Rolf B. Gainer, Ph.D., Diplomate ABDA, is the Chief Executive Office at Brookhaven Hospital and the Vice President of Rehabilitation Institutes of America. Dr. Gainer has been involved in the design and operation of treatment programs since 1977.

 

 

Michael Mason is author of the book Head Cases: Stories of Brain Injury and Its Aftermath, and is a Brain Injury Projects Manager at the Neurologic Rehabilitation Institute.

Penny Rott, MS, is a brain injury case manager for the Neurologic Rehabilitation Institute at Brookhaven Hospital..

January 26, 2007, 9:37 am

Dr. Gainer to Speak at University of Tulsa

For those of you in our own corner of the state, Dr. Rolf Gainer is
addressing a graduate class in Communication Disorders at Tulsa
University. The session will be held at the Mary Chapman Center for
Communication Disorders on the TU campus. Gainer's talk will focus on
the life span issues encountered by individuals living with a brain
injury, especially issues related to aging, caregivers and social role
return.

The Outcome Validation Studies operated by the Neurologic
Rehabilitation Institute at Brookhaven Hospital and the Neurologic
Rehabilitation Institute of Ontario provide much of the data from the
multi-year outcome studies from both organizations which, is used to
examine the long term issues affecting people in the years following
the end of rehabilitation. Additionally, the presentation includes
information from the WWII Veteran's Study conducted by Plassman, the
Iowa Pediatric Study by Max and Levin, as well as research from the
Roslyn Carter Foundation into caregiver issues and compassion fatigue
to present a comprehensive review of the long term issues which deeply
affect the individual and their family.

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, 9:19 am

Announcing the Neuronotes Podcast!

NRI has just launched our new audio program: the Neuronotes Podcast. Our first program features an interview with Dr. Gainer and Kathleen Kapsolis, both of whom have years of experience working with the TBI population.

Our first program discusses different strategies regarding access to services. If you have any topics you’d like to hear us discuss, please feel free to email me at “mmason ***at*** brookhavenhospital.com.”

Click here to listen to the Neuronotes Podcast.

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January 19, 2007, 2:23 pm

Suicide linked to Multiple Concussive Injuries: The Death of a Football Player brings the focus on the long term effects of multiple injuries

by Dr. Rolf Gainer

The brain of an athlete who committed suicide has provided a vital link to understanding that brain injury caused by multiple concussions will account for later brain degeneration. In November 2006 Andre Waters, 44, a former National Football League player, committed suicide. His death lead Chris Nowinski a former Harvard football player and later professional wrestler to ask Ms. Sandra Pinkney, Mr. Water’s sister, to allow scientists to examine Andre Waters’ brain. Ms. Pinkney mulled over Mr. Nowinski’s unusual request and consented with the understanding that their cooperation could help other players avoid the tragedy that Mr. Waters experienced.

Mr. Nowinski, who experienced repeated concussions which ended his career and caused severe migraines and depression, believed that the examination of Mr. Waters’ brain would link his suicide to the numerous concussions he experienced as a professional athlete. Dr. Bennet Omalu of the University of Pittsburgh, a leading forensic pathologist concluded that “Mr. Waters’ brain tissue had degenerated into that of an 85 year old man with similar characteristics as those of early-stage Alzheimer’s victims.”

Dr. Omalu went on to say that had Mr. Waters lived another ten to fifteen years he would have been totally incapacitated. Dr. Omalu had previously examined the brains of two former Pittsburgh Steelers who were found to have post-concussive brain injuries: Mike Webster, who became homeless and cognitively impaired prior to his death from heart failure in 2002 and Terry Long who committed suicide in 2005.Other retired players have reported depression, memory problems and even thoughts of suicide.

Research into more than 2,500 former NFL players by Center for the Study of Retired Athletes found that cognitive impairment, Alzheimer’s like symptoms and depression rose proportionately to the number of concussions sustained by the athlete. Athletes who experienced three or more concussions were three times more likely to experience significant memory problems and five times more likely to develop earlier onset of Alzheimer’s symptoms.

An interview with Mr. Waters in 1994 indicated that he “lost count at 15″ when asked about his multiple concussive injuries. In 1991 Mr. Waters experienced a seizure which was later portrayed as ‘a body cramp”. He continued to play football. While the NFL brain injury experts debate the findings of the study and point to flaws they perceived in the study as well a number of retired players who have not developed the degenerative symptoms, the real facts are compelling and certainly require further examination.

Over recent years, the Brain Injury Association and the state brain injury chapters have teamed with high school and college coaches to provide training to recognize the signs of concussion and remove players from the game and even bring them to medical professionals for further examination.If we recognize that repeated concussion is the cause of brain injury for high school and college players, why won’t the experts who work with professional athletes heed the same advice.

Click here to read the full NY Times article

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January 15, 2007, 11:04 am

Creepy Brain Injury Targets Texas

The fourth case of cysticercosis has appeared in San Antonio:


“Dr. Aaron Mohanty found a cyst of tapeworm larvae living in Ramirez’s brain. If it hadn’t been found, the doctor said, Ramirez could have been dead within hours from the disease called cysticercosis. The disease is usually found in rural parts of developing countries with poor hygiene habits.”

If this doesn’t encourage you to keep up hygiene standards, I don’t know what will. Click here to read the rest of the article, as well as view an MRI of Ramirez’s brain.

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January 12, 2007, 8:36 am

No Help After TBI

The Wall Street Journal weighs in on the psychosocial issues affecting TBI survivors with an excellent article titled “Why Some Patients Get No Help After Brain Injury.” I know I’m preaching to the choir here, but have a look:

“Medical studies, while compelling, aren’t comprehensive enough for some, and unlike with a physical injury, it’s often hard to assess a patient’s progress. Many insurance companies, citing these factors, don’t pay for [cognitive] therapy, or limit its scope. In addition, acute-care doctors often simply consign patients to nursing homes.”

I couldn’t begin to tell you the number of phone calls I get from people who are trying to avoid the nursing home route for their loved one. Our healthcare system encourages them to bypass a critical phase of recovery and instead opt for a cheaper alternative with potentially disastrous consequences. This is exactly the kind of issue legislators need to become aware of, and it takes phone calls from people like you. As Marian Wright Edelman said,”You just need to be a flea against injustice. Enough committed fleas biting strategically can make even the biggest dog uncomfortable and transform even the biggest nation.”

I encourage you to read the entire article here.

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