Tag Archives: TBI

26 Miles for Mom


Jonathan Korhonen will be running the 2014
Boston Marathon to bring awareness to brain injury in support of his mother.

On August 14, 2013 Annette Korhonen had a stroke, fell and suffered a traumatic brain injury. Over the past several months, she has endured time in the ICU and currently is in extended care in rehabilitation. She has battled through four brain surgeries, fought off cranial meningitis and endured a laundry list of procedures and issues as a result of her stroke and fall.

With her family by her side every step of the way, her son, Jonathan, has decided to run the 2014 Boston Marathon in her honor. Jonathan has always been an avid runner and his mother has always been his biggest supporter. He was in the midst of training for a marathon to qualify for Boston when his mom suffered her stroke. In order to run in the qualifier, Jonathan had to make the difficult decision of taking time away from being with his mother during the early stages of her care to run in a race over 8 hours away. He knew that she would want him to continue to pursue his dream of running the Boston Marathon. He qualified for Boston with thoughts of his mom on his mind, and quite literally, on his heart thanks to a specially designed racing jersey with her picture on it.

Jonathan is using this opportunity to run the 2014 Boston Marathon to raise money in support of his Mom as well as a way to raise awareness for the needs of the brain injury community. As he puts it, “It has been made clear that Mom’s recovery will require long-term care with significant and expensive costs that will not be covered by insurance. While I pray for Mom’s ability to recover, I also pray that the expense of care won’t prohibit us from giving Mom the opportunity to get better.” He has set a lofty goal of $50,000 and has committed to donating 50% of all the money he raises directly to the Brain Injury Association of Massachusetts. Jonathan and his wife chose BIA-MA in part from a previous professional interaction Jonathan’s wife had with BIA-MA’s Information & Resources Department: The resources provided, whether it was housing options or educational materials, were always helpful, concise, and concrete. The best part was that the direct person she spoke with always followed up with an email a few months later to ensure that the resources were useful and to offer another helping hand if needed. BIA-MA’s robust advocacy efforts and the widespread footprint of their support groups is also one of their best features. “We are confident and happy to say that Mom will benefit from their resources and programs at some point throughout her journey.”

Stay tuned for our Facebook, Twitter and email updates regarding Jonathan’s training and marathon updates.

#BrainInjuryAffects – Sonali Durden, Brain Injury Survivor, Pittsfield, MA

nali for blog

Sonali has suffered from 3 brain injuries in her life; the first in 1979 when she was 8 years old.

In 1979 when Sonali was 8 years old, she was hit while crossing the street and dragged by the vehicle. She remembers being angry and uncooperative in rehabilitation. She struggled to walk and run. Her sense of taste and hearing were compromised. Sonali could no longer enjoy music, singing, and playing instruments as much as she used to.

Three times a week, Nali facilitates Sit, Knit and Stitch, a support group that she started for residents of the city housing project where she lives. “Living in a housing project can be pretty lonely and depressing,” says Nali. “I decided to find out what talents were out there and discovered there was a lot of interest in knitting and crocheting so I started a support group, and every week we continue to get new members.”

Nali is also a member of the Berkshire Brain Injury Support Group (BBISG) . “When I moved to Pittsfield and connected with BBSIG that all changed. I have opened up, met new friends and found group support. I enjoy knitting, going to dinner, and taking part in the social and recreational activities provided by BIA-MA.”

Don’t Wait, a guest post by Catz LeBlanc

Catz LeBlanc goaltending for her handball team.

Catz LeBlanc goal tending for her handball team.

Today’s blog is written by Catz LeBlanc, a member of the ‘Amazing’ Brain Injury Support Group in Framingham, Mass. Originally from Madison, WI, a former Physician’s Assistant, collegiate soccer goalkeeper, ice hockey player, team handball goalie and mother of an “amazing son,” she suffered a sports concussion as a team handball goalie. Two months later, she suffered a more severe concussion when her Volkswagen Beetle convertible was rear-ended by a truck and totaled. Searching for a book to provide some comfort, guidance, understanding for her challenges with the fallout of a traumatic brain injury, she found none. So, she wrote one. She continues her rehabilitation four years since the injuries.

