Monday, October 20, 2014

What I learned about life and death from a falling leaf....





I asked the leaf whether it was frightened because 

it was autumn and the other leaves were falling.... 

The leaf replied, 


No. During the whole Spring and 

Summer I was completely alive. 


I worked hard to help nourish the tree, 

and now much of me is in the tree. 

I am not limited by this form. I am also

the whole tree, and when I go back to the soil, I 


will continue to nourish the tree. So I don’t worry 


at all. As I leave this branch and float to the ground, 


I will wave to the tree and tell her,



‘I will see you again very soon.’


That day there was a wind blowing and after a while,

I saw the leaf leave the branch and float down to the 

soil, dancing joyfully, because as it floated it saw itself 

already there back in the tree. It was so happy. 

I bowed my head, knowing that I have a lot to learn 

from the leaf.


Thich Nhat Hanh 





Like the leaf, many believe we are created (born), live to feed the world we live in and then die. Only to be born again and repeat our journey of nourishing our world.
BR

Saturday, October 18, 2014

Brain Tumours are Not all the same.....




Not all brain tumours are cancerous and not all benign tumours are harmless.

A brain tumour is an abnormal growth of cells arising from the brain or adjacent tissues inside the skull. Brain tumours represent up to 20 per cent of childhood cancers in Singapore and over a hundred brain tumour cases are treated at the National Neuroscience Institute (NNI) annually.
Dr David Low, Consultant Neurosurgeon at the Department at Neurosurgery of the National Neuroscience Institute (NNI), a member of the SingHealth group, explains the basic types of brain tumours, the difference between brain tumour and brain cancer, as well as the symptoms to look out for. 

Types of brain tumours

There are two basic types of brain tumours - primary and secondary (metastatic).
Primary brain tumours
Primary brain tumours arise from the brain and are named after the part they come from. They can either be benign (non-cancerous) or malignant (cancerous).

Benign tumours grow slowly and do not spread to other areas of the body. However, they can still result in severe dysfunction by exerting harmful pressure on adjacent parts of the brain. Malignant tumours, on the other hand, grow rapidly and invade healthy cells in the brain. They tend to spread to adjacent structures and to the spinal column through cerebrospinal fluid dissemination.

The most common types of primary brain tumours are....
  • Meningioma - It arises from the meninges, the membrane covering the brain.
  • Glioma - It arises from the glial cells, which are support cells of the nervous system.
  • Medulloblastoma - Commonly present in children and is the most common childhood brain tumour. It is highly malignant and develops in the cerebellum.
Secondary brain tumours
Secondary brain tumours are also known as metastatic brain tumours and are mostly malignant. They are a result of cancer cells that have spread from another part of the body. For example, breast, lung and colon cancers may metastasise to the brain via the blood stream and result in secondary brain tumours.

“Both primary and secondary brain tumours can affect the proper functioning of the brain and nervous system. If left unchecked, they can cause severe impairment, or even death. It is therefore important to watch out for warning signs and consult a doctor early if symptoms persist or worsen over time,” says Dr Low.

Brain tumour symptoms

Depending on the type of brain tumour, symptoms may vary and present gradually.
Common brain tumour symptoms include the following:
  • Headaches that recur and intensify, especially in the morning
  • Nausea and vomiting
  • Seizures or fits
  • Unexplained drowsiness
  • Double vision, blurring or trouble seeing properly
  • Increasing difficulty with speech and hearing
  • Growing weakness in the limbs
  • Problems with hearing, balance and coordination
  • Marked changes in memory, concentration or alertness
However, some of these symptoms may also be present in other medical conditions. Again, it is prudent to consult a doctor to determine your medical condition.

Did you know that?

  • There are over 120 types of primary brain tumours. The most common types are meningioma and glioma.
  • A brain tumour can be diagnosed based on a CT scan and an MRI. However, to determine the type of brain tumour, a biopsy is required.

Bill Robson C.A.E., ATM gained his experience in grief as a
  • Grief Counselor
  • Distress Telephone Centre Trainer  
  • Hospice Volunteer
  • Group Facilitator, Bereavement
  • Youth & Family Counseling  
NOTES:
There are resources in many communities, call your local volunteer bureau for a list of organizations that can assist you.

Wednesday, October 15, 2014

My Doctor says... "All I need is LOVE...."

