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..

March 26, 2007, 9:41 am

Brain injury affects moral choices

Researches from the University of Iowa have determined that injuries to the ventromedial area of the frontal cortex can affect moral choices. While testing injured and non-injured participants, researchers learned that those with the brain injury had difficulty making moral choices involving life or death scenarios:

The difference was very clear for all the ventromedial patients, said Dr. Michael Koenigs, a neuroscientist at the National Institutes of Health who led the study while at the University of Iowa. After repeatedly endorsing killing in these high-conflict situations, Dr. Koenigs said, one patient told him, “Jeez, I’ve turned into a killer.” 

Click here to read more about the study.

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March 21, 2007, 8:48 am

2007 Doctor Wolter Verduyn Award Recipient Announced

And the winner goes to… our very own Dr. Rolf Gainer. At this year's
annual Brain Injury of Iowa Conference, Dr. Gainer received the
prestigious Wolter Verduyn speaker's award for excellence in
furthering brain injury education and research through public talks.

His presentation, "Rehab Outside the Box" offered audience members an
info-packed understanding of the lifetime needs and challenges that
survivors of brain injury face. Keep checking this site throughout the
year for your chance to see one of Dr. Gainer's engaging
presentations.

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March 20, 2007, 11:29 am

Iowa Brain Injury Conference Celebrates Fifteen Years

The Brain Injury Association of Iowa’s Best Practices in Brain Injury Service Delivery: XV occurred last week in Des Moines. The conference hosted over 300 brain injury professionals and consumers marking the fifteenth anniversary of the conference. The event was extremely well planned and a high quality conference in all respects. The featured conference faculty included Geoffrey Lauer, MA, the newly appointed Executive Director of the Brain Injury Association of Iowa; Ron Savage, Ed.D.; Rick Parente, Ph.D. and Ann Pearson, Ms and Scott Franzen, BS. Mr. Lauer’s address focused on the view to the future and identified the important issues facing brain injury professionals. His talk touched on the issue of the changes in survivor population, including the problems faced by individuals injured in the military. Dr. Savage’s presentation highlighted teaching and learning as a major component of rehabilitation across the age spectrum. Dr. Savage followed up his keynote address with other sessions regarding detecting concussion in students and medications used with younger individuals with brain injury. His expertise and lonstanding contributions to brain injury were in evidence in his presentations. Dr. Rick Parente from Towson State University provided extremely pragmatic information about assistive and orthotic cognitive devices. Dr. Parente’s lectures were filled with strategies that come from his years as a senior researcher and cognitive therapist. A panel discussion involving family members was chaired by Kathy Herring, who brings her personal experiences as a family member to bear in her work with survivors and their families.

A highlight of the conference was a presentation by my colleague, Mike Mason who describe the medical journey for individuals who received a brain injury in Iraq. Mike has recently returned from a visit to the military hospitals at Balad, Landstuhl and Walter Read. His presentation at the conference, which included audio and video records of his interviews with injured servicemen, physicians and nurses was emotionally laden for every participant, yet it provided a factual record of the advances in trauma medicine and the heroic efforts to preserve human life occurring in the field hospitals in Iraq. It was disturbing to know that the Iraqi children and adults who were treated at Balad alongside our military would receive little if any follow-up care or rehabilitation follow their discharge due to the disrupted healthcare system in their country. Mike’s presentation brought the issues of our military personnel with traumatic brain injury into a sharp focus. These young people present the new face of the brain injury survivor who we will encounter in civilian life as the physicians and trauma specialists return from their military duty to work in civilian hospitals. We will see more people survive devastating injury as a result of improved medical technology created by these individuals as well as by advances in new medicines. The changing survivor will require that rehabilitation take a new course to meet the needs of these individuals, including over the course of their lives.

I was pleased to be a part of this conference and to offer my work on Life Span Considerations for Individuals with Brain Injury. The Iowa conference is tops among the state brain injury association conferences. Iowa has worked diligently over the years to create programs and funding for their citizens. The inter-agency cooperation is in evidence and the strong leadership of the Brain Injury Association has positively influenced the pro rehabilitation culture of the state.

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March 13, 2007, 7:39 am

At the Annual BIA Conference in Des Moines, IA

This week, Dr. Rolf Gainer and I will each offer presentations at
Iowa's annual Brain Injury Association conferences. On Thursday
morning, I'll deliver a break-out session talk called "The Pipeline:
One Soldier's Ride Down the Military's Medical Megaride," which
focuses on the medical care of brain injured veterans as they move
through the military's treatment path.

During Friday's general session, Dr. Gainer will present "When Rehab
is Over: Lifespan Considerations for Individuals Living with a Brain
Injury." The talk uses a variety of clinical sources to pinpoint
various challenges and successes that brain injury poses for an aging
population.

If you're in the area, please stop by and say hello!

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March 5, 2007, 3:39 pm

Back from Iraq: An Accurate Picture

This past year, I've been researching the treatment path of
servicemembers who return from Iraq with brain injuries. During the
past two weeks, the issue has gained national attention, but there is
an incorrect assumption being drawn.

The VA is not the scapegoat in this predicament. It is a terrible
misfortune that it has taken a crisis this big to reveal the poverty
of services to brain injured civilians and servicemembers alike. The
VA is responsible for most of the pioneering work in brain injury
treatment, but they aren't perfect. They are trying to do as much as
possible with a shoe string budget.

So who is to blame for the abandoned vets? We each must shoulder the
responsibility. We have allowed legislators to ignore the issue, we
have allowed grants and waivers to go unapproved. American society has
relegated its brain injured to institutions and nursing homes, and now
we're finally understanding the price of our missteps.

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, 10:50 am

Helmets and Gloves: A Risky Game

Physicians in Canada have noted concussive injuries as a result of “locker boxing”. The individuals who were injured reported that they wore either hockey or lacrosse gear with helmets with cages and gloves and would repeatedly strike another on the head in a test of toughness. The concussive injuries were difficult to diagnose as no contact injuries had occurred on the playing field, yet the players showed the symptoms of a concussive injury. Coaches, physicians and family members should be aware of the signs of concussion and attempt to determine if “locker boxing” or Helmet and Gloves was the cause of the injury. A far more serious punch to the head with lifetime consequences could occur for any player who is allowed to return to the game with signs of a concussion.

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