I am frustrated.
Each time I hear of the 'heart-warming' story of Gabby Giffords, I want to scream. I am angry because her story is portrayed one-dimensionally as a story of hope and courage for survivors of Traumatic Brain Injury (TBI). And I believe, that for the families of a person with TBI, this is misleading and adds insult to the injury.
Each time this show returns from commercial breaks, it begins with "Gabby and Mark: Hope and Courage". There is not one person who has had a loved one who has suffered a TBI who does not know the polarities of hope (please let him/her get past this) and courage (living through the reality of day-to-day life). Yet, for anyone without the resources available to Rep. Giffords, the reality is one less of hope and more of courage. Courage to face the overwhelming reality of a loved one who may, or may not, live a full life. Who may, or may not, be restored to pre-injury levels or something even close to it.
Gabby Giffords is shown in beautious form. She is shown saying the right things, the words most momentous. I know those moments. I can splice them in from my own life...In January 2008, my 15 year old son was hit by a min-van, thrown 60 feet, landing on his head. He was unconscious when the paramedics reached him. He was not responsive to command, his pupils did not dilate to light. On the commonly used Glasgow Coma Scale, he 'failed' at a response rate of 3...
While my son was in a medically induced coma, we were presented with the information that we might have to make the decision of his 'quality of life'. How does one go from that to trying to imagine what one wants for their child in life?
When her husband, Mark, is asked what he wants for his wife, he answers, 'For her to string sentences together'. I rage. This woman is still in rehab after 9 months. My son, who suffered a TBI so severe it was thought he would not live, was discharged from rehab after 3, THREE, weeks. Is her insurance really that much better than the two policies in place during his accident? My son returned home before he should have been. He was emotionally labile, aggressive, at an emotional age of three, unable to comprehend the limits of his injury, angry, and incapable of straightforward communication due to the injury that affected his linguistic ability. His language was a melange of words that fit the context and words that made no sense. He perseverated on the same topic for hours at a time.
Mark and Gabby have a book out. A book full of hope and courage. To my mind, it is a book that obscures the reality of recovering, and seems slanted towards a voting public. To me, a mother who went through months and months of recuperation and recovery with few resources, it seems like lies, stories meant to convey a false sense of hope and courage, not a view based on being in the trenches.
I know we all want a story that is full of meaning and ends with a good message. I know, because in the wake of my son's accident, I sought out any and all stories of brain injury and recovery. Traumatic Brain Injury (TBI) recovery involves stages of denial, anger, aggressiveness, emotional lability, moodiness, perseveration, substance seeking behaviors, lack of insight, impulsivity, and lack of judgment. The books I found provided solace because they spoke to the reality of dealing with a person with TBI. These books spoke to the frustration of dealing with a TBI and spoke to the joy of small breakthroughs.
Shame on Mark for pushing the idea that Gabby will be able to return to Congress anytime soon. Will she, eventually? Maybe. But maybe, when she could, she will want more than public service. My son, after almost 4 horrific years, now has his GED and has finally gained employment at a small retailer--a master feat after 3.5 years during which he could not follow through on job hunting.
Gabby Gifford's husband does not really address the loss of his wife. He talks solely of hope and courage. I believe he does many people a dis-service by not addressing the emotional devastation caused by 'losing' a spouse to TBI. Who we get after a TBI is not the person we had before the TBI. In the wake of this realization is grief, sorrow, loss. We have lost a person who is still in front of us. As Mark speaks, he overlooks the reality he, and numerous others, face: the loss of the person loved.
This is not a diatribe against Gabby Giffords or her husband. Her recovery is indeed miraculous. She has obviously had to work hard and is still working. It is a diatribe against the part of our culture that wants to focus on the positive to the exclusion of the reality. And, by reality, I mean the ups, downs, and really hard parts of what happens when...It happened, we have to deal with it. Period.

My son with his life-saving neurosurgeon.


Salon.com
Comments
Bless you and your family.
~r~
Montanarose--it is an adjustment that has to be acknowledged. It is a bittersweet combo some days.
Myriad--effing guns create big effing messes but we still allow them. Why?
"The brutal realities of American life are constantly being santized for us, in a thousand ways."
It's so good to hear about your son again. GEd & a job. That's so great.
Now I get it. My gut knew what my head couldn't sort out. The false hope, the sanitized version, the rah-rah feel of the whole thing - it's all so misleading.
