[wdl6591]

Sorry, it's been so long to get back to you. Things have been a little disjointed.
I have suffered from depression and anxiety issues in the past brought on by extreme work stress. I had a breakdown in August of 2011. In October of 2011, while struggling with new medications I had a fall at home and spent 12 days in the hospital dealing with concussion, minor TBI, some minor bleeding in my brain and all of the other post concussion symptoms. Extreme sensitivity to light and motion (but oddly not sound), cognitive impairment, vertigo, fatigue, etc. Treated at Shepherd-Pratt Hospital Concussion institute in Baltimore by neuro-psychiatrist and neuro-psycho-social therapist. Treated at the Malcom Berman Spine and Brain Institute at Sinai Hospital in Baltimore by a neurologist on the staff of Dr. Crutchfeld, supposedly a leader in the field of mTBI and PCS. I showed improvement and was able to return to work (at a much less stressful different position at a different firm) in August of 2012. Now in October of 2013, I have had a headache for 24 months. I've used Depakote as a prophylactic for headache and have weaned off of that to a bare minimum due to other side effects. I use a rotation of Tylenol, naproxen, and Tramadol for pain relief to avoid rebound headaches. I've had Botox injections consisting of 30 injections in my face and scalp (sides and back of head) twice, 12 weeks apart and am scheduled to have a third series next week. The injections help with the severity of the headache, not the frequency which is constant. Most days a level 1/2 out of 10 on the pain scale. Flare ups to 3/4 levels are not uncommon and 7/8 levels much less frequently, which is a huge improvement. Depression and cognitive impacts are much improved. I feel like I'm 90 - 95% of who I was prior to the fall. I've tried acupuncture, diet, meditation, biofeedback, etc., all with minimal success. The only thing that I've come to realize about the medical community and PCS is how little they know about it. You read and hear so much about concussion prevention to sports, etc. and I've come to realize that the reason they care so much about prevention is that they are clueless about a cure.