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Insights and education from the Colorado Concussion Clinic team.

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Concussion Sarah Brittain Concussion Sarah Brittain

Getting Back to Work After a Medical Leave

Returning to work after a medical leave can feel intimidating.  Several questions may be running through your mind...Am I ready?  What if my headaches get worse again? What if I make mistakes?  How am I supposed to function at a high level all day?  How will I manage work and my home life?

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Concussion Sarah Brittain Concussion Sarah Brittain

Do I need to see a neurologist?

You’ve just sustained a concussion, which is a mild traumatic brain injury. You might be wondering if you need a neurologist on your team, since neurologists diagnose and treat disorders of the brain. This is a great question, and one we get all the time.

In most cases, it is not necessary to see a neurologist following a concussion. A lot of our patients go to the ER to get checked out in the first few days, which is a very appropriate course of action. If there is no concern for brain bleed or need for surgery, they are typically told to follow-up with their primary care physician, or PCP. Ideally the PCP will give the patient some guidance for how to manage the symptoms during the acute phase and refer them to a concussion specialist. Getting care for your concussion early has been shown to decrease the risk of persistent post concussive syndrome.

What’s most important to your recovery, is having a medical professional on the case who has extensive knowledge of the typical and atypical courses of concussive injury, as well as the treatments available. Concussion management has dramatically evolved over the years, and it is important to understand that not all doctors, including neurologists, might be up to date. BEWARE of physicians who tell you to sit in a dark room for a week, or that there is nothing you can do but wait for your symptoms to go away. We now know that getting care within even as little as 36 hours post injury improves your chances of a shorter and faster recovery.

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Concussion Sarah Brittain Concussion Sarah Brittain

I’m not as young as I used to be...How do I know if my symptoms are due to concussion or early dementia?

As a speech-language pathologist who has focused on treating adults with neurological deficits, I hear this question ALL. THE. TIME. It’s understandable that people become very concerned whenever they have changes in their memory. And unfortunately, there is no easy answer. But hopefully the information in this blog post will provide you with the information you need to help answer this question.

Unfortunately, many of the signs of early stage dementia are also symptoms of concussion. These common signs include forgetfulness, trouble concentrating as long as you used to, difficulty finding the right words, changes in behavior/mood, and difficulty completing daily tasks. Therefore, it can be very difficult to determine if you have dementia based solely on those symptoms. One of the biggest ways to differentiate between the two is that you can typically make progress and recover after a concussion, but dementia typically gets progressively worse over time. If you did not notice any difficulties prior to sustaining your concussion, and then acute changes occurred, that would lead me to believe that the issues are concussion related. It is also possible that you are experiencing some normal cognitive decline (we call that getting older).

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Concussion Sarah Brittain Concussion Sarah Brittain

“Jot That Down” - Thoughts about note-taking following a head injury

One of the things I hear frequently when I meet a new patient is, “All of a sudden I have to write everything down. I used to just remember things and now I’m totally overwhelmed. It’s SO frustrating!”

Let’s take a minute to analyze the situation and put things in perspective. Normally, you have a routine which may involve work, typical household chores, family obligations, etc. But now you’ve been hurt - maybe due to a fall, a sports injury, or a car crash. You’re not feeling like yourself, you’re tired and scared, and all of a sudden tasks are piling up. In addition to your usual responsibilities, you may be dealing with any or all of the following:

  • Physical symptoms: headaches, dizziness, nausea, sleep disturbance, etc.

  • Emotional symptoms: sadness, fear, anxiety, trauma, etc.

  • Medical appointments happening at different times on different days

  • Insurance companies

  • Work issues

  • Not having a car

  • Being unable to perform household chores

When we think of it that way, it’s a lot! You’ve had several things added to your plate, and it’s hard to juggle and remember everything that needs to be done.

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