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Finding My Way In The Midst Of Adversity: A Memoir (standard:Creative non-fiction, 21410 words) | |||
Author: Jen Galvin | Added: Mar 28 2008 | Views/Reads: 3843/3338 | Story vote: 0.00 (0 votes) |
This is my personal memoir of overcoming a Traumatic Brain Injury as well as cancer. It is based on the past twelve years of my rehabilitation and the lessons gained along the way. | |||
Click here to read the first 75 lines of the story was nothing urgent. In between the time my mom was called and she arrived at the school, the headache grew worse and I had thrown up, causing some of my clothes to be stained. When my mom came into the room, she noticed that I seemed incoherent and unbothered by the vomit on my clothes, which was highly rare for me. My mom knew immediately something was wrong, it seemed as if I was in and out of consciousness, like someone had given me a drug. Little did we know, I was going into a coma. My mom had the instinct that something was very wrong and took me to the New Ulm Medical Clinic. At first, doctors were concerned I may have Spinal Meningitis, which is deadly and contagious. After a CAT scan on my brain was completed, Spinal Meningitis was ruled out, but the scan was unable to detect what was causing the coma. Therefore, it was decided by the doctors that I needed to get to either the Twin Cities or Rochester as soon as possible. Due to my family having support in the Twin Cities area, and my dad being in the rehabilitation medical field, my parents wanted me seen by pediatric specialists. It was decided I would be taken to Minneapolis Children's Hospital. However, a snow storm had developed in Minnesota at the time, along with freezing rain, which made it impossible for the helicopter to fly. Thankfully, the Life Link plane was willing to take me. Only one person could fly with me in a very tiny airplane. My dad, being a more experienced driver in bad driving conditions, decided to drive and my mom stayed with me. At the hospital, I was taken to the Pediatric Intensive Care Unit where an MRI was taken of my brain and I was seen by an Infectious Disease Specialist. The doctor explained to my parents that a virus was attacking my brain, called Herpes Encephalitis. It was explained to my parents that it was very serious. There was a twenty-five percent chance I would not survive. If I did survive, there was a fifty percent chance of having a TBI, but the extent of the damage was unknown until I came out of the coma. The doctor explained it was also unknown how long I would remain in the coma. There have been incidences of some people remaining in comas for several years. Herpes encephalitis is inflammation of the brain due to a virus or other type of infection. Most often, herpes simplex comes out in the form of a cold sore or fever. However, in very rare situations, the virus can turn around and make its way to one's brain, causing severe damage. “Herpes encephalitis is very rare, affecting two cases per million among the U.S. population” (“Encephalitis,” 2006). “If there is a purpose in life at all, there must be a purpose in suffering and in dying. But no man can tell another what this purpose is. Each must find out for himself, and must accept the responsibility that his answer prescribes. If he succeeds he will continue to grow in spite of all indignities.” ~ From Man's Search For Meaning By Viktor E. Frankl To kill the virus that was attacking my brain, doctors prescribed a fairly new drug called, Acyclovir. This was given intravenously. After five days of laying in a coma, I slowly gained consciousness. December 18, I sat up and smiled for the nurse who took a picture of me. My initial behavior after coming out of the coma was manic, meaning I was very happy and affectionate towards anyone and everyone. My brothers asked my parents, “Is she always going to be this nice?” The manic stage eventually wore off, and I returned to a more steady temperament. However, my memory was largely affected. I was unable to recall what would happen minutes ago. I knew who my family members were and knew my past history of where I lived and so forth. Yet, at that time, I couldn't recall the events of the day or yesterday or a week ago. It became a game for me to try to remember the nurses' names. December 21, 1995 Journal Entry At Minneapolis Children's Hospital because of bad headache. Getting a lot better. I want to go home to New Ulm to mom (Cathy) and dad (Craig). Pat and Ryan are my brothers. Occupation same as my occupational therapist, Julie. Christmas that year was spent in the hospital, since I was still hooked up to the Acyclovir medicine. My dad brought up the tiny fake “Charlie Brown” Christmas tree, along with all of the presents that were under the tree at our home. My grandma and uncle came up to the hospital and the night was spent with both laughter and tears. Happy tears that I was alive and our family was able to be together that Christmas. My dad videotaped the night on our camcorder. I am thankful to have that video as a reminder of how far I have come. I like to watch it once a year to remind myself of how lucky I am to be where I am today. December 25, 1995 Journal Entry I got great gifts yesterday and today! I got contacts for a great gift and great clothes, two great cds! A picture frame and some great other stuff that I can't remember right now. It was a great Christmas! I'm so happy I'm with my family! My personality directly after coming out of the coma was not at a full recovered level. It was as if I had regressed to a younger age in some ways. I was very anxious for Christmas to arrive, and the couple of days before I kept asking my mom to open just one gift. I couldn't remember that I kept asking her, so it was a repeated request over and over again. My mom finally caved in and let me open just one gift, yet it of course didn't stop me from asking over and over again to open another gift. This led to my mom getting the bright idea to re-wrap the same gift I had just opened since I couldn't recall what I opened. I would open the gift and five minutes later, completely forget. Every time I opened the gift, I was just as surprised and happy. We laugh at it now, but at the time, it was quite tiring for my parents, who were emotionally and physically drained. I also was unable to remember the nurses telling me that I couldn't take out the IV that was in my arm because it was what was fighting the virus in my brain. The IV was very itchy and uncomfortable, and since I was unable to retain the directions from the nurses, I repeatedly would pull out my IV. It came to the point of people having to hold my arm down so that I wouldn't. Nurses eventually helped out my exhausted parents. After sixteen days spent in the hospital, it was time for me to go home. The doctors advised my parents to reintegrate me into mainstream living again, slowly. The neurologist suggested I start school again, but only partial days, depending on how much I could handle. I was very tired and my brain could only tolerate so much activity in one day before becoming exhausted and wanting to shut down. We were also advised not to even focus on the grades and academics at this time. Rather, it was more important for me to re-familiarize myself into the routine of school and the social interactions. Doctors informed my parents to keep life as “normal” as possible and to adjust my schedule, according to my needs. A letter from my dad that he wrote to me shortly after I was discharged from the hospital and given to me on the one year anniversary of December 13: Jennifer, there is so much I want to say to you. I will try my best to share some thoughts of inspiration and insight that I have acquired over time. It has been a great challenge for me to restrain myself this past year from not being your rehabilitation counselor. I work in the field of rehabilitation day in and day out. However, I realized I needed to be your father, not your counselor. You needed to go to someone different for those needs. At the same time I want to share with you some of my knowledge and experience. I deal with clients grieving the loss of function on a daily basis. You have suffered a loss and need to grieve. Feel the pain; don't deny it. You have a right to be angry for a period of time. However, move beyond that pain and anger and let it motivate you to make a positive change in your life. Don't let this change make you an angry or bitter person. Life is still good. Bad things do happen to good people. Life is a process Jennifer of continually growing. To accept the change effectively, you need to go through the stages of grief. One of those stages is anger. You never get to the point of completely accepting that disability. It becomes a life long process. Jennifer, we cannot control everything that happens to us in our lives; however, we do have the power to choose our response to whatever happens. There are so many lessons we can learn if we are open to them rather than resist. I have learned many lessons through this challenging year. Emotional growth often takes place as a result of pain. Life will be different for you Jennifer; that does not mean worse; just different. My hope for you is that you are happy in life and don't let this make you bitter. We all have so much potential that we do not use. Your potential may be different than before, but that is alright. The main thing is that you reach for your full potential. You came very close to death. In fact you told mom one day after school that you remember having a choice to live or die. You told mom you didn't want to leave your family and friends. I believe it was not your time to go Jennifer. There have been times this past year I have observed our family interacting and imagined life without you here. The pain would be too immense to describe. I am so happy you are alive. You know how much the saying “feel the fear and do it anyways” means to me. Many times when I start feeling overwhelmed by everything, I would repeat the saying from that tape, “whatever happens, I'll handle it.” Jennifer, we will handle each challenge as it is presented and look at is an opportunity to learn. This past year is just one chapter in your life. I wrote this “chapter” for you because you would not be able to remember it. This is just one chapter, don't let this experience be the focus of your life. Minimize your disability. We all have limitations. Focus on your strengths and what you have to give to the world. You have so much to offer. Continue to dream. Your dreams may be different than before, but don't stop reaching for them. I believe life is a continuous process of moving forward; continue to grow Jennifer. You are celebrating December 13th by having a party with friends. It is a time to celebrate your miraculous recovery. This concludes this chapter in your life. I would encourage you to continue the story when you feel the need. Also, you may benefit by reading “your story” more than once and at different times in your life. You will have a different perspective on this story one year from now, when you are eighteen, and when you are my age, thirty-eight. I hope you find strength and encouragement from your story. I love you Jennifer and am so fortunate to have you as my daughter. Love, Dad Back To School I vaguely remember the first day I returned to school. I was met at the front door by the counselor and given a tour of the school. The junior high that I attended was a very old building that had been added onto numerous times, making the school very much like a maze. I needed a map to get around and remember where my classes were. I also was introduced to the school's Learning Disability Specialist, Mrs. Wulff. I remember feeling uncomfortable, confused and somewhat embarrassed that I was suddenly put into a group and category that I never imagined myself in. In junior high, most of the students who went to the Learning Disability room were much different than me. There was a stigma to the group. They stuck together and my group of friends were not associated with any of those students. My world as I knew it had completely changed. April 11, 1996 Journal Entry I just got back from play practice and I'm so frustrated. There is too much going on in my life right now! For dance I'm only going to be in my competition group, not my regular or ballet classes anymore. That takes a load off my back. It's too much to remember all of those routines. I'm not going to be in the piano recital either. Good! I'm just in the school play and school softball. I have two more piano lessons left and then I'm done. I also have dance for competition. Oh well. I can't wait until summer! Mrs. Wulff was the first person in my life, outside of my family, that really believed in me and encouraged me over and over again, reminding me that my life was not over, just different. The goal that was intended by my family and me was that I complete school on time and continue to have college as the intended next phase of my life. We did not know what that picture would look like, but decided to live life as if nothing had changed and college was still a realistic goal. At that time, college seemed a far off reality since I was only in eighth grade. When I first began working with Mrs. Wulff, I was somewhat distant and not quite open to the working relationship between us. I was angry that I relied so heavily on her. I was frustrated to not be in the normal classes with my friends again. I was in denial of my life being different. However, Mrs. Wulff never gave up on me and consistently believed in my success, reminding me that I could do whatever I intended to with my life. Mrs. Wulff even took time out of her personal life, the summer after eighth grade, and met with me on a weekly basis to continue building up the strength of my brain and memory. Because of the memory loss, one of the most challenging deficits I dealt with was my loss for retaining information when reading books. Before the brain injury, I loved reading and read often. Then I lost that ability to remember what I would read, page to page. I would turn the page, having forgotten what I had just read, become frustrated and