Thank you for writing this important piece. And I love the picture of your son and his surgeon.
xoxo
Kim
Alsoknownas-- thank you
Neilpaul--that's exactly it, sanitized. You get it.
Jeanette--I know too much about TBI and I believe this spin is not helpful. Thanks for stopping by.
I don't blame Mark for taking the money. Even this happy ending took a talented writer.
Zaslow also co-authored 'The Last Lecture'.
I can only add a resounding YES!! Things are so "Disneyfied" in our culture. What you are saying is so important and you say it so clearly. "And, by reality, I mean the ups, downs, and really hard parts of what happens when...It happened, we have to deal with it. Period."
I knew we were waiting on a powerful one from you, Drema I could just feel it. Wishing all the best for you and your gorgeous son.
He was in a military hospital for months and then retuned home with little follow up care. This was in 1972, so medical knowledge of the brain injuries was scant. He never recovered mentally, lives in a wheelchair with use of just one arm and suffers from bipolar type rages to this date (he refuses medication).
My wife was 10 when it happened. He ruined my wife's youth as he lived in the basement, his preference, ranted obsessively in the worst language, was violent, made many crude and sexual remarks to her, eventually attempted to assault her. She left the home at the age of 18 to live with successive boyfriends.
I met her at age 21, live in boyfriend number five. We married a year later and are still together after 27 years.
He is still the same in a halfway house across town. Ironcially, while she never sees him in person, his out of town brothers come in to do the leg work, she works closely with his caregivers and the military insurance to see to his needs, replacing wheelchairs as he breaks them, making appointments and relocating him when he gets kicked out of housing for various offenses.
I wish the Giffords all the best.
Lezlie
After watching only 5 minutes or less of the interview, it was clear that a full recovery will take years.
You deserve an award for living through such trauma which, no doubt, goes on in a different form.
Rated and shared
While this adulation was going on, Christopher Reeve remained in a wheelchair from his own accident and wondered aloud, in at least one published report, why it was that people couldn't understand why he was still unable to walk. Different type of injury; different possibility and degree of recovery. That's what all of the "feel-good" stories seem to forget.
Kim--your words warm me. That picture is about 4 months post accident so it was the first time the surgeon had seen him without a hospital gown!
Keri--thanks
Con--😃😃😃
Brassawe--I suspect so, too
Julie--if I hadn't been 'behind the curtain' for years, I might've cried too. Her recovery is remarkable and I don't want to take away from that.
Belinda--don't get me started on PTSD and lack of care, we'll be here all night!
Nick--I wasn't aware of the co-author, was he a ghost writer?
I do think your son's recovery is amazing and I am sorry that you lost the person he used to be.
Fernsy--he is a cutie! And, yes, sometimes we have to be grateful that it wasn't worse.
CrazyKBall--I'm sorry about your wife's experience. Her brother obviously got little of what he needed.
Zuma--I know, right?
L--I like how you phrased it, a "silly nation of fairy tale believers".
Blue Roses--thank you
HUGGGGGGGG
I have been an Advocate for the SAG Members who aren't even being told that they have a Disability Plan for People know are injured on the set. By myself I have gotten two Stuntmen the Plan and a Stuntwoman "refunded" money back (over $20k) from a Guild that is suppose to be protecting it Membership. Instead the CEO of that Plan, had the Plan paid for his wife's breast enhancements!!! And that is not even covered by Blue Cross...well unless someone who might know the codes to sneak this surgery through. When I went in to fight for myself, I was harassed and abused by the Trustees and denied. I have lost over $45k in buying a Health Plan while waiting for someone to care......I have an ERISA Suit that is being delayed in Court. SAG Attorneys are making money on this...I am dangerously close to losing my House.
Do I feel warmth for Gabby? I am glad she is alive...warmth? NO my money has paid for HER recovery, when is the Government going to stand up for my Rights and Advocate for me?
Annie--I'm sorry to hear about your son. And yes, recovery is based on so many factors that we can never predict an outcome.
Razzle Dazzle--Thanks. My son's recovery is no less miraculous than hers but the journey was not so pretty.
divorcedpauline--I appreciate your words. Having read your story, you must understand the fury that gets aroused when things are presented as 'this is the way it is'. Thanks.
fingerlakes--anger can be compelling and help us get past what happened. Sometimes it just feels annoying.
Victoria--Awesome medical care should be a given for us all.
Matt--yes, the orchestration of public figures is maddening, because we all know we all bleed and hurt but that is not portrayed.
