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The Afternoon I Read the Same Paragraph Four Times

A quiet year of relearning how my own head works after a fall I barely remember

By Josh MaraneyPublished about a month ago • 7 min read
The Afternoon I Read the Same Paragraph Four Times
Photo by Sharon Pittaway on Unsplash

The three feet that changed my autumn

I have added up other people's money for twenty-two years. I am the guy who catches the transposed digit, the one who notices when a column feels wrong before I even total it. So when I tell you that last October I read a single paragraph of a lease agreement four times and still could not tell you what it said, understand that this was not a small thing to me. It was like a carpenter picking up a hammer and forgetting which end to hold.

The fall itself was almost boring. I was on a stepladder in the garage, the aluminum one with the wobbly third rung that my wife had been telling me to replace since spring. I was reaching for a box of Christmas lights on the top shelf, which is a stupid errand to get hurt doing. My sock slid, the ladder kicked out, and I went down maybe three feet onto the concrete, catching the side of my head on the corner of the workbench on the way. I remember the reaching. I do not really remember the landing. What I remember next is sitting on the floor with my daughter's old bicycle helmet somehow in my lap, though I have no idea why I picked it up, and my wife Karen crouching in front of me asking how many fingers, and me being very sure the answer was important and very unsure what it was.

The emergency room called it a mild concussion. Mild. I have come to hate that word the way you hate a coworker who is technically pleasant. They told me to rest, avoid screens, no heavy lifting, come back if things got worse. Things did not get worse in the dramatic way they warned me about. No vomiting, no seizures, no sudden collapse. Instead they got worse in a slow, sneaky, humiliating way that no discharge paper prepared me for.

When the fog would not lift

The headaches faded after a couple of weeks. The dizziness took a bit longer. I figured that was the whole recovery, that I was on the back nine of it and would be myself by Thanksgiving. Then Thanksgiving came and went, and Christmas, and by January I was still not right, and there was no bruise to point at anymore, which made it lonelier.

The afternoons were the worst. I would be fine in the morning, sharp enough, coffee doing its work. Then somewhere around two o'clock a kind of gray gauze would settle behind my eyes. Not sleepiness exactly. More like someone had turned the resolution down on the world. I would look at a spreadsheet I had built myself and the numbers would sit there like strangers at a bus stop, refusing to talk to me. I started scheduling all my hard reconciliations before noon and filling my afternoons with email and small talk, hoping nobody would notice I had become a morning-only version of myself.

At the same time my head would not go quiet. That is the part I found hardest to explain to people. You would think fog and racing thoughts could not live in the same skull, but mine managed it. I would lie in bed with the fan going and my brain would sprint in circles, replaying a client phone call, jumping to the gutters I needed to clean, snagging on some embarrassing thing I said in 2009. Foggy and frantic at once, like a car idling too high while the windshield fogs over.

The people at my kitchen table noticed

Karen noticed first, of course. She noticed I had started writing everything on sticky notes, that our fridge looked like a ransom wall of yellow squares. She noticed I asked her the same question about our son's orthodontist appointment three times in one evening. She was gentle about it, which somehow made it worse, because I could hear her being careful with me.

My son, who is fourteen and not known for his emotional observations, said the thing that actually landed. We were watching a ballgame and I had drifted off mid-sentence, lost the thread of my own story about a game I saw as a kid. He waited, then said, not unkindly, "Dad, you keep buffering." Buffering. That was exactly it. The little spinning wheel where a person used to be.

I want to be honest that a lot of my struggle in those months was not medical, it was about pride. I am the provider, the steady one, the man who does the taxes for half our street as favors. Becoming someone who needed a nap to get through a conditional formatting task felt like a betrayal of the whole deal I had made with myself about who I was. I did not want to talk about it. When my doctor asked how my mood was I said fine, which was a lie I told in a very even voice.

