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Old 04-10-2012, 06:01 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: 11,418
15 yr Member
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These videos of the president of the Brain Trauma Foundation show how much is not known about concussions. They will be interesting when he has some conclusions from his federally funded study to define a concussion.

I struggle to understand why so much effort needs to be put into a consolidated definition. Defining concussion is is like the old question of Congress trying to define pornography. They Congressman said, I can't define it but I know it when I see it.

Concussion is just as obvious. There is a group of symptoms that follow a head trauma that combine to define a concussion.

As he mentions, the EEG community has 'had their hands dirty' about defining concussion. They have solid research that shows qEEG with a computerized analysis can pin-point concussion with a 97 to 99% reliability. This information has been available for at least 20 years. Now, there are multiple comparative databases that provide the same level of accuracy in diagnosing concussion.

The only industry that has denied these diagnostics have been the insurance companies that are liable for the treatment and compensation of these concussion patients.

Even the Social Security Administration denies the validity of qEEG for diagnosing concussion. So, instead of a $300-$400 qEEG diagnostic with a high level of accuracy, the patient has to fight to get a $2000 to $4000 NeuroPsych Assessment and hope the NeuroPsych Doctor does not have a bias against concussion and instead diagnoses depression as the cause of the cognitive symptoms.

Maybe the brain Trauma Foundation should look at the Ontario Trauma Foundation's report as start for their work.

From what he says, it sounds like the money should be spent teaching doctors that concussions have lasting symptoms and that they should stop discounting the patients complaints. The PCS community has been driving this information when the doctors and medical schools would not.

This money could also be spent assisting the injured stand up against the insurance companies by establishing validated databases of the many permutations of symptoms, images, and bio-markers that meet the Daubert Standard of evidence. Getting proper care and compensation should not depend on the arguing abilities of attorneys but rather on the many validated studies of the symptoms of concussion. Current prolonged litigation only enriches the legal profession at the expense of the injured.

Imagine how the lives of the PCS community would be changed if just half of the money spend on attorneys' fees and other legal expenses was instead available for the care and treatment of the injured.
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Mark in Idaho

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