How do brains get damaged? Is yours?


Even a “little” hit to the head can cause problems that can last for years
But that’s not the ONLY way your brain can be damaged

© Madelyn Griffith-Haynie, CTP, CMC, ACT, MCC, SCAC
from the TBI/PTSD Brain-based Series

In our attempt to understand ourselves and our environment, we often end up talking about the brain — “that three pound lump of jelly you can hold in the palm of your hand” ~ V.S. Ramachandran

March is Brain Injury Awareness Month
Brain Awareness Week
– March 13-19, 2017

More Common that you realize

Brain Injury can happen to anyone in the blink of an eye, whether it happens as the result of stroke, car accident, playing football, taking a tumble off a bike, or sometimes even when you trip and fall walking down the sidewalk.

After-effects can persist for years in some cases — and you don’t actually have to hit your head to bruise your brain, by the way.

The only brains most of us have ever seen are models, or brains that have been solidified by chemicals, leading us to believe that they are solid structures that are fairly rugged — and that it might take a significant hit to damage a brain.

Nope! The living brain is soft, floating around inside a fluid filled environment keeping it from bumping up against the inside of a hard skull that, in turn, is protecting the fragile brain itself.

The severity of brain damage can vary with the type of brain injury.

  • A mild brain injury is temporary, sometimes barely seeming to cause much of a problem at all, and often limited to headaches, confusion, memory problems and nausea when it does.
  • In a moderate brain injury, symptoms often last longer, can be more pronounced and can result in other challenges and impairments.

In the majority of cases of mild to moderate brain damage your brain recovers completely, as long as you give it time to heal.

Don’t let that encourage you to take brain injury lightly

Your brain can be easily injured bumping up against that bony skull, even when no hit to the head was involved in the original accident — especially the PFC [prefrontal cortex], the executive functioning portion right behind your forehead.

In addition to brain injuries that involve even limited damage to the skull, anything that makes the brain “slosh around” in the fluid in a manner that causes it to come in contact with the skull results in at least minor brain damage.  What frequently follows can be much worse.

Subsequent swelling or bleeding is a big problem with shaken baby syndrome, for example. I also learned from the overnight death of the young brother of a colleague that all children injured in sledding accidents need to be taken to the doctor to be checked out immediately – before you put them to bed.

Closed head injuries frequently result in what is called diffuse brain damage — damage to several areas of the brain — that also can cause a variety of subsequent problems with cognition, speech and language, vision, or difficulties getting other parts of the body to respond.

Anyone who has a head or brain injury needs immediate medical attention. Depending on the extent and location of the damage, brain injury that seems mild can be as dangerous as more overtly serious injuries.

The extent of potential brain damage is determined by neurological examination, usually including X-rays or brain scans, and neuro-psychological assessments that check out reflexes and cognitive abilities. After checking for brain bleeds and swelling, the first goal is to stabilize the patient to make sure that blood pressure is controlled, and that blood carrying oxygen is flowing to the brain to prevent further injury.

With the correct diagnosis and treatment that contains the damage, even more serious brain injuries do not necessarily have to result in long-term disability or impairment, although approximately half of severe injuries require surgery to repair a ruptured blood vessel or to relieve pressure on the brain.

Every brain injury is different – and ALL need time to heal

Found on Pinterest

Regardless of cause, brain injuries can range from mild to severe, with a majority of cases you hear about being concussions.

It can sometimes take many years for brains to heal from certain kinds of damage, but it always takes longer than a day or two for your brain to recover completely from even minor damage – and longer still if you suffer another injury while it’s still healing.

Football players eager to get back on the field aren’t the only ones who fail to understand why and how long they have to take it easy to avoid long-term damage, even when they believe they are ready to hard-charge it again.

You really do have to take it easy afterwards, just as you would if you’d injured an arm or a leg, but even more important.

Brain damage disrupts the brain’s normal functioning, and can affect thinking, understanding, word-retrieval and language skills, and/or memory, sometimes for years afterwards and sometimes not evident until years later.

