Traumatic Brain Injury

Published on: February 14, 2022

Diffuse Axonal Brain Injuries And Car Accidents

Last week I wrote about Coup-Contrecoup brain injuries. You can read my post at Traumatic Brain Injury: Coup and Contrecoup Brain Injuries Explained. We frequently see Coup-Contrecoup traumatic brain injuries in car accidents. Today, I’m writing about another TBI issue. This time the subject is Diffuse Axonal Injury (DAI). We sometimes see diffuse axonal injuries in very severe car accidents. We’ve also seen these injuries in some severe industrial and construction accident cases. So, what is a Diffuse Axonal Injury?

Normally, I write a few TBI articles every March. Why March? That month is designated as Brain Injury Awareness Month by public health groups. Throughout March, advocacy groups try and shed light on an important issue that is a leading cause of death and disability in the United States. We’ve seen many TBI issues, including the struggles of loved ones to help a suffering family member. So, March is a great time to talk about these important issues.

Why not wait until March to write these recent articles? Honestly, I read a blog post published by a ghostwriter for a local Alabama law firm that simply listed types of accidents and types of diagnoses. While the article’s title offered advice on TBIs and car accidents, the text offered little but keyword lists for search. I think articles should offer some real information or opinion. So, I decided to actually discuss the diagnoses listed by that firm. Let’s provide some real and helpful information!

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Published on: February 7, 2022

Traumatic Brain Injury: Coup And Contrecoup Brain Injuries Explained

By Jeff Blackwell

Last week, I read a page on another law firm’s website asking, What You Should Know About Car Accidents And Brain Trauma. The title peaked my interest! But, the article really disappointed. Like so many other lawyer pages, it was mostly a long list of different types of accidents and different medical conditions. Short on substance! Stuffed with key words to capture search traffic! It worked – I stopped and clicked. The article provided no real information and suggested the reader call the lawyers. I’d rather have a real discussion with some real answers.

I’ve written several past articles discussing specific traumatic brain injury (TBI) topics, including the evaluation, treatment and presentation of these injuries. You can find many of my prior articles on this blog. My goal is to provide helpful information. So, I thought I would write today about a specific type of brain injury: Coup-Contrecoup Injuries. Many people have never heard those terms. But, these injuries are common in serious accidents.

What Are Coup-Contrecoup Brain Injuries?

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Published on: March 23, 2020

Traumatic Brain Injury Takes A Toll On Families

By Jeff Blackwell

A traumatic brain injury (TBI) can devastate an entire family. I’ve met many families struggling to understand and help their loved one function after such an injury. For some families, TBI changes can be tremendous. Several years ago, I read the story of a wife caring for her husband who suffered a life-altering TBI as a soldier in Iraq. That wife described the many changes in her husband and their relationship. She called it, their “new normal.” A family forever changed.

I’ve heard similar stories from relatives of my clients injured in industrial accidents and car crashes. Whether a life-changing TBI occurs on the battlefield, a construction site or a highway, entire families often suffer permanent changes.

TBI victims often suffer in silence to the outside world. The injured person struggles with their changed reality. So do their close loved ones. Many close relatives impacted by a loved one with a TBI will agree — Unless you live with someone who has a traumatic brain injury, it’s difficult to understand the impact of it.

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Published on: March 16, 2020

The Importance Of Early Treatment For Traumatic Brain Injury

By Jeff Blackwell

Research reveals early treatment for traumatic brain injury is an important factor in patient recovery. I’ve represented many individuals suffering from traumatic brain injury (TBI) over the years. In helping these clients, I’ve long encouraged their families to help in the process of recovery. Family members can advocate for their loved ones with medical professionals and also participate in recovery within the home.

Unfortunately, our medical and legal systems often delay or prevent TBI victims from quickly obtaining the rehabilitation needed for their recovery. What issues can delay or prevent needed rehabilitation? How can a victim’s family and legal counsel help with these issues? Here are three issues which often prevent personal injury victims from obtaining needed TBI care quickly:

Personal Denial. Before an injury, the patient served many important roles — valued employee, devoted parent, loyal spouse. Suddenly, the patient is suffering symptoms of a brain injury that impact all these important roles. Many times, the patient does not even realize or fully understand what is happening. If the patient does understand, he or she may be embarrassed or depressed due to their problems. For many reasons, patients deny TBI injuries issues. Many TBI victims suffer in silence. Family involvement is so important.

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Published on: March 9, 2020

March Is Brain Injury Awareness Month

By Jeff Blackwell

The month of March is recognized as a time to promote awareness of brain injuries. Why do we focus on brain injuries?

Traumatic brain injury (TBI) cases are different than other injuries. TBI victims often go undiagnosed and untreated. Emergency rooms are good at saving lives. However, they often ignore the signs and symptoms of a mild TBI. Later physicians may lack the experience or training to diagnose or treat a mild TBI. TBI victims are left to suffer in silence.

Many TBI victims also look “normal.” No scars. No casts. No assistive devices like wheelchairs. When you couple the often “normal” appearance with the lack of diagnosis, many of these patients are doubted or questioned about their symptoms. Yet, almost one-third of patients with a mild-TBI suffer long-term problems working and living.

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Published on: June 25, 2018

Are Traumatic Brain Injury Victims Receiving Needed Medical Care?

By Jeff Blackwell

Traumatic brain injury (TBI) issues are a frequent topic for us. If you have read any of our past blogs, then you know we have big concerns that TBI victims are not diagnosed, not treated and not understood by both the legal and medical systems. Many issues contribute to the lack of understanding and treatment. Even many medical professionals fail to understand the significance of TBI issues.

