Concussed Engineer,

Welcome to NeuroTalk.

It looks like you have done a bit of TV medical show watching or such. If your pupils were truly different sizes, you should be in the hospital. Self-observed pupil differentials are common because we cannot accurately self-observe pupil size. Please leave that to the doctors. They look for differences in reaction to light and other more specific characteristics. The anxiety from this type of self-diagnosis is not good.

Regarding next summer, you can start now at learning how to tolerate environmental stress. You can also prepare for physical stress that raises your heart rate using the Buffalo protocol. A search of this forum will return many threads about it. There were some posts just last week or before.

The environmental stresses can be reduced with sun glasses, a wide brimmed hat, ear plugs (Mack's brand have a good reputation and are cheap and disposable)

There are other PCS symptoms that we can benefit from personal observation. Struggling to read or rereading a line of text means brain overload. Getting lost as someone talks is another. Both indicate a need to step back and catch your mental breath, so to speak.

Please feel free to tell us about your struggles. Much of recovery is learning how to move forward despite our symptoms. We use work-arounds and accommodations so we can still get things done.