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Caren Robinson - Journal

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Posted 2015-04-14T06:08:00Z

TBI - Injury/illness vs. Disease Process

This is an excerpt from the Paper written by renowned Neurologist "Masel":

"......The purpose of this paper is to encourage the classification of a TBI not as an event, not as the
final outcome, but rather as the beginning of a disease process. The paper presents the scientific
data supporting the fact that neither an acute TBI nor a chronic TBI is a static process—that a
TBI impacts multiple organ systems, is disease causative and disease accelerative, and as such,
should be paid for and managed on a par with other diseases.
Despite the fact that patients with a TBI who survive the acute event do not die of their brain
injury per se, a TBI is a disease......."[...]

Posted 2015-03-31T09:10:40Z

Fallacies of a 1-10 Scale for Pain

The 1-10 scale. I don't know about all of you but I detest this scale. It is so basic yet so difficult to pick a number at least to me anyway.

I can honestly say my 2 and 3 now would have been determined to be a 10 by me and taken me to ER over a year ago. However, there is something about living through polytrauma and having a closed head injury, and ongoing chronic pain on top of it all that changes the way I interpret my pain and tolerance levels.[...]

Posted 2015-03-31T09:00:46Z

Sleep Hygiene - Bah Humbug!

Sleep....or should I say the lack thereof. I just have to say that the me "before" and the me "now" have very different sleeping schedules.


I will say I suffer from a really screwed up sleeping schedule now. I have numerous nights of insomnia. I don't know why I feel shame about this when speaking to my healthcare providers. It's ridiculous to feel shame for something I am unable to control. Yet they speak about "sleep diaries" and "good sleep hygiene" and then tell me I should try to "avoid naps during the day". This became such a toilsome burden to me to get back to a sense of "normalcy" and be able to report back to them that I was a good girl and doing what I should be doing to make myself well.....to make my brain well.[...]