matomo domain was triggered too early. This is usually an indicator for some code in the plugin or theme running too early. Translations should be loaded at the init action or later. Please see Debugging in WordPress for more information. (This message was added in version 6.7.0.) in /home/dh_ecdsmass/jhrehabredesign.ecdsdev.org/wp-includes/functions.php on line 6170December 26, 2013
I was moving forward at a pace,
In this life called the human race,
With strength and purpose and resolved,
And little thought to how we evolve.
How simple it has been to ambulate,
My legs stride out with a steady gait,
Effortlessly in motion with no command,
To walk, to run, to sit or stand.
My arms reach and carry,
And hug and tote,
And accomplish tasks,
As if by rote.
And oh! My hands!
They grasp and cling and digitize,
Fingers point, Aha!
As I discover and realize.
How astonishing our bodies,
Intricate machines to behold,
Easily functioning,
Without being told!
Until…..that nightmarish instant,
Unforeseen, unexpected, unwarranted, unfair,
When an explosion of cranial havoc,
Renders me motionless and unaware.
I look at my lifeless arm,
I tell my hand to grip, to clasp,
And wonder why it won’t respond
Nothing works, “my God!” I gasp!
Minutes ago I was hearty and hale,
Now I lie here, wane and pale,
Feeling alone in my solitude,
Facing uncertainty and rectitude.
But….life goes on, I will survive,
I am told to work, I am alive,
Does anyone know how angry I feel,
Depressed, in pain, a long time to heal?
My life has been altered,
Run down from behind,
I could not see it coming,
So disabling and unkind.
So…where do I go from here?
How do I rebuild my whole?
When imbalance and weakness,
And heartache assault my very soul?
God answers these fears directly,
He dispatches people who care,
Angels to push and train and
Encourage me in my physical repair.
Time and patience and persistence,
Offer recovery I am sure,
And Faith that I will mend,
Determined to find my cure!
These thoughts are dedicated to the amazingly resilient people who attend the Stroke Survivor Meeting monthly at the Emory Rehab Center in Atlanta; as well as the dedicated Angels that provide the therapies and hope for our future wellbeing. May God bless us all!
Dick Taylor, Thursday, July 31, 2014
I write poems in ode form as a hobby. Thoughts and words stick in my mind, and they remain there until I can release them on paper, in writing.
How does this peculiar habit of mind relate to the stroke I suffered September 16, 2013? When my speech therapist, Rita Lor, learned of my writing she asked me if I thought I could produce a poem expressing my personal stroke perspective for the rehab center newsletter. The result was my “A Life Altered or Ode to a Stroke.”
Oddly, I had entered the Emory Hospital Midtown Hospital on September 16, to undergo much needed hip replacement surgery at 7 am. All went well, and I was scheduled for release the following day. Around midnight I was caught unawares by a stroke that affected my entire left side! I spent five days in the hospital stabilizing and testing, before I was summarily tossed on a gurney and dispatched to the Emory Rehab Center on Clifton Road. I believe strongly that God sent me there.
Can you imagine hip surgery and a disabling stroke occurring on the same day? It goes without saying that coping with both became a daunting challenge for me. And, I was mad!
This was the environment, my mind set, as I hoisted pen to write what I intended to be an upbeat, positive feel good poem with a motivational flavor. The finished product shocked me, because it reflected me in an angry light, more confused and afraid than strong and hopeful; not the outcome I was seeking!
However, upon review, I concluded that my “Ode to a Stroke” was, in the end, truthful and realistic; something fellow stroke survivors could and would embrace. I had finished the poem promoting hope, determination and perseverance; traits representing the challenges faced every day by people with stroke.
Throughout my ordeal the commitment of nurses, doctors, techs and administrators to my care has been inspirational and healing. The nurturing and training administered by my physical, occupational, recreational and speech therapists over the ensuing months has given me renewed strength. Together, they saved my life, A Victim No Longer; and they continue their work daily to improve the condition of the stroke afflicted.
Dick Taylor
Dick Taylor was born in Jackson Mississippi, July 27, 1947. He was raised in a Navy family and traveled around the world until college, where he met his wife Nina. They were students at the University of Illinois and married shortly after graduation in Chicago. They have raised two fine young men and one exceptional daughter, spending most of their lives in Kansas City, Missouri. Mr. Taylor has enjoyed a career as an entrepreneur in the automotive industry, owning two different car dealerships, an aftermarket company and a sales training enterprise that served Chevrolet Motor Division and retail dealers for many years. Currently he is now semi-retired in Atlanta, living near his daughter and her family. Mr. Taylor has written poems as a hobby for many years, as a form of personal reflection and relaxation. His topics have covered a wide variety of subjects, from a deeply reflective ode to his father, to simple every day observations, including park benches and sweet gum trees.

This work is licensed under a Creative Commons Attribution 4.0 International License.
This poem is dedicated to Doris Armour, MD.
Leaving this season lush with life, you’ll connect
to a greener one. You’ve sketched a map
of terrains traveled to lay out the journeys ahead.
