Let me tell you a story.
Just a few years ago, when I was working for corporate America sitting behind my desk writing reports about a faulty server or inadequate software testing I had just performed, I didn’t know things weren’t normal. I was tired and my mind was foggy, but I kept pushing forward, not realizing just how “off” I was. I didn’t want to lose my job. I didn’t want to turn in another report with numbers in the wrong columns. I didn’t want another visit to my supervisor’s office about my sudden and “out of nowhere” poor performance.
I distinctly remember sitting in front of my boss one day. He had called me into his office in that stern voice all supervisors get when they’re frustrated. I didn’t know why, though. I hadn’t missed any deadlines and as a team lead, that’s a big deal. My team did amazing work and we were always on point. But this one day, I walked into his office, sat in the comfy, black leather chair situated in front of his desk, and asked if everything was okay.
I’m really good at reading body language and facial expressions. I knew right away this wasn’t a happy invitation. He looked at me, puzzled, turned his head to the computer screen, squinted his eyes, and then looked right back into my eyes. He asked me to come around his desk so I could see the screen. So I did, very confused and a lot scared, if I’m being honest. I am not the type to mess up or get into trouble.
As I’m looking at the spreadsheet I had emailed him the day prior, I notice right away why he was so puzzled, and frustrated. My report was completely inaccurate, and if I’m honest, almost incomprehensible. It looked like someone had just typed in numbers in random cells. The formulas didn’t stand a chance. What the heck?! I remember looking at him with this blank look and no words. I really didn’t know what to say. All I could do was tell him he’d have a corrected report by end of day.
He wasn’t angry. He was concerned. This was so unlike me and he was worried something was going on with me. I didn’t realize just how bad the brain fog had set in. I promise, the day I worked on that report, as I was typing and calculating, it looked 100% correct and normal in every way. When I sent him the email, I did not think twice about it. The document looked like every other report I had sent to him. Keep in mind, I generated this spreadsheet every single week.
I didn’t know what to tell him. I had been on short-term disability leave before. I was out of the office for six months within the first year of working there. I had a severe Hemiplegic Migraine attack with non-stop symptoms lasting about 5 1/2 months. When I returned, I was much better and went roughly a year without having additional symptoms that were so long-lasting during that time.
I knew. I knew that something was coming and I was probably going to have to call the doctor. I had been having Hemiplegic Migraine attacks more often and I found myself working from home more days than usual. Thankfully, I had that luxury of working from home whenever I needed to.
After that day, things didn’t get better. I was sliding downhill and I knew I’d have to request short-term disability leave once again. I was devastated. I loved my job and my co-workers were awesome. My supervisor was so accepting and very understanding, but business is business. It wasn’t healthy for me to be at work, knowing my mind was not working as it should. So I did it. I went on disability leave. I was sad and felt like I let everyone down. I was a team lead and I couldn’t be trusted to turn in the quality work I was known for.
I Didn’t Look Sick
Here’s the thing. I didn’t look sick. Yes, hemiplegic migraine attacks are not as invisible as most migraine types since they resemble a stroke so closely. But not all symptoms are visible. Severe brain fog is not visible. Especially when you do not even know you are in the middle of cognitive dysfunction. I had no idea I wasn’t writing or typing correctly. My brain interpreted everything I was doing as normal. I HAD NO IDEA. This is just a small example of how the brain fog associated with
Everyone around me on that day I was working the report had no clue something was going on in that brain of mine. I smiled like normal. I talked normally. I held a conversation. I sat at my desk upright. I’d later learn some of my co-workers would say things like, “Well, she didn’t look sick!”
No. No I didn’t.

Brain Fog & Aphasia
So what exactly is Brain Fog? In the medical field, it is termed as Clouding of Consciousness. Merriam-Webster defines Brain Fog as:
a usually temporary state of diminished mental capacity marked by inability to concentrate or to think or reason clearly
https://www.merriam-webster.com/dictionary/brain%20fog
I learned, at some point in my journey, one of my more troubling symptoms is called Aphasia. This can also affect the ability to use numbers, writing, but more importantly, speaking. I am affected by aphasia regularly, in all these ways.
For me, it is called transient aphasia, as it is not aphasia from a stroke and it comes and goes with my migraine attacks. I can also have aphasia with no migraine attack, but I usually feel very “off” when it happens. Transient aphasia is also part of my aura. As soon as I begin to have word finding difficulties, I know right away a migraine attack is probably approaching.
