Showing posts with label traumatic brain injuries. Show all posts
Showing posts with label traumatic brain injuries. Show all posts

Sunday, June 14, 2009

When Justice Fails the Children: PART IV, Kristy's story by Debra Sanders

When Justice Fails the Children: Kristy’s story
Part IV


At the time that I received Kristy’s first email, I had not been a practicing educational psychologist for several years. Officially, “retired” due to the head injury and its ongoing ramifications, the final version of Panache was just heading into print, with a scheduled release date of November 18, 2008. My world had become a quiet one, with pecked out words as my companions and the daunting task of having to learn the business end of writing a book, despite the fact that remembering any new information seemed a monumental,and quite possibly impossible, task.

About a week before I heard from Kristy, my website went up and although there are many Debra Sanders out there, this time when Kristy performed what I was to learn was her ongoing search for me, the http://debrasanders.com website was the first to pop up on Google. Clicking on the link, the first thing Kristy saw was my picture and she realized, “Oh my God, I found her. I really, really found her.”

And so, through the contact me box on my website, Kristy sent that initial communication and at 3:17 in the afternoon on August 24,2008 I responded with this:

"Kristy, all I can say is that for the first time in several years, I spoke about you two nights ago...That you would out write me out of the blue less than 48 hours later, is simply astounding to me. Please write and tell me how you are, where you are.
Debra


Kristy’s response, composed as rapidly as I had written mine, told me she was living in XXX, having moved there from XXX a few months prior. "The hardest part of living there", she said, was that she was "in a very rural area and there were no therapists who specialized in dissociative disorders". She went on to say, “I still have a LOT of problems cause of the abuse. I am diagnosed with DID (Dissociative Identity Disorder) and I have 11 different parts.” Kristy went on to explain that in the last state in which she had lived, she had an excellent therapist and had been functioning well enough to hold down two part time jobs—one at Wal-Mart, the other as an aide in a head and spinal rehabilitation center.

I found it almost as surprising that she had been working in the area of head injuries as I found the simple reality of having been contacted by her.

As is common when two people reconnect with an interim of fifteen years between contacts, there was an initial flurry of emails, with Kristy filling me in on some basic aspects of her life. She did not know what state her parents were in, refused to refer to them by name, but rather simply called them the “A**holes;” and she had gotten her GED at nineteen. “How I did it I I have no clue since I left *** middle I never did any school after that. During that time the abuse got worse since there was no school to escape to and that's when K.left being the core part.”

Kristy went on to explain that no therapist had ever been able to help her integrate (merge her independent parts) because K. had not resurfaced since disappearing fifteen years earlier. One of the reasons they had been looking for me for so long, Kristy explained, is that she thought maybe K would emerge in order to talk to me and if they could stabilize their mental health, she was thinking about prosecuting her parents for the abuse she had endured.

“I told K.I found you since she mentoned you a lot when we were younger and I knew you too since I watched her but she seemed scarred maybe you and her can work stuff out. But its up to you.
I want to get her your book do you think that's a good idea?”

Almost immediately, I received an email from K:

“Ms Sanders its K. are you mad at me for being a bad girl? i sorry i was bad when you knew me. i only did what daddy an mommy told me to do. They were so bad to me i sorry i didn't tell you what they all did to me i wanted to but i was afraid to i knew it would never stop. i miss your letters you wrote me in school even though mommy always found them i tryed to hide them but when you have to strip as soon as you get home she'd find them. i hope you dont mind i told kristy about you. i dont want to be out in this world anymore i like being safe inside. you will like kristy shes not like me shes brave. after i left school daddy moved into my room and he became my husban he told me noone would ever protect me so i better not tell another person. mommy became meaner to and she started hurting me too. i cryed for you when they were not around which was very seldom and then id go inside and cry to kristy i couldnt keep doing it so kristy took over. i wanted you to save me but i knew you never would why would you when i was so bad. kristy told me she found you and it scared me cause how could you still like me after what i did. i protected mommy and daddy instead of you and you never hurt me they did. did you ever know how bad it was for me i remember you tryed to get me to tell you before mommy got in the way then you tryed to get me to write it to you. i couldnt i hope you know why. although i wanted to so bad i dreamed of telling you and you saving me but id wake up with daddy having sex with me so i knew i could never tell. im going to go back inside please dont tell mommy and daddy i wrote to you”

I received this email at noon, August 25, 2008—not quite twenty-four hours after the first contact.

OMG, I thought. Holy, holy shit. Is this for real? Clearly, I need to establish parameters.

Whoa….wow.

Now my head was really spinning.

TBC. Read on to find out what else K and Kristy wrote and how I established a non-therapeutic relationship with her, while wrestling in my head with the ethics of continuing written correspondence.

Thursday, March 19, 2009

Natasha Richardson, RTIR, Dings, Bell-Ringers ,untimely deaths and pure facts by Debra Sanders

It's amazing. I have been running ads in The Radio and Television Interview Report (RTIR) since September, and let me tell you, these are not cheap ads. RTIR is one of the mainstays of the radio and television talk show industry—every month it contains almost a hundred pages of tabloid type ads, all clamoring for the attention of talk show hosts ranging from the likes of the guy running the little radio station up the road, to those in charge of finding guests for Good Morning America and Oprah.

