Hypergraphia is when you post seven or eight blog essays in one day and it’s still not enough. I just nodded out at the keyboard and left a zzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzz that went on for hundreds and hundreds of lines. It’s not the first time, it’s just the most onomatopoeic.
Category Archives: epilepsy
let the brain settle itself down
[Email from February, 2006. Reading this now I can’t believe I didn’t apply for disability. Instead I toughed it out as the increased medication slowly settled things back down. Took only a year….though the damage was done.]
My epilepsy’s been messing with me pretty hard and writing is dicey and any intellectual discourse more so….which kinda scotches a lot of our conversations! Feeling slowly better….I suddenly developed an incredible stammer which is almost completely gone and my memory seems to be returning pretty much intact. I had lost my ability to read other people which was a little unnerving…that seems to be coming back. I still have a reduced depth perception (mainly over long distances) which is always cool at first but gets old. The limbs keep going numb, the skull tingly, I get really tired. Been losing weight which is nice. Libido’s fine. And I am whining about myself a lot which is exceedingly rare so enjoy it while you can. All I can say is that seizure disorders are overrated as a spiritual vocation. There are lots of things more fun to do.
Prince
(2009)
I just found out that Prince is epileptic.
I guess he had full seizures as a kid but they abated at some point (though odds are he’s still mildly epileptic, just without the big seizures.) Very very rare for a celebrity or any VIP in the US especially to own up to it….it’s pretty much a career killer. You’ll notice he gives the impression that he’s cured, which is more than doubtful. I remember reading an article on Neil Young that claimed he too was cured….but that doesn’t happen, really, not with adult seizures, and not on its own. Controlled at best. But it’s just that it’s better to let people think you’re cured. Whenever you see lists of “Famous People With Epilepsy” it’s almost all historical people. Otherwise you got Margaux Hemingway and Florence Joyner, who both died from epilepsy, and badly. Margeaux destroyed herself, FloJo smothered face down in her pillow while seizing. Not too cool. There are others, but unless there are some terrible public scenes, like Margaux, or SUDEP (Sudden Unexpected Death in Epilepsy), as with Flojo, one’s epilepsy remains intensely private, known by only a few, and sometimes virtually no one at all. But we are odd, us epileptics, we are different. Prince, like Neil Young, like Bud Powell and Lester Young and Van Gogh and Dostoevsky and certainly Donald Snowden, are shaped by their seizures, or perhaps shaped by the fundamental differences between an epileptic’s brain and your brains. Our neurons are not like yours, our synapses fire much more wildly, we have thoughts like power surges, we see a flattened world and auras like a Van Gogh painting. Our memories disappear. We have extraordinary focus on some things and no focus at all on most of the rest. Most of us wind up nothings. Some of us wind up Prince.
If you imagine each synapse as a door to another room….
(from an email)
Brain tissue is a problem, but new brain pathways do spring up. Also, the current research seems to indicate that music thinking is a precursor to language, so it’s deeply embedded.
Well, those new synaptic pathways are also a problem for epileptics, as synapses connect in ways they shouldn’t and rerouting around synapses that should be connecting, thereby sundering the neuronal pathways to parts of the brain. It’s as if a neuron that had one hundred possible connections now has only five possible connections. If you imagine each synapse as a door to another room, suddenly ninety-five rooms have been locked shut, and everything within them is now unavailable forever. That is the impact partial seizures have on our brains, a few neurons at a time. When you realize that entire behaviors can be the result of a handful of connected neurons, it is amazing just what can be lost with even a virtually invisible seizure. A seizure is like a power surge in an electrical system, arcing currents and burning out circuits and wires and damaging machinery. As the temporal lobe seems to be much more vulnerable to this than the frontal lobe, every time an epileptic has a partial TLE seizure, some of the pathways are sundered and information is lost forever. Most we are not aware of. It can take decades to realize things are missing, though I’m sure the vast majority we have no idea we lost at all, simply because you can’t remember what you no longer remember.
Solid gold
(2014….For a year I was trapped in some bureaucratic limbo awaiting medical coverage and had to buy my own seizure medication at retail prices. Financially it was as if our rent had instantly doubled. Everything we had went into buying my medication. This was written at some point in that year.)
