NEW YORK TIMES BESTSELLER • NOW A MAJOR MOTION PICTURE • Dr. Bennet Omalu discovered something he could not ignore. The NFL tried to silence him. His courage would change everything. “A gripping medical mystery and a dazzling portrait of the young scientist no one wanted to listen to . . . a fabulous, essential read.”—Rebecca Skloot, author of The Immortal Life of Henrietta Lacks Jeanne Marie Laskas first met the young forensic pathologist Dr. Bennet Omalu in 2009, while reporting a story for GQ that would go on to inspire the movie Concussion. Omalu told her about a day in September 2002, when, in a dingy morgue in downtown Pittsburgh, he picked up a scalpel and made a discovery that would rattle America in ways he’d never intended. Omalu was new to America, chasing the dream, a deeply spiritual man escaping the wounds of civil war in Nigeria. The body on the slab in front of him belonged to a fifty-year-old named Mike Webster, aka “Iron Mike,” a Hall of Fame center for the Pittsburgh Steelers, one of the greatest ever to play the game. After retiring in 1990, Webster had suffered a dizzyingly steep decline. Toward the end of his life, he was living out of his van, tasering himself to relieve his chronic pain, and fixing his rotting teeth with Super Glue. How did this happen?, Omalu asked himself. How did a young man like Mike Webster end up like this? The search for answers would change Omalu’s life forever and put him in the crosshairs of one of the most powerful corporations in America: the National Football League. What Omalu discovered in Webster’s brain—proof that Iron Mike’s mental deterioration was no accident but a disease caused by blows to the head that could affect everyone playing the game—was the one truth the NFL wanted to ignore. Taut, gripping, and gorgeously told, Concussion is the stirring story of one unlikely man’s decision to stand up to a multibillion-dollar colossus, and to tell the world the truth.
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The dramatic story of one man’s recovery offers new hope to those suffering from concussions and other brain traumas In 1999, Clark Elliott suffered a concussion when his car was rear-ended. Overnight his life changed from that of a rising professor with a research career in artificial intelligence to a humbled man struggling to get through a single day. At times he couldn’t walk across a room, or even name his five children. Doctors told him he would never fully recover. After eight years, the cognitive demands of his job, and of being a single parent, finally became more than he could manage. As a result of one final effort to recover, he crossed paths with two brilliant Chicago-area research-clinicians—one an optometrist emphasizing neurodevelopmental techniques, the other a cognitive psychologist—working on the leading edge of brain plasticity. Within weeks the ghost of who he had been started to re-emerge. Remarkably, Elliott kept detailed notes throughout his experience, from the moment of impact to the final stages of his recovery, astounding documentation that is the basis of this fascinating book. The Ghost in My Brain gives hope to the millions who suffer from head injuries each year, and provides a unique and informative window into the world’s most complex computational device: the human brain.
Concussions are increasing in incidence each year, and each state has a law on management of concussions in children. These factors strengthen the need for primary care providers to be well-versed in the evaluation and management of them. This text provides primary care physicians and clinicians with an evidence-based yet practical approach to diagnosing and treating concussions in children and adults. The book begins with a general overview of concussions. It then goes on to identify risks, signs and symptoms of concussions. Next, physicians and providers learn when and how to perform appropriate physical exams for suspected concussions. The following chapters focus on finding the correct type of testing to perform in suspected concussions. The testing options addressed include diagnostic, neurocognitive and imaging. Return-to-learn and return-to-play recommendations are then discussed to ensure that providers are able to properly educate patients on them. The book concludes by explaining post-concussion syndrome and identifying methods to prevent concussions and complications in the future. Each chapter presents a specific case along with 3-5 followup questions as well as a summary of key concepts. Written from the unique perspective of a primary care physician who also specializes in sports medicine and concussions, Concussion Management for Primary Care is a first-of-its-kind book that serves as a valuable resource for primary care physicians, sports medicine physicians and any other clinician treating patients suffering from a possible concussion.
This book surveys the research on this disorder. Most people recover completely following concussion, also known as mild traumatic brain injury, but some continue to have post-concussion syndrome symptoms for months or even years after the injury. This book explores the definition, genesis, assessment, diagnosis, recovery, and treatment of post-concussion syndrome.