simply give up. My parents and Mrs. Wulff knew from past experiences in the field, and from reading the literature on brain injury, that the brain can re-learn what it needs to, and will eventually find new pathways of retrieving information and memorizing information, particularly from repetition. Therefore, Mrs. Wulff continued to encourage me to read books that interested me and to keep trying, no matter how frustrated I got. So that summer I read. During that summer, my family went on vacation and shortly before that to encourage my consistent reading, my parents decided to pay me for reading each hour. They also paid my brothers part of the reward to support and encourage me. Having that as an incentive was a big contributor to my repeated effort in reading. While on our vacation in Wisconsin, I picked up a book that caught my eye. I discovered the young adult section pertaining to real life situations, where other teenagers faced challenging life situations and overcame obstacles in the face of adversity. The books not only rehabilitated my memory recall for reading, but also provided me with a sense of hope and understanding of other teenagers going through similar situations. It assisted with letting go of bitterness towards my experience. I am a strong advocate for empathy and letting go of self-pity and in my opinion, the best way to get past that is by learning about others in similar, and oftentimes much worse, situations. There are many others who live lives with much more difficulty and that was eye-opening for me, giving me more reason to pursue further in my rehabilitation. August 21, 1996 Journal Entry Right now I have so many mixed emotions and feelings about life. I am so confused. I have to go to summer school tomorrow with Mrs. Wulff at 7:00am. Joy  We are going to go over my schedule. I am just praying I can get into Mr. Vieselman's class. I am sort of really depressed right now. I have so many thoughts in my head that I feel I can't explain or share to anyone else. I just can't express all of my feelings. Sometimes I ask why I came back to Earth? Why was I sent back? Is there some reason? I haven't found the answers to that yet. I am nervous about ninth grade. Well I guess not nervous, but scared and sad to say goodbye to eighth grade. I am scared to grow up. After that summer, I started ninth grade, which was still in the same junior high building as eighth grade. I continued working with Mrs. Wulff, and that past Spring I worked my way back into my mainstream classes and was attending full days of school. The only time I was spending in the Learning Disability room was for study hall. During that time, Mrs. Wulff helped me with my homework. It was soon discovered that my writing skills were not affected by the brain injury, only memory, making tests very challenging. Accommodations were made with the teachers, which allowed me to take the tests in the Learning Disability room and have the test read to me by Mrs. Wulff or another teacher. For multiple choice tests, the teacher cut down the choices in half, making it easier for my memory to recall the right answer and not be as confused and overwhelmed by too many choices. This was the biggest obstacle I dealt with and the most difficult reality I had to accept. In a matter of days I went from the student who needed little studying to earn an ‘A,' where school came easy to me with little to no effort, to suddenly being titled as having a disability. No matter how hard I studied, when it came time for a test, I couldn't control what my memory chose to recall, and not recall and this is what much of America's school system is built on: memorization. My Support Team My parents, both being educated in the human service field, were the biggest support system I had, and continue to have today. Being a teenager is not easy for anyone. Having a brain injury as a teenager made for even more trying times in those years. Being a young woman at ages fourteen and fifteen can be an emotional roller-coaster. As I've stated previously, I had a very close group of friends in junior high who were supportive during those times. A few of my friends came to visit me in the hospital. They made me a video showing their support for me that I played over and over again as I was recovering. Those friendships continued after the brain injury, but some of the challenges that came with the brain injury included social and emotional changes within myself. I was dealing with an experience that was not easy to grasp or put into perspective. It was especially difficult trying to express those feelings to other girls. Being in junior high was all about fitting in, and suddenly I had a title hanging over my head that made me unique. Most people were unfamiliar with the terms “coma” or “brain injury,” and few people had ever heard of Herpes encephalitis, making it easy for people to assume and lead to inaccurate conclusions. New Ulm is a smaller community, with about two hundred students in each grade. Therefore, word traveled fast about my experience, leaving room for many rumors and misunderstandings to circulate among students and the community. Note given to me by my dad in 1996: Jennifer, I will be thinking of you today as I testify for a young lady who suffered a brain injury in a car accident. In a way, I feel like I'm fighting for you as well. I want you to know how much mom and I love you. I know this past week has been tough. But continue to be joyful and find new passions in life. Find new “bridges” to connect with people. Remember and apply what you learned at the brain injury seminar. I am proud of you Jennifer. Allow yourself to heal. Love, Dad My friends were very supportive from the beginning, providing me with a sense of stability that I believe was huge in my rehabilitation. Our lives went on and we continued our usual social support on weekends. I remained active in school activities, such as choir, the school musical, and softball. However, as time progressed, it became more challenging and confusing for my friends to understand the totality of the change in my life. We were just fourteen year old girls; my friends had no experience and little knowledge of brain injury. Understandably, they assumed I walked out of the hospital room and everything was fixed and fine. It's what many people thought, not just my friends, but adults as well. A brain injury can be deceiving since it's not a physical transformation that is visible to the human eye. Rather, it's within the brain and is very unpredictable and not fully understood, even by neurological professionals. “Character cannot be developed in ease and quiet. Only through experience of trial and suffering can the soul be strengthened, ambition inspired, and success achieved.” ~Helen Keller Adolescence The summer after ninth grade brought a lot of social change in my life, particularly between my social support group with my girl friends. It was a transitional summer for our group of girl friends as we shifted from junior high school to high school. At this time in my life, as a result of the brain injury, my self-confidence was affected, making me less sociable and sure of myself, and with my decision making. Before the brain injury, I was self-assured, confidant, and one who made accountable decisions trusted by my parents and those around me. Judgment is also a practice that is developed through the stages of adolescence, and receiving a brain injury at this time in one's life can be detrimental. I went through a period of transition after coming home from the hospital and returning to my mainstream schedule of school and activities. However, in the year that followed, my parents noticed changes in my personality and decision-making skills. My parents had to learn to guide me in a new way. Being a teenager, I struggled with the changes, not only within my relationship with my parents, but in various areas of my life. I went through a time of having to rediscover and redefine my new life and who I was as this changed young woman. At the same time, I experienced the same emotional rollercoaster many teenagers go through simply due to the fact that I was a teenager. September 24, 1996 Journal Entry Today I am so depressed. I am scared, confused, angry, disappointed and every other emotion you can imagine. I feel like I am starting to get sick again. Today, I forgot I was in ninth grade. I thought I was in eighth and I started going to my old 6th hour classroom from last year. It was like I blacked out or something. I got completely confused at what day it was and where I was supposed to be at that moment. I am scared. I get tears in my eyes thinking about it. My Rehabilitation My parents knew from the beginning that having the right professional rehabilitation team after a brain injury was crucial to my success. Along with the wonderful support offered by the Learning Disability department in the New Ulm school system, my parents also connected me with a psychologist in St. Paul who specialized in support for teenage brain injury survivors. Her name was Nancy and I formed a close connection with her from the start. I was able to trust Nancy and talk to her about the feelings I was experiencing that I felt no one else could understand. Nancy had a calming effect that reassured me I was an ok person, and it was normal to feel what I was feeling. What was extremely important was how Nancy became the bridge between my parents and me. Due to the change, my parents and I had to learn how to communicate again and be an effective healthy family. Nancy had the experience and knowledge to assist both me and my parents on how to live life after a brain injury. In the beginning, shortly after the brain injury was received, I would meet with Nancy every other Friday. Nancy would consult with my parents throughout the week, and then meet with me in-person at our sessions. At the end of the session, Nancy brought in my parents and we would have discussion on the issues that were being dealt with at the time. These sessions with Nancy continued for the following three years, slowly dwindling off as I became less and less dependant on her assistance. Eventually, Nancy was no longer needed. I missed having that support at first and it took time to get used to not having that third party support. In my opinion, Nancy was the most important support I received in my rehabilitation shortly after receiving the brain injury. She was truly the grounding force that was needed for both me and my parents. My sessions with Nancy were my time when I released my pain to someone who had an outside perspective with no judgment. I would store up the emotions of pain, fear, frustration, and confusion throughout the week and wait until I had my time with Nancy, then sit down with her and let it go. Today, I try to send Nancy updates every few years letting her know how my life is going and reminding her how important she was in my life at that time. Many times, when facing some adversity or trials, I miss having Nancy's perspective and insight, and wish I could go back to regular sessions with her. October 18, 1996 Journal Entry I have been very busy lately! I have been in the cities for a lot of testing going on lately. Thank God, I am done with that! Too many tests, it made my brain hurt. I don't have to see them for a whole year! They said I am in the 12th grade math level. Probably because I was in the advanced math class before this year. Here is a quote I found in Chicken Soup For The Soul, a 3rd Serving, by Edward E. Hale: “I am only one, but still I am one; I cannot do everything, but still I can do something; and because I cannot do everything I will not refuse to do the something that I can do.” My Second Awakening: Cancer As I began high school in 1998, two years had passed since receiving the brain injury and it became a part of my life. I was able to continue mainstream education with a normal schedule like any other student. I still spent study hall in a classroom designed for students with learning disabilities, but with time, I became more independent and sure of myself. The only support I needed was for test taking due to the effect the brain injury had on my memory. The majority of my teachers were supportive and understanding. January 28, 1997 Journal Entry I went to my psychologist, Nancy today and my healer, Gene. Today with Nancy, she first talked to me and then my dad came in and for the first time, all three of us were in the room together. I got some good out of it. I am going to start attending some youth group activities. I think I made a big deal out of something that wasn't as bad as I thought. I'm going to work on that. The healing thing with Gene was nice tonight. One of the most challenging aspects of living with a brain injury while in high school were the social changes within my life. The transition between junior high and high school, two separate schools, was a big change. The friends I had become so close with during my junior high years and during this major event in my life, were suddenly changing and going different ways. I didn't realize it at the time, but looking back, I now understand in a better way that I was really coming into my new self after a brain injury. I was redefining who I was and finding myself again after such a major event. In many ways, I feel like my life was a fast paced treadmill and I just kept moving automatically, not always realizing I was even moving. Looking back at the period of my life between junior high and high school is sometimes a blur, where I only remember bits and pieces. February 19, 1997 Journal Entry Well, yesterday I asked for happiness. I for sure did not get that. I went to the clinic today to get my lump on my neck checked out. Well, they took some x-rays and I saw my regular family doctor again. He came into the room and a tear streamed down his face. He told my mom and I it appears to be Hodgkin's disease. A form of cancer. What else can go wrong in my life? They were going to have the lump removed tomorrow to see what it is. But, there is a change in plans. I am going to go to the cities on Friday to get a second opinion. This is pretty scary. Does God want me? Am I not supposed to be here? I