Don’t Wait

Everyone is so busy.  No one has enough time, no one has enough money.  Someday, someday, they will do what their heart and soul desire, in the meantime, so much needs to just get done.

Last week a woman said she thinks she has maybe five to seven decent years of cognitive function before she may succumb to her older siblings’ demise.  There was urgency in her voice, tired of helping everyone else, everyone always needing something from her–she just wanted to live her own life–with whatever remaining quality she has.

If I could, I would fill Gillette Stadium to capacity, everyone shouting “Yes, you, do it! We give you permission!” If I could, I would have all the birds in Boston sing outside your bedroom window, “Wake up! Wake up! Today’s the day YOUR life begins!”  If I could, I would have the planes at Logan fly over you, pulling signage, “TODAY! Yes, you, Today- GO FOR IT!”

It would be tricky, but we might be able to have you professionally kidnapped, to somewhere you can finally do what your heart and soul have been whispering.  Trickier still would be to have all the family and people connected to your loathsome to do list- have THEM professionally kidnapped and dropped off with provisions to an island to care for themselves for the next whatever number of years.

Perhaps your next fortune cookie will read, “This is it. Last call-You have 6 months of quality left. Use wisely.”  Would you change your priorities then?  What’s it going to take to have you put you on the top of your list?  Are you waiting for a parade with bells and whistles, a marching band, to let you know, OK-Now! Go ahead, FORWARD march!

Human illusion of time left in our lives, it’s funny how we somehow calculate it, as if a physics equation.  Denial is a powerful thing. Human nature is human nature.  “I’ll just get these two more things done and then I’ll sit down and give myself 30 minutes for me.” And then the door bell or phone rings, postponing again and again. Before we know it, another decade or more has passed.

We are delusional about our lives–Start today, tomorrow noon at the very latest.  I’ve already been to the land of a compromised brain and it is a Godforsaken place.  I’m still stuck there precariously living within my limitations, receiving punishing consequences if I rebel.

Will we be one of the lucky ones who suddenly dies peacefully in their sleep, self-sufficient until their last breath, life list completed in total?  What are the odds of that?

How about listening to that inner voice?  I can hear the resistance rallies revving up, all the reasons why you can’t do what you say you really want to do.  No need to answer me. It’s your life.

P.S. Here’s a sample refrigerator note.

Dear All,

I have come down with a rare form of L.M.N.O.P. and am quarantined for a bit.  Don’t bother to phone or text as my room doesn’t get the tower.  Take excellent care of each other and don’t worry about me.  I will be just fine.


Your spouse/Sibling/Parent/Grandparent/Neighbor/Friend/Friend of a Friend…

Catz’s book, Tell Me This: Encouragement and Hope after Brain Injury, a pocket guide for athletes, veterans and civilians, is being published by Lash and Associates and will be released this coming winter.

Think A-Head Redesigned and Revamped, Coming to a School Near You

bigstock-Group-of-Friends-Being-Videota-31220816 (1)

Students get ready for prom. Do they know the dangers of drinking or drugging and driving?

Did you know that the brain contains 100,000 miles worth of blood vessels–enough to circle the earth four times?  The brain contains 100 billion neurons, which are cells, known as gray matter, that process all of the information in your brain. Each neuron is connected to other neurons by up to 40,000 synapses. This means that the number of connections in the brain outnumbers the number of stars in the universe.

Did you know that the brain is made up of 75% water, and uses 20% of the oxygen in your body at any given time?

What a powerful organ…one worthy of protecting, since it houses so much information and capability.  However, brain injuries are the leading cause of death and disability in young adults and teenagers. The recorded instance of concussion, car crashes and substance use by this group is increasing. So, what can be done to enlighten students and give them knowledge, allowing them to make better choices for their own safety?

