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TEN OF THE MOST COMMON MYTHS AND MISPERCEPTIONS
ABOUT TRAUMATIC BRAIN INJURY FOR PATIENTS TO KNOW
Edward K. Le
Edward K. Le, PLLC
135 Park Ave N.
Renton, Wa 98056
425 336 2255
www.edwardkle.com
edward@edwardkle.com
EDWARD K. LE, PLLC,
www.edwardkle.com
copyright©2014
MYTH #1:
A Mild Traumatic
Brain Injury Causes
Little Impact on Life
EDWARD K. LE, PLLC,
www.edwardkle.com
copyright©2014
MILD TRAUMATIC BRAIN INJURY AFFECTS
EVERY FACET OF PERSON’S LIFE
Functionality
Ongoing Medical
Care Needs
Quality of Life
Earlier Nursing
Home Enrollment
Activities of
Dailiy Living
FACT
EDWARD K. LE, PLLC,
www.edwardkle.com
copyright©2014
IN A REPORT FROM THE CENTER
FOR DISEASE CONTROL TO THE
U.S. CONGRESS, MILD
TRAUMATIC BRAIN INJURY CAN
HAVE PROFOUND IMPACT AND
CAUSE LIFELONG DISABILITY
EDWARD K. LE, PLLC,
www.edwardkle.com
copyright©2014
EDWARD K. LE, PLLC,
www.edwardkle.com
copyright©2014
EDWARD K. LE, PLLC,
www.edwardkle.com
copyright©2014
EDWARD K. LE, PLLC,
www.edwardkle.com
copyright©2014
EDWARD K. LE, PLLC,
www.edwardkle.com
copyright©2014
• Of the estimated 1,500,000
people who sustain TBI’s each
year in the United States:
•1.1 million treated & released
from an Emergency Dept.
•235,000 hospitalized
•50,000 die
•80,000 experience onset of long-
term effects from a TBI
•5.3 million Americans living with
a disability as a result of a TBI
FROM CENTER FOR DISEASE
CONTROLEDWARD K. LE, PLLC,
www.edwardkle.com
copyright©2014
Estimated annual costs from TBI’s:
$56.3 billion
EDWARD K. LE, PLLC,
www.edwardkle.com
copyright©2014
MYTH #2:
There Must Be
Impact to Head to
Cause Brain Injury
EDWARD K. LE, PLLC,
www.edwardkle.com
copyright©2014
RAPID MOVEMENT OR ACCELERATION/
DECELERATION CAN DAMAGE BRAIN TISSUEFACT
EDWARD K. LE, PLLC,
www.edwardkle.com
copyright©2014
RAPID ACCELERATION/ DECELERATION CAN CAUSE
BRAIN TISSUE TO DAMAGE THROUGH IMPACT
WITH HARD BONY INNER RIDGES OF SKULL
FACT
THIS IS KNOWN AS A COUP-CONTRECOUP INJURY EDWARD K. LE, PLLC,
www.edwardkle.com
copyright©2014
MYTH #3:
There Must Be “Loss of
Consciousness” to
Sustain A Traumatic
Brain Injury
EDWARD K. LE, PLLC,
www.edwardkle.com
copyright©2014
Profound Brain Damage Can Occur Without Loss
of ConscioussnessFACT
Case of Phineas Gage [Standard Case Study in Medical School]: Struck By Long Metal
Rod into Brain During Explosion. He Never Lost Consciousness & Was Awake and Alert
When He Reached a Doctor Hours later
Center for Disease Control, World Health Organization,
and American Congress of Rehabilitation Medicine All
Define Brain Injury As “Any Alteration in Consciousness”
FACT
EDWARD K. LE, PLLC,
www.edwardkle.com
copyright©2014
MYTH #4:
A Negative Brain MRI or
CT Scan Rules Out a
Traumatic Brain Injury
In Mild TBI, Most Damage to Brain is Microscopic
& Rarely Shows Up on MRI or CT ScanFACT
Normal Axons Are Less
Than 5 Microns – Less
Than Size Threshold for
Detection by MRI or CT
Billions of Axons Can Be Damaged Without
Detection By MRI or CT Through ShearingFACT
Diffuse Shearing of Billions of Axon Occurs
in Traumatic Brain InjuryFACT
EDWARD K. LE, PLLC,
www.edwardkle.com
copyright©2014
MYTH #6:
CHILDREN WITH
BRAIN INJURY
RECOVER
BETTER THAN
ADULTS
EDWARD K. LE, PLLC,
www.edwardkle.com
copyright©2014
According to Center for Disease Control , Children
May Require Longer Recovery Time After a TBIFACT
EDWARD K. LE, PLLC,
www.edwardkle.com
copyright©2014
A Younger Brain Is More Vulnerable to Damage Because As
Undeveloped Portions Mature From Previously Damaged
Areas, Normal Development Is Hard to Predict.