From a fellow Blogger


doc-mum.blogspot.com/


I had my first session with a psychiatrist yesterday, and it was worth it. 
18 months after suddenly losing my son......



Here is a summary of what we discussed:


  • when a mother loses a child there is a biological need to scoop that mother up and nurture her for a prolonged period of time. I haven't had that from anybody. Instead I went back to work 3 days after the funeral due to financial commitments, then quickly moved house and lost my father. This has resulted in an inability to grieve properly....i.e distorted bereavement.
  • all I need is LOVE....
  • I have 'adapted' to my situation in a way that has made me somehow function. This is the 'strength' that people refer to. It is the difference between me functioning and me dissolving. It is a good thing and has stopped me from plunging into depression, but it has taken every ounce of energy out of me. 
  • I need to carry a token of Will around with me.....a symbol of the fact that whilst I don't believe I will see him again, I do know I carry him (in the form of one of his guitar picks) with me in my heart forever more.
  • I need structured time off with the task of filling that time with things that I enjoy, not just wallowing. I need to laugh and feel loved.
  • At work I need to be prepared for challenging patients, for they are ever present.
  • I need to continue therapy - it creates that 'supportive space' that I have lacked. 

So here's to a slower recovery pace, with the love of my friends, and the help of others. 

Tx

Friday, October 10, 2014

Meet Sharon a Brain Tumour Survivor


Sharon’s Story - A mother of four




I am a married mother of 4, ages 12, 10, 8, and 3.
Early in the spring I began to have headaches. 
 Initially, they started mild, and most often times, 
ibuprofen would help to alleviate their symptoms. 
As the weeks progressed, they began to get more 
debilitating; to the point I was not able to hold my 
head up during an “episode”.
I began seeing my family physician for medical help,
and he began prescribing “migraine” medications,
and advised me that if they continued to get worse, to go the emergency department 
for injections of Demerol, or Toradol to relieve the pain. He concluded that they were 
simply “tension headaches” because the muscles in my neck seemed to be quite tight. 
I was a student – and he thought that juggling school and home life was causing stress.
I began waking up during the night with torturing headaches, and within a few months, 
I began seeing the chiropractor and massage therapist for assistance.  The massage 
therapist noted how tight my neck muscles were, and requested that I have frequent visits 
a few times a week. The chiropractor was seeing me regularly as well, and was doing neck 
manipulation.  After a series of sessions, my symptoms were getting worse, followed with 
blurry vision and I was advised to keep being persistent with my family doctor, because 
clearly SOMETHING was not normal.
I decided on my own, to see the eye doctor – perhaps my prescription changed?
I saw the Optometrist Wed Sept 28. The optometrist dilated my pupils, and
reacted very quickly telling me he had found a hemorrhage behind my left eye, and
requested I see a colleague of his immediately.  He sent me to an Ophthalmologist 
within 30 minutes, and I began a series of tests (visual field tests, and examinations).  
The specialist explained that he wanted to send me for an MRI and to a Neurologist to 
rule out the options, he had a few thoughts on what it could be, but wanted to be certain 
before making a diagnosis.
On Oct 3, I was seen by a neurologist who suggested that I needed a stint put in –
his thoughts were a blocked vein in my brain.  He was going to send me for a spinal tap
Thursday Oct 6,  and begin procedures after my MRI booked for Wednesday Oct 5. 
On Oct 5, I went to my MRI. When I was leaving, I asked the technician when I would know
the results, and she responded not for about 2 weeks, but that the doctor would contact
me.  I remember looking at the screen in front of her, and saying to my husband, I don’t 
think it looked normal….something is wrong, I just feel it.  He assured me I was being 
paranoid, and we started on our way back home (an hour away).
Before we made it home, my cell phone began to ring. It was the Neurologist, who
asked me to put the phone on speaker phone so he could talk to both my husband 
and me.  He started telling me that they had found a brain tumor, and needed me to return 
to the hospital immediately to start on medications.  When I arrived, I was further told that I 
had significant brain swelling, which had caused one of the ventricles in my brain to 
completely close, and the other was not far from closing itself.  My brain stem had shifted 
9 mm already, and they needed to keep me under close watch right away.  They were not 
going to do the spinal tap – and were quite relieved they hadn't decided to it before the MRI 
because I would have been in terrible shape.
The night before my surgery, my children came up to see me, and when it was time for them
to go, it was the hardest thing I had to do.  I kept my chin up, and said “I will see you soon!”
all the while thinking that I might not.
My surgery was Oct 7, (Thanksgiving Weekend) – only 2 days after finding out I had a brain 
tumor.I was told it was sitting in a location that controls my right side functions(handwriting), 
my speech, eyesight, ability to walk, and memory.  My surgery was supposed to be 6 hours, 
and they were able to get it out in 3 ½ hours.  All I could think about was; am I going to live; 
will I wake up; what about my children; what is my quality of life going to be when I wake up?
The tumor was Meningioma Stage 2 brain tumour – it was non-malignant after the results
from pathology came back. However, I am closely monitored – having MRI scans done  
every 3 months. This is a slow growing tumour that has potential to grow back, but they tell 
me I will be 90 or older when that happens. My recent images still show “enhancements” 
but at this stage they can’t be certain if it is tumor tissue or if it is simply scar tissue.
The surgeon told me I was “one in a million” because I woke with no significant
complications. My vision improved, my speech, my memory, ability to walk – 
everything!! I was truly a miracle!!