Trying things, one at a time

My doctor was decent about it. She reassured me that post-concussion symptoms lingering for months is common and usually keeps improving, that brains are slow healers and mine was likely still knitting itself back together. But there was not a pill for it, no magic Tuesday when I would wake up fixed. She said the honest word: patience. I am an accountant. Patience is fine when it is compounding interest. Patience applied to my own broken attention span felt like a cruel joke.

So I did what a lot of people probably do. I started trying things, one at a time, the way you flip breakers to find the dead one. I cut my afternoon coffee, which did nothing except make me miss coffee. I started walking every evening around the block, twice, then three times, and that actually did help a little, or at least the racing thoughts had somewhere to burn off. I bought a blue-light filter for my monitor. I tried a meditation app and lasted nine days. I drank more water than a houseplant.

Somewhere in that stretch of experiments my cousin, who had her own long recovery after a bad car accident a few years back, mentioned over the phone that she had spent part of her recovery doing neurofeedback at home. I had a vague sense of the word, the way you half-know a term from a magazine in a waiting room, but I had never once considered it applied to a person like me. She described it plainly, no evangelism, just that a clinician had walked her through it and she felt it was one of several things that had nudged her in the right direction. I filed it away, skeptical, the way I file away most things my relatives recommend.

But the idea stuck, mostly because it was one of the few things aimed at the actual thing I was struggling with, which was attention, rather than at headaches I no longer had. When I finally looked into it I was surprised at how ordinary it turned out to be. The version I ended up trying was set up so I could do it from my own living room, a sensor arrangement and a screen and a clinician checking in remotely, and the whole appeal for me was that it slotted into my evenings without another drive across town. I am not going to sit here and tell you the heavens opened. I want to be careful about that. I was doing a dozen things at once, walking and sleeping better and giving my brain time, and I have no way to isolate one variable, which as a numbers man genuinely bothers me.

What actually got better, and how slowly

What I can say honestly is that the arc of that whole winter and spring bent upward, unevenly, the way a stock you believe in claws back after a bad quarter. There was no single morning I woke up cured. There was, instead, a Tuesday in March when I realized it was three in the afternoon and I had just finished a genuinely ugly reconciliation without the gray gauze showing up, and I sat there almost afraid to notice it in case noticing scared it off.

The looking-into part of my recovery was its own small saga, and I spent more evenings than I would like to admit reading about neurofeedback therapy at home, trying to separate the honest explanations from the overheated ones, which is a skill I apparently still had even on my foggy days. My accountant brain wanted data and mostly found anecdotes, and I made my peace with that. Some of recovery, it turns out, is just tolerating uncertainty, which is not my strong suit.

The sticky notes are mostly gone now. I still keep one pad on my desk, but that is just good practice, not a lifeline. The racing at night has quieted, helped as much by the walking and by finally admitting to Karen how scared I had been as by anything else. My son has not called me a buffering machine in months, which from a fourteen-year-old is basically a standing ovation.

If you had told me a year ago that a three-foot fall off a wobbly ladder would rearrange how I understood my own mind, I would have laughed and gone back to my spreadsheet. I have learned not to be so sure of myself, which is maybe the one clean gift in all of it. I have also learned to say the thing out loud instead of holding it behind an even voice. The last piece of advice I would offer anyone limping through a foggy recovery is small and unglamorous: try one thing at a time, be honest with the people at your kitchen table, and do not assume the version of you from before is the only acceptable one. I looked into options like at home neurofeedback the same way I tried the evening walks and the earlier bedtimes, as one honest experiment among several, and I think the trying itself, the refusal to just sit in the gauze, mattered as much as any single thing on the list.

I replaced the ladder, by the way. Karen picked it out. It does not wobble at all, and I still make her hold it.

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About the Creator

Josh Maraney

Josh Maraney is the founder and CEO of Top Click Media, a specialist digital marketing agency in South Africa and a Google Premier Partner. He has been doing digital marketing for almost 20 years

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Written by Josh Maraney