FACT
EDWARD K. LE, PLLC,
www.edwardkle.com
copyright©2014
MYTH #7:
Mild Traumatic
Brain Injury Victims
Recover Quickly
EDWARD K. LE, PLLC,
www.edwardkle.com
copyright©2014
MILD BRAIN INJURY CAN HAVE PROFOUND
IMPACT OVER A LIFETIMEFACT
ACCORDING TO CENTER FOR DISEASE CONTROL, PEOPLE WITH MILD BRAIN INJURY
MAY EXPERIENCE ACCELERRATED COGNITIVE AND FUNCTIONAL DECLINE WITH AGE
EDWARD K. LE, PLLC,
www.edwardkle.com
BRAIN INJURY CAUSES PEOPLE TO DEVELOP
DEGENERATIVE NEUROLOGICAL DEFICTS AS THEY
AGE OVER TIME
FACT
EDWARD K. LE, PLLC,
www.edwardkle.com
MYTH #8:
Symptoms of
Traumatic Brain
Injury Will Be
Immediately
Evident
EDWARD K. LE, PLLC,
www.edwardkle.com
copyright©2014
MOST PATIENTS ARE NOT SELF-AWARE OF
COGNITIVE DEFICTS UNTIL OTHERS TELL THEM
FACT
EDWARD K. LE, PLLC,
www.edwardkle.com
copyright©2014
MOST PATIENTS ARE NOT SELF-AWARE UNTIL
ENOUGH TIME PASSES TO WHERE THEY
RECOGNIZE A PART OF THEM IS “MISSING”
FACT
EDWARD K. LE, PLLC,
www.edwardkle.com
PATIENTS WITH BRAIN INJURY USUALLY SUFFER
OTHER PHYSICAL AND BODILY PAIN THAT DIVERT
THEIR AWARENESS OF COGNITIVE PROBLEMS
FACT
EDWARD K. LE, PLLC,
www.edwardkle.com
copyright©2014
MYTH #9:
YOU CAN
RECOGNIZE A
PERSON WITH A
TRAUMATIC
BRAIN INJURY
EDWARD K. LE, PLLC,
www.edwardkle.com
copyright©2014
BRAIN INJURY SYMPTOMS ARE MANIFESTED
INTERNALLY AND SYMPTOMS ARE NOT OBVIOUS
TO ORDINARY PERSON.
FACT
EDWARD K. LE, PLLC,
www.edwardkle.com
copyright©2014
MOST TRAUMATIC BRAIN INJURY VICTIMS
DISGUISE THEIR INJURY TO OTHERS FOR FEAR OF
BEING INTERPRETED “INADEQUATE” OR “CRAZY”
FACT
EDWARD K. LE, PLLC,
www.edwardkle.com
TRAUMATIC BRAIN INJURY IS KNOWN AS AN
INVISIBLE INJURY AND A SILENT EPIDEMICFACT
EDWARD K. LE, PLLC,
www.edwardkle.com
copyright©2014
MYTH #10:
Any Medical Doctor
Can Detect a Person
Who Sustained a
Traumatic Brain Injury
EDWARD K. LE, PLLC,
www.edwardkle.com
ACCORDING TO THE A.M.A AND NUMEROUS
PUBLISHED RESEARCH , MOST DOCTORS ARE NOT
PROPERLY TRAIN TO DIAGNOSE A BRAIN INJURY
FACT
EDWARD K. LE, PLLC,
www.edwardkle.com
copyright©2014
BEST PRACTICE FOR MOST PHYSICIANS IS TO
REFER PATIENT FOR NEUROPSYCHOLOGICAL
TESTING WHICH IS MORE EXTENSIVE
FACT
EDWARD K. LE, PLLC,
www.edwardkle.com
copyright©2014
NEUROPSYCHOLOGICAL EXAMINATION IS MORE
DETAILED THAN A MEDICAL VISIT AND PROVIDES
OBJECTIVE EVIDENCE OF SPECIFIC COGNITIVE DEFICITS
FACT
EDWARD K. LE, PLLC,
www.edwardkle.com
copyright©2014
Edward K. Le
Edward K. Le, PLLC
135 Park Ave N.
Renton, Wa 98056
425 336 2255
www.edwardkle.com
edward@edwardkle.com
The Seattle Brain Injury Law Firm of Edward K. Le, PLLC and its attorneys has extensive
experience in handling claims and representing victims of traumatic brain injury who were
injured by auto accidents, truck accidents, construction falls, worksite accidents, medical
malpractice, slip or trip falls, stairway falls, maritime or boating injuries, guardrail defects,
elevator defects, merchandise falling at stores, and head injury from assaults in bars or
nightclubs.