A recent research study published in JAMA Network Open asked an important question — Do patients with mild traumatic brain injury receive adequate levels of follow-up care? You can read my entire post for more discussion of this issue. If you want an immediate answer, then it is “no” on follow-up care. According to the study author, a large proportion of TBI patients do not receive follow-up care after a personal injury even when continuing to suffer postconcussive problems.

The study followed patients who had been to the emergency room with a TBI at 11 different hospitals. Each of these hospitals was a level 1 trauma center – A hopital that provides the highest level of care to trauma patients. If you want to know more about the distinction in hospitals, the Alabama Department of Public Health has a map that indicates the Level 1 trauma centers in our state. Sadly, only Huntsville, Birmingham and Mobile/Baldwin Counties presently have Level 1 hospitals. A Montgomery channel has even written about the lack of a Level 1 hospital in that part of the State. What does this tell us about the TBI study? It tells us that it followed patients treated at the best trauma hospitals. Keep that in mind as I suspect the percentage of patients with no follow-up is much higher when you consider other hospitals.

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Published on: May 29, 2018

Is Traumatic Brain Injury Linked To Dementia?

By Jeff Blackwell

We have prepared many cases involving traumatic brain injury (TBI). This includes TBI caused by both automobile accidents and workplace accidents. TBI cases are very different than your “normal” car wreck or personal injury case.

Do you think routine medical professionals typically understand TBI? Think again. TBI is often misunderstood by medical professionals. Many medical professionals have wrong opinions about TBI. I’ve heard non-specialists WRONGLY state a patient has no TBI because a CT scan came back normal. In truth, many patients with mild TBI have normal scans. I’ve heard non-specialists WRONGLY assume a person with a “mild” TBI will always recover fully. Wrong again. While many mild TBI patients do recover, some continue to suffer long-term or permanent impairments. Many doctors and nurses do NOT understand this injury. That lack of understanding also makes TBI cases very difficult.

Because so many people fail to understand TBI cases, we advocate for strong family involvement. The injured person’s closest family and friends are typically in the best position to observe changes in behavior, emotion, memory or cognitive ability. We also recommend testing and treatment by specialists.

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Published on: February 26, 2018

New Blood Test Approved To Detect Traumatic Brain Injury

By Jeff Blackwell

In a prior post, I asked “Can A Simple Blood Test Reveal Traumatic Brain Injury?” At the time, the research looked promising. After writing that prior post, we continued to follow developments. Now, the Food & Drug Administration (FDA) has approved a blood test for this purpose.

Why is a blood test for traumatic brain injury (TBI) significant? In a short answer — Many TBI victims suffer without a diagnosis, without treatment and without understanding. Following a traumatic incident, emergency rooms frequently fail to diagnose TBI cases.

Think about it. After a serious accident, you rush to the hospital. Suddenly, you are in a crowded emergency room. It can be a chaotic scene. While emergency rooms are designed to handle “emergencies” like yours, they are also overflowing with patients who lack the resources or finances to seek basic care elsewhere. Emergency room physicians and nurses work hard. They have hard jobs. They work to treat all patients. But, life and death issues take priority. They must. With so many patients and so many problems, many significant TBI cases go undiagnosed and untreated. After all, many TBI patients look normal.

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Published on: June 12, 2017

New Study: Almost One-Third Of Mild Traumatic Brain Injury Patients Suffer Long-Term Problems

By Jeff Blackwell

Many patients with a “mild” traumatic brain injury (TBI) continue to suffer problems lasting years beyond their initial injury. Sometimes, the problems are permanent. TBI patients suffering long-term problems know their injuries are anything but mild. They are serious. The word “mild” is a clinical term and it is deceiving. The problems these injury victims suffer are both serious and life-altering. This is what the Brain Injury Association of America says about the term “mild” when applied to a TBI:

The term “mild brain injury” can be misleading. The term “mild” is used in reference to the severity of the initial physical trauma that caused the injury. It does not indicate the severity of the consequences of the injury.

A guide published by the State of Michigan to help TBI victims with their recoveries lists many of the long-term problems these patients suffer. They include:

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Published on: March 13, 2017

Do Emergency Rooms Fail to Diagnose Traumatic Brain Injury Victims?

By Jeff Blackwell

Are traumatic brain injuries (TBI) being diagnosed by emergency rooms? It’s a topic of concern in our personal injury practice. We frequently help families struggling because a loved one suffers a TBI from an accident. We regularly see these injuries in both car accidents and work-related job site accidents. Traumatic brain injuries can drastically change the lives of individuals as well as entire families.

Early documentation and diagnosis are frequent issues in our TBI cases. Why do many TBI victims lack early diagnosis or treatment? Initially, emergency rooms focus on immediate life-saving issues. A mild TBI may not be immediately life-threatening. Emergency rooms often neglect to document or diagnose broader cases of head trauma. This lack of documentation and care may continue beyond the initial ER visit. Later physicians are often inexperienced in mild traumatic brain injuries. These physicians may focus on the particular physical injury within their specialty while neglecting a TBI. Insurance companies also contribute to the problem with proper care. In workers’ compensation cases where the insurance company selects your doctors, insurers routinely ignore complaints. For insurance companies, it’s about saving money instead of providing care. These patients may never see a physician experienced or skilled with TBI issues.

The delayed diagnosis of TBI cases has two very bad effects. First, delays in diagnosis impact healing. Second, delays in diagnosis make it much more difficult to prove an accident caused your injury in court. Causation (did the accident cause your TBI) can become a huge issue in these cases.

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