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

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Old 04-12-2013, 09:24 AM #1
Concussion Concussion is offline
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I would agree that your anxiety is bothering your perception over the planning.

I would also recommend that you demand your PCP only agree to this with his/hers and the Vestibular Therapists ability to recommendations to extend the weekly plans as they see the needs during your evaluations since you will be visiting the therapist regularly...and that therapist should be having regular contact with your PCP .

Hang in there.

Best Wishes.........
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Current: Changes of more insomnia, new reviews with findings of more Depression, tremors, vertigo, tinnitus, loss of focus, fatigue; SSDI - accepted on Depression, Cognitive Deficits; Seizures ruled out, mTBI changes including cognitive slowing/lapses.
Medication update: Topamax 200mg twice daily it seems to minimize daily headaches to a 1-2/10 quality(I still know they are there); and acute headaches erupt without warnings.
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Old 04-12-2013, 10:10 AM #2
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Stay in the moment Ms. Rrio. It sounds to me like your doctor was not agreeing to that plan. I also think that is an aggressive return to work plan. You said your doctor wants you to ease back in slowly. I am not sure he is agreeing with their plan. I think this plan can be changed as needed. I don't think it is written in stone. This is the plan they would like to have you accomplish but if you need to take it slower, I think they will be accommodating to you. You seem an important employee for your employer and I am sure they want you back but want you back ok and working good. Not pushing you too hard and causing more problems or loosing you.
You also still have the six weeks to go. That is almost two months. You reported in your signature that your speech (stuttering) is improving quite a bit and the prism glasses were helpful. This is progress. You still have the six weeks. Go through that first and then see how you feel. If you are not up to work by the end of the six weeks then you and your doctor and employer can come up with a kinder, gentler plan. Lets wait and see how your doing after those six weeks of therapy before you worry so much about returning to work. What's the worst that can happen? You won't be ready and will have to take more time or you might have to quit or get fired. No big deal. You are a smart lady. Things will work out. Don't let the anxiety over what has not happened yet and may never happen bother you now. Take it one day at a time.
Best of luck to you. I am pulling for you! This is going to work out ok!
Love,
Brain
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Had MVA in 2006 resulting in post concussive syndrome manifested by cognitive impairment, chronic pain/ fatigue. Chronic pain of head, neck, back, left leg.
Other problems include REM sleep behavior disorder, nocturnal frontal lobe epilepsy, chronic migraines associated with nausea/vertigo, episodes of passing out, hypoglycemia, liver dysfunction (had accidental overdose of acetaminophen in 2009) had liver and kidney failure, hernia, degenerative disc disease with compression of nerve root, PTSD, and other problems associated with functioning problems from traumatic brain injury (light, sound sensitive, easily overloaded, easily distracted, cannot focus, anxiety problems etc.)
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Old 04-12-2013, 11:55 AM #3
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Just as every brain injury is different, I think each return to work plan should also be unique.

Within a gradual return to work (each week you should monitor symptoms, if they worsen return to previous week), I found in this forum the following return to work accommodation "guidelines" for brain injury:

http://askjan.org/media/brai.htm

Again, this is in the U.S. and for the ADA (Americans with Disabilities Act), but it provides some information.

The anxiety must be overwhelming--sending you lots of light!
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The event: Rear ended on freeway with son when I was at a stop in stop and go traffic July 2012. Lost consciousness.

Post-event: Diagnosed with post-concussion syndrome, ptsd, whiplash, peripheral and central vestibular dysfunction and convergence insufficiency. MRI/CT scans fine.

Symptoms: daily headaches, dizziness/vertigo, nausea, cognitive fog, light/noise sensitivities, anxiety/irritability, fatigued, convergence insufficiency, tinnitus and numbness in arms/legs.

Therapies: Now topamax 50mg daily; Propanolol and Tramadol when migraine. Off nortryptiline and trazodone. Accupuncture. Vitamin regime. Prism glasses/vision therapy. Vestibular therapy 3month. Gluten free diet. Dairy free diet. On sick leave from teaching until Sept. 2014.
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