Other than those who play professional sports, males between 15 and 24 are most vulnerable because they are the population most frequently engaging in risky behaviors. Young children and the aging also have a higher risk, probably because they are most likely to have balance challenges that result in falls.

Symptoms of Brain Injury

There are many, but negative effects cluster in what can be thought of in terms of three functional systems:

(1) intellect, which is the information-handling aspect of behavior;
(2) emotionality, which concerns feelings and motivations;  and
(3) control, which has to do with how behavior is expressed.
Source: Neuropsychological Assessment, 3nd  Ed., 1995,  by Muriel D. Lezak

These commonly include trouble with some or all of the following: 

• attention and concentration 
• short-term memory   • organizing/prioritizing
• impulsiveness   • task switching,
  and occasionally
• poor social skills   and   • mood swings.

EXCELLENT Related Post:
Lost & Found: What Brain Injury Survivors Want You to Know

Causes of Brain Injuries

In this article we won’t be looking at brain damage in the womb as part of a genetic or congenital disorder (fetal alcohol syndrome, for example) or damage to the fetus due to maternal illness or accident.

I also won’t cover in this post what is often referred to as Acquired Brain Injury [ABI] — brain damage due to disease, stroke, medication, alcohol and drug use, or oxygen deprivation. ABIs affect the brain at a cellular level, most often associated with pressure on the brain, or as the result of a neurological illness.

I want to focus on the kind of brain damage most likely to affect most of you who read and follow ADDandSoMuchMore.com — and the most commonly reported source of brain damage is trauma.

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Causes of the most common brain injuries

Traumatic Brain Injury [TBI] is frequently the result of a blow to the head, whether or not the skull itself is damaged but, but but . . . injuries resulting from a direct hit to the head is only one type of trauma that can damage your brain.

  • MOST people in even relatively minor car collisions and all who experienced whiplash have injured their brains.
  • Soldiers who have been in the blast range but were not physically injured frequently suffer brain damage as a result.  Some reports say injuries of that sort represent the largest number of injuries to soldiers in recent wars.

Since 2006, according to the CDC [Centers for Disease Control and Prevention], blasts have been the most common cause of injury among American soldiers treated at Walter Reed National Military Medical Center. ~ BrainLineMilitary

Although science isn’t sure yet how damage occurs, one theory is that, in addition to pressure waves possibly slamming a fragile brain floating in a cerebral spinal fluid bath into bony protrusions inside the skull, that the pressure waves themselves disrupt brain functioning.

  • Widespread damage can come from resultant swelling, blood clots, or bleeding in or around the brain.  Any of these frequently disrupt the oxygen supply to the brain and even a relatively short period of oxygen deprivation can cause long-term damage.
  • Even migraines can cause brain damage.
  • About 20 percent of traumatic brain injuries are caused by violence, such as gunshot wounds, domestic violence or child abuse.

Related Posts:
Nick: A Personal Triumph over Brain Damage
Nick’s Story on Sue Vincent’s blog

Take it EASY

Following any possibility of brain damage, especially after an accident in your car (whether or not you think you were physically injured), baby yourself for longer than you believe you must, even if your doctor gives you the all clear.

Unless your doctor is a trauma specialist schooled in neuroscience, I doubt he’ll be as concerned about the impact to your brain as is appropriate, unfortunately.

It’s best not to do anything with even the remote possibility of resulting in further damage for several months: the slightest hit to or sudden jarring of your head.  Avoiding repeat trauma is more important to long-term brain health than most of us realize – even most doctors currently.

Subsequent damage makes it tough for brains to heal and, as a result, pathways change that can cause problems in the future. Cognitive rest is important too. Once you have been checked out, increased time sleeping is your best bet there – so don’t try to push through tiredness following even a mild brain injury.

Related Post: Facts About Traumatic Brain Injury

According to a study back in 1974 by Gronwall & Wrightson (and others subsequently), patients with Post Concussion Syndrome and mild head injury often process information at a slower than average rate and can become easily overwhelmed. Many patients do not notice that they have a problem until some time later.