You’ve seen the microscopic proof of cells and vessels,
how grafting injury fastens matte finish of skin, its divinity
pinned on your hands, yet unfinished. You’ve written
an atlas of these wonders for me, shown me how
an injury may bring kindness, unexpected
nourishment, or a life undone. Where dusky tissue
leans into a penumbra of viability. Where epithelium
charts a sunrise. Where a pulse aches for its finding.
No matter that these roads may be uncanny:
Guide me through mysteries and wonders
where you’ve already stepped. For now, we stand
rooted in this season you’ve blessed. Soon,
you’ll be drowsing with books, settled
among family along far flung archipelagos strung
like charms on your bracelet. Listen to their
clink and rustle. Clasp God’s hand and look
to the sky where we watch the same stars.
Elisabeth Preston-Hsu, MD, MPH
Elisabeth Preston-Hsu, MD, MPH is a Physical Medicine & Rehabilitation physician at Emory Healthcare in Atlanta, Georgia, where she focuses her practice on wound care and hyperbaric medicine. This poem is dedicated to her recently retired colleague Doris Armour, MD, with whom she worked closely. Find Dr. Preston-Hsu’s other creative work in the <em>Bellevue Literary Review</em>, <em>Chicago Quarterly Review</em>, <em>CALYX</em>, <em>The Sun</em>, <em>North American Review</em>, and elsewhere. Follow her on Instagram @writers.eatery.
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This work is licensed under a Creative Commons Attribution 4.0 International License.
we were not loving
we emptied the crevices
of your heart
held your hand
only to get it out of the way
we were not gentle
we unraveled your body
with scalpels and saws –
a trapezius hanging here
a glute falling off there
we were not heartfelt we cried
only because the chemicals
they used to preserve you
hurt like onions
in our eyes
we were fascinated
at the toughness
of your fascia lata
the tenderness
of each cutaneous nerve
inside your body we saw
the story each body writes
of vessels and plexuses
of tissue swaddling tissue
and from this story, we saw
all we could see, learned
all we could learn
your body will live on
in our minds as our map
your sculpted soleus
your thin deltoids
your tiny intestines
your giant spleen
we’ll recall the traces of pain
that defined your last minutes on earth the lungs filled with blood
the tumors and hematomas
but we’ll remember more the evidence that you were cared for while you lived your expertly reconstructed tendons
your pacemakers
and deep-brain stimulators
your sandal tans
your painted nails
all the evidence that there was so much more to you
a hundred birthdays you celebrated, give or take
a soul that cannot be dissected or pinned
a collection of memories that cannot be seen under a lamp
a dreamer who believed there was hope for suffering in this world and decided to trust us with knowledge
we could never give ourselves
Casey Brown
Casey Brown is a student physical therapist and writer. She writes to make sense of complicated experiences and to share it with her communities. Among other topics, she’s written about getting injured teaching barre fitness and about performing as a statue in a museum. She has a BA in English with a concentration in Creative Writing. In her free time, she serves as a writing coach for high school students.
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This work is licensed under a Creative Commons Attribution 4.0 International License.
Anxiety is not cute. It’s not fun.
You don’t say you have it to get laughs.
Anxiety is being 10 years old,
crying yourself to sleep,
with too many emotions,
for your little body to handle.
Anxiety is being rushed to the ER at 3 am
because your worries got so bad
you made yourself sick.
Anxiety is feeling alone in your thoughts
because in your Hispanic household,
mental illness is not real.
Anxiety is being labeled the problem child
even though you were feeling so many things
at once and just wanted someone to hear
your cries for help.
It’s not cute. It’s not fun.
Anxiety is being terrified
that everyone you love is mad at you
though you did nothing wrong.
Anxiety is learning to be a people pleaser
before you learn how to tie your shoes.
Anxiety is keeping yourself awake at night
replaying every conversation you had that day.
Anxiety is avoiding talking to anyone
so you don’t have to lie awake at night.
It’s not cute. It’s not fun.
Anxiety is panic attacks
in the darkness of the restroom,
hoping and praying you’ll be able
to breathe again soon.
Anxiety is going to therapy appointments,
worrying about everything else
you should be doing.
Anxiety is having a breakdown
because the day didn’t go
as you planned.
Anxiety is dissociating
to keep yourself from feeling
100 emotions at once.
Anxiety is being medicated
in order to function.
It’s not cute. It’s not fun.
Anxiety is developing
an unhealthy obsession
with academic validation.
Anxiety is coming home crying
because you got your first B
and felt like a failure.
Anxiety is convincing yourself
that you aren’t going to get into college
even with a 4.0 GPA.
Anxiety is believing that doing your best
isn’t enough, that your value depends
on your grades.
It’s not cute. It’s not fun.
Anxiety is telling yourself that you’re not
cut out for your dream career
because you failed your first practical exam.
Anxiety is wiping tears and snot from your face
while driving home because you believe
everyone else in your class has it figured out
and you don’t.
Anxiety is getting praise from mentors,
still second guessing every decision
you make in the clinic because
you’re terrified of doing the wrong thing.
Anxiety is breaking down in the shower every night,
your one safe space, thinking you’re letting down
everyone in your life.
It’s not cute. It’s not fun.
Anxiety is learning to give yourself grace
because you’re surviving while fighting
against your own brain every single day.
