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


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Old 02-24-2013, 10:45 AM #1
Mokey Mokey is offline
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I was also referred by an MD but, even so, in Manitoba, neuropsych assessment is not an insured service. I decided against it because I was starting to get a very good handle on my own cogitive deficits....most relating to vision and visiual memory, luckily enough! My long term disability insurer with my work finally asked me to go for one and they paid. It was reassuring in that my 'IQ' was still relatively intact, and I had major deficits in visually related tests. It was horribly difficult to do the test...i did it one hour at a time over a three week period. It wiped me out!

The test does not usually get to the heart of some major deficits, such as those related to executive functions, planning, motivation, apathy, detachment, multi-tasking abilities.

Good luck!
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What happened: Legs pulled forward by a parent's hockey stick while resting at the side of the rink at a family skate....sent me straight back. I hit the back of my head (with helmet) on the ice, bounced a few times, unconscious for a few minutes. September 11, 2011. Off work since then…I work part-time at home when I can. It has been hell but slowly feeling better (when I am alone☺).

Current symptoms: Vision problems (but 20/20 in each eye alone!) – convergence insufficiency – horizontal and vertical (heterophoria), problems with tracking and saccades, peripheral vision problems, eyes see different colour tints; tinnitus 24/7 both ears; hyperacusis (noise filter gone!), labyrinthian (inner ear) concussion, vestibular dysfunction (dizzy, bedspins, need to look down when walking); partial loss of sense of smell; electric shocks through head when doing too much; headaches; emotional lability; memory blanks; difficulty concentrating. I still can’t go into busy, noisy places. Fatigue. Executive functioning was affected – multi-tasking, planning, motivation. Slight aphasia. Shooting pain up neck and limited mobility at neck. Otherwise lucky!

Current treatments: Vestibular therapy, Vision therapy, amantadine (100 mg a day), acupuncture and physiotherapy for neck, slow return to exercise, magnesium, resveratrol, omega 3 fish oils, vitamins D, B and multi. Optimism and perserverance.

Last edited by Mokey; 02-24-2013 at 10:46 AM. Reason: Typo
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Old 02-24-2013, 02:38 PM #2
Mark in Idaho Mark in Idaho is offline
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Mokey said, "The test does not usually get to the heart of some major deficits, such as those related to executive functions, planning, motivation, apathy, detachment, multi-tasking abilities."

This depends on the battery of tests used in the NPA. The MMPI-II should point to some of the psychological issues, motivation, apathy, etc. Multi-tasking is part of the trail making test and some tests that create a conflict to thought processes but they are often visually oriented. Your NP may have chosen to not have you do some tests because they were not relevant to his directive from the insurance co or he already was aware of you difficulty in that area. He may have also pre-determined that multi-tasking was not going to be a strong skill for you.

My two NPA used mostly different tests to measure the same functions. The Halsted Reitan Battery used to be the gold standard but more recently, NP's have used other batteries of tests or designed their own battery of tests.

So, it is hard to predict what the NPA will be like. Attorney Gordon Johnson discusses the differences in NPA batteries at www.tbilaw.com and wwwsubtlebraininjury.com

Best to just relax and take the tests and let your symptoms/limitations show themselves.

My best to you as you decide this issue.

There are tests that measure executive function. I am surprised your NPA report did not comment on executive functioning.
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Old 02-22-2013, 12:16 PM #3
thedude58 thedude58 is offline
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I'll add too, that I don't remember what testing I'll be undergoing, however the hospital has assured me that it is covered by OHIP. My injury occurred in 1972, a long time ago, in a different province, far, far away. Kidding aside, I'll post here, what exactly, I find out.
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Old 02-28-2013, 10:47 AM #4
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Hello everyone. I've been referred/scheduled for a Neuropsychological assessment at Ontario Shores. I have confirmed that the testing is covered by OHIP.
Cheers,
Jamie
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Old 02-28-2013, 11:18 AM #5
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I hope you get some answers Jamie! I guess the trick is having a psychiatrist on board not just a psychologist. I can't get in to see a psychiatrist unless I'm suicidal or need medications and neither apply so I'm stuck paying for everything myself. Let us know how it goes and what kind of recommendations and help you get from it.

Take care,
CC
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I'm a 39 year old, female, accountant. On July 2, 2012 I crashed my bike at the end of a 65KM road ride. I was fine that day but woke up the next morning to my current world.

Ongoing symptoms include: dizziness, blurred vision, light and noise sensitivities, cognitive problems, uncontrollable emotions/depression/anxiety, headaches (but they're getting better), mental and physical fatigue, difficulty communicating and sleep disturbances.

Currently seeing a fabulous Neuro Psychologist and vestibular physiotherapist and hoping to soon see a neuro ophthalmologist. I am currently doing 20 minute stationary bike rides daily, 20 minutes of meditating, 15 minutes of Lumosity and lots of resting. I have not been able to work or drive since the accident.

The things that have helped me the most since the accident are vestibular therapy, gel eye drops (for blurred vision, sensitivity and dryness), amitriptyline (10mg), and meditating. I am finally starting to see some slight improvements and am hopeful!

My brain WANTS to heal itself... I just have to let it and stop trying to get better!
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