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Cassandra M. Bellantoni

Cassandra M. Bellantoni

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Brain Expert: Turn off the TV and Let Giffords Sleep

Posted: 01/15/11 12:02 PM ET

The nation's hopes soared for Rep. Gabrielle Giffords when President Barack Obama reported at a memorial for the victims of the Tucson rampage that she'd opened her eyes, and after Nancy Pelosi witnessed Giffords follow her husband's commands. But a top neuro-scientist whose miraculous recovery from her own brain trauma inspired a New York Times bestseller and a forthcoming movie.

Dr. Jill Bolte Taylor said in an interview that constant commands from Giffords' bedside visitors could drain her energy, and urged her loved ones to let the Congresswoman sleep and check negative energy at the door.

Congresswoman Giffords was one of twenty victims of a shooting rampage that killed six people and critically wounded 14 others. Reports stated the Congresswoman was shot through the back of her head with a 9mm semi-automatic gun. The bullet traveled, the entire length of the left hemisphere of her brain and exited out of her temple. She is currently hospitalized in critical condition at Arizona University Medical Center in Tucson.

Describing her wounds at a press conference Jan 9, Dr. Michael Lemole, the chief of neurosurgery at the University Medical Center in Arizona, said they removed bone fragments from her brain and some devitalized brain matter. Lemole gave an account of how surgeons were able to get Giffords into the operating room within 38 minutes of the attack. He said they were quickly able to control the bleeding, which was not severe or excessive.

At the same press conference, Dr. Peter Rhee, the trauma director at the University of Arizona, was careful in his explanation.

"This wasn't a little grazing wound through the brain, this was a devastating wound that traveled the entire length of the brain on the left side," Rhee said.
According to Dr. Taylor there is every reason to be hopeful about a full recovery.

The following is an edited transcript of a question and answer session with Dr Jill Bolte Taylor on January 12.

2011-01-18-JillBolteTaylorwithBrain.jpg


CB: After reading all the reports from the doctors are you optimistic about Congresswoman Giffords' potential for recovery?

JBT: Yes. One of the most important aspects I've heard and read is the fact that her brain is not continuing to swell. The doctors had to go in there and clean up the mess, removing bone fragments. The body's immune system naturally wants to take over and fix the trauma, this could result in additional swelling, which can cause even more damage. I'm sure the doctors are pleased that her brain is stabilizing its own pressure. It also sounds like the bullet went through tissue and no major arteries or veins were hit.

CB: Why is it more hopeful when brain tissue is destroyed?



JBT: Where the tissue is concerned, cells will die but new connections can be built. It sounds like the motor cortex was spared. I would love to see a picture of the bullet trajectory. If the bullet was higher up it may have missed the language centers.

CB: When should the family begin to worry about her progress?

JBT: The family shouldn't freak out or worry for the first 4- 6 weeks. They used to teach us in medical school that if a patient didn't regain function in the first six months they never would.
We now know that is absolutely false. I was still regaining function for eight years after my stroke.

CB: Can the brain actually repair itself?

JBT: Yes. Studies have shown that a small but significant amount of new cell growth (neurons)
happens in the healing process as a result of trauma to the brain. But the other thing that happens is the remaining connections in the brain activate differently to compensate for damaged ones in the healing process. For instance, in a study, when an healthy eye is covered with an eye patch, the visual brain cells send out new connections to the adjacent hearing cells and contribute to those circuits. They are basically helping the brain make up for the loss. When the patch is removed and light stimulation returns, the visual cells go back to processing vision. The brain has a sort of plasticity to it.

CB: What is the most important thing you would tell her family and friends?

JBT: Let her sleep. Speak softly and leave your emotional baggage at the door. They must not bring fear, pity, anger or worry into the room. From my experience with left hemisphere brain damage, I was very much aware of body language, tone of voice, anxiety -- these are the abilities of the right hemisphere and these were very active for me. They should think of Gabrielle as a vessel that they need to fill up with their love and caring.

CB: Why is sleep so important? I noticed the doctors said they are waking her regularly.

CBT: Why is sleep so important? I noticed the doctors said they are waking her regularly.