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10 common myths and misconceptions about traumatic brain injury

  • 1. TEN OF THE MOST COMMON MYTHS AND MISPERCEPTIONS ABOUT TRAUMATIC BRAIN INJURY FOR PATIENTS TO KNOW Edward K. Le Edward K. Le, PLLC 135 Park Ave N. Renton, Wa 98056 425 336 2255 www.edwardkle.com edward@edwardkle.com EDWARD K. LE, PLLC, www.edwardkle.com copyright©2014
  • 2. MYTH #1: A Mild Traumatic Brain Injury Causes Little Impact on Life EDWARD K. LE, PLLC, www.edwardkle.com copyright©2014
  • 3. MILD TRAUMATIC BRAIN INJURY AFFECTS EVERY FACET OF PERSON’S LIFE Functionality Ongoing Medical Care Needs Quality of Life Earlier Nursing Home Enrollment Activities of Dailiy Living FACT EDWARD K. LE, PLLC, www.edwardkle.com copyright©2014
  • 4. IN A REPORT FROM THE CENTER FOR DISEASE CONTROL TO THE U.S. CONGRESS, MILD TRAUMATIC BRAIN INJURY CAN HAVE PROFOUND IMPACT AND CAUSE LIFELONG DISABILITY EDWARD K. LE, PLLC, www.edwardkle.com copyright©2014
  • 5. EDWARD K. LE, PLLC, www.edwardkle.com copyright©2014
  • 6. EDWARD K. LE, PLLC, www.edwardkle.com copyright©2014
  • 7. EDWARD K. LE, PLLC, www.edwardkle.com copyright©2014
  • 8. EDWARD K. LE, PLLC, www.edwardkle.com copyright©2014
  • 9. • Of the estimated 1,500,000 people who sustain TBI’s each year in the United States: •1.1 million treated & released from an Emergency Dept. •235,000 hospitalized •50,000 die •80,000 experience onset of long- term effects from a TBI •5.3 million Americans living with a disability as a result of a TBI FROM CENTER FOR DISEASE CONTROLEDWARD K. LE, PLLC, www.edwardkle.com copyright©2014
  • 10. Estimated annual costs from TBI’s: $56.3 billion EDWARD K. LE, PLLC, www.edwardkle.com copyright©2014
  • 11. MYTH #2: There Must Be Impact to Head to Cause Brain Injury EDWARD K. LE, PLLC, www.edwardkle.com copyright©2014
  • 12. RAPID MOVEMENT OR ACCELERATION/ DECELERATION CAN DAMAGE BRAIN TISSUEFACT EDWARD K. LE, PLLC, www.edwardkle.com copyright©2014
  • 13. RAPID ACCELERATION/ DECELERATION CAN CAUSE BRAIN TISSUE TO DAMAGE THROUGH IMPACT WITH HARD BONY INNER RIDGES OF SKULL FACT THIS IS KNOWN AS A COUP-CONTRECOUP INJURY EDWARD K. LE, PLLC, www.edwardkle.com copyright©2014
  • 14. MYTH #3: There Must Be “Loss of Consciousness” to Sustain A Traumatic Brain Injury EDWARD K. LE, PLLC, www.edwardkle.com copyright©2014
  • 15. Profound Brain Damage Can Occur Without Loss of ConscioussnessFACT Case of Phineas Gage [Standard Case Study in Medical School]: Struck By Long Metal Rod into Brain During Explosion. He Never Lost Consciousness & Was Awake and Alert When He Reached a Doctor Hours later
  • 16. Center for Disease Control, World Health Organization, and American Congress of Rehabilitation Medicine All Define Brain Injury As “Any Alteration in Consciousness” FACT EDWARD K. LE, PLLC, www.edwardkle.com copyright©2014
  • 17. MYTH #4: A Negative Brain MRI or CT Scan Rules Out a Traumatic Brain Injury
  • 18. In Mild TBI, Most Damage to Brain is Microscopic & Rarely Shows Up on MRI or CT ScanFACT Normal Axons Are Less Than 5 Microns – Less Than Size Threshold for Detection by MRI or CT
  • 19. Billions of Axons Can Be Damaged Without Detection By MRI or CT Through ShearingFACT
  • 20. Diffuse Shearing of Billions of Axon Occurs in Traumatic Brain InjuryFACT EDWARD K. LE, PLLC, www.edwardkle.com copyright©2014
  • 21. MYTH #6: CHILDREN WITH BRAIN INJURY RECOVER BETTER THAN ADULTS EDWARD K. LE, PLLC, www.edwardkle.com copyright©2014