Anxiety is accepting you’re not alone in this fight
and your feelings are not a burden
on the people you love.
Anxiety is realizing that as much as you hate
feeling things so deeply, you also feel love
and happiness just as much.
Anxiety is learning to acknowledge
all the amazing things you have accomplished
instead of what you haven’t.
Anxiety is recognizing that as bad as a day,
panic attack, or emotion overload might seem,
the sun always comes up again the next day,
your tears always dry,
your mind always quiets.
It’s not cute. It’s not fun.
It does not define me.
Samantha Ramirez, PT, DPT
Samantha Ramirez, PT, DPT was born and raised in Upland, California. She graduated from San Diego State University in 2019 with a BS degree in Kinesiology and just recently received her clinical doctorate in physical therapy from the University of Southern California in May of 2024. She is currently a physical therapist at Precision Sports Physical Therapy in Sunnyvale, Texas. Her clinical interests include sports and orthopedic rehabilitation, with a special interest in overhead athletes. Professional interests include ethical and diversity issues within the healthcare system, along with a commitment towards the continued conversation surrounding mental health. Samantha enjoys being active, playing and watching sports, and reading in her free time.
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This work is licensed under a Creative Commons Attribution 4.0 International License.
I Don’t Think I Did This Right is a collection of poems by individuals throughout the United States with stroke-based aphasia and traumatic brain injuries (TBI). This group of poets, who meet weekly through Zoom, is known as the Thursday Night Poets. The Zoom event developed out of local aphasia and brain injury groups. The Chippewa Valley Aphasia Group has provided weekly community aphasia group programming since 1997. This group was founded by Mayo Clinic Health Systems–Eau Claire (MCHS-EC) speech-language pathologists (SLPs) Mary Beth Clark and Tom Hintgen. In the late 2000s, when he took a position at the University of Wisconsin–Eau Claire (UWEC), Dr. Tom Sather began providing weekly services through the Blugold Aphasia Group. In 1999, Mary Beth Clark and Dr. Jerry Hoepner, both employees at MCHS-EC at the time, started the Mayo Brain Injury Group, which has offered monthly meetings ever since. After moving to the University of Wisconsin–Eau Claire in 2008, Jerry founded the Blugold Brain Injury Group, which offers bi-monthly meetings to individuals with acquired brain injuries on opposite weeks of the Mayo Brain Injury Group. As UWEC is a teaching institution, graduate SLP students co-facilitate each of these groups. What follows is the story of how a group of people learned about the power of poetry.
The COVID-19 pandemic created a need for additional connections and space for expressing the sense of isolation that members of brain injury groups were feeling. Individuals in our aphasia groups were feeling the effects of social isolation imposed by the pandemic as well. So, individuals from the Chippewa Valley Aphasia Group and Blugold Aphasia Group were invited to join individuals from the Blugold Brain Injury Group and the Mayo Brain Injury Group. The facilitators began to seek out additional opportunities for members to connect virtually, outside of our regular meetings. As a first step, Jerry invited Douglas Kidd, a TBI survivor and advocate who had started a support group in the Toledo, Ohio area and written about recovery and living with TBI, to speak. He came to an adjunct virtual meeting to describe his experience—and just happened to share some of his poetry.
It was clear from his poems that writing poetry about his experience was cathartic and healing. Inspired by his use of poetry as a way to express his inner struggles and renegotiate identity, group members were asked if they would be interested in a three-week poetry workshop. A handful of members responded with an unresounding, “Sure, we’ll try that. Why not?” response. Most of them had either never written poetry before, or it had been many years, even decades since they had. Their idea of poetry was something less accessible, less personal, than what they were about to encounter.
In 2017, speech-language pathology professor-researcher-clinician Dr. Michael Biel presented at the Aphasia Access Leadership Summit in Florida about a poetry workshop he co-facilitated for individuals with aphasia. After hearing this presentation, Jerry Hoepner, Tom Sather, and Mary Beth Clark invited Michael to the 2018 Chippewa Valley Aphasia Camp. Michael agreed to come, but only if he could bring Brendan Constantine, a Los Angeles-based poet and Michael’s co-facilitator. That set the wheels in motion. At camp, Brendan had a unique ability to acknowledge the competence of campers with aphasia and make poetry feel so accessible.
Fast-forward to 2020, and Jerry reached out to Brendan to see if he would consider co-facilitating a similar workshop for individuals in the brain injury and aphasia groups. Brendan enthusiastically agreed; the first workshop date was set for Thursday, October 29, 2020. The plan was for two to three Thursday evening sessions. At the end of the second week, Brendan asked, “Does anyone want to do this again next week?” The response was a resounding “Yes.” Each session for the next several weeks ended with the same question from Brendan and the same response from the attendees. At some point, we implicitly decided that this would become an ongoing program. From that point forward, the Thursday Night Poets became a bonified group. Now, individuals living throughout the United States participate in the group.
There’s a story behind the title of the first book by the Thursday Night Poets. Each week, Brendan would end our sessions with homework for the following week. Often, he shared an inspirational poem or two, provided a short, written prompt, and discussed possibilities. True to his inner acknowledging and revealing competence principles, he also shared that if this prompt didn’t inspire them, they could ditch it and write whatever they wanted. The following week, we began sessions with sharing poems related to the homework prompt.