Often, only once they return to work do they realize that their ability to concentrate has been impaired, when they have problems accomplishing tasks that used to be relatively easy for them — especially those that require sustained attention or attention to a number of details.

Getting back on task after interruptions and screening out the noise of Open Office environments can be extremely frustrating and often difficult.

What can I do to prevent brain injuries?

Most injuries that cause brain damage are preventable. Here are some rules to follow to reduce the risk of brain damage, directly from WebMD:

  • Never shake a child.
  • Install window guards to keep young children from falling out of open windows.
  • Install shock-absorbing material on playgrounds.
  • Wear helmets during sports or cycling.
  • Wear seatbelts in cars, and drive carefully.
  • Avoid falls by using a step-stool when reaching for high items.
  • Install handrails on stairways.
  • Don’t use illegal drugs.
  • Drink alcohol only in moderation, and never drink and drive.

How can I overcome or work around the effects of brain damage?

I’ll tackle this topic in more detail in future articles, but I want to remind everyone that brain-based ADD Coaching techniques work with all cognitive struggles – and are very effective if you are struggling with TBI.

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About Madelyn Griffith-Haynie, MCC, SCAC
Award-winning ADD Coach Training Field founder; ADD Coaching field co-founder; [life] Coaching pioneer -- Neurodiversity Advocate, Coach, Mentor & Poster Girl -- Multi-Certified -- 25 years working with Executive Functioning struggles in hundreds of people from all walks of life. I developed and delivered the world's first ADD-specific coach training curriculum: multi-year, brain-based, and ICF Certification tracked. In addition to my expertise in ADD/EF Systems Development Coaching, I am known for training and mentoring globally well-informed ADD Coach LEADERS with the vision to innovate, many of the most visible, knowledgeable and successful ADD Coaches in the field today (several of whom now deliver highly visible ADD coach trainings themselves). For almost a decade, I personally sponsored and facilitated seven monthly, virtual and global, no-charge support and information groups The ADD Hours™ - including The ADD Expert Speakers Series, hosting well-known ADD Professionals who were generous with their information and expertise, joining me in my belief that "It takes a village to educate a world." I am committed to being a thorn in the side of ADD-ignorance in service of changing the way neurodiversity is thought about and treated - seeing "a world that works for everyone" in my lifetime. Get in touch when you're ready to have a life that works BECAUSE of who you are, building on strengths to step off that frustrating treadmill "when 'wanting to' just doesn't get it DONE!"

78 Responses to How do brains get damaged? Is yours?

  1. Thank you for a very informative post Madelyn. I have found head injuries are not always taken seriously. I used to go horse riding and fell off twice, the first time while cantering over a hill in a group led by a riding instructor. I was pretty shaken and somewhat disorientated, yet no one offered to take me to hospital. I think Natasha Richardson’s death after a skiing accident raised more awareness about the dangers of head injuries.

    Liked by 1 person

    • Thanks for sharing your unfortunate experience here. They don’t have these Awareness Months, weeks and days for no reason!

      Sadly, I believe you are correct on both points – that few people insist on a hospital visit after accidents, and the difference (in England, anyway) after Natasha Richardson’s death.

      When my leg was broken after an unusual skiing accident, even the hospital didn’t think to check my brain for potential damage. “Fortunately,” I had no choice but to take it easy for many months following, so I imagine my brain was able to heal quite well. I hope you have had no lasting effects from your fall.
      xx,
      mgh

      Liked by 1 person

      • Yes it’s a pity we have to challenge doctors at times. My head took quite a while to heal. I had migraines for a couple of years but they eventually healed with rest and reflexology. I am much more respectful of my body these days as I am limited in my energy with fibromyalgia. It has taught me many lessons.

        Liked by 1 person

        • Migraines and fibro – has your doctor tested you for gluten antibodies? The Cyrex Labs 10-factor test, not the older one that only tested for one and returns a high percentage of false negatives.

