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TBI Blog

September 2021

A Fresh Look

SunglassesOne of the most frequent set of symptoms to accompany TBI- especially of the sports variety (i.e. Concussion) would be that of Irlen Syndrome. Irlen sufferers usually have bouts of nausea, sensitivity to light; they may or may not experience words floating around on the page when trying to read, and concentration maybe extremely difficult. On some level, this is due to Ocular motor dysfunction, something i just delved into a little bit this past week.

One thing worth trying:

Go to the nearest curio-shop (I’m thinking like Spencer’s Gifts or whatever store would have Grateful Dead and DOORS t-shirts in fresh supply) and try some of those old round hippie glasses. Try some differing shades- yellow, red, blue. It may very well be that one of those will bring almost immediate relief. Buy a few pairs in case you break one, and utilize them as long as the symptoms persist. The data and research supporting this is minimal to none, but many say it helps.

In a Flash

Emergency vehicles

A good friend and I were musing one night about his time overseas in Afghanistan, and he shared with me (more or less) the field assessment of attempting to determine if someone had sustained a brain injury. It went something like this: Is there an open head wound? Is blood coming out of the eyes? Is a clear fluid leaking from the ears? is there excessive vomitus?

We were on topic, because he had posted a picture on a social media platform of his five year old son who had sustained an injury from falling… with a goose egg on his forehead overshadowing his brow. My friend had shared the story of the trip to the hospital that followed, and his gratitude that things seemed to be going fine; that is, until I questioned him. His son, in fact, he become wildly needy and very emotional since.

But, back to the field assessment: “T’was a flesh wound” and that whole bit from Monty Python was floating through my mind, as it seemed almost comical, although in reality tragic. If your brain is leaking out of your head, it may very well be that you have a brain injury. You don’t say?

Which brings us to the point: what about anything short of that?

The standard for Emergency Room care across the country in detecting brain trauma is typically CT or MRI, when warranted. Both will pick up a vascular bleed, for sure, but outside of that would be wildly unreliable in determining what long term damage is likely to be present, and most importantly, there is very little follow up to find out. Even with a life altering and life changing injury, it is highly likely, you will be in…and out, in a flash. I hear such stories almost on a daily basis.

Sometimes to get the right answers, you have to ask the right questions, and discard old ideas for new. In upcoming blogs I’ll share about the instruments and imagery I have found to be extremely helpful, and the types of things to look for.