I could have chosen any number of marketing angles when it came to issues brought up in A Matter of Panache: special education, traumatic brain injuries, public education, the choice to endorse or reject mediocrity; even, the decisions and choices we make in the name of friendship. I opted for none of these, but rather my ads have been focusing on a small subset of head injuries: concussions. Why? (Besides the fact that my own under-treated concussion has cost me hundreds of thousands of dollars in lost income, my previously active lifestyle and a good percentage of any feelings of competence in the last six years). Why? Because the statistics surrounding concussions are staggering and they receive very little attention. Surprisingly little attention.

Anyone out there want to guess how many radio stations have called me over the past five months, wanting to set up interviews?

If you said zero, take a bow. You are correct. Zero. Not one radio station thought the topic worthy of booking a guest—despite the fact that every day there is the need for 10,000 talk show guests. Ten thousand guests needed--every day! Can you believe that? (This demand perhaps explains the thinking behind booking some of the guests we have all heard interviewed here and there over the years, don’t you think?)

But,sticking to my topic-the answer is, I repeat: no calls. Not even so much as an email request asking me to be a guest on somebody’s show. This, despite the fact that March is Brain Injury Awareness Month!

That is, I had no calls until today.

My phone started ringing at 6:00 this morning and it has not stopped ringing since. I am betting it will ring again tomorrow. Producers of radio shows in Montreal, British Columbia, Wisconsin, California, Minnesota and God knows where else have called wanting to have me on their show. Why? Well, because a young, beautiful and very talented woman died after a seemingly innocent fall on a beginners ski slope. And when movie and stage stars die unexpectedly, people take notice and suddenly their cause of death is sexy enough to garner attention.

I am sick over the death of Natasha Richardson. Not because I loved her as an actress—frankly, I am not sure I have ever seen anything she has been in—but because she is 45 years old and the mother of two boys, age 10 and 12. And because, although you probably won’t hear this, what happened is not all that uncommon. My guess is, you will hear this referred to as some sort of fluke, a gross anomaly,a freak accident. You will hear it referred to as anything other than the truth in order to explain how a fit, vibrant woman could have possibly died from such an innocent little fall in the snow.

Well, let me give all of my readers out there some shocking information (all six of you, LOL):

• Every year falls are the leading cause of traumatic brain injuries, with consistent reporting indicating that roughly 85% of concussions go undiagnosed.

• Nationwide, 300,000 sports and recreation-related concussions are reported every year, but the estimate is that nearly seven times that number is closer to the number of concussions that are actually sustained.

• Most people think a helmet will prevent a concussion, yet football, ice and field hockey, soccer, lacrosse, softball and wrestling all require helmets—and the rate of concussions in these contact sports is high.

• Loss of consciousness is rarely a symptom present in sports concussions and brief loss of consciousness does not correlate to the severity of the injury—still, when players sustain star-causing “dings” and “bell ringers,” they are allowed to continue playing since they appear to be “okay.”

• One in five high school athletes suffer concussions (that’s the reported number). Surprisingly, people seem to think that because teens own youth, they recover more quickly. In fact, children and teens are far, far more vulnerable to the ramifications of concussions. They suffer many more of them and their brains and nervous systems take longer (not less time) to recover.

• Second-impact syndrome—that is, sustaining another hit to the brain within a year, can cause irreversible brain damage—or death.

• At least two young athletes in our nation die each year as the result of a sport-related concussion. Just like Natasha Richardson died. The only difference is their deaths do not bring attention to the issue.

I could go on and on (and on and on) about this subject, because I can tell you from personal experience that there is no such thing as a “mild” head injury…that I was told, “it’s just a concussion. You’ll be fine in a couple of days,” and because the six year anniversary of that day is coming up in two weeks and I am still very much not fine.

Natasha Richardson was a young, beautiful, talented woman who has now left two pre-teen boys without a mother. I don’t care how rich, how famous, how pampered a person is, no amount of money can replace a mother to two young boys.

Here’s but one of my many questions: When the paramedics came to intervene and they were told to go away because Natasha said she was “fine,” why did they go? I said I was fine too—I walked away from my rolled truck and insisted I was fine. The paramedics at my accident scene did not however, turn and walk away; rather, they insisted on taking me—in an ambulance—to the hospital. They may have miscalled the severity and duration of the effects, but there is no doubt they knew enough about concussions to know that more often than not (for reasons I can explain in another post), people often feel okay the first hour or two following a concussion. It’s after that time period that the headaches, nausea, dizziness, blurred vision and foggy thinking start to emerge. And one would think that paramedics and hospital personnel are aware that concussions rarely show up on CT scans or MRIs (the reasons for which I can also explain in another post), but that does not mean serious damage has not occurred.

Anyone…I mean, anyone and everyone who sustains a jolt to the head (note that I said jolt, not crack or bump to the skull) needs to be carefully watched for a minimum of twenty-four hours, with the absolute understanding that slow bleeds which cause swelling, can cause death if not treated. The subdural hematoma that killed Natasha Richardson was easily enough treated had it been caught. Physicians treat it all the time—they open up the skull and make room for the swelling, and rarely does the injury become fatal. Left untreated however,the outcome is nearly always tragic.

I urge all of you out there to at least make Natasha Richardson’s death matter to more than her two little boys and husband. Start learning about concussions. Learn the truth about concussions and learn what to do when you or someone you know sustains a “ding.” Don’t cheer the athlete who shakes his head to clear the stars and then goes back onto the field. Why on earth would we ever cheer such foolishness?

Keep checking on my blog. I promise you there will not be two or three weeks between posts when it comes to this subject. Next: Signs and symptoms. After that: treatment and interventions.

This is a topic that deserves not one, but many posts.

Oh, and turn on your radios. As of today, I am booked on…let’s see…I think it was five shows, last count. Or maybe it was six.