pediatric housecalls Robert R. Jarrett M.D. M.B.A. FAAP

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Concussion Management and Return to Learn

Pediatric Concussion Management
Getting Back in the “Game”

This video is another one of Dr. Mike Evans productions where he explains in clear language what a concussion is and how it is treated. More specifically how a child should help themselves heal so they can have the best chance of returning to full activity levels – always the goal.

It is an updated version of his previous video (still available) which includes all the new information we’ve learned about the topic over the last several years of player observation and research – and that’s a lot!

You’ll also note that this post adds to the growing collection of articles I’ve written in this series about concussion in children and teens; which not only reflects the fact that concussion makes up a huge percentage of cases of morbidity and death in the US, but that it’s also largely preventable and therefore unnecessary – as well as one of the hottest topics in medical research these days. Give all of them a look-see, the links are in the box below.

[The web site www.allkids.org/ has more information or, better yet, you can contact your own school’s administration for information about your local return to learning policies.]

Return to Learning after Concussion

Return to Learning
Following a Concussion

A concussion is a traumatic brain injury (TBI) which doesn’t show up on an MRI or CT scan. Therefore, even though there is no apparent structural damage there often is significant damage to the brains ability to do its work (functional/process damage).

The student athlete shown in the video was surprised about how substantially his memory and other skills were shown to have diminished following his concussion. As it turns out the treatment of his “physical injuries” were actually less significant than what needed to be done to completely “make him better.”

Both physical and cognitive rest is essential to allow the brain to heal. While return to play protocols are mandated by the Florida High School Athletic Association (and other entities), return-to-learning policies are established by local school districts and even vary between different areas of the same state – or schools within the same district (if they have them at all).

This video highlights the effects of TBI-concussion and the importance of returning to learning in a structured manner. The web site www.allkids.org/ has more information or, better yet, you can contact your own school’s administration for information about your local return to learning policies.

 

Concussions 101, a Primer for Kids and Parents

Concussion 101
a Primer For Kids and Parents

The “Concussions 101” title is used by Dr. Mike Evans for his short video because it covers the basic information that kids and their parents need to understand when they’ve had a concussion – sort of like the “101” courses you take in college do.

Dr. Evans is a “family practitioner” – [we pediatricians don’t hold that against him] – who has a way with little video segments and has “hit the nail on the head”[oops, poor analogy, sorry] – with this short summary.

Oh, this is not the complicated medical stuff that we doctors worry about; it’s merely three of the things which are sometimes considered so “simple” that nobody thinks to talk to you about them!

  1. We don’t wanna make things worse – we follow “return to activity” protocols to prevent life-long secondary damage.
  2. We can’t predict from the beginning what will happen or how you will do – “we have to prepare for the worst and hope for the best.”
  3. Communication – people presume you’re ok because they can’t see your brain; so, you need to be clear and honest about how you’re feeling.

Your brain is You. Everything you’ve gotten good at is stored in there; all your memories, all your skills for figuring things out for school or life are built into your brain.

Take care of your awesome brain after your concussion!

Pediatric Brain Injury – Improved Outcome With Early Nutrition

Ok, this is technically just bizarre and I’m not sure how to really present it; BUT, this issue about brain injury is just so compelling and important (if it’s true) that it clearly must not go unsaid.

The bizarreness comes because a “back-door” finding in a “brain injury and hypothermia” study showed a substantial finding about an “un-related” issue: feeding!
Read more→

Parenting: Good Night’s Sleep

I’m afraid that all the things I know about the topic “sleep problems in infants” rattle around in my brain in a fairly “jumbled” manner. Frankly, the topic of infant sleep is probably the most frequently asked group of questions from new parents and in the “top 3” for all parents; but still….

The reason it’s so “jumbled” is FIRST Read more→

Where Does The Fat Go When You Loose Weight?

Ruben Meerman is a reporter on ABC television’s Catalyst program and Play School’s first ever ‘resident scientist’. Young audiences know him as the ABC’s Surfing Scientist through his books and television science demonstrations. Ruben’s scientific career began as a physicist, producing optical coatings for industrial, medical and military lasers. He eventually found his true calling in schools and kindergartens, where he brings science to life for children. He is passionate about literacy, numeracy, science education and public schools… and (safe) explosions!

Overcoming Obesity – Treadmill Dance

Carson Dean shows us an uptown funk treadmill dance (not sure where it came from – the Ellen show?). This is a sure-fire antidote to obesity! (And a way to sell treadmills)

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