Several years ago, I read John Robison’s autobiography, Look Me in the Eye: My Life with Asperger’s. Asperger’s is an autism spectrum disorder and without going into great detail, one of the main difficulties for individuals with this pattern of brain development is to make positive social connections with others. People with Asperger’s also typically have narrow interests, which can contribute to unusually well developed specific abilities. It is an excellent book and I love his story of transformation. John Robison is a successful businessman. Although he never graduated from high school, in the 70’s, he worked for the heavy metal band, KISS, designing their fire breathing and rocket launching guitars. He also worked designing electronic toys for Milton Bradley.
Robison was not diagnosed with Asperger’s until 16 years ago at age 40. As he got older, he gradually improved his abilities to form meaningful social connections, to make eye contact, to demonstrate empathy and perspective taking, and to have a more integrated flow of emotional, behavioral, and cognitive functioning. He remarried and found lasting love. But there were trade-offs to his transformation. Robison could no longer understand the technical designs he had previously made. Robison’s brain was able to function less narrowly which meant that he could no longer focus such a large proportion of his mental energy on his complex pyrotechnic designs. If memory serves, I believe he was happy with the trade off.
As I have written in the past, I have experienced changes in my cognition since my cancer diagnosis. Although overall, things have improved, I still have concentration difficulties and difficulties integrating information and making simple conclusions. It doesn’t happen all of the time but every so often I find myself thinking, “D’uh!” The most persistent difficulties have been with my writing mechanics. It’s not like I never made errors before because I did. But I make so many more spelling, grammatical, syntax, and punctuation errors than I used to. Sometimes I think of a word and write down something else entirely. That is a new problem. I don’t remember doing that before. It is a language processing problem and I don’t like it at all.
My writing errors have caused me variable amounts of frustration and embarrassment. However, it has not gotten in the way of my posting in my blog, anyway. The objective part of me figures that I am not a professional writer and should not hold myself to that standard. Additionally, I think I have interesting things to write and a number of people seem to like to read my blog. Finally, carefully combing through my writing for errors frankly requires more brain energy than I can spare right now. My job requires intent concentration and I just don’t have much left by the time I write my posts. Any that’s leftover really needs to go to having conversations with my family, which was something that was hard for awhile from a concentration perspective. I still have trouble following the train of thought for my husband and daughter at times. Neither of them consistently use topic sentences in their oral language. My husband often leaves the point of what he is saying until the end of a several minute explanation. In my current mind space, especially after a work day, I feel that my brain may explode. I need clues to organize what he is saying. Is it good news or bad news? Is he telling me about the status of a work project (so hard for me to follow as I am not an engineer) because he just wants to share about what he is doing or because he is going to tell me that he has to work late tonight? I feel frustrated with my brain for not being there for him as much as I’d like to be. I also sometimes get frustrated with his communication style.
I saw the book, Look Me in the Eye on my coffee table yesterday. I’d taken it off of the bookshelf to give it to one of John’s coworkers, who used to design pyrotechnics for Billy Idol. I figured he’d get a kick out of reading it. But he either forgot to bring it with him or didn’t want it because it was still on the coffee table after he left our house. When I looked at the book I remembered John Robison’s trade off and saw a parallel in my own life.
I may never get back my consistent attention to detail or all of those thinking skills on which I used to be able to rely. But I have much less anxiety and a lot more meaning in my life. I have a more interesting life. I have a lot more fun. I’d say that this trade has worked in my favor.
Sounds good to me. About trying to understand the engineer…..just let him talk. I know from experience that sometimes a person is trying to hear his/her own thoughts. Saying it out loud helps them understand their ideas & plans.
🙂
Eliz,
One simple thing to remember (you may call it a “trade-off” or not) is that up until “that date” (your diagnosis – NOT your surgeries and treatment), you were ALL ABOUT work, work, work….yes… family but there was this “taking for granted” they were fine and growing and humming along…until “THAT DAY”. It is less your brain not working – left or right – but functioning in a more meaningful “ID” than the previous “SUPEREGO” of perfection and well…kinda’ “Know-It-All Snooty Town”! Cancer, for some of us that realize it, can be the great equilizer in a way that brings us UP to humanity, grace and humility, instead of DOWN to the perfectionistic stoicism and austereness of our past self. (See…..now I just make up words if they don’t come to me right away…and have a damn good excuse for doing so!). Much love!
Hey Marla! Nice to hear from you. I wish you a great school year!
xoxoxo
I experience the same difficulties with my writing as you do. Just drafting a simple response to an email, or a reply like this is now such a challenging task for me and never seems to turn out the way that I would like. I also feel exactly like you have described when talking with my husband. It is nice to know I am not alone. Thank you. Julie
Julie,
I am sorry that you are having these difficulties. Thank you for commenting and I wish you the best!
I dunno, cuz, maybe you can cut yourself some slack and consider it might just be age. 😀 We’re the same age, and I have similar cognitive issues but not the health issues.
Beth, the changes were precipitous and have improved over time. I think they are not just aging. Also, menopause and tamoxifen have been shown by research to cause cognitive impairment. Women with breast cancer are often put into menopause suddenly by our treatments and there is also research that our menopause symptoms are worse than average. I also had cognitive changes as a result of pregnancy and have been convinced that I am fairly sensitive to fluctuations in my hormone levels. I also sleep much more poorly due to menopause and that is very hard on my brain, as well.
I was just teasing you, goober. I think your diminished capacity is still probably considerably better than the average dork like me. ;- )
🙂
Well expressed! I have experienced similar issues, though it’s not something I discuss very often because whenever I’ve tried, the correlation between the changes I’ve experienced since cancer and the cancer & treatments themselves seems to be quickly glossed over. So I am especially grateful that you’ve shared your own experience and that you are giving a voice to problems I know are real.
Nicely done!
I think they are real problems, likely with multiple causes, stress, fatigue, treatment side effects, etc. And to a certain extent aging, though that is certainly not the case for you.
I hope you are well and was happy to see your latest post.
I am so sorry that you’re experiencing frustrating longer-term changes in cognition. Glad you’ve seen some improvement, though. Your body and mind have been put through so much stress, some of which is ongoing. Then you add in treatments/medications/natural and forced hormonal shifts . . . OF COURSE IT’S ALL RELATED, AND OF COURSE IT’S CAUSE-EFFECT. (That shouting wasn’t for you, just anyone who might, as the most recent commenter said, want to gloss over or dismiss these things.)
Thanks, dear. It is coming back and if it doesn’t, life is pretty good.
First, as I’ve been reading a slew of your posts at once, catching myself up, I’ve been so enjoying your writing style. I had just been thinking what a great communicator you are – articulate, eloquent, and your intelligence (on many levels) shines through. So I don’t notice any of the issues with errors you mention.
I love this idea of trade offs – essentially the idea that when one door closes, another one opens… I see that for myself, and it’s part of what makes it possible to keep moving forward with optimism and faith.
Thank you so much, Lucia. I was very moved by your last post, by the way. You are such a loving mother and Elizabeth was such a beautiful spirit. Xoxox