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concussions: the symptoms, the journey, the recovery

by:Qihao      2019-09-04
Part Three.
Watch the day series of concussion at sportsTORONTO-
Concussion is \"mild brain injury\" according to official medical terminology \".
\"But there is nothing mild about them,\" said the doctor. David L.
Brody, associate professor of neurology, Washington University School of Medicine. Louis.
\"We really object to the term.
It can cause harm.
Inaccurate.
Brady should know: He is one of the most important experts in the world to treat severe concussion.
I saw it myself.
Earlier this year, Toronto
Young people in the region suffered a concussion diagnosed as \"very slight --
In fact, it was as gentle as when they came.
There is nothing \"gentle.
I followed the football player for a few weeks.
Recovery and cutting for a long time
Fringe treatment at the Toronto sports medicine clinic.
I did not identify the patient by name, age or hometown, as required by parents and teenagers.
One of the main reasons is that they don\'t want the child\'s history of concussion to be recorded in public records.
Part 1: Concussion-we don\'t have our children Part 2: emotional fuel shock of parents naivetit is only licensed with the family and I can share their story: terrible, the first hours and days of uncertainty;
The symptoms felt by the athletes, sometimes deteriorated in the blink of an eye;
The worries, ignorance, frustration and lack that parents feel.
Family hope to share the plight of athletes
We will call him Owen.
Maybe they can prepare others better for this ordeal.
Owen is one of the lucky ones.
In most cases, it will take weeks to recover.
But the person with the worst concussion, for one year, is pure hell.
Owen\'s rehabilitation includes three visits to physical therapist Siobhan Karam, as well as doctors at the Toronto residential sports medicine specialist clinic.
Over the past two years, Karam has treated more than 100 concussion Canadians of different ages, some of whom have the highest level of exercise, both professional and amateur.
Karam and SMS clinics allowed me to disclose what I observed during Owen\'s treatment.
This is his story.
Owen likes to think he has a strong endurance to pain. “But that hurt.
It was really hurt, \"he said of the strange accident he had brought to him when he was out last spring. of-
Town Football Championship in AmericaS.
It happens in pre-
The game warmed up the next day. A fast-
The flying ball hit Owen\'s forehead violently above his right eye.
He saw the face-changing man coming. he just looked wrong.
So he did nothing to protect himself.
No wounds, swelling on the surface or bruises.
But the pain Owen felt was direct, sharp and intense.
He couldn\'t stop crying for a while.
Owen\'s coach, his compassion, immediately ruled out Owen\'s afternoon game.
Owen is not wobbling or groggy.
Soon, his eyes dry, his manner became cheerful and no longer seemed to have any special discomfort.
His parents don\'t know what to do next.
Just give him a cup or two and go back to the hotel and let him rest under their close watch?
Or take him to an emergency for safety?
There was a caregiver at the competition scene, so they started there.
She gave Owen a brief examination and inquiry and concluded that he had suffered a concussion, according to the state\'s medical definition.
His game is over.
The caregiver gave Owen\'s parents detailed brief information
Proposed Terminology medical advice
Shocked Owen\'s parents.
Drugs or drugs without headaches. The reason? Some over-the-
In cases where it is unlikely that it will occur, drugs that fight headaches can exacerbate internal bleeding in the brain.
Back at the hotel, Owen relaxed on the bed for the rest of the day, with no other symptoms than the gradual fading headache.
In bed, he had a little dinner and watched some TV before turning off the lights. He slept fine.
Watch: A tragic story of a teenager missing prematurely due to a head injury: Rowan\'s Law got all
One of the scariest days of party support in Ontario, Owen was happy to wake up and was just a bit of a headache. Good news.
Maybe he\'s better.
Not a concussion.
Is he hungry?
Downstairs at the hotel\'s free breakfast stop, Owen packed a foam board and sat down to dig in with plastic.
Young people and parents from other teams were packed with chaotic breakfast areas.
Soon Owen\'s pleasant morning was over. \"All the noise
All the players are calling.
\"It really hurt my head,\" he recalls . \".
\"That\'s it. I feel dizzy. Really dizzy.
I feel like I\'m going to vomit.
I said to my parents, I\'m leaving here.
Like now. It\'s driving. home day.
The SUV at home is already full. What to do?
Supporting Owen in the back seat, not moving in a pile of homes
With a pillow, this is the best place for him to spend most of his day?
Or worst of all, weaving on the highway all day?
Neither did his parents.
It was the most horrible and tense moment they had in the crisis.
What if Owen is seriously injured?
What if he couldn\'t keep driving in the middle of nowhere at some point?
They decided to rely on advice from medical staff.
Do not move and rest
At least drive home and get ready to go to the hospital.
Owen fell asleep almost as soon as he got to the Interstate. he was about to cry and felt terrible.
He woke up two hours later, and his dizziness and nausea disappeared.
The rest of the day is gone.
The same is true of severe headaches.
With the mileage of the SUV rotating, Owen\'s character continues to improve.