So my primary epilepsy med is back to solid gold status, having jumped over thirty per cent in price in one mighty 24 hour leap. Shades of the Weimar Republic, though without Liza Minnelli. The med is now a touch over $3.50 a pill. That’s $42 per day. A nice little habit. The other pill I take is cheap, but then they use that for other wackos too, not just epileptics. It’s the epilepsy specific drugs that’ll nail you. A high class disability, epilepsy. Epicurean, even. We’re special. Too bad you can’t get disability for it. Well you can, but you have to roll around the floor thrashing a dozen times a day. Otherwise, being that you’re not actually mentally ill, you’re considered normal. Unusual, maybe, but normal. I should have picked something else. Depression is nice, I hear. Quiet. And schizophrenia is entertaining. Bipolar types get a lot done, well, sometimes. Plus all those guys can get medicare. Free meds. Even handicapped parking. I get solid gold pills, plus that certain je nais se quois that comes from being so goddamned expensive.
But I hear there’s an opening for a Getty heir.
Sometimes I think about Dostoevsky
OK, now comes the classic epileptic writer’s conundrum…do I let the thing keep me writing? Or just take my overdue meds and go to bed? Alas, no Fyodor Dostoevsky me, so off to bed.
But epileptic writers really do learn to manage the symptoms, a little hypergraphia being a handy thing. It takes years to master it, though. Certainly one of the less studied aspects of the condition. Or even admitted to. Indeed, the very fact that I’m writing this at all is a sign I’d better take my Tegretol. Sometimes, though, I think about Dostoevsky and wonder how many novels have been lost to seizure medications. Or epileptic artists, the Van Goghs, how many paintings have been lost to seizure medicines as well? Though less ears have been lost. There’s always an upside.
And on that note, goodnight….
The man who mistook his wife for an ink cartridge
Took me nearly an hour to figure out how to put ink cartridges inside the printer. I’ve actually done it dozens of time before, in seconds. Not this time. I couldn’t even put back the tri-color ink cartridge I took out to see why I was having so much trouble putting the new black ink cartridge in. Problem was that the cartridge is an odd geometric shape that has to be put it at an angle and then pushed into a differently angled shape, all of which my brain refused to deal with. I don’t do abstract shapes well. Abstract shapes can trigger epileptic weirdness. Certainly did this time. Complete confusion resulted. The simple instructions on the printer itself just compounded it. I read them over and over, and tried to follow them step by step. There were four simple steps, in four panels, but they only made things worse. Finally, by sheer accident, I got the one cartridge back in–I literally could not tell you how–and then, after several minutes, the other. All told, including breaks taken because I was too bewildered to do anything else, I spent an hour on this 15 second project.
All this was quite new, actually, I had never had trouble with ink cartridges before. Quick, with one hand, without even looking. It could hardly be simpler. Now it has become quite beyond my comprehension. Apparently this is damage caused by having to play with those red and white cubes in the neurologist’s office two weeks ago. Hopefully it is just temporary. Things like this usually are. Otherwise I’ll have to hire a French maid to replace my ink cartridges.
I flunked out of pre-Algebra
I flunked out of pre-Algebra in high school, so they had me take it in summer school where I passed with–I kid you not–a D minus. I think it was a mercy D-minus. I have an excuse, though, because whatever thought processes are used in any math beyond basic arithmetic sets off petit mal seizures and I end up out of it and nauseous. It took me years to figure this out, though. I thought I just hated math.
My IQ test results must have been interesting. I have no idea what score (or scores) I received, but I probably did well on the language stuff, and the basic arithmetic stuff, then bottomed out when it went beyond that. I remember taking an IQ test in high school. They’d herded us all into the auditorium and handed out the test sheets. I was whizzing through the language section thinking I was smart, then made it through the adding and subtracting easily enough, but then it began to get abstract and I began to get fuzzy. I never thought much about it though. Decades later the reason dawned on me one boring day at work when I started one of those online IQ tests. Those were all the rage at the time, one of the first annoying internet trends. This was years ago. As soon as it got to the more advanced questions with shapes, etc, my brain fizzed out and I felt sick. Limbs go numb, tongue heavy, and this fuzzy thickness descends and a sort of creeping nausea comes on. Ah ha, I thought to myself, and have avoided anything like that since. Can’t believe it took me thirty years to figure that out. The exact same thing used to happen to me in math class. I was a tough kid, though, not prone to complaining and figured everyone was like that too. Never imagined it meant something was wrong. My neurologist wasn’t the least bit surprised when we discussed it. It happens, he said. With epilepsy anything can happen. Some epileptics talk to God. Some have spontaneous orgasms. Me, algebra makes me sick. Not as fun, though probably less embarrassing.
