Here is Long-term Effects of Concussion and mTBI. It is a pamphlet I compiled for medical professionals. Of the 10 research studies quoted in this pamphlet, eight were done within the past three years. It is so important to get solid new information to healthcare providers and I hope this pamphlet will do that. If anyone needs this pamphlet for their providers and cannot afford to print them, please contact me and I will make sure you get copies.
https://www.dropbox.com/s/24u49emryo0gxy5/TBIpamph.doc
Next I will be compiling a TBI pamphlet for the average person. It will include more answers to commonly asked questions and less medical jargon!
Tuesday, November 26, 2013
Monday, November 25, 2013
TBI for Dummies, the research pt 2
Traumatic brain injury, neuroimaging, and neurodegeneration. 2013
Bigler ED
"The first phase of neural degeneration is explainable by the primary acute and secondary neuropathological effects initiated by the injury; however, neuroimaging studies demonstrate a prolonged period of pathological changes that progressively occur even during the chronic phase."
Departments of Exercise and Sport Science, University of North Carolina at Chapel Hill, 27599, USA
http://www.ncbi.nlm.nih.gov/pubmed/23964217
Chronic neuropathological and neurobehavioral changes in a repetitive mTBI model. 2013
Mouzon BC, Bachmeier C, Ferro A, Ojo JO, Crynen G, Acker CM, Davies P, Mullan M, Stewart W, Crawford F.
"Importantly, these data provide evidence that, whilst a single mTBI produces a clinical syndrome and pathology which remain static in the period following injury, repetitive injuries produce behavioral and pathological changes which continue to evolve many months after the initial injuries."
Roskamp Institute, Sarasota, Florida, 34243, USA; James A. Haley Veterans Administration Medical Center, Tampa, Florida, 33612, USA; The Open University, Department of Life Sciences, Milton Keynes, MK, 7 6AA, UK
http://www.ncbi.nlm.nih.gov/pubmed/24243523
New perspectives on central and peripheral immune responses to acute traumatic brain injury. 2012
Das M, Mohapatra S, Mohapatra SS.
"TBI of any form can cause cognitive, behavioral and immunologic changes in later life, which underscores the problem of underdiagnosis of mild TBI that can cause long-term neurological deficits."
Nanomedicine Research Center, University of South Florida Morsani College of Medicine, 12901 Bruce B. Downs Blvd., Tampa, FL 33612, USA.
http://www.ncbi.nlm.nih.gov/pubmed/23061919
Traumatic brain injury: a risk factor for Alzheimer's disease. 2012
Sivanandam TM, Thakur MK.
"Traumatic brain injury (TBI) constitutes a major global health and socio-economic problem with neurobehavioral sequelae contributing to long-term disability. It causes brain swelling, axonal injury and hypoxia, disrupts blood brain barrier function and increases inflammatory responses, oxidative stress, neurodegeneration and leads to cognitive impairment."
Biochemistry and Molecular Biology Laboratory, Department of Zoology, Banaras Hindu University, Varanasi 221005, India.
http://www.ncbi.nlm.nih.gov/pubmed/22390915
Axonal pathology in traumatic brain injury. 2013
Johnson VE, Stewart W, Smith DH.
"Diffuse axonal injury (DAI) has been found in all severities of TBI and may represent a key pathologic substrate of mild TBI (concussion). [...] In addition, recent evidence suggests that TBI may induce long-term neurodegenerative processes, such as insidiously progressive axonal pathology. Indeed, axonal degeneration has been found to continue even years after injury in humans, and appears to play a role in the development of Alzheimer's disease-like pathological changes."
Penn Center for Brain Injury and Repair and Department of Neurosurgery, University of Pennsylvania, PA 19104, USA.
http://www.ncbi.nlm.nih.gov/pubmed/22285252
Traumatic brain injury: an overview of pathobiology with emphasis on military populations. 2010
Cernak I, Noble-Haeusslein LJ.
"This review considers the pathobiology of non-impact blast-induced neurotrauma (BINT). The pathobiology of traumatic brain injury (TBI) has been historically studied in experimental models mimicking features seen in the civilian population. These brain injuries are characterized by primary damage to both gray and white matter and subsequent evolution of secondary pathogenic events at the cellular, biochemical, and molecular levels, which collectively mediate widespread neurodegeneration."
