because while I cannot drive, bend over too much, or lift anything more than 5 lbs (e.g. requirements for our job) I am intellectually starving and am frantically trying to put together my application for a neuroscience fellowship at the Yale Child Study Center before the February deadline because this whole experience has really inspired a new passion into the neuroscience of developmental disabilities. Once again sorry for the novel lol I hope you are doing well and miss you😊

    Recovery and mental frustration

    Almost 2 weeks post surgery and I am quite surprised at how well my recovery is going (knock on wood); I honestly have not had much physical pain at all.
    update 1/28/2019< My recovery continues to go well mostly due to the fact that I my mom, dad, and husband, are serving as an incredible support system and really taking the lead in what is most important to me: caring for my daughter. I am really quite frustrated because I WANT SO BAD to be the engaged, active, and fun mom that I know I can be but I just can't (at least for a significant amount of time) largely due to extreme fatigue but also dizziness and pain if I overexert myself.
    Another huge source of frustration for me is that unlike normal people who can relax by binge watching television shows, knitting, eating comfort food etc. there are really only 2 thing that calm me: walking and research. Luckily, my gross motor skills are intact and I go on nice long walks a few times a day while listening to research about ASDs and neuroscience. However, I realized that the deadline for my dream fellowship ;is February 1 and while I have brainstormed pages for my personal statement it is not complete and I need two letters of recommendation and will likely miss the deadline. It is unfortunate because this entire experience has ignited a new passion for the neuroscience into developmental disabilities and I this fellowship would be an absolute dream come as it offers the opportunities to expand on the knowledge>electroencephalography (EEG) and event related potentials (ERP) as well as eye tracking that I taught myself about for my thesis on the relationship between social functioning and audiovisual speech perception in individuals with ASDs. In addition, I would learn about >functional near-infrared spectroscopy (fNIRS), transcranial magnetic stimulation (TMS), positron emission tomography (PET). Most importantly, I LOVE Dr. Mcpartland's model of being a scientist/clinician  which means that in addition to conducting true science and research utilizing the amazing tools of neuroscience, I would idea also directly interact with individuals and their families with developmental disabilities and thus be able to satisfy my passions for research and improving the lives of individuals with developmental disabilities and their families .  Dr. Mcpartland brilliantly explaining this dream job in the first five minutes of the following lecture: https://www.youtube.com/watch?v=ihlsZwHAMwY

    Monday, January 6, 2020

    God please don't let Disney raise my child

    My husband is wonderful and fantastic and does more than any husband I know. I mean he helps out with EVERYTHING cooking, watching Maeve, shopping, helping with cleaning, running errands ETC. I honestly thank God everyday for him and how I am so incredibly blessed that he does so much for our family. However, while he is an amazing father...not everyone is perfect. Yesterday I went for a run and when I came home he and my daughter were in the living room watching tv (okay it is the weekend, we do have a birthday party later in the day that we do not want her to be too tired for, no big deal). HOWEVER, the program they were watching was an animal nature show so I raised my eyebrows and quizzically asked  "what show is this?"  to which he replied "It's Disney, they know her age, it's fine." I raised my eyebrows even higher and questioned "they know her age?" and he responded "yes, I made her viewer profile so it knows her age and recommended this show." I couldn't help myself from smirking as I sat down to see how horribly this was going to go and I did not have to wait long until the program showed a cheetah eating an antelope while other cheetahs lurked around at which time I again questioned the choice of program. My husband responded by fast forwarding the program which bought us to a scene where a lone male antelope was "having his choice of female" which prompted us to burst into laughter as my husband turned off the show and suggested that we watch my daughter's very favorite program "Octonauts". I know right then and there that my surgery will be successful because Disney simply cannot raise my daughter.

    Friday, January 3, 2020

    Am I crazy?

    Am I crazy to going ahead with this surgery? Should I watch and wait???? Now that I have GREATLY reduced my work load, I feel a whole lot less stressed and happier....am I just in the wrong job? Should I just accept that my brain is what it is (poor executive functioning an all) and that being a BCBA in Birth to Three where I have to organize multiple schedules and paperwork is just not a good fit? Should I try just having a handful of clients and take the whole watch and wait approach with my tumor? But then again it seems that every story I have read about an educated person (especially those in the medical field) have opted to have removal because while the tumor is slow growing, it is growing and a number of complications can arise including more seizures, meningitis, encasing cranial nerves and arteries.... Not to mention my host of personality/emotional and hormonal issues that could be linked to my tumor given it's size and location.
    earlier diagnosis and complete excision or near total excision of this benign tumor can cure the patient with the expectation of normal life." I was supposed to meet with my neurologist today but the appointment was cancelled last minute because my doctor is sick (unfortunately everyone around here is sick). While I am glad that he took the times off and spare infecting others, I am a bit nervous because this was my follow up with him to fill him in that I will be having surgery to remove the epidermoid tumor.