A common, almost universal, response was: “I’ll share, but I don’t think (or I don’t know if) I did this right.” It became such a habit that each time a poet said it, we expected something quite amazing. Not getting it right meant not doing it the exact way that Brendan expected or wanted, or how a ‘real poet’ would respond to the prompt. Rather than rejection, the response to the homework was instead an embrace of something unique, unexpected, and beautiful. The poets began to learn that there is not one ‘right’ way to write poetry, there are many. They began to realize that their challenges with word finding, formulation of syntax, and memory deficits were strengths when it came to poetry. In fact, several poets commented on the fact that poetry helped them to overcome those challenges.
As the group members relaxed, the pressure to use a specific word or phrase in a particular way decreased and they often found the words and phrases they thought were missing. It was like watching identities bloom and re-emerge. Every time we thought the group had produced their best poem, we marveled when they returned the following week having expanded their potential to meet new heights. Students were also transformed, as their initial apprehension about how poetry related to therapy was replaced by an awe of the power of poetry to reveal the growth in our poets’ ability to express themselves each week. They too were learning how to acknowledge and reveal competence and how to foster engagement in something meaningful and identity-changing.
In the world of aphasia rehabilitation, Aura Kagan (1998) coined the concepts of acknowledging and revealing competence.1 Acknowledging competence is the practice of communicating to an individual with aphasia (or anyone for that matter) one’s recognition of their knowledge, capability, and intelligence. Likewise, revealing competence involves taking the perspective that the individual with aphasia has meaningful things to share, and when they encounter struggles expressing their thoughts, the communication partner ensures a means of response by supporting other modalities of expression (e.g. writing, written choices, drawing, gesturing, etc.). These are core principles of counseling and communication that well versed speech-language pathologists employ with any individuals with communication impairments.
At the outset, most of the attendees were not poets—perhaps with the exception of Douglas Kidd. Some individuals only initially attended for something to do during the pandemic, which we all expected would be ending soon anyway. Some were just there to listen and learn. Brendan had a way of engaging attendees in the beauty and accessibility of poetry. Brendan also teaches poetry to teenagers at the Winward School in Los Angeles—an independent, college preparatory school for grades 7 to 12. He clearly knows where to begin when selecting poems that feel approachable, not stuffy, or off-putting, to novice learners and would-be poets. Brendan has an uncanny ability to match his poems to where learners are at, beginning with approachability and gradually pushing the bounds as learners grow. This pairs well with his ability to infuse confidence, competence, and risk-taking values into his learners.
In aphasia rehabilitation terms, Brendan acknowledges and reveals the competence of the poets. He adheres to these principles intuitively and as well as any trained SLP. Brendan’s ability to incrementally ramp up the level of challenge, to meet learners where they are, coupled with his ability to acknowledge and reveal competence, are central to the transformation attendees experienced as a part of Thursday Night Poets. A few months into our weekly meetings, the regular attendees were hooked. They were now card-carrying, full-fledged poets. This was infused into their identity, and they began to refer to themselves as poets.
One of the reasons I teach poetry is that it keeps me teachable. This is because it scares me to death. I’m a career author with several books to my name and a body of published work, and yet it’s fair to say that the apprehension I felt on entering my first classroom hasn’t diminished for 25 years. Though it has changed some.
At the beginning, I mostly worried about embarrassing myself. Gradually, however, my frustrations matured into a genuine terror of wasting anyone else’s time. It’s been my experience that most people who sign up for a poetry class already have something they need to express, something urgent. Even those students—of which I was one—attracted by the romantic identity of ‘poet,’ likewise carry a surplus of unexpressed feeling. Thus, the notion that I might inadvertently ‘ruin’ poetry for someone else—by making it inaccessible, or worse, boring—is a distressing one.
But, as I say, it’s perhaps this vulnerability that keeps me from becoming too set in my opinions, promotes surprise, lets me change my mind. I know several professors who are emphatic that all the great ideas have been taken and that no one, certainly no student, has anything new to say. I can’t help but wonder if this attitude is a hazard of being too comfortable. So, while I still panic before every class, by the end, I’ve learnt something.
Such has been the case with the Thursday Night Poets for the last three years. The writers in this group routinely inspire me to put aside what I think I know about poetry. They show me again and again its potential for clarity and empowerment. And perhaps most important of all, they remind me who poetry is ‘for.’
If your only experience of poetry is its most public face—that is, if you pick up a poetry magazine or go to a reading—you might conclude that its practitioners are rather remote and cliquey; only poets tend to read it or attend events. One reason for this is the fact that the estimated audience for poetry in the country fluctuates between 5% and 11%. The number of Americans currently excited about Pickleball is 20%.
Another isolating factor is that with such a limited audience, the only way to make a career of it is to claim to be a professional. But how exactly does one qualify as a professional empath? In my opinion, such distinctions only serve to discourage. The truth—and the great lesson exemplified by the authors in this anthology—is that poetry belongs to anyone in need of an emotional vocabulary. Indeed, I say as much in my Foreword for the book.