Concussions in Athletics: From Brain to Behavior is a timely and major contribution to the literature that comprehensively addresses the neuromechanisms, predispositions, and latest developments in the evaluation and management of concussive injuries. Also known as mild traumatic brain injury, concussion in athletics is a growing public health concern with increased attention focusing on treatment and management of this puzzling epidemic. Despite the increasing occurrence and prevalence of concussions in athletics, there is no universally accepted definition, or “gold standard,” for its assessment. Concussion in Athletics: From Brain to Behavior provides a range of major findings that may shed important light on current controversy within the field. The book is organized in five parts: Evaluation of Concussion and Current Development; Biomechanical Mechanisms of Concussion and Helmets; Neural Substrates, Biomarkers and Brain Imaging of Concussion Research; Pediatric Sport-related Concussions; and Clinical Management and Rehabilitation of Concussions. An invaluable contribution to the literature, Concussions in Athletics: From Brain to Behavior is a state-of-the-art reference that will be of significant interest to a wide range of clinicians, researchers, administrators, and policy makers.
The increasing recognition of concussion and its associated consequences has focused international attention on mild traumatic brain injury. The need for early diagnosis, evaluation, and management has expanded dramatically. This volume includes the experience of leading experts who describe the recent advances in the pathophysiology, biomechanics, imaging definition, and management of concussion. Advanced imaging and electrophysiological techniques are being used to help delineate the underlying metabolic and ultrastructural effects of concussive injuries. Papers in this volume review the role of emerging techniques including fMRI, SPECT, PET, DTI, MRS, and MEG, as well as report on multimodality concussion management programs which offer guidelines for selecting relevant team members, assessing community needs, and implementing management strategies that align with current practice standards. This publication provides neurosurgeons, neurologists, trauma and sports medicine specialists, physiatrists, neuropsychologists, and neuroscientists with a comprehensive overview of the current understanding of the causes of mild traumatic brain injury or concussion, newer methods to evaluate it, and current and evolving multimodality management strategies.
"Abstract: Concussion is a type of mild traumatic brain injury, is common, and occurs both in sport and as a result of falls or accidents. Concussion has become an increasingly recognized public health concern, largely driven by prominent media coverage of athletes who have sustained concussion. Although much has been written about this condition, we still do not understand its natural history, and we are only now beginning to recognize that concussion often manifests in different clinical domains. These may require targeted treatment in and of themselves; otherwise, persistent postconcussive symptoms may develop. Although most individuals who sustain a concussion recover, and although concussion is a treatable condition, it is important that concussion be managed early and comprehensively to avoid a more prolonged clinical trajectory. A relatively recent term often used in the setting of concussion is repetitive head impact exposure-a biomechanical force applied to the head that does not generate a clinical manifestation of concussion, but may result in structural brain changes. Although it is often assumed that repetitive head impact exposure leads to long-term neurological sequelae, the science to document this assumption is in its infancy. Repeated concussions may lead to depression or cognitive impairment later in life, and there is an emerging literature that repeated concussion and repetitive head impact exposure are associated with chronic traumatic encephalopathy or other neurodegenerative diseases. Currently there is no known causal connection between concussion, repetitive head impact exposure, and neurodegeneration, although this research is also still in its infancy. What is clear is that (a) concussion prevention and safety should be paramount in sport and in society, (b) concussion management should begin immediately and should include clinical domains, and (c) research on concussion and repetitive head impact exposure must continue to move forward. K
This is a practical manual for clinicians who take care of patients with concussions. The long-term effects of concussions are an increasingly recognized problem in the medical community and by the general public. Most people recover well from concussions, but a substantial minority does not. However, most clinicians do not have specific training in how to evaluate and treat concussion patients who do not make a rapid and complete recovery. This manual, based on the experience of the director of the concussion clinic at Washington University in St Louis, provides specific step-by-step guidance for managing a variety of problems related to complex concussions: making an accurate diagnosis, general treatment strategies, headaches, sleep disruption, attention deficit, mood instability, anxiety and depression, post-traumatic stress, personality change, balance problems, dizziness, fatigue etc. Furthermore, there are specific sections on return to work, return to driving, return to school and return to contact sports. Finally, the manual includes information on special topics, such as concussion in adolescents, children, contact sport athletes, military personnel, and patients involved in medico-legal matters. The manual is written for clinicians with a broad range of backgrounds: primary care physicians, nurse practitioners, physician's assistants, athletic trainers, emergency medicine doctors, neurologists, neurosurgeons, psychiatrists, and rehabilitation medicine physicians should all be able to use the manual effectively. There is information on how to set up a specialty concussion clinic, and an extensive list of internet-based resources related to concussion. A list of other publications is provided to point to additional detailed information beyond what a pocket-sized 'on-the-fly' manual can provide.