Deborah--Thanks for coming by
Sheila--everyone should have the access to the resources GG does and did. Realism helps counter the idea that some get what the rest of us don't.
Jennifer--thanks
I am happy for Gabby and her husband/ family. In my experience, I had to come to a place of acceptance through grieving my reality before I could begin to accept what I could not do -- because of the affects of my traumatic brain injury which I sustained in a motor vehicle accident in 1967 when I was 10 years old -- before I could begin to accept what I could do through using my gifts, talents and abilities. Although I am unable to maintain gainful employment due to my invisible disability, I have learned how to use my gifts, talents and abilities in ways that work for me through Second Chance to Live http://secondchancetolive.wordpress.com/.
My hope is that Gabby -- when she is able to and her family supports her -- will look for ways to use her gifts, talents and abilities in ways that work for her. I am in your corner Gabby. If I can help in anyway, please let me know. I am available to be of service to you.
In my experience, I have found that more will be revealed with time. That is what hope is all about -- we do the footwork and trust a loving God with the outcomes -- because more will be revealed. I don't have the big picture, only God does and I have come to realize that I can trust the process, a loving God and my ability to learn from my circumstances. In my experience, I have come to realize that my circumstances are not meant to keep me down, but they are meant to build me up.
I will say so long for now. Have a pleasant and rewarding day and God bless all of us.
Craig
Craig J. Phillips MRC, BA
Second Chance to Live
http://secondchancetolive.wordpress.com/
Our circumstances are not meant to keep us down, but to build us up!
“This is not a diatribe against Gabby Giffords or her husband.”
Actually mypsyche, it is a indeed a diatribe against Gabby Giffords and her husband.. You have suffered just as the Giffords’ family has suffered. Your main premise seems to be based upon the fact that they have had a public platform to voice their views, and you didn’t.
My hopes and prayers go out for you and your son as well as for Gabby Giffords. But please don’t make Gabby’s story seem unimportant because she has national attention and you didn't.
An interesting and informative essay. Best wishes to you and your family during this ongoing ordeal.
froggy--reality sucks but it is a fact. I just want people who have a messy version of life to feel just as validated.
fernsy--yep, and now he is 6 inches taller with a full beard!
Linda--false hopes always crash. I know you get that.
Kent--you speak to my point. Thank you. I like your comment about we could be doing better but "we never will be if medicine remains a for-profit sport rather than a societal commitment."
Candace--GG has advantages a younger person who suffers a TBI doesn't: a fully developed brain and a sense of self. And she has resources. I wish her well but I still wish a more realistic view could be imparted.
Leondre--Thanks, I'm glad you get it.
Emma--thank you. Miracles occur but not always.
Stuntrk--I wish I had an answer for you. Healthcare in this country sucks and I am sorry to hear about your situation.
Craig--I am glad you came to a place of acceptance. making peace with what is can make a world of difference.
Steven--I think you missed my point.
Piper909--good questions that have not been answered
She is not as privileged as some have stated, she has health insurance through her employer (the US government), and rehab is not covered by that plan. However, since she was on the job when the injury occurred, workers comp covers only some of her rehab. (As a person who is unable to get insurance because of a pre-existing condition; migraines, these days having insurance does seem to be a privilege.) She did have great resources by happenstance; the neurosurgeon who immediately treated her had just returned from Iraq where he had been treating life-threatening head injuries.
Mark and Gabby grapple with their reality everyday with both the physical challenges, and the psychological ones that come from the awful tragedy where so many were injured and killed. However, they are by nature, an optimistic couple, trying to move forward the best they can. Do not confuse their upbeat and exuberant personalities as people who do not fully understand the difficulty of what lies ahead of them.
In addition, yes, the media does deliver a/any story by picking out the clips and editing in a way that best serves themselves and their audience. We have become a nation of people clamoring to see a bloody tragedy or a feel-good story.
Thoth--we have learned more than we ever thought we needed to know. We are bound as a family in ways we did not know existed.
blufeather--I wish I still had the capacity to gaze only at the 'good'.
Peggy--I really appreciate your commenting. I do not doubt that Gabby and her family have struggled, it is a natural outcome of dealing with a TBI. What I object to is the sanitized version given to the public. My family was/is not in the public eye and I understand how that makes a difference. But I object to a story of hope that does not speak to the reality of folks dealing with a person with TBI. What has been released from her office has not been rooted in the reality of those who have suffered a TBI. That said, I wish Gabby and her family only the best; no matter the spin, dealing with a TBI is difficult on a daily basis.