The Brain Injury Association of Massachusetts has a solution. Think A-Head is a dynamic, school-based program that has been teaching students to avoid risk-taking behavior and develop healthy living habits for nearly 20 years. This curriculum is tailored to the age of the students and to the specific needs of the school and its community. The program offers a core curriculum with amendable activities based around the following issues:

  • Brain Injury: General knowledge of the brain, brain injury, high-risk groups and behaviors
  • Drugs and alcohol: Breaking down drugs to include depressants, stimulants, inhalants and prescription pills and the affect on the teenage body and brain
  • Impaired driving: How alcohol affects driving, the dangers of impaired driving and the increased risk of sustaining a traumatic brain injury (TBI)
  • Seatbelts: The benefits of using them and the detriments of not using them; statistics on usage and common misconceptions about seatbelts
  • Concussions: Focusing on sports concussions, signs and symptoms, and information on what to do in the case of a suspected concussion; the roles of coaches, student athletes, teachers and school systems in this process


You may have experienced this program in your school before. However, BIA-MA has completely revamped the program to be a more effective educational and preventative tool. Your students will experience new presentations with interactive question-and-answer sessions to make sure they are really consuming the information. In addition, a brain injury survivor speaker will be on hand to discuss their experiences with brain injury and to also pose situational questions to the students. When reality is standing before them, how do they respond?

Thanks to a generous gift from the Sarah W. Rollins Charitable Trust, BIA-MA is able to offer this redesigned Think A-Head program at a discounted fee of $75 for the first program and $25 for each additional program held at your school on the same day. Think A-Head aims to inform and engage students and supply them with applicable knowledge so that they can make more informed choices during a most impressionable time in their lives.

Science has proven that neurons continue to develop throughout an individual’s life, at least in some parts of the brain. In addition, fresh cells are actively involved in the formation of memory. This organ should be protected, as it serves as the “engine room” or “control room” for all of your body’s faculties. An individual’s choices affect the brain on a regular basis.

To bring the Think A-Head program to your school in Massachusetts, visit the webpage today to book a program (or more!) and learn more about how educating students about the risks and impact of brain injury helps them make better choices. To book your program immediately, click here.

Tips to Avoid Over-stimulation

Scott Doane is a TBI survivor and BIA-MA Staff Member

Scott Doane is a TBI survivor and BIA-MA Staff Member

Today’s blog comes from BIA-MA staff member and survivor of traumatic brain injury, Scott Doane. As a survivor, he gives first hand tips on how to take care of yourself and avoid over-stimulation when you go out into the world.

My name is Scott and I sustained my brain injury when I was 7 years old. I am now 53 years old and still face problems that many others with with brain injuries have as well. Not only did I have to deal with my brain injury, I had physical limitations as well. The right side of my body was paralyzed so I walk with a slight limp, depending how tired I am. As I grew up I adjusted to whatever life had in mind for me. I also learned about my mental and physical limitations.

Now that I understand more about brain injury, I have been more aware of what situations to avoid, so I can take care of myself. For instance, when my wife and I go into a restaurant I try to sit with my back along a wall or window. I feel better in a booth instead of sitting at a table in the middle of the room. This helps keep stimulation to a minimum. If I prefer more light I may want to sit where there is more lighting, or less lighting. If I am going shopping at a mall I try to stay focused on what I am getting or where I am going. If I go to a big mall that I am unfamiliar with, it takes time for me to feel comfortable. I will look for the restrooms, exits and look at the basic layout.

When I have gone to company parties that have loud music I hung out in one location or had a conversation with someone. Sometimes I’ve had a difficult time having a conversation due to the noise. When that happens I take myself out of the area, outside or to a quieter section. It’s also a good idea to do a little home work or think ahead before putting yourself in an uncomfortable situation.

By going through it in my mind, I can take control of what I can, and not set myself up. Obviously there are things that will happen that I have no control over and it helps me to remain somewhat flexible. It is important to be aware of how you are feeling, trying to stay in your comfort zone. Look at your surroundings and stay focused. If you have been in an environment that has been overstimulating or if you’re feeling tired, take a break and take yourself out of the environment to recharge.