- Author : Diane Roberts Stoler Ed.D.
- Publisher : Penguin
- Release Date : 2013-11-05
- Genre : Health & Fitness
- Pages : 400
- ISBN : 9781101631614
A comprehensive guide for improving memory, focus, and quality of life in the aftermath of a concussion. Often presenting itself after a head trauma, concussion— or mild traumatic brain injury (mTBI)— can cause chronic migraines, depression, memory, and sleep problems that can last for years, referred to as post concussion syndrome (PCS). Neuropsychologist and concussion survivor Dr. Diane Roberts Stoler is the authority on all aspects of the recovery process. Coping with Concussion and Mild Traumatic Brain Injury is a lifeline for patients, parents, and other caregivers.
Concussions are a world-wide epidemic --43 million cases are diagnosed each year The good news is that there are effective treatments available today which reverse the symptoms of a concussion by correcting the underlying mechanisms of injury to the brain. The Concussion Cure is the first book which describes in detail how a concussion should be diagnosed and then treated. Both the diagnosis and treatments are based upon the findings of two diagnostic tests which show functional abnormalities. In this comprehensive guide, Paul Henry Wand, MD explains how to treat recent concussions as well as those from years ago, and covers undiagnosed and untreated conditions which are often overlooked. The Concussion Cure offers hope to patients with traumatic brain injuries and their families by sharing detailed information on three different treatment modalities which are proven to reverse the systems of a concussion. These treatments include specific medication to increase the blood flow in the brain, neurofeedback and hyperbaric oxygen.
Between the growing numbers of children and adolescents playing sports and the increased attention to head injuries by the larger sports community and the general public, pediatric concussions are emerging as a major concern. And as practitioners are seeing more young clients with head injuries, questions arise about age-appropriate assessment, diagnosis, treatment, and return to activity. Pediatric and Adolescent Concussion: Diagnosis, Management, and Outcomes offers evidence-based guidelines where few previously existed. This comprehensive volume clearly explains the effects of traumatic injury on the developing brain in sports- and non-sports-related contexts, and establishes a framework for immediate and long-term management, especially the crucial first 24 hours. Chapters provide a basic grounding in its subject with a history of concussion as a medical entity and a review of definitional and classification issues, take the reader through the steps of a neuropsychological evaluation, pinpoint post-injury issues, and offer strategies for the prevention of further or future injury. Pediatric and Adolescent Concussion: Diagnosis, Management, and Outcomes serves as both educational resource and practical framework for a wide array of professionals, including neuropsychologists, sports medicine physicians, child psychologists and psychiatrists, pediatric and family physicians, athletic trainers, social workers, and educators.
Clinicians and patients can no longer wait for answers to fundamental questions regarding how to properly evaluate and treat concussions and traumatic brain injuries. Doctors, those suffering, and their loved ones have questions that need to be answered, including: • When will someone emerge from a coma? • Can the fear of going out in public be overcome? • Will problems pertaining to memory and anger management go away? • Will the individual be able to work again? Dr. Kester J Nedd, a board-certified neurologist, draws on his years of experience treating patients suffering from head injuries to answer these questions and many more. Filled with real stories of patients, this first volume explores how this modern epidemic is often misdiagnosed or left untreated. Unsound definitions, rules of engagement, and limited scientific evidence has caused us to lose generations of people who suffered the fate of this condition. The author shares a new and transformative evaluation method, known as Brain Hierarchical Evaluation and Treatment- the BHET method. The book outlines the hierarchical organization of the brain “from head to tail” and highlights what happens to the brain after an injury and how it responds.