1. The absence of guaranteed adequate health-care for so many people.
2. The crazy presence of guns in our society.
3. The over-heated political propaganda on TV and radio.
4.The lack of a decent mental-health system.
5. What the reality is for disabled people who are sidelined when they can't get well enough to "be all that they used to be able to be".
6. How much life changes forever, when a family member is gravely injured. Emotionally, financially, socially. The toll on care-givers and patient, alike. And how their lives are so different from families to whom such disasters have not occurred.
7. How many of the service men and women, whom we have all sent off to fight our wars, have been put in similar disasters for the rest of their, and their families' lives.
Much better to sweep all of this under the rug, and say, "Look at Gabby! See how well they fixed her up? See how perky and smiley she is?"
I'm sure she and Mark are not anywhere near as in good shape as they are trotted out to be, for the brief media encounters they allow themselves to be put through. They seem to have been assigned a new job-- to keep America from thinking and feeling, and possibly demanding change.
In response to your concluding statement, I respectfully disagree. I don't believe "hope and courage" is mutually exclusive with telling a real honest story. From the interview, it truly seems that Gabby and Mark are innately hopeful, optimistic, and determined people, and this likely had a positive effect on her rehabilitation.
Her injury and capacity for recovery are undoubtedly different than other TBI victims. All the hope and determination in the world will do no good for a patient that doesn't make it out of the OR. But this is a glimpse into her unique story as it is still being written, and one that I do not believe presumes to speak for any other TBI patient.
"It is a diatribe against the part of our culture that wants to focus on the positive to the exclusion of the reality. And, by reality, I mean the ups, downs, and really hard parts of what happens when...It happened, we have to deal with it. Period."
I could not agree more with your assessement of our society -- we don't do anyone any favors by white-washing reality.
Powerful, raw writing.
I felt a different kind of sympathy when I thought of what will become of this young man when his parents are no longer able to be there for him. I hate that I find myself thinking like that and relating, in my mind, this terrible turn of events for one family to the way in which our country cares for everyone in similar situations.
No one who has gone through something terrible like TBI wants to hear it, but cases like Gabby really does give hope to the masses. Not only for that injury specifically, but for people who have been injured due to others causing them harm. Also people who want to see someone persevere through what that madman did. People who want to see at least someone get though it, when so many people didn't.
Gabby gives people hope... maybe not you, but she gives hope to me and it makes me so happy to see her get better. Even if I only see the good parts.
The first thing that hit me was 89 comments...89....wow, what a writer you are....secondly, what a chest deep subject of passion, compassion and anger.
I read your summary of your boychilds accident in this blog knowing that you were speaking of a past tense son. For the first time, I perceived through your writing that he is a different man from your son before the accident and the boychild that emerged after the accident.
Your writing reveals you are as well. The thought of you struggling to find understanding, his accomplishment of a GED, your ability to tell a reader they missed your point and his beard are the items that stick out most to me.
Earlier this week I went and heard Bill Moyers speak at the Wortham theatre and had it not been for that, I would have had no idea who Gabbie is. He was going off on a tirade about stronger gun legislation and it's effects.
"I am frustrated". Someone, anyone, would be hard pressed not to relate to this opening line. He sure did, but in a totally different way.
As always, thank you for your continued words which stir thoughts healing for you and those who read them.
Now you have a popular lawmaker on your side to help with better understanding of TBI and issues that they have to deal with.
People want to think that there is something they can do to protect themselves and their loved ones from the pain of loss. If they just try hard enough, pray hard enough, eat the right foods, follow the rules, believe, hope, and avoid stepping on cracks in the sidewalk, they too will live charmed lives. One of my dearest friends did not tell her 6-year-old son that she had breast cancer, because she was only allowing herself to think positive thoughts and she was certain she would survive it. Nothing prepared him for the day he got off the school bus and was met with the news of her death.
You and I don't have the luxury of living in fantasy land; we have to deal with the reality show in our own homes that no one wants to share. If someone had dealt with the reality of the mental illness afflicting Jared Lee Loughner, Gabby Giffords wouldn't need a miracle. Had they not emphasized the positives and instead told the truth, that no matter how much she improves she will never be the woman that she was, it would only be an inspirational story to those of us who marvel at the ability of a family to adapt to catastrophe and let their love for a wounded member welcome her back as she is for whatever is to come.
All the best to you - TRM