Steps you can take to avoid or diminish over-stimulation:

  1. Be well rested.
  2. Plan ahead (Phone, wallet, meds, money, ID, transportation, time schedule).
  3. Become familiar with your environment (location of restrooms, exits, floor plan, and location of where you want to go).
  4. Allow yourself to take a break and relax. Have a snack and stay hydrated.
  5. Don’t overdo it. It is not worth running yourself down.
  6. Stay positive and try to remain flexible.
  7. Be safe.

My Sister, Kim, Part 2

Kim Boleza on her snowmobile

Kim Boleza on her snowmobile

This is the second part of a two-part blog post by Stephanie Deeley, whose sister Kim lived with, and ultimately died from a traumatic brain injury caused by domestic violence. 

…During this same period, the domestic abuse escalated and we as a family were very concerned about Kim’s safety.  Kim had always been independent and had always made her own decisions.  We could not convince her that staying in that situation was too dangerous.  She knew that environment, it was her home, and the idea of dealing with a big upheaval in her life was more than she could handle given all the issues related to her brain injury.  Kim decided staying was the best choice.

In December of 2011, Kim’s husband held her captive in her own home for several hours.  As a result of that event, he was charged with attempted murder and kidnapping, along with a slew of other charges.  Kim was devastated, and went back and forth between being angry and wanting her husband punished, to feeling guilty and wanting him home.  Again, the turmoil and the stress of an unknown and fluid situation was very, very difficult for her to handle as a result of her brain injury.  The court took the decision out of her hands and brought charges against him and held him for 6 months.  Kim found herself living alone, unable to drive, struggling with balancing her check book, and worried about having a seizure when she was home alone.  Ed and I were always there, to drive her to the grocery store or to a doctor’s appointment, to help with finances or to listen to her when she needed to vent. But, she felt lost and dependent and she did not like that.  When her husband was released from jail, she petitioned the court to let him come home.  She was more comfortable being dependent on her husband than her siblings.

It was “normal” for your husband to take you to the doctor or the grocery store, and to balance your check book.  She felt guilty asking us to take time away from our families to help her.  No matter how many times we told her it was not a problem, she still felt bad.  She had a husband, and he should be the one helping her. She could not see how ludicrous it was to be dependent on the person who caused her injury which took away her independence.  And again, Kim was not going to tell people she was a victim of domestic abuse any more than she would tell them she had a brain injury.  Her pride got in the way, as it would for any of us, I think.

Kim’s husband never met the expectations Kim had.  He did not take her to her doctor’s appointments, he did not take her grocery shopping, and he did want to help her.  In fact, he complained to his “friends” about how he had a wife who was disabled and how tough it was for him to be saddled with that burden.  Never did he mention that her disability was caused by him.

On March 9th of this year we all got together at a restaurant in Hingham to celebrate my brother Ed’s birthday.  After much discussion and back and forth, it was decided that Kim’s husband would not join us.  Ed picked his “little” sister up as he had done hundreds of times over the last few years, and Kim spent the night surrounded by people who loved her and protected her and wanted the best the world could give her.  She talked with her niece Catie about her upcoming wedding, and talked with her godson Patrick about his college classes, and chatted with her nephew Matthew about his house on the beach.  She reminded Ed that he was getting old, and told me to stop worrying about her.  She laughed and joked and teased and was the Kim we all knew and loved.  I hugged her when we were leaving the restaurant and she got in Ed’s car and he brought her home.  That was the last time any of us saw Kim alive.

On Sunday evening, March 10th, Ed received a text from Kim about a family event at 7:30.  At 8:20, Kim’s husband called to tell us Kim was on the way to the hospital in an ambulance.  By the time we arrived, Kim’s was gone.  We may never know for sure what happened that night, but there are some things we are sure of.  Kim was a victim of domestic abuse.  Kim’s head injury was caused by her husband.  Whether Kim died of a seizure, or some event involving her husband, she died as a result of domestic abuse.