- Author : Nigel S. King
- Publisher : Hachette UK
- Release Date : 2015-10-01
- Genre : Self-Help
- Pages : 240
- ISBN : 9781472136107
HIGHLY COMMENDED for the British Medical Awards book prize for Popular Medicine Up to 10% of people will suffer a mild head injury (or 'mild traumatic brain injury') in their lifetime and up to 50% of those people will also find they have lingering post-concussion symptoms in the months or years afterwards. These symptoms can include headaches, dizziness, fatigue, irritability, sleep disturbance, reduced day-to-day memory, poor concentration, taking longer to think, 'muzzy' headedness, depression, anxiety, tinnitus, blurred or double vision, sensitivity to light or noise, frustration, nausea, restlessness and sensitivity to alcohol. In such circumstances the 'mild' head injury may feel anything but mild. This is particularly so if large areas of your day to day life are affected. People in these circumstances can have their difficulties compounded by the very different explanations for their persisting difficulties. These usually involve receiving contradictory opinions about the extent to which ongoing symptoms are caused by neurological brain injury or other factors. These complicating factors can make it very difficult to find the right kind of service or expertise after a TBI. Patients can easily feel like they are being ''pushed from pillar to post" when trying to find services that can help with their problems. On top of all of this, there is a distinct lack of good, science- based information for patients about the best ways to manage PCS. It is therefore very common for those who experience prolonged difficulties to find their situation extremely confusing, frustrating and stressful. Dr Nigel King is an expert with much experience in this area, and has written a very valuable book weaving together the most useful knowledge in this area. It clarifies some of the complex issues for those who suffer with prolonged problems and provides practical, science-based self-help guidance for managing TBI difficulties. Using cognitive rehabilitation techniques and CBT ap
- Author : William Paul Meehan III
- Publisher : ABC-CLIO
- Release Date : 2018-02-08
- Genre : Psychology
- Pages : 217
- ISBN : 9781440858031
A comprehensive summary of sport-related concussion for parents, coaches, and athletes that considers the physics and biology behind the injury, identifies what can be done to reduce the risk of its occurrence, and describes how to properly respond to a suspected concussion. • Provides a detailed but easy-to-understand, jargon-free explanation of types of trauma and the forces that result in a concussion as well as what happens to brain cells when the brain suffers a concussion • Presents the facts about sport-related concussion and the potential for cumulative effects of sport-related concussions, including a discussion about chronic traumatic encephalopathy • Informs athletes, parents, and coaches about ways in which to prepare for a possible concussion, how to respond to a potential concussion, and steps to take to decrease the risk of a concussion injury
Inside the most controversial issue in sports Traumatic brain injury in football is not incidental, but an inevitable and central aspect of the sport. Starting in high school, through college, and into the NFL, young players face repeated head trauma, and those sustained injuries create lifelong cognitive and functional difficulties. Muchnick's Concussion Inc. blog exposed the decades-long cover-up of scientific research into sports concussions and the ongoing denial to radically reform football in North America. This compilation from Muchnick's no-holds-barred investigative website reveals the complete head injury story as it developed, from the doctor who played fast and loose with the facts about the efficacy of the state-mandated concussion management system for high school football players, to highly touted solutions that are more self-serving cottage industry than of any genuine benefit. Known for extensive reporting on the tragic story of the Chris Benoit murder-suicide, Muchnick turns his investigative analysis to traumatic brain injury and probes deep into the corporate, government, and media corruption that has enabled the $10-billion-a-year National Football League to trigger a public health crisis.
The phenomenon of minor head injury is increasingly being recognized as having both immediate and long-term implications for athletes. Physicians, trainers, and coaches play a vital role in the prevention of injury, on-field diagnosis and management, and treatment of sports related concussion. From early recognition of a concussive event to treatment options and possible long-term side effects, all aspects of the neurologic and neuropsychologic evaluation and management of head injury in the athlete are addressed. The book concludes with a lively and informative round-table discussion among professional athletes who have experienced sports-related concussion.