I’m very leery of physics and philosophy for the same reason. I could never make head or tail out of either and I suspect it’s because trying to think like that sets off little electro-chemical firestorms in my frontal lobe which then spread to the temporal lobe and fuck shit up nicely. Maybe not, I may just not be bright enough to figure them out, but why take chances. Life sciences I’m fine with, though. Earth sciences, linguistics. My great regret in life is not pursuing a science career, but there was no way. You need math, and all I can do is simple arithmetic.
Certain kinds of modular maps will set me off too. Not long after I made the mistake of taking that IQ test I made the mistake of trying to read the stupid arty map in the Getty’s Top of the Hill garage. Hiply modular, way modular, expensively modular. A regular map just wouldn’t do, not at the Getty. I studied it for maybe fifteen seconds and suddenly I was in a haze, a little lost, and I couldn’t remember anybody’s name. My wife got us to our seats.
Anyway, I eventually learned that if trying to read anything made me feel out of it or sick, to stop reading it immediately. Took me thirty years of epilepsy to figure that out. Some writing will set me off too. It used to be a problem. Apparently over the years I’ve learned to write in ways that doesn’t set off my epilepsy. Couldn’t tell you how, but I rarely get sick writing anymore.
But I can take all the strobe lights ya got.
Spilling
Finally got my seizure med situation straightened out. Amazing what a hassle being an epileptic can be. Inanely complicated. What an irritating disability this has turned out to be. Next time I pick something more heroic.
A long time ago epilepsy knocked me clean out of college. Seizures, cluster headaches and especially amnesia don’t mix well with a university education. Still, I managed to live an almost normal life for an epileptic for a couple decades. That is actually quite an achievement. We usually just curl up and hide. Not me, I just took my meds and pretended it wasn’t there. Lost huge amounts of long term memory initially but you learn to live with that easily enough. The pretending it wasn’t there method caught up with me a couple times, though. Had to give up writing for a spell because it kept setting petit mal seizures off. A week in the hospital (see “Seizure Alert Babes” for that tale) and better meds took care of that, and after a long while I could write again, as long as I didn’t push it. And after a few years I was able to push it. Then I had a horrendous year a decade ago when seizure activity–set off by writing, actually–got out of hand and blasted my memory apart. Lost my facial memory for a while. That was interesting. (I recall not recognizing my own brother, not to mention people I’d worked with every day for years.) Other things too. In fact, all sorts of crazy complications and deletions. Some were momentary, some for maybe a week, some a few months, some apparently forever. But I toughed my way through all that too. I should have gone on disability then but the idea appalled me. Guess I was just a macho guy with a powerful work ethic. Or maybe I suspected, deep down, that if I ever stopped working I’d become another helpless epileptic, dependent on the kindness of strangers. The seizures leveled out eventually, and some of the memory returned (though faces are are still a problem–it’s amazing how your faces can all blur together.) Writing is rarely a problem now. You learn to work with your epilepsy. Sometimes even exploit it. When the world flattens and everything turns Van Gogh, it alters your perception and the words come differently. Or when hypergraphia sets in and you realize you’re writing something good, you hold off on the next dose of meds for a bit. Let the words gush. An old epileptic writer’s trick, that one.
Then a couple years ago I realized I could no longer work a day office job because I was losing too many faculties and too much short term memory. The strain competing with normal people in the work place was beginning to tell. I wasn’t getting things done and couldn’t figure out why. Software programs I was expert at could sometimes become very difficult. And I was forgetting things. Assets–I’d been one of the very best at my gig, and in demand–were becoming embarrassing liabilities. The strain of trying to compensate for or hide the lapses was beginning to tell, though it took me forever to realize it. An old friend told me, over lunch, that I looked like I was falling apart. You look like hell, she said, worry in her voice. She never did pull her punches. I said I was fine, still pretending. She was right, of course. But she had known me a long time and saw the strain before I did. The dreaded hard wiring had arrived–older epileptics begin to lose executive functions and memory. You know it’s going to happen eventually. It’s why you never seem to run into an epileptic working for a living at my age.