don't understand! I need answers! The tests came back confirming that I did have cancer. Ironically, even with a brain injury, I remember that day like it was yesterday. I especially recall certain details. I remember sitting in the hospital room and not wanting to look at my mom who I knew was doing her best to hold back tears in front of me. I also remember I wanted to go back to school after leaving the doctor's office. When you're a teenager, you're friends mean the world to you. When you're a teenager, your friends are your world. I knew I needed to be with them. If I just went home, I would feel lonelier and only dwell on the feelings of frustration and pain even more. I vividly remember returning to school. It was our ninth grade lunch hour. I walked into the cafeteria and that's when it hit me; I had cancer. The tears began to well in my eyes and I heard nothing. I felt like I was walking through a tunnel of silence. I could see my friends sitting at the lunch table we sat at every day. I walked into the cafeteria and headed for our table. It felt like the longest walk of my life. Everything around me was silent. I felt as if I was in a different dimension outside of reality. I finally reached my friend's lunch table. I sat down and released the emotions, through tears, that had been surfacing since leaving the doctor's office. Previous to that, I purposely hid my feelings from mom, knowing she was struggling. I didn't want her to worry about me. My friends asked me what was wrong, yet I could barely speak. Eventually, through the tears, I somehow managed to say, “I have cancer.” Once again, my family and I found ourselves in the hands of Minneapolis Children's Hospital, which suddenly became a family to us. My mom immediately called my neurologist after the clinic visit in New Ulm, and we were referred to a Minneapolis Children's oncologist. She was a strong willed Irish middle aged woman and was the type of woman who told it like it was. My oncologist got straight to the point and meant business in regards to treating the cancer. I went through six months of chemotherapy. I was given the option of choosing to do only chemotherapy and hope that it kills all of the cancer or attack the cancer with both chemotherapy and radiation. However, radiation can have negative side effects, sometimes causing even more sickness than chemotherapy. Plus, cancer was found in my lymph nodes, both the neck and chest. Therefore, the radiation would be directly on my chest, possibly leading to a greater chance of breast cancer in the future. After processing our options as a family, we decided to attack the cancer with just chemotherapy. February 27, 1997 Journal Entry Today I had more medical appointments. We consulted with my oncologist and she told me it does appear to be Hodgkin's disease. So we are treating it as that. Treatment starts on Monday. They are putting something in my upper chest that will allow all of my medicine to go into. Then on Friday chemotherapy begins. I am very scared. They say I'll gain some weight in the cheeks and lose my hair. So I'll be getting a wig. Tomorrow, I'm going back to school. I am not going to the counselor or anything. I am just going to tell people the truth. Oh and guess what! The pain in my leg is not just “pains in my legs” or “growing pains”! They found a non-cancerous tumor in my leg when I had the cancer scans. So they are going to have to operate on it later, after I am finished with chemo in six months. For now, I have to continue living with the pain and taking my pills to relieve it. What a life, huh? I had no idea what to expect during my first chemotherapy session. I received the chemotherapy two Fridays in a row and then two Fridays off, for six whole months. Along with these treatments, I took very strong medication in pill form to also attack the virus. Both of my parents accompanied me to my first chemotherapy session. The doctors and nurses informed us of the worst possible scenarios, preparing us for what could happen, such as nausea, weight gain, and weakness. I was brought into a brightly lit room that was decorated in pastel colors, filled with toys, videos, a TV and VCR, and many video games. The nurse who was assigned to me was about my parents' age and very soft spoken and kind. She was always gentle, especially when it came to the medicine injected into my body. Cancer patients get what's called a portacath put into their upper chest, just under the skin. This is inserted so the nurses can inject the chemotherapy through that spot, into your veins. It's also where blood can be drawn from, eliminating the need for the nurses to poke around for veins. My portacath quickly became my best friend because it relieved me of the pain and bruises received from being poked with needles. During the chemotherapy session, I would sit in the comfortable reclining chair in our hospital room, watch TV, and wait while the medicine dripped into my body. Chemotherapy made my eyes and nose burn in a very strange way, often making me feel light headed and wheezy. Thankfully, I only became nauseated one time, but I think it was actually due to swallowing so many vitamins. Coming from a smaller community in Minnesota, word traveled quickly about my cancer diagnosis. At that time, I was going to school with a girl whose mom sold Shaklee products, including vitamins and supplements. One night my mom received a phone call from this girl's mom, who was interested in sharing information with us about Shaklee products. After meeting with her, it was decided the vitamins were the right thing to do and if nothing helped, we knew they were not going to cause harm. My parents invested in the vitamins and shakes and we began the protocol that was recommended for me, which involved taking twenty different vitamins, three times a day, with two protein shakes. My parents also took the supplements for their own health and well-being. The vitamins quickly kicked in and seemed to work. My body was accepting the chemotherapy very well, while at the same time remaining very strong. I never got sick after taking the vitamins. My immune system was healthy. Doctors were amazed at the strength I had, asking what we were doing that was keeping me so healthy. Along with the vitamins, my parents were both believers in holistic therapies and took me to various healers for my health concerns that year. The healers I was taken to introduced me to the concept of mind-body medicine and holistic well-being. I resonated with the theory quickly and even at a young age understood there was a spiritual component to my experiences with a brain injury and cancer. “Life is difficult. This is a great truth, one of the greatest truths. It is a great truth because once we truly see this truth, we transcend it. Once we truly know that life is difficult--once we truly understand and accept it--then life is no longer difficult. Because once it is accepted, the fact that life is difficult no longer matters.” ~ From The Road Less Traveled By M. Scott Peck Outside of the vitamins and holistic healing, I strongly believe a large part of my positive health was due to my faith and attitude. I think children are especially resilient and often handle life's trials better than adults. With children and teenagers, life goes on rather quickly. One adapts, adjusts and finds ways to move on in life, rather than dwelling on the negative. Before this transitional phase in my life began, I always felt I was destined for a career in health. Part of it is genetics, coming from a family that has quite a few health care professionals, and parents both in helping fields. But I also believe a large part of that desire to work in a health care setting comes from a higher calling and purpose that was destined for me even before my existence. Even as a fifteen year old, I quickly got past the denial and anger phases and found a place of peace, knowing in my heart that some day it would make more sense to me. I trusted in that very deeply and I know that is a large part of my successful defeat over cancer. I had a strong mission in mind and wasn't going to let anything get in the way of that. “There is always one moment in childhood when the door opens and lets the future in.” ~ Deepak Chopra Ironically, I believe cancer came at the right time in my life. There are no accidents. It was almost as if it was a diversion for me, given to me as a gift. I think I needed the cancer in my life to teach me further about resilience. The cancer allowed me to let go of the overwhelming feeling of being the brain injury survivor. Now I had something in my life that was much easier understood by the public. Cancer was a universal word, brain injury was not. My brain injury was invisible to the public; cancer provided me with a bald head, making it easily visible to all. I didn't have to explain anything, it was known by everyone what cancer was. I could simply say, “I have cancer,” not having to explain what it was and how it affected me. The brain injury brought with it more of a “hush hush” feeling, where cancer was just cancer. Having cancer wasn't a “grey area,” it was what it was. Cancer also brought me into a world where I no longer felt like a stranger and outsider. Finally, there were other teenagers like me, experiencing life changing events, facing a life altering situation. I attended various events in the Twin Cities for other teenage brain injury survivors, but learned quickly I was in a different category than most. I realized how fortunate I was and felt that because of it, I had a mission. I have had many opportunities to meet other teenagers both with brain injuries and cancer. When I hear their stories, I am truly humbled by their experiences and reminded of how lucky I am to be where I am today. I think much healing comes from seeing yourself through the eyes of others, meaning being connected to others in similar situations, or being reminded that there are many people in much worse situations. This helped put things into perspective for me. Another gift cancer provided me was the realization that I had to let go of the anger and guilt. I remember the first time I came to this realization was after I attended the first Minnesota Brain Injury Conference with my dad. This was the first time I met other teenagers with brain injuries, and it completely blew me away. In a way I felt more alone after that experience due to feeling different compared to other teenage brain injury survivors. I was still in the same classes as before and still at the same school. However, many other teenage brain injury survivors were lucky to even go back to school. I knew after attending that conference that I was at a different level. I remember feeling grateful and very lucky, yet at the same time very alone. I still had the title of being brain injured, but it was almost as if mine was even more invisible than others, making it even more challenging to be who I was and have people truly know me and understand me fully. Being a teenager, the most important thing is to fit in and feel a sense of belonging from others. However, I felt as if I was in my own category. I was brain injured, yet still capable of achieving my original goals, just in a different way from before the brain injury. So there I was as a teenager, not quite brain injured to be in the brain injury category, yet not the same person I was before the brain injury, unable to be in the “normal” category of teenagers. Even though I understood there was no such thing as a definition of normal, at the time it was devastating. It took time, personal reflection and reading of spiritual literature, to help me release the guilt and come to the realization that I was not to blame for having more opportunity than other brain injury survivors. It was not something I had to be shameful of. Rather, it was something to celebrate and possibly use to help others. “A spiritually optimistic point of view holds that the universe is woven out of a fabric of love. Everything that is happening is ultimately for the good if we're willing to face it head-on and use our adversities for soul growth.” ~ From Ensouling Ourselves By Joan Borysenko, Ph.D. Having cancer as a teenager provided me the opportunity to be connected to a group of individuals much more like me, who understood what I was going through. Facing a life altering situation at a young age brings into your life some very adult lessons. While my school friends were busy worrying about what to wear to school and who to have the crush on for the week, I was facing the reality of living the rest of my life with a brain injury. I was also wearing the title, “cancer survivor,” knowing that my life would never be the same. From the cancer, I was introduced to a whole group of individuals from Minneapolis Children's Hospital who were also teenage cancer survivors, and whom I related with much more easily. I attended cancer camp for the first time at Camp Courage in Minnesota, the summer of 1998. I was so excited. I spent many years envious of my friends who were lucky to attend church camps in summer and I wished there was a camp I could attend. My church didn't provide that, so when I received my cancer diagnosis, I thought to myself, “Finally, I have a camp to attend!” This experience was another testament to the strength and courage teenage cancer survivors embrace. I bonded quickly with almost everyone at camp, amazed at each story I heard from the survivors. Being surrounded by other teenagers who understood terms like “portacath” and “prednisone” was truly refreshing and at the same time humbling. I was blown away by the level of courage and maturity portrayed in each teenage survivor I met at camp. It was another reminder for me of how lucky I was. In my opinion, the greatest lesson cancer provided me with was the importance of letting go of the victim role. Cancer opened my world to a whole new understanding of what it really meant to be a survivor. I gained more strength and encouragement from the amazingly strong teenagers I met as a result of having cancer. Also, in some way cancer served as a diversion in my life, taking the focus off of having a brain injury, almost as if cancer provided me