National Security Technology Department, Johns Hopkins University Applied Physics Laboratory, Laurel, Maryland 20723, USA
http://www.ncbi.nlm.nih.gov/pubmed/19809467
Whole-brain proton MR spectroscopic imaging of mild-to-moderate traumatic brain injury and correlation with neuropsychological deficits. 2010
Govind V, Gold S, Kaliannan K, Saigal G, Falcone S, Arheart KL, Harris L, Jagid J, Maudsley AA.
"These results demonstrate that significant and widespread alterations of brain metabolites occur as a result of mild-to-moderate TBI, and that these measures correlate with measures of cognitive performance."
where
http://www.ncbi.nlm.nih.gov/pubmed/20201668
Understanding the neuroinflammatory response following concussion to develop treatment strategies. 2012
Patterson ZR, Holahan MR.
"Mild traumatic brain injuries (mTBI) have been associated with long-term cognitive deficits relating to trauma-induced neurodegeneration. These long-term deficits include impaired memory and attention, changes in executive function, emotional instability, and sensorimotor deficits. Furthermore, individuals with concussions show a high co-morbidity with a host of psychiatric illnesses (e.g., depression, anxiety, addiction) and dementia. The neurological damage seen in mTBI patients is the result of the impact forces and mechanical injury, followed by a delayed neuroimmune response that can last hours, days, and even months after the injury."
Department of Neuroscience, Carleton University Ottawa, ON, Canada.
http://www.ncbi.nlm.nih.gov/pubmed/23248582
Friday, November 22, 2013
TBI for Dummies, the research pt 1
Multiple concussions can cause cumulative damage
Cumulative effects associated with recurrent concussion in collegiate football players: the NCAA Concussion Study. 2003
Guskiewicz KM, McCrea M, Marshall SW, Cantu RC, Randolph C, Barr W, Onate JA, Kelly JP.
"Our study suggests that players with a history of previous concussions are more likely to have future concussive injuries than those with no history; 1 in 15 players with a concussion may have additional concussions in the same playing season; and previous concussions may be associated with slower recovery of neurological function."
Departments of Exercise and Sport Science, University of North Carolina at Chapel Hill, 27599, USA
http://www.ncbi.nlm.nih.gov/pubmed/14625331
Cumulative effects of concussion in amateur athletes. 2004
Iverson GL, Gaetz M, Lovell MR, Collins MW.
"There were differences between groups in symptom reporting and memory performance. At baseline (i.e. preseason), athletes with multiple concussions reported more symptoms than athletes with no history of concussion. At approximately 2 days post-injury, athletes with multiple concussions scored significantly lower on memory testing than athletes with a single concussion. Athletes with multiple concussions were 7.7 times more likely to demonstrate a major drop in memory perfomance than athletes with no previous concussions."
Department of Psychiatry, University of British Columbia, Vancouver, BC, Canada
http://www.ncbi.nlm.nih.gov/pubmed/15195792
TBI can be degenerative
Inflammation and white matter degeneration persist for years after a single traumatic brain injury. 2013
Johnson VE, Stewart JE, Begbie FD, Trojanowski JQ, Smith DH, Stewart W.
"These data present striking evidence of persistent inflammation and ongoing white matter degeneration for many years after just a single traumatic brain injury in humans. "
Penn Centre for Brain Injury and Repair and Department of Neurosurgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA
http://www.ncbi.nlm.nih.gov/pubmed/23365092
Cumulative effects associated with recurrent concussion in collegiate football players: the NCAA Concussion Study. 2003
Guskiewicz KM, McCrea M, Marshall SW, Cantu RC, Randolph C, Barr W, Onate JA, Kelly JP.
"Our study suggests that players with a history of previous concussions are more likely to have future concussive injuries than those with no history; 1 in 15 players with a concussion may have additional concussions in the same playing season; and previous concussions may be associated with slower recovery of neurological function."
Departments of Exercise and Sport Science, University of North Carolina at Chapel Hill, 27599, USA
http://www.ncbi.nlm.nih.gov/pubmed/14625331
Cumulative effects of concussion in amateur athletes. 2004
Iverson GL, Gaetz M, Lovell MR, Collins MW.
"There were differences between groups in symptom reporting and memory performance. At baseline (i.e. preseason), athletes with multiple concussions reported more symptoms than athletes with no history of concussion. At approximately 2 days post-injury, athletes with multiple concussions scored significantly lower on memory testing than athletes with a single concussion. Athletes with multiple concussions were 7.7 times more likely to demonstrate a major drop in memory perfomance than athletes with no previous concussions."