A blogger friend of mine wrote a great article about her experience with brain fog. Definitely give it a read when you have time!
My New Normal
You see, I’m a go-getter. I am a perfectionist. I am ambitious. I am…not those things, not so much anymore. While I still see parts of my old self, peeking through now and then, I have learned to slow down and press pause. THANKFULLY!
I am also no longer employed. I stay home and take care of myself. That is my job now. I have gone through so much in this journey with chronic illness and chronic pain. I’m just now finding myself on the other side with more better days. My new migraine preventative is making a real impact on my life today. I actually have hope to…have hope. I even started an online business, Achy Smile Shop.
I spend my days designing new t-shirts and hoodies at my own pace. I write when I feel it’s safe and manage all of my social media accounts. I take the time to lay on the couch and binge Hulu and Netflix. I bring out my Kindle app and read for hours. Color pencils and coloring books are now part of my day.
A lot of people would see this as being lazy or selfish. For someone with a chronic illness, it IS NOT. It is necessary self-care for the mind. I didn’t see it this way at first. I did see it as selfish. I couldn’t wrap my mind around any of it. It took therapy and lots of convincing before I gave it a shot. BEST DECISION EVER!
Because of the
The brain fog and aphasia have really done a number on me mentally. I have a type of PTSD because of my crazy, hectic symptoms. Because of them, I slow down, take my time, and tell myself it’s okay to mess up. It’s okay because even if I don’t look sick, and even when I don’t feel sick, my body is special and she needs me.




18 Comments
You were speaking my life in every word of this post! I am so happy that we “met” and are such good friends! Thank you so much for featuring my post in your article!
Jen, I feel the same when I read some of your posts too. Love how writing brought us together! Definitely read The Frozen Mind everybody!
I love this post! It sounds like you are living my life exactly! My doctors say that my full time job now is to take care of my health and I haven’t felt this good in 10 years! It was a tough adjustment that took me 3 years of not working to even begin to come to terms with. I’m still finding my new normal which can be difficult when that normal can vary daily! Thank you for sharing your story, it always helps to know I’m not alone out there and others are going through the same things and thriving!
Raegan that’s about how long it’s taken me too! While I miss my career so much, I’m also happy today. I have new dreams and I’m excited again, finally. We’re going to be okay!
thank you so much! Yes, this is what it’s like. The last time somebody said I didn’t look sick was just an hour before I vomited. thank you for the part about slowing down and caring for self. I recently took 3 days to make a casserole.
I have had what I call “shapeshifting” migraines for about 3 years now. Vestibular to chronic fatigue symptoms., to classic now chronic hemiplegic.
Jen, please tell me. do you drive? I live in a very small city and still own a car. I still drive short distances once in a while ( I mean just a few miles) and only if I’m feeling I can drive. I think I should give up driving and sell the car ,but keep holding out thinking I’m going be all better very soon. Any thoughts?
I know your driving question is for Jen, but I haven’t driven since 2016. I still officially have my license, but I no longer live in Texas. I do not have my own car anymore, but I do have drivers in my life. My husband and my daughter chauffer me around. When I’m alone, well, I’m stuck. Lol. I have yet to use Uber or Lyft, nor any type of public transportation. But people do it everyday, so I know it’s there if I needed it. I just don’t feel safe driving knowing I could have an attack just from driving. I can’t tell you what to do with your car, but it just might be your saving Grace if you’re ever in a financial bind. Hope you’re well today!
