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

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Old 02-03-2015, 07:51 AM #1
Sharon345 Sharon345 is offline
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Default Returning to work guidance

Hi-

Can someone give me some guidance on returning to work? I was injured in a car accident Nov 2014. I suffer from PCS symptoms. Can I lose my job if I stay on STD. Does my employer have to work with me on a reduced hour schedule? If my doc releases me and I can't do it what happens? My employer pays for my STD will I lose that if I am let go. I do not have FMLA protection as I only had the job six months before the accident. Any advice would be appreciated as I am very stressed about this and do not know how to navigate working.
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Old 02-03-2015, 12:38 PM #2
Mark in Idaho Mark in Idaho is offline
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Sharon345,

Welcome to NeuroTalk. The questions you asked vary from state to state and employer to employer so they can not be answered here. Have you talked to HR ? Do you have a work contract that would explain these issues ? Your state may have a Vocational Rehabilitation Department that can help you with these questions.
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Old 02-03-2015, 01:03 PM #3
russiarulez russiarulez is offline
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Yeah talk to HR.

I went on STD for a few weeks back in 2013 and was caught off guard by the fact that they wanted to terminate my health insurance coverage and told me that there are no guarantees that my job will be there when I come back (my employer isn't eligible for FMLA). It all worked out in the end as I was able to come back fairly soon.
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12/02/2012 - Light concussion at boxing practice. Ended up having PCS for about 3 months.
March 2013 - Thought that since most of my symptoms resolved I could start having fun again.
Went snowmobiling once (didn't hit my head) and concussion symptoms returned and got even worse than before.
June 2013 - accidentally bumped my head against a deck railing, and had a month-long setback.
November 2013 - drove to work after a big snowstorm and the roads were very rough, ended up having another setback.
2014 - Having setbacks after coughing/sneezing too much, or someone slapping me on the back, or any other significant jarring.
Feb 2014 - Started seeing Atlas Orthogonal chiro - most helpful doc so far.
June 2014 - Two months of physical/visual therapy - no noticeable improvement.
September 2014 - Diagnosed with Perilymph Fistula in right ear.
November 2014 - Fistula surgery (switched to left ear before the surgery after additional testing).
January 2016 - Quit work to "work" on figuring out PCS, so far it seems that eyes/vision issues are the most contributing factor, especially computer work.

Current symptoms are: inconsistent sleep patterns, headaches, vertigo/dizziness, anxiety/panic attacks, mental fog/problems with concentration, problems with computer screens.
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Old 02-05-2015, 02:57 PM #4
thrasher22 thrasher22 is offline
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Hey Sharon,

I was off work for almost 3 months full time last year, and wasn't back to full time for nearly 6 months. I'd say it was 8-9 months before I fully returned to normal life.

While returning to work working I found the following things really helped:
- avoid computer time as much as possible (was tough as a web designer)
- avoid bright florescent lights. I just took out most of the lights in my office
- only focus on one thing at a time, that includes other distracting noises or conversations while you work. As much as you can, start a task and finish it before moving on.
- take mini-breaks as soon as you start to feel overwhelmed or other symptoms. Just pausing, closing your eyes and focusing on breathing helps. I'd take short walks, or just sit in the bathroom for 5 min to relax my brain again.
- I avoided meetings as much as possible, trying to talk to several people at once was very hard on my mind
- Take it very easy before/after work

Taking fish oil really helped me, and I've started taking 25mg of Zinc a day now that I'm mostly recovered.

It's been 10 months since my concussion and I still have the symptoms come back occasionally. Just remember the only thing that will heal your brain is rest, and concussions can take a very long time to heal. Dont' get frustrated!
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Old 02-05-2015, 09:43 PM #5
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Thank you for the replies.

Thrasher, thank you for the detailed suggestions. You picked up on the right word (Frustration). There is definitely a learning curve to taking breaks. I also have a job that is 99% computer focused. It is hard for me to be on the computer long so it is really hard for me to imagine trying to work.
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Old 02-06-2015, 12:01 AM #6
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Sharon,

I started back to work in January after 8.5 months off.

I find it imperative as thrasher mentioned to take breaks. I take mini breaks also and at times find ways to get off alone for a few minutes.

I am learning to recognize the early signs of anxiety and other symptoms arising and am doing a better job at curbing them before they get out of hand.

I also snack frequently.....fruit, nuts, rice cakes and yogurt, seems to keep the blood sugar swings at bay which of course really helps to keep anxiety from turning to a storm.

You will be able to figure it out, seems to be a matter of paying attention and asking some questions here.

Bud
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Old 02-08-2015, 02:08 AM #7
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If you are thinking of trying to return to work, there is a great booklet put out by the Mayo Clinic for employers that helps them understand issues you may encounter as you come back to work.

I sent it to my boss and closest co-workers before I started back to work.

You can download it here: http://www.mayo.edu/pmts/mc1200-mc1299/mc1298.pdf
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mTBI and PCS after sledding accident 1-17-2011

Was experiencing:
Persistent headaches, fatigue, slowed cognitive functions, depression
Symptoms exacerbated by being in a crowd, watching TV, driving, other miscellaneous stress & sensory overload
Sciatica/piriformis syndrome with numbness & loss of reflex


Largely recovered after participating in Nedley Depression Recovery Program March 2012:

.


Eowyn Rides Again: My Journey Back from Concussion

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