Waking Up To 1994 Every Day

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FSTargetDrone
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Waking Up To 1994 Every Day

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MSNBC:
Groundhog Day’ for real: Woman is stuck in 1994

Brain injuries from crashes wipe her memory clean every night

By Michael Inbar

TODAYshow.com contributor

updated 8/16/2010 10:04:48 AM ET

For most people, a sit-down interview with Matt Lauer live in front of millions of viewers would be unforgettable. But while appearing on TODAY Monday, guest Michelle Philpots forgot Lauer’s name before their talk was even finished.

Philpots, 47, has her memory wiped clean each day — sometimes each minute — by anterograde amnesia, brought on by head injuries she suffered in two vehicle crashes more than 20 years ago. She wakes up every morning believing it is 1994, the last year from which she can conjure up memories.

Thus, for the Englishwoman, John Major is still prime minister, Ace of Base tops the music charts, and “Forrest Gump” is the movie everyone is flocking to see. And while such amnesia has been played to humorous effect in movies like “Groundhog Day” and “50 First Dates,” it can be sad and sometimes devastating for Philpots.

“Right at the beginning for me, it was heartbreaking, knowing that I was different,” she told Lauer while her supportive husband, Ian, sat by her side. “I didn’t want to be different.

“I wanted to be back to the normal me and not this shell of a person. I want my career back. I want to be able to say, ‘I remember when’ again — but knowing [that’s] the life you’ve lost, you can’t do it.”

Rare malady

Philpots’ rare condition is the result of a motorcycle accident in 1985, compounded by a serious car accident five years later. In 1994, she was diagnosed with epilepsy as a result of her head injuries.

Her condition rapidly deteriorated: Not only did Philpots suffer from frequent seizures, she began to become more and more forgetful. She lost her office job when she copied the same document repeatedly during a work shift. Her memory eventually slid to the point where little to nothing stuck past the year 1994.

A 2005 surgery to extract dead and damaged brain cells improved her lot — the seizures largely stopped. But Philpots still faces waking up each day having to fill in the last 16 years of her life.

Fortunately, she has a knight in shining armor in husband Ian. The pair met back in 1985, so she hasn’t forgotten him. But she can’t remember their 1997 wedding day; Ian has to show her their wedding album every morning to show her they are husband and wife.

Philpots has had a long time to learn to cope with her amnesia, and manages to function. She leaves herself Post-it notes on the refrigerator and helpful reminders in her cell phone. Still, she has to use a GPS guidance system to navigate her small town of Spalding in southeastern England, where she's lived all her life. And often, when she gets to a local store, she’s forgotten why she went there.

Drawing a blank

Appearing with both the Philpots on TODAY, psychiatrist Gary Small told Lauer that Michelle’s case is markedly different from most other amnesia in that she retains the day-to-day skills of how to function in life — but without the social memories.

“What’s striking in Michelle’s condition is that she can’t form new memories, yet she can carry out everyday things; she can drive a car, she can have a conversation,” Small, a professor and the director of the UCLA Center on Aging, said. “But she will not remember this [TODAY show] experience tomorrow the way you and I will remember.”

Indeed, when Philpots was shown photos of herself enjoying visits to New York City landmarks — photos taken only the evening before — she was at a loss. “You draw a blank?” Lauer asked Michelle.

“Yes,” she said quietly.

But unusual events can stick, to some extent. Philpots said she is likely to remember at least something about her TODAY appearance by Tuesday. “Because this is a special occasion, I don’t think I’m going to forget,” she said. “I’ll forget when it was, [but] anything that amazes me will stay there.”

Philpots also said she constantly is working to improve her memory — she can remember up to six numbers by punching them into a telephone keypad. “I won’t remember the number itself, but I will remember the pattern,” she told Lauer.

But pastimes as basic as reading a book are largely lost to her. “By the time I’ve started and get to the middle, I’ve forgotten how it started,” she told NBC.

And while her condition has stabilized medically, doctors have told Philpots her current way of living is the best she can hope for. “This is it; it won’t get any better,” she said.

It’s small comfort that an age-old rerun of her favorite British TV drama, “EastEnders,” is as fresh to her as the day it first aired, or that jokes always stay funny because she can’t recall having heard them before. But husband Ian said her malady is trying on their marriage.