          There is a growing body of evidence that connects those two to gluten sensitivity – with astounding results when gluten is eliminated totally.
          xx,
          mgh

          Like

  2. Bernadette says:

    I sustained a TBI a few years ago when a box flew off the shelf of the store I was shopping in and hit me in the head. Your article is right on point about all the side effects that occur. I am still dealing with some of them.

    Like

    • Thanks for seconding the validity of the info, Bernadette. I am so sorry to read that you suffer still from a TBI, and from such an unexpectedly bizarre experience — but glad that you are aware that your struggles are the result of TBI and not something even more daunting. Did the store’s insurance pick up at least some of your medical expenses?
      xx,
      mgh

      Liked by 1 person

  3. I often think that boxers must eventually suffer some kind of brain injury after all those punches to the head.

    Liked by 1 person

    • They do, Stevie. The majority really struggle as they age. Pro footballers too.
      xx,
      mgh

      Liked by 1 person

  4. dgkaye says:

    Fantastic post as always Madelyn. So important that some who’ve been in accidents and don’t think they were really hurt, look for signs and take care. Often it’s those who think they’re fine who are not. The brain is such a complex organ to learn. 🙂 xo

    Like

    • Thanks, Debbie. It is complex, but it gets easier to keep up after a few years – and there are increasingly more books that are written for non-scientists that put things in context, which helps enormously. When I began – years ago now – most of what there was to read was written in “science-eze.” The science crowd is not exactly known for their writing talent anyway, but journal writing follows a formula that is deadly dull reading. Plus, I think I had to look up every third word at the beginning. 🙂 Now I can pretty much read along and understand the importance of most of the studies.

      But I’ll never forget how it was to begin with, so I try to “translate” brain-based info into articles offering as small a chunk as I can and still keep the sense of the info, hitting the high notes so that the post makes sense to blog readers and they get the import too.

      I had to do something for Brain Awareness Week, of course, and Ritu’s recent accident let me know that this was the part of the story I wanted to share.
      xx,
      mgh

      Liked by 1 person

      • dgkaye says:

        I think it was brilliant. And you hit the nail on the head – the average reader isn’t interested in sciene-eze or journal studies. That’s where your gift comes in, you have an innate ability to condense and share with interest and layman’s terms. Why do you think there are so many readers here, and not having them run for the hills because of boring science, lol. 🙂 🙂 ❤

        Like

        • How gratifying to read, Debbie, thank you. That’s been my objective since the beginning of my career – and why I decided to put as much info as time allowed online, for folks who can’t afford to hire my services, even in a group format. If some dear philanthropist would pay all my expenses, I’d do it ALL for free – and add a great many services.
          xx,
          mgh

          Liked by 1 person

          • dgkaye says:

            Now wouldn’t that just be the icing on the cake! 🙂 x

            Like

            • It would be the icing AND the cake! 🙂
              xx,
              mgh

              Liked by 1 person

            • dgkaye says:

              🙂 🙂

              Liked by 1 person

  5. mistermuse says:

    I’m afraid your advice is too late for The Donald, so perhaps the country could better use an article on how to live with it. Not to be unkind to an unkind man, but we can’t hide our heads in the sand and pretend he’s normal, because we’re not ostriches (and they don’t really do that anyway). So here’s that article in one sentence: we’re stuck with accepting him as the ‘new normal.’

    Liked by 1 person

    • I know you are sort-of tongue in cheek with this comment, still I agree that the man clearly has brain-based problems. BUT . . .

      NEVER will I hold him up as any sort of poster boy for “normal” — new or otherwise. I refuse to stop advocating with Congress – it may not be a solution, but at least I can know that I’m not contributing to the problem by allowing my self to be resigned to accepting what is being proposed.

      As I said in one of my Grumpy articles, “I may not be able to stop the beatings, but you’ll never get me to say, ‘Beat me Daddy!'”

      I think even former supporters have raised eyebrows, at least, at most of his actions and comments since his inauguration.