with another boost of will and spirit to fight to survive. I was given more willpower to find meaning in the events of a brain injury and cancer. In my belief system, God provided me with these situations, and allowed me to survive both. I was given a choice: either play the victim role and feel sorry for myself or realize how lucky I was and that this was God's way of teaching me what I needed to know in my life at that moment. “You gain strength, courage and confidence by every experience in which you really stop to look fear in the face...You must do the thing which you think you cannot do.” ~ Eleanor Roosevelt Empathy is a feeling different from sympathy. Being sympathetic often implies pity while still having some distance from another's feelings. Empathy is more a sense that one can truly understand or imagine the depth of another person's feelings. It implies feeling with a person, rather than feeling sorry for a person. Some people refer to empathy as being like walking in someone else's shoes in order to fully understand another's perspective (“What Is Empathy?,” 2003). Life experiences help to develop one's level of empathy. I think it is a trait that grows with time and life experience, particularly difficult life experiences. I consider empathy to be extremely powerful in all relationships with others. In my own life, I have noticed within me, since having a brain injury and being a cancer survivor, a greater level of understanding and being able to understand, in a better way, feelings that others experience while facing difficult situations. I am grateful for this ability and feel it has especially contributed in guiding me on my path to choosing a career. I always knew I wanted to help others and especially comfort those in pain. This is definitely a result of my own experiences overcoming adversity, as well as seeing others overcome life challenges. “When we talk about understanding, surely it takes place only when the mind listens completely – the mind being your heart, your nerves, your ears – when you give your whole attention to it.” ~ Jiddu Krishnamurti High School I continued to receive support services provided by the high school in the Learning Disability program. Along with this support, I also was connected to the Minnesota Department of Rehabilitation Services (DRS) and assigned a case worker. I met with this case worker monthly or sometimes every couple of months. Since acquiring the brain injury, I have had two different case workers. The services provided by DRS have been helpful in providing financial support throughout college and will also be assisting with vocational placement after college. As stated, I continued in high school with the Learning Disability program, having study hall in the Learning Disability program room, just as I had in junior high. But this was a different teacher, not Mrs. Wulff. I hadn't realized until I left junior high school, how much I had formed a connection with Mrs. Wulff. I now had a new Learning Disability teacher assigned to me. I, along with my family, had to re-educate another person about TBI; how it changed me and what it changed in my life. Plus, I now understand better how much change affected me at the time. Oftentimes, brain injury survivors thrive best in situations that are stable. Change can disrupt one's system or routine, making things even more stressful. Particularly when dealing with memory, the brain recognizes repetition. Having a new school and a new set of teachers to assist me with my brain injury was a change and it took adjusting. One of the biggest challenges I had to overcome during high school was the infamous driver's test. The actual driver's test with the driving instructor was a piece of cake for me and I had no worries. However, it was the permit test I had to take that was the biggest challenge! The summer after ninth grade, I took the driver's education classes I took many notes and paid attention, yet knew having a brain injury was going to be a challenge when it came to the test. Plus, I was dealing with people who knew nothing of who I was as a person, or anything about TBI, unlike my schools, who were educated. I remember distinctly after taking the written test three times and failing that I became determined to study as hard as I had to in order to pass the test. So it came down to me reading and re-reading the materials and notes I had taken. I dedicated myself to going over the terms over and over and over again. To study, I repeated the information many times until I felt confident I knew the material. The day came for one of my parents to once again take me to the test. The frustrating part was that I had to wait two weeks in between the test taking, because they didn't want people to take the test week after week. Yet, they didn't understand my situation was different than others. It wasn't that I didn't try; it was just that I couldn't remember. I had a brain injury. The frustration turned into determination. I remember that morning well. My mom had taken me to the test the previous times before this morning, but on this day, my dad took me. I walked into the room and I knew that this was my chance and was going to be the time I passed. I knew the material like the back of my hand. Plus I got really talented at repeating facts in my head silently over and over again, still being able to hold a conversation with another person at the same time. Once again, the brain is pretty powerful! It's become even easier for me to do that today. I sat down that morning and took the test. I walked up to the woman who corrected the test and held my breath. It was the longest five minutes I endured in a long time! She got to the end and I saw that she had very few marks on the page, then looked up at me and smiled and said the magical word, “Congratulations.” I still remember the feeling of accomplishment that overcame me at that moment. It was truly a significant turning point for me. That moment provided me with hope and assurance that I was capable of anything, if I worked hard enough for it. I walked out of that room with a huge grin on my face. My dad saw me and I remember his eyes lighting up, as he was just as proud of me. Even today when I need to be reminded of where I've come from and how far I have come, I think of that day and how good it felt to work so hard for something and see the results. I knew from that experience that anything was possible. College I graduated from high school on time with my original class in May of 2000. It was a big achievement for me due to the fact that many had questioned if that was a realistic goal. The even bigger question was whether I would attend college or not. Much of the resources and literature surrounding TBI explain that college for brain injury survivors is rare and if attempted, can be challenging due to various reasons. For example, high stress from the increased independence, expectations from the classes, and a feeling of overwhelm with the increased responsibilities can lead one easily to burn out. However, since the beginning of this journey, college was always the goal in mind. It was the intent from the beginning that my life be as “normal” as possible and that anything I wanted to achieve in my life before the brain injury, was still a reachable goal. During my junior year of high school, my dad and I began researching various colleges that were potential possibilities for me after high school. Since the beginning of the search, my dad was very encouraging of Augsburg College, due to the fact that they are very well respected for TBI support. Augsburg is nationally recognized for providing services for physical disabilities, TBI and other various Learning Disabilities. However, a brain injury often causes one to easily feel overwhelmed when bombarded by new places, new faces, and new experiences that are outside of one's normal routine or usual lifestyle. I felt intimidated by living in Minneapolis after coming from New Ulm, population 13,000. I was overcome by feelings of nervousness and panic when even thinking about living in Minneapolis, particularly the Riverside neighborhood. Along with looking at Augsburg, I also looked at St. Mary's University in Winona and Gustavus in St. Peter. My family and I knew that a small private college was necessary for my well-being compared to a rather large state school, where again, I would feel overwhelmed. Also, it was imperative I receive adequate support from the school in case accommodations needed to be made, such as testing services. After touring Augsburg and meeting some of the staff, I decided I felt there was a better place for me at that time in my life. My heart told me I wasn't ready for that experience and I'd be unhappy in that particular environment at that time in my life. After Augsburg, I toured and met with Gustavus staff. However, there was little to none support services for any students with disabilities. The energy I felt while touring the school was that I didn't belong there or wouldn't be truly accepted by staff and students in the same way I would be at Augsburg college, where there was an entire program designed for students with any disability. I continued the search for a college, and visited St. Mary's Winona, where there was also a program set up for students with disabilities. I liked the school and got a better feeling at that school. However, I was not familiar with the Winona area and felt out of my element and far from home, since our family had no relatives or friends in that area of Minnesota. That very quickly ruled out Winona for me. At that time in the college search, I began to get frustrated and was feeling like my choices were limited. I expressed to my dad that I was very comfortable in the Mankato area, and said to him, “I wish there was a smaller school in Mankato.” I was only aware of Minnesota State University, which is another big state school, that I knew would not be appropriate for me at the time. It was then that my dad mentioned to me there was a smaller school in Mankato, called Bethany Lutheran College. At first, I was a bit skeptical and hesitant due to Bethany being a Lutheran college and our family being Catholic. However, I toured it and met with staff, particularly the Learning Disability specialist at the college, Professor Borne, who I felt very comfortable with. I knew immediately it was the right place for me at that time. A Card I Received From Dad, August 30, 2000 “I know sometimes I overdo the parenting thing, and it probably seems to you like I never want you to grow up. Well, there's a part of me that doesn't! I want to keep you safe and help you be happy, just like I did when you were little. But we both know you're not a little girl anymore. You're a strong, self-assured, responsible young woman able to make your own choices and be your own person – a person I'm very proud of! And even though my heart may wish you'd slow down a little, I'm going to be there cheering you on all the way.” – Linda Barnes Jennifer, you just started college at Bethany College. We all dropped you off at college. The boys helped unload all of your belongings to the third floor. Mom and you organized your room. I even put together a computer table for you. I wish you well at college. I am very proud of all your accomplishments and love you unconditionally. I gave you a poem, titled “letting go.” You politely returned it to me and stated I needed it more. You were right; we laughed. In all seriousness, you have all of our support as you become more independent. We are always here, should you need anything. Love you with all my heart. Love, Dad Bethany Being the oldest in our family, moving me into college as a freshman was a family ordeal. It was actually my birthday that day, August 27th. I was anxious, excited, yet very nervous to be embarking on a whole new chapter in my life. New experiences at that time in my life were still something that took more adjusting. I was still gaining confidence in myself and my abilities, making me hesitant to try anything new or experience anything new. I was assigned a dorm room in Old Main on Bethany's campus in Mankato, and was paired up with three other girls for roommates. This made some of the nervousness dissipate due to relieving some of the questioning of what it would be like to live with another girl. Would I like her? Would she like me? Would it be awkward? Knowing I was with three other girls relieved some of that stress because group situations are often much more comfortable being in new situations together. I was very lucky to be placed with three very outgoing girls who shared similar lifestyles as me. They were all very social and welcoming, excited to be sharing the college experience together. Nicole was the first roommate to come up to me right away, introduce herself with a big smile and handshake and have a welcoming presence within her that made me feel reassured my college experience was going to be alright. Soon after I found out Nicole and I were both celebrating our birthdays on that day! That was another reaffirming moment for me that I was at the right place, doing the right thing in my life at that time. Rachel was the second roommate to move in, also bringing with her younger siblings to assist in the move. Rachel was quieter at first, but also very friendly. The third roommate was Jessica, who was more challenging to read after our first introductions. She was friendly but with a hint of sarcasm that wasn't always easily understood. I came to find out soon after that Jessica also had a brain injury. Other than a few brain injury conferences where other teenagers attended, this was my first experience of having an acquaintance or friend also with a brain injury. I didn't realize at the time what it taught me, but looking back at the situation, it was one of the first attempts of many, where I believe the Universe was trying to show me how lucky I was and how far I had come compared to many other brain injury survivors. I learned from Jessica the importance of organization and advocacy. Also, I came to understand in a much better way, as a result of knowing Jessica, how fortunate I was to be as aware of myself and my disability, as well