“It can be very frustrating for me, but I have to be patient and understand and accept that she struggles to remember,” Philpots told the Mirror newspaper in London. “I get frustrated, but I have to keep calm because I love her. She still remembers when we first met. It’s just the day-to-day things she struggles to recall.”
She visited New York... imagine, she arrives and the Twin Towers are suddenly gone. Where did they go? At home, new construction and landmarks pop up overnight (or more frequently) in otherwise familiar places. The London Eye? That wasn't there yesterday! Family members or friends move or pass away and she has to be reminded about it, again and again.

This woman is quite fortunate that she was married before the accident and treatments. Hard as this is on her marriage as it stands now, it may have been even harder if she woke up every day not knowing she was married. Yes, people with Alzheimer's can experience something like that, but this seems different in that everything "resets" from day to day.

Fascinating, and tragic.
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Re: Waking Up To 1994 Every Day

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Actually, she wasn't married before the accident.
Fortunately, she has a knight in shining armor in husband Ian. The pair met back in 1985, so she hasn’t forgotten him. But she can’t remember their 1997 wedding day; Ian has to show her their wedding album every morning to show her they are husband and wife.
So, yeah, they knew each other, but her husband still has to remind her that they're married every day.
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Re: Waking Up To 1994 Every Day

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Sinanju wrote:Actually, she wasn't married before the accident.

So, yeah, they knew each other, but her husband still has to remind her that they're married every day.
Whoops, don't know how I misread that! Still, at least they have known each other for a long time before.
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Re: Waking Up To 1994 Every Day

Post by Simon_Jester »

That Ian fellow must be a hell of a guy.

Unless he really enjoys doing the same things over and over...
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Re: Waking Up To 1994 Every Day

Post by Broomstick »

Probably sustained damage to her hippocampus, which is the part of the brain that converts short term memory into long term memory. There are some other memory pathways, including the one for "muscle memory" or movement which is alluded to in the article, but really, this is a devastating injury.
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Re: Waking Up To 1994 Every Day

Post by Kanastrous »

Philpots also said she constantly is working to improve her memory — she can remember up to six numbers by punching them into a telephone keypad. “I won’t remember the number itself, but I will remember the pattern,” she told Lauer.
This jumped out at me because I recall a TED video wherein a woman was relating her experience of having a stroke - and finding that during the event when she started feeling weird and tried to dial a telephone number for help, she found that the digit markings had turned into meaningless squigglies but she could remember which buttons to press based upon position and sequence.

Maybe someone with some education in neurology would find that meaningful. Or maybe that's a common sort of experience for people who have sustained brain damage.
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Re: Waking Up To 1994 Every Day

Post by Alyeska »

I have also heard of stroke victims that were not capable of speech, but could use "sing-song" as a means of speaking. Apparently singing taps into a different part of the brain and its possible to learn to use that portion to speak, sing-song speech.
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Re: Waking Up To 1994 Every Day

Post by Broomstick »

Regarding the above two posts - memory for things like reading (the numbers on the phone keys) is processed and stored differently than memory for routine and repetitive motions (which keys to press in which order). So it's not unprecedented for a stroke to knock out one and not the other, and in some ways our "motion memory" is more durable than our other memory system, the one we usually associate with memories. Which is probably a good thing, otherwise we'd see more stroke victims with lucid memories who have forgotten how to walk or pick up objects rather than stroke victims who have trouble with memories but can still physically care for themselves because they remember routine motions. The "motion memory" is where actions that have become routine are stored - like how to ride a bicycle, or manipulate a pencil, or touch-type on a keyboard... basically any motion you can perform without need for conscious focus on the mechanics, what is "second nature", is encoded in that system.

As for language - that resides in several parts of the brain which can lead to odd effects - such as the "sing-sing' requirement for speech as mentioned. You can also lose parts of your language ability. For example, when my mother had her stroke she retained her comprehension of English but lost her ability to speak it coherently (she got it back after rehab). She also lost her ability to read (also recovered, though not to the same extent).

The brain is a funny thing - clearly, even when there is horribly significant damage there are "back up" systems of sorts that allow some function to continue.
A life is like a garden. Perfect moments can be had, but not preserved, except in memory. Leonard Nimoy.