As has already been emphasized, the Thursday Night Poets group is made up of writers who share an experience of aphasia or traumatic brain injuries. Their abilities to process language have been compromised in different ways, and yet, through poetry they have discovered a new means of expression, a new way to ‘speak.’ They render plane throughout this collection of what Paul Valery called the “language inside language.”
Another thing these poets demonstrate consistently is the authority granted by metaphor. For instance, in poems such as ‘My Hands Remember’ by Sheree Nelson or ‘The Ring’ by Rochelle A. Anderson, both poets show us a world where everything is capable of witness, from our hands to whatever they can hold or point to. And when the poet speaks on behalf of the phenomenal world, their words are unimpeachable. One might as well argue with the moon.
Let me be clear, I’m not a speech pathologist, nor have I made an organized study of either aphasia or TBI. However, since Fall 2020, I have watched astounded as a group of people who previously had struggled to make their hearts and hopes known, manifest clear and intuitive voices. Further, they now speak for each other. I do very little at our meetings now (!) but listen and learn.
I Don’t Think I Did This Right reflects the Thursday Night Poets’ early poetry work. Our poets, though proud of their book, often reflect on the growth and improvement they have sustained since its initial compilation. Creating this book was integral in forming the group attendees’ identities as poets. Some of the poems are reflections on their journey with aphasia and brain injury recovery. Other poems are simply expressions of other life experiences, or their take on one of Brendan’s prompts. As the poets began to explore and experiment with this mode of self-expression, they wrote poems that use different cadences, visual formats, phrasing, stanzas, poetry genres, and topics. This resulted in poems that are beautiful, sad, joyous, and introspective, providing a glimpse into the souls of the authors. Individual styles and voices emerged, which have carried on through the poets’ more recent works. It is also important to note that the creation of the book from the order of poems to the painstaking process of formatting and editing was done by the poets to ensure that it was a true reflection of their work. Having written a few textbooks myself, these tedious steps are akin to weathering a storm, a badge of honor. I’m so proud of the poets for their tireless commitment to the process of producing a book.
I’m happy to share that the Thursday Night Poets have released their second book, Poetry is Chocolate. This second volume illuminates the growth of our inaugural poets as well as introduces our newest members who joined the group after the first book was in production. Poetry is Chocolate is a collection of the poets’ reflections on the experiences of stroke and brain injury, recovery, and living with aphasia and TBI.
It’s remarkable how a simple idea can grow to something so significant. The Thursday Night Poets group simply created a space where individuals with aphasia and brain injuries could connect with one another, exploring poetry as a vehicle for self-expression. Brendan planted the seeds through his prompts, humor, and encouragement. He nurtured their awakenings as poets. My students helped to structure the meetings, balancing time between poetry writing and guiding the book project. This required a great deal of clinical skill in order to guide while keeping the poets in charge of decision making. Ultimately, the poets are responsible for the eloquent words. While at first it may feel paradoxical, asking people who have trouble expressing themselves to do just that through poetry, we learned that there is power in poetry.
Emily Dickinson once wrote, “I am out with lanterns, looking for myself.”
When I first read this line, I got goosebumps. I felt like Emily wrote that for me. Experiencing an acquired brain injury (ABI) has not been a blessing, but it has been an opportunity. One of the things that was stolen from me following my ABI was my identity. Today’s society teaches you that who you are is closely linked to what you do for a living. Prior to my ABI, I was a respiratory therapist for almost 19 years. After my injury, although I eventually returned to work as a respiratory therapist in a smaller hospital with fewer hours, I found that I could no longer do the job in a way that was important to me and still have any semblance of a life. It took me a while to figure that out. Poetry gave me an opportunity to rediscover. Myself. And language.
My life changed on December 20, 2016. I fell at home on my concrete driveway slipping on black ice. I sustained a skull fracture with a subarachnoid hemorrhage near the temporal lobe of my right brain. So began the journey to my lifelong recovery. Back in October 2020, our group, led by Jerry Hoepner, was able to explore the benefits of poetry for people with acquired or traumatic brain injuries and aphasia. Poet Brendan Constantine, a Los Angeles based poet, along with speech language pathology student clinicians from UW-EC and Jerry, offered three online classes to explore the basics of poetry and how, with some prompting, individuals could write out their feelings, experiences, and their stories. We have met almost every week since then. I have even taken to teaching and moderating classes when other instructors can’t attend. Poetry is different from other writing because often, the rules can be broken. That definitely works to our group’s advantage. Brendan made it clear from the beginning that he treated our class no different than any of the other classes he taught. We were writers; we all just happened to have our brain injuries in common as well.
Reading and writing poetry has changed my life. It has changed my perceived identity. After my fall, my self-esteem, among other things, had taken a blow. I didn’t realize it then, but I felt lost. I was no longer a respiratory therapist. I was just Kathryn, Kathryn with a brain injury. I felt the change more than I let on, even today. I am gaining confidence and continue to tell my story to a wider and wider audience, realizing how many people in this vast universe our stories will help.
I have begun to heal in ways traditional therapy for brain injuries never touched. Poetry helps me understand myself better. Reading and writing poetry helps me quiet my chaotic mind. I read, see, and hear words in a distinct way now. I want my written words to positively affect others, both with brain injury and without. I still struggle with certain cognitive changes, headaches, and fatigue. I believe that will always be part of my life. But I refuse to let it be my whole life. I am now a poet. A published poet, as a matter of fact. Our group has now written two books.
Individually, I have also published “Coal Smoke” in Rattle (2022), “Empty Bottles” in TBI Hope and Inspiration (2022), and “Carry It With You” in Poets Choice (2023) in the Zest with Pets edition. Some of my poetry has been born of pain but reflects my strength. Some of my poems are quirky, some are just about ordinary things. Most of my poems have some story behind them.
Any individual with any type of conflict, be it ABI/TBI, PTSD, stroke, eating disorders, anxiety, depression, or abusive situations can benefit from writing. It doesn’t have to be poems. But if it is, the poems don’t need to be published in order to make them useful. The poems don’t even have to be ‘good.’ In fact, most of the poems I have written, I wouldn’t categorize as that (good). (What poet does think that?!) I have found solace in scribbling my feelings down after a hard day or a stressful event. I put it away and ignore it. When I feel like I can come back to it, I usually end up typing it out and that helps me process my feelings. I may edit those feelings into a poem, I may not, but I have those poems to prove to myself and others that it is possible to get through hard situations. I fight my evils with poetry. Poetry has taught me to fall in love with words, even those words I still lose today. It forces me to use other words and those other words can be what makes my poetry the strongest. I refuse to let my mind erasify my life.
ERASIFY
One thousand six hundred and ninety days ago
I didn’t realize immediately
the depth of my losses
how my mind
would erasify my life
To purchase the collection of poetry, I Don’t Think I Did This Right, click on the following link: https://www.biaw.org/books
Kathryn Paulson, Poet
My name is Kathryn Paulson. I am a seven-year TBI survivor. I fell on black ice, fractured my skull, and had a subarachnoid hemorrhage on the temporal lobe of my right side. My recovery has included some of the typical therapies, but when I started writing poetry in October of 2020, I began to heal in ways traditional therapy never touched. I feel seen, while regaining an identity as someone other than a person with TBI. Poetry helps me understand myself better and has allowed me to help fellow survivors. My poems have been published in Rattle, TBI Hope and Inspiration and Poets Choice. Along with the Thursday Night Poets, I have contributed to two chapbooks: “I Don’t Think I Did This Right,” published in 2022, and “Poetry is Chocolate,” published in 2023. We are currently working on our third book. With my work at the Brain Injury Alliance of Wisconsin (BIAW.org) I continue to be an advocate for brain injury survivors, families, and caregivers.
Brendan Constantine, Poet
Brendan Constantine is a poet and educator based in Los Angeles. He has written several collections of verse and his work has appeared in many standards, including <em>Poetry</em>, <em>The Nation</em>, <em>Best American Poetry</em>, and <em>Poem A Day</em>. He currently teaches at both the Windward School and with the Los Angeles County Museum of Art. Since 2017, he has been developing workshops for writers living with Aphasia and Traumatic Brain Injuries (TBI).
Jerry Hoepner, PhD, CCC-SLP
Jerry Hoepner, PhD, CCC-SLP is a Professor at the University of Wisconsin – Eau Claire in the department of Communication Sciences and Disorders. He teaches courses in anatomy and physiology, neuroanatomy and neurophysiology, acquired cognitive communication disorders, dysphagia, and counseling. Dr. Hoepner co-facilitates the Blugold Brain Injury Group, Mayo Brain Injury Group, Thursday Night Poets, and Chippewa Valley Aphasia Camp. His research addresses video self-modeling interventions for individuals with cognitive communication disorders, project-based interventions, aphasia camp outcomes, motivational interviewing, counseling methods and training, undergraduate research outcomes, course-embedded clinical experiences, and instructional pedagogies. He is a co-founder of the <em>Teaching and Learning in Communication Sciences and Disorders</em> journal. In 2022, he co-founded the ASHA SIG20 for counseling. Dr. Hoepner is the co-author of “Clinical Neuroscience for Communication Disorders: Neuroanatomy and Neurophysiology” by Plural Publishing. In 2018, he received the University of Wisconsin – Eau Claire, Excellence in Mentoring in Research, Scholarship, and Creative Activity. In 2020, he received the University of Wisconsin Systems Regent’s Teaching Excellence Award. In 2021, he was awarded Fellow of the American Speech-Language Hearing Association. In 2023, he received the Council of Academic Programs in Communication Sciences and Disorders Distinguished Contribution Award for enriching education in CSD.
Rupal M. Patel, PT, PhD
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The time it takes a bride to say I do
Or faster, like the shattering of glass
A blockage and in brain blood can’t get through
Which in the mind then opens a crevasse
Forget the palm–a person’s life is read
By watching what the friends and family do
Their love a sign this person’s in good stead
They’ll be there for the trials that ensue
Like crocus flowers rising through dead leaves
The brain repairs, which starts life on the mend
As does the rehab care that one receives
All bolstered by warm sunshine from a friend
It takes a village to restore a soul
The love we’ve shared returns to make us whole
Steven C. Cramer, MD
Steven C. Cramer, MD is a Professor of Neurology and the Susan and David Wilstein Chair in Rehabilitation Medicine at the University of California, Los Angeles. He is also the Director of Research at California Rehabilitation Institute, co-PI of the NIH StrokeNet clinical trials network, Associate Editor at Neurorehabilitation and Neural Repair, and a Section Editor at the journal Stroke. Dr. Cramer graduated with Highest Honors from University of California, Berkeley; received his medical degree from University of Southern California; did a residency in internal medicine at UCLA; and did a residency in neurology plus a fellowship in cerebrovascular disease at Massachusetts General Hospital. He also earned a Masters Degree in Clinical Investigation from Harvard Medical School.
His research focuses on neural repair after central nervous system injury in humans, with an emphasis on stroke and on recovery of movement. Treatments examined include robotics, cellular therapies, a monoclonal antibody, brain stimulation, drugs, and telehealth methods. A major emphasis is on translating new drugs and devices to reduce disability after stroke, and on developing biomarkers to individualize therapy for each person’s needs. Dr. Cramer has received the Stroke Rehabilitation Award from the American Heart Association, the Barbro B. Johansson Award in Stroke Recovery from the World Stroke Organization, the Award for Excellence in Post-Acute Stroke Rehabilitation from the American Congress of Rehabilitation Medicine, and the Outstanding Neurorehabilitation Clinician Scientist Award from the American Society of Neurorehabilitation. He also co-edited the book “Brain Repair after Stroke,” and is the author of over 300 manuscripts.
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New consult pops up on my screen
“Physical therapy, eval & treat”
Four year old male in PICU, bed three
Bronchiolitis due to RSV.
I stop by the playroom to find a toy
I need something fun for this little boy.
Tucked in the corner, it catches my eye
The latest addition from our Christmas gift drive.
A plastic racetrack and a bright red car
Whispering thanks to the donor, whoever they are
I tuck it under my arm and head onto the unit
Productivity metrics — we better get to it.
As he sees my gloves and mask, I hear how
He lets out a small sigh and furrows his brow.
Till he catches a glimpse of the prize I’ve brought in
And his face breaks into the sweetest of grins.
The racetrack offers a new motivation
To say yes to rehabilitation.
Each day of that week I stop by for our session
And marvel aloud at his rapid progression.
First, he struggles to sit upright and to breathe
Then he gets out of bed with promising ease
And then he can squat and jump up and down
And push his little red car all around.
That Friday morning, I stop by to play
What I find when I get there takes my breath away.
Room three is quiet, the door is ajar
I see an empty racetrack, an overturned car.
I learn he was intubated last night,
His tiny body tried hard to fight.
The team did all that they knew how to do
Still, it wasn’t enough to bring him through.
I thank the nurse, then I take a deep breath
Walk into the room, kneel down by the bed.
I feel my hands shake as I pick up the toys
And quickly I whisper a prayer for this boy.
The familiar smell of purple wipes
Hits my nose, burns my eyes.
I blink back tears as I begin cleaning
A routine task, but this time with meaning.
I set my shoulders and find my stride
Take his toys to the playroom once they’ve dried.
Clear space on the shelf to place them back
The little red car and the plastic racetrack.
Katherine A. Franklin, PT, DPT, PhD(c)
Katherine A. Franklin, PT, DPT, PhD(c) is a clinical assistant professor in the hybrid pathway at the University of Utah’s Department of Physical Therapy and Athletic Training, teaching pediatrics and pathophysiology. She is also a PhD candidate in the School of Physical Therapy at Texas Woman’s University with research interests in the intersection between disability studies and physical therapy education and practice. Katie’s clinical background includes work in the neonatal and pediatric intensive care units, which helped to inspire this piece. She believes that the humanities can help us to cope with grief and loss in a deeply meaningful way.
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Hispanic, overweight,
lonely, and insecure
from eight to sixteen,
I’m not sure?
The doctor said no more
rice or tortillas …
WHAT — are you serious?
We have to get your waist down.
Trying to fit in,
to find the right crew
growing up, juggling life.
No drugs, no alcohol,
just want to be accepted,
just want to be cool.
Always in trouble
At home, in class …
Parents always arguing
Who never finished high school.
Home was a war zone,
screaming, yelling, tears.
Damn alcohol takes
another family victim.
This war never ends.
Looked for any excuse to leave,
to escape the pain.
Oddly enough, alcohol
helped me stay sane.
10th grade, another test failed.
Another dozen visits
to the principal’s office.
Louis, what’s happening?
You’re going off the rails.
College? No way;
I didn’t know what it was —
Parties? Natural ice and drugs?
And residency? Grad school?
Pshh forget that shit.
Another test —Wait—89—
Woah, I passed?
Who is this?
Louis! Looks like you
might have a chance.
You were walking in the dark alone.
No lights, no path, no guide.
Until somebody helped you see
a bright light—a potential.
You had missed it. You were blind.
The small flame inside shines bright.
A soft voice helps you look and see —
remember why you’re alive!
Along the journey,
things challenge you —
a few bad chapters,
disappointments, bruises.
They do not define you.
It’s hard. You will fail,
but get up, you got this.
All that matters
is how you respond.
Each moment a new moment,
each day is a new day.
You define your attitude
based on what you say.
Adversity is scary,
but don’t be afraid.
One step at a time —
you’ll cross the finish line.
Celebrate small victories.
Eh! Drink some wine!
Challenge yourself.
Discover who you are.
Don’t give up, because
after every storm
sun and rainbows shine.
Just take a moment,
stand tall, breathe,
look in the mirror.
See how far you’ve come.
Louis Castro, PT, DPT
Louis Castro, PT, DPT is a physical therapist in Southern California. Originally from Long Island, NY, he never expected to land on the West Coast. He is a first-generation student who has obtained both an undergraduate and graduate degree. He graduated from Sacred Heart University with an Exercise Science Bachelor’s degree, followed by a Doctoral degree at the University of Southern California Doctorate Physical Therapy program. He never imagined this would be the career he would fall in love with. However, adversity throughout his life had been a blessing in disguise. Therefore, he strongly believes that providing inspirational hope to others can unfold a potential unseen, just as it had for him. “Believing in yourself is the first step.”
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Coach scowls, calculates.
Cue the substitute. Cut straight
to commercial break.
Woods Nash, MPH, PhD
Woods Nash, PhD, MPH is Assistant Professor of Bioethics and Medical Humanities at the University of Houston Tilman J. Fertitta Family College of Medicine. He works at the intersection of ethics, narrative medicine, creative writing, and the visual arts. Since 2016, he has served as co-chair for Off Script, Houston’s twice-annual medical storytelling event. His poems and essays are in <em>JAMA, Academic Medicine</em>, and the <em>Journal of Medical Humanities</em>.
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Quietly I rest, but solitude closes in.
No noise is noisier than no noise at all.
I’m fading, blanched white by illness, paled by age,
The gray of desolation, the darker gray of destitution.
I am not pretty anymore.
Cruel memories arise of times when I silenced
the children: “I want to rest, let me be! I want
to read, let me be!” Now I long for a touch, a word.
No one is here.
I am not pretty anymore.
My children have moved away. Their kids have kids.
My friends have died. I’m too ill for church.
I’m an anachronism. And I am alone.
No one to call.
I am not pretty anymore.
Morning comes and my body awakens.
My eyes open from habit. Nothing to see here.
A nurse enters the room and lightens my spirits.
She smiles. She speaks my name. She cares,
Though I am not pretty anymore.
Quizzically, she looks at my face, my eyes, my hair.
Hands on her hips. She comes to the bedside,
Tenderly, kindly.
I am not pretty anymore.
Her hand on my forehead is soft as cotton.
Quietly, deftly, she sweeps a stray curl from my eyes.
“There,” she says. “That’s a start.
Let me comb your hair. Let me put a little makeup on.
I have time to share.”
I am not pretty anymore.
I say not a word. I close my eyes and feel her work.
Her fingers in my hair are my husband’s, sixty years ago.
Her fingers on my face are my baby’s, fifty years ago.
Her perfume is my daughter’s, thirty years ago.
I am not pretty anymore.
I say not a word. The memories are so strong,
so lovely, a tear comes to my eye.
“Am I pulling your hair?” she asks, noticing.
“No, no. Continue.” I will cherish this kindness.
I am pretty again.
I am pretty again.
Stephen Carp, PT, PhD
Stephen Carp, PT, PhD is currently Associate Professor in the Doctor of Physical Therapy Program at DeSales University. His PhD is in Motor Control, and he is also a Geriatric Certified Specialist (GCS.) He teaches in the areas of Geriatrics, Clinical Medicine, Professional Development, Management of Physical Therapy Practices, and Research. His areas of research interest include: effectiveness of non-government support of the poor; doctoral program admissions; immigration medicine; and exercise and its relationship to cognition and fall-risk.
He has authored over 15 publications and has published two textbooks, with the most recent being Foundations: An Introduction to Physical Therapy, published in January of 2019. In addition, he has authored four book chapters. He has served as an item writer for the Federation of State Boards of Physical Therapy and has developed three continuing education programs for the APTA. Dr. Carp is a Combined Sections Meeting proposal reviewer for the Academy of Physical Therapy Education and Academy of Acute Care Physical Therapy. He has presented at numerous national meetings. He was awarded the 2019 Distinguished Educator Award by the Academy of Geriatrics of the American Physical Therapy Association and delivered the 2020 APTA-PA Conference keynote address.
He is a journal reviewer for six journals, including the Journal of the American Physical Therapy Association and is a grant reviewer for the U.S. Army and the Army Medical Research and Material Command and the Occupational, Safety and Health Administration.
He has a broad community service agenda, including co-directing the Norristown Immigration Clinic with Kerstin Palombaro, PT, PhD of Widener University, the Society of Saint Vincent DePaul, and directing the pro bono Rehabilitation Clinic at St. Catherine’s Infirmary in Germantown, PA. For the past seven years he has led a physical therapy student-directed service trip to Guatemala. Dr. Carp maintains a clinical practice at Chestnut Hill Hospital in Philadelphia, PA. He resides in Harleysville, Pennsylvania with his wife Diane. He and Diane have four children and two grandchildren.
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