as my abilities. Having Jessica as a roommate helped me realize my own strength in articulating my brain injury and needs in a way that was understandable to others. That was something I highly took for granted. I was very open about my brain injury and had four previous years of experience teaching me how to be an advocate for myself. This was also something my parents worked tirelessly to pass on to me through various ways, such as the professional support services I received that assisted with teaching me this skill. I didn't comprehend at the time the intention behind all of the rehabilitation my parents provided me with. I was too young to understand and not at a place in my life to fully appreciate. This realization and appreciation grew with age, maturity and with each successful achievement I had in my college years. I know now that Jessica was brought into my life to be somewhat of a mirror in my life, helping me see what could have been, had I not had the support I had. Jessica was also a successful college student, but struggled more with things that I was lucky to have gained more assistance with, such as financial responsibility, organization, and writing skills. Throughout that first year of college, I helped Jessica with paper writing and other class struggles she dealt with, which only helped me more, providing my brain with more tools and practice in various neurological skills many people take for granted. Letter received from Nancy, February 2001, after contacting her following my first semester of college: Dear Jennifer, I was delighted to hear from you and so excited to learn that college was a wonderful experience. This is certainly what I had hoped it would be for you, I think it is a testimony to your persistence and strength of character. You wouldn't be where you are today without your hard work. I am quite proud of you, and hope you are also proud of your accomplishments. Thank you for mentioning me in your paper – I feel very honored. (once again, it was you that did the work.) You have come a long way from the eighth grader I knew. Your insight and acceptance have been remarkable. Jen – you've had an interesting life so far. Best wishes in second semester – I think of you fondly, and always with a smile. ~ Nancy As mentioned, there was a professor at the college who had a PhD in Learning Disabilities, Professor Borne. This was encouraging to my family and me, due to our experience of touring other colleges with no support. Professor Borne was a very quiet gentle older man who was very encouraging and supportive of my brain injury. He had little experience with TBI, but had spent his years at Bethany College helping other students with disabilities. This reassured me that there was a contact person at the college for me if or when I needed any assistance with my classes. I had reached the point in my brain injury journey where I didn't rely as much on the necessity of support. Rather, I just needed to be at a place where I knew it was available if needed. I had become much more independent than I ever realized until that point. Note From Mom and Dad: September 9, 2001 It was nice to talk to you on the phone earlier this weekend. We wish you well as you start your third semester at college. We are extremely proud of how well you have done in college. You have become an independent young woman. Best of luck this semester. Love, Mom and Dad I managed to make it through my first semester of college with no support from Professor Borne. I took my tests in class, attended all of my regularly scheduled full time classes, and completed homework successfully and on time. At mid-terms, I got my first grades back that consisted of As and Bs. My dad sent me a card, congratulating me on my success and reminding me how proud he was of my accomplishments. The card giving tradition from my dad has become a regular occurrence in my life. I keep all of the cards and like to read them when I need a reminder of how far I've come and how lucky I am. After two years at Bethany College, it was on to the next phase of my education, Augsburg College in Minneapolis. Card Received From My Dad: April 21, 2002 “Turning points...these are the moments when the world holds its breath for you, moments of decision that change your life forever. As you move on from here, things will be different around you...but the inner you, where the courage is, where the love is, where the dreams are, will never change...And neither will the way I care.” – Barbara Loots Jennifer, I thought you would enjoy this card. I am very proud of you. You have grown tremendously while at Bethany College. I am very appreciative of the school. I wish you well as you near “closure” at Bethany and begin the transition to Augsburg. I love you with all my heart. Love, Dad An important lesson I had to learn during my first couple of years in college was letting go of my desire for perfection. While attending my first years of college, it had been five years since I had acquired a brain injury. During those previous five years I became used to having to push myself harder than others. Before having a brain injury, I was a very dedicated student, achieving high grades without having to try. College was a new challenge with advanced learning at a higher level. With this experience, came feelings of nervousness due to not knowing what to expect, how it would be different and how I would get past the new challenges. Even with my nervousness, I took on the various challenges as they came. Most of the classes came very easily to and weren't much different than high school. And in some ways, there were some reasons why college was actually easier for me than high school. For example, the schedule was easier, due to it not being straight through from morning to afternoon. With TBI, fatigue can easily affect one's memory, making the day more stressful as it continues. I had the privilege of choosing my own schedule, being aware that back to back classes were not the best choice for me. I also did my best to avoid early morning classes due to my need for sleep in order for my memory to be in its best state. College was also easier since the semester required fewer classes to be full time, compared to going to high school. Having fewer classes allowed me to focus more on the specific classes and not be so overwhelmed. As stated, letting go of perfection was a major lesson I had to learn. At Bethany, some of the classes were new concepts to me. Being a private Christian college, it was required of all students to take a religion class each semester, something I was not used to in a public high school. The religion classes were also primarily centered around memorization, such as memorizing Bible passages for tests. Being the somewhat stubborn person I am, and being one that hates to feel “different” in any way, I attempted to take every test independently and refused to reach out for help in any way. I also went without telling any of my professors that I even had a brain injury. At this time in my life, I was still learning advocacy skills and working on gaining assurance in myself and my abilities, especially my ability to speak for myself and my needs. I did my best in the beginning, however, learned quickly that test taking was going to be more challenging in college than high school. I made quite a few phone calls home to my dad the first semester, crying with frustration due to me feeling like a failure, and feeling different from everyone else. My dad reassured me that it was not the end of the world and that it was simply another hurdle I had to get over. Along with that encouragement, he reminded me that I had to advocate for myself and professors were not going to be understanding if they weren't made aware of my disability, and it was my responsibility to relay that information. There was one religion class that was especially a challenge for me while at Bethany. The professor was an older man who had been teaching for many years, and appeared to me to be somewhat intimidating with a reputation between all of the students as being particularly difficult. Due to the intimidation, I did not approach him in the beginning of the semester, making him aware of my brain injury. Rather, I decided I would do my best to get through the assignments and tests without any accommodations. The first half of the semester I was unconcerned, until I later realized my grade for the class was a D. This immediately caused a reaction in me since I was used to being an A or B student. I took it personally and again called my dad upset, overreacting about the class and grade. I was reminded by my dad to speak directly with the professor and explain my situation. I then explained to the professor that I had a brain injury, affecting my memorization and making the test taking especially challenging. The professor was attentive and appreciated me making him aware of my circumstances, but explained that he could not offer any special treatment in class. Therefore, I would have to continue taking the tests without any accommodations. I left the professor's office frustrated and emotionally upset, feeling defeated in some ways. Again, I was reminded by my dad to focus on what I had control over, and to not let one class discourage me. I made it through the semester and was relieved to receive a final grade of a D+. This was actually an accomplishment for me, as I was worried I was going to fail due to the class being so challenging. I celebrated receiving a D+, but most importantly I gained a valuable lesson from this experience. I learned to let go of my need for perfection. I had a big breakthrough and came to the realization that sometimes, you have to accept whatever your best is and if you try your hardest and put all that you have into something, there comes the point when you simply have to let go and surrender. My dad passed on a phrase to me that became particularly important; “give yourself permission to be human.” I try my best to be reminded of those words when I feel discouraged. I also have to remind myself that I don't have to be perfect, and I don't have to prove to others or most importantly myself, that I am capable and not “disabled.” My first two years of college provided me with numerous valuable lessons. I also took with me what I consider many gifts from the experience, particularly the realizations I came to. College gave me a sense of reassurance in my abilities and independence and surprised me with how capable I was of attending college with little accommodations. I surprised myself in many ways, increasing my confidence for the future. Augsburg My ultimate goal and plan was always to attend Augsburg College due to its largely respected program for students with disabilities. The previous two years in Mankato had been a stepping stone to the larger step of college in Minneapolis. My housing situation at Augsburg consisted of an on-campus apartment to assist in my independent living skills. I was placed with two other young women, both juniors. They had been at Augsburg their previous years, and knew other students. I was suddenly the “new transfer student,” making me feel nervous to meet others and missing my supportive friends who were in other cities at other colleges. Augsburg was a bigger college and in a bigger city with many new challenges I faced every day. I didn't know any other students at the college and I had a new key contact person I had to get to know related to TBI support. Her name was Sadie and she was the director of the ACCESS program at Augsburg. As stated, Augsburg is well respected for services provided for students with disabilities, offering two programs at the college, one called the CLASS program and the other called the ACCESS program. The CLASS program is designed around students with physical disabilities, and the ACCESS program helps with TBI and any other non-physical disabilities. The first year at Augsburg took some adjusting as stated, especially to the ACCESS support program. I was still learning the skill of reaching out to ask for any assistance myself. I was used to having support automatically put in place and me having to do very little of the advocating. I also have somewhat of a stubborn side to me, where I do not like to be “different” in any way. I do my best to minimize my brain injury and don't tell people unless it absolutely has to be addressed. I think this was more of an issue for me when I was younger and more embarrassed to be different. I didn't want to let anyone know that I had any struggles. When I would forget something, I became very good at quickly covering it up with humor or brushing it off as just forgetfulness. I have a tendency to think I need to prove to others and myself that I am capable of being successful without support, so I refuse to reach out for assistance until I am reminded, usually by my dad, that its time to seek out support services. The older I get, the more comfortable I become with being my true self immediately with others, and not being afraid to disclose that I have a brain injury which limits my memory. I think I have come a long way in letting go of shame and embarrassment of simply being different and unique. At this time in my life, I am ready to come to a place of full acceptance and share my circumstances due to a brain injury with full pride. My living situation at Augsburg was in an on-campus apartment built just a couple years before I started there. It served as a purposeful experience for me, allowing my independent skills to grow further. It was somewhat of a pre-apartment living situation, since I still had roommates and it was directly on campus. This was another opportunity in my life which provided me with more assurance in my self and abilities when it came to independent living skills. Having a full kitchen in our apartment gave me time to improve my cooking skills. I also was given more responsibility in household tasks, boosting my confidence that I was capable to do those things by myself. However, on the downside to the on-campus apartment living, it was very separated from the rest of the students living on campus at Augsburg. I was a transfer student my first year, coming from Bethany