That sounds so familiar. I’m now working for myself at home around binge watching netflix and lie-ins to manage my Ehlers-Danlos and Chronic Fatigue. I get a lot of grief from my neighbours who can’t understand why I’m at home all the time while they go off to work. One day people will understand that disability doesn’t mean unable, lazy or living life in a wheelchair, maybe…
Send them this link in email anonymously 😂😂😂 Awareness is so important, but some people just aren’t willing to listen. Try not to let them bother you, it’s really none of their business what you do in your own home. 😉
This hits so close to home. I’m noticing my health affect my job. I too run reports regularly, but I’m missing deadlines because of my health. I was told and encouraged by my boss that she was flexible and encouraged her team to work from home. Unfortunately, once I disclosed my disability and need to work from home, that changed. All of the sudden, I can’t work unless I’m in the office. So, I keep getting further and further behind. I’m looking for a 100% remote analytics job right now. If I can’t find one, I’ll look for any remote job, even a pay cut. If nothing falls into place, I’m looking at filing for disability. My entire life, my career (and salary) has meant success. So, now, when faced with loss of that success, I don’t know who I am. I’m so depressed, which further affects my pain, fatigue, etc. It’s a vicious cycle. Luckily, I have a very supportive husband. I wish I could just push pause on everything (bills, work) and just figure it out without any worry. 🤷🏼♀️
Michelle, I am right there with you!!! While I was unable to keep up employment, I did file for disability. Just this week I filed my second appeal. Know you are not alone and if you ever need to vent, you can find me on social media pretty easily: facebook.com/achysmileblog, instagram.com/achysmileblog, twitter.com/achysmileblog. I also have a closed Facebook support group where we all go to vent: https://www.facebook.com/groups/achysmilemigraine
Thank you Erica Carrasco for your bravery and your persistence to be an advocate for those of us who are fighting to smile and for a better day with these migraines. (all kinds) I too was diagnosed with hemiplegic migraines in 2017, but was originally told they were complex headaches. I had no idea what the neurologist was talking about in the ER. Everyone thought I was having a stroke, I only knew things had slowed down for me and that I was no longer talking normal, walking normal and my left side was gradually becoming paralyzed or numb. So the diagnosis was so frustrating the next morning in the hospita, it did not make sense. But thank God, I began to research online and found others that were suffering with different types of migraines and finally came across others who suffered with hemiplegic migraines, the young lady with the brain freeze videos and your story . All of you who are so sharing and brave I am getting ready to join you in hopes it will help others as well. Thank you, thank you, thank you!!!!!!!
Awe Luisa, I am so happy you found us online!!! You are definitely not alone and there are so many resources for us out there. You just have to know where to look. Please, if you ever have any questions, feel free to ask!
I stumbled across your site and it was like you knew exactly how I was feeling. I still haven’t found a doctor to be able to help even after two different neurologist but I still have hope. Thank you!
Keep up hope!! I know how hard it is. It’s been such a struggle, even now that I have a great doctor, I still have lingering worries about how she’ll handle me as a patient who never seems to truly get better on treatment. I definitely suggest you search for a Headache or Migraine Specialist. You can find a list here: https://americanmigrainefoundation.org/find-a-doctor/
I could really identify with this post. Although I have been sick since I was ten and have never actually been able to hold down a job, I did attempt nursing school. The brain fog from my degenerative neurological disorders and from my anti-seizure and nerve pain meds was devastating so it took all-nighters of rote memorization and some serious repetition and sing-songs in my head to achieve that 3.96 GPA that my over-achieving little butt demanded from myself. Because of all the intensity I got myself sick over and over (plus my diseases were just getting worse, I had been granted six months off after my first 3 semesters of nursing school to have a brain tumor removed, then another few months off when I developed complications. I kept needing to be hospitalized emergently and the school kept giving me time off. Finally in 2015 I was admitted to the hospital for 3 months and was transferred to a nursing home and I was forced to admit that I couldn’t become a nurse, instead I finished off my bachelor of arts degree in creative writing from the nursing home and am now a freelance author.
Like you, I have a hard time convincing myself that I am taking care of myself and not just being lazy. It’s really hard on the days when I am even too sick to write, but I’m trying to come to terms with it. This was really good post for me to read because I feel less alone now, and less crazy.
I like repetition and sing-songs. My husband actually does that now, as he’s a full-time student with cognitive difficulties. And you are DEFINITELY NOT being lazy by taking care of yourself. You might get some sideways looks from those close to you but let that be their problem and let it go. They may never understand it’s what YOU NEED to do to get better mentally while dealing with a physical illness. We’re most definitely not crazy Becca 😉 <3
i have tired of people telling me you don’t look sick i have such bad migraines . only the people who are close to me and who know me day in and day out know what i go through . i receive botox , and i have had and very bad episode with this last month i see a neurologist who specializes in strokes tomorrow.im hoping i didn’t have one im having increase confusion memory loss ,im very worried. you dont know how long it took me to type this , ha ha ..
I hope you found some answers at your appointment the other day! I know how frustrating that is, if you’ve read through my blog you know this already. I know for sure I haven’t had a stroke and I’ve still had all the symptoms you’ve mentioned. It’s all part of Hemiplegic Migraine or Migraine with Brain Stem Aura in my case. Gentle Hugs!!
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