According to the Brain Injury Association, it is not surprising to hear that a brain injury was caused by domestic abuse.  The stigma of having a brain injury is still something we need to fight, as is the stigma of being a victim of domestic abuse.  I cannot even imagine the difficulty in having to deal with both of those issues as my sister did.

Kim’s husband is still facing the charges from the December 2011 incident.  As part of his defense, he is claiming that Kim had severe memory issues and could not possibly be sure of what happened on the night in question because of her brain injury.  The injury he caused is now what he is using to defend himself against the charges of attempted murder.

Kim’s life was changed as a result of her injury.  She lost her independence and her analytical mind, and she lost her job.  But, Kim continued to move forward and try to find a way to improve her life.  And on many occasions, she continued to share her love and laughter with the people who loved her most in this world, and who miss her the most. My relationship with my sister was one of the most important in my life.  There were so many times I relied on her advice to analyze a situation or figure out a course of action.  I trusted her judgment, and valued her insight. Most importantly, I loved her.  As she grew from my baby sister to my friend, our relationship grew also, and as her life changed because of her brain injury, some relationships in her life were altered…some did not survive.  But family was not one of them.  She was always the fun one, the one who could make you laugh just as easily as she could make you see a need to change.  She never judged and she always loved. She valued truth, even when it was tough to hear, or tough to tell, she was kind and forgiving, and a trustworthy keeper of your secrets.

Given more time, I believe Kim would have found a new success in life, and would have learned to live a full and productive life even with the limitations that were a result of her brain injury.  Who knows what the future holds for new treatments and medicines. Use every resource available to you, including those offered by the Brain Injury Association.  Every day is a new opportunity to grow and to improve.  Don’t let your brain injury define your life.  Don’t settle for less than you deserve.  Do not be afraid or ashamed to acknowledge your brain injury, or talk about how it impacts your life.  What we tolerate, we cannot change.  Don’t tolerate a life that is less than it can be.  Someone once shared with me that if you are always trying to be normal, you will never know how truly amazing you can be.  I hope to always remember that…

My Sister, Kim, Part 1


Today’s post comes from Stephanie Deeley, the sister of Kim Boleza, who lived with a traumatic brain injury and ultimately died from it. Her story will be told in two parts. Look for the second part in an upcoming post.

I recently sat down with Emmy in BIA-MA’s Marketing and Communications department to talk about my sister Kim, who had a traumatic brain injury as a result of domestic violence. To describe Kim, you would need a dictionary full of words!  Smart, funny, gutsy, loyal, determined, dedicated, kind and loving all come to mind.  If you know what’s good for you, never get in Kim’s way when she is determined to accomplish something.  Kim set high expectations and goals for herself and she was always successful in achieving those goals.

Kim went to college and grad school, but not on the schedule that most people do.  She actually flunked out during her first semester at UMass Amherst. I am convinced more because she simply did not want to be there than because of anything else. If you are not in school, then you have to work, and Kim had a few interesting jobs before settling in as a client service representative for an organization that cared for adults with severe autism.  Kim was great at her job, and loved by her co-workers and her clients.  But, her clients were a challenge, and one day Kim was hurt at work.  My brother Ed and I both received calls that she was on the way to the hospital in an ambulance, and off we went dreading what we would find when we arrived.  I remember thinking how grateful I was that it was “only” a concussion.

Kim finally figured out after a few years what she wanted to do, and she went back for her Bachelor’s degree, and after a few years working, she went back again to grad school where she excelled.  She graduated in May of 1999 and started interviewing for her first “real” job.  In September of that year she went to work for Children’s Hospital, and began a career that took her to three of the best known hospitals in the world, and earned her a reputation as one of the best in her field.  While at Children’s Hospital, she was driving home one night when a deer ran out of the woods in front of her. An avid animal lover, she of course swerved to avoid hitting the deer, which resulted in her car being totaled and another concussion.  And again I remember thinking, “Thank God it is only a concussion!”

