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Challenge! BRAIN INJURY ASSOCIATION OF AMERICA | Volume 10, Issue 1

the

MARCH IS BRAIN INJURY AWARENESS MONTH!


Table of CONTENTS WINTER 2016 THE Challenge! is published by the Brain Injury Association of America. We welcome manuscripts on issues that are important to the brain injury community. Please send submissions in a standard Microsoft Word® document to publications@biausa.org. For more information regarding advertising in THE Challenge!, please visit the sponsorship and advertising page at www.biausa.org. Association Staff & Volunteers:

Marianna Abashian Greg Ayotte Amy C. Colberg Susan H. Connors William Dane Tiffany Epley Dianna Fahel Jessica Lucas Jennifer Mandlebaum Carrie Mosher Mary S. Reitter Rob Traister

4› Ask the Doctor:

BIAA’s National Medical Director Responds to Questions about Concussion

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6› Her Concussion Vs. His Concussion

10› A Closer Look at Concussion Clinics

15› How Nutrition May Play a

Role in Concussion Therapy

16› Hollywood Concusses Its Own 18› Honor Roll of Donors

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22› Advocacy Update

26› State Affiliate News

32› Check out our New Online Marketplace

31› BIAA Welcomes New

Officers and directors

34› Upcoming Webinars

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Postmaster: Send address changes to: THE Challenge! 1608 Spring Hill Rd., Suite 110 Vienna, VA 22182 Copyright 2015 BIAA All rights reserved. No part of this publication may be reproduced in whole or in part without written permission from the Brain Injury Association of America. Email requests to publications@biausa.org. Publication designed by Eye to Eye Design Studio, LLC eyetoeyedesignstudio@gmail.com

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From my DESK Quite honestly, I don’t remember ever thinking that BIAA’s dreams would come true because of mild brain injury. But the fact is, injuries to servicemembers and athletes of all ages and abilities have generated more awareness, prevention, and research than we had 20 years ago. We now know more about how to minimize brain injury’s physical, cognitive, and behavioral challenges – or at least how to accommodate for them. We also have more certified brain injury specialists and more community-based services than we had just a decade ago.

My mom used to say, “Be careful what you ask for!”

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wenty years ago, the Brain Injury Association of America (BIAA) desperately wanted “brain injury” to become a household term. We dreamed that one day everyone would be aware of the risks and consequences and take the necessary actions to protect the miraculous supercomputer inside our heads. We dreamed the federal government would invest millions of dollars to understand how our brains work. We dreamed that researchers would develop treatments to stop cell death and clinicians would create new neural pathways to let us learn again.

We dreamed insurance companies would pay for rehabilitation of sufficient scope, duration, intensity, and timing in order to maximize recovery. We even dreamed of networks of community-based services so that individuals who were injured and their families would have the information, resources, and supports needed to live happy, healthy, independent lives.

Many of the advances in the brain injury community can be attributed to the “concussion craze.” As our way of saying thank-you, BIAA dedicated this entire issue of THE Challenge! to concussion. We also added a new concussion section to our website with training videos and a brand new brochure – see www.biausa. org. My hope is that even those who sustained more severe injuries will learn a thing or two from all of the information we’ve compiled. As always, I thank our sponsors, our donors, our affiliates, and the volunteer authors who helped make this publication – and all of what BIAA does – available to the millions of people whose lives are touched by brain injury each year.

Susan H. Connors, President/CEO Brain Injury Association of America

PS – March is Brain Injury Awareness Month. Our theme this year is #NotAloneinBrainInjury. Look inside for details.

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Ask the Doctor:

Brent E. Masel, M.D.

BIAA’s National Medical Director Responds to Questions about Concussion

By Rob Traister, Director of Communications, Brain Injury Association of America In anticipation of an increase in inquiries to the Brain Injury Association of America’s National Brain Injury Information Center resulting from the release of the movie “Concussion,” BIAA’s volunteer National Medical Director Brent E. Masel, M.D., sat down with staff for a Q&A. Here’s what the doctor had to say:

What is a concussion? A concussion is a traumatic brain injury (TBI) caused by a bump, blow, or jolt to the head or by a hit to the body that causes the brain to bounce or twist inside the skull, stretching and damaging brain cells and causing chemical changes in the brain. This movement can result in either a temporary alteration in consciousness (feeling dazed, stunned, or confused) or a loss of consciousness.

TBIs can happen at any time, anywhere, and to anyone. They can happen at home, at school, at work, or on the playing field, and they happen to the elderly, middle-aged, young adults, teens, and infants. No one is immune.

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What are the symptoms of a concussion? Because no two brain injuries are alike, different people may exhibit different symptoms after an injury. Common symptoms include: • Loss of memory (amnesia) • Appearing dazed or stunned • Confusion • Lack of coordination • Loss of consciousness for any length of time • Changes in mood, behavior, or personality • Headache • Fatigue • Sensitivity to light or sound • Depression

What should I do if someone has a TBI? If you suspect someone has a TBI – even a mild TBI such as concussion – see a healthcare professional as soon as possible.

Your doctor will likely prescribe rest and gradual return to activity. Care should be taken to avoid selfmedicating with caffeine, alcohol, or recreational drugs. Consult with your doctor before taking any medications or supplements other than those recommended after your injury. There is no scientific evidence to support claims that supplements or vitamin regimens provide therapeutic benefit.

For people whose symptoms do not resolve with rest, treatment may involve rehabilitative therapy and medication.

Most people who sustain concussions recover after a few days or weeks, but for some people – about 15 percent – the concussion results in a chronic condition that can cause or accelerate a broad range of physical, cognitive, and behavioral diseases and disorders. People experiencing these issues may need accommodations for symptoms at school, work, and home.


How are TBIs diagnosed? Since most TBIs are diagnosed after the injury, a healthcare professional will obtain a medical history. If the injured person lost consciousness or experienced an altered state of consciousness, it indicates evidence of a concussion, but there is no definitive test. There are currently no biomarkers to diagnose concussion, although researchers are working to discover such chemical indicators of injury. In some cases a CT or MRI may be used to look for evidence of a bleed, although there is debate about whether a CT scan or MRI should be routinely ordered. If the injury occurs during a sporting event, trainers and coaches may use tools such as the ImPACT or SCAT3 test, a series of questions used to help determine if someone may have a concussion. These tools can be a useful part of the assessment and/or documentation of concussion but should not be used in isolation and are not substitutes for evaluation and treatment by a qualified medical professional.

To decide whether or not to let your child play contact sports, evaluate the people who are responsible for safety during practice and games, examine the concussion protocols for your state, and find out if the protocols are being followed. No matter what, always wear a properly-fitted helmet that meets current standards when engaging in any sport or recreation activity.

Where can I get more information? The Brain Injury Association of America has a brochure about concussions, Brain Injury: Dispelling Myths and Misconceptions About Concussion, available through its online marketplace. Information about brain injuries can be found on the organization’s website at www.biausa.org. People with questions about brain injury can also contact BIAA’s National Brain Injury Information Center at 1-800-444-6443.

What can I do to avoid getting a TBI? Researchers are working to determine why some people have a better recovery after TBI than others. In the meantime, it is a good idea to practice common-sense prevention techniques.

In the car, use seat belts and infant/child safety seats, obey the speed limit, never drive while impaired, and do not text and drive. At home, add lighting to dark areas, add a second railing to stairways, and tape down throw rugs to avoid trip hazards.

In the workplace (and in your home’s kitchen), place heavy object on lower shelves, keep floors dry, avoid tall ladders, and wear head protection as needed.

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Does a person’s sex play a role in who gets a concussion and how the brain heals?

HER CONCUSSION

vs. HIS CONCUSSION

By Katherine Snedaker, LCSW, Executive Director of PINKconcussions

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omen and men are not the same. While this seems obvious – even a small child knows the difference – the medical field has a history of ignoring sex differences except when it comes to the “bikini areas.” Animal testing, human drug trials, and patient symptom lists are most often gathered from research on males and results are applied to both sexes. For example, after issuing generic medical advice based on male heart attacks, doctors had to double back to publish female-specific data when women’s symptoms or responses to drugs were not the same. The traumatic brain injury (TBI) field, including concussion, is no different.

There has been very little research focused on female brain injury. In studies that included both men and women, investigators found striking differences in the sexes, even when the differences were not the focus of the original study. And while science has not yet concluded exactly why these differences occur, the differences cannot be explained away or ignored altogether. 6

Until very recently, the reproductive cycle of females in both humans and lab animals has been cited as the main reason to exclude females from studies. Researchers argued that these changes distort the results; however, these chemical differences may unlock the mystery of how to heal brain injuries.

How do female and male brains differ?

Female and male brains are not the same. In fact, researchers have discovered approximately 100 differences between the brains of men and women. These differences can be seen in the structures, activity, chemistry, and even blood flow in the brain. •

Brain Structure refers to the actual physical parts of the brain, how they are designed, and their size and mass. Women often have a larger hippocampus, the memory center of the brain. They tend to have verbal centers on both sides of their brains, while men tend to have verbal centers on the left side of the brain only.

Brain Processing refers to how the brain is used or its function. Men’s brains utilize nearly seven times


more gray matter for activity, while women’s brains utilize nearly 10 times more white matter. This gray-white matter difference between the sexes may explain why women are better multitaskers or global thinkers, while men excel in highly taskfocused projects.

Blood Flow and Brain Activity refers to the rate the blood flows throughout the brain and delivers glucose, the energy source that powers brain activity. A female brain has more natural blood flow at any given moment than a male brain. Chemistry between male and female brains also differs. Both sexes process the same brain chemicals but to different degrees and through sexspecific body-brain connections.

What happens in the brain during a concussion?

