by Janet J. Seahorn

grim_reaper

Several weeks ago I talked about going to a Traumatic Brain Injury (TBI) conference and promised I’d write more about what I learned.  Now I feel like the Grim Reaper explaining the various causes and symptoms of a TBI.

  Luckily, being Halloween, perhaps the trick is dealing aggressively with the spooks of TBI injuries and the treat is getting better with focus and determination.

Much of this information is taking from a brochure, Brain Injury: How to Recognize and Treat It, by Harvey Jacobs, Ph.D. and Flora Hammond, M.D.

So let’s talk about some of the “tricks” of a TBI.  First, it can be due to many causes: falls, car accidents, sports, blasts/explosions, strokes, viruses, or aneurysms (weak spots in the walls of the brain’s arteries and veins). 

Since many of our war vets have experienced a TBI mainly from an outside force, I will concentrate on this area.  If the force is powerful enough, it can cause bleeding in the brain, bruising, and/or tearing of the brain cells.

 “Once a traumatic brain injury occurs,” according to the experts, “there is risk of additional damage over the next several days due to lack of oxygen or reduced blood flow or medical complications”.   When a blast occurs due to an IED or other combat offenses, the shock waves move through the brain and injure the soft brain tissue causing cell damage.  The person doesn’t have to be unconscious to encounter a TBI, but the results can be quite damaging, nevertheless. 

Another trick of this demon is that no two injuries are exactly alike due to the location, size, and impact of the TBI; cells can begin to die within four minutes of losing oxygen because of the impact.  Sometimes, if the injury does not appear severe or life threatening it can be missed, yet the results are nothing short of problematic. 

The person,” according to Jacobs and Hammond, “may appear dazed or just a little confused for a brief time and then return to work or usual activities.  Problems may develop later.”  Often times other people notice the problems first, like a spouse, close friend, or employer. What they may notice is problems in the person’s short-term memory, difficulty in organizing and planning, shorter attention span or easily distracted, unclear speech, irritation, anxiety, depression, and other cognitive or emotional behaviors that weren’t present before the injury. Therefore, getting proper diagnosis and treatment is essential to restoring an individual to health and normal activity.

 This Grim Reaper can’t leave you with such a dismal TBI spook, so take heart and recognize that help is available. There are more effective and innovative treatments than ever before if treatment begins immediately.  Time is crucial. Don’t wait.  The major part of the brain’s mending normally takes place within the first two years of the injury, but the brain can continue to mend far beyond that time. 

 Trust me, having experienced a mild TBI many years ago, I kept engaged with as many cognitive and physical activities as possible and this made all the difference with being able to return to a normal life – the best treat ever.

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