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Today there is more interest in concussions and their lingering effects, which has led to more funding and research. Dr. James Kelly sees the information gathering and treatment implemenation landscape growing even further as time goes on.
Dr. James Kelly talks about how a lot of people were interested in concussion in the 1980s. It's taken a long time, but more and more people have come on board with the view that brain injury is an important issue. This change is leading to more developments in the diagnosis and treatment of mTBI.
Dr. James Kelly believes that taking extra time with patients means developing a more accurate diagnosis and, therefore, a more effective treatment plan for the patient.
Showing a patient's improvement after a brain injury using accepted standardized metrics means those results can be analyzed and diseminated. It can also inform trials aimed at improving the identification and treatment of TBIs.
At the Marcus Institute, the focus is on spending time learning about their veteran patients and finding as accurate a diagnosis as possible in order to best tailor treatment.
Dr. James Kelly discusses NICoE's major focus on helping those with brain injury become independent. To help with that goal the program helps patients learn the nature of their problem, what triggers their symptoms, and how they can address those symptoms as they arise.
NICoE, the National Intrepid Center of Excellence, was created with the goal of helping duty service members with TBI relieve symptoms, put them on a trajectory of recovery, and aim them back into the the military world that they live in.
Dr. James Kelly knows that brain injury results in physical changes to the body which can be addressed and improved using rehabilitiation therapies. Vestibular rehabilitation has proven effective in addressing issues of balance and mobility.
CTE in the military is complex but service member donations represent a very small percentage of those given to the brain banks. Dr. Ann McKee believes that more donations for study means more knowledge that can help others with military experience.
Dr. Ann McKee says that even though chronic traumatic encephalopathy (CTE) is triggered by trauma, at some point it becomes trauma-independent. While it takes time for CTE to become full-blown, even less severe cases can have significant emotional and behavioral impacts.
“I was blown away.” Dr. Ann McKee recounts the first time she saw signs of chronic traumatic encephalopathy (CTE) in boxer Paul Pender, who was thought to have had Alzheimer’s disease.