When a brain is concussed, there is a chain reaction of chemical changes in the brain or what scientists call “chemical cascade.” This chemical cascade affects

the chemistry, blood flow, and activity in the brain. This chemical cascade was discovered using lab animals (animal models), and only male lab rats were used. When a concussion occurs, the brain’s demand for energy (glucose or sugar) increases by about 150 percent; however, the brain’s ability to deliver the required glucose drops to only 50 percent of normal. The difference between the energy supply and demand results in the symptoms and cognitive problems seen after a concussion.

How do female and male brains differ AFTER a concussion?

Since female and male brains differ in structure, activity, chemistry, and blood flow, it stands to reason that an alteration in any one of these, or any combination of these, would manifest differently in women and men.

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A number of researchers are studying data from sports medicine and the military to discover the role these differences play. Sports medicine is not the only place where gender differences play a role, but researchers can compare injury rates in sports where the rules are the same for both sexes. For example, soccer is a sport where the game has the same rules for men and women, whereas hockey and lacrosse do not.

Recent data suggest that in sports with similar rules, female athletes sustain more concussions than their male counterparts. In soccer, female players are almost twice as likely to sustain concussions as male players. “In addition to soccer, basketball and softball athletes are also at a greater risk for a concussion than their male counterparts,” says Tracey Covassin, Ph.D., AT, Director of the Sports Concussion Laboratory at Michigan State University. “Female athletes may be at a greater risk for concussion due to an increase in angular acceleration at the neck, female hormones, decreased neck strength and mass, or ball-to-head size ratio in soccer athletes.” Female athletes experience or report a greater number and severity of symptoms and a longer duration of recovery than male athletes in several studies. At first this difference was attributed to women being more honest or forthcoming about their injuries. This sexist view of female athletes is slowly being reconsidered as studies prove that women are not just more vocal about their pain. Women are being injured at higher rates than men and truly experience more symptoms.

The Unied States military is also finding that brain injuries in soldiers vary in general from males to females. When Dr. Odette Harris, Director of the Defense Veterans Brain Injury Center and Director of Brain Injury in the Department of Neurosurgery at the Stanford University School of Medicine, compares her results to those of previous researchers, she finds significant differences between women and men. Her findings show that females have more severe symptoms at higher rates than the general population of veterans with TBI. Female soldiers are more likely to suffer from posttraumatic stress disorder (PTSD), cognitive disorders and impairments, depression, anxiety, and substance abuse than the average male veteran with TBI, 8

according to Harris. Females are also more likely to suffer from multiple symptoms, such as depression and chronic pain, which makes diagnosis and treatment more difficult.

There is also emerging research on women injured in domestic violence or intimate partner violence (IPV). This much-needed research may uncover a very large TBI population that has previously been overlooked.

“The incidence and prevalence of IPV-related TBI are just beginning to be understood,” says Gwen Hunnicutt, Ph.D., Associate Professor and Director of Graduate Study (Sociology) at the University of North Carolina at Greensboro, “…aside from the very serious health consequences of TBI, individuals who experience IPV-related TBI may experience significant functional implications in daily life, which also places an individual at risk for sustaining another TBI. Because a mild TBI may affect decisionmaking abilities, concentration, and judgment, it may be difficult for an individual with mild TBI symptoms to extract themselves from a violent situation or seek help.”

Now that the research pieces are coming together, gender differences in brain injury are emerging. This year will mark a new dawn in the recognition of female brain injury when PINKconcussions’ International Summit on Female Concussion and TBI takes place in late February at Georgetown University, Washington, D.C. PINKconcussions, a taxexempt charity, is the first organization in the world to focus solely on females with concussions from sports, abuse, accidents, and military service. The Georgetown summit will not only be an educational event with 50 top experts including Covassin, Harris, and Hunnicutt, the faculty of the summit will publish a paper with recommendations on what genderspecific clinical practices and safety protocols should be researched and/or implemented to best treat women with concussions.

While research shows females may have different injury rates, symptoms, and rates of recovery, the medical community does not yet have any genderspecific guidelines, protocols, or resources for women with concussions. Every woman with a concussion deserves a doctor who practices with gender-specific

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A Closer Look at Concussion Clinics By Arthur Maerlender, Ph.D., ABPP-CN, Kate Higgins, Psy.D., Todd Caze, M.Ed., Center for Brain, Biology & Behavior, University of Nebraska – Lincoln Concussion clinics are popping up like mushrooms in a warm spring rain. Some of these clinics help prevent a repeat concussion and get students back to class at their optimal levels of performance. Others cause confusion and spread misinformation. Consider these real-life examples:

CASE 1 SP is a 14-year-old boy who has an intellectual disability (mental retardation). He wanted to play football, and his treatment team agreed it would be good for him to participate. When SP took his baseline test, his scores were very low and exceeded the validity indicators, suggesting possible poor effort. The consulting physician insisted he retake the test. This happened three more times. After the fourth result of low scores, the physician claimed the boy had “failed” his tests and could not participate. He was heartbroken. SP should never have been expected to score any better than he did due to his documented disability. Refusing to let him participate was a violation of his rights. 10

CASE 3 CASE 2 AM was concussed in October. Her injury was managed through the college concussion services in athletic medicine. Her symptoms cleared, and she passed balance, vision, and cognition testing, and completed her step-wise progression 10 days after her injury. Three days later she took a basketball to the face and reported vague symptoms of headache and fatigue. Neuropsychological testing was generally uninformative, and balance was within normal limits. A detailed interview by the sports medicine physician revealed some anxiety and a lack of connection between her vague symptoms, her initial injury, and her second exposure. She was determined not to have a second concussion and returned successfully to competition. In this case the interdisciplinary team members were in separate facilities (one in a separate state), but they were able to effectively triage and collaborate on a no-call.

RK is a 14-year-old male who was seen in a medical center concussion clinic due to residual symptoms four months after sustaining a concussion while playing football. He reported dizziness and vomiting approximately every other day since starting swim-team practice. He also reported difficulty with initiating and maintaining sleep. He also had a history of asthma as a child. After screenings, the clinic reported impairments in cognition, balance, and visual functioning. Therapies for all of these functions were recommended. RK’s parents sought a second opinion where it was learned that he was always a low-average student in school. Assessment with valid tools found no cognitive impairments. His scores were consistent with his typical functioning. On careful interview, his symptoms appeared to be due to exerciseinduced asthma that came on after he started swim training. He acknowledged that this training was more rigorous than football. He was referred to a sleep specialist and the pulmonary team.


Why Specialty Clinics?

Acute Clinics

Most concussions resolve without direct medical attention. However, studies show that about 1020 percent of people who are concussed do not recover within the expected time frame. Such injuries, dubbed complicated concussions, require proper identification, treatment, and management, including determination of recovery for academic and athletic participation. It is important to note that missing even two weeks of school can have lasting effects on later achievement. Therefore, secondary prevention – that is, preventing the injury from getting worse, managing symptoms, and avoiding repeat injury – is a primary goal of many concussion clinics.

The vast majority of sports concussions are now managed through school-based programs that mirror some professional league services. These programs are typically managed by a certified athletic trainer (ATC), with some oversight by a sports medicine or orthopedic doctor in consultation with other specialists. Trainers are licensed to provide services under this supervision, and training in concussion management has been added to ATC education. These school-based clinics are designed to identify the injury and prevent further injury or prolonged recovery, primarily through behavioral management of activity levels in school and athletics.

Types of Clinics

Broadly speaking, concussion clinics serve two main functions: providing acute care services and providing post-acute services. Some clinics do both; others specialize in just one.

Identification of concussion is based on the mechanism of injury (typically a blow to the head) and resulting alterations in functioning. However, one study showed that 50 percent of identified concussions were diagnosed more than 24 hours after the presumed injury, making sideline

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progression.”) Recent recognition of the preeminence of academics to athletics has dictated that returning to full classroom functioning should be a prerequisite to returning to competition.

In addition, all consensus statements agree that the return-to-play and return-to-learn processes should be facilitated by an interdisciplinary team of experts. Ruling out other medical complications and assessing symptoms is typically the realm of physicians; cognitive and neuropsychological testing, affective status and behavior management are the realm of neuropsychologists; balance and vestibular function are the province of physical therapists and specially trained audiologists. Visual functioning is increasingly seen as a function to consider. Occupational therapists, optometrists, and neuro-ophthalmologists are experts in these areas.

Post-acute Clinics

identification only partially effective. The signs and symptoms associated with concussion can be present for many other reasons (stomach flu, dehydration, etc.), so connecting the symptoms to the injury is a critical task. Identification must also assure there is no structural damage, such as an intracranial bleed, and the injury falls into the mild category.

Consensus guidelines from several professional organizations converge on the idea that, once diagnosed with a concussion, student athletes should not return to athletics until their injury-related symptoms, cognition, and balance have returned to normal. Many school programs and some freestanding or medical clinics provide baseline testing as a means to enhance post-injury assessment. The concept of baseline testing was originated by neuropsychologist Jeffrey Barth who suggested testing athletes before the season so that, if they were injured, their baseline results could be used to help determine when they were back to normal (i.e., their own baseline performance). All return-to-play guidelines also recommend the athlete complete a series of increasingly challenging physical tests without return of symptoms before final clearance to play. (This is known as “step-wise 12

A second function many clinics provide – but that school-based clinics typically do not – is the treatment of more complex cases and those with post-concussion syndrome, which is defined as symptoms that extend to four weeks or more. Estimates indicate that 80-90 percent of concussions resolve within about two weeks. When they don’t, people may experience a range of persistent symptoms, such as headache, dizziness, lethargy, poor sleep, difficulty reading or vision problems, cognitive complaints, anxiety, and depression. Some post-acute clinics limit their services to sports-related injuries; others do not. Evaluation and treatment/rehabilitation are the goals of these clinics, although determining recovery for return to play/school may also be a function.

