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| Traumatic Brain Injury and Post Concussion Syndrome For traumatic brain injury (TBI) and post concussion syndrome (PCS). |
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08-16-2014, 10:54 AM
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Legendary
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A Neuro Psychological Assessment is performed by a Neuro Psychologist (Ph.D.), a psychologist with additional training in assessing brain dysfunctions. The NPA is a battery of tests that measure a wide variety of brain functions.
There are basically 6 different types of memory functions. Those of us with PCS often have struggles with short and intermediate memory functions. They measure processing speed, executive functions, attention, divided attention, and a number of other cognitive functions. NPA's are expensive unless insurance will cover them. They are good at confirming dysfunctions that we often complain about but the MD doctors are unable to confirm. My best to you.
__________________
Mark in Idaho "Be still and know that I am God" Psalm 46:10 |
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08-16-2014, 11:05 AM
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Junior Member
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Quote:
__________________
What Happened: 3/6/14 I was leaning in to pick my phone off the floor of my car and hit my head on the door frame. No immediate problems but I woke up the following day with blurred vision, nausea, fogginess and memory issues. Headaches came the next day along with speech problems. CT scan was clear. Took a few weeks off work. Went back for half days for two weeks. Then: 4/14/14 While still recovering from the first concussion I hit my head on the edge of my desk. Immediate headache, nausea and blurred vision. Doctor referred me to a neurologist who prescribed physical therapy for my neck, as I get incredibly stiff/sore necks daily which helps to bring on the headaches. Doctor also referred me to a counselor, who is helping me to cope with the anxiety and panic that has come up in my post concussion world. I deal with severe sensory problems and the frequent bout of aphasia. And Then : 10/6/14 I was cleaning something (ok cat puke) up from underneath my new glass table when I stood up too fast right into it and voila, trauma #3. I was out of work for a month and a half this time. Noise problems, aphasia, etc. |
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08-16-2014, 12:15 PM
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Legendary
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You may be able to get a direct referral by calling your health insurance company and explaining your symptoms. My health insurance company has a referral line that refers to in-network providers. You may have access to a network provider list that includes NP's. Call an NP on the list and ask about how to get a referral.
Has your doctor ever done a MMSE (Mini Mental Status Exam) where he tells you some words then asks you to repeat them after some time has elapsed ? This is often the first step towards an NPA.
__________________
Mark in Idaho "Be still and know that I am God" Psalm 46:10 |
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08-16-2014, 02:34 PM
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Junior Member
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Quote:
__________________
What Happened: 3/6/14 I was leaning in to pick my phone off the floor of my car and hit my head on the door frame. No immediate problems but I woke up the following day with blurred vision, nausea, fogginess and memory issues. Headaches came the next day along with speech problems. CT scan was clear. Took a few weeks off work. Went back for half days for two weeks. Then: 4/14/14 While still recovering from the first concussion I hit my head on the edge of my desk. Immediate headache, nausea and blurred vision. Doctor referred me to a neurologist who prescribed physical therapy for my neck, as I get incredibly stiff/sore necks daily which helps to bring on the headaches. Doctor also referred me to a counselor, who is helping me to cope with the anxiety and panic that has come up in my post concussion world. I deal with severe sensory problems and the frequent bout of aphasia. And Then : 10/6/14 I was cleaning something (ok cat puke) up from underneath my new glass table when I stood up too fast right into it and voila, trauma #3. I was out of work for a month and a half this time. Noise problems, aphasia, etc. |
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08-16-2014, 05:55 PM
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My neurologist told me about a neuropsych exam. Its like 3-4 hrs. It will help others recognize something is wrong but it will not help you physically. Only rest, and time could do that but if it gets you some leverage with compensation or with work id do it.
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08-16-2014, 06:07 PM
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Sounds like I'll have to look into this. Thanks everybody.
__________________
What Happened: 3/6/14 I was leaning in to pick my phone off the floor of my car and hit my head on the door frame. No immediate problems but I woke up the following day with blurred vision, nausea, fogginess and memory issues. Headaches came the next day along with speech problems. CT scan was clear. Took a few weeks off work. Went back for half days for two weeks. Then: 4/14/14 While still recovering from the first concussion I hit my head on the edge of my desk. Immediate headache, nausea and blurred vision. Doctor referred me to a neurologist who prescribed physical therapy for my neck, as I get incredibly stiff/sore necks daily which helps to bring on the headaches. Doctor also referred me to a counselor, who is helping me to cope with the anxiety and panic that has come up in my post concussion world. I deal with severe sensory problems and the frequent bout of aphasia. And Then : 10/6/14 I was cleaning something (ok cat puke) up from underneath my new glass table when I stood up too fast right into it and voila, trauma #3. I was out of work for a month and a half this time. Noise problems, aphasia, etc. |
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08-16-2014, 06:07 PM
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Magnate
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[QUOTE=allday310;1089813]My neurologist told me about a neuropsych exam. Its like 3-4 hrs. It will help others recognize something is wrong but it will not help you physically. Only rest, and time could do that but if it gets you some leverage with compensation or with work id do it.[/QUOTE
A neuro-psych is not a treatment, it's a diagnostic test - a test that can be VERY useful to the patient. Firstly, it can PROVE to your doctor that you are injured. This can open the way to more and better treatment, accommodations in the workplace, disability pensions, more understanding from friends/relatives, etc... Knowing ones deficits can also help target cognitive/occupational therapies that can lead to actual IMPROVEMENT. While rest is important, the brain is very plastic and, at some point, it is time to start helping it to retrain. If all I'd done was rest and wait, I wouldn't be as functional as I am today. Don't believe me? Go on YouTube, watch "The Brain that Changes Itself" and make up you own mind. Hope, Believe, Strive |
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| "Thanks for this!" says: | music-in-me (08-16-2014), Socks (08-16-2014) |
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08-16-2014, 06:25 PM
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I really appreciate everyone's insight. And the fact that people here know what I'm going through is comforting. I had a rough day today. I almost had a panic attack this morning for the first time in months due to the noise at work which threw me completely off. I thought that aspect of my recovery was over. Fortunately I had my coping tools with me, along with my prior knowledge, so I was able to get past it fairly quickly. And just in general I'm noticing issues with I'm guessing my short term memory, or I guess it could maybe be distractability, at work. I work on watches and we install batteries and offer a 1 or 2 year warranty. I can ask the customer which warranty they want, install the battery and in the minute or so in between I've forgotten what they've told me and have to ask them again. Before it happened every now and again but now it seems like every single time and I feel like an idiot. I guess I'll have to start writing it down when they tell me. Just one more way this stupid TBI has affected my life.
__________________
What Happened: 3/6/14 I was leaning in to pick my phone off the floor of my car and hit my head on the door frame. No immediate problems but I woke up the following day with blurred vision, nausea, fogginess and memory issues. Headaches came the next day along with speech problems. CT scan was clear. Took a few weeks off work. Went back for half days for two weeks. Then: 4/14/14 While still recovering from the first concussion I hit my head on the edge of my desk. Immediate headache, nausea and blurred vision. Doctor referred me to a neurologist who prescribed physical therapy for my neck, as I get incredibly stiff/sore necks daily which helps to bring on the headaches. Doctor also referred me to a counselor, who is helping me to cope with the anxiety and panic that has come up in my post concussion world. I deal with severe sensory problems and the frequent bout of aphasia. And Then : 10/6/14 I was cleaning something (ok cat puke) up from underneath my new glass table when I stood up too fast right into it and voila, trauma #3. I was out of work for a month and a half this time. Noise problems, aphasia, etc. |
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