Now I did a job. I got nothing but trouble since I did it, not to mention more than a few unkind words as regard to my character so let me make this abundantly clear. I do the job. And then I get paid.- Malcolm Reynolds, Captain of Serenity, which sums up my feelings regarding the lawsuit discussed here.

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Re: Waking Up To 1994 Every Day

Post by The Duchess of Zeon »

I recall a story about a person with a severe injury here in Washington State who can now only speak in a completely different voice, but can speak normally--it means most people think she's a foreigner, as that voice is very strongly accented. Ah, here we go:

Foreign Accent Syndrome
Brain injury gives local mom a "foreign" accent




At the hospital, all the doctors and nurses asked her the same questions: Where are you from?

Port Angeles, she said.

No — we mean, where were you born?

Well — Crescent City, California.

But you have an accent.

That's why I'm here.

After a serious accident in 1981, life had become fairly normal for CindyLou Romberg, a caregiver and motorcycle enthusiast living in Washington's Olympic Peninsula. All that changed last year, when out of nowhere, she began talking like someone who'd grown up on the European continent.

Ever since, Romberg, 51, who has never studied a foreign language or been to any other country but Canada, has spoken in markedly accented English that sounds to some like German, French or Russian. On the phone, she's had to convince family and friends of her identity; in person, she's stopped trying to convince strangers who find her accent adorable that she's not from elsewhere.

Her diagnosis: A rare condition called Foreign Accent Syndrome, one that's landed her on tonight's episode of "Mystery ER, " a medical reality program on the Discovery Health Channel.

"Mother Nature can do some strange things," says Glenn, her husband of 22 years.

Romberg's speech changes without warning. Sometimes, all she can do is gesture for that dish she wants from the cupboard. Other times, pure babble pours from her mouth, confusing her grandkids. ("Nana, we don't speak your language," her 5-year-old grandson has said.) Once, at a diner stop during a charity bike run, she rattled off something that sounded Swedish.

Though it's been frustrating and scary at times, Romberg, is doing OK. "I am very good, yah," she says.

In 1981, Romberg, then in her 20s, fell out of a moving Toyota and hit the pavement, splitting her head from front to back.

For months afterward, she suffered terrible headaches; and for years, she addressed her lingering back pain by occasionally seeing a chiropractor. She found one she liked in Puyallup. "Things were really good," she says.

One day last year, her back was bothering her, and she decided to go to a local chiropractor instead. He tried an adjustment, then tried it again. But something wasn't right. That night, her neck swelled up.

By the next day, a Friday, the swelling had subsided. Then, that night, she went downstairs to talk to her daughter, and all that came out was gibberish.

Over the weekend, she visited a series of urgent-care physicians. One thought she had a migraine. Another thought she'd had a stroke. On Monday, her primary-care doctor sent her straight to Seattle.

Doctors still weren't sure what was wrong. She got an MRI and a CT scan; they thought she had a collapsed blood vessel in her neck. Surgery told them otherwise.

Eventually, her speech returned, but "she wasn't CindyLou," Glenn says. She sounded like she'd come from Berlin.

Finally, a doctor at Harborview told her: I think you have Foreign Accent Syndrome.

The first widely recognized case of Foreign Accent Syndrome, or FAS, involved a Norwegian woman struck by a piece of shrapnel during World War II. Afterward, she emerged with what sounded like a German accent and, given the times, was shunned by her community.

Only 50 or 60 cases have been verified worldwide, depending on whom you ask. Diagnosis is by process of elimination. "There's no ironclad test," says Jack Ryalls, an expert on neurologically based speech disorders at the University of Central Florida.

Typically, neurological damage — generally in the brain's left hemisphere — is followed by the inability to use words properly or at all, then a gradual return of speech, albeit altered. Most cases develop within one or two years of the original injury, making Romberg's case unusual.

While some researchers claim curative success using speech therapy, he says, "A person has to have some degree of conscious control" for it to work, and most victims seem not to. The few who regain their normal voices just do so with time, he says.

Our voices are part of our identities, which is why some victims of FAS are so devastated. Other people just shrug their shoulders, count their blessings and move on. The only evidence of Romberg's former self is on her cellphone, where a bright, melodic voice asks callers to leave a message.