Department of Psychiatry, University of British Columbia, Vancouver, BC, Canada
http://www.ncbi.nlm.nih.gov/pubmed/15195792
TBI can be degenerative
Inflammation and white matter degeneration persist for years after a single traumatic brain injury. 2013
Johnson VE, Stewart JE, Begbie FD, Trojanowski JQ, Smith DH, Stewart W.
"These data present striking evidence of persistent inflammation and ongoing white matter degeneration for many years after just a single traumatic brain injury in humans. "
Penn Centre for Brain Injury and Repair and Department of Neurosurgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA
http://www.ncbi.nlm.nih.gov/pubmed/23365092
Wednesday, November 20, 2013
Grace
I have no words to a mother who lost her son. She reached out to me today and sent me a message asking me to hug my husband. Four years ago today my husband was speaking at her son's funeral. I have written about her son before. We called him Ice. He was a sweet kid who survived Iraq until he brought it home with him and it killed him.
His mom is part of our family. Families are funny things. You don't choose them and they are constantly evolving and devolving and shape-shifting. Joining the Army is like marrying into a very large, very dysfunctional family. Marrying someone in the military is like marrying someone who has been married before and still has a relationship with their ex. It is very convoluted: confusing trying to keep everyone straight - aunts, uncles, cousins, first sergeants, privates, veterans, in-laws. Meeting other veterans and their spouses is like meeting distant cousins, third cousins thrice removed, etc.
I don't like all of them. I certainly don't love all of them. I actually don't even know all of them, but they are tied to me. I am tied to them. I am indebted to them. I owe them my attention, my resources, my research, my stories. We are all in this together.
We are all in this together, but their losses are not my losses. I have not lost my husband or my son. When the men came home, I got my moment, my perfect moment. When my husband has struggled, he has come back. He brought the war home with him, but we are still living it. He is still fighting, but he is still here.
I recently saw the phrase "You can't take the War out of the Warrior." I love that. Because while the war is with us, every day, so is the warrior. I am grateful for that. I believe grateful is different than happy, because while happy is something you can work on, gratitude is for grace. I have gratitude for the small moments of grace, like finding a dollar in the road, and the much much larger moments of grace, like my husband coming home, scarred but alive. I am so saddened for the losses of those around me and I am grateful to have been spared, momentarily.
I am lucky and I do not know what to say to those who are not as lucky as me. None of us is deserving of heartbreak or golden moments.
"There but for the grace of God, go I."
His mom is part of our family. Families are funny things. You don't choose them and they are constantly evolving and devolving and shape-shifting. Joining the Army is like marrying into a very large, very dysfunctional family. Marrying someone in the military is like marrying someone who has been married before and still has a relationship with their ex. It is very convoluted: confusing trying to keep everyone straight - aunts, uncles, cousins, first sergeants, privates, veterans, in-laws. Meeting other veterans and their spouses is like meeting distant cousins, third cousins thrice removed, etc.
I don't like all of them. I certainly don't love all of them. I actually don't even know all of them, but they are tied to me. I am tied to them. I am indebted to them. I owe them my attention, my resources, my research, my stories. We are all in this together.
We are all in this together, but their losses are not my losses. I have not lost my husband or my son. When the men came home, I got my moment, my perfect moment. When my husband has struggled, he has come back. He brought the war home with him, but we are still living it. He is still fighting, but he is still here.
I recently saw the phrase "You can't take the War out of the Warrior." I love that. Because while the war is with us, every day, so is the warrior. I am grateful for that. I believe grateful is different than happy, because while happy is something you can work on, gratitude is for grace. I have gratitude for the small moments of grace, like finding a dollar in the road, and the much much larger moments of grace, like my husband coming home, scarred but alive. I am so saddened for the losses of those around me and I am grateful to have been spared, momentarily.
I am lucky and I do not know what to say to those who are not as lucky as me. None of us is deserving of heartbreak or golden moments.
"There but for the grace of God, go I."
Monday, November 11, 2013
#veteransdayis
#VeteransDayIs a social media hashtag campaign, promoted by Wounded Warrior Project.
#VeteransDayIs November 11. 11/11. #VeteransDayIs easy to remember.