JBT: This is necessary at first but sleep is the most important thing needed for the brain to heal itself. Sleep is when external stimulation is reduced and the brain has a chance to heal itself without external distraction. They should limit visits to five minutes. Leave the TV and radio off and don't chatter with each other in the room in front of her.

My mother, Gladys Gillman Taylor, also known as G.G, would stand guard and make sure I was getting enough sleep and not being disturbed.



CB: Should they try to interact with her?



JBT: They should really show her they are there loving her but shouldn't question her or do things like ask her to squeeze their hands or perform those sorts of things. The doctors need to ask these things but it takes so much energy for a person with a brain injury to do tasks like that, and their energy can be better spent on healing. Those types of things are really more about making the visitor feel better not the patient.

CB: Did you hear that she was able to raise her fingers?

JBT: Yes. I was particularly encouraged by that news, because the reports I read said they asked her to raise two fingers, which she was able to do. This is fantastic and shows she has some counting function and it also sounds like there is no known paralysis.

CB: What can friends and family expect as she begins to recover?

JBT: I would tell them they need to be prepared to help Congresswoman Giffords with her recovery. I was lucky to have my mom, G.G. as my motivator to keep working at building new connections in my brain. I had to relearn language and she had to begin with teaching me the alphabet. I also had 8-months paid leave from job. My co-workers donated some of their vacation time to me. That helped ease any stress.

CB: Your brain injury and the subsequent dominance of the right hemisphere of your brain brought some positive things into your life that remain -- what are they?

JBT: Speaking for myself I experienced a connection to the universe I had never felt before. I didn't have a sense of the boundaries of my body or separateness. Everything was amazing to me. It was like retuning to infancy. It's a sense of taking in the whole picture versus being focus on small details. I became very empathetic. I could sense if someone was fully present or distracted. I could sense love.

Without the never-ending noise of the left hemisphere, I experienced a stillness I had never felt before. My artistic side was accentuated and I know my music and stained glass artwork is very important in my life. The ability to tap into this creative, joyful state at will, now remains.



CB: Obviously you have a pretty complex job as a neuro-anatomist. How long did it take you to begin working again?

JBT: At about 4 months after the stroke. I was able to perform simple tasks for about 30-minutes per day.

CB: I know from reading your book that you did not suffer any depression with your left brain injury. Would it be different had the stroke been on the right side?

JBT: The right hemisphere gives us our big picture perspective while the left hemisphere focuses on critical judgment and detail. If all we have are details and critical judgment we might not be so pleasant to be around.

CB: You wrote in your book that after leaving the hospital you became fixated on attending and speaking at a conference 4-months after the stroke, which you admit was unrealistic but watching the videos helped you.



JBT: Yes. Watching myself over-and-over in a presentation helped build those new brain connections and could help Gabrielle. But it isn't the same as actually getting a question from the audience and formulating an answer. I wasn't able to do that at four months out.



CB: Are you fully recovered now?

JBT: Yes. It took eight years for me to reach the level where I could function fully.



CB: I've read that women are more likely to recover language after a brain injury than men. Is that true?

JBT: I can't really confirm that but it is true that women have more connections between the left and right hemispheres of the brain than men do. That may be the reason they are better at multi-tasking.



CB: You stated in your book that after the stroke your dreams were fragments instead of characters with stories. What was that like and how is your sleep now?

JBT: Yes they were fragments of images and symbols in little black and white boxes that would scroll by but after about eight years they began to be like regular dreams. For the first few years I needed to sleep eleven hours per day and now I'm down to around eight.

CB: Has your book My Stroke Of Insight helped families and people suffering from brain injury?

JBT: I really think so. Since writing the book two years ago, I've received over 800,000 emails.
And especially the last year, the tone has changed. People are sharing success stories and thanking me for the book. It's extremely gratifying.



CB: I know you became interested in brain science because of your brother with schizophrenia and you are the president of the National Alliance on Mental Illness in Bloomington, Indiana. Any thoughts on the alleged shooter of Congresswoman Giffords, Jared Loughner?

JBT: Yes, many thoughts. I have incredible empathy for the mentally ill. The brain is like any other organ; it too can become ill. Our health care system does not adequately care for the mentally ill.

CB: In closing what would you say to those dealing with a loved one with a brain injury

?

JBT: Be responsible for the energy you bring into this room. Everyone should consider this all the time and its what I want everybody to think about.

