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Brain Fog

© 2007 Theresa Lorraine
Copying permitted if all material is kept together and authorship acknowledged.

Brain fog is one of the most insidious and difficult symptoms with which those who suffer M.E./CFS/FMS cope. Consider this. Very little is really known about M.E./CFS/FMS so we, the patient, must undertake our own research. However, we're also suffering from Brain Fog. So our job is to research our symptoms, write out questions and comments for our doctors, cope with appointments with said doctor reasonably and rationally, all while our heads feel stuffed with wet sand!

What is Brain Fog?

The following information was excerpted from an article by Marilyn J Kerr RN. Her copy right was up in 2001, so it's legal to reprint here. However, the rest of the article is so fascinating I do hope you'll all take a look!

http://home.tampabay.rr.com/lymecfs/brainfog.htm

One of the first things that makes us realize that there is something wrong with us is the inability to perform intellectually like we once did. We seemingly accept the increasing pain, the muscle spasms, the insomnia, but when we keep forgetting our own phone number, red flags go up.

We lose things - misplace others - on a route we know, we get lost - we forget where we're going - shopping lists lose their importance because we keep forgetting to bring them - we lose our car in parking lots time and time again - we come home from shopping and realize we bought the exact same things the day before. We forget friends' names. We stop in mid-conversation because we've forgotten what we were talking about. We start using gadgets and date books in order to keep track of our normal daily to-do list. If we handle our own checkbook, we gradually have more and more trouble with it. Even taking a shower is a major effort because we don't remember whether we've rinsed the shampoo out of our hair - we lose the washcloth - we drop everything - we forget whether we rinsed all those hard-to-reach areas. What were once functions that we handled without thought, we now need to consciously review every aspect of the process before it occurs.

We laugh about it. We learn to "cover" the errors with laughter. But we're embarrassed and silently start questioning our own sanity. We worry about brain tumors and Alzheimer's because we know the problem is far more extensive than other people are seeing. As Janet, a newsgroup member said, "I can no longer rely on me!"

If we tell our doctor about our problems, we are often easily placated by the doctor's words. "Everybody starts having trouble as they get older." "No, you don't have Alzheimer's - just FMS." "Oh, you're just depressed."

We take comfort from such dismissals. We really don't want to believe that something is really wrong with our brain.

So we joke about it with each other - further dismissing its importance. Someone once said, "If it wasn't for brain fog, I wouldn't get any exercise!"

But something is wrong. This is not the everyday forgetfulness that everyone experiences from time to time. This is a 24 hour, seven day-a-week continual struggle to appear and act normally. It's been proven by SPECT and PET scans of the brain. It really IS all in our heads - and it's real.

Here's what our doctors are saying:

Excerpted from "Chronic Fatigue Syndrome and Fibromyalgia Syndrome: Similarities and Differences" by Muhammad B. Yunus, MD, University of Illinois College of Medicine at Peoria, Peoria, Illinois

Dr. Samuels: But we're talking about CFIDS or chronic dysfunctional diseases; you can span every physiological system in the body. The SPECT scan on the brain shows flow and function. If the temporal lobes are mismatched, you can be sure there will be trouble with memory, recall and concentration. If the frontal lobes are poorly lit, you will see depression.

Excerpted from Dr. Samuels Speaks

Cognitive dysfunction is a right temporal lobe phenomena. Multiple mood swings, trouble sleeping are all temporal lobe abnormalities.

Temporal lobe is responsible for understanding what we hear, retrieving and restoring our memories even though the patient may feel they have difficulty with their memory. The problem is actually the retrieval of this information. The card catalog is there but the PWC can't find the right word. Not being able to find the word or you forget what you are going to do, or blocking, is a left temporal lobe phenomena.

Excerpted from a lecture by Dr. Michael Goldberg, MD at the 6/1/97 CFIDS Conference

Dr. Goldstein: CFS patients are prone to overestimate their cognitive abilities. Their making of new memories is extremely fragile and disrupted by proactive interference. They do not benefit from memory cues. The making of new memories is easily disturbed by increasing the amount of information presented.

Tools for coping with Brain Fog

There are tools for coping with Brain Fog and here are just a few of them:

* Repeat yourself. Repeat things to yourself over and over again. Repetition will keep thoughts fresh in your mind.

* Write it down. Whether you write in a calendar, in a notebook or on sticky notes, if you're afraid you won't remember something, putting pen to paper can help. (It not only helps to have the written reminder, but the act of writing something down, helps "cement" it in your brain!)

* Pick your best time. If there is something you need to do that requires concentration and memory, such as balancing your checkbook or following a recipe, pick your best time to do it. (This may take some creativity for those of us who have children at home or are trying to focus with a world that may run on a different schedule from our "best time" lol! What I had to do when my children were younger was figure it was going to take twice the time it should to do my checkbook in the late evening ...... which is not my best time but it is the time when there are no children mucking about to distract me.)

* Engage yourself. Reading a book, seeing a play, or working a complex crossword or jigsaw puzzle can stimulate your brain and your memory.

*Continue to be as active as you are able, but be careful not to overdo. Now, how's that for a balancing act? lol. Physical activity helps to stimulate the brain, but in M.E./CFS, too much physical activity brings on a relapse.

* Explain yourself. Explain your memory difficulties to family members and close friends. Memory problems are often made worse by the stress of embarrassment and humiliation. Getting a little understanding from the ones you love may help.

* Keep it quiet. A radio blasting from the next room, a TV competing for your attention, or background conversation can distract your attention from the task at hand. If possible, move to a quiet place and minimize distractions when you are trying to remember.

* Go slowly. Sometimes memory problems can result from trying to do too much in too short a period of time. Break up tasks, and don't take on more than you can handle at once. Stress and fatigue will only make the situation worse.

* When you feel yourself getting flustered and the "Fog" setting in more densely, take a break if you can. Take a few minutes, alone, to clear out the fog and quiet your mind. As the activity, both in our brains and in the environment, gets more frenzied, our ability to understand diminishes.

Brain Fog is real. It complicates not only our ability to function in the world, but our ability to relate to others. The very most important step when one has brain fog is to find people who understand what we are coping with and who will be compassionate. If we are trying to cope with "friends" who:

* take offense when our words come out all wrong

* keep our minds buzzing with too much activity in conversations that switch topics over and over

* insist on conversations which involve complexities we're not able to follow at times

We need to rethink those friendships. Our jobs are to release some of the unnecessary stress in our lives so our brains have a quieter place in which to function. This alone, will increase our cognitive abilities.