after two years of college under my belt. Suddenly I was placed in an apartment with two other women students who had been attending Augsburg their previous two years and they had already developed a place for themselves in that situation, socially. My roommates already had a group of girl friends they belonged to and activities they were involved in. I felt very alone my first year at Augsburg, and it took a lot of adjusting. TBI can sometimes be limiting to one's social skills, making one more shy to reach out and hesitant to be proactive in meeting new people. My close friends were the group of friends I left behind in New Ulm, who had all gone to separate colleges or cities for jobs. I spent a lot of time staying connected to my friends via the Internet or cell phone, which helped get me through that first year at Augsburg. I met classmates through the classes I took, but then class ended and people went separate ways, so I didn't really feel like I had a sound group of friends on campus. The second semester of my first year at Augsburg, after having some time to adjust to the changes of a new school that first semester, I started an on-campus job in the mailroom. This provided more balance in my daily routine, and also was another way I met people on campus. I also developed a close bond with my boss in the mailroom, a middle aged woman who was into topics such as spirituality and energy healing, so we quickly bonded and became good friends. With each year at Augsburg, I became more and more comfortable and felt at home. That year I also became involved in campus ministry, meeting more students interested in similar topics as well. By the end of my three years at Augsburg, I felt I had grown a lot since I first started there as a nervous and shy young woman. I am grateful to Augsburg for the support it offered me not only as a student, but as a woman, helping me find myself and most importantly, find within myself confidence and assurance that I could succeed with a brain injury. While at Augsburg, I overcame quite a few obstacles that were monumental in improving my self confidence. For example, attending Augsburg brought to me my first experience of learning to drive in the Twin Cities. I was terrified. Some people take for granted that when you drive somewhere, you can easily recall how to get back to your previous location. I, however, would lose that memory, get easily turned around and find myself lost. I felt much safer in a smaller environment, such as cities the size of New Ulm, 13,000. However, the Twin Cities is a much different experience. The summer before starting classes at Augsburg, my dad drove with me to Minneapolis, to help get familiar with the area. The Cedar Riverside area of Minneapolis was a bit overwhelming for me due to the diversity and culture, much different than New Ulm. I still remember the first time I drove with my dad and I had to exit onto Riverside Avenue on 94east, after just coming from 35w north. This is a very quick exit and one must cross over 3 lanes to get to the exit in time. My dad instructed me to merge and I think he closed his eyes and prayed. I remember him becoming a bit frantic, which only made me even more nervous and terrified of driving in Minneapolis. With time, it got easier and I learned to merge. However, the memory recall of directions was still a challenge. I quickly learned the route to Target and Rainbow from Augsburg, and that was my only route I drove for my first year of classes. I gained more confidence in my skills and abilities, and I began to MapQuest directions on my computer and follow them and I somehow found my way and back. This increased my confidence even more and I became more comfortable in the Twin Cities area. I also learned rather quickly to keep notecards in my car with directions to places I traveled frequently. This way when I needed to be reminded of what highway or street to take, I pulled out my notecard and it was there. When one loses an ability that at one time came very naturally to them, it can be a challenge. I took for granted the freedom I had before my brain injury, my ability to recall. While at Augsburg those three years, the biggest challenge I overcame is my ability to advocate for myself. Those three years truly taught me through many life experiences in that timeframe to speak up for my needs and not be afraid to admit when something may be more challenging and when I need some assistance. With each time I had to speak on behalf of my needs, I gained more confidence in my ability to speak effectively and not feel embarrassed. It became more and more natural and a part of my life in those years. I also was given the gift of being able to see many more students at Augsburg with disabilities. This helped open my eyes to how lucky I was to be where I was and doing what I was doing with very little help from any rehabilitation services. I also came to the realization that I was very blessed to have been taught how to advocate for myself. From my experience of being around other students with various disabilities, some with TBI as well, I came to understand better the reason my parents instilled those lessons into my rehabilitation. I quickly learned how valuable it was to have the skill to articulate my needs in a mature way that could be understood and validated. This became a huge turning point in my life regarding my appreciation for the people I had in my life and the support I was very fortunate to have. I spent many years as a teenager being angry and feeling embarrassed for some of the experiences I endured as a result of my brain injury. Then I was given the gift to see what I could have been like if I hadn't had those resources of support, and I came to a whole new level of appreciation and understanding. I was humbled again in my life by numerous others being mirrors for myself, allowing me to see my life in a new way. March 16, 2004 Journal Entry I'm home for spring break and its good timing. I needed this! Badly. I've changed majors again! It's still the same interest of wanting to go into spiritual counseling/hospice work. I was in my psychology classes and planning on that but then the Research 1 class got to be a little too challenging for me. And you need to pass it to graduate with the psych degree. So I was struggling with that and did all I possibly could and after many meetings with lots of people and talks with dad, it was decided to drop the class and graduate with a religion major! Who would have guessed? The funny thing to me now is how much it makes sense and how right it feels! I think I shyed away from it before because I was scared it'd be like Bethany. But it seems right and Augsburg is different, more liberal and openly spiritual. I've met a lot of great people and am really excited for this phase in my life. In two weeks I'm going on a silent spiritual retreat. Looking forward to what I will take away from it. Card I received from my parents, Spring 2004: “I know this isn't the easiest time in the world for you and that the challenges you face would test the strongest faith, and yet, I see the Spirit of God shining through you as each day you just keep putting one foot in front of the other...You are an inspiration and a blessing to everyone who knows you. But I am aware that hanging on and hanging in and being brave are not as easy as you make it look, and that's why you're constantly in my prayers...I ask God to comfort you, give you strength, and to bring you better days. It's what you deserve, because you are truly one of His beloved children.” – Linda Lee Elrod We love you Jennifer. We're proud of you. Call whenever you need support. Love, Dad You have done so well at Augsburg. I know it's not always easy – keep it up – you are an inspiration to all of us! We love you and are so proud of you! Love, Mom I graduated from Augsburg in 2005 with my degree in Religion. I switched majors twice from social work to psychology and then finally to religion. I knew I wanted to be in a helping field, specifically health care. I also knew intuitively that I was going to find more meaning and purpose in my life story, vocationally; that in some way it was going to lead me to something larger than myself, and I was going to use my experience to help others. I wasn't necessarily knowledgeable of the way I planned to take, but knew I would eventually get there. Graduating from college was a very big accomplishment considering much of the literature, research and statistics regarding college for brain injury survivors is grim. I overcame the odds and with a lot of hard work, perseverance and many important people in my life to help along the way, I made it. Today, when I speak to anyone connected to the brain injury field, and tell them I am a brain injury survivor with a college degree from a private college, they are often shocked and interested in hearing more about how it was accomplished. Yet I don't always feel like I know the answer to that question. Being a woman largely centered in my faith, I know there are not always black and white answers. Looking back, I am amazed at the timing of certain events and especially certain people coming into my life when they did. I believe strongly that a very large part of my success is due to me being guided to the right people who helped me in many ways. May 5, 2005 Journal Entry Two more days until graduation! I have my last class tonight and then I'm done with my undergrad degree! Hard to believe. I'm happy to be done but sad it's over and I have to say goodbye to Augsburg. This place has really changed my life in many ways and made me a better person. The opportunities this place has provided me with have been amazing and life-changing. I'll miss the professors, classes, campus ministry, my mailroom job, chapel, and much more! But I know it's time for change and growth.... Luther Seminary I came to the decision to major in Religion at Augsburg in my junior year. That year I became more involved in campus ministry events and started looking further into Christian vocation. When I found the Masters in Faith and Health Ministries program at Luther Seminary I became very excited to find a program that recognized the concept of spirituality having a major impact on one's health and well-being. I never thought it was a possibility for me, being Catholic, to attend a Lutheran seminary, but with guidance and support from professors at Augsburg, I discovered it was an option. At that time in my life I thought it would bring me to where I wanted to be vocationally. I was a little nervous and hesitant about attending seminary due to my liberal open-minded spiritual opinions regarding organized religion. But at the time it seemed to be the only way to bring me to my vocational goal of working in a spiritual and holistic health environment. I began classes at Luther Seminary in the Fall of 2005. It started out on a good foot. I met a lot of nice people and enjoyed my classes for the most part. Looking back at the experience, I was a completely different person at that time and in a completely different place in my life. I was still being guided in ways that I didn't see then. One of the many lessons I learned during this time was that sometimes in order to follow our true path, we have to take the detours. I found out that seminary was a detour for me; a purposeful detour. After about a month at seminary, I started to notice a pattern in my relationships and conversations between classmates. I was often having to defend myself and what I believed, or justifying why I believed what I believed. I started to feel like an outsider compared to the other students. October 1, 2005 Journal Entry It's been a rough week with a lot of opinionated people here at seminary. Too much theology being somewhat forced into our lives, and some I'm finding offensive. But I guess that's what you get when all of us are passionate about our beliefs and come from different backgrounds. I called mom and dad and cried for an hour today about how spiritually frustrated I am. I'm really looking forward to going home this weekend, getting away and re-nourishing myself. After a couple of months, my parents started noticing changes in my personality and were recognizing that I wasn't really my true happy self at seminary. At this point, my parents intervened and had a few heart to heart conversations with me about my future. It was decided by all of us that the cons outweighed the pros in regards to staying at Luther Seminary. We agreed that I would finish the semester and then return home to re-evaluate my options. I would work in New Ulm full time at the group home that I had as a summer job the previous five years. November 22, 2005 Journal Entry I have decided to leave Luther. I'm coming home this winter to work at the group home in New Ulm until Fall when I can then begin classes at St. Kate's in the Holistic Health Studies program, concentrating in Energy Healing! Healing ministry is my passion, so I'm really excited. And it's across the street from Augsburg! Ironic! Moving back to New Ulm was like a fresh start for me. It was probably one of the best decisions I ever made in my life. I was amazed at how that one decision made so many other things in my life fall exactly into place with a level of ease I had not witnessed before. Suddenly, doors began to open in unexpected ways. More people were appearing in my life that had connections to holistic health and spiritual ministry in health care facilities. The energy around my life intensified in a way that is indescribable. In many ways, I look at this particular time in my life as a major beginning for me. It was almost as if I finally began to live on the level I desired living since receiving my brain injury. At this time, my dad encouraged me to look at the College of St. Catherine. He had heard through some people that the school recently developed a graduate program in holistic health care. I found the website one winter morning and knew immediately after seeing the first page that it was for me. The website itself felt like home to me. I read the class descriptions and grew even more excited and anxious the further along I read. I ran to my parents with the