Dr. Taylor has inspired others with that quote, "Be responsible for the energy you bring into this room," and it is hanging above Oprah Winfrey's dressing room door, as Oprah stated in an interview with Susan Casey for O Magazine regarding her new television network.

"There's a beautiful thing Jill Bolte Taylor wrote about in her book My Stroke of Insight... that is how I look at this network: I take responsibility for the energy that I am bringing into the room. I feel responsible for the energy that I bring into the rooms of every single person who turns on this channel," Oprah said.

Dr. Taylor, a Harvard-trained neuro-anatomist is the author of the New York Times bestseller My Stroke Of Insight, which chronicles the experience of her massive stroke, her recovery and the spiritual sensitivity that resulted from her reliance on the right hemisphere of her brain.

Dr Taylor's story became popular when she gave a presentation for the TED Conference in 2008. She was on the Time Magazine 100 Most Influential People List and currently, Ron Howard is directing a movie based on her book. The script is being written by Semi Chellas and Jodie Foster may play Dr. Taylor, according to Deadline New York.

Today, according to her book, Dr. Taylor is convinced the the stroke was the best thing that could have happened to her. It has taught her that the feeling of nirvana is never more than a mere thought away. "By stepping to the right of our brains, we can all uncover the feelings of well-being and peace that are so often sidelined by our own brain chatter."

 

Follow Cassandra M. Bellantoni on Twitter: www.twitter.com/StarShineSpeaks

The nation's hopes soared for Rep. Gabrielle Giffords when President Barack Obama reported at a memorial for the victims of the Tucson rampage that she'd opened her eyes, and after Nancy Pelosi witnes...
The nation's hopes soared for Rep. Gabrielle Giffords when President Barack Obama reported at a memorial for the victims of the Tucson rampage that she'd opened her eyes, and after Nancy Pelosi witnes...
 
 
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01:45 PM on 01/30/2011
When you read all these remarks about -Brain Injuries- only one stood out as -Reality- concerning the pain and suffering and frustration of living with catastrophic brain injuries and the affect on immediate families and caregivers? Liberals always make it sound as if everything is -Great- and we all will live happily ever after but reality usually means a lifetime of pain and suffering and the injured person wants to know -Why- didn't you let me die??? Another example is Mental health disorders are a lifetime of pain and suffering and then -Suicide-? Think twice before you get involved with the mental health industry???
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sfm123
08:18 PM on 01/19/2011
Dr. Jill Bolte Taylor is incredible. What a great interview and so applicable to the situation in Arizona...mental illness and brain trauma (her expertise). As a nation, we really need to begin to address one of the most pressing problems of today...mental illness. It's heartbreaking to watch families struggle with loved ones with this illness and there is no real cure!
Just read that Dr. Taylor will be speaking in New York City on May 11th at The New York Society for Ethical Culture. Brilliant, inspirational woman.....
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purenergy
03:46 AM on 01/17/2011
Great article. Inspiring and hopeful, thanks.
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BlackYowe
I am a classical- liberal woman and a Jeweler.
06:49 PM on 01/16/2011
Sorry but that photo with the brain and spine grosses me out.
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BlueZoo
Independent voter, Independent thinker!
03:46 PM on 01/16/2011
"Be responsible for the energy you bring into this room!" Might be nice to have this carved on the doors to the Senate AND the House of Representatives! It might stop some of the rhetoric we've heard of late.
02:26 PM on 01/16/2011
You know what? This is true about any injury, not just to the brain. I suffered such
an injury a few years ago and required surgery, and then a couple more surgeries
after that. And what I leaned is this, sleep heals!

Now, I'd never ever liked to sleep before. I always thought that I was missing out
on too much of life. That is, after I was grown. (When I was a kid, I sometimes
slept a lot, but most of the time, just the normal amount.) After those surgeries,
I learned how the body needs just what this article says to heal. It's kinda like
when some animals in the wild will go off to a cave to heal. That's kind of what
the "hibernation" of sleep did for me.

After I recovered from my surgeries, my body seemed to have learned (conditioning)
how to heal itself through sleep--something I'd prevented before by wanting to always
live life in the fast lane. So, now, anytime I get any lil ole ailment, I allow myself to
just sleep as long as I need to. I've learned that the body has kind of an inner
time clock so that when healing is nearly complete, I start to feel like getting up
and moving around again.