Tuesday, September 23, 2014

Children Who Grieve Need Your Support!



As a child we have all been there. The death of our pet hamster, goldfish or family cat / dog. But what happens to a child when a parent, grandparent, sibling or school friend dies? 


How do children cope with grief? How can we support them?

1. Living with the pain of loss
Unlike the pets we have lost as children, the first time a person dies who is close and whom they loved can create in them a sense of  profound abandonment. Nightmares, bed wetting, uncontrollable sadness, behaviour changes or fear of their own death are all possible reactions to a death. Children live mostly in the present and do not understand that given time, their feelings of today will subside. In addition, they may feel responsible in some way for the death of their loved one and carry that guilt for years or withdraw into themselves fearing "doing it again".. 
They Need Reassurance
Don't underestimate the impact a loss has on a child even if they do not respond as expected. Reassure the child that their basic needs will be met and that over time their pain will decrease. Keep routines and standards of behaviour as much as possible, as this will enforce that while their loved one died, they will go on as before.
2. Children are unique in expressing their grief  
Few children have the ability to name or express their feelings. Since children haven't developed buffers to pain as adults often have, the feelings they experience may be overwhelming for them. As a result children often express their grief through their behaviour such as separation anxiety, crying, withdrawal, bed-wetting, disinterest in food, or disruptive behaviour at school.
They Need the opportunity to express their grief in their own way

Help children share their grief though drawing, storytelling, or music; making memory boxes with photos or trinkets of good times.Help them write poetry or letters to the person who has died. This becomes a bridge to their expression of feelings that are difficult to speak or understand. Have them send out a helium balloon with a message written on it to their loved one.







 Don't analyse the child's work; rather allow them to tell you about it. Encourage discussion with open ended questions. "What a wonderful drawing, can you tell me about it?"  "If you could change one thing in your painting, what would it be?" 
3. Grief knows no timeline
Psychological healing time is different to chronological healing time. Children will often break their feelings up into manageable amounts, as it's difficult for them to tolerate ongoing, intense pain. Therefore, it is not unusual to see a variety of emotions unfold in a short span of time as they slowly work through their grief. From sad to happy or lonely to playing with others.



Always be Honest
Children will ask questions over and over again to make sense of what has happened. Let the child know that you want to understand what they are feeling and any question is a good one. Stay honest in your reply using age appropriate wording.
Be patient and don't be afraid to ask them what they are thinking or feeling. When they feel heard and accepted, they will go deeper into sharing their deepest thoughts / fears / feelings.


4. The age of the child will filter their understanding of death



Children are often unable to understand the permanence of death or separation and can anticipate the return of their loved one who has gone. Only as they grow older, will they learn to grasp the finality and permanency of death.









Provide answers to their questions that are age appropriate



Help the child understand that the person who has died is not coming back, but also reassure them that their loved one is not in any pain. Children hear words and create pictures literally, i.e. (The Iron Curtain)  could be seen as a curtain of steel around a country.  Avoid metaphors such as "gone to sleep" or they may fear sleeping. "Lost" as this may cause them to believe their loved one can be found. "At peace now" may have the child think they weren't at peace because of the child's behaviour.