But I loved working day jobs. Did so my entire life. I hated stopping. That’s when it finally dawned on me I’m disabled. I’m one of those now. You have no idea how that crumples up a big guy. Everything I had, all of it, I had earned. Nobody had given the wife and me a goddam thing. I took quiet but intense pride in that. I was an epileptic earning my keep. I could be just as good as the normal people all around me. (An epileptic’s world is divided–unfairly, I know–into epileptics and normal people. No matter how weird you all may feel, you are normal because you don’t seize.) Somehow that was far more important than writing chops. And suddenly it was gone. Well, the realization was sudden. To any perceptive person I had crossed that Rubicon years before. And as I sat in the pharmacy yesterday, helplessly waiting for the decision on my medication as the nicest pharmacists and pharmacist assistants and neurologists and neurology nurses went way out of their way to match my birth defective frontal lobe’s requirements with the infinitely arcane rules, I felt utterly pathetic.
You see, I had signed up for Obamacare. I wanted to pay my own way. I had the means. I had already worked out the budget. But foolishly, if honestly, I had checked off the disabled box on the form. That (and my writer’s income level) apparently stuck me automatically in the queue for Medi-Cal. I had never dreamed I’d be on Medi-Cal. I had recently helped a pathetically indigent friend get on Medi-Cal. And now here I am. You have no idea what a shock that was, applying for health coverage under the Affordable Care Act and finding myself instead stuck in the welfare system. There was no explanation, just a rejection letter that I did not qualify for Obamacare (what? why not?) but that I might qualify for Medi-Cal (even though we are well above the maximum income level). That was months ago. Meanwhile I’m paying $120 a week for my pills. None of this sank in, though, I mean really sank in, till I was sitting there at the pharmacy waiting for word on my medications. There was nothing I could do to help the situation any. As I sat there, helpless, the realization about what all this meant came over me. I sank into the chair. So this is what it feels like to be on relief. This is what it feels like to be disabled. This is what it feels like when epilepsy rules your life. I sighed and stared at the floor. So this is what it feels like when epilepsy wins. I had fought it so long and finally I had lost. It was inevitable that I’d lose eventually. We all lose. If we don’t die of SUDEP, our brains just begin wearing out, like a beat up old car with a messed up electrical system. But I’d fought like hell anyway. Must have been the Irish in me. But here I was at last, fifty eight years old, defeated and broken. Everyone was so sweet about it. I kept flashing back to that week in the epilepsy ward decades ago when they came in to help me pee. Do you need to pee Mr. Wahl? A tiny Filipina nurse stood outside the door, listening. Are you OK Mr. Wahl? That was quite a moment–standing there with my manhood in my hand and being talked to like a four year old. I had thought that was as low as epilepsy had brought me. But somehow sitting here waiting to see if I could get seizure meds or not surpassed it. At least I could piss by myself. Now I can’t even order medicine without an army of sweet assistants. Are you OK one asked. She was so pretty. I said I was.
But let’s not make such a big deal about it. There’s a point where complaining slides into self-pity and I am dangerously close to that edge. This is all just a matter of more adjustment. And I’ve been adjusting for a couple years now already. Adjusting and dealing with all the bureaucratic nonsense, not to mention shelling out way too much money on solid gold seizure meds. Man that stuff is expensive. Wiped us out. Well, no more. All the nice people made sure that will not happen again, ever. I’m thankful beyond belief for that. I was living a junkie’s existence.
It’s certainly never been dull, though. We see the world in ways none of the rest of you ever will except on acid. That’s a cool thing. And I’d not be a writer without that hole in the brain right near the Broca’s area. That’s where language comes from, and mine is all fired up because the neurons are all messed up there. Something zaps and out comes words. Creativity is nothing but fired up neurons. And epileptics are just loaded with fired up neurons. Hence so many of us write. And we do, too. I was at a symposium for epileptics (yes, we have those) and the sponsors had left legal pads on the tables where we all sat. You should have seen my brethren in that room…at least a dozen or so of them were frantically filling page after page of those legal pads with dense prose. Who knows what the hell they were writing. Notes perhaps. Observations. Gibberish. Just because the neurons in your Broca’s area are all messed up doesn’t mean you write well. It just means you write. Like this, actually.