The first book to focus on managing concussions from prevention to post-concussion return to school Concussions pose a serious and complex issue for schools – from determining if a student may have suffered a concussion during a school activity to ensuring that students diagnosed with this condition can safely and effectively resume study, recreation, and sports. This is the first comprehensive text for school staff, including psychologists, counselors, and nurses, on managing concussions in students, from prevention to post-concussion return to school. With a focus that addresses concussions on and beyond the sports field, the book describes how to create and lead a concussion management team in school and provides clear, non-technical information on how concussions can affect learning, mental health, and social-emotional functioning; tools for school-based concussion assessment; and guidelines for creating accommodation plans in collaboration with the family, community, and school team. The text guides key school professionals in navigating the barriers, system issues, knowledge gaps, and complexities in recognizing and responding to student concussions. Case studies integrated throughout each chapter feature the same four students from point of injury to recovery. Reproducible forms and handouts include signs and symptoms checklists, a post-concussion care plan, a checklist of academic adjustments, and progress monitoring tools. Key Features: Offers comprehensive, practical information on concussion for school psychologists, counselors, and nurses Provides skills in developing and leading a school-based concussion management team Explains how concussions can affect learning, mental health and social-emotional functioning Offers tools for school-based concussion assessment Includes guidelines for creating symptom-based adjustments to the learning environment in collaboration with family, community, and school team Includes in-depth case studies and handouts, for
- Author : William P. Meehan
- Publisher : Elsevier Health Sciences
- Release Date : 2010-12-20
- Genre : Medical
- Pages : 240
- ISBN : 9781455709564
This issue of Clinics in Sports Medicine will explore all aspects of sports-related concussion, such as the biomechanics and epidemiology of concussions,as well as special considerations for female and pediatric athletes. The issue will also include articles on return-to-play and retiring decisions after sports-related concussions.
Concussion has become one of the most significant issues in contemporary sport. The life-changing impact of head injury and the possible threat that chronic traumatic encephalopathy poses to children and young athletes in particular is calling into question the long-term future of some of our most well-established sports. But what are the real issues behind the headlines and the public outcry, and what can and should be done to save sport from itself? This concise, provocative introduction draws on perspectives from sociology, medicine, ethics, psychology, and public health to answer these questions and more. The book explores the context in which the current cultural crisis has emerged. It assesses the current state of biomedical knowledge; the ethics of regulating for brain injury; the contribution of the social sciences to understanding the behaviour of sports participants; and the impact of public health interventions and campaigns. Drawing on the latest research evidence, the book explores the social roots of sport’s concussion crisis and assesses potential future solutions that might resolve this crisis. This is essential reading for anybody with an interest in sport, from students and researchers to athletes, coaches, teachers, parents, policy-makers, and clinicians.
- Author : Gordon A. Bloom
- Publisher : Routledge
- Release Date : 2019-03-27
- Genre : Medical
- Pages : 260
- ISBN : 9781351200493
Recognition of concussion as a serious injury, informed by neurological and physiological research, is now commonplace in sport. However, research on the psychology of concussive injury—its psychological implications and outcomes, and psychological interventions for prevention and recovery—has largely been overlooked. This is the first book to explicitly and authoritatively set out the psychological aspects of sport-related concussion from a multidisciplinary and global perspective The book attempts to offer a global understanding of the injury by presenting an historical overview; exploring the psychological implications of sport-related concussion and the influence of gender and sociocultural context on concussive injury and recovery; setting out practical guidance on working with special populations suffering from concussive injuries; and discussing the theoretical and methodological considerations for research on concussion and future directions for this research. Written by a group of leading international experts and offering a hitherto underdeveloped perspective on this crucial area of sports injury research, this book is crucial reading for any upper-level student, researcher, sport scientist, coach, or allied health professional working on sport-related concussion. It is also valuable reading for students and researchers interested in the psychosocial processes that impact injury and recovery or general professional practice in sport psychology.