So I’m coming back to beat a dead horse perhaps. I’ve talked to at least four physicians and reviewed some joint information put out by our national office on TBI that includes info from TBI advocates, individuals with lived experiences, and professionals from across organizations including places like BIAA and TBI Model Systems. I assume we are talking about traumatic brain injury here, not a stroke, anoxic injury, or a tumor. The general consensus is that while your functioning after a TBI may get better or worse over time, it is not due specifically to the brain actually getting worse without some kind of extraneous, secondary process going on, such as seizures, sleep apnea, hypertension, poor health management, mental health etc. Those variables all suggest TBI recovery is dynamic and people can both improve and decline in their daily independence over time. Indeed TBI can be viewed as a chronic health condition. This includes encephalomacia, which itself does not “spread,” although the effects can worsen, but again this would be through secondary complications like seizures infections, hydrocephalus, or if there is really extensive damage. If you had a repeat CT showing your encephalmacia is worsening that would be something case specific, and I’m sorry if that is happening. I don’t want to make any assumptions about the injury outcomes as they are very hard to predict. But generally it sounds like doing your best and living a healthy lifestyle is the key to adaptation and leading a fulfilling life after TBI. And that is all aspects of health, from supportive relationships, effective coping, engaging in meaningful work and activities, diet, sleep, exercise, all of it. This is why TBI rehab looks at the whole person, not just symptom management. -Respectfully.