information and said with joy, “I found the right program for me!” It was agreed that I finally had found the right fit for my vocational goals and dreams. I applied for admission to the St. Kate's graduate program and was formally accepted that winter. Classes began in Fall of 2006. St. Kate's “Be patient toward all that is unsolved in your heart...try to love the questions themselves like locked rooms and like books that are written in a foreign tongue. Do not now seek the answers, which cannot be given you because you would not be able to live them. And the point is, live everything. Live the questions now. Perhaps you will then gradually, without noticing it, live along some distant day into the answer.” ~ Rainer Maria Rilke I believe life is made of different phases we are meant to go through for learning and helping us to advance in our spiritual development. When I began the holistic health studies program at St. Kate's, it was a major starting point in my life. I felt like my life truly began for the first time since receiving a brain injury. It was almost as if all of the previous years were all meant for the purpose of leading me to the particular experience of this program. In many ways, I feel my life came full circle with the start of the holistic health program at St. Kate's. My spiritual seeking truly began in my final year of studies at Augsburg when I became a Religion major. Since that time, I have been reading many books on the value and importance of the following topics, in relation to TBI rehabilitation: organization and compensation, spirituality and faith, resilience, overcoming adversity and finding meaning, and finally, life purpose and paying it forward. Spirituality And Faith “Spiritual maturity begins when we realize that we are God's guests in this world. We are not householders, but pilgrims; not landlords, but tenants; not owners, but guests.” ~ C. Willard Fetter The past twelve years of my life have definitely been more of a spiritual experience rather than a human experience. I know I would not be where I am or who I am today without my own personal spirituality. A journal articled titled Defining the Spiritual Experience, by Elfie Hinterkopf, Ph.D. defines spirituality as “a subtle, bodily feeling with vague meanings that brings new, clearer meanings involving a transcendent growth process” (1998). The greatest spiritual teachings in my life have resulted from the experiences I have had in my life since receiving a brain injury. I have been opened up to a new understanding of my connection to a Higher Power. From the many challenges I have faced in the past twelve years, I have learned to trust in the greater mystery of life, knowing that there was something larger than myself guiding me on my way. I remember in many of my darkest moments, those times of despair, frustration and pain, somehow found a way to resolve themselves eventually. Every year that passed, it was almost as if I grew deeper and deeper in the understanding of my life, and letting go of needing answers to certain questions. There was a desire within me to eventually reach a place of contentment, and with every passing year, I think I become more and more content. I believe that is due to the deeper relationship that exists between me and something much larger than myself. The spirituality that has developed and continues to develop in my life has been a major grounding force for me. It has brought me back to a place of peace when, many times, I have felt lost. A large piece of this spiritual development involved my definition of spirituality growing and deepening. I noticed within my own spirituality that I became much more accepting of differences within other cultures and I had within me a sense of openness about life, religion and life after death. I am grateful for this new sense of awakening that was ignited in me, particularly due to my appreciation for life and surviving challenging experiences. Along with spirituality, faith also played an important role in my life for the past twelve years. My idea of faith includes believing in something greater than us, knowing that some things are out of our hands and in the hands of some one or some thing much larger than ourselves. I strongly believe that from the beginning, there was an inner knowing within myself telling me that things were going to be alright and I was going to find more and more meaning in my life events as time progressed. I always felt that there was an energy greater than myself, present with me, and leading me on my path. Without this faith, I don't think I would be where I am or who I am today. When I experienced some of the lowest of my moments, feeling as if I wanted to throw in the towel and give up, somewhere inside of me, in the deepest parts of my soul, I found that tiny voice inside of me saying, “You can do it, go on.” My faith in that small voice inside of myself is what has gotten me to this place in my life today. “Sometimes, when hope is gone, I can breathe into my heart and find there the faith that sustains me, faith that is fueled by the moments when I or others are able to find what is good, what is funny, sweet, and tender in life, despite deep wounds and overwhelming difficulties. It is the courage of the human spirit and the relentless persistence of life all around us that gives me faith. So I have faith that even if my health is never strong, it will be okay, truly okay. Life will continue, and it will conspire with its beauty to pull me back to hope. This is my faith.” ~ From The Invitation: It doesn't interest me what you do for a living, I want to know what you ache for. By Oriah 1999 Page 116 Organization And Compensation From the past years of living with a brain injury, I have slowly discovered the importance of organization and how significant that is to anyone's success, particularly brain injury survivors. Thankfully, I have always been an organized person who hated when things were messy. My room was always clean and neat, with everything having a designated place. This skill served a huge purpose in my life after acquiring a brain injury, and was a large contributor to my success in school and life. As mentioned, a brain injury can cause one to feel overwhelmed and panicked if one's plate gets too full. My parents are both highly skilled in this area and use the Steven Covey system. My dad particularly knew from the research he read and from personal experience of working with his own clients who had disabilities, that the Covey system was well respected in the area of TBI. A couple of years after receiving my brain injury, my dad introduced me to the system and encouraged me to use it. However, I was a stubborn teenager who didn't want to take advice from my parents, and even more so, I didn't want my parents to be right. I wanted to find my own way. The Covey system at that time in my life, at the age of sixteen, was too complex and complicated for me. I was not ready for that system quite yet. However, I reached the point of understanding that I needed assistance with keeping track of things, such as assignments, practices, and school meetings. Since I refused to use any tangible system, I found out quickly that I could write notes on my hand if I needed to remember anything. This system lasted about a year and then I began to realize ink rinses off with water and I was starting to have more things I needed to keep track of and organize. As my life was becoming more complex, I was in need of a more developed system. Yet, I still refused to use anything related to the Covey system. Then I discovered post-it notes! I would keep a post-it note in my pocket for each day. What I needed to know or get done for that day would be written on that piece of paper and thrown away when the day was over. Unfortunately, there were some times when I'd forget about the post-it in my pants and my mom would discover it in the wash. I used my own unique systems all the way until my third year of college when I started Augsburg. While at Augsburg, I noticed other students were using class planners and found out that the Augsburg bookstore actually sold planners made specifically for Augsburg students. I purchased one and began to use it and started to realize the simplicity of using a planner. It made life much less complicated. The older I was getting, the more I understood the need for organization in my life and how key it was for my success. After graduating from Augsburg, I was in need of finding my own planner, and again, was still hesitant to advance to the Covey system. I had done things my own way up until then, and I planned on keeping it that way. I discovered that Target sold planners, so went ahead and purchased my own. I found out that the planners sold at Target were actually part of the Covey system planners, ironically. As I began to use the system, I slowly embraced it and realized the benefits. Today, I have officially advanced to the complete Covey system planner and this has become a large part of my life. I wake up every day and have that as my guide. I take it with me and when things are needed to be written down, it is there. I use the weekly compass sheets in the Covey system that helps remind me of my weekly goals and intentions, so that I don't become overwhelmed by outside stressors. As my dad continuously reminds me when needed, “focus on what you have control over.” Along with the Covey planner system, I also keep my living environment clean and organized. I have a file cabinet to help things stay in place and to not lose important documents. I also have discovered that three-ring binders are very helpful for keeping numerous amounts of important paperwork in place. With my medical history and numerous medical professionals in my life, it is imperative that the information remain in a place that I keep clean and well put together. I have become skilled at being able to categorize various groups of topics easily. Therefore, each area in my life is a category either in a file cabinet, organized in sections and with sub-sections, or is neatly organized in a three-ring binder, again with labeled sections and sub-sections. Also, for some people it is very easy to remember when important things in our lives need to be updated or taken care of, for example, car maintenance or home maintenance. Some do not need reminders of when these things need to be taken care of, but for me, those facts do not stay in my memory after a period of time. This is another system my parents have helped put into place in my life, where I am again using a three-ring binder that is organized and separated into various categories. I use this system to record anytime something is done on my car or for an appliance I own, or for the apartment I live in. Finances are another area of my life that has to remain very organized to avoid any complications. In the past year, with the support of my parents and also suggestions from Suze Orman, financial expert, I have developed my own financial tracking system that I go through weekly to keep on track and remain organized. The less I feel overwhelmed, the more in control I feel regarding my finances. This provides me with self-assurance and the feeling of knowing I can handle these responsibilities on my own. That is something very important to me, especially because for many years, I knew it was questioned by some people whether this was a realistic goal or not. It is satisfying to know that I have made it to this point and am able to succeed despite having a brain injury. And finally, another compensation tool I have developed is having a system set up in my car for driving directions. Living in the metro area, I do a lot of driving in various cities surrounding St. Paul and Minneapolis. I also have a job that requires me to drive to various places, depending on where my supervisor sends me. In the past couple of years I learned quickly that it would be beneficial to have directions to the places I drive on more than one occasion handy in my car, to utilize when needed. Even if I have driven to a destination numerous times, it is easy to get directions mixed up, and also when driving and not knowing where you are going, one can easily become anxious and nervous, making driving uncomfortable and dangerous. I now have a system that I developed where I write directions on an index card, for places I know I will be going to more than once. I keep the directions on the index cards next to me in the driver's seat, so when they need to be accessed, they are right there. As you can see, organization is a large part of brain injury rehabilitation. I am grateful for the tools I have gathered in the past twelve years and am able to utilize today. I desire to assist any other brain injury survivors struggling with this area. I find it rewarding to use the lessons I have learned to hopefully assist others who are dealing with a traumatic brain injury or any disability. Resilience There is growing research and literature on the topic of resiliency and the ability to bounce back. According to this research, highly resilient people are flexible, able to adapt to new circumstances quickly, and thrive in change. Most importantly, they expect to bounce back and are confident they will. The topic of resiliency psychology is growing in interest, particularly for health care professionals. The Practical Psychology Press has identified “coping, optimism, hardiness, stress-resistance, post-traumatic growth, creativity, emotional intelligence, and the survivor personality as the main attributes of resiliency” (“The Resiliency Advantage,” 2005) When one's life is disrupted, those who are resilient handle their feelings in healthy ways. They allow themselves to feel grief, anger, loss, and confusion when hurt and distressed, however, not allowing it to become a permanent feeling. It's been found that an unexpected outcome is that they not only heal, they often bounce back stronger than before and find meaning within the challenge (“The Resiliency Advantage,” 2005). “To be resilient requires a lightness of step and the flexibility to move and not stay stuck or mired in yesterday. It is through accepting the reality of what has been done, accepting