Remaining Limitations


On this page I've highlighted some consequences of my TBI, despite having made an entirely satisfactory recovery.  The areas discussed below are simply a breakdown of matters which may be considered as unusual.

I don't feel discomfort or pain when it happens unexpectedly.  This typically means without visual or auditory prompts - it feels like I don't get any signals.  I've articulated some of my unusual pain experiences below.  However, if I knowingly inflict pain on myself I do sense it.  To test my observations, I once deliberately crushed my fingers with pliers - it hurt!

  • I severely burned my leg from a red hot metal garden fire bin structure while having a barbecue in our garden.  I didn't realise until I saw the scabbed gash down my calf that I'd been burned - it was six inches long, a quarter inch wide and an eighth inch deep.  We determined the only way it could have happened was through brushing my leg firmly against the fire bin.
  • I regularly find cuts and abrasions on my arms and legs, for which I am unaware of having happened
  • I can be wearing shorts and walking Ronnie (our dog) through fields full of nettles.  I may be distracted while throwing Ronnie a stick, and after five minutes my legs are a hive of nettle stings.
  • I've received mosquito stings on holiday abroad and wasp stings in the UK without feeling anything.  I only realise I've been bitten when the swelling / spot shows up on my skin.
  • I no longer suffer from headaches, which I used to have about thrice daily.  I haven't experienced a single headache from the day of my TBI (2015) until now (2021).
  • In 2017 I observed an irregularity in my groin but felt no discomfort, my doctor determined without any hesitation that I had a hernia.
  • In 2018 I developed sepsis which was attributed to severe pneumonia, the only symptoms I had was tiredness.

I can no longer sense the taste of food.  I can typically recognise the food I'm eating from its texture, but without a visual cue, the taste is of no help.

Some people ask "Does nothing taste of anything?"  My response is "Everything tastes of nothing."  It's a subtle word play, but it describes more accurately the feeling I have when eating.  I could take the negative approach of thinking nothing tastes nice, but I'd rather stick with the outcome that nothing tastes bad.

I feel full up very quickly.  I can go a whole day without eating, then just one bite of a sandwich is enough to make me feel full.  Finishing a sandwich or meal becomes a chore rather than an enjoyable experience. 

My smell sensation is almost zero.  I do not recognise toilet smells, perspiration smells or any kind of perfume fragrance.

Summer 2019 Update: While walking through a Manchester suburb, I smelt what I thought was dog excrement.  I asked Ruth if this was the case, and she said "Yes."  I was delighted :-)

My touch sensation is significantly impaired.  I regularly fail to distinguish between wet and dry towels on the washing line. 
I have reduced left hand dexterity, so manipulating coins in a purse is almost impossible with my left hand.  Trimming my fingernails on either hand with clippers is very clumsy.  I have significantly impaired ability to write legibly with my right hand - I doubt I've signed my name the same twice in succession since my TBI.

Short-Term Memory

I have severe short-term memory deficiency which affects me in almost everything I do, I deal with it really well by being an avid note taker.  ​Short-term memory deficiencies seem to drive lots of people crazy, but not me, as I have faith in my coping strategies.  Many adults often struggle to reconcile how they can remember events from their school years, but can't remember what they had set out to do that morning.  I draw an analogy to far-sightedness, where people can read words on an advertising hoarding thirty metres away but can't read a restaurant menu right in front of them.  I have learned that short-term memory and long-term memory is managed by different areas of the brain, which typically deteriorate at differing rates in normal life, or more rapidly following a TBI.  I refuse to be frustrated by short-term memory problems: I either use coping strategies or deliberately avoid things which I know I will struggle with.

I used to be a keen fiction reader, however, following my TBI I needed to make notes of the characters / roles / relationships as I read each page.  Reading became a chore, such that any pleasure was lost, so I simply stopped reading novels.  I need to be selective about the films I choose to watch, as anything with more than a simple plot (such as a murder mystery) becomes so difficult to follow that enjoyment is lost.

​After returning to work, I couldn't remember people's names / job roles no matter how many times I was told them.  I also couldn't recall new faces very well anymore.

I needed to take photos of where I'd parked the car at supermarkets in the early days after getting my driving licence back in 2017 - this limitation has now receded (2021).

Early Onset of Tiredness

Every day I become tired by early afternoon.  I have learned that a twenty minute sleep / bed rest during the middle of the day (typically at 1PM) makes the world of difference.  When I attempted to plough on regardless, I'd have an almost bed-bound evening.  I discovered this coping strategy by chance, and it works well, so I stick to it religiously.

Spatial Awareness

It took me over a week in July 2017 to remember that the toilets in the new office building I was working in were a simple left when exiting the office door.  I first became aware on a weekend break in York in 2016, when I went out in the day or evening and didn't walk too far, but I had no idea how to return to the hotel.  It wasn't just a case of not knowing if it's the second or third left, I couldn't recall if my target destination was north, south east or west.

General Observation
18th December 2017 Update: I think I have developed the flu, my eyes are streaming, my throat is very sore, I feel lousy.  In short - ace news!  After going thirty months without a headache or a cold, it feels great to have normal symptoms.

Limited Learning Capacity
In June 2018, three years post-TBI and one year after returning to professional employment, I attended a training course to learn new IT skills - Amazon Web Services (cloud technology).  I spent three days studying hard and enjoyed the experience, yet at the end of each day my recollection of what I had newly learned was zero.  Not unexpectedly, I failed the exam test, it was a new experience for me as I'd always been very skilled at learning new material and passing exams.  Rather than become frustrated, I simply accepted that learning new technology is now beyond me.

Positive Mental Attitude (PMA)

I've written lots on these web pages, but there's one person's story I found on which I feel puts recovery into context far more succinctly and convincingly than anything I've written.  You can view the entire article by following this link, from which I've taken the following paragraph:

"Finally, I want to share what I consider the thing that makes every pain-staking minute of recovery worthwhile. The silver lining, if you will, is ALL OF THE MOMENTS OF LIFE I didn’t miss out on thanks to my exceptional good fortune of surviving the odds."