  • 22. According to Center for Disease Control , Children May Require Longer Recovery Time After a TBIFACT EDWARD K. LE, PLLC, www.edwardkle.com copyright©2014
  • 23. A Younger Brain Is More Vulnerable to Damage Because As Undeveloped Portions Mature From Previously Damaged Areas, Normal Development Is Hard to Predict. FACT EDWARD K. LE, PLLC, www.edwardkle.com copyright©2014
  • 24. MYTH #7: Mild Traumatic Brain Injury Victims Recover Quickly EDWARD K. LE, PLLC, www.edwardkle.com copyright©2014
  • 25. MILD BRAIN INJURY CAN HAVE PROFOUND IMPACT OVER A LIFETIMEFACT ACCORDING TO CENTER FOR DISEASE CONTROL, PEOPLE WITH MILD BRAIN INJURY MAY EXPERIENCE ACCELERRATED COGNITIVE AND FUNCTIONAL DECLINE WITH AGE EDWARD K. LE, PLLC, www.edwardkle.com
  • 26. BRAIN INJURY CAUSES PEOPLE TO DEVELOP DEGENERATIVE NEUROLOGICAL DEFICTS AS THEY AGE OVER TIME FACT EDWARD K. LE, PLLC, www.edwardkle.com
  • 27. MYTH #8: Symptoms of Traumatic Brain Injury Will Be Immediately Evident EDWARD K. LE, PLLC, www.edwardkle.com copyright©2014
  • 28. MOST PATIENTS ARE NOT SELF-AWARE OF COGNITIVE DEFICTS UNTIL OTHERS TELL THEM FACT EDWARD K. LE, PLLC, www.edwardkle.com copyright©2014
  • 29. MOST PATIENTS ARE NOT SELF-AWARE UNTIL ENOUGH TIME PASSES TO WHERE THEY RECOGNIZE A PART OF THEM IS “MISSING” FACT EDWARD K. LE, PLLC, www.edwardkle.com
  • 30. PATIENTS WITH BRAIN INJURY USUALLY SUFFER OTHER PHYSICAL AND BODILY PAIN THAT DIVERT THEIR AWARENESS OF COGNITIVE PROBLEMS FACT EDWARD K. LE, PLLC, www.edwardkle.com copyright©2014
  • 31. MYTH #9: YOU CAN RECOGNIZE A PERSON WITH A TRAUMATIC BRAIN INJURY EDWARD K. LE, PLLC, www.edwardkle.com copyright©2014
  • 32. BRAIN INJURY SYMPTOMS ARE MANIFESTED INTERNALLY AND SYMPTOMS ARE NOT OBVIOUS TO ORDINARY PERSON. FACT EDWARD K. LE, PLLC, www.edwardkle.com copyright©2014
  • 33. MOST TRAUMATIC BRAIN INJURY VICTIMS DISGUISE THEIR INJURY TO OTHERS FOR FEAR OF BEING INTERPRETED “INADEQUATE” OR “CRAZY” FACT EDWARD K. LE, PLLC, www.edwardkle.com
  • 34. TRAUMATIC BRAIN INJURY IS KNOWN AS AN INVISIBLE INJURY AND A SILENT EPIDEMICFACT EDWARD K. LE, PLLC, www.edwardkle.com copyright©2014
  • 35. MYTH #10: Any Medical Doctor Can Detect a Person Who Sustained a Traumatic Brain Injury EDWARD K. LE, PLLC, www.edwardkle.com
  • 36. ACCORDING TO THE A.M.A AND NUMEROUS PUBLISHED RESEARCH , MOST DOCTORS ARE NOT PROPERLY TRAIN TO DIAGNOSE A BRAIN INJURY FACT EDWARD K. LE, PLLC, www.edwardkle.com copyright©2014
  • 37. BEST PRACTICE FOR MOST PHYSICIANS IS TO REFER PATIENT FOR NEUROPSYCHOLOGICAL TESTING WHICH IS MORE EXTENSIVE FACT EDWARD K. LE, PLLC, www.edwardkle.com copyright©2014
  • 38. NEUROPSYCHOLOGICAL EXAMINATION IS MORE DETAILED THAN A MEDICAL VISIT AND PROVIDES OBJECTIVE EVIDENCE OF SPECIFIC COGNITIVE DEFICITS FACT EDWARD K. LE, PLLC, www.edwardkle.com copyright©2014
  • 39. Edward K. Le Edward K. Le, PLLC 135 Park Ave N. Renton, Wa 98056 425 336 2255 www.edwardkle.com edward@edwardkle.com The Seattle Brain Injury Law Firm of Edward K. Le, PLLC and its attorneys has extensive experience in handling claims and representing victims of traumatic brain injury who were injured by auto accidents, truck accidents, construction falls, worksite accidents, medical malpractice, slip or trip falls, stairway falls, maritime or boating injuries, guardrail defects, elevator defects, merchandise falling at stores, and head injury from assaults in bars or nightclubs.