the reality of having been hurt, betrayed, wronged; working through the layers and layers of difficult emotions and thoughts accompanying the injury, and finding ways to improve our life and state of mind that gives us the best opportunity for true freedom from insult and trauma. It is through admitting, feeling, and letting go of the negative emotions associated with the egregious act that we transcend victimization.” ~ Spirituality And Practice, 2008 Having a brain injury and being a cancer survivor were significant life experiences that taught me the meaning of resiliency and how it can positively affect one's life. I didn't know much of this term until shortly after I was diagnosed with cancer, my dad started bring up the term and speaking more with me about what it means to be resilient. It became an on-going joke between my dad and I, where he would quiz me out of the blue, asking “what is the definition of resiliency?” I would reply with the typical teenager attitude of feeling sick of being repeatedly asked that question, yet I always would respond, “The ability to bounce back.” As a teenager, it was annoying, but as an adult, I now understand and have a much greater appreciation for my dad introducing me to that term and theory. Again, I find gratitude in my life experiences happening at a younger age in my life, because I think it matured me in ways, particularly in resiliency. I think there is a beauty in the free spirit of children who live as if there is no hardship because of their often lack of facing those challenges. Yet, I also think, at least in my life personally, that there was a gift in me learning about resilience at a young age. It has definitely served as a purpose for many more experiences in my life as a young adult and I trust it will continue to serve as a valuable lesson in the future. Overcoming Adversity And Finding Meaning “Every trial endured and weathered in the right spirit makes a soul nobler and stronger than it was before.” ~ James Buckham I believe strongly in the power of choice. Every life situation one encounters is also presented with the ability to choose how to respond. We can not control what happens to us, but we can control how we react to any situation. It took time, and some years of life experience after receiving a brain injury and overcoming cancer, but I have come to what I consider a place of peace. With each challenging experience I overcame in the past twelve years, I found within myself more and more strength and confidence in my abilities. As it's been stated, there were numerous occasions when I felt the odds were against me. Sometimes, professionals or the research literature in the public regarding TBI were discouraging toward survivors. However, a large part of what pushed me to overcome the adversity were the challenges I faced and the times I was told I most likely would not be able to accomplish or succeed in something. That gave me the spirit and energy within myself to want to prove, not only to others, but most importantly, to myself, that I could do anything I set my heart, mind and intention on. With each small victory I experienced within my rehabilitation, it pushed me even further to want to fulfill my life desires. I have surprised myself numerous times in the past twelve years when it comes to my abilities and what I thought I was going to do in my life and with my life. As the years progressed after I received a brain injury, I began to piece together different pieces of understanding. I read a lot of books on various topics, such as spirituality, finding meaning, overcoming suffering, and life purpose. The more I read, the more I began to view the events in my life, not just the brain injury and cancer, but each significant event, in a more meaningful and purposeful way. This learning is an on-going journey. I continue to read inspirational books for motivation, I journal, and I also, when given the opportunity, try to reach out to others and assist with their personal struggles by sharing my story with the hope of inspiring others. I accept events, even the pain and struggles, as lessons and opportunity for growth. The past twelve years have largely shaped who I am, where I have been and where I will continue to go. Having a brain injury does not define who I am as a person, but has definitely been the largest teacher in my life so far. I have been humbled in many ways by having a brain injury, and taught to never assume that bad things don't happen to good people. I have also learned that everyone has a life story and comes with a history of their own personal pain and adversity overcome. I quickly learned how easy it is to judge anyone who's different, yet the minute one becomes a minority in any way, one is given a whole new perspective of what it means to feel like an outsider. Those experiences allowed my empathy for others to grow, especially for others who are often labeled unfairly and given up on quickly. Having a brain injury has taught me to not dwell in the pain, but to rather use it as energy that fuels my passion and drive for life. Every experience is another opportunity and can be viewed as a gift of choice. The choice to feel sorry for ourselves and dwell in the negativity or rather the choice to find within ourselves the strength and character we each possess to put one foot in front of the other and move forward. The most important gift I feel the past twelve years has brought into my life has been the growth of my personal spirituality and relationship with a Higher Power. I find it challenging to express into words the level of emotions I experienced, particularly the couple of years after I received a brain injury. It was a confusing time with a lot of questioning and seeking understanding of why. I went back and forth between being angry and confused and then feeling blessed and lucky. I personally feel overcoming a near-death experience brings with it a large responsibility. At that time in my life, I was so happy to be alive and wanted to share my gratitude and continue to do so. I, being a believer in God, felt like in many ways I had to repay Him for the second chance I was given. Being a naïve teenager, I couldn't even begin to comprehend how I was going to do enough or be enough to show God that I was grateful. However, with age, wisdom, and some soul searching, I discovered within myself the feeling of grace. I came to understand that God didn't expect me to have to pay Him back. Rather, He just wants me to be happy and content. This concept took a long time, and is still a process, to truly grasp and understand. I have let go of the pressure to do something huge with my life in order to show God how grateful I am. Today, I show my gratitude by embracing every day as a gift, and doing my best to be present within each day, living life to the fullest. Life Purpose And Paying It Forward “So often we look at a calendar of days as merely a symbol of the passage of time. We forget why we are on this earth. We forget that there is a reason for all of the pain and all of the struggle. We forget that we were put on earth to learn something. If everything were perfect in this life, we would never learn anything new. We would not be able to elevate our spirits through the events that happen to us.” ~ From Walk In Balance By Lynn V. Andrews I believe part of the lived experience is continually asking within ourselves if we are living a purposeful life and questioning who we are and what we are here to do with the short time given. Experiencing the rehabilitation of a brain injury and cancer at the young age of fourteen presented me with a different way of living. I suddenly felt a shift within my life shortly after, knowing that something had occurred within me and my life. There was an inner knowing that I discovered regarding that my life took on a new meaning as a result of overcoming the challenges I faced. With the spiritual discerning that took place regarding finding meaning within my experiences, I came across the concept of life purpose during my teenage years. The more I read about the concept, the more excited I got because I finally was reading literature that was putting into words what I was feeling yet could not articulate. I sensed within me that something had happened when I crossed over while in the coma. Suddenly, I felt inspired by an energy much larger than myself that was leading me to people and places and experiences that provided me ways to use my life story for the purpose of inspiring others. Around the age of sixteen I came to a new realization of life purpose and chose to view what happened to me as a gift to be used to better the world in some way. I didn't know how at that time, but I knew eventually I would be led to what God had planned for my life. In the past twelve years through soul searching and self discovery, I have come to view the purpose of receiving a brain injury and also overcoming cancer as both a personal lesson and a tool to use in my life in regards to helping others. I could easily write a separate memoir just on the topic of the many gifts I consider in my life as a result of the brain injury and cancer. Looking back, every event in my life that occurred as a result of the brain injury or cancer served a large purpose in getting me where I needed to be and with whom I needed to be with. I have reached the point in my spiritual awakening where I understand now that I needed both the brain injury and cancer in my life in order to teach me what I needed to learn. I believe part of our life purpose is to pay forward the lessons we have learned and the gifts we are given. Paying it forward means taking what we have acquired along our journey and using it in a purposeful way, for the better good of others. I hope I have in some ways already paid it forward through the people I have met in the past twelve years as a result of my brain injury and cancer. I hope from the experiences I have had in sharing my story, others were motivated to overcome challenges and pursue dreams that were often termed “impossible.” I plan to continue sharing my story for the purpose of inspiration and healing, not only for myself, but for others as well. Through my vocational plans of working in the health industry, with the hopes of working as a spiritual wellness counselor, I also plan to pay forward the gifts I have acquired from this journey. I have absolutely no regrets or feelings of anger or bitterness for any of the past twelve years. I wake up every day happy to be alive and grateful for the miracle of each new day. I look forward to the future, knowing I am not alone on this journey, and that I have been blessed and will continue to be. For that, I am and always will be grateful. “We all have this voice and are given an underlying faith in its wisdom as our birthright. It is what gently prods us to remember that life is about more than just continuing. It is what calls us to be all of what and who we are in terms defined by our own soul's knowing instead of exclusively molding ourselves according to the culturally sanctioned drive for material success or any particular tradition's or teacher's definition of spiritual enlightenment. We each have this voice, although how it speaks to us, the words it uses, will differ and be shaped by the particular circumstances of our lives. The truth is that I am an ordinary woman with an extraordinary hunger, an ache to discover and consciously live the meaning of my life, and a conviction that that hunger can be satisfied only by cultivating a deeply spiritual life. The voice of my soul gently reminds me that we ache for something more than just continuing, asking us to remember our capacity for deep intimacy, our ability to live the meaning at the center of our lives, to be aware of the Mystery that can hold it all.” ~ The Invitation By Oriah, Page 14 “When I stand before God at the end of my life, I would hope that I would not have a single bit of talent left, and could say, ‘I used everything you gave me.'” ~ Erma Bombeck *The author has been given permission to use names of people referred to in this memoir. References Atkinson, Robert. (1995). The gift of stories: practical and spiritual applications of autobiography, life stories, and personal mythmaking. Westport, CT: Robert Atkinson Publishing. Best Spirituality. (1997). Spirituality quotes. Retrieved January 20, 2008, from http://www.bestspirituality.com/quotes.htm BrainyQuotes. (2008). Viktor Frankle. Retrieved February 19, 2008, from http://www.brainyquote.com/quotes.authors/v/viktor_e_frankle.html Canfield, J.L., & Hansen, M.V. (1996). A 3rd serving of chicken soup for the soul: 101 more stories to open the heart and rekindle the spirit (1st ed.). Deerfield Beach, Florida: HCI. Encephalitis Information. (2002). The encephalitis society. Retrieved January 6, 2008, from http://www.encephalitis.info/TheIllness/TypesEncephalitis/HSE.html Hinterkopf, E. (1998). Defining the spiritual experience. Integrating Spirituality in Counseling: A Manual for Using the Experiential Focusing Method, American Counseling Association. Retrieved from http://www.focusing.org/defining.htm#NEED. Oriah. The Invitation: It doesn't interest me what you do for a living, I want to know what you ache for. (1999). HarperSanFrancisco Publishing: San Francisco. Peace Spiritual Inspiration. (2007). Willard Fetter. Retrieved February 23, 2008, from http://www.peaceinspiration.com/2007/07/25/quotes-about-spirituality/ Practical Psychology Press, Inc. (2005). The resiliency advantage. Retrieved March 4, 2008, from http://www.practicalpsychologypress.com/titles/ResAdv-chap1.shtml Spirituality and Practice: Resources for Spiritual Journeys. (2008). To be resilient. Retrieved March 17, 2008, from http://www.spiritualityandpractice.com/books/excerpts.php The Quotations Page. (1994). Motivational quotes. Retrieved March 1, 2008, from http://www.quotationspage.com/quotes/Helen_Keller/ Wise Geek. (2007). What is empathy? Retrieved March 16, 2008, from http://www.wisegeek.com/what-is-empathy.htm World of Quotes. (2003). Empathy and being a survivor. Retrieved March 15, 2008, from http://www.worldofquotes.com Tweet
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