Posts tagged Stroke
Learning to Understand Each Other Post-stroke

Listen to Jessica and Jon share their story.

Jessica Peters had a stroke in 2011, at the age of 26, when her left carotid artery spontaneously dissected, or tore, resulting in decreased blood flow to the left side of her brain and permanent damage. She was engaged to be married at the time, and her fiancé, Jon, discovered her upon awakening one morning with an asymmetric smile and an inability to speak. Because his mother had had a stroke a year prior, he pretty much knew immediately what was happening. He didn’t waste time before calling 911.

The stroke hit the left frontal and parietal lobes of the brain, including Broca’s area, a region responsible for language production. Now, Jessica lives with persistent weakness in her right arm and leg, as well as an expressive aphasia, meaning she can understand everything that is said to her but has a difficult time producing language, or expressing herself, both in speech and in writing. This can of course be frustrating but she works hard to make herself heard.  

Jessica and Jon met in 2006, when Jessica was just 22 and Jon was 29. They describe their pre-stroke lives as carefree and playful, full of adventure—amusement parks, rollercoasters, glider rides, concerts, dancing and a lot of laughter. Being physically able and indestructible felt like a given. In addition to her day job as a real estate broker, Jessica, once a roller derby participant herself, worked as a referee for the Boston Derby Dames managing the penalty box. This could get pretty rough, but she thrived on the intensity. The stroke changed things of course, and forced Jon and Jessica to slow down and have a more cautious approach to life, but fun is still a prominent theme in their relationship. Despite the trauma of an unexpected stroke, a grueling recovery and ongoing disability, they continue to laugh as much as possible. Their laughter is buoying.

To their credit, they kept their wedding date and were married within a year of the stroke. That was 7 years ago. “I knew you were still in there,” says Jon to Jessica. But it hasn’t all been easy, and they are honest about their struggles, Jessica more the “glass-half-full” type and Jon more of a realist.

“I don’t feel why me,” says Jessica. “But you did, in the beginning,” reminds Jon. “You definitely have an upbeat mentality, but I also observe when you don’t. We both have hard times.”

As a couple, they have navigated challenges that would have ended many if not most relationships. Communication has been the biggest struggle, for obvious reasons. According to Jon, it always been important to him to be understood, to process things by talking them through. He acknowledges the sense of loss he feels in this regard, post-stroke. Of course, Jessica wants to be there for Jon and to give him what he needs, but she has some difficulties processing as well as producing language. If she is given too much information all at once, she can’t keep track. “I lose the front words,” she says.

Both acknowledge that the communication challenges have made them more mindful of and sympathetic to what the other needs. Despite, or maybe because of, the struggles, in some ways they now understand each other better. “I speak Jessica’s variety of aphasia,” says Jon, and indeed, he is an expert at coaxing her along, asking “Do you want me to tee you up?” when she gets stuck. And sometimes she tees him up. Their playful banter is practically a dance, stutters and all.

Jon calls Jessica “tough as nails” and marvels at all she has accomplished. She has demonstrated incredible persistence and has learned to live a full and active life despite her disabilities. “I don’t need your help at all now,” she reminds Jon, firmly but with a smile. She now volunteers her time to talk with new stroke patients, helping them adjust to their post-stroke lives. She reminds them to hold on to hope, to keep moving forward. For Jessica, life is good. She’s married, has a job, owns a house, and plays adaptive sports—rock climbing, biking, kayaking.

Most importantly, she and Jon have a thriving and happy relationship. The stroke has required both of them to redefine themselves again and again. This is not the life they planned for, but they’re doing it, living fully, listening to one another, being honest and laughing whenever possible.

*Mixing and sound design by David Goodman

Music:

  1. Joa Rajadel, “The Quiet Mind’s Essence” (2019 CC-by, nd, nc)

  2. FMT (Marco Fabre), “Project 3612” (2019 CC-by, nd, nc)

  3.  Guitario, “Temps Perdu” (2019 CC-by, nd, nc) 

  4. Oto Yumeno, “Lover’s Ballad” (2019 CC-by, nd, nc)

  5. Joystock, ”Majestic Earth” (2019 CC-by, nd, nc)

My Brain Explosion

Listen to Sean share his story.

At age 22, while a graduate student at Boston College, Sean Manning had a hemorrhagic stroke.Seemingly out of nowhere, a blood vessel in his brain “exploded” while he was lifting weights.In a second, he went from a physically fit guy doing squats at the gym to someone with lasting physical deficits. Only later did he learn that he had been living with an arteriovenous malformation (AVM)--an abnormal tangle of arteries and veins—in his brain, likely since birth.Without knowing it, he had always had an increased risk of vessel rupture and cerebral hemorrhage.

Initially, he was in a coma. When he woke up two days later, he was in the hospital and couldn’t speak or move the left side of his body. He wanted to get up and run, but wasn’t able, and he felt trapped. Still, to this day, he gets a panicky feeling when he is in hospitals, overwhelmed by a sense of confinement and a desire to escape.

While the days in the hospital are somewhat of a blur, he remembers struggling to come to terms with what had happened:

“Can I possibly live a life after this?” he remembers thinking. “Am I am going to be in a home for the rest of my life? Am I going to be in a wheelchair? I play pick-up basketball three times a week. I just dunked last week. And now you are telling me I can’t walk?”

He had never before experienced such an out of control feeling and he was terrified. He describes a long process of recovery, which is ongoing. He worked his way through denial, anger, and self-pity and has come around to accepting his new reality. His three-year anniversary was in March, 2019. He still struggles with some left sided weakness and with periodic seizures, but these challenges aren’t holding him back. He has successfully completed the Master’s degree program in accounting he started before the stroke, but notes that his priorities and passions have shifted. He no longer wants to be an accountant. Today, he works in ambulatory practice management at the Dana-Farber Cancer Institute and intends to pursue a career in nonprofit consulting.

His stroke caused enormous suffering in his life—something he had never experienced before—but he is finding a way forward, and acknowledges that he is now a different, and in some ways better, person than he was pre-stroke. He is more open to different experiences and perspectives; his relationships have strengthened and deepened; he is more empathic.

*Mixing and sound design by David Goodman

Music:

  1. Guitar, “Le Conqerant”

  2. Roxy Music, “If There Is Something,” 1972

  3. Trypheme, “White Douleur"  Thanks God for Air Emotions (freemusicarchive.org)

  4. Junkadelic Brass Orchestra, “Baron Samedi,” Travelling in the Footsteps (2017)

  5. Lee Rosevere, “Trying to be Strong,” Living with Trauma, 2018 (freemusicarchive.org)

  6. Dee Yan-Key, “Dreamworld” One Hour of Your Life (freemusicarchive.org)