#VeteransDayIs easy to forget. It's just another day off work or school. Columbus Day in October, Veterans Day in November, Presidents Day in February. #VeteransDayIs just another reason to get 10% off at the mall. #VeteransDayIs a good time to buy a new mattress, judging by the commercials.
#VeteransDayIs not as widely celebrated as Memorial Day, because Memorial Day is timed better for barbeques and beer. #VeteransDayIs to celebrate everyone who served, not just those who died. It is okay with me if you say "Happy Veterans Day," but please don't ever say "Happy Memorial Day."
#VeteransDayIs sometimes called "Pinch the Veteran Day" in my house. Pinching Karl usually devolves into everyone tickling each other in a big pile. "Pinch the Veteran Day" is often celebrated on other days as well.
#VeteransDayIs something we celebrate. One year we went to a Japanese steak house. Karl wore a Hawaiian shirt and a trench coat. I wore a dress. Most years we go from one restaurant to another, ordering a free meal to go. #VeteransDayIs a time when numerous chain restaurants offer a free meal to veterans. The restaurants are often full to the brim all day with veterans and their families waiting for a free meal. I know several veterans who have never gone for their free meal because the idea of being immersed in the crowd is too daunting for them. Every year I call around and find out whose meals are available dine in or to go and then we get take out for free. I appreciate the restaurants that do free meals dine in only, but we won't be going there.
This year, #VeteransDayIs the day that I finally got free coffee from the Starbucks my husband and I got married in. Starbucks is giving a free tall coffee to not just veterans but also their spouses.
#VeteransDayIs the day I accompany my husband to our children's schools for an assembly. Last year he wore his Class As. This year he did not. This year the assembly included remarks from a veteran. He thanked the spouses, describing our time during deployments sitting by the phone, hopeful and terrified, and I teared up.
#VeteransDayIs often followed by a sleepless night for my husband, who fitfully dozes on the couch while watching war documentaries.
#VeteransDayIs every day in my home.
#VeteransDayIs November 11. 11/11. #VeteransDayIs easy to remember.
#VeteransDayIs easy to forget. It's just another day off work or school. Columbus Day in October, Veterans Day in November, Presidents Day in February. #VeteransDayIs just another reason to get 10% off at the mall. #VeteransDayIs a good time to buy a new mattress, judging by the commercials.
#VeteransDayIs not as widely celebrated as Memorial Day, because Memorial Day is timed better for barbeques and beer. #VeteransDayIs to celebrate everyone who served, not just those who died. It is okay with me if you say "Happy Veterans Day," but please don't ever say "Happy Memorial Day."
#VeteransDayIs sometimes called "Pinch the Veteran Day" in my house. Pinching Karl usually devolves into everyone tickling each other in a big pile. "Pinch the Veteran Day" is often celebrated on other days as well.
#VeteransDayIs something we celebrate. One year we went to a Japanese steak house. Karl wore a Hawaiian shirt and a trench coat. I wore a dress. Most years we go from one restaurant to another, ordering a free meal to go. #VeteransDayIs a time when numerous chain restaurants offer a free meal to veterans. The restaurants are often full to the brim all day with veterans and their families waiting for a free meal. I know several veterans who have never gone for their free meal because the idea of being immersed in the crowd is too daunting for them. Every year I call around and find out whose meals are available dine in or to go and then we get take out for free. I appreciate the restaurants that do free meals dine in only, but we won't be going there.
This year, #VeteransDayIs the day that I finally got free coffee from the Starbucks my husband and I got married in. Starbucks is giving a free tall coffee to not just veterans but also their spouses.
#VeteransDayIs the day I accompany my husband to our children's schools for an assembly. Last year he wore his Class As. This year he did not. This year the assembly included remarks from a veteran. He thanked the spouses, describing our time during deployments sitting by the phone, hopeful and terrified, and I teared up.
#VeteransDayIs often followed by a sleepless night for my husband, who fitfully dozes on the couch while watching war documentaries.
#VeteransDayIs every day in my home.
Thursday, November 7, 2013
fall.
Fall is gorgeous here in Washington. Fall in Texas is temperamental and drives me to look for tickets to places with color-changing leaves. This is the first time in years I have gotten to witness trees changing from green to yellow, hot pink, orange and purple. When I pick my son up from Kindergarten, I kick the piles of leaves and jump in them. I take pictures of trees. I am infatuated with autumn.
