Friday, 2 January 2009

Does the mind play tricks?

Jo woke up at 07:00 with pain in her left foot. The leg was beginning to crook up with pain, something that had abated over last few days. However Jo had her Gabapentin early, at 22:00 last so that may explain the pain. The collaborative care team arrived early and got Jo up by 08:30. Jo went to retrieve the TV remote control this morning, until she realised she was currently unable. I think this is a sign the right side of her brain is "waking up". In 2000, after the sub-arachnoid haemorrhage, Jo tried to walk and fell over. This was because she didn't realise she was unable to walk. After this incident she regained mobility fairly rapidly. This time Jo is acutely aware of her inability and has been so since the outset, so the concept of inability has been reinforced consciously over some considerable period of time. The fact that her conscious mind is beginning to entertain the possibility of mobility can only be positive from a psychological perspective.

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Different strokes...

It has been nearly seven years since Jo suffered a "controlled" stroke whilst undergoing brain surgery to clip the blood vessel that had caused a subarachnoid haemorrhage in 2000. Sadly two successive coilings did not occlude the bleed and so Jo had a craniotomy in August 2008. During surgery the surgeon discovered the coiling had penetrated the rear of the aneurysm, occasioning emergency repair procedures. Consequentially they spent one and a half hours longer in surgery than expected, leading to the right half of Jo's brain forgetting it has to look after the left side of her world.