April 2008

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Posts published in April 2008

3 comments   |   Brain Injury

The Emotional Adjustment to Brain Injury

EDITORS NOTE: Continuing with this week’s theme of the emotional impact of brain injury, I have another post from a TBI advocate/survivor I want to share. Kimberly was referenced on our blogs a few weeks ago with respect to seizure dogs and she started following our blogs at that time. Hello, Mr. Johnson: My name ...

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Emotional Issues After TBI

This week, we will focus on emotional issues after TBI. I will begin with a contribution from an old TBI from entitled Hope For Anger by Stephanie St. Claire: There is help and hope for out of control anger. I no longer put holes in doors trying to get through them to the person I ...

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Patterns of Footprints of Brain Injury

Diagnosing brain injury in absence of a continuing loss of consciousness, is a matter of triangulating behavioral observations, scientific test results and objective measuring tools for the change in function correlated with brain injury. The most important piece of the diagnostic puzzle is the clinical judgment of a doctor experienced with brain injured people. In ...

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Footprints of Invisible Brain Injury

Last week, we talked about the term “invisible injury” as used by the Brain Injury Association, to describe brain injury and its application to discrimination against seizure dogs. That topic transitions to today’s blog about how we identify an “invisible injury”, such as brain injury. So how do we see the invisible? Well if we ...

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Service Dog Discrimination Issues

EDITORS NOTE: Yesterday, we talked about the “invisible injury” nature of brain injury, specifically with respect to public recognition of the role of seizure dogs. I had intended to next write about seeing the invisible, thru following the patterns of the footprints, but have decided to wait for that until tomorrow. I received this comment ...

3 comments   |   Brain Injury

Seizure Dogs and Brain Injury/Seizure Disorders

I have never been a big fan of the politically correct terms when discussing brain injury, hence my own coining of the term ©Subtle Brain Injury in 1999. See http://subtlebraininjury.com Having served on several boards where all they did was argue about what were the appropriate 30 words to put in a mission statement or ...

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The Need for Periodic Followups after a Concussion

As I discussed yesterday, if the person is seen the day after the concussion, there is a fertile opportunity to actually test the injured person’s memory formation, to see if they are in an amnestic period. Yet, no where in the Facts for Physicians Toolkit, does it call for a return visit the next day. ...

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CDC Acute Concussion Evaluation – Improved Process

Included in the CDC Facts for Physicians Toolkit, http://www.cdc.gov/ncipc/tbi/physicians_tool_kit.htm but not as conspicuous as I believe it should be is the Acute Concussion Evaluation (“ACE”) Form. Click here to go directly to such form: http://www.cdc.gov/ncipc/tbi/ACE.pdf This form is a major step forward and I wish that it was used comprehensively at every Emergency Room and ...

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Sport Concussion Guidelines have Migrated to Accidental Injuries

Most of the focus on changing definition of concussion has come out of concern about concussions in sport. Thru that work, beginning in the early 1990’s, it became standard practice that if an individual suffered a concussion in a sporting event, they should not be allowed to return to competition until certain objective criteria of ...

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Evolution of the Definition of Concussion

My last blog focuses the acute symptom of amnesia, the symptom that is now believed to be the most significant predictor of outcome after concussion. However, that is the modern way of looking at concussion, and unfortunately, not even all treatises or commentators on brain injury, are even willing to look at amnesia in absence ...

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