ANA Discussion Forum
General Category => Inquiries => Topic started by: LADavid on June 23, 2008, 07:51:10 pm
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I'm starting to think this is just me. I've been reading posts by all the new posties and how they've started driving. I'm amazed. Here I am 6 months post and I have a hard time just riding in a car with my disorientation. It seems like I'm watching a movie instead of being involved with things around me. I tried driving once and it was actually frightening what little control I had. I'm beginning to think I had a frontal lobodomy as opposed to a translab.
Is there anyone who has had a major issue with driving?
David (the Public Transportation expert)
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Yes, David, after almost three years (7/28), I still have major issues. My resonses aren't like they used to be, my neck doesn't turn like it once did and only being able to hear out of one ear is a real disadvantage. My grand daughter drives me around. I only drive when I absolutely have to. My license is now restricted to daytime driving and driving with two side mirrors and or a hearing aide. The hearing aide cracked me up! I use a radar detector to advise me when an emergency vehicle is near and the lights it puts out does a great job!
Brenda
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Wow! and I thought I was the only one! It took me far longer than I had planned to feel comfortable but now am back to driving, feeling confident, and long distance. The night driving is still scary, it can tire me just going a few blocks, so I stay home in the evening. All I can say is you need more time, and don't compare yourself to others who are doing more than you. As you know each of us is special. Now isn't that good news!
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Hi David,
Have you tried Vestibular Retraining with a Physical Therapist? Your treatment team would know who to see. Many people have found this to be very helpful with disorientation or "wonkyhead" issues. All the people who still have both vestibular nerves and balance systems have no idea how much that helps them move around. Vestibular Retraining can help the brain with the plastic relearning it needs to do now that it only has balance input from one side. One of the things I found to be surprising is how much the vestibular system helps with vision, and eye tracking with head movement. Vestibular Retraining helps your brain to depend less on visual input for orientation, and more on all the positioning nerves we have across the body. And it can help retrain the brain faster, with various exercises, than the time it takes for the brain to adjust by just walking around. As infants, it took our brains a couple of years to learn have to interpret positioning and balance input so that we could walk. So it can take a while to relearn these things with a "new" vestibular system. I know you have been running, I would imagine that that is helping. It does get better with time.
Regards,
Rob
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David - I've driven in LA - I don't think the problem is you! I'm pretty sure the best driver in the world would feel overwhelmed there. :D
It took me a little while, but eventually, after many small, local trips, I can handle the interstates and congested areas now. I rely a lot on my mirrors, as turning my head can get disorienting and I'm more careful when changing lanes. I also have trouble if i try to adjust the radio or A/C while driving, so I don't do that until I get to a stop sign. I recently had to rent a car at Philadelphia airport and drive to downtown Philly and then an hour to my sister's house, and surprisingly, I did fine. Anyone who is familiar with downtown Philly and the airport knows what a challenge driving there can be.
Is there a neighborhood that's not congested that you can practice driving in without having to worry about other cars? Maybe a little practice will help and give you the confidence you need. And we've already determined on another thread that parking within the lines is not absolutely necessary! :D
Lori
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David -
I've been driving since about 6 weeks post op, so I don't have a lot of input on this thread. But reading Lori's post just now reminded me of something.
When I first started driving, I couldn't listen to the radio, deal with my kids talking, etc., I needed complete and total concentration just to be able to drive at all. I also remember that I needed to start slowly - short local trips on less-traveled roads before finding a comfort level to attempt longer trips on busier roads.
Therefore, my advice is take things slow and try to have as few distractions as you can. Once you get past that hurdle, try longer trips with a little more noise, etc. I think it's just a matter of getting used to your new "normal".
Good luck,
Jan
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David:
I'm dismayed to learn of your problems with driving at six months post-op. What an inconvenience that must be in L.A.! You've received some good advice about Vestibular Retraining from Rob ('HeadCase 2') and the general advice to take it slow, which seems perfectly logical. As the previous posts indicate, you're not alone with experiencing obstacles to resuming driving. I trust that the advice you've received is helpful and will further your quest to become a respectable, motorized Los Angeles citizen once again - just as the California DMV intended. ;)
Seriously, although I didn't experience driving problems post-op, I can certainly understand your frustration (and that of others in the same situation) and I hope your disorientation issues can be resolved, soon. Don't give up!
Jim
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Hi David,
Yes its terrifying at the beginning, but I actually feel a lot less dizzy when I drive. I live in the LA area so I can meet you and give you some help with this, if you need it. Now when i drive I get all my old independence back and it feels great. I feel like I have retained some of my old life and don't even think " can I do this " anymore. I drive on the freeways, in the dark and just about everywhere. You just have to take that first Baby step.
Lainie.
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Hey All
Thanks for the advice. I really am trying to sort things out. I am in vestibular PT and have been for the last month and a half. And actually, the disorientation is getting worse. I can't seem to get much help from my clinic. So I thought I'd give the forum a shot. I've been spending a lot of time on Public Transportation to get around. With gas prices the way they are, maybe that's a good thing. Today I travelled over 80 miles on 4 train routes and 5 bus routes for $5. But I really shouldn't be in a car. It's that bad.