Searching the internet for concussion clinics turns up everything from physicians who offer ImPACT testing (neuropsychological testing) to comprehensive centers that are part of large medical centers. The most well-known is the University of Pittsburgh Medical Center (UPMC) Sports Medicine Concussion Program, which has served as the model for many concussion clinics. At UPMC, a neuropsychologist provides the initial examination of symptoms, cognition, and balance. Other models may have a registered nurse or athletic trainer complete the


initial evaluation, although the depth and quality of this evaluation are critical. Most importantly, a detailed history is also obtained. If indicated in the interview and examination, a referral is made for further assessment and treatment of any dysfunctional system, including emotional responses, behavior, cognition, headache, vestibular, or vision.

Clinic Qualifications

There are some important qualifications for a concussion clinic. The biggest is the presence of truly qualified clinicians. Neuropsychologists, neurologists, and neurosurgeons are brain specialists by training. Other disciplines have brain injury tracks as an additional subspecialty. For example, clinics that serve a pediatric population should have professionals with pediatric experience, as young patients have many unique developmental factors that should be considered in identification and management of concussion. Similarly, sleep difficulties are often a side effect of concussion, so referral to a sleep specialist may be needed. A post-

acute clinic should have access to these and other relevant specialists if they are not available on-site. Referrals can be complicated, so making sure there is a working system in place is important. Obviously, clinics in large medical centers have distinct advantages.

While clinics in rural areas may necessarily rely on less-qualified personnel, professionals should “know what they don’t know” and seek appropriate supervision and consultation when out of their expertise. This includes knowing the limitations of assessment tools and tests. Indeed, several commercial products claim they provide everything needed to identify and track a concussion. Legitimatelooking “studies” are used to support marketing claims, and well-meaning professionals adopt these tools and devices before independent testing and validation can be performed. Like any tool, these products are only as good as the professional using them, and no product can replace a multidisciplinary team, regardless of what the marketing material says. (continued on page 14)

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Note: The Academy of Certified Brain Injury Specialists (www.acbis.pro) provides certification for the broad spectrum of TBI workers. A new concussion test and certificate are forthcoming.

Evidence of Effectiveness

Evidence for the effectiveness of concussion clinic services is growing, primarily in the field of neuropsychology. Michael Kirkwood, a pediatric neuropsychologist in Colorado, has shown that postacute neuropsychological consultation has reduced symptoms from pre-consultation levels in long-term sufferers. Parent satisfaction with the program four months after consultation was extremely high. Our own experience indicates clinical outcomes are better for patients who are treated using a neuropsychological service model.

Buyer Beware

Iatrogenesis (from the Greek word meaning “brought forth by the healer�) refers to any effect on a person, resulting from any activity of one or more persons acting as healthcare professionals or promoting products or services as beneficial to health, that do not support a goal of the person affected. It is the preventable induction of disease or complications by medical treatment or providers. In the concussion world, iatrogenesis can take several forms. In school-based clinics, consultants may recommend referral to their own practice, irrespective of the need. Well-meaning clinicians concerned about lawsuits may over-treat patients. Over exposure to hysterical claims of deadly concussions may increase parent and athlete anxiety to the point of increasing symptoms.

Consumers are urged to undertake thorough research and use common sense when selecting a concussion clinic. For example, does the clinic provide a broad range of diagnostic and treatment services by a multidisciplinary team of experienced, licensed professionals who specialize in brain injury medicine (not just sports medicine)? Does the clinic consider the social and emotional aspects of injury and recovery in the acute and post-acute phases? Does it consider activity levels and behavior? Does it have 14

adequate referral sources for sleep and visual acuity needs? In our experience, the key to a good concussion clinic that provides appropriate identification, management, and treatment is having a truly interdisciplinary approach where qualified, licensed clinicians are able to exercise their expertise while working only within their area of specialty. A concussion is not generally life threatening, but the injury does place the individual at increased risk for negative consequences if secondary prevention is not provided. For those who suffer beyond the typical recovery time frame, informed, bestpractice treatments can be effective and reduce loss of functioning in academics, athletics, work, and social functioning. However, while initial studies are clarifying effective practices and models, continued research is needed into the biological processes of concussion and validated treatments for addressing them.


How Nutrition May Play a Role in Concussion Therapy By Marie Spano, R.D.

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Anecdotal evidence also suggests that omega-3s may help persons who sustain concussions and other TBIs. For example, the family of Bobby Ghassemi, who suffered head injuries resulting from a devastating car accident partially credits his recovery to fish oil. His treatment was inspired by the recovery of another individual with TBI, Randal McCloy, the sole survivor of a West Virginia mining disaster. Omega-3s were used for McCloy’s treatment.

EPA and DHA, which are omega-3 fatty acids found in fish, fish oil, and algae oil supplements, increase fluidity of cell membranes and reduce inflammation. They enhance cerebral blood flow, which may be reduced to a month or longer in athletes who recover slowly. Cell membranes are like gateways allowing substances to enter cells or blocking their entry. When cell membranes are more fluid – and therefore less rigid – they perform better, opening the gate for nutrients to come in. DHA, in particular, makes up 97 percent of the omega-3 fatty acids in the brain and is essential for normal brain functioning. Several animal studies have shown that EPA and DHA supplementation before or after a traumatic brain injury (TBI) helps limit structural damage and decline in brain functioning.

urrently, the recommended treatment for concussion is limited to rest, allowing the brain to recover. But growing evidence suggests that consuming certain nutrients – particularly EPA and DHA omega-3 fatty acids – may support injured brains as part of a treatment protocol, reduce acute effects of concussions, and promote recovery. Furthermore, current research supports the inclusion of a dietitian or nutritionist in the team of health professionals treating a concussion, which is welcome news since nutrition is a non-invasive way to provide intervention and metabolic support during recovery.

There is no clear consensus on the optimal intake of EPA and DHA prior to or after a concussion, but many health professionals recommend consuming between 250 and 500 milligrams per day for general health. Unfortunately, more than 75 percent of Americans do not have healthy levels of omega-3s. Unlike some other nutrients, our bodies cannot efficiently produce EPA and DHA omega-3 fatty acids. Fortunately, there are other easy ways to make sure you’re getting the recommended amounts, including:

Consuming fatty fish varieties that contain high levels of omega-3s, including salmon, tuna, mackerel, and herring, at least twice per week.

Taking a daily omega-3 supplement providing EPA+DHA (be sure to look for high-quality fish oil, algal oil or krill oil supplements in your local grocery or health store).

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H O L LY W O O D Concusses Its Own By Susan Connors, Brain Injury Association of America

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oldiers and athletes are not the only professionals who sustain traumatic brain injuries (TBIs) in the line of duty. Stunt performers are at great risk for concussions too. Stunts include fights, stair falls, and car crashes. Stunt actors are often near explosions that can cause brain trauma as well. Even a slapstick comedy presents opportunities for blows to the head. Stuntpeople are professionals; they’re not daredevils. They carefully plan and practice exciting and dangerous-looking action in television and films. Oftentimes audience members don’t realize a stuntperson is at the center of the screen. That’s because stunt actors perform the same stunt as many times as necessary to achieve the director’s vision. They incur bumps, bruises, and other physical injuries. When they’re injured on the set, they get up and do the stunt again. Stunt work attracts people who consider themselves physical actors. They are tough and rarely admit to having been hurt because that would be considered a sign of weakness. Much like in football, stunt actors “shake it off” and continue on until the job is done. Those who report injuries are less likely to be hired again. When stuntpeople are seriously injured, including those who sustain TBIs, they file for Workers Compensation and Social Security Disability Insurance (SSDI). Once they are awarded SSDI, they should be eligible to apply to the Screen Actors Guild (SAG) Health Plan for the Occupational Disability Pension and Health Plan due to their work-related injuries. Unfortunately that is not what happens. It has been suggested that some stunt actors are denied the full benefits they are entitled to because the SAG and its union fear increased numbers of 16

qualified applicants who might apply for benefits. Former top stuntwoman Leslie Hoffman is fighting for her benefits as explained in two online articles:

Former SAG Board Member Leslie Hoffman’s Toughest Stunt: Getting Her Union Benefits http://deadline.com/2015/06/former-sag-boardmember-leslie-hoffmans-toughest-stunt-getting-herunion-benefits-1201448519/ SAG Pension & Health Plans Strips Disabled Stuntwoman of Her Pension

http://deadline.com/2015/06/sag-pensionhealth-plans-strips-disabled-stuntwoman-of-herpension-1201453009/

Now that Sony Pictures has produced “Concussion,” perhaps an enterprising NFL player or club owner will produce a film about concussions in Tinsel Town. After all, turnabout is fair play.


