Hi All,

After a phone call to my Atty, I received my 22 page report via email...still have yet to receive the hard copy in the mail...

I'm going to bullet point key points, it's easier for me and hopefully for you as well, to follow along...

One thing I would like to state before I do so however, is that I WISH I had been somehow warned that this was going to be a HIGHLY EMOTIONAL experience for me...it's so very different to read about yourself in a professionally written document...it's difficult for me to explain...I became VERY upset and have spiraled down symptom wise as a result...I'm cutting myself some slack though, it was a lot to comprehend...here goes....

1) I am not malingering or "faking" my injury or symptoms...I could've told them this...oh yes, that's right I DID...but no one listens...or has believed me.

2) My pre-morbid intelligence was "Above Average"...my current level of intelligence is "Below Average"...this was the "straw that broke the camel's back"...doesn't get more humbling than this....

3) I am "apparently" a "Suicide Risk"...seems as though I "overly downplayed my symptoms"...it is believed that I contemplated suicide at some point...I would like to say, for the record, this is untrue for several reasons...I have 3 beautiful Sons and there is NOT A CHANCE that I would EVER leave my children willfully...reading this made me very, very angry..more so than my baseline....(I'm going to start copying and pasting now....)

4)" In general, compared to expected levels of ability from the WTAR, Ms. * intellectual
test results are largely compromised. Aside from relatively intact processing speed, her overall
intelligence, verbal intellectual skills, performance intellectual functions, and working memory
are below expectations".

5) The frequency of Ms. * MMPI-2 high profile pair (2-3/3-2) is very rare in Normal
women, occurring in less than 1% of respondents. In contrast, her response profile is more
commonly found in women in medical settings (18.6%), in female personal injury litigants
(7.6%>), and in females with mild TBI (7.9%). There is a relative lack of clarity in Ms. *
MMPI-2 profile, suggesting that her scale elevations could change if/when she is retested with
this instrument.

6)Ms. * expected level of premorbid functioning would likely fall in the High
Average range. Compared to this level of capability, current areas of intact functioning
are limited to sensory/perceptual functions, motor skills, speech/language functions,
processing speed, and frontal/executive abilities. Additionally, Ms. * is socially
appropriate within a structured setting and appears to have a solid social support network.

7)On the other hand, areas of variable or deficient functioning include the following:
• Intelligence (e.g., reduced verbal and performance intellectual skills, etc.)
• Academic Abilities (i.e., intact reading and spelling, but impaired mathematics skills)
• Visuospatial Skills
• Learning/Memory (e.g., relatively intact verbal learning/memory, but impaired nonverbal
[visual] learning/memory functions, proneness to interference, etc.)
• Attention/Concentration (e.g., intact visual working memory, but reduced auditory working
memory, etc.)
The degree of Ms. * neurocognitive difficulties represents a clinically significant
change in functioning compared to premorbid levels of capability. Moreover, the
magnitude and scope of her deficits appears sufficient to impact many aspects of her
daily life at home and/or in a work environment.
There is a tendency for Ms. * to have greater difficulty with neurocognitive
functions associated with the non-language dominant (likely right) cerebral hemisphere.
However, neurological and/or neuroradiological assessment would be necessary to
determine the significance of this test pattern.

8)Nevertheless, given the Mild severity of Ms. * TBI and amount of time since the
incident in question (over 1.5 years), it is unlikely that the bulk of her current functional
impairments have a neuropathological cause. Moreover, her pattern of difficulties
associated with the non-language dominant (likely right) cerebral hemisphere is
inconsistent with the typical effects of MTBI.....????? I don't understand...

9)Regarding prognosis, the probability of additional spontaneous recovery is relatively
unlikely given the amount of time since the 7-21-10 incident. However, continued
treatment and use of compensatory strategies may assist Ms. * ability to cope with
and adjust to her post-accident limitations.

AND FINALLY....

RECOMMENDATIONS:
1. Ms. * should be provided with mental health treatment at this time. In
particular, consideration for psychiatric medication (e.g., anti-depressant
medication) may be appropriate, as recommended by her physician. Additionally,
involvement in supportive psychotherapy may be of benefit to augment her ability
to cope with changes in her post-accident functioning and to encourage
resumption of employment. Although she overtly denies suicidality, portions of
her current results suggest that this issue should be monitored closely by her
treatment providers and family.

2. Neurological follow-up appears appropriate for Ms. *. In addition to
ongoing monitoring of post-TBI issues, assistance with possible referrals may be
indicated. For example, referrals for pain management assistance and cognitive
rehabilitation might be appropriate.

3. The patient's learning/memory difficulties are significant at times and indicate
that she should utilize memory compensation strategies or tools whenever
possible. For example, use of a pocket calendar, GPS device, audiotaping, or
other electronic memory aides might be of benefit to Ms. *. If necessary, a
referral to a cognitive rehabilitation specialist may be appropriate for assistance
with these issues, particularly in the workplace.

4. Despite Ms. * aforementioned neurocognitive deficits, she demonstrates a
number of strengths including speech/language functions, processing speed, and
frontal/executive abilities. Although she currently does not appear capable of
resuming employment on a full-time basis, a gradual return to work on a part-time
basis appears indicated. It is recommended that Ms. * begin the process of
seeking employment on a part-time or 'per diem' basis. Assistance from a
vocational counselor may be of assistance during this process.

...I am very anxious for other's interpretation of the above. I know I have a very long road ahead of me...I am just praying that I can return to Nursing in SOME aspect...thoughts???