More on Happiness: Can 79 College Students be Wrong?

The New York Times blog tells us that happiness comes from deep discussion, and not from shallow. That's based on the experiences of 79 human guinea pigs at the University of Arizona, and I see the conclusion as an argument for getting a degree in creative writing. The late Carol Bly wrote about creative writing classes as oases of meaning in "American junk culture." So how about a slogan for AWP:
Study writing, get happy.

Farewell, tortured poet. Leave your troubles inside your garret. Come to the cabaret.

You can read about the Suicidal Poet Predictor in Scary Place to see the difference in vocabulary and subject between suicidal and non-suicidal poets. According to Scary Place,The poets who committed suicide used many more first-person singular self-references such as "I," "me" and "my" and fewer first-person plural words than did the non-suicidal poets [according to a study by psychologist James Pennebaker and graduate student Shannon Stirman in Psychosomatic Medicine].

"Issues of identity, isolation and connection to others is revealed in pronoun usage," Pennebaker said in an interview. "One of the most telling words of all is the word 'I.' People who are suicidal or depressed use 'I' at much, much higher rates, and there's also a corresponding drop in references to other people."

The suicidal poets also generally reduced their use of communication words such as "talk," "share" and "listen" over time heading toward their self-inflicted deaths, while the non-suicidal poets tended to increase their use of such words. The suicidal ones also used more words associated with death, but surprisingly the amount of words with negative emotion (for example, "hate") or positive emotion ("love") did not vary significantly between the groups.

Those of you who read this blog know that suffering is included with the price of admission. I remember once when I came home from college I was talking to my aunt B and we had both read The Bell Jar. I told her that Sylvia Plath (pictured above) had described the way I felt. She was surprised. Alarmed. And that was the end of it. I think Plath had already killed herself by then. I have not. She died before the really good drugs were invented. And the good drugs aren't good for everybody.


I met a woman today who lectures and writes about humor in the Bible. The funniest story? The Book of Job, she said. Seriously.

More about → More on Happiness: Can 79 College Students be Wrong?

CHEMO BRAIN

.

Chemo Brain is a strange thing. Doctors don't really know what to make of it or what to do. Is it physical, psychological or imagined? It's definitely "in your head" no matter how you look at it. Is it even related to chemotherapy? It's not on any list of side effects from chemotherapy drugs.

One thing is agreed. Many chemo patients have complained about impaired thinking and assumed it had something to do with the chemo drugs. Studies are just now starting to investigate this strange complaint.

Here are some of the documented complaints in these new studies:

• Forgetting things that one shouldn't forget
• Trouble concentrating on tasks
• Forgetting names, dates, memorable events
• Difficulty multi-tasking
• Slower thinking, processing and completion of mental tasks
• Forgetting common words

Personally, after my 1st chemo treatment, back home that night, I received calls from relatives and friends wanting to see how I fared. For the life of me, I could not concentrate on their words or answer simple questions, let alone carry on a conversation. It was like I had a buzz from a drink or cold medicine. As soon as I felt my mind wandering (to nowhere) I handed to phone to my mom and said, "You take it." I felt bad brushing off my sister's call but I could not function! Luckily this only happened for that one night. I put myself to bed the other nights, not trying to socialize. I was always fine the next day.

According to recent studies, "mild cognitive impairment" ranges from a one-time-only event to long term condition. Some people complain of slight changes in ability while others are hit harder, like I was. It appears more often in patients with higher doses of chemotherapy drugs.

Experiments have linked nerve damage to some chemotherapy drugs but the effect on the brain cells is too new for results. Experts are concerned about chemotherapy treatments that are aggressive and high dosed. Possible treatment options that protect the brain are being studied as are existing medications that might also help treat chemo brain.

The causes and triggers of chemo brain are unknown at this time. Pictures of brain activity show changes in chemo patients that don't show up in non-chemo cancer patients. For some participants, these differences are still showing up 5 to 10 years after treatment ends.

Right now the best guesses as to the cause of chemo brain include the cancer itself, chemotherapy drugs, medication used to manage side effects of chemo drugs, patient age, stress, low blood counts (chemo kills off blood cells), depression, fatigue (chemo makes one anemic), and hormonal changes. Both men and women complain of chemo brain. About 25% of chemo patients report having thinking problems.

Personally, I think my chemo brain was a combination of things:

• I had to suck down 5 bags of drugs.


• I was in a strange place with people I didn't know fussing over me - poking a needle into my chest for the IV hookup, all of which was overwhelming and stressful.
  
• I definitely think depression is a part - surgery, tests, poking and prodding, chemo...it's a sudden loss of control over one's life.


• Fatigue - chemo kills off the red blood cells and makes you anemic and tired. After my subsequent chemo's I pretty much slept for a week, getting out of bed for meals and helping my daughter with schoolwork only.


• Hormonal changes were definitely part of my experience. Ladies' ovaries are shut down by the chemo. Younger ladies bounce back after the treatments are over. I was old enough to be thrown into permanant menopause. I don't know about guys' hormones. I am relatively young so I don't think advanced age is on my list of possible causes. Most of my "mates" were old enough to be my parents or grandparents. The nurses called me "The Kid."

So what do us foggy-headed people do about this? Well, here is a list of what might help out:

• Write down your schedule rather than try to remember everything


• Make to-do lists
  
• Do puzzles and other thinking games or exercizes


• Get lots of rest


• Exercise to help improve mood and decrease fatigue


• Eat vegetables (studies show it helps the brain)


• Create routines and rituals


• Forget trying to multi-task for awhile


• Keep a diary of times you have trouble thinking (times, food, meds, activity etc)


• Accept the problem as temporary and have a sense of humor about it. Give yourself permission to be a little kooky.


• Tell friends and family about it so they are aware of what you are going through

If chemo brain gets too severe, meet with a neurologist, psychoneurologist, or psychologist. These experts can test brain function and suggest mental activities to help you overcome or lessen the effect of chemo brain. Hopefully in the next few years, more will be known and more can be done to avoid or treat chemo brain.
.
.

More about → CHEMO BRAIN