Kim Boleza

Kim Boleza

Kim never wanted to get married but had some great boyfriends over the years, so when she introduced us to a new man in her life in 2002, we didn’t think too much of it.  I do remember driving to a skating contest to see our niece after one of her first dates with this man, and she told me she felt like he was stalking her simply because he called to make sure she made it home safely.  He was 12 years older than her, my age, and I laughed and told her it was an age thing, but I do remember thinking there was something different about the way she spoke about this new man.  In the summer of 2004, he proposed to her on the jumbo-tron screen at a Red Sox game.  I remember being a bit concerned at the time, thinking he did that knowing she would not embarrass him by saying no in front of all those people.  I should have listened to my gut.

Kim married in September of 2005.  It was not too long after that when she first said she did not think she was cut out for marriage.  I told her she had been single for a long time, and adjusting would take some time.  I never thought to ask if she was safe, or if she was afraid of her husband.  I should have.

Eventually our suspicions that there was domestic abuse were no longer suspicions.  Kim’s husband had started drinking, he was not coming to family events, and Kim was showing signs of withdrawal from her family and friends, a classic symptom of abuse.  One February day Kim informed us that she had fallen on the ice in her driveway and hit her head pretty hard. I don’t think any of us bought her story, but we all respected her right to her privacy, and thanked God it was “just a concussion.”

Kim was soon experiencing severe issues with headaches, difficulty remembering appointments and schedules, and a variety of issues that seemed to point to something more serious. Shortly thereafter she had her first seizure, or at least the first that she told us about.  We also began to notice that she would send emails that were just gibberish, more than just spelling errors.  Kim was still working and we expressed to her our concerns.  By this time, Kim had been diagnosed with a brain injury, but she did not want to tell her employer that. She was having difficulty doing the paperwork for her job and missing time from work because of the serious headaches and time in the ER.  But, Kim would not tell her employer that she had a brain injury.  She eventually lost her job, and even then, Kim preferred to have them think she was incompetent rather than that she was a person with a brain injury.

Kim’s seizures were difficult to control and it was a constant effort to try and find a combination and dosage of medicines to control the seizures.  Kim never knew when a seizure was coming; she had no aura prior to the event.  After several car accidents, it was determined that Kim was having mini-seizures, and she stopped driving.  She was experiencing debilitating headaches that brought her to the emergency room on a regular basis. Kim had cognitive testing done and she finished in the bottom 10% on executive functioning skills.  This was an area Kim had excelled at all her life–the ability to prioritize, organize and analyze.  It was a difficult day for Kim.  She was hospitalized on several occasions to try and get a better understanding and control of her symptoms.  Kim recognized that she had limits, but she always tried to push the envelope and find alternatives.  It is worth noting that at all the appointments Kim had, never did one medical professional suggest the Brain Injury Association as a resource to Kim.  Ed saw a billboard on the highway driving Kim home from one of these many appointments and suggested Kim should contact them.  She never did…

…to be continued…

#BrainInjuryAffects Us All


Every 18.5 seconds, someone in the U.S. suffers a brain injury. Have you suffered a brain injury or do you know someone who has? Whether you are a survivor of brain injury, family member, friend, healthcare provider, caregiver, neighbor or professional who works with the brain injury population, chances are you have been affected by brain injury in some way.

To raise awareness of the incidence and impact of brain injury in Massachusetts, BIA-MA launched a unique social media and advocacy campaign called “#BrainInjuryAffects.” Earlier this year during Brain Injury Awareness Month in March, BIA-MA featured stories and photos of those affected by brain injury through social media outlets, including Facebook, Twitter and Pinterest. The stories and photos were also used to help BIA-MA advocate for increased funding for services survivors and their family members need. It worked! The fiscal 2014 budget for Massachusetts allocates 100% of the fines collected from DUI and OUI to go into the Head Injury Treatment Services Trust Fund, which in turn funds community-based services for brain injury survivors. However, our work is never done. We are never finished advocating for survivors and their families. It’s in our mission, it’s one of our four pillars: Prevention, Education, Advocacy and Support.