      Thanks for reading and ringing in.
      xx,
      mgh

      Liked by 1 person

  6. I imagine most people would stop doing all the crazy risk-taking behaviour if it could possible help avoid a ABI. The best way to find out the extent of damage is a Neuropsych test. Not just for crazy people! (She says humorously)I’ve lost count how many I’ve had.

    Liked by 1 person

    • Thanks for reading and commenting. You have my sympathy – and EMPATHY.

      Unfortunately, Helen, too many people retain that teen-age thinking that it will never happen to them.

      If they could change lives with you for even a day I imagine they’d be v-e-r-y careful from that day forward.
      xx,
      mgh

      Like

  7. Kae Bucher says:

    Well written!… I have taught special Ed most of my adult life :).. I am not presently writing about aspects of it but would love if you would visit my blog:)

    Liked by 2 people

    • Thanks – and good for you for taking up Special Ed.. Did drop by your site. Are you planning to cover neurodiversity in the future? I’m sure your experience would be so helpful.
      xx,
      mgh

      Like

      • Kae Bucher says:

        Hadn’t really thought of it… Love your posts though:)

        Liked by 2 people

        • Thanks a million. If you ever do be sure to drop by and leave a link in the comments. “It takes a village to educate a world!”
          xx,
          mgh

          Liked by 1 person

          • Kae Bucher says:

            Thanks:)

            Liked by 2 people

  8. Good article. Scary stuff!

    Liked by 2 people

    • Only scary if ignored, so awareness is key. Given a decent shot – including good nutrition so they have the building blocks they need – brains recover amazingly well.

      It doesn’t happen overnight, however, and brains struggle to recover when we keep making demands on them meanwhile – thus the take it easy section.
      xx,
      mgh

      Like

  9. What a great post….so practical and surprisingly relevant given the information you shared….as you’ve pointed out, brain injuries aren’t nearly as exotic as we lay people might assume….thanks for sharing your expertise 🙂

    Liked by 1 person

    • Thanks for reading and commenting. Sharing expertise and experience is the reason that Awareness Months exist. SO many cognitive struggles are avoidable with just a bit of info.
      xx,
      mgh

      Liked by 1 person

  10. Interesting, very informative, and very important article, as always, but I can’t help but see myself in that picture of the brain on crutches.

    Liked by 1 person

    • I loved the brain on crutches. I thought about printing and framing – or posting it as a warning on my front door – lol.
      xx,
      mgh

      Liked by 1 person

      • Great minds think alike! I am thinking of making it into a screen saver, but it doesn’t have a cat.

        Liked by 1 person

        • lol – I’m sure some computer kid could figure out how to remedy that but it’s beyond my pay grade.
          xx,
          mgh

          Liked by 1 person

          • Way beyond my poor brain on crutches!

            Liked by 1 person

            • Keeping up with technology is way beyond my level of interest anymore – not willing to dedicate the time to what will always remain a rock-face learning curve. There is too much else I want to learn.
              xx,
              mgh

              Liked by 1 person

            • Ditto 🙂

              Liked by 1 person

  11. robjodiefilogomo says:

    I know you’re being serious…and this is a serious subject. It reminds me of that movie Concussion—so enlightening!!
    But when I saw the title, I had to giggle—of course my brain is damaged! (or so many retorts…so little time)
    jodie
    http://www.jtouchofstyle.com

    Liked by 2 people

    • Yeah – it’s a serious topic, but we can still laugh at a double entendre in the title, right? Do you think that politics is crowded with individuals whose parents didn’t take them to the doctor after sledding accidents?

      hmmm . . . That’s as good an alternate fact as some I’ve heard have been floating around on Twitter.
      xx,
      mgh

      Liked by 1 person

  12. Interesting, useful and frightening, Madelyn.

    Liked by 2 people

    • Frightening like “scared straight” I hope. My objective was to let people know that some of their cognitive problems could be due to brain injuries from their past (normalizing) – and let others know that they can prevent long-term damage by taking care of themselves post injury.

      Even most strokes are preventable these days – and most mild and moderate brain damage can be completely recovered from as long as it is contained and you give your brain time to heal before taxing it – the point of the article. It only has to be frightening if you ignore it.