  



5. Role models

It is important that those around them (you) are able to express their grief in a healthy, open manner. Children learn from example and how you grieve gives them permission to be open and honest about their feelings of loss, love and missing their loved one.
Provide by example the model for  healthy grieving
Sadness is as natural an expression as happiness. Children will understand that it's okay for them to do the same as you. You cannot "fix" children's pain, any more than avoidance or distraction can fix yours. If possible, encourage children to be with other children who may have had a similar experience. Peer support is a major means in helping Children cope with loss.  



If in doubt seek out local resources that specialize in Child Bereavement. 

Please post your story here so others who are grieving with children might gain strength from your experience......

Bill Robson C.A.E., ATM gained his experience in grief as a
  • Grief Counselor
  • Distress Telephone Centre Trainer  
  • Hospice Volunteer
  • Group Facilitator, Bereavement
  • Youth & Family Counseling  
NOTES:
There are resources in many communities, call your local volunteer bureau for a list of organizations that can assist you.

Monday, September 8, 2014

A Letter VIDEO from Mom and Dad


 A Letter VIDEO from Mom and Dad

When we become like children again..... We need your Help!



VIDEO

When mom & dad become like children again..... Help!



The only difference between old and you is years.
If we are lucky, we grow old and tell our stories
of days gone by..... As a young person your gift to older people is to become an excellent listener of these stories! In years to come you will treasure them and be sharing stories of your own!




Share your story on caring for a loved one....

Bill Robson C.A.E., ATM gained his experience in grief as a
  • Grief Counselor
  • Distress Telephone Centre Trainer  
  • Hospice Volunteer
  • Group Facilitator, Bereavement
  • Youth & Family Counseling  
NOTES:
There are resources in most communities, you can also seek out your local volunteer bureau for a list of organizations that can assist you.

Butterflies soar, powered by love and loss.....


Such a learning day yesterday.... (September 7th 2014)


Wonderful people remembering their special someone(s)!














Everyone remembers their loved one in their own special way.

When a butterfly is seen it is a belief of many that their loved one is thinking about them and saying "Hi! I am O.K.". 

Tell me about your way of celebrating or remembering.... (Balloons; Annual celebration of life; keeping a place setting at home; a shelf of memories etc.) Please post it here so others who are grieving might gain strength from your experience......




NOTES:

There are resources in many communities, call your local volunteer bureau for a list of organizations that can assist you.

Saturday, September 6, 2014

Success Stories can be Beautiful!


A beautiful story..... a just reward!

There are so many moving stories of young people going through the fight of their lives and somehow through the power of love, hope, healing and medicine they make it through to the other side.  This is the story of Chloe and I don’t think you’ll have too many words after you hear it.  You may cry a lot of tears of joy however.
This is truly moving stuff…

https://www.youtube.com/watch?v=t4WwcGq91VQ


chloe

Thursday, September 4, 2014

Why Suicide?

Why Suicide?

We need to start talking about suicide and terminal illness..... the life of someone you know may depend on it. If not today maybe in the future. Best prevention is education. Know the signs, know the resources available to you and know you are not alone.

Do you know someone who is having thoughts of suicide? Talking about it can provide tremendous relief.
In fact, being a listener is the best intervention anyone can give.
“It’s not easy to talk about suicide; it can be very uncomfortable,” says Mary-Jo Bolton, assistant director at CASP. “But it’s an important conversation to have.”
Many people believe talking about suicide may cause suicide – this could not be further from the truth. When experience intense emotions, people struggle to problem solve. It is not your job to fix someone else’s problems. Instead, listen, care, validate and be nonjudgmental.

Tuesday, September 2, 2014

Alzheimer's Request & Bereavement




The above was taped to the door of a person with Alzheimer's.


As I shared time with people of all ages and conditions I have found a commonality in their thinking ....... Fear, Anger, Love, Happiness, Giving, Lonesomeness and Guilt are a few of the ingredients that transform us from the person we were to the one we are becoming.

There are times when our mind cannot separate one form of reality from another and allow one or more of these conditions to increase in strength causing confusion and worry.

The same can be said for people grieving. Reading the above once more try to see how it might apply to a person who is grieving.




Bill Robson C.A.E., ATM gained his experience in grief as a
  • Grief Counselor
  • Distress Telephone Centre Trainer  
  • Hospice Volunteer
  • Group Facilitator, Bereavement
  • Youth & Family Counseling
There are resources in most communities, send me a quick note and I will do some homework, sending you information. You can also seek out your local volunteer bureau for a list of organizations.

The hardest step in regaining the sense of control is to ask for assistance. 
This is not a weakness, it is a strength.