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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Therapy For Concussion Caused Due To An Assault

Hi, about two months ago, my boyfriend was assaulted when leaving a pub and suffered a concussion. The week that followed, he was evaluated by an emergency room doctor a few days after it happened, then again by his primary care doctor, and once more about 2 weeks after it happened by another emergency room doctor. He had a CT scan and the doctor that saw him said that everything looked fine and explained the recovery from a concussion. It's now 2 months since he was diagnosed and it happened. But he is still experiencing lots of symptoms that are associated with it (that we believe). He complains about headaches, dizziness, vertigo, not being able to sleep, and and overall feeling of being uneasy. He also says that it comes in waves and that sometimes he think he feels fine, and other times he feels terrible. He's also said that most of the time he feels fine when he wakes up, but around noon he'll start to feel like that all over again. He is also easily angered, combative, emotional, and has a hard time gathering his thoughts. From what I've read on the internet, it seems as if he's suffering from post-concussion syndrome, but he is absolutely convinced that he's suffering from something more serious, like a brain tumor, and that he's going to die. I've assured him countless times that if it was something as serious as that, that the 3 doctors who had already evaluated him would have seen that. But, he is still absolutely convinced that he's going to die and is suffering from something more serious that was just "over-looked." He's becoming almost impossible to talk to because he is so determined that that's what it is, but I keep assuring him that he's still recovering from his concussion. My main question is... is this all normal? How long does it take to recover from a concussion? Is it normal for him to still be experiencing these symptoms 2 months after the incident? I just don't know how to deal with him anymore. He doesn't have health insurance so we have to put-off going to see more doctors unless it's absolutely medically necessary. Any help on this would be greatly and truly appreciated. Thank you so, so much!
Thu, 27 Apr 2017
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Neurologist 's  Response
You are describing classic symptoms referred to as POSTCONCUSSIVE SYNDROME (PCS). These are all the symptoms that occur following a blunt force trauma to the head otherwise known as TRAUMATIC BRAIN INJURY (TBI). PCS is the diagnosis in this case given your description. It can be part of the syndrome to go through what many might describe as a changed personality or even someone who is just downright "irrational and impossible to reason with." Therefore, in those instances I always tell spouses or significant others....no need to try and REASON with them if it's clear they are not accepting what you're saying. Unfortunately, only tincture of time (allowing time to pass) is the most likely thing to help him. Medications may help but the brain really just needs time to cool down and reorganize which as I said can take up to 36 months. Sometimes effects can be permanent. Whatever you can do to help him stay occupied such as doing work in the yard, going for a swim, a brisk walk, or a bit of a jog. All these things can also physically help reorient and consolidate brain circuits that can calm him down and focus a bit. You may find that the nutritional supplement INOSITOL (does not require a prescription) can calm him down a bit and make him a bit more pleasant to deal with. Get some without anything else mixed in and consider following instructions on the label. It is safe and doesn't react with other medications to any extent. It is not habit forming and only has a couple of minor side effects which usually go away within a few doses. Please rate this as a HIGH 5 STAR ENCOUNTER and feel free to write me at: www.bit.ly/drdariushsaghafi with more questions or comments. Cheers!
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Suggest Therapy For Concussion Caused Due To An Assault

You are describing classic symptoms referred to as POSTCONCUSSIVE SYNDROME (PCS). These are all the symptoms that occur following a blunt force trauma to the head otherwise known as TRAUMATIC BRAIN INJURY (TBI). PCS is the diagnosis in this case given your description. It can be part of the syndrome to go through what many might describe as a changed personality or even someone who is just downright irrational and impossible to reason with. Therefore, in those instances I always tell spouses or significant others....no need to try and REASON with them if it s clear they are not accepting what you re saying. Unfortunately, only tincture of time (allowing time to pass) is the most likely thing to help him. Medications may help but the brain really just needs time to cool down and reorganize which as I said can take up to 36 months. Sometimes effects can be permanent. Whatever you can do to help him stay occupied such as doing work in the yard, going for a swim, a brisk walk, or a bit of a jog. All these things can also physically help reorient and consolidate brain circuits that can calm him down and focus a bit. You may find that the nutritional supplement INOSITOL (does not require a prescription) can calm him down a bit and make him a bit more pleasant to deal with. Get some without anything else mixed in and consider following instructions on the label. It is safe and doesn t react with other medications to any extent. It is not habit forming and only has a couple of minor side effects which usually go away within a few doses. Please rate this as a HIGH 5 STAR ENCOUNTER and feel free to write me at: www.bit.ly/drdariushsaghafi with more questions or comments. Cheers!