When his family left home in the twilight, he was sitting in the back seat, laughing and having trouble with a sibling, playing on the iPad, and seemed to be back to normal. Crisis averted? It seemed so.
But it\'s not even closed.
After a night\'s sleep in his own bed, Owen\'s sensitivity to noise came back.
It still exists.
To make matters worse, he found his head hurt if he suddenly raised his head, or moved quickly.
Not a lot, but it must be painful.
Owen\'s parents continued to follow the advice of the tournament caregiver and did not give him any headache medication
It looks intuitive.
The top priority today is to get him to the concussion doctor.
First, however, they called his school and said Owen might have a concussion and would not be in class that day.
When Owen\'s parents learned that in public schools in Ontario, if you tell the school, your child may have a concussion, a serious concussion --
The management agreement entered into force.
The Ontario government issued a decree on 2014,to-
The school Agreement designed and approved by the Ontario Institute of Physical Education and health education must be the minimum standard adopted by all local school boards.
Ontario is the only province with such legislation.
Bottom line: Your child can only return-
And execute activities at a clear level-
With the doctor\'s permission
In Owen\'s School District, doctors have to fill out a copy of fourPaige concussion
Manage the protocol form, indicating which stage of the child is in the eight stages, which brain or physical activity the child can perform, and whether monitoring is required.
Parents are scrambling to find a nearby concussion doctor or therapist to consult Google, yellow pages and friends.
They called every clinic in 30 minutes.
The kilometer radius of their home found that all of them were booked-to-two weeks.
It\'s a concussion.
Finally, the parents made an appointment with Owen the next day to see Siobhan Karam at the Toronto SMS clinic.
As for his first day home, Owen did nothing and watched some TV, but spent most of his time on the iPad.
After waking up, Owen\'s symptoms did not change.
The sudden movement injured his head, and the loud noise injured his head.
Owen\'s father accompanied him to the texting clinic.
After reviewing Owen\'s detailed medical history, Karam continued with her usual assessment, including: Karam diagnosed Owen with a very mild concussion
She told Owen\'s father: \"This is the gentlest time I \'ve seen in two years . \".
She said she was not surprised that Owen\'s symptoms seemed worse the next day.
Sometimes it takes two days, she said.
Symptoms of concussion include memory difficulties, lingering headaches, vomiting, vision problems, seizures, weakness or numbness in the arms/legs, neck pain, personality changes, fatigue, inability to fall asleep, ambiguous speech clear Light sensitivity and noise sensitivity.
Owen now shows only two types of headaches: noise-sensitive and intense physical movements.
Next, a text doctor examined Owen, agreed to Karam\'s assessment, and filled out the concussion agreement form for the school board.
Owen can come back, half.
Day, in the fourth stage of 8: through monitoring, \"gradually increase exposure to visual and auditory interference \".
Karam then leads Owen through the newly developed visual and balance exercises and he will perform twice a day at home for the next eight days until his next date.
Her main advice for Owen next week is: don\'t do any sports activities; lots of rest;
Stay away from iPad and other electronics.
So far, the iPad decree has made Owen very sad, but the important thing is not to overdo it.
When the brain is restarted, it stimulates the brain and fatigue.
Owen and his father breathed a sigh of relief on the way out. Relief.
But when Owen\'s head was healing, his father was spinning.
On the fifth day, the feeling of returning to school was almost 100.
There was no headache, even if he shook his head or moved suddenly.
Noise sensitivity also seems to have disappeared.
His parents decided to get him back to school that afternoon on a limited basis approved by Karam and SMS doctors.
But less than 15 minutes after Owen\'s mother dropped him off, the school rang: Owen needed to be picked up right away.
He has a terrible headache.
\"The Voice in the classroom was too loud at lunch,\" he recalls . \".
\"My head hurts on the horse.
I have to leave there.
When he got home, Owen relaxed all day and was a little reluctant to do laser sports.
Owen\'s parents shut him home on the sixth day, a Friday.
His concussion symptoms have not recovered, not even noise aversion.
Owen spent half a weekend after a quiet weekend.
Nine days at school.
No setbacks.
Follow-up clinic re-examined Owen on 12 days.
He was happy with his symptoms.
When she was free, she asked Owen to exercise on the treadmill for 15 minutes to see if minor physical activity bothered him.
Owen rises to 5.
5 miles per hour on the 15 th grade slope. Not bad.
Owen then followed closely when he did a physical agile test.
There are still no headaches and no other symptoms.
At this point, after a text doctor\'s exam, Owen and his parents received what they wanted to hear: Owen was approved to return to school in fulltime (
Phase 8 gap)
Resume sports activities.
Back to PLAYKaram advised Owen to return to his elite team but gradually.
Two weeks before his return, Owen did not play.
With the support of his football coach, his parents\' decision.
Owen is only in Africa.
No problem, contact technical exercises.
One day before Owen returned to the field, Kalam checked him for the last time on the 23rd.
She let him go through it.