Therefore, we are continuing this campaign, and we need your help. We need your stories. There are 64,000 new traumatic brain injuries recorded in Massachusetts annually. This doesn’t account for acquired brain injuries such as stroke, aneurysm, brain tumor, anoxia, and birth-related brain injuries. Therefore, the total is quite a bit higher. The odds are that you know someone who has suffered from a brain injury. The “life after brain injury” is different than before, and sometimes the biggest challenge isn’t that you’ve survived; it’s that you need to recover and learn to adapt to a “new normal.”

Your participation is encouraged. See some of our #BrainInjuryAffects stories here.

How do you participate? If you have been affected by brain injury, we are asking you to photograph yourself holding up the sign you will find on www.biama.org. The sign should describe your relationship to brain injury in one word (e.g., survivor, mother, friend, sister, psychologist, provider, caregiver). You can submit your photo electronically by attaching it to the form on our website, sending it to socialmedia@biama.org or posting it to our Facebook page or on Twitter using #BrainInjuryAffects in your Tweet.

We are also asking the general public to tell us how brain injury affects them by going to our website www.biama.org and filling out the short form, which asks how your life has been impacted by brain injury and what services you or other survivors need to have a better quality of life.

Stories and photos can also be mailed to:

Marketing and Communications, BIA-MA, 30 Lyman Street, Ste. 10, Westborough, MA 01581

Your input will aid in advocacy efforts to gain services and support for survivors of brain injury. Throughout the budget season, BIA-MA will use various outlets, including e-mails, Facebook and Twitter, to send language the general public should use when communicating with legislators. The current script can be downloaded on www.biama.org/braininjuryaffects.html

If brain injury has affected you or someone you know, you can make a difference by getting involved in the campaign, telling your story today and calling your legislator. Interact with the campaign on Twitter by using #BrainInjuryAffects and on Facebook by going to http://www.facebook.com/BrainInjuryMA.

30th Anniversary Celebration: Join Us in Honoring Senator Harriette Chandler

Senator Harriette Chandler (D-Worcester)

Senator Harriette Chandler (D-Worcester)

State Senator Harriette L. Chandler (D-Worcester) will be honored with the Legislative Advocacy Award for her advocacy work on behalf of brain injury survivors, caregivers and family members at our 30th Anniversary Celebration.

Sen. Chandler says she first got involved with the brain injury community after she was approached by a constituent whose son suffered a brain injury as a result of a fall while living in Colorado. After the individual’s son moved to Massachusetts, he was unable to find any services to help him. Sen. Chandler looked into available brain injury services, and she realized there weren’t any. “My first thought was to get a commission together.” And that she did. The Brain Injury Commission was established in 2011 and it was made up of some “very experienced brain injury advocates” including professors, social workers and survivors themselves, says Sen. Chandler.

The Commission spent about a year touring the state, researching the needs of survivors and families and finding out what services were available. Since then, she has fought tirelessly on behalf of survivors and families. ” The symptoms (brain injury survivors experience) are hidden, but are so very real,” she explains. Now, in 2014, 100 percent of driving violation fees will go to the Head Injury Trust Fund (HITS), to benefit those impacted by brain injury. “As a result, we hope that will go to one of five clubhouses so brain injury survivors can learn skills and socialize” with one another, she says.

Senator Chandler has held several leadership positions during her time in the legislature.  She currently serves as the Senate Assistant Majority Leader and Vice-Chair of the Senate Committee on Steering and Policy. She is the second woman to serve as the Senate Assistant Majority Leader in Massachusetts history, after former Senator Joan Menard.  Senator Chandler formerly served as the Senate Majority Whip, Assistant Majority Whip, Vice-Chair on the Joint Committee on Public Health, Assistant Vice-Chair of the Senate Committee on Ways and Means, Vice-Chair of the Joint Committee on Federal Stimulus Oversight, Vice-Chair of the Joint Committee on Veterans and Federal Affairs, and House Chair of the Joint Committee on Healthcare.

When asked how she feels about being honored with the Legislative Advocacy Award, Sen. Chandler says she’s “extremely honored. … This is not something I would ever expect. … This is my job. It’s above and beyond anything I could ever anticipate.”

What is it with balance and vestibular issues post-brain injury?

elderly african american lady with canePortions of this blog were written with information from the Brain Injury Association of America’s document on vestibular and balance issues, with input from David Krych, MS, CCC-SLP and Ann Pereira-Ogan.

Following a brain injury of any kind, one might experience issues with balance–keeping yourself upright and walking in a straight line without tipping or drifting. Did you know that almost 40 percent of individuals with a diagnosis of traumatic brain injury (TBI) complain about balance issues? You might expect dizziness following a brain injury. These issues are referred to as “vestibular disorders.” Another vestibular disorder is vertigo, or a feeling of spinning. These disorders are commonly misdiagnosed and diagnosis following a brain injury can be challenging.

Brain injury can cause inner ear damage that can develop into vestibular dysfunction, but these issues might not show immediately following a brain injury. In fact, the symptoms of vestibular disorders can appear in days, weeks and months following an injury, which is why they are so difficult to diagnose. A neurologist or ear, nose and throat doctor can evaluate an individual for several symptoms including:

  • Visual symptoms such as trouble focusing, blurred or double vision, reacting to busy environments, sensitivity to light, discomfort when focusing on far away objects, decreased night vision and depth perception.
  • Auditory symptoms such as hearing distortion or loss, tinnitus (ringing in the ears), sensitivity to loud noises and environments and imbalance or dizziness caused by loud noises.
  • Cognitive or psychological symptoms such as difficulty concentrating, short-term memory loss, confusion, disorientation, difficulty following directions, anxiety, panic or depression.
  • Other symptoms like nausea, motion sickness, ear pain or headache, sensation of fullness/fluid in the ears, slurred speech, vertigo or spinning or the inability to complete activities at work and home.

If you go to a neurologist or ear, nose and throat specialist, you want to make sure the specialist evaluates you on the following things:

  1. Your patient history
  2. Vestibulo-Occular function
  3. Benign Paroxysmal Positional Vertigo (BPPV)
  4. Motion Sensitivity
  5. Balance
  6. Visual System
  7. Motor/sensory systems
  8. Vascular
  9. Headache
  10. Cognitive
  11. Mood Stability
  12. Current activities in home, work or school
  13. Pain issues

Your specialist will make sure you are at a lower risk of falling, as that is the leading cause of TBI. Then he or she might consider adapting your lifestyle, substituting activities in your lifestyle, and having you habituate yourself to some new things. Everyone suffers differently from vestibular issues, but there are many common adaptations that specialists recommend such as relaxation techniques like yoga or tai chi, gaze stabilization exercises, periods of rest, environmental changes and schedule adaptations. Vestibular Rehabilitation Therapy (VRT) is an exercise-based program designed to promote central nervous system compensation for inner ear issues. It can help with BPPV and reduced inner ear function. The goal of VRT is to retrain the brain to recognize and process signals from the vestibular organs in conjunction with vision and input from the muscles and joints. Sometimes symptoms of vestibular disorders get worse before they get better with the different therapies and adaptations, but it’s a process in which your body is reconnecting and retraining the parts of the brain that aren’t getting adequate signals from the vestibular systems as it did before.

You need a doctor’s evaluation if you feel any of the above symptoms or have continuing issues. We like to tell you to call our office if you are living in Massachusetts and need a list of providers in your geographic area. Our number is 800-242-0030 and you can speak with an information and resource specialist about this and many other issues. Never try to self-diagnose. Always seek the service of a medical practitioner.