David
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The disorientation worsening for you doesn't sound right as you should be getting some relief with continued PT?! I'm scratching my head here. I'm wondering if you experience a bouncing sensation of your visual field while walking outside indicating oscillopsia. Sounds like a phone call to your doc is in order. Hoping for better days for you David.
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Have you told your PT how you feel? I remember reading that the PT can make you feel worse for a while before it really started working. I have never went to any of that type so can't compare. I would be curious on what they think.
Cheryl R
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I always felt worse after vestibular therapy, that is normal. i also thought I was going to throw up. I was told by the therapist that this is normal and part of the healing. To me the biggest trigger is stress and not enough sleep. When I spend too much time on the computer that also makes me dizzy.so does too much caffeine. David where is your facial therapist located and are you seeing results?
Lainie.
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Thanks all. I have a PT appoinment next Tuesday and I will address it with her then. On the last visit, she didn't seem to think anything was unusual with me not being able to drive. I explained it to her as a detacted disorientation. The only time I don't have it is when I'm sitting still at home. It's not that noticible to others -- except to my daughter who is really aware of it. She thinks it's brain damage since I can't focus and talk slow and forget what I'm saying.
And Lainie, I am seeing Theresa England in Garden Grove. I started in May primarily for the synkinesis. I think I'm starting to see some improvement but there are so many odd things going on with my face that it's tough to figure out what is good and bad. And too, Theresa did say that this is at least an 18 month process so I'm not expecting any overnight miracles. But she did say that since there is some movement, there is hope for an eventual recovery. I'll keep you posted.
David
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David,
I couldn't even get out of bed for the first week. Week two and three I was hobbling with a cane. I took physical therapy for a vestibular\balance deficit. The therapy, and of course the passing of time did wonders for me. I'm glad to hear that you have PT set up. It is a specific therapy program that not all PT's are familiar. I didn't think that I could ever drive again.
I can't remember the first time I tried to drive but it was towards the end of my PT. I finally I mustered enough courage and confidence to go around my neighborhood very slowly. I was freaking out. The turning of the head from side to side looking for obstacles was very difficult. I walked everyday outside too. Although it felt like my eyes needed shock absorbers, I pushed on. Keep on challeging yourself, your brain, your balance muscles and you'll get there. Don't give in or up! :)
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I haven't had microsurgery, so don't know if my experience is the same...but I find that I drive better than being a passenger. Now I know what was causing this "car anxiety" that I've had for the past several years. But when I'm driving, that's not really the case. Weird, but there you go.
Sue in Vancouver USA
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David~
I don't know how I missed this thread. I don't know how long it was before I drove but it was a LONG time. I went back to work in March at 3 months and I really don't think I drove for the rest of that school year (end of May). I was in stroke therapy in downtown Austin and the friend that drove me to school with her also took me downtown 2-3 times/week (the principal let us leave early!). At therapy (NOT vestibular) they had a simulator that I had to use and be able to "pass" it (response time) before I could drive again. I use my mirrors TONS now, but I drive at all hours of the day, all the time - I'm a soccer mom - what can I say??
I have a friend here who had an AN removed about the time I did (I met her at the beauty shop - she is much older) and she does not drive. She & I were talking about the public transportation that she uses (I think it is for handicapped, but I could be wrong - I will ask her) but they pick her up at her house and take her WHERE EVER she wants for $1.50!! With the price of gas, I may check into that = you think they's take the girlies?? I check on that if I were you..
K
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Hi Kay
I have been quite adept in the use of Public Trasportation. I live in the city and am only blocks from the train system. I can take the train to see my daughter in Long Beach (a 70 mile round trip) for only $5. I'm on a busline and I can ride buses all day anywhere I want to go for $5. When last I drove, the day before my surgery 7 months ago, gas was $2.95 a gallon. I saw a sign for regular gas in LA the other day for $4.98. I'm starting to get used to this. And since my acting career is over for at least the next 18 months, I think I can deal with it.
The inability to drive though has been a concern. I regularly bring it up with my vestibular PT and she just says things will happen in their own time and I will know when I can drive. As it is, I still have a great deal of difficulty processing movement around me in the outside world -- sensory overload.
David
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When I first read your question, it occurred to me that I'm sure I wouldn't be driving if I lived in LA. Heck, I hate driving Chicago. I had surgery on June 12, and started driving (all of 5 blocks to Walgreens) last Sunday. I tackled the interstate on Wednesday. The only issues I have are turning my head, due to both the Wonky Head feeling and the pulling of the hundreds (OK, maybe not quite that many) of staples in my head. My advice is to take it slow - drive like a granny if you have to (and if you can in LA). I am. Take someone in the car with you so that if it gets to be too much, you can switch. Is there somewhere you can drive slowly, like a parkway?
Part of what you need to fix is getting your eyes to work together to get a signal to your brain to replace what you've lost. I believe that most of you know that I have a disabled daughter - I've done a lot of vestibular work (among other things) with her over the past 7 years. I can recommend a group if you are interested that may be able to help you with vestibular activities. They primarily work with children, but also work with adults with brain injuries. PM me if you are interested. The reason that I use this program with Anna is that it addresses neurological issues, not just things traditionally done in therapy.
Best wishes, David,
Tammy