She does not recognize her new voice, seemingly an octave lower. And at first, neither did anyone else.

Faraway friends would call the house and hang up, thinking they had the wrong number. One suspected identity theft and was ready to call the police. One day she answered the phone. It was her niece, Kayla. "... Is my aunt CindyLou there?" Kayla said.

"I said, `It's me.' She said, `Ohhh-kay... . What is Uncle Glenn doing?' I could tell she did not believe me."

Others called her mother, Joann Vedin, asking what was wrong with CindyLou. ("She talks funny," they'd say.)

Some things she still can't say. H's are difficult. Occasionally, her voice is slurred and stuttered. "You do n-not kn-know when it will haah-happen," she'll say. Some words emerge differently: "Heard" becomes "heared." "Garage" is "GARE-ej."

Some names just won't come at all: She calls Phyllis, her sister, but the word that comes out is "Sheba." Equally inexplicable, the word that comes out when she addresses daughter Sadrianna is something like "Pakka."

In time, people began to find the whole thing a novelty, as if her accent were some chunk of asteroid fallen from the sky. "My mum's friends thought it was the coolest thing that ever happened," she says. Ultimately, she was enlisted to record the greeting on her mother's answering machine.

But at times, the situation leaves her a little verklempt. She'll have something to say, and suddenly the words aren't there. "My mum" — she used to say mom — "will call after I've left a message," she says, "and Glenn will answer and say, 'Sorry, she's got no English tonight.' "

Glenn Romberg says it's as if his wife's brain short-circuited, and researcher Ryalls says that explanation isn't far off. He thinks the syndrome could be a recovery stage, the brain's way of compensating for lost function. A rewiring, in a sense.

What sounds like a foreign accent isn't, really, though it may be indistinguishable from one. It's a voice impairment we aren't used to hearing, so we associate it with what it most sounds like.

Romberg doesn't blame the chiropractor. It's not, she points out, as if he'd said, "I'm going to crack your neck today and make you talk French."

Still, "she's a different CindyLou than she was before," her mother says. "She doesn't know what it's going to develop into, whatever's happening to her. It kind of scares her, and I don't blame her."

But with three siblings already passed away, Romberg considers herself lucky. "The human body is amazing and can do absolutely phenomenal things when it needs to," she says.

In the meantime, she sometimes calls herself on her cellphone, just to hear the person she knew for 40-plus years. "That's the only thing I have," she says. "I used to really like my voice. I thought it was sassy and sexy. And it is no more."

Marc Ramirez: 206-464-8102.

Copyright © 2008 The Seattle Times Company

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Re: Waking Up To 1994 Every Day

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Kanastrous wrote:
Philpots also said she constantly is working to improve her memory — she can remember up to six numbers by punching them into a telephone keypad. “I won’t remember the number itself, but I will remember the pattern,” she told Lauer.
This jumped out at me because I recall a TED video wherein a woman was relating her experience of having a stroke - and finding that during the event when she started feeling weird and tried to dial a telephone number for help, she found that the digit markings had turned into meaningless squigglies but she could remember which buttons to press based upon position and sequence.

Maybe someone with some education in neurology would find that meaningful. Or maybe that's a common sort of experience for people who have sustained brain damage.
If I recall correctly, the woman in question actually was a neurologist.

Whenever I hear of these hard cases of the inability to form new memories, I think of the movie "Momento", whose protagonist has this affliction. Good film, I recommend it highly.
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Re: Waking Up To 1994 Every Day

Post by Kanastrous »

You recall correctly.

The title of that film is Memento, strictly in the interest of making people's search smoother should they want to search for it.
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Re: Waking Up To 1994 Every Day

Post by Lord Relvenous »

FSTargetDrone wrote:MSNBC:
“Right at the beginning for me, it was heartbreaking, knowing that I was different,” she told Lauer while her supportive husband, Ian, sat by her side. “I didn’t want to be different.

“I wanted to be back to the normal me and not this shell of a person. I want my career back. I want to be able to say, ‘I remember when’ again — but knowing [that’s] the life you’ve lost, you can’t do it.”
She must have the ability to process some basic form of memory of really significant stuff, or the beginning she's talking about would be that morning. I just found that interesting.
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