The course of mild traumatic brain injury (MTBI)
varies a lot. The average and more severe cases change your life
dramatically,
often resulting in long sick leaves.
This is the terms of a long lasting MTBI injury:
• One experiences various symptoms
including headache, fatigue, dizziness, nausea etc.. It is exhausting in the
long run; and if not always, then most of the time one must struggle to
overcome the symptoms.
• The brain can tolerate less - in terms of
light, sounds, stress, alcohol and other strains. For the patient suffering
from a severe concussion sensitivity to sound and light can be compared to
what you feel in your brain when your teeth shiver or a tormenting sound
appears terribly disturbing to the brain .
• The psychologically greatest strain, however, is that one cannot
concentrate for long and is obliged to rest a lot. One often runs out of
steam. This can be compared to a mobile phone with a lousy battery: When it
functions it can do almost all the usual things, but it cannot work for very
long before it needs recharging.
• Unfortunately you can relatively easily exhaust the brain and the fatigue
threshold is very low. The condition is complicated by your normal desire to
be active. Being understimulated the patient feels like doing more than is
good for the brain. When the brain has become exhausted you practically
collapse with fatigue. The fact that the signs of overdoing is delayed
causes an even greater confusion. At first you get small signs of fatigue. A
MTBI patient must be extremely attentive to these signs and take a break;
often many times during the day.
• It is hard to cope with these new conditions of life. Your
functioning is much impaired, when you gets punished for doing quite
ordinary things. The great fatigue makes one feel confined ! Except for the
times when the pains cause so great torment that you care less about
anything else. You get a deeper understanding for prisoners in solitary
confinement and victims of
torture !
• It is a strain on the nerves that no one can say how long it takes to get
well; and that you cannot trust irreversible improvement. Relapses often
follow on the heels of good periods and improvement. The relapses may last
for days, weeks, sometimes months!
• It is the more traumatic that other people find it difficult to understand
how impairing this condition is ( which is natural enough - it takes time
for also the person afflicted to actually understand what is going on ). It
is difficult to explain to one's surroundings - particularly if they only
see you when your batteries have just been recharged ! It is difficult
because the
patient often have difficulties declining other people's expectations.
Patients can be more or less afflicted:
1) Totally bedridden ,suffering from endless headaches, incapable of
speaking more than two syllables and with light and sounds strongly
irritating one's brain.
2) Capable of working 3 hours a day but with frequent breaks and spending
much of the day on resting.
3) Able to live an almost normal life and only now and then feel very tired
and suffer from headaches.
And all imaginable variations of the case.
Thanks to
Dot for oversættelse :-)