3394 Respect your brain

The library notified me that there was a book waiting for me that I had requested (placed a hold several weeks ago when someone else had it checked out). I had no recollection of the book, and didn't remember when or why I requested it. The title? Making a good brain great, by Daniel G. Amen, MD. Hmmm. Looks like I needed it, doesn't it?

I leafed through it and noticed the chapter on brain injury. In 1989 my daughter was in an automobile accident--hit by a drunk driver while waiting at a stop sign. I think I blogged about it some time back. Since you aren't told much on the phone at 3 a.m. except to come to the hospital, I was fully expecting to claim a body when we got there. Even as I type this, my heart rate has soared from the stress of remembering that awful night. She was in ER with a concussion, but was sent home after a few hours. She had years of trouble resulting from that "mild concussion" and a huge hassle getting the other driver's insurance company (Nationwide) to pay up. She started stammering, was depressed, tested very low on IQ tests (done for the court), and developed debilitating migraines. She told me the other day that she had a few sessions with a neuropsychologist (also court ordered) who taught her some cognitive skills to work around the injured area. Even today, she will occasionally use what he taught her if she feels a migraine coming on, and her speech cleared up and she's her old self at problem solving and intelligence.

So I was interested to read in Dr. Amen's book that many people have had brain injuries and don't know it--particularly from falls and sports like biking, snowboarding, sledding and skating. He writes:

"A concussion or mild "traumatic brain injury" (TBI) is far more than just a bump on the head. According to the American Academy of Neurology, "There is no such thing as a minor concussion." A study from UCLA found that "the level of brain glucose use in people who suffered mild concussions was similar to that in comatose, severely brain-injured patients. . . Even mild head injuries result in major changes to the brain's metabolism and could make victims susceptible to more serious damage from a repeated blow."

Dr. Amen advises parents to never let their child knock the soccer ball with his head--heading drills, in which a child's head is knocked repeatedly, are of greater concern to pediatricians than is the occasional head-punt in a game. A study of adult soccer players found 81% had impairment of attention, concentration, memory, and judgment when compared to non-players of similar age and circumstances. He says football players are struck in the head 30-50 times per game and regularly endure blows similar to those experienced in car crashes.

Dr. Amen, who has seen over 30,000 brain scans, says: "I would not let my children hit a soccer ball with their heads, play tackle football, or snowboard without a helmet. I encourage my own kids to play tennis, golf, table tennis, and track. Your brain matters. Respect and protect it."

traumatic brain injury