As I drove my kids to school this morning under the gray skies, through the rain, over the dead leaves, I thought of how much my mother would hate being in Washington right now. I can see that the gray is silver, the rain is glitter. I love watching the leaves whirl away from their stems in the wind. I don't mind the limited light, which is good as our days are just going to get shorter. I am hoping to arrange our Christmas travel to allow myself to be here on the shortest day of the year, which will be shorter here than in Texas. I love watching the Earth go into hibernation. My favorite fall days though are the ones with blue skies, when I can see the mountain 30 miles away, glittering white with snow. The sun is so bright it hurts, making 50 degrees feel like 70. The hot pink leaves against the bright blue sky look surreal, like everything you see has already been sharpened and filtered on Instagram.
November is also nice for me because of Thanksgiving. Thanksgiving wasn't very important in my family growing up, but I love holidays. I love to cook and I love to plan. Thanksgiving, more than any other holiday, requires planning. What time does the turkey go in the oven? What else cooks at the same temperature as the green bean casserole? How much time does there need to be between dinner and dessert? Do I have enough plates, silverware, chairs? I have ethical qualms about Thanksgiving and Native Americans and I like the fourth Thursday in November anyway.
November also includes Veteran's Day and November 14, the day Ken died. So, while I watch the Earth give up the last of its harvest and I admire the leaves and their myriad of colors, I also acknowledge the sacrifices made by people I have known. Much like the gunmetal skies do not ruin fall for me, my grief for what my husband has lost does not ruin November for me. Veterans Day is somber for us, especially as three days later is the anniversary of Ken's death and I can never think of one without the other. Veterans Day is also for everyone who has served. We jokingly call it Karl's Holiday and last year I referred to it as "pinch a veteran day," which is now any day we are feeling especially silly.
Unfortunately, just as my mother would be unable to see the glitter because of all the darkness, Karl is unable to be thankful because of all the death. Every year, the first two weeks of November are trying for me. Karl is snappier than usual, thoughtless in his comments and his reactions. This is the time of year, more than ever, that I need to referee between him and the kids. I start staying up until one in the morning to have a little peace. The holidays are not hard for Karl, Christmas is fine, although he grumbles about consumerism. The fortnight between Dia de los Muertos and the day after Ken died are Karl's shortest days. They are the days when there is more dark than light. I know that the days will gradually get longer again and there will be more light. We just have to wait for it.
As I drove my kids to school this morning under the gray skies, through the rain, over the dead leaves, I thought of how much my mother would hate being in Washington right now. I can see that the gray is silver, the rain is glitter. I love watching the leaves whirl away from their stems in the wind. I don't mind the limited light, which is good as our days are just going to get shorter. I am hoping to arrange our Christmas travel to allow myself to be here on the shortest day of the year, which will be shorter here than in Texas. I love watching the Earth go into hibernation. My favorite fall days though are the ones with blue skies, when I can see the mountain 30 miles away, glittering white with snow. The sun is so bright it hurts, making 50 degrees feel like 70. The hot pink leaves against the bright blue sky look surreal, like everything you see has already been sharpened and filtered on Instagram.
November is also nice for me because of Thanksgiving. Thanksgiving wasn't very important in my family growing up, but I love holidays. I love to cook and I love to plan. Thanksgiving, more than any other holiday, requires planning. What time does the turkey go in the oven? What else cooks at the same temperature as the green bean casserole? How much time does there need to be between dinner and dessert? Do I have enough plates, silverware, chairs? I have ethical qualms about Thanksgiving and Native Americans and I like the fourth Thursday in November anyway.
November also includes Veteran's Day and November 14, the day Ken died. So, while I watch the Earth give up the last of its harvest and I admire the leaves and their myriad of colors, I also acknowledge the sacrifices made by people I have known. Much like the gunmetal skies do not ruin fall for me, my grief for what my husband has lost does not ruin November for me. Veterans Day is somber for us, especially as three days later is the anniversary of Ken's death and I can never think of one without the other. Veterans Day is also for everyone who has served. We jokingly call it Karl's Holiday and last year I referred to it as "pinch a veteran day," which is now any day we are feeling especially silly.
Unfortunately, just as my mother would be unable to see the glitter because of all the darkness, Karl is unable to be thankful because of all the death. Every year, the first two weeks of November are trying for me. Karl is snappier than usual, thoughtless in his comments and his reactions. This is the time of year, more than ever, that I need to referee between him and the kids. I start staying up until one in the morning to have a little peace. The holidays are not hard for Karl, Christmas is fine, although he grumbles about consumerism. The fortnight between Dia de los Muertos and the day after Ken died are Karl's shortest days. They are the days when there is more dark than light. I know that the days will gradually get longer again and there will be more light. We just have to wait for it.
