Quote:
Originally Posted by Mark in Idaho
john,
First, don't waste your breath asking your neuro. As I said, he does not know the answer. Plus, what symptoms are you seeing the neuro for ? I thought your only symptom was occasional head aches. You said "Not just the single simple question "is 100% recovery possible" as I do know that, yes, doctors will usually say yes based on the patient's usual layman understanding." I don't think the patient's usual layman understanding has anything to do with how a neuro will answer your question. Even your doc with special training in concussions will say Yes. They do not know any different.
But, I expect you will keep asking this question so you can get a number of answers that agree with your opinion.
I take great exception to you terming my comments as only my opinion. I have been seriously reading the research for over 15 years. The research from the 70's was repeated in the 90's with the same result. As I said, even newer research with the latest and greatest diagnostic tools have confirmed the older research. The research is conclusive. There is no way newer technologies can disprove what has already be demonstrated. Newer technologies will not show the changes in qEEG/AEP/VEP to be erroneous. High Tesla MRI's can image the damage long after an perceived appearance of recovery. I am not adding the comment that the brain does not heal 100% as my observation. The studies make this statement in their scientific conclusions. It a study were to say less than such an affirmative statement, I would only repeat it as studies suggest, not studies state or studies show. And, scientific studies routinely make that distinction. Often, when they make a 'the study suggests' comment, they also comment about the need to study the issue further using a more refined study protocol.
Some of the long term symptoms of brain injury are in thought processes. A common one is called rigidity of thought. It is a thought process where it becomes difficult to over-rule existing thought processes. It can be compared to OCD like issues. Anxiety or a focus on a single issue is also a common symptom. In MY perspective, it APPEARS that you have not been able to accept comments I have made nor take those comments and apply them in a logical way to come to a conclusion. Now, you have taken that same comment and made it into an accusation versus an observation from my perspective.
Regarding nicotine, the fact that it is vasoconstrictive HIGHLY suggests that it can effect recovery that requires good blood perfusion. Research shows great value to getting good blood perfusion in the brain to recover from brain injuries. One of the key struggles the injured brain has is clearing toxins from injury and metabolic wastes. Only the capillaries supply blood to the individual cells. Larger vasculature is only for blood distribution. There are plenty of concussion issues needing research that make any research about nicotine out of the question.
HBOT imaging research is often used to promote HBOT for concussions based solely on the observation that HBOT causes capillary regeneration. They can image this capillary regeneration. They tie this capillary regeneration as important for concussion recovery based on the known need for good capillary perfusion. Logic would suggest that anything that reduces capillary perfusion as counter to optimal healing.
Regarding your other history. Your demand that I ignore that when answering your question is like the patient who asks his doctor if he will be able to dance after his leg heals. When the doctor answers "Yes," the patient responds, "Great, I never could before."
I am not making a judgement about your past. The fact that you overcame that period is a giant feather in your cap in my view.
btw, I do understand these issues. I lost an uncle and great uncle to alcohol. I have also read the research about how alcohol affects the brain long term. It is most damaging to the brain when abused before the age of 25, the younger, the greater the risk to the brain.
Doctors take medical histories because those histories matter. I am sure you have been taught the importance of getting accurate medical histories.
The reason I brought it up this last time was to emphasize how the brain changes how it functions based on things as simple as nicotine and alcohol. The neurotransmitters and multitude of chemical receptors in the brain can quickly become accustom to the presence of things like nicotine, alcohol, drugs (legal and illegal), sex hormones and related pleasure chemicals, and such. It is often extremely difficult to change how the brain responds to these issues.
It is known that PTSD causes physiological changes to the brain. They believe these changes to be permanent.
You still have not explained why this question is so important if your only symptom is head aches. What symptoms do you still need recovery from ?
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Again Mark, thank you for your in depth feedback. And I appreciate your long term dedication to research on all things concussion. A couple things.
First, you are not my doctor, and I do not want you to treat me as a patient asking a question. I never asked about *my* concussion and *my* situation in particular, but I specifically asked for feedback on the ****general question**** of whether concussions can heal 100% or not. I am not concerned with what your opinion is on my **particular** situation Mark. I was looking for feedback on a general question and it is my business how I apply that to my situation. I do not know how I could be more clear here.
Second, I understand, and I am willing to accept the *possibility* of there being lasting damage 100% of time that will never heal. That is based on the information you have provided. But, for you to say that, since I do not 100% accept what you have given as fact, and that therefore means i have "rigidity of thought" and "trouble with my logic processing" sounds a little like you believe yourself to be the all knowing oracle of everything concussions and is a bit of a turn off. Maybe your severe concussions have created this? Yes, so far the studies you have mentioned do show that lasting damage is a reality. But to say that those studies have proven that ALL concussions 100% of the time, measured along every length of time, among the full range of human circumstance, will 100% unequivocally show that lasting damage is 100% fact ALWAYS the reality, I highly doubt that the range of participants and circumstance would allow for this kind of conclusion. And I also understand it is not realistic to have this complete of a study pool and that studies do their best to be as broad as possible. ALL I'm saying Mark is that my mind is still open to the possibility of 100% recovery. I'm also open to the fact that I could be wrong, and your research definitely lends to this. At this point, what would make most sense, is for to me do some of my own research, confirm with other sources, and then come back and continue the discussion. But obviously, this would take much time. Since you are giving the example of Doctor talking to patient, how is wanting to get a 2nd opinion and doing some self research before making a conclusion "rigidity of thought"?
In terms of my symptoms, well I still am getting occasional headaches, and I seem to have a bit of haziness, just not feeling 100% But this really could be from the headaches as well as a possible placebo effect from my mind obsessing over the fact I had a concussion and making something out of nothing. At the end of the day, as I said, it's more the unsettling idea that the brain can't heal 100% that bothers me, versus the actual symptoms. I do expect the symptoms to go away eventually.
And I do agree with you on the nicotine thing. I have stopped cold turkey as I want to play it safe.
**p.s. I forgot to ask, could you link me to some of these studies you have mentioned regarding the brain never fully healing? I would be very interested to read them. Thanks.