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Old 11-25-2014, 07:45 PM
Mark in Idaho Mark in Idaho is offline
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Join Date: Feb 2009
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Mark in Idaho Mark in Idaho is offline
Legendary
 
Join Date: Feb 2009
Location: Somewhere near here
Posts: 11,427
15 yr Member
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You stated "(the second impact thing: cant find the med site. It wasn refing Second Concussion Sydrome but rather that the inititial impact and subsequent swelling (mins, hours or days later) are considered seperate events. Sometimes the second doesnt occur and the inured just has a mild concussion rather than TBI)"

In my years of researching concussions, I have never heard anything like this. Concussions are known to cause a cascade of events with some symptoms not manifesting for days or weeks. Those that consider later swelling a separate event are not up to the medical knowledge. In fact, one expert chastises the ER docs and others who see the patient first of the need to note in the chart that a head impact was suffered, whether there are current concussion symptoms or not. This way subsequent issues can be properly tied to the head impact.

Unfortunately, many doctors focus on the bleeding and obvious contusions without addressing the possibility of a concussion.

There is solid evidence that shows that the presence or absence of short term Loss Of Consciousness (a few minutes) has no bearing on the severity of the injury. What is more important are the symptoms that show on a thorough neurological assessment. It appears you had many observable symptoms that should have caused the doctor to either admit you or at the least schedule a follow-up exam the next day or two. A simple phone conversation would have been a good indicator of your mental state. Standard protocol dictates following a patient like you for 24 hours at the minimum, even if that following is by phone.

I don't think that your first doctor would have been much better at all even if you have more specific information. He already had enough information to help you but chose not to.
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