      Thanks for reading and taking time to ring in.
      xx, mgh

      Liked by 1 person

      • Definitely scared straight. I’ve been thinking back on my bumps but I think all my brain blips have coincided with stressful and traumatic experiences rather than banging my head. But next time, I’m definitely going to the hospital. I think many of us in the UK sat up straight when the actress Natasha Richardson died after her skiing accident.

        Like

        • My friend and her parents were stunned when a healthy little boy fell of his sled and was dead the next day. Devastating.
          xx,
          mgh

          Like

          • Dreadful.

            Liked by 1 person

            • They were devastated, of course. This was long enough ago that, perhaps, even if they had gotten him to a doctor immediately, the medical facility wouldn’t have understood that they needed to open the skull to save his life.

              Things are different today and MOST emergency rooms are relatively concussion savvy – but even if they aren’t almost all have the equipment. Parents can insist on testing as long as they understand that’s it’s better to be safe than sorry. Consequences can be extreme.
              xx,
              mgh

              Liked by 1 person

  13. So, So So well written Madelyn. A very real topic that is trivialized in so many circles. When first discovering this topic it changed how I worked with individuals and the question became part of my interviews. Head trauma has its links to so much. This is an article that all need to read and re-read often. It can happen like you said to all without warning.

    Liked by 1 person

    • Thanks – there was a meme I almost used that said “one second to injure your brain … weeks, months, years to recover” but it was too dark, so tough to read.

      Good for you for changing how you worked after learning about post- concussion syndrome etc. Sometimes those of us in the ADD community – living with similar challenges for entire lifetimes — almost wish we could point to a post-birth accident that might garner a bit of empathy and attempts at understanding. After all, nobody says they “don’t believe” in brain damage.

      Sadly, folks in the TBI community — many of whom are recovering from repeated or severe traumas — complain that they are often accused of malingering when effects persist – so there’s not a great deal of general understanding even for their challenges.

      But then, inspiring empathy in today’s world is a daunting task – for anything not personally relevant!!
      xx,
      mgh

      Like

  14. I am not going to answer that…. Seriously Madelyn, one of my daughters fell over the bannister of our last house one night as she leaned over to speak to her dad. She hit her head (Was probably lucky to survive cos these stairs were big and the drop awful ) and she was not the same girl after for years. Good psot x

    Liked by 1 person

    • Sorry to hear that – and glad she survived. HOW scary for you and her dad! But thanks for sharing confirming information.

      My first goal was to get people to take brain injuries seriously, but I’m also hoping to inspire understanding for folks who are struggling with after-effects (which will maybe even lead to empathy for cognitive struggles overall?)
      xx,
      mgh

      Liked by 1 person

      • Well Madelyn I wish there had been a post like this for me to read then. I came to suspect that her behaviour had to be down to that but that was a hell of along road we walked in darkness, tell you now. Keep up the excellent work x

        Liked by 1 person

        • I hope she is okay now. So sorry that you struggled without information and help when you really needed it.

          I will be posting about Non-Celiac Gluten Sensitivity in May (Celiac Awareness Month) and my research has led me to believe that anyone with brain damage – EVER – would do well to avoid gluten totally (wheat, barley, rye – primarily) to get out in front of potential problems as they age. I no longer eat it personally, tho’ I have no current symptoms of gluten sensitivity and have not paid for any testing.

          Dr. Thom O’Bryan – gluten awareness advocate who put together the truly amazing Gluten Summit** who travels the world educating doctors is featured in several plain-English interviews on YouTube you both might find enlightening.
          ~~~~
          ** MP3s still available from thedr.com for less than $100 total – and WELL worth the money, IMHO – about 3 bucks an expert otherwise unavailable except to other medical scientists
          xx,
          mgh

          Like

  15. GP Cox says:

    I know my brain has been damaged – the extent is unknown, but I can easily tell I do not have the I.Q. I had in school!! Sad but true.