Anyway, I now have a cabinet full of meds. I was living on the edge of epileptic catastrophe for two years. Now that I’m properly medicated against seizures–big ones, little ones, constant ones–it’s time to get a career going again, make more money and get the hell off of Medi-Cal if they let me (just how much does a disabled person have to make before they let him buy his own insurance like everybody else? Or am I trapped here forever?) Though all I can do is write, actually, and everybody writes now. There are so many writers. There must be a thousand times as many writers now as a decade ago. And a tenth as many readers. It is such a sad time to be a writer. Talk about timing.
But I write anyway, sometimes for money, or just for the hell of it, or because I don’t have a choice. It just happens. Like epilepsy itself, I guess. You never know when it will completely mess with your life again. I try not to think about that, though, or wondering what life would be like without it. Sometimes I do watch normal people walk by and think that there, but for the grace of a couple mutant hox genes, go I. But I don’t dwell on it. That shit will eat you alive if you let it. Don’t worry, some idiot said, be happy.
Red and white cubes
Had to take a mental examination for epilepsy on Monday morning. Lots of drawing, writing things down, repeating, remembering, trying to do things backwards. Little brain games. I was doing OK until the cubes. Four of them, red on some sides, white on other sides, some 50/50. I had to put them in combinations to create patterns. Right off the bat I knew I was in trouble…I had to create abstract patterns with abstract patterns. A trigger. I don’t do abstract shapes well. Within seconds I was going numb, talking slow, having trouble remembering anything. But I finished the test. All day long I was in a daze. Memory problems, out of it. Next day the same thing. On Wednesday more of the same. Finally today I am mostly back to normal. It used to be that concentrating on abstractions like that would wipe me out for a few hours. Now it lasts days. It’s not as intense as it used to get–no nausea–but it’s longer lasting. And of course, all that does is burn out more synapses and wreck more neurons. It’s like an epilepsy loop. The damage causes aka petit mal seizures which wrecks neurons which causes petit mal seizures which wrecks more neurons…..drip drip drip.
I’ve been trying to write this for days now. But I had to write this without trying to visualize the cubes and patterns, as the memory of them has the same effect as the actual experience, though the symptoms–numbness, stutter, memory loss–were even stronger. Apparently the actual experience of playing with those damn cubes involved several disparate sensory parts of the brain, but the memory involves only the parts of the brain that store the memories of the experience, and for some reason those memory centers set off more of the symptoms than the original sensory centers. If I were to think hard right now and try to remember actually doing the tests–though the memory of it is thoroughly garbled by now–I would actually get sicker than if I were actually doing the tests. I suppose I was only able to write this now as the short term memory of it has dissipated…as short term memories do after a couple days. Medium and long term memories are not as triggerable, if that is a word. If not, it is now.
The focal point of my seizures is a hole in the brain in the frontal lobe. A birth defect. Hence I can be set off by certain abstractions. I cannot do any sort of math beyond simple mathematics, I cannot read complex philosophy, I have difficulty with the modularity of things within things within things. Were I a gorilla (a common misconception, actually), this would not be as much of a problem. But Homo sapien sapiens are really big on the abstractions; our brains, in large part, grew huge because of the giant frontal lobes that developed to handle abstractions. It’s just that some of us have holes in our frontal lobes. Most of my symptoms, however, are in the temporal lobe, as so much frontal lobe activity is channeled through the temporal lobe. When the neurons that are all screwed up around the hole in my brain in my frontal lobe start firing in too rapid an order and messing things up, the extra electrical energy is released in the temporal lobe. Apparently the frontal lobe can handle such things easier. The temporal lobe, perhaps because it is much older and developed when brains were smaller and contained far less potential electrical energy (think of a neuron as a battery, and our frontal lobes are an enormous collection of interconnected batteries), perhaps never developed the protection it needs to protect it from such excess electricity. Like putting a Model T electrical system in a Porsche. The slightest thing could burn it out. And after a lifetime of epilepsy, the temporal lobe is thoroughly burned out. It has actually shrunk in size from all the electrical abuse, and a wide array of its knowledge–the various kinds of memories it stores in various places–are not even accessible anymore. The executive functions it controls–planning, etc–get thoroughly messed up. Frontal lobe functions–all that useless historical information and irritating know-it-all trivia–are unfazed. I can write. I can read. I can talk and talk and talk until everybody leaves. But stupid things like red and white cubes can mess me up for days.
One of the fun things about epilepsy is how it displays the inner workings of the brain. If you are fascinated by cognitive processes, it’s like being your own laboratory. One of the less fun things is drooling all over the carpet.
