Does the old conundrum (“Which came first, the chicken or the egg?”) really have an answer? One can argue sequentially that to have an egg there must first be a chicken to lay the egg. However, from where did that chicken come? All of today’s chickens come from eggs that were laid by other chickens. The most recent announcement (October 2009) from the U.S. Food and Drug Administration claims that no chickens have been cloned. Thus, we can still ask, “Which came first, chicken or egg?”
I’m asking this question because I have noticed that there is a one-to-one correspondence between my struggles with words and my thinking in terms of pictures. On the other hand, when I am operating in a verbal thinking mode, I have much more facility with and memory of words.
In my sequential thinking mode, I find myself asking the question,”Which comes first: visual thinking or aphasia?” In this sequential thinking mode, I am really asking the question: “Does one condition cause the other?” In my visual thinking mode, I am trying to construct a story board. So which picture panel do I include first in my story?
I realize that my case is very unusual. My brain tumor was in the meninges in the right frontal lobe area. The small hole in my brain and the scar tissue caused by the removal of the benign tumor are in that right frontal lobe area. Although it is known as the executive brain, it is not the normal area associated with language.
Immediately after my surgery I noticed a decreased facility with words. I generally understood what people were saying. Almost all of the time, I knew what I wanted to say, but I couldn’t find the right words to use. This deficiency was much more pronounced in oral exchanges. When I was writing, I had more time to come up with the right word.
When I would mention the battle that was going on in my mind, many people would remark that they could not see that difficulty in my responses. However, I knew it was there. I also knew that I was answering questions by using a preconstructed story board and a previously prepared script. Ad lib responses were slow and not always on point.
For six months following the surgery, I went through extensive speech therapy for the aphasia. Month by month, I noticed slight but continual improvement until I finally reached the point that therapist’s evaluations showed that I was in the above normal range for my age group. This meant that the insurance company would no longer pay for therapy.
However, three months after the speech therapy stopped, I had a serious setback. I experienced four tonic-clonic seizures within a 30-minute time span. I lost consciousness the moment of the first seizure, and I did not wake up until four days later in the hospital. When I did regain consciousness, I immediately knew several things were different. I had lost many of the gains in the use of words that I had achieved through the speech therapy. I also realized that I was vacillating between two modes of thinking. The first mode was a verbal, analytic, quantitative, sequential mode, which had been my normal mode prior to the surgery. The second mode was a visual, metaphoric mode which was brand new to me.
It was immediately back to speech therapy. This time my progress was spotty. Some days were much better than others. It all depended upon which thinking mode I found myself in. When I was in the verbal mode, my performance on the therapist’s assessments was good enough, so that five months after the seizures my insurance company again said that therapy was no longer necessary.
Shortly after the therapy stopped for this second time, the tremors and hallucinations started. One year after the first tremors and hallucinations, the dysesthesia started. I realize that my aphasia is far from the usual forms of aphasia. For more than one year, I have been battling the aphasia, tremors, hallucinations, dysesthesia, and visual thinking. These conditions are not universally present. However, when they are present, I have noticed that verbal, analytic, quantitative, and sequential thinking is much more difficult. Complicating things is that the tremors occur almost at random. They are not associated with either thinking mode, or the aphasia, hallucinations or dysesthesia.
Again, the question: “Which came first: visual thinking or aphasia, hallucinations and dysesthesia?” However, in reverting to analytic thinking for a moment, are these factors occurring simultaneously because there is a third factor that is causing these two observable factors?
In the meantime, I know that if I am fighting hallucinations and dysesthesia, the visual thinking is not too far behind, and vice verse. Although I know that I can write in either mode, verbal or visual thinking, it is easier when I’m in verbal mode. Sometimes I can’t wait for the verbal mode to show up, so I plow ahead writing in the visual mode.