I can't recommend the healing power of sleep enough for y'all! Try it!

Sincerely,
"Shy"
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thegirlnextdoor
02:18 PM on 01/16/2011
What wonderful advice. Maybe not even just for people with brain damage, eh.
I love it that Dr. Taylor's co-workers donated their vacation time to her so she could have time off to heal.
Reading this was a nice start to my day.
11:34 AM on 01/16/2011
JBT: Be responsible for the energy you bring into this room. Everyone should consider this all the time and its what I want everybody to think about.
******
Such profound advice- we would all be much happier. Positive energy is as palpable as the the opposite kind of energy. We never know what kind of healing someone might need.
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Margie Kronewitter
08:40 AM on 01/16/2011
Just sleeping with the TV on is crazy imput, especially commercials. It does seem like Motzart or Baroque music would be good.

In Germany, their Commission E promotes alpha Lipoic acid to regenerate nerves. In Europe there have been studies that components of Cannabis promote neurogenesis.

WHY does the AMA depend on synthetic drugs when most drugs originated from natural herbs as medicine for the previous eons? Patents produce $$$ AND the revolving door with the FDA gives Big Pharm incredible influence.

Their next plan is to pass the Codex and prevent anyone from self administering vitamins. BEWARE. There is NO PROFIT to the drug companies if we keep ourselves healthy with inexpensive supplements like Vitamin C. That's why they produce the false studies to disprove supplements.
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thegirlnextdoor
02:28 PM on 01/16/2011
I agree and I don't get how people can live with the constant noise of the television, much less sleep with one on.
As for the codex, are they really going to ban vitamins? I have been wanting to look into that for a while now.
04:01 PM on 01/16/2011
Physicians use synthetic drugs because they work better than herbals. In previous eons people died of syphilis and TB and smallpox and broken bones. There are a lot of powerful synthetic drugs that save lives. You could eat a brick of penecillium mold and not cure an infection. It's fine to be concerned about over-medication, but you need perspective in regards to both the biology involved and historical events. Before modern medicine people weren't living in the garden of Eden getting all their ailments cured by a shaman. Many died young of what are today curable illnesses, and the vast majority did not reach the advanced age that is basically the average for children born today.

Also, vitamins are used in tiny quantities by the body as cofactors to assist in biochemical reactions. You need a certain amount and no more. Vitamin C in particular has been reported to do some incredible things, but most of these reports involve massive IV doses. This is a water soluble vitamin, and even massive overdose in the diet does not appear to lead to significant increase in body levels. Soluble vitamins must be selectively absorbed by the body and this is a saturable process. It is also rapidly excreted by the kidney if present in excess. You can only get so much vitamin C into you no matter how much you take unless you have an IV line to pour it straight into your veins.
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12:29 PM on 01/17/2011
True, but at the same time now, doctor prescribed synthetic drugs kill and maim many thousands of people each year, many of whom could have been more safely treated with the time-honored natural herbs that our ancient ancestors used.

The drug companies that help run Congress with their cashola are determined to give herbal medicine a bad name in order to improve their own bottom lines.

In the case of trauma medicine, that is where Western medicine and synthetics shine, but in chronic diseases and run-of-the-mill ailments, herbs are usually better. Much research is done analyzing the various molecules of plants, without understanding that it is the wonderful synergies within them that account for their efficacy.
Genders
Love, Tolerance, Enlightenment
09:51 PM on 01/15/2011
wouldn't using your left hand more be a better way to accomplish the same thing?
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NoSandwiches
02:01 PM on 01/16/2011
Dr. Peter Venkman: Egon, this reminds me of the time you tried to drill a hole through your head. Remember that?
Dr. Egon Spengler: That would have worked if you hadn't stopped me.

