I’m sorry to hear about your brother’s accident. After my accident my medical conditions were similar: TBI, skull fracture, pelvic fracture, collapsed lung, multiple broken ribs, blood clots, and hospital stay 2 months. For what it’s worth, he is still relatively early in the recovery cycle given the seriousness of the accident. While all brain injuries are different, your brother is still young so I’m guessing significant improvements are anticipated. Do you know what his GCS was upon admittance to hospital?

My short term memory and executive functions were most affected. The in-patient speech therapist had me working on problems involving sequencing and prioritization. Once discharged, my wife made me do multiplication flash cards (memory). In outpatient neuro rehab I continued to work on sorting, reflexes and memorization. One exercise I remember was the therapist shuffled two decks of cards, placed cards from one deck face up, and I had to place the cards from my deck to match. Crossword puzzles may also be useful. You can buy books of them, as necessary start with the easier ones and let him work up to the harder ones to avoid initial frustrations.

If he hasn’t had one already, the doctors should order a neuropsychological evaluation from a clinical neuropsychologist. This will give a better evaluation of his cognitive deficits will enable a more tailored treatment plan.

Check out the forum on TBI/PCS. Best to all of you on this recovery journey.