Intensity Exercises
15 minutes on the treadmill and 15 minutes on the rowing boat-
Then there are several sports.
Through and receive specific exercises and technical drills.
No symptoms, no headache, no problems.
Owen\'s coach let him gradually return to the game over the next two weeks without any surprises.
Five weeks later, his \"mild\" brain injury crisis ended.
Eye test the latest tool to measure concussion
The beginning of Siobhan Karam\'s examination of Owen involves his eyes.
Physical therapists at the Toronto motor medicine specialist clinic test the vestibular movement of Owen (balance)
And eye movements (visual)dysfunction.
These tests are so new, recent concussion
Diagnostic protocols adopted around the worldSCAT 3 (
Standardized Concussion Assessment Tool (Third Edition)—
Not including them.
However, they are as fascinating and perhaps equally instructive as simple.
A pursuit called smooth.
The head is still, and the patient\'s eyes follow an object (
Usually the examiner\'s pen or finger)
From left to right, through the patient\'s field of vision.
Owen is fine.
Next, Karam turned Owen\'s head from one side to the other while letting him focus on her nose.
He failed the test.
His eyes shook slightly as he tried to focus.
We can see it;
He can\'t feel it.
\"It\'s called the nystagmus,\" Karam said . \".
\"This is a positive discovery of the reflex of the vestibular eye --the VOR.
This may be a sign of a problem with the central processing system.
This does not necessarily mean that the person has a concussion.
This may mean that he has some existing diseases such as dyslexia, ADHD, or cervical dysfunction.
\"Another simple eye movement function test for Karam is called near convergence point.
She took a pen about 2 feet from the patient\'s nose and told the patient to focus only on the pen, and then she gradually approached it to his nose until the patient saw two pens.
\"The standard for seeing two objects is in 3-
4 cm nose, \"she said.
Owen passed the test.
People who fail will see two objects, sometimes farther.
Anything over 6 cm could be the flag of the medical staff.
In another vision test, Karam separated her two index fingers.
Owen still holds his head and quickly switches focus back and forth between two fingers.
He did not encounter any problems, did not feel unwell, and passed the test.
\"Eye movements can be very slow for some concussion patients,\" Karam said . \".
\"It will be difficult for them to switch their eyes back and forth.
Some people say, \'I can\'t do that. My head hurts.
For concussion, the big problem we sometimes see is the eyes.
Not just blurred vision, but dizziness and nausea.
This happens when you feel unbalanced and when your eyes don\'t help you stabilize.
Karam then led Owen through the newly developed visual and balance exercises he will perform at home.
Owen put on a headband with a red laser facing the front.
He is about 6 feet from a wall.
In the first exercise, he did his best to move his head only and trace it in the red color of the laser --
Light up all the letters of the alphabet, and each letter is about 3 cm deep on the Karam paper posted on the wall, with a head height.
Next, she posted another piece of paper, the ring with the photo on it.
Like a house in a curling.
With his eyes closed, Owen had to lift a leg from the floor, turn his head all the way to one side, then swing it straight to the back, trying to put the laser in the smallest two rings.
Owen repeated it with another leg and both directions had a head swing.
He is not doing very well in this regard.
What is the purpose of these tests? Rehab.
For a long time, most people in the medical profession believe that concussion patients should stimulate the brain as little as possible during rehabilitation.
That is to say, the more time it takes to stay
In a dark and quiet room if neededthe better.
Now, some concussion experts support limited, careful, and specific rehabilitation exercises provided by Karam and SMS.
Karam said she was encouraged by the results.
\"Laser dots are just a cheap way to move things.
Then we use neck exercises to coordinate these movements . \"
\"They are used to practice.
Our bodies adapt to the needs of stress.
Let\'s say we reach the oxygen-free value.
The body needs physiological time to heal, and then the next time you go and do the same, you can do it at a higher level.
But if you go too far
Train and even hurt yourself.
\"The brains are the same, but they are very, very sensitive.
Therefore, we basically require patients to exercise according to the needs of our daily life.
It trains your brain to do specific exercises at the highest level possible that day, so that your body gets used to that need.
Then it should be easier.
From mild to severe, Owen\'s concussion is \"very mild\" and how serious will it be?
Physical therapist Siobhan Karam explained that many patients with concussion recovered within two weeks.
\"But I see more and more young patients being treated between the ages of four. to-
It will be six weeks before we can fully recover . \"
More than four weeks may mean you have \"after
Concussion Syndrome
A general term that experts do not like now, because it does not properly describe clearly different situations and diagnoses).
Life is hell for these patients.
\"They just can\'t make a difference,\" Karam said . \".
\"They can\'t return to life.
Some people think they will fall all the time.
They won\'t drive.
\"In the most extreme cases, these patients feel like they are always on board --for months.
They always feel sick like someone is pushing them all the time.
It\'s like getting seasick or hanging all the time.
All you want to do is sleep.
But you don\'t feel better when you wake up. It’s awful.
Some people have lived this way for a year.
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