Well...in lieu of getting a bullet through the brain, perhaps.
But it's when you have no other choice but to adapt that you gain the "benefits"
Genders
Love, Tolerance, Enlightenment
05:11 PM on 01/16/2011
true.
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thegirlnextdoor
02:26 PM on 01/16/2011
huh?
Genders
Love, Tolerance, Enlightenment
05:25 PM on 01/16/2011
The right hemisphere controls the left hand. Using your left hand stimulates the right hemisphere.
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JR Jake
09:09 PM on 01/15/2011
Brain Expert: Turn off the TV and Let Giffords Sleep

That was GREAT reading and explanation by Dr. Taylor. Having worked in the medical field for many years I had a chance to view many cerebral (brain) angiograms and found it astonishing how the body can compensate for areas of deficiency without the patient even knowing it is happening. I pray Ms. Giffords will recover most of her functions, but like most do not know the extent of the bullet channel that was created.

Now this type of article is what I like to read, where the composure of the moment lends credibility to the subject matter. Good article, thank you for sharing.
08:38 PM on 01/15/2011
I had the great honor of hearing Dr. Jill Bolte Taylor when she spoke in Indianapolis last year, and her story is amazing! I had read her book a few months prior and highly recommend it!

I thought of her experience when I heard that Gabrielle Giffords' brain had been damaged exclusively in the left hemisphere. This interview does offer some great advice for the family - I hope they do heed it! I pray that Gabrielle Giffords does experience a full recovery!

~ Beth
07:56 PM on 01/15/2011
Do see the TED video of Taylor. It's mind-blowing... in a GOOD way!
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thegirlnextdoor
02:25 PM on 01/16/2011
Thanks for the tip. I love TED. fanned you for letting me know about this one.
04:41 PM on 01/15/2011
i found this intriguing: "When the brain is unhealthy our system does not treat it the same [a]s when another organ is unhealthy." if anyone can elaborate, or point me toward info around this, thanks in advance.
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camanokat
Outta this world
05:56 PM on 01/15/2011
My interpretation is that our health care system is not capable of treating mental illness. Anyone else?
07:33 PM on 01/15/2011
It is also TBI, strolke, etc. because what changes is personality. We have lingering Victorian values that lead us to think it's all "bad attitude" - just "snap out of it". Even grief brings that with people saying "cheer up"! The individual who is affected can be other people's property - someone who has been strong and centered is suddenly no longer there for others, and too many people get annoyed, scared, or angry that "their" person has disappeared. We don't do a very good job of giving each other person the right to BE a separate individual. So in addition to "be responsible for the energy you bring into a room" we should add, "be responsible for respecting the energy others bring into your life."
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NoSandwiches
02:01 PM on 01/16/2011
never without the funding...
11:16 PM on 01/15/2011
I, too, think they are referring to the health care system. And may I add the US culture as well. Google 'stigmatism' and then read as much as you can about how people with mental health issues are treated in this country. It's horrible. Also, go to NAMI.org (National Alliance for the Mentally Ill) and you can understand more of this issue.
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Cassandra Bellantoni
Whole & Happy Right Now!
01:36 AM on 01/16/2011
Sorry about that. I guess that was a bit unclear. Dr. Taylor was speaking of the way we do things when someone is mentally ill. I don't recall her specifically saying "health care system," but I believe she meant that. CB
03:36 PM on 01/15/2011
I know someone who suffered a gunshot wound to the head over a year ago. He is still struggling with depression, impulse control and numerous related physical ailments like seizures, severe damage to an optic nerve and near paralysis on one side of his body. He is in a wheelchair and still cannot walk. He is impatient to be the person he once was and cannot accept that he will never be that person again. His loved ones are struggling mightily, too, and seemed consumed by fear--so much so that he fled from them and married a woman he barely knew because she "treats him like a man, not a helpless child". He is on many medications like anti-coagulants and anti-seizure meds and hates to take them, even though they are vital to his continued survival. The whole situation is heart-breaking.

I hope Rep. Giffords is spared some of these issues. I would suggest that she and her loved ones seek counseling at the appropriate juncture in her recovery; as the emotional toll of such an event can be nearly as rough as the physical and reverberate for years. It can tear a family apart--even those acting out of the best of intentions.
I'll never understand why humans are willing to hurt or kill another person with a gun. Growing up with hunters, I saw closeup the damage guns do to flesh and never wanted to shoot anything, if at all avoidable, in my life.
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KAL-EL
Every time I fill out my bio I get banned.
09:01 PM on 01/16/2011
The person's case you mentioned is the norm ,why the media is playing this up as a miracle in the making is beyond me.