WestCoastMom,

Sorry to hear about your daughter's injury and struggles. You are right that an MRI will not show anything that related to her concussion. The Elavil dosage sounds a bit high. The common dosage for PCS is about 10 mgs.

Dr Robert Cantu at Brigham and Womens Hospital is a renowned specialist in concussion. Here is a link about him: http://www.medscape.com/viewarticle/553955_4
It says he has a private practice in Concord.

It will take time for your daughter to recover. The stresses of school need to be minimized. It is believed that the stress can cause a regression. The re is a need to moderate the environment to get longer periods without overload and brain crashes for the brain to heal. She should check with the school's disability services department. They should be able to help her minimize the stress load.

She should get some foam ear plugs and use them regularly. Sunglasses can help. Sitting at the front of the class helps. Wearing the most comfortable clothes also can help.

PCS makes college a tough task. Been there, done that.

btw, It will help many of us if you use lots of paragraph spacing. Many of us struggle to track from the end of one line of text to the start of the next. Smaller paragraphs of 5 or 6 lines helps lots.

I would tell her to cancel the MRI and get an appointment with Dr Cantu.

My best to you and your daughter.