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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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07-20-2009, 04:34 AM | #21 | |||
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It would seem that you have many probems, and as such you might need to allow your Doctor to try different drugs. Bear in mind that different people get affected in different ways when taking drugs. They may find one that is compatable with your condition. Long term use of drugs is bound to cause problems. In my case the drugs were not what could be called high dose. Having said that, I now know that long term low dose drugs cause the most damage, since no-one can gauge the effects. All my paraspinal muscles are paralysed both motor and sensory. |
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08-08-2009, 07:35 PM | #22 | ||
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Jackie, I agree. And by the time the doctors get through with you, you CAN'T learn to search "the internet without guidence". Thanks! billie
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08-08-2009, 07:41 PM | #23 | ||
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Through the years, I have developed the notion that, if you must trust a physician, trust one who carries around the PDR and actually reads about the drug before prescribing it. Yes, I have known one or two that actually did that. That having been said, however, guess who writes the drug descriptions for the PDR? sigh. billie
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08-09-2009, 06:44 AM | #24 | |||
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Magnate
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Since my injury my experience with doctors has been almost uniformly awful. Mark is dead right that they don’t listen.
I could write a book about what an arrogant SOB my neurologist is. On the physical side, a neurologist is probably a necessary evil, but I agree with Mark that a good Physical Medical Specialist is your best bet. On the emotional side, my psychiatrist couldn’t get it through her head that I’m not in pain because I’m depressed; I’m depressed because I’m in pain. It’s hardly a subtle distinction. All she wanted to do was toss drugs at me. No thanks. Outside of studies done by the drug companies themselves, there is absolutely no proof that SSRIs alleviate depression. In the case of TBIs, a large study at Toronto’s Sunnybrook hospital found that they might even be harmful. The British Broadcasting Corporation (BBC) investigative journalism program Panorama did a six part series on SSRIs that would probably get them yanked off the market if the drug companies weren’t so powerful. In Britain it did end the practice of giving Prozac to children. My psychologist has proved much more useful. In addition to exploring how I feel about what happened, he’s been invaluable in helping me deal with the practical fallout of having a serious brain injury. Thanks to his advice I’m doing a better job at cooking without leaving out ingredients, not missing appointments and regaining an understanding of figurative speech. He’s also been excellent on the big existential questions like how do I find value in a life that is so diminished physically and intellectually; how do I reconnect with family members who are now practically strangers to me when I’m a stranger to myself, etc… There are times when I think the accident was less traumatic than the doctor visits. |
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08-10-2009, 08:09 PM | #25 | ||
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Legendary
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jackie and others,
The drugs I am on have been review by various other doctors since they were first prescribed. The latest suggested considering a change until I explained what I had already tried. She then thought my current meds were about as good as it gets. I keep watching the drug news to see if something else comes on the market to replace Paxil or Neurontin. So far, they are still the best. Zoloft might be worth considering instead of the Paxil. It will cost me a big co-pay to find out from a psychiatrist. I don't like to depend on non-psychiatrists for psycho-active medications. Regarding the PDR. I would prefer that the prescribing physician has more experience with the drug than just what the PDR and drug reps say. If thew prescribing physician has to look in the PDR, he does not have enough experience with the drug. They say that if you need a specific surgery, you want a doctor who has done hundreds if not thousands and a hospital where they have done thousands. In my home remodeling specialty, I had done over five hundred jobs before I began to be truly competent at the task. I was still learning new skills after 2000 jobs. The same goes for physicians, especially physicians who are diagnosing/treating MTBI. .
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Mark in Idaho "Be still and know that I am God" Psalm 46:10 |
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08-10-2009, 08:15 PM | #26 | ||
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Legendary
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Hockey,
I agree. maybe those who think they have PTSD from their brain injury are mistaking the brain injury for the trauma caused by the physicians and others telling them that all of their troubles are 'in their head.' Well duh.... The pros just think it is in the emotional thinking and not the physiological processes and anatomy. They are the ones who should have their heads examined. We PCS/MTBI have a good idea of what is happening in our heads. We just want someone to recognize the reality of our symptoms and offer some valid explanations and help. No matter how firmly the pros try to tell us that we are nuts, they are still the ones with a screw loose.
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Mark in Idaho "Be still and know that I am God" Psalm 46:10 |
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08-11-2009, 11:13 AM | #27 | ||
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Can't agree more with you Mark. Actually Dr. Amen, of the Amen Clinics, was one of the first psychiatrists to come out and say that a lot of the psychological problems Americans deal with are the result of a physical abnormality to the brain.
I used to work with MD's when I was a researcher and I learned that you really can't fault them for how they think. They are just a product of the American Medical School System. The medical schools grind into their brains this sort of rigid and methodical way of thinking, and never, ever go against the establishment. None of them are taught to think critically or "outside of the box," and a lot of them aren't exactly "smart", they just have extremely good memories and they have gotten by on that. Most that do think critically and abstractly do this because they took it upon themselves to do so, or they had really good undergrad majors like engineering for physics. But, that is just my opinion from my limited experience. Quote:
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08-20-2009, 11:45 PM | #28 | ||
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Junior Member
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Look up a board certified health psychologist for your TBI headache
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