Honor Roll of DONORS October 1, 2015 – December 31, 2015 HONORS In honor of Bailey Elisabeth Booster Campaigns In honor of Celeste Larkins Mr. & Mrs. Willie and Ruthie Brown In honor of Chad Succop Ms. Christine Succop In honor of Daniel Capalbo, Jr. Ms. Cheryl Halliburton In honor of Mr. & Mrs. E.J. Miles Mr. & Mrs. Chris and Nancy Redgate In honor of Erin Jane Anderson Ms. Jill Anderson In honor of Greg Lacon Barbara Lacon and family In honor of Ira Sherman Mr. & Mrs. Peter and Janice Brock Mr. & Mrs. Steven and Charla Lerman Ms. Anna Seitz Mr. Brad Sherman In honor of Joyce Chase Ms. Susan Rush In honor of Katie Thomas Mr. & Mrs. Barry and Terri Thomas In honor of Kay Ann Hartmann Mrs. Lois Jean Hartmann In honor of Kevin Apel Mrs. Hilde Apel Jay In honor of Linda Corcoran Ms. Kelly Balboni In honor of Marilyn M. Norman Mr. Kennith Harvey In honor of Dr. Mary Ellen Hayden Ms. Marilee Hayden In honor of Maxine Miller Mrs. Lareen Jacobs In honor of Megan Dunaway Mr. Steve Dunaway In honor of Michael DeCristafaro Mr. Sean Ryan In honor of Nancy Hays Charles and Joann Hays In honor of Naomi Larsen Cheryl Hendrickson In honor of Pea Fisiihoi Mr. & Mrs. Allen and Ellen Rubin In honor of Scott Hagen Ms. Anna Hettenbaugh

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In honor of William J. Bray, Jr. Mrs. Carol P. Bray In honor of the marriage between Gaye & Bryant Cohen Ms. Regina Borden

MEMORIES In memory of Amanda Winnett Ms. Mary Reitter In memory of Anne G. Adamowich Ms. Mary Reitter In memory of Anthony Gengaro Ms. Vicki Johnson In memory of Ben Hayden Ms. Marilee Hayden In memory of Ben Perkins-Link Mr. James Howard Mr. David Link In memory of Brady Nelson Mr. Myron Lehtman In memory of Brian Quick Mr. & Mrs. Levi and Susan Moran-Rist In memory of Calvin Lampman Downingtown Area Education Association In memory of Charlotte A. Mullen CSEA Local #641, Empire State College In memory of Christopher Conklin Cablevision Systems In honor of Cindy Sumner Mr. & Mrs. Larry and Paula Martin In memory of Clarence Edward Herring Ms. Mary Reitter In memory of Corban Hodge Ms. Christa Hodge In memory of Craig Winkels’ mother Ms. Xiomara Reyna In memory of David Brown Mr. Kristopher Brown In memory of Dr. David Strauss Ms. Joanne Finegan In memory of Deana M. Demichelis Mrs. Alice M. Demichelis In memory of Duncan McQuagge Mr. & Mrs. Russ and Sally Mathis In memory of Fern Meyers Mr. Joseph C. Richert In memory of Fotini Katsiris Mark Sibley

In memory of Frank W. Ewing, Jr. BMO Nesbitt Burns Mr. & Mrs. Robert and Karen Bromley Pat Collins Ms. Janice Fiore Mr. Arthur Galang Mr. Thomas Glover Mr. & Mrs. Nathaniel and Karen Hammond Mr. Dirk Leasure Mr. & Mrs. Marsh and Lois MacMillan Mr. & Mrs. Daniel and Patricia Moriarty Frances Pacilio Ms. Mary Poplawski Mr. & Mrs. Leslie and Theresa Stapleton Mr. Sean P. Sullivan Mr. Stephen Yeager

In memory of Marcia Weinshel Ms. Jane Lovitts In memory of Mark Rossiter Mr. & Mrs. Marvin and Inez Rossiter

In memory of Mary Sullivan Ms. Maureen Alterman The Anderson Family Mr. Matthew Beckerson Roger and Kris Blackwell Mr. & Mrs. Randy and Darlene Blausey Kate and Terry Braciszewski Ms. Cheryl Burda Mrs. Terry Davies Mr. & Mrs. Charles and Dianne Distelrath Mr. & Ms. Timothy Duperron and Linda Miller Mr. David Dykowski In memory of Grant Braden Gardner Ms. Donna England Mr. & Mrs. James and Gail Pierce Ms. Jill Fons Ms. Margaret Gray In memory of Harold O’Leary Mr. & Mrs. Don and Danita Gruber Mr. James W. Whalen III Kent Intermediate School District In memory of Harry Fisk Ms. Margaret Kiernan Dr. & Mrs. Brent and Ann Masel Ms. Susan Lauricella In memory of Dr. Irving Feigenbaum Lear Corporation Shared Service Department and Jared Harlan Feigenbaum Mrs. Sandra Muldowney Ms. Shirley Feigenbaum Mr. & Mrs. Owen and Sheila Perlman Mr. & Mrs. Robert Feigenbaum Ms. Mary Reitter The Renkiewicz Family In memory of Jimmy and Florence Craffey Mr. Joseph Richert Ms. Mary Reitter Mr. & Mrs. John and Janice Rubis In memory of Julia Kaufman Mrs. Suzan Shipper Ms. Lisa Bock Speech, Language, and Reading Services, Inc. Mr. & Mrs. Dennis and Bernadette Agosta Ms. Marcia Strong Mr. John Laburda Mr. & Mrs. Timothy and Norita Sullivan Mr. & Mrs. Elliot and Kathy Merrill Mr. & Mrs. Dennis and Kathie Wagester Mr. & Mrs. Rick and Judy Wilkinson In memory of Karen A. and M. Bernice Reitter Mr. & Mrs. William and Margaret Withorn Ms. Linda Bryant Ms. Mary Reitter In memory of Michael Christopher Carey Ms. Patricia M. Roettger Mrs. Rosemary Carey Ms. Sheila M. Sferrella In memory of Michael Gerard Holmes In memory of Keith Michael Gratkowski Ms. Linda Mollo-Holmes Ms. Holly Gratkowski In memory of Michael Macklin In memory of Lt. Kevin A. Gray Ms. Elizabeth Hale Detective James G. Armstrong and the Jade and Teal Nieman generous employees throughout Marathon In memory of Michael Robert Stalnaker County, WI Government and local citizens Mr. Tom Bise In memory of Kevin Kiffel Ms. Delynn Corica Ms. Patricia Apanasewicz In memory of Ms. Mary Ellen Bianco Nancy Virginia Hedger Schiefelbein Ms. Karon Kiffel Mr. Lori Thimsen In memory of Lynn Chiaverotti In memory of Naomi Larsen Ms. Dana Hicks Ms. Cheryl Hendrickson Muskego Lions Club Ms. Nancy Dashiell


In memory of Paul Vilbig Anonymous In memory of Roy, US Veteran of Foreign Wars Ms. Diana L. Gustavson In memory of Sarah Beth Thomas Ms. JoAnn Willison In memory of Seth K. Thompson Ms. Sarah Thompson In memory of Staci Perlman Mr. Frank Stevenson In memory of Steve Bagley Mr. & Mrs. Ed and Mary Jelinek In memory of Stote and Ann Ellsworth Ms. Mary Reitter In memory of Susan Shea Ulsch Mr. John Graham Mr. Gerard F. Kane In memory of Sylvia Woodbury Mr. Greg Harrold and Ms. Julie Gladziszewski In memory of Timothy W. Mikullitz Ms. Cheryl Mikullitz In memory of Zackary McCray Ms. Erica Jan

SUPPORT In support of Bowling for Brain Injury – Illinois Mr. & Mrs. Bruce and Laura Abbey Rayya Abukhader Advanced Physical Medicine of Yorkville Manny Alvarez Floyd Anderson Mr. & Mrs. David and Brenda Augustine Ms. Joanne Avery Ms. Lisa Baker Dave and Chris Balaskovits First National Bank Mr. Fredrick Barder Mr. Larry Becker Mr. Phil Bender Ms. Bonnie Benditz Ms. Laurie Blasé Ms. Lindsay Bohlin Mr. Luis Boileve Mr. & Mrs. Doug and Patti Boisso Ms. Ellen Brady Dr. Diana Brawka Michelle, Shira, and Lindsay from Brawka Dentistry Mr. Kevin Brennan Ms. Katie Brewer Mr. Fred Bridge Mr. & Mrs. Billy and Lori Brown Ms. Julie Brown Ms. Lesley Brown

Mr. & Mrs. Todd and Susan Brown Ms. Linda Buhlman Ms. Sue Burggraff Ms. Courtney Caccitolo Ms. Sharon Camero Ms. Judie Chudy Ms. Linda Cifuentes Ms. Ruth Contreras-Di Diana Mr. & Mrs. Nick and De-De Coronado Mr. Dave Corwin Mr. John Cotiguala Jac Cotiguala Ms. Dianne Covolo Sajid Dalvi Mr. Charles Davis Ms. Tonya Deckard Ms. Philicia Deckard Mr. Jerry Deutsch Developmental Vision Center, Inc. Jerry, Mary, and Baby D. Dollens Mr. & Mrs. Gerard Doran Ms. Ginny Doran Mr. James Doran Mr. Jerry Doran Mr. Matt Doran Mrs. Patricia Doran Ms. Sue Doran Ms. Janet Eckroad Ms. Cathy Ekronski Ms. Letty Elwood Ms. Julie Engel Jackie & Terry Engel Mr. Nelson Escobar Mr. & Mrs. Scott Federighi Mr. & Mrs. Arlan and Debbie Fell Ms. Carmela Frankovich Ms. Sue Funk Ms. Mary Gallo Ms. Joanne Gandolfi Iwona Gebert Mr. Mark Geiger General Mills Mr. Andy Glaysher Mr. & Mrs. Bill and Joanie Glaysher Mr. Kenny Glaysher Mr. & Mrs. Mark and Beth Goslin Mr. Roger Griffith Ms. Dorothy Hagestad Ms. Daina Halstead Mr. & Mrs. Michael and Katherine Hansen Ms. Christina Hanson Mr. Bill Hard Mrs. Becky Harper Mr. Michael Hedderman Mr. & Mrs. Michael and Kourtney Herren Mr. Chris Hess Ms. Lisa Hiltz

