Traumatic Brain Injury and Post Concussion Syndrome For traumatic brain injury (TBI) and post concussion syndrome (PCS).


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Old 11-14-2013, 01:54 PM #71
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Do you know of a good neurologist in the Boise area?
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Old 11-22-2013, 08:59 PM #72
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You made some good points. I too experienced the frustration of going to the wrong medical professional. He was a more of a psych-neuro guy and not a neurologist. Unfortunately I wasted 4 hours taking tests that did not really add up to much. He seemed more interested in diagnosing me with depression or stress induced anxiety and completely discounted the fact that I experienced my second diagnosed concussion in a year. I work in a demanding job with a lot of responsibility so of course I experience stress but I like stress, it helps push me to achieve. My doctor fortunately seemed to support my views of the missed diagnosis however he has not been able to come up with a good treatment to help alleviate my lingering symptoms of poor balance, poor memory and sensitivity to noise. And to make things worse its now 2 months later and I hit my head again and was diagnosed with a third concussion. This one has made the lingering symptoms worse and my reaction times and vestibular deficiencies have lead my doctor to restrict me from driving. It sounds as if you may have an understanding of the issues from concussion symptoms that last a while. Have you made any progress in recovery?
Quote:
Originally Posted by Mark in Idaho View Post
I take exception to Marilee's recommendation of getting to a neurologist. While this may sound like the logical thing to do, Marilee was very fortunate to find a neurologist who has some level of understanding of Post Concussion Syndrome.

I have been seen by many neurologists. Only 2 out of at least 12 or 15 had a decent understanding of concussion. The wrong neurologist can start a medical record that can follow your quest for help and get in the way of future help. The riskiest neurologist in my opinion, is the one who works in a large multi-specialty group practice or HMO.

I am talking of the clinics of group that share access to medical records. If the family practice and ob/gyn and neurologist, etc. all have access to your complete records, the wrong label or diagnosis can block you access to further care.

In my case, one doctor diagnosed my as somatoform disorder. This can mean three different things. His symptoms are unexplainable, his symptoms are likely made up (psycho-somatic or hypochondriac) or we recognize his symptoms but can not reach a definitive diagnosis. The first two can leave you in limbo land or worse. The last can hopefully leave a chance at further diagnostic work.

After one doctor in my HMO diagnosed me as somatoform, my access to further help shut down. I spent my own money to get further diagnostic work but even then, my health care company (HMO) refused to even consider my private doctor's diagnosis.

So, if your are going to see a neurologist, get a referral to a neuro who has a true understanding of concussion. This will be a difficult but important task. If litigation is involved, do not do this wiithout the advice of your attorney.

My recommendation for early on is to learn to recognize your symptoms. The TBI Guide is a good startat helping you understand them. Telling a doctor that you don't feel right or feel dizzy or confused is too subjective. If you can better define the specific symptoms (but not in medical terms), the doctors can put a better picture together. Using medical terms creates a risk of being rejected by doctors who do not like patients doing self-diagnosis. The modern term for this is cyber-chondriac.

Instead, say:

I get stuck trying to find a simple word. I might know what I want to say but can't get the word to my lips. This has never happened to me before as often as it happens now.

The bright lights overwhelm me.

The voice of multiple people talking at the same time causes me to become disoriented.

If I try to watch TV, I can not pick out the dialogue from the common noises in the house like the heater fan, etc.

Try to define any specific situations where your symptoms get worse. Morning, at the mall, after trying to read, etc.

It also helps if you can bring a family member with you to explain what they observe. They can also take notes for later reference.

And, DO NOT SOUND LIKE YOU ARE WHINING or grumbling. A journal can help take the whine out of your presentation of symptoms to the doctor.
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Old 11-25-2013, 12:26 PM #73
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Default Consider's Guide of PCS

Things I wish I had known when I had post concussive syndrome:

1) Doctor intervention is important. Getting to the right doctors always makes a difference. Headaches and anxiety were treated, plus Occipital Neuralgia.

2)Keeping a diary of your symptoms every day is important. You can look back and feel good about progress, also it is a great tool to show to your doctors and therapists.

3)"Rest? What rest? I can't sleep! I am lucky if I get sleep at all!". This is the very thing I said to the doctors, and was later prescribed on mirtazapine, which controlled sleep, nausea and appetite. 4 months later, I successfully tapered off of mirt and have beautiful sleep. Do what you can to get rest. I can't express that enough.

4)Nutrition is important. Mark's Vitamins and Supplements thread helped me a bunch. I still take the vitamin regimen every day, and to be honest, even though I have recovered, my ADD brain performs better and I can calm down when frustrated.

5)Avoid going out into crowded places. The stress, nausea and pain from going out actually make me run back into my car, plus it takes a bit of time to recover from a place called Wal-Mart. Now, I can go into Wal-Mart without problems now that I have recovered.

6)Remember that song It takes two to make things go right? Well, that is correct. In fact, sometimes more than two people is great. People need support from other people, especially during PCS/TBI. I can't express how great it was to have my friend watch over me everyday. She supported me during my dark times and understood my triggers, and on good days, we would do low stimulation activities such as art.

7)"Being normal" are two bad words during PCS, and should never be used. You will never recover to "normal". It's not possible. During healing, the brain changes so much and ever so slowly, and during your PCS journey, your personality does change. Mine changed for the better, I feel more grateful towards life and I am no longer afraid to ask for help when I need it. However, the hot-headed stubborn part hasn't changed. lol! I am still 98% recovered with symptoms of Occipital Neuralgia since April of 2013.

8)An anti-depressant helps sometimes in some situations. During my PCS journey, I was extremely anxious and depressed. My brain was screaming for help as I felt I had lost everything in my life and wanted it back. This caused major depressive disorder caused by both my ADHD and PCS. Having both didn't help plus being anxious all the time didn't help, I got on board with Paxil. I have not tapered yet since it helps me with my troubling ADHD symptoms since childhood, such as depressive episodes and some anxiety.

9)"I'm having a good day, can I watch some television?" Absolutely not. You need 2 weeks of good days to determine if you feel better, and even then over-stimulation should only be increased little by little daily to see what you can handle. I was an avid gamer before my PCS and it killed me to not have gaming in my life. 2 weeks passed, and I slowly got into video games slowly. Proteus and the game Flower was very easy on my brain, and so was brain training games like Lumosity. I went into increasing by 5 minute intervals each day.

10)Life is full of ups and downs. This is a down that will soon become an up. I promise, its gets better from here. You will improve in some way. Take care of you during this time. I felt grief and mourning over my life during PCS, which later turned into acceptance and happiness after a while.

I really hope this helps you all as this comes from a PCS survivor. If you have any questions, drop me a message. I will be happy to help. Brain injury awareness is important and the support is lacking.

Warm wishes to you,

Elisa (Consider)
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College Student in Information Technology and avid PC Gamer, hit the back of my head against a bunk bed and went unconscious for 3 minutes back in 10-28-2012.

Symptoms: Occipital Neuralgia.
2 MRI's and CT normal.

Currently going through Paxil withdrawals, and psych has me on L-Theanine, Benadryl for zaps, and Lemon Balm. It has eased it by a bit, so I am continuing the treatment till 1 month from now.

Made a 98% recovery on April 8, 2013 with only symptoms of pinched nerves/Occipital Neuralgia in the head and is being treated with injections and physical therapy.

Was experiencing:
Migraines, Headaches, Nausea and Vomiting, Panic Attacks and Anxiety, Depression, Major Insomnia, Brain Fog, Tinnitus, Lethargy, Loss of appetite, Major Heart Palpitations, Occipital Neuralgia has eased a bit.

Vitamins and Medicines: , L-Theanine, Omega 3 Super DHA 900mg, Stress B-Complex Extra Strength, Potassium Gluconate 1000mg, Magnesium Malate 1250mg, Vitamin D3 2000 IU, Methylcobalamin B-12 5000 mcg, Vitamin C 500mg, Lemon Balm.

Things that helped me: My Vitamin Regimen, Medication, Earplugs (Love these!), Nature Sounds, Hydrotherapy, Neck Pillow with Heat, Heating Pads, Resting, Being Outside!

Last edited by Consider; 11-25-2013 at 12:27 PM. Reason: Spelling Errors
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Old 12-09-2013, 11:16 PM #74
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Default spacing out

I didn't really think of it like that - but spacing out is exactly what I've been doing and it is very helpful.

I often follow a guided meditation to get there and then just lay around relaxing as much as I can.

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el
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Originally Posted by worstislucky View Post
1. It is natural to fear the unknown if you don't know what exactly is happening. Trust your body to be able to heal itself over time, however long that might be.

2. One time I sat outside in the grass for 1-2 hours and just spaced out. My brain felt less stressed afterwards. For me it helped to have these "spacing out" sessions. Too bad it's wintertime and too cold outside.




Mark - great post. I think it is important that the wrong diagnosis by the neurologist doesn't obstruct opportunities to receive new help. I just wish I read that earlier, like 2 weeks ago.
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Old 12-10-2013, 09:37 PM #75
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Originally Posted by Margarite View Post
This is an awesome idea!!!!!

1) Realize that your doc probably doesn't know anything about concussions.

2) There really is not much to do for your problems

3) DO NOT GET A 2ND CONCUSSION

4) Treat your symptoms
If you are dizzy walk slowly and wear good shoes
If you have trouble with light wear sun-glasses
If you have trouble with noise try having some white noise to help

5) Have a daily journal of your symptoms throughout the day

6) Realize that people don't know how you feel, even when you tell them

7) You may be lucky and heal quickly, but it may take years

8) Research online there is a plethora of info

9) Realize that it you can learn to live with this...You are OK

10) You may have to stop doing sports (dancing), go to the gym instead

11) Pray, pray, pray!

12) Stress kills! Keep your neck loose not tight--best advice I got from a doc!

Finally just realize that you will be fine!
Don't hit your head again or it will get worse for a lot longer, but even then it will go away or you will learn to cope and live with it.
It can make you either a better or a worse person...your choice.
Sure it stinks, but as long as you have had a CT and MRI to prove that there is no bleeding or breakage then you won't die and you can become stronger from it.
Offer your time to others. This condition can cause you to become very self-absorbed, giving your time to others or even better giving your time to others worse off than you helps with the selfishness.

Good luck....I know it is a daily struggle. I am on month 23...It is still constant headaches, light and sound sensitivity, dizziness sometimes, nausea daily, trouble with concentration, worsening with activity, and constant fatigue. I got this from falling off a horse my freshman year of college, got 6 minor concussions afterwards from silly things within a year of the first. But I am in my junior year of college and plan to go to graduate school.

This has helped me to realize others' pain when they are suffering, it has made me want to go into nursing, it has helped me to learn how to manage my time better, and how to rely more on myself.

It is your choice.

Good Luck,
Margarite
Margarite,
Thank you for your words of inspiration. I am currently a senior in college dealing with PCS and have found your words encouraging. I have always been a spontaneous girl who like extreme sports like soccer, snowboarding, horseback riding, etc. I am only in month 3 and know I may have a long road ahead of me. I am trying to get through the rest of this semester so I can go home and fully rest over winter break. It is difficult dealing with constant fatigue, nausea, dizziness, and loss of time. The emotions have taken a greater toll on me though. I get anxiety wondering when this will end or if it will. I wonder if my boyfriend will continue to love me if I cant be that same spontaneous and fun girl. I wonder if my friends will still accept me as they have already drifted as I have given up drinking. This makes me sad and that feeling can be overwhelming as I just want to be back to "normal." I have hope I will get better as I get gleams of hope here and there when I dont experience symptoms for a few hours. I have given up sports and drinking as I do not know how they affect the healing process. Ive also given up the gym for now for the same reasons. I want to give my body time to heal but it is difficult in this fast pace life while I am trying to finish school. My faith has definetly helped me through this process and I am trying to find positives every day and be my sweet fun loving self even if it takes all of my energy. Thank you for your encouragement and if you have any other advice for a fellow college student trying to overcome this PCS, please let me know.

Kacee
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Old 12-10-2013, 09:48 PM #76
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Quote:
Originally Posted by Wanttobesurfing View Post
1. It may be a very long road to recovery, if ever - don't put a time limit on recovery. Really depends on the concussion. This is what I found most difficult. But with time, generally you will get better.

2. Reframe your situation and give yourself time to accept your circumstances. I'm 20 months, still not fully healed. I deal with it daily. I may never fully recover. Flipside is I could be dead or a parapalygic (sp?) or something a million times worse. Whatever you are going through it could be worse.

3. Limit risky activities. For me this is near impossible but I have reduced the risk of head injury. i.e. No Hockey.

4. Generally it will get better with time - just don't look at things day to day or even week to week. For a serious concussion month to month or every 6 months is more realistic. Then you'll probably see progress.

5. PCS can be a blessing. Trials and tribulations build character and can make you a better person. Relate your story to others - you can help out someone else.

6. This is just my opinion - doctors have no clue about concussions (hey my dad's a doctor so I don't say this lightly). They just don't. Time is what will make you better. I doubt you'll get answers through Neurologists.

7. For me doing things I love helps. Gotta stay positive.

My short story - head injury snowboarding. Knocked out cold for a minute or so. Memory loss. Probably was my 5th concussion since I was a kid.

I'm an exec and only missed 1 week of work (not saying that's for everyone but I think it saved me from potential for depression).

Month 1 to 3 - poor vision, couldn't walk around the block, always nauseated, headaches, dizziness, light headedness.

Month 4 to 12 - basically the same thing but gradually could get some excercise at the gym. Couldn't bend down to tee up a golf ball. Couldn't wash my car, mow my lawn or rough house with my kids.

Month 13 - eyesight finally corrected itself after seeing a zillion doctors. Yeah!

Month 20 - today. I Golf and do many things I've put off. Surfed in Maui last month (I know it is risky but very small waves...) Headaches still and most days, nausea sometimes but much better, dizziness sometimes. Can't pinpoint anything triggering how I feel. Although I do know stress doesn't help.

Tried Naturopath, accupuncture, seeing other specialists - nothing worked for me other than time. Never took any drugs and don't plan to.

One day maybe I'll be 100% better. Till then I'm coping with a different me - but long term I'll be better for it. No hockey though

Don't dwell in self pity.......your situation, whatever it is could be worse. As I write this I feel like crap.

Out.
Thank you for your words of inspiration. I am currently a senior in college trying to make it though my last semesters. All of my life I have been the girl who loves a challenge. MY passions include soccer, snowboarding, wakeboarding, surfing, horseback riding, hiking, and all of that fun stuff. Now, Ive had one too many concussions and am here dealing with PCS. I am only in month 3 and have given up sports for the time being and am trying to give up the gym for a little to see if it helps. I have nausea daly, fatigue, dizziness, and all that fun stuff. The anxiety and depression have taken a toll on me as I feel like my brain is precious and I am upset in myself for hurting it and pray that it will be better one day. If not, I mus learn to cope with this new me and I need to come to terms with that because like you said it could be way worse. I can still walk and smile and im alive on this earth. I know soccer and snowboarding and other activities may be done for me for good which is saddening. How long did you give yourself to heal before you started participating in simple active activities? I feel as if Im okay to handle the gym and outdoor activities, but I also do not want to rush the healing process. The gym helps with my anxiety though and that is why I am stuck at a cross road. I know the recovery road will be slow, and I may never be back to where I was, I just hope the people in my life accept me for that. Thank you for your encouragement and I hope your path continues to improve for you!

Kacee
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Old 12-10-2013, 10:20 PM #77
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Hey everyone! I need help. I know that I haven't dealt with PCS as long as most people on here, which is only 4 months and a few weeks. But it is hard to think that this is ever going to get better. I am only 16 years old and I struggle everyday. I feel like I am not a normal kid and that my whole life revolves around my head and what I can and cannot handle. I feel like people don't understand because there is never any light shown on PCS. Most people think that you get a concussion and your better in a few weeks at the most. I know this, because I was one of those people. That is what is so hard for me. Knowing that I am in this by myself. The struggle is only felt by me. If anyone has any hope or advice, now would be a great time for me to hear it because I am not so sure how much more pain I can take.
I am also in the early stages of PCS as I am just passing my third month. I understand your frustration as I have had numerous concussions that I have been able to just shake off. Now however its different. I wake up nauseous every day, get dizzy, light headed, lose track of time, find it hard to concentrate, find my reaction has slowed, and my emotions have severly changed. I get extremely anxious, depressed, and anti social. Not being able to participate in sports has also taken its toll on me. I have found this site to help me as every time I have an anxiety attack about the future, I read these stories of people who have been experiencing PCS for years and are okay. Even if I never fully return to normal, I am coming to terms with the fact that I can make this make me a better person or a worse one. That is up to you. When I get on here and vent, it helps with the emotional toll, and for the physical I take everything day by day. I am trying to rest my best, recconect with my faith, and understand this is out of my hands, but I can help the healing process. Keeping a journal of my symptoms each day has really helped me as progress isnt daily but rather monthly. When you are feeling down, know that you are not alone! hope this helps, stay strong

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Old 12-29-2013, 12:18 PM #78
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Default TBI guide?

Where do I find a copy of the TBI guide?


Quote:
Originally Posted by ConcussedinPA View Post
I would first say welcome to the forum. Read some of the posts in the hope that they help with your particular situation as each injury is distinct but you may have some similarities. You are not crazy and you are not alone.

For me, I spent the first few months in denial and trying to push through the injury. Pushing though is not an option: I found that out the hard way. It took me over six months to come to the conclusion that I had a severe injury.

For me, getting associated with a good medical team (neurologist, TBI specialist, and TBI rehab team) has helped. Beware of all docs as they are all not the same and you may need help finding someone with experience in TBI/PCS. I live near a major city and am lucky to have one of the nation's best hopsital systems available to me. Searching out the specialists and working with the insurance companies is very exhausting. Unfortunately it is something that must be done. Hopefully, you have a partner to help you with this process. Ask for help in this process.

The insurance process ..... wow what do I say besides roadblocks that can create overload. I still experience overload from talking to my insurance companies (IC). You must remember that IC are businesses seeking profits. Your medical expenses hurt their profits so IC will do things to protect their profits. IC make the process difficult so you will give up. Never take a denial of benefits without asking for an explanation.

The emotions are hard to handle. Read the TBI Guide as emotion is part of the process. I have done my share of crying and expect more to come in the future. Now, every day, I thank God I am alive and try to cope with this new life. Humour helps. Familiy and friends help. This forum helps.
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Old 12-30-2013, 12:03 AM #79
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Default searching for advice

I am a 21 year old suffering fro PCS and am looking for advice

I hit my head about 3 months ago now and the recover process seems to be a roller coaster ride.

At first, I didn't know I was injured so I continued with my life and pushed myself far too hard. After I relized something was wrong, I was finally able to take a step back and rest. Now I have been resting for about a month avoiding working out or anything to strenuous. However, I have been using the TV and computer a fair amount to keep me occupied.

I know youre suppose to avoid these things in the first 2 weeks, but since my recovery process was delayed should I attempt to step bak and cut those out to help me heal? Or try and progress? I am able to do light workouts here and there but try to rest as much as possible.

I guess since I had a late start to the recovery process I don't know if I should start over the healing process or continue to progress. My symptoms are not triggered when I work out or use technology, but they do come back on randomly and strong and I feel as if I am starting back from square one.

I would appreciate any advice on how to handle the recovery process
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Old 03-09-2014, 06:06 AM #80
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I probably wish I didn't listen to the first physician I saw at the ER.

This is what I was told

"Concussions are very common, and heal very fast, try to work your way up and if you get headaches stop, exercise is fine but do not hit your head hard again"

I went home and played soccer for a few hours, felt fine. Hung out with friends, wrestled a bit, fine.

Next day I wake up with a horrible headache, and that was it.

I will probably never be able to completely trust a physician again.
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