Coda Change Mild TBI / Concussion: Burden on work, family and finances
Sep 22, 2020
Concussions, often labeled as 'mild' TBI, pose significant challenges beyond the injury itself. The discussion highlights how diverse symptoms affect recovery, with factors like age and migraine history prolonging timelines. Insights reveal that real-world cases differ from NFL protocols, emphasizing the complexity of diagnosis. The societal effects on work, education, and relationships are profound, while the risks of chronic conditions and suicide loom large. Practical strategies for clinicians are shared, advocating personalized care and better assessment methods.
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Concussion Is Not Truly 'Mild'
- Concussion is not a single, mild disease and lacks a single owning specialty.
- It causes diverse subcellular and functional problems that can severely disrupt lives despite a 'mild' label.
Sideline Experience With NFL Concussions
- The speaker works sideline medical coverage in the NFL and sees multiple physicians per game assessing concussions.
- He often follows players multiple times per week to assist clearance decisions.
Six Symptom Domains Explain Variable Presentations
- Concussion symptoms span vestibular, ocular, cognitive, migraine, cervical, and mood domains.
- These overlapping 'buckets' explain why presentations and recoveries vary widely between patients.