Tuesday, November 5, 2013
ESFJ vs. INTJ vs. MARRIAGE
Last night, Karl turned to me while we were watching TV and said "I don't know why we're married."
The day before yesterday I took an abbreviated Myers Briggs personality test*. I came up as an ESFJ. I read several websites describing ESFJs and found myself nodding along. Yes, I talk about my feelings ad nauseam. Yes, I am controlling. Yes, I want to be told that people like me... a lot.
When Karl got home, I asked him to take the same test. He came up as an INTJ. INTJs do not like to talk about feelings. INTJs do like being micro-managed. INTJs are often seen as "cold" and "logical." INTJs are not, probably, a good match for ESFJs. Karl read a lot of information about both of our personality types yesterday. Wikipedia provides a more in depth description than the Myers Briggs website, but he read several other sites too.
According to all of these sites, Karl and I shouldn't work. One of his pet peeves is, indeed, talking about his feelings. However, we talk about feelings a lot. We talk about how I feel a lot and why I feel that way. Then I want to know how he feels and why he feels that way. It drives him crazy. Karl doesn't like being micro-managed, as his Myers Briggs profile indicates, but I micro-manage him a lot because of his brain injury and my controlling nature. Karl doesn't like being viewed as incompetent, also right in line with an INTJ profile, and we struggle with this because he is incompetent in several ways.
I know why we're married though. We do work. Whether because my "practical" side compliments his "logical" side or in spite of our personalities, we work. Last night I started crying because, out of nowhere, my husband told me he didn't know why we're married. It makes no sense to him that we work despite all the psychology that says we shouldn't. The psychology acknowledges that a logical thinker will inevitably tell a sensitive feeler "I don't understand why we are together" and the sensitive feeler will be hurt. However, being a practical sensitive feeler, I know that it's okay. We don't make sense. Feelings don't make sense, but we have them anyway. Being a logical thinker, Karl kept trying to figure out what he was trying to say, which was that it doesn't make sense, but he loves me. That's all I really needed to hear anyway.
*A Myers Briggs type test may be taken at either of the following links:
http://www.humanmetrics.com/cgi-win/JTypes2.asp
http://www.16personalities.com/
The day before yesterday I took an abbreviated Myers Briggs personality test*. I came up as an ESFJ. I read several websites describing ESFJs and found myself nodding along. Yes, I talk about my feelings ad nauseam. Yes, I am controlling. Yes, I want to be told that people like me... a lot.
When Karl got home, I asked him to take the same test. He came up as an INTJ. INTJs do not like to talk about feelings. INTJs do like being micro-managed. INTJs are often seen as "cold" and "logical." INTJs are not, probably, a good match for ESFJs. Karl read a lot of information about both of our personality types yesterday. Wikipedia provides a more in depth description than the Myers Briggs website, but he read several other sites too.
According to all of these sites, Karl and I shouldn't work. One of his pet peeves is, indeed, talking about his feelings. However, we talk about feelings a lot. We talk about how I feel a lot and why I feel that way. Then I want to know how he feels and why he feels that way. It drives him crazy. Karl doesn't like being micro-managed, as his Myers Briggs profile indicates, but I micro-manage him a lot because of his brain injury and my controlling nature. Karl doesn't like being viewed as incompetent, also right in line with an INTJ profile, and we struggle with this because he is incompetent in several ways.
I know why we're married though. We do work. Whether because my "practical" side compliments his "logical" side or in spite of our personalities, we work. Last night I started crying because, out of nowhere, my husband told me he didn't know why we're married. It makes no sense to him that we work despite all the psychology that says we shouldn't. The psychology acknowledges that a logical thinker will inevitably tell a sensitive feeler "I don't understand why we are together" and the sensitive feeler will be hurt. However, being a practical sensitive feeler, I know that it's okay. We don't make sense. Feelings don't make sense, but we have them anyway. Being a logical thinker, Karl kept trying to figure out what he was trying to say, which was that it doesn't make sense, but he loves me. That's all I really needed to hear anyway.
*A Myers Briggs type test may be taken at either of the following links:
http://www.humanmetrics.com/cgi-win/JTypes2.asp
http://www.16personalities.com/
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