    Liked by 1 person

    • IQ is only one measurement – but I’m sure that most combat soldiers could echo your comments, sadly – and the pro-football players DO.

      Reading the articles on your blog, GP, it’s clear that you still have a great deal of brain-power on board. You must have been amazing in school. 🙂
      xx,
      mgh

      Liked by 1 person

      • GP Cox says:

        Thank you for that.

        Like

        • You’re welcome, but I’m just callin’ it like I sees it.
          xx,
          mgh

          Liked by 1 person

  16. Reblogged this on Kate McClelland.

    Like

    • Thanks again – and always – Kate. I have a friend who struggled with cognition after a car accident who had no idea that the after effects could be cognitive as well as the physical ones he added yoga and massage therapy to overcome. He thought his dx was getting worse. I know he’s not the only one.
      xx,
      mgh

      Liked by 1 person

  17. Madelyn, you handled a complex and serious subject in a mindful, interesting way. Well done. To me, a very important take-away was that injury can happen without injury directly to the head. Huge hugs.

    Liked by 1 person

    • GREAT take-away. Another I’d like you to take is that cognitive struggles can result for months following even minor damage even if you give your brain plenty of time to heal, but ESPECIALLY if you don’t (or can’t – bosses want folks back at their desks way too soon, and those of us who work for ourselves don’t eat if we don’t work). Thanks for reading and ringing in.
      xx,
      mgh

      Liked by 1 person

  18. A wonderfully informative article, Madelyn! Thank you for sharing.

    Liked by 1 person

    • Thanks for reading, Phoebe. As I’m sure YOU are aware it barely skims the surface, but perhaps it will spread some awareness and empathy. If so, I’ve been rewarded for the time it took to put it together (and edit it DOWN – lol)
      xx,
      mgh

      Liked by 1 person

      • It definitely achieves its purpose! 😊

        Liked by 1 person

        • Thanks. 🙂
          xx, mgh

          Liked by 1 person

  19. Ritu says:

    Thank you for this Madelyn, I know you have been a wealth of advice for me after my accident. I’m still taking it easy, resting when my body tells me to, but am back at work now.
    xx

    Liked by 2 people

    • I wrote this with you in mind, Ritu. I’m glad to read that you feel up to going back to work *and* are still taking it easy. You were watched over that day – which must mean God has plans for you here on earth still.
      xx,
      mgh

      Liked by 1 person

      • Ritu says:

        Well I’ll try my best to fulfil whatever plans he may have… 🙂 xx

        Liked by 1 person

        • I have NO doubt about that! Be well.
          xx,
          mgh

          Liked by 1 person

          • Ritu says:

            😙😙😙

            Liked by 1 person

        • Hi Ritu, I am so glad you read this article. I thought of you and your recent accident when I read it yesterday.

          Liked by 2 people

          • I’m glad you noticed that, Robbie. She was the inspiration for this article – I was going another way before I read about her accident.
            xx,
            mgh

            Liked by 1 person

          • Ritu says:

            Madelyn has been giving me great advice. Thank-you xxx

            Liked by 2 people

            • Thanks, Ritu. I simply want the BEST for you, so I’m glad you didn’t feel I was being intrusive.
              xx,
              mgh

              Liked by 2 people

            • Ritu says:

              Not at all Madelyn xxx

              Liked by 2 people

            • Whew! Thanks for saying so.
              xx, mgh

              Liked by 1 person

            • Ritu says:

              😚

              Liked by 1 person

    • Keep getting better Ritu! Light and hugs.

      Liked by 2 people

      • Ditto from me, Ritu.
        xx,
        mgh

        Like

      • Ritu says:

        Thank you Teagan xx

        Liked by 1 person

  20. A fabulous article, Madelyn. I knew some of this but not all so it certainly filled some gaps in my knowledge. Shared on twitter and Facebook. Have a lovely Sunday.

    Liked by 2 people

    • Thanks you so much, Robbie – especially for the shares. I barely squeaked under the BAW deadline with this one, but it was tough to edit down to a reasonable size.
      xx,
      mgh

      Liked by 1 person

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