Ms. Eileen Hogen Mr. & Mrs. Tony and Lori Holas Mr. James Holloran Mr. Jimmy Holloran Ms. Shelley Hueber Mr. & Mrs. Rick and Linda Hurst Mr. James Hutcherson Mr. Bobby Irons Ms. Janet Jennewein Ms. Jeanne Jennewein Mr. John Jesuit Mr. John Jewula Ms. Kirsten Johanson Ms. Amy Johnsen Ms. Nancy Kaczka Ms. Helen Kedzior Mr. Dan Kehn Mr. Steve Kehn Elijah & Andrew Kittelson Ms. Mandy Kloepfer Ms. Susan Kometz Ms. Michelle Krumholz Mr. & Mrs. Brian Kummet Ms. Tina Kunze Mr. Aaron Lange Mr. James Lazzara Mr. Michael Lazzara Ms. Virginia Lazzara Mr. Joseph Lee Ms. Jessica Leroi Mr. & Mrs. David and Margaret Light Mr. Michael Light Ron & Chris Light Ms. Victoria Linich Mr. & Mrs. Chris and Judi Liveris Mr. & Mrs. Daniel and Terese Losch Ms. Breanne Lynch Ms. Catherine Macholan Mr. Joel Macholan Mr. Robert Mair Ms. Melody Mantsch Ms. Anne Marek Mr. John Marek Ms. Nancy Marek Ms. Dawn Mathis Mr. & Mrs. James Mazzuca Ms. Judy McHale Ms. Miriam Medina Sachin Mehta Ms. Laura Meier Ms. Michelle Melendez Mr. Jeffery Millard Mr. Joe Minardi Ms. Judy Montero Rich Moores Hall of Fame Pro Shop Ms. Rita Murphy Ms. Terri Nardini

Mr. & Mrs. Jeff and Kathy Micholas Ms. Anne Nikkila Ms. Amy Nourie Mr. Jeff Oken Mr. Peter Olson Mr. Carl Ourada Mr. Bret Pagel Mr. Grant Pagel Mr. & Mrs. Bob and Patti Paladino Mr. John Pattarozzi Ms. Mary Pattarozzi Mr. & Mrs. Dan Pattermann Mr. David Paul Ms. Sarah Perron Mr. & Mrs. Peter and Cindy Petriw Ms. Elizabeth Pieroth Ms. Sharon Pluskis Mr. Gerry Podschweit Ms. Linda Podschweit Ms. Sharon Podschweit Mr. Tim Podschweit Ms. Diane Prodzenski Ms. Melanie Rak Ms. Mary Reed Ms. Terri Reese Mr. Bob Reynolds Mr. Joseph C. Richert Mr. Robert Riley Mr. & Mrs. Beatriz Rivera Mr. & Mrs. Dan and Jackie Rivers Ms. Lisa Rosen Mr. & Mrs. Robert and Lori Rosengarten Ms. Rachael Rubin Mr. & Mrs. Jon and Lori Runkle Mr. & Mrs. Tom and Janelle Rydberg Mr. & Mrs. J. Michael and Ann Sample Ms. Sierra Sawtelle Mr. Anjum Sayyad Mr. Dominic Serpico Mr. Mark Shaprio Ms. Jeanne Slinker Mr. & Mrs. Bill Smeltzer J. Smith Mr. Reggie Smith Mr. Willian Snow Mr. Michael Staab Mr. Michael Steurer Ms. Annie Stuckey Ms. Priscilla Stuckey Ms. Helen Sullivan Ms. Valerie Swanson The Sweezer Ms. Marie Thompson Ms. Joyce Tignino Ms. Vanessa Tjelle Ms. Karen Tornberg Ms. Kathy van Buskirk

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Ms. Becky van der Woerd Ms. Nancy van Volkenburg Ms. Sue van Volkenburg Ms. Dora Vargas Alex and Joe Walsh Ms. Wendy Walsh-Turner Ms. Melissa Wandolowski Ms. Jeanne N. Warp Ms. Stephanie Wasniewski Ms. Bernadette Wawczak Ms. Dana Well Ms. Fran Woloszynski Mr. Matt Wright Yorkville Bowl In support of Bowling for Brain Injury – Maine Ms. Meridyth Astrosky Mr. & Mrs. Elliot and Bonnie Barry Ms. Ellie Bartlett Mr. Ellis Baum Ms. Mary Lou Beckler Ms. Jennifer Boisvert Corbin Bourassa Mr. Theodore Brackett Mr. James Brooks Ms. Bethany Bryan Ms. Carolyn C. Ms. Shelley Clark Ms. Gena Cloutier Mr. & Mrs. Jason and Cristie Cloutier Ms. Martha Cole Mr. & Mrs. Dave and Cydney Cox Mr. Jerome Curtin Mr. & Mrs. Tim and Deanna Curtin Ms. Karen Dervin Ms. Kathy Durrell Mr. & Mrs. Richard Ellis Ms. Melissa Ferrigno Ms. Merilee Forbes-Kearns Ms. Vannah Forrester Ms. Lynn Gaffney Sarah and Zoe Gaffney Ms. Beth Gage Ms. Lois Gordon Ms. Aubrey Gray Ms. Dana Greer Ms. Janet Grotton Mr. Thomas Hagerty Ms. Tiffany Hamilton Mr. Gary Hanmer Mr. & Mrs. Roger Hickey Ms. Alana Howe Mr. & Mrs. Robert Huebner Ms. Jennie Keith Ms. Sally Kelsey Mr. Carl Kelso Ms. Janice Kendrick

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Mr. & Mrs. Barry and Linda Kilch Ms. Katherine Kroll Mr. Greg Kyffin Ms. Jennifer Lainey Mr. Tyler Laplante Mr. Robert Longacre Mrs. Christine Losciuto Ms. Jayne Ludwig J.W. Mandelbaum Mr. Barry Martin Mr. & Mrs. James and Wendy McIntyre Mr. & Mrs. Pete and Lisa Molloy Mr. Derek Nisbet Mr. & Mrs. Chris and Jen Peters Ms. Ashley Phair Mr. & Mrs. David and Karen Phair Mrs. Lindsay Pieper Ms. Karen Platt Mr. & Mrs. Stephen and Pauline Porell Ms. Elizabeth Pratt Ms. Elizabeth Provost Mr. Alistair Raymond Ms. Dana Reid Mr. David Robeck Maricel Romero Ms. Therese Roy Mr. Jeff Sebell Ms. Linda Shapleigh Ms. Laura Snyder Mr. George Stamulis Ms. Carole Starr Mr. Donald Starr Ms. Mary Starr Ms. Heather Stevens Mr. Robert Straznitskas Mr. Mark Tarbell Ms. Melanie Tassinari Ms. Barbara Thibeault Mr. Gregg Wade Ms. Mollie Wade Mr. & Mrs. Steven and Patti Wade Mr. Robert Waeldner Mr. Bruce Waugh Mr. Eugene Waugh Ms. Hannah Willihan Mr. & Mrs. Steve and Vicki Young In support of Bowling for Brain Injury Missouri Boeing Company Gift Match BPAC Program Ms. Billie Paulsen In support of Bowling for Brain Injury – Texas Mr. Daniel Chapman Mr. Walt Hudson Ms. Laurie Stover Mr. Wesley Stover

In support of Brain Injury Awareness Month Mr. Paul Bosworth First Pioneers FCU Ms. Celia Chachere Foard Ms. Cathy Grochowski Ms. Helen Silha In support of the 2015 DFW Walk for Brain Injury Ms. April A. Abbott Mr. Neel Ackerman Dr. Deana Adams Ms. Brenda D. Adcock Ms. Juana Aldana Ms. Maria Aldana Ms. Rita Allison Ms. Christy Allmon Sophia and Rose Amaya Ms. Sarah Ange Mr. Kendal Ayers Mr. & Mrs. James Bates Mr. & Mrs. Allen and Nicki Beeler Mr. Kevan Beijan Countss Bibl Ms. Jasmine Bible Ms. Marilee Blackwell Ms. Annette Bossert Mr. & Mrs. Bob and Sally Bradley Ms. Evelyn Bradshaw Mr. Greg Brasher Ms. Anne Brown Mr. Bryan Brown Ms. Ingrid Brown Ms. Nicole Bush Ms. Sally Byrnes Ms. Amanda Cambra Mr. Richard Capriotti Ms. Debra Carlin Ms. Vanessa Carmouche Mrs. Veronica Castillo Mr. & Mrs. David Cedillo CNS Centre Village Residential Ms. Denise Chalk Mr. Paul Chandler Ms. Michele Chidester Ms. Patricia Christensen Ms. Lisa Clayton Ms. Mandy Collins Mr. Ross Connelly Mr. Brian Conroy Ms. Beth Cook Ms. Rougina Coumanova Mr. Bill Crawford Mrs. Melanie Creel Ms. Claudia Cruz Ms. Allison Cunningham Ms. Katie Dagenais

Mr. William Dane Mr. & Mrs. Gary Darden Ms. Cindy Davie Mr. Gary Davis Kayo Davis Ms. Patti Davis Ms. Kim Dorsett Mr. Kevin Duke Mrs. Marsha Dunaway Mr. Steve Dunaway Mr. Robert Durham Ms. Lauren Eysermans Mr. Robert Fahey Mr. Max Falls Mr. Peter Feret Ms. Melanie Forbes-Scott Mr. & Mrs. Larry and Eileen Gabaldon Ms. Maria Galan Miss Marina Garcia Mr. & Mrs. Jay and Vickie Gillespie Ms. Melissa Gomoljak Ms. Adriana Grimaldo Mr. Kyle Hamil Max Falls & Harold Muckleroy Ms. Vivian Harris Harris, Finley & Bogle Mr. Michael Hatch Mr. Kent Hayden Mr. Jared Healer Ms. Linda Henry Ms. Kristin Herman Leslie Hobby Mrs. Kristyn Hoge Rowland Ms. Betty Hynes Ms. Marina Interial Ms. Frieda Ivy Mr. Devang Jhaveri Ms. Julie Jimison Dr. Christine Johnson Mr. & Mrs. Darrell Johnson Ms. Lani Jones Miss Caitlin Jukes Ms. Celeste Larkins Ms. Taquisha Larry Mr. Eric Lichtenstein Mrs. Jacalyn Lichtenstein Ms. Caroline Llewelyn Ms. Nikki Lomax Mr. & Mrs. Marjorie and Edward Looney Mr. Jay Loucks Mr. & Mrs. Bob and Gaile Loving Ms. Cheryl Mackey Ms. Elaine Maddox Ms. Dale Martin Mr. Paul Martinez Pat Martinez Ms. Michelle McCoy


Ainsly McGowan Mr. Timothy McKay Mr. & Mrs. James and Tamara McNally Mr. & Mrs. Robert McNally Mr. Michael Meripolski Ms. Michele Merrill Dr. Nathan Mertick Ms. Carol Migdat Ms. Leah Miskin Ms. Heather Moore Mr. & Mrs. Larry and Gloria Morgan Ms. Cheri Morrow Mr. Harold Muckleroy Jay Myrick Ms. Michele Myrick Ms. Kim Nemir Mr. Steve Nevil Mr. Benjamin Nguyen Mr. Joshua Oberg The Okada Family Foundation Ms. Maria Padron Ms. Mireya Padron Ms. June S. Page Ms. Lindsay Parsons Mr. Joe Phillips Mr. & Mrs. David Pratt Ms. Samantha Pruitt Ms. Stephanie Qualls Ms. Sue Qualls Treniece Richard Ms. La Tonya Richardson Kayce Ridd Mr. & Mrs. Sal and Debra Rodriguez Mr. & Mrs. Elaine Ross Mr. & Mrs. Kami and Danny Ross Mr. Philip Ruzicka Mr. & Mrs. Mario and Mireya Sanguinetti Dayna Scarborough Ms. Karin Shay Dr. Omesh Singh Mr. Craig Smith Ms. Tiffanie Starks Mrs. Mary Sheila Suhr Ms. Susan Swanfeldt Ms. Audra Swindell Joey Tapia Mr. Robert Taylor Mr. Donald Teague Ms. Heather Thomson Ms. Dawn Toudouze Ms. Sandra Trevino Mr. & Mrs. Frankie and Michelle Trujillo Ms. Connie Tucker Mr. Glynn Tucker Mr. Gary Tufte Ms. Laquasha Turner Mr. Todd Tyson

Mr. Kenneth Valder Mr. Zachary Vanella Mr. Peter van Zandt Ms. Marlene Vega Mr. Darrell Vines Mr. Ruben Vitela Mr. Bruce Walker Ms. Susan Walker Ms. Tywanda Walker Mr. & Mrs. Philo and Allena Waters Mr. Brian White Mrs. Brandi Williams Ms. Dorothy Willis Miss Sharon Wilson Ms. Belinda Wingo Ms. Melissa Yafchak Ms. Christina Zamer Mr. Carl Zietz Ms. Sarah Zietz In support of #GivingTuesday Mr. Anthony Basica Ms. Dianna Fahel Ms. Sara Leonard Mr. Don Mosher Mr. Greg Mosher Ms. Brittany Vandegohm Sandhya Vollala In support of Jessica Goldman’s Forward Motion Ms. Gloria Morrissette In support of the Legislative Action Center Ms. Marilee Hayden Ms. Gail Morris In support of the Lynn Chiaverotti Memorial Fund Ms. Dana M. Hicks Muskego Lions Club In support of Monica Mayer’s Crowning Hope Ms. Carolyn Miller Ms. Monica Mayer In support of the National Brain Injury Information Center Ms. Deborah Einhorn Ms. Carla Gulledge

GENERAL DONATION Ms. Elizabeth Ackerson Ms. Patricia J. Adamson Alexion Pharmaceuticals Matching Gifts Program Dr. Mark Ashley Ms. Diane Assalone Ms. Norma Jo Barnhart

Mandeep Bawa Mr. Joseph Belforti Ms. Erica Bender Bravelets Mr. & Mrs. Douglas and Heidi Brewer Mr. John Burnett Mr. Mario Castiglia Dr. Marie Cavallo Mr. Samuel Chan Ms. Phyllis Cherebin Mr. & Mrs. William and Rita Clark Mr. & Mrs. David and Mary Crighton Mr. William Dane Ms. Linda Dean Dr. Ramon Diaz-Arrastia Mr. Earl Durant Ms. Deborah Einhorn Dr. & Mrs. Warren and Joan Enker Mr. & Mrs. Lawrence and Elizabeth Forte Gallub Services for TBI Ms. Gail Gangi Ms. Connie Gibson Ms. Laura Goldberg Ms. Elaine Goldman Mr. Joseph Greenberg Ms. Renee Gruber Ms. Barbara Guidos Ms. Barbara Guklos Mr. Kent Hamilton Mr. Matthew Hampton Mr. Ken Handwerger Ms. Margaret K. Harris Ms. Sandra Hassenplug Ms. Joann Hays Dr. Sheldon Herring Mr. & Mrs. David and Carol Hevey Ms. Paige Huber Integra Realty Resources Ms. Sharon Keith Mr. Walter L. Kilcullen Kim S. Storey and Douglas I. Katz Fund Dr. Sonya Kim Ms. Kayla Kramer Mr. Tom Kurosaki Ms. Abby J. Levenson Mrs. Carol A. Lockwood Tommy and Adam Malone Ms. Sheila Marder Mr. Clarence Masuo Mr. & Mrs. William and Sally Mathis Secha Mehta Mr. William Meier Michael J. Bush Giving Fund Mr. Carlos Moreno Ms. Meredith Morgan Lee Muchnikoff Dr. Drew Nagele

Ms. Margaret A. Olson Mr. & Mrs. Stephen and Susan Pace Mr. & Mrs. Robert and Martha Page Ms. Natasha Perkins Ms. Angela Presberry Mr. & Mrs. Bob and Becky Reisdorff Mr. Robert Jon Richmond Ms. Angela Roark Ms. Roxane Rolon Ms. Sharon Rushton Ms. Adeline Scagliarini Ms. Judith Schwartz Ms. Carol Seitz Ms. Jamie Sewall Mr. Ira Sherman and Ms. Maryjo Meier Silicon Valley Community Foundation Mr. & Mrs. William and Shirley Sisk Ms. Barbara Snelling Mr. Raymond Steward Ms. Sandra Sussman Ms. Tina Trudel Ms. Janet Tyler Ms. Angela Weisskopf Whole Foods Market Dr. John Whyte Mr. Benji Wolken Ms. Alyson Zehner H.J. Zoffer

Thank You!

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Advocacy UPDATE By Amy Colberg, M.Ed., Director of Government Affairs, BIAA

W

elcome to the second session of the 114th Congress! The Brain Injury Association of America (BIAA) is excited about the opportunities that lie ahead for the brain injury community as we work with the Administration for Community Living (ACL) to maximize the Federal TBI State Grant Program and the TBI Model Systems, where both programs are now housed. BIAA will also be fighting to protect access to rehabilitation for Medicare and Medicaid beneficiaries and those with private-sector health insurance plans.

Republicans are in control of both chambers with new leadership in the House of Representatives. Speaker Paul Ryan (R-Wis.) was elected in late in 2015 when John Boehner (R-Ohio) retired from Congress. Mitch McConnell (R-Ky.) continues to hold the Majority Leader position in the United States Senate. This year brings a presidential election in the fall, so there is a lot of speculation about the outcome and potential changes in the White House in 2017. Amidst the continuing partisan divide in Washington, BIAA will pursue an ambitious policy agenda. Our goals are to: •

Strengthen federal and state TBI Programs;

Advance and accelerate brain injury research; and

Increase access to medically-necessary care, including rehabilitation; Expand the Congressional Brain Injury Task Force.

Grassroots advocacy will be critical to achieving these goals. Please download our 2016 legislative issue briefs, sign up for our free Policy Corner e-newsletter, ask your Representative and Senators to join the Congressional 22

Brain Injury Task Force, and plan now to attend Awareness Day on Capitol Hill on March 16, 2016.

Brain Injury Awareness Day, March 16, 2016 Reps. Pascrell (D-N.J.) and Rooney (R-Fla.), co-chairs of the Congressional Brain Injury Task Force, will host Brain Injury Awareness Day on Capitol Hill on Wednesday, March 16. The day will include a fair with more than 50 exhibitors, a congressional briefing, and a celebratory reception. Schedule of Events for Brain Injury Awareness Day 2016 10:00 a.m. – 2:00 p.m. Brain Injury Awareness Fair Cannon Caucus Room

2:30 p.m. – 4:00 p.m. Briefing: Concussion: It’s Not Just a Concussion Capitol Visitor Center, Congressional Meeting Room North (CVC 268) 5:00 p.m. – 7:00 p.m. Reception Celebrating Brain Injury Awareness Month B-338 Rayburn House Office Building


Learn more.

Raise awareness.

Find help.

Be Part of Brain Injury Awareness Month 2016 • If

your state has a BIAA affiliate, find out how you can get involved. • Host an event to mark Brain Injury Awareness Month. • Contact civic clubs and offer to be a speaker at their March meetings. • Tell the next person you see that March is Brain Injury Awareness Month and explain why you care. • Invite a guest to your support group meeting. • Post photos and videos on social media using the hashtag #NotAloneinBrainInjury. Visit www.biausa.org to download fact sheets, posters, PSAs, advocacy tools, and to find information about Brain Injury Awareness Day in Washington, D.C.

#NotAloneinBrainInjury Awareness Day on Capitol Hill is an excellent time to visit with your congressional delegation. Please contact your representative and senators to schedule meetings while you are in Washington, D.C. If you need help arranging appointments, please contact Amy Colberg, BIAA Director of Government Affairs, at 703-761-0750 or by email to acolberg@biausa. org. BIAA’s 2016 legislative issue briefs will be available for pickup from our exhibit booth during the awareness fair. Please plan to stop by and use the issue briefs during your congressional visits. If you cannot be in Washington in March on Brain Injury Awareness Day, please make plans to meet with your federal legislators when they are in their district offices during congressional recess periods. BIAA’s legislative issue briefs will be posted to the Advocacy and Government Affairs section of the website in mid-February and can be used during district visits.

Special Reminder: Please alert your state BIA office before scheduling congressional visits, either in Washington or at home in order to coordinate with other advocates who may wish to participate. Contact information for all BIAA affiliates is available from the Find BIA in Your State section of our website.

Meeting with House Energy and Commerce Committee to Discuss Concussion Roundtable

Representatives from BIAA and the National Association of State Head Injury Administrators (NASHIA) met with majority staff for the House Energy and Commerce Committee, chaired by Rep. Fred Upton (R-Mich.), to discuss the committee’s broad review of concussions. The committee intended to host a briefing on concussion research on January 25, 2016, but it was cancelled because of weather. BIAA will notify advocates when the committee selects a new date and time for the briefing. (continued on page 24) www.biausa.org

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Hatch (R-Utah), Murkowski (R-Alaska), Isakson (R-Ga.), and Collins (R-Maine).

A second Committee markup is planned for March 9, 2016. The bills to be considered at this meeting include:

• • (continued from page 23)

United States Senate Health, Education, Labor and Pensions (HELP) Committee Upcoming Innovation Initiative Markup BIAA strongly supports two pieces of legislation slated for markup by the Senate HELP Committee on Feb. 9, 2016. These bills are the Advancing Research for Neurological Diseases Act of 2015 (S. 849), sponsored by Sens. Isakson (R-Ga.) and Murphy (D-Conn.), and the Enhancing the Stature and Visibility of Medical Rehabilitation Research at the NIH Act (S. 800), sponsored by Sens. Kirk (R-Ill.), Bennet (D-Colo.), Hatch (R-Utah), Murkowski (R-Alaska), Isakson (R-Ga.), and Collins (R-Maine). BIAA encourages brain injury advocates to contact their senators on the HELP Committee to support both bills during markup without amendment. In addition, several other bills will be considered at the HELP Committee meeting. These include: • •

• •

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The FDA Device Accountability Act of 2015 (S.1622), sponsored by Sens. Burr (R-N.C.) and Franken (D-Minn.);

The Advancing Targeted Therapies for Rare Diseases Act of 2015 (S.2030), sponsored by Sens. Bennet (D-Colo.), Burr (R-N.C.), Warren (D-Mass.), and Hatch (R-Utah); The Next Generation Researchers Act (S.2014), sponsored by Sens. Baldwin (D-Wisc.) and Collins (R-Maine); and

The Enhancing the Stature and Visibility of Medical Rehabilitation Research at the NIH Act (S. 800), sponsored by Sens. Kirk (R-Ill.), Bennet (D-Colo.),

The Advancing Hope Act of 2015 (S. 1878), sponsored by Sens. Casey (D-Pa.), Isakson (R-Ga.), Brown (D-Ohio) and Kirk (R-Ill.);

The Medical Electronic Data Technology Enhancement for Consumer’s Health (MEDTECH) Act (S. 1101), sponsored by Sens. Bennet (D-Colo.) and Hatch (R-Utah); The Medical Countermeasures Innovation Act of 2015 (S. 2055), sponsored by Sens. Burr (R-N.C.), Casey (D-Pa.), Isakson (R-Ga.), and Roberts (R-Kan.);

The Combination Products Innovation Act of 2015 (S.1767), sponsored by Sens. Isakson (R-Ga.), Casey (D-Pa.), Roberts (R-Kan.) and Donnelly (D-Ind.); and

The Advancing Breakthrough Medical Devices for Patients Act of 2015 (S. 1077), sponsored by Sens. Burr (R-N.C.), Bennet (D-Colo.), Hatch (R-Utah), and Donnelly (D-Ind.).

Legislation to support the president’s Precision Medicine Initiative to ensure that the National Institutes of Health has the tools it needs to research treatments that are individualized for patients is also expected to be considered in March. A third and final markup is planned for April 6, 2016, to complete committee action on the committee’s innovation agenda.

The President of the United States Budget for Fiscal Year 2017

The President’s budget for the federal government for fiscal year 2017 will be released on Feb. 9, 2016. BIAA will analyze the budget for TBI funding and will release its results to brain injury advocates.

TBI Fact Sheet for Health Insurance Navigators BIAA was invited to prepare a TBI fact sheet for use by navigators who assist individuals when comparing what insurance they should purchase on the health insurance exchanges, otherwise known as Obama


Care. Since 2013, BIAA has been a friend of the National Disability Navigator Resource Collaborative (NDNRC), which collaborates with consumer organizations to produce specific fact sheets to assist navigators. The fact sheet is available from: http://www.nationaldisabilitynavigator.org/ndnrcmaterials/fact-sheets/population-specific-fact-sheettraumatic-brain-injury/. Please share the fact sheet with your networks as a resource.

Consortium for Citizens with Disabilities Annual Meeting On Jan. 14, 2016, BIAA staff attended the annual meeting of the Consortium for Citizens with Disabilities (CCD). CCD is a coalition of 100 national consumer, advocacy, provider and professional organizations headquartered in Washington, D.C. Since 1973, CCD has advocated on behalf of people of all ages with physical and intellectual disabilities and their families. CCD has worked to advance federal legislation and regulations that assure that the 54 million children and adults with disabilities are fully integrated into the mainstream of society. CCD does this by: •

•

•

Identifying and researching public policy issues, developing testimony and policy recommendations, and encouraging innovative solutions to public policy concerns; Educating members of Congress in an effort to improve public policies and programs that foster independence, productivity, integration, and inclusion of people with disabilities; and

Encouraging people with disabilities and their families to advocate for themselves and coordinating grassroots activities to support these advocacy efforts. www.biausa.org

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State Affiliate NEWS DELAWARE The Brain Injury Association of Delaware (BIAD) held its Eighth Annual Crab Feast in August. The event was a tremendous success. Also in August, 12 adults with brain injury enjoyed two nights of respite at Camp Fairlee in Chestertown. CAMP BIAD was a huge success and the survivors had a blast.

The annual Brain Strong 5K on Labor Day to promote concussion awareness and safety was another success, making it possible for BIAD to distribute $10,000 in grant funding to community organizations promoting concussion awareness, education and/or prevention. Another 5K was held at HealthSouth in Middletown. The “Run for Rehab” raised $2,300 for BIAD and was designated for support for survivors. BIAD has six support groups located throughout the state. The Sussex County group participated in its Second Annual Parade of Trees to raise money for BIAD. On March 10, 2016, BIAD will host the 25th Annual Conference at Dover Downs. The conference

theme is: “JOINED VOICES, SHARED JOURNEYS: Raising Awareness, Building Relationships.” The keynote speaker will be Rosemary Rawlins, who is a caregiver and author. Korean War Veterans will present the colors.

Delaware Governor Jack Markell (far left) congratulates 2015 BrainStrong grant recipients.

BIAD’s BrainStrong 5K run/walk leaders.

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KANSAS On Jan. 13, 2016, the Brain Injury Association of Kansas and Greater Kansas City (BIAKS) hosted a private screening of the movie “Concussion.” Immediately following the movie, more than 300 guests were treated to a lively panel discussion on concussions, moderated by long-time Kansas City broadcaster and current senior anchor at Time Warner Sports Channel, Dave Stewart.

Panelists at the “Concussion” event (l-r): Moderator Dave Stewart, Shawn Barber, Dr. David Smith, Dr. Dr. Lori Boyajian-O’Neil, and Dr. Terrie Price.

Stewart led the panel of experts, including: • •

Shawn Barber, former NFL linebacker and current USA Football Heads Up Ambassador,

Lori Boyajian-O’Neill, D.O., director at Midwest Sports Medicine Physicians and team physician with USA Volleyball, Women’s National Team and the Missouri Mavericks, Terrie Price, Ph.D, director of Neuropsychology and Family Services at Rehabilitation Institute of Kansas City and co-author of Traumatic Head Injury – Causes, Consequences, and Challenges and The Missouri Greenbook – Living With Brain Injury,

A nearly full house was on hand for the BIAKS “Concussion” event.

David Smith, M.D., sports medicine specialist with the University of Kansas Hospital’s Sports Medicine and Performance Center and team physician for the Kansas City Royals (2015 World Series Champions – Go Royals!), and Joseph Waeckerle, M.D., clinical professor of Emergency Health Services at the University of Missouri-Kansas City, a member of the NFL Committee on Mild Traumatic Brain Injury and the NFL Committee on Head, Neck and Spine Injury, and author of Concussion Management: The Team Plan.

BIAKS is grateful to Kevin Connor and AMC Theatres for the opportunity to provide valuable education and awareness and to BIAA and BIA Michigan for their leadership and support.

Shawn Barber poses with James McGinnis, a young man who received a traumatic brain injury in September 2014 while playing football, his father, Pat McGinnis, and Panel Member Dr. Joe Waeckerle. (continued on page 28)

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MASSACHUSETTS

MISSOURI

The Brain Injury Association of Massachusetts (BIAMA) launched a concussion awareness campaign in Massachusetts concurrent with the release of the movie “Concussion” starring Will Smith.

The Brain Injury Association of Missouri (BIA-MO) continues to be a leader in concussion education across the state with the hosting of our annual Sports Concussions: Facts, Fallacies and New Frontiers regional seminars. Nearly 1,000 team and school personnel will attend one of the seminars held in late February 2016 in Central, Eastern, Southeast, Southwest, and Western Missouri.

Due to the growing epidemic of concussions in sports-related injuries among adults and youth, it became clear that BIA-MA needed to find a new way to engage the residents of Massachusetts.

As we looked at trends in advertising, we concluded that the best way to get our awareness message in the forefront of the public was to run an advertising spot during the previews at movie theaters. With the release of blockbusters such as “Star Wars,” attendance at the theaters was predicted to be record breaking.

BIA-MA ran its concussion awareness campaign for three weeks (Dec. 18, 2015 to Jan. 7, 2016) with the three major cinema companies in the Commonwealth (AMC, Regal, and Cinemark). The ad ran in 22 theaters, was shown 30,450 times, and reached an estimated 650,000 people. This campaign was a huge success. BIA-MA received calls from residents seeking support for brain injury, an increase in membership, and interviews by the media.

Concussion information is also included in our Brain Injury Fact of the Day radio announcements as part of Brain Injury Awareness Month. The Brain Injury Fact of the Day, sponsored by the Missouri AgrAbility Project, highlights brain injury’s impact in rural communities and opportunities for persons with brain injury to be successful with farming, ranching, or other agribusinesses.

The BIA-MO Survivor and Family Seminar, scheduled for April 2016 in Southwest and Western Missouri, will include the topics of self-advocacy, relationships, and resources and will provide practical suggestions for individuals and families recently impacted by brain injury or those who are many years post injury. The Survivor and Family Seminars are offered free-ofcharge, but registration is required at www.biamo.org.

MICHIGAN With increased public interest in sports-related brain injuries because of the film “Concussion,” the Brain Injury Association of Michigan (BIAMI) is urging student athletes, coaches, and parents to abide by Michigan’s sports concussion law and “When In Doubt, Sit Them Out.” The BIAMI teamed up with the Michigan Department of Health and Human Services, the Michigan Sports Hall of Fame, the University of Michigan Injury Center, and Dunham’s Sports to distribute more than 100,000 copies of a “WHEN IN DOUBT, SIT THEM OUT!” pamphlet to student athletes, parents, and coaches across Michigan.

The BIAMI also secured 1,100 statewide PSA placements and partnered with Metro Health, Celebration Cinemas, and The HUGE Show with Bill Simonson in West Michigan to participate in a 26-minute on-air Q&A session followed by a 30-minute in-theater presentation with medical experts on Jan. 13, 2016, at the Celebration Cinema North in Grand Rapids. Following the presentation was a private screening

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NEBRASKA And the survey says… School administration and staff are becoming more educated about what concussions are, how to identify them, and the proper steps to take to ensure a student is safely and effectively transitioned back to the classroom (Return to Learn) and on the field (Return to Play). And while that’s good, we can do better!

So, the Brain Injury Association of Nebraska (BIA-NE) has teamed up with the Nebraska School Activities Association to create 4-by-6-foot banners with the slogan: “WHEN IN DOUBT, SIT ’EM OUT.”

The BIA-NE’s goal is for all 304 high schools in Nebraska to hang the banner in a visible location as a reminder to students, parents, and sports fans to take concussions seriously and help ensure they are properly managed at the time of play. As an incentive, the BIA-NE is offering a chance for one school to win a $1,000 donation. To enter the drawing, participants must hang the banner on school property, take a picture of it, and post it on BIA-NE’s Facebook page before March 1, 2016.

The banner contest comes on the heels of the momentum gained since the Nebraska Concussion Awareness Act went into effect in July 2012 and the 2014 amendment for each school to develop a protocol to address the needs of students with brain injury in the classroom.

The surveys were conducted by the Nebraska School Activities Association, Nebraska State Athletic Trainers Association, and Nebraska Department of Health and Human Services in 2013 and 2015. For results, go to http://dhhs.ne.gov/publichealth/ concussion/Pages/Home.aspx).

(continued on page 30)

of the film “Concussion.” More than 200 high school athletes, coaches, and parents packed the theater for the presentation and screening, which was replicated the following week at the Emagine Theatre Royal Oak in suburban Detroit.

BIAMI President Michael Dabbs discusses concussions live on The HUGE Show with Bill Simonson.

Experts participate in Q&A with the audience before screening “Concussion.”

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NEW YORK

NORTH CAROLINA

Eileen Reardon, executive director of the Brain Injury Association of New York State (BIANYS) and BIAA Board Director Shana De Caro, who is a partner in the personal injury law firm of De Caro and Kaplen, LLP, joined Westchester County Executive Robert Astorino at a press conference on Jan. 11, 2016, to commend Department of Mental Health Commissioner Dr. Mark Herceg and his Concussion Task Force for spearheading and developing a plan for safer sports for school and youth athletic programs throughout the county.

On Dec. 25, 2015, Karen Keating and the Brain Injury Association of North Carolina (BIANC) set up an information table at Carolina Cinemas on the Christmas Day premiere of “Concussion.” The opening of this film provided a great platform to inform others about head injuries. Karen manned the information table in order to answer questions and help moviegoers learn more about concussions and other brain-related traumas.

In her remarks, Ms. De Caro said, “It is essential that all adults involved in these children’s lives (parents, teachers, coaches, athletic trainers, and all health and educational professionals) be informed and empowered to work together to ensure that concussions are recognized, diagnosed, and properly treated. It is vital that proper return to play, and equally important, return to learn, protocols be instituted and adhered to in the best interest of children, who rely on responsible adults to care for their health and safety. This initiative is an important step in protecting our children and hopefully other schools and athletic programs throughout the state will follow their lead.”

The information table also included a display of mask artwork completed by brain injury survivors as part of the “Unmasking Brain Injury” project.

Karen Keating stands near a display of masks created by brain injury survivors.

TENNESSEE The 27th Annual TBI Survivor, Family and Caregiver Event will be held on from 10:00 a.m. to 2:00 p.m. on March 4, 2016, at the Midtown Hills Police Precinct Community Room at 1443 12th Avenue in Nashville. Exciting and engaging speakers plus numerous exhibitors promise to make this an informational and fun event.

Shana De Caro (center) delivers remarks as BIANYS Executive Director Eileen Reardon (left) and Westchester County Executive Robert P. Astorino (right) look on.

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The event is sponsored by the Brain Injury Association of Tennessee, Epilepsy Foundation of Middle and West Tennessee, and the Traumatic Brain Injury Program in the Tennessee Department of Health. There is no charge to attend but preregistration is required. Seating is limited so sign up today at www.TBIConference2016.eventbrite.com.


VERMONT The Brain Injury Association of Vermont (BIAVT) Board President Bob Luce and Deborah Fournier, team leader for the Dartmouth Hitchcock Medical Center Brain Injury Clinic, were interviewed on the popular Vermont Public Radio call-in show, Vermont Edition, on Jan. 6, 2016, at noon and 7:00 p.m. Bob was asked to discuss advances in concussion science. The call-in volume during the live show at noon was a good indicator of the heightened interest in the issue of concussions and concussion treatment. BIAVT distributed social media messages to promote “Concussion” being shown at local theatres.

VIRGINIA Brain injuries caused by sports have been a hot topic in the local press recently because of the new Will Smith movie, aptly called “Concussion.” The Brain Injury Association of Virginia (BIAV) took advantage of the buzz around this film by submitting an opinion editorial to the Richmond Times Dispatch, which circulates to about 89,400 people daily. The intent of the op-ed was to publicize BIAV, encourage readers to contact us, and stress that seemingly mild injuries can have serious impacts in future years. To read the full article, please visit http://www.richmond. com/opinion/their-opinion/guest-columnists/ article_950b54f7-747c-57e9-9d62-bdfc257ca1f6. html/.

Following the op-ed, BIAV has scheduled three events in the coming months that will highlight concussions and offer the public more information. On March 5, 2016, BIAV will hold its annual conference. BIAA President/CEO Susan Connors is the keynote speaker. Andrew Smith and Amber Turner from Virginia Tech will present on mild traumatic brain injury. On April 23, 2016, BIAV will host RVA Field Day, a familyfriendly fundraising event that will educate the public and raise awareness about brain injury. In May, BIAV will host a sports concussion webinar led by Dr. Greg O’Shanick, renowned neurologist and Medical Director Emeritus of BIAA.

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Her Concussion Vs. His Concussion consideration for her symptoms, acute care, and recovery plan. Her journey back to health can be helped by the correct diagnosis, sex-specific care, education, and the proper support systems at home, school, and work. Katherine Snedaker, LCSW, is executive director of PINKconcussions. In 2013, Katherine founded PINKconcussions, a nonprofit focused on female concussion from sports, abuse, accidents, and military service. She produced the first National Summit of Female Concussion and TBI which was hosted by Georgetown University Medical Center and is planning a patient retreat summit in late 2016, and an international summit in the United Kingdom in 2017. She is a researcher, educator, and advocate who speaks and presents internationally on female concussion research along with her own personal story of brain injury.

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How Nutrition May Play a Role in Concussion Therapy •

Eating and drinking DHA omega-3-fortified foods and beverages, including milk, 100% juice, and yogurt.

If you or someone in your family sustains a concussion, ask your doctor about including EPA and DHA in your recovery regime, and consider adding a dietician to your team of medical practitioners. Dieticians can offer advice on combining certain nutrients to support recovery. Medical evaluation and treatment is important. Nutrition therapy is a potentially valuable, yet often overlooked, part of the recovery plan.

Marie Spano, MS, RD, CSCS, CSSD is a nutrition communications expert and one of the country’s leading sports nutritionists. She is co-editor of the NSCA’s Guide to Exercise and Sport Nutrition and currently working on another book for Human Kinetics. She has also served as a spokesperson for numerous clients and is a national speaker.

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Check out our NEW Online Marketplace http://shop.biausa.org By Dianna Fahel, Customer Service Specialist, Brain Injury Association of America The Brain Injury Association of America’s Online Marketplace has undergone a major transformation! The new site is easier to navigate, has a cleaner interface, and allows for faster payment processing – including international payments. Thanks to your feedback, we have improved the user experience, leading to a much more streamlined and intuitive website. With this new platform, you’ll be able to create a user account, view your order history, and even track your current order.

The new website contains our entire catalogue of recorded webinars and now allows users to sort webinars by topic, series, and date. We have dozens of webinars on the following topics: Advocacy & Legal Issues, Children/ Pediatric, Community & Support Group Resources, Concussion & Mild TBI, Crime, