September 2007


Myth 1: Mild traumatic brain injury is not serious.

Traumatic brain injury is usually broken into three classifications: severe, moderate, and mild. Unfortunately, the latter classification –mild traumatic brain injury –does the disservice of making the injury seem trivial or insignificant. This was recognized by Dr. Nathan Zasler in his chapter in Medical Rehabilitation of Traumatic Brain Injury. There, Dr. Zasler wrote:
   
“Modifiers such as subtle, minimal and minor are to be discouraged. Practitioners
    must understand that the term “mild” describes only the initial insult relative to
    the degree of neurological severity. There may be no correlation with the degree
     of short or long-term impairment or functional disability.”

The National Institute of Health recently released a NIH consensus statement on rehabilitation of persons with traumatic brain injury. The NIH reported, “Since TBI may result in life-long impairment of an individual’s physical, cognitive and psycho social functioning and prevalence is estimated to be 2.5 million to 6.5 million individuals, traumatic brain injury is a disorder of major public health significance. Furthermore, mild TBI is significantly under-diagnosed and the likely societal burden therefore even greater.”
   
What is mild traumatic brain injury? This question was posed to a select committee assembled by the American Congress of Rehabilitation Medicine. They developed a definition of mild traumatically induced physiological disruption of brain function as manifested by at least one of the following: Any alteration in mental state at the time of the accident, such as feeling dazed, disoriented or confused. This definition includes the head being struck, the head striking an object, or the brain undergoing an acceleration/ deceleration movement without direct external trauma to the head. Mild traumatic brain injury may cause physical symptoms, cognitive deficits and behavioral changes. Physical symptoms of mild traumatic brain injury may include nausea, vomiting, dizziness, headache, blurred vision and fatigue. The cognitive deficits of mild traumatic brain injury include problems with attention, concentration, perception, memory, speech, and language and executive functions. Finally, behavioral changes may include irritability, quickness to anger, emotional ability, and dysinhibition.

You can read my other posts on the 10 myths of traumatic brain injuries here.

The Brain Injury Association of New Jersey will hold the Walk for Though, Cycle for Safety event to benefit the more than 5.3 million people living with brain injuries across the country. The event will be held Saturday October 13, 2007 at the Washington Crossing Park in Titusville, NJ and at the Saddle River County Park in Paramus, NJ.

The walk For Thought / Cycle For Safety is an opportunity to raise public awareness, to celebrate the achievements of people living with brain injury and to honor those who have sustained brain injuries and cannot walk with us. This is a great event to raise awareness for the ever-increasing need to support those who have suffered a traumatic brain injury, or those friends and family members who have also been affected by a TBI.

If you would like to register to participate at this event, please contact Tim Manni at tmanni@bianj.org or Joanna Boyd at jboyd@bianj.org or call 732-738-1002.

I have previously written on new findings that state the common female hormone, Progesterone, has the ability to heal a patient's brain more rapidly than with current treatment alone. But I recently found an article online about a doctor from Atlanta who has been studying this theory for the past 40 years, and his thoughts and insights intrigued me.

In the early 1960s, Dr. Donald G. Stein would study how a rat's body would respond to brain tests and quickly noticed a trend of faster healing time in his female patients than in the males. Dr. Stein believed that Progesterone might actually protect and heal injured brains. His work helped overturn medical orthodoxy that states that brain tissue, once injured, stays that way.

Dr. Stein is now planning, with colleagues, to test this hypothesis on human patients over the next several years. Before progesterone can be approved as a treatment, Dr. Stein's findings must be proved in a larger study of humans. Dr. Stein and his Emory team have applied for funds to do a 1,000-patient study, which will give the definitive word.

You can read more on Dr. Stein's story and research study here.

At the age of 16, Daniel Windheim suffered a traumatic brain injury during a car accident, which left him in a coma for weeks before he was able to regain consciousness. Almost thirty years later, Daniel and his mother Marjorie are working to educate people about traumatic brain injuries through a new book they have authored titled, It's Not All Black & White: A Survivor's View of Life.

This book, which for Daniel and Marjorie serves as an autobiography of the past thirty years, is meant to assist those who have experienced similar situations in their lives. The book is a composite journal, advice piece and gathering of poetry discussing life from the perspective of a parent, and survivor.

You can read more on Daniel's story and their new book here.


The healing continues. From laughter, that is.

As we wait with great hope for a cure for diabetes, we do so with a smile thanks to humor to be found on the new website LOL Diabetes (www.loldiabetes.com). I've posted before about this site, which itself is part of the popular diabetes website Six Until Me (www.sixuntilme.com). Nevertheless, things have become waaaaaay to funny over there for me to not highlight some of my favorites.

These would be my Top 5:

5 - The Insulin Monkey.This picture features a stuffed animal, a monkey to be exact, with dozens of syringes sticking out of it, much like a pin cushion. The words "You're Doing it Wrong" that are printed on the picture sum it up perfectly.

4 - iPump.A play on the now famous iPod silhouette ads, this mock version of this campaign features people wearing insulin pumps in place of iPods.

3 - Thumbtacks.A photo of a child's Spider Man poster fastened to the wall with -- Thumb Tacks? No, no, no. Look again...those are lancets! As someone aptly commented on the entry, what a great use for all those extras!

2 - Wanted!In this Old West style Wanted poster, there's a bounty for bringing in Twinkie the Kid. Turns out "The Kid" is wanted for Shootin' Up High Blood Sugars.

1 - The Enemy. By far my favorite, Short, simple, and hilarious. The photo features no other than Willy Wonka himself, with the words "The Enemy" written below. Very true. And very funny.

There are a whole bunch more that could have made a Top 10 list (namely: Soundtrack to a Low, Is This the Remix?, My Pump Makes Me Look Like a Cross-Dresser, Ah! Needle Landslide, and What's Better Than a Cookie).

Be sure to check out LOL Diabetes. Think you have something funny to add? I say go for it!!

Tags:diabetes, Kerri Morrone, KerriMorrone, LOL, LOL Diabetes, LolDiabetes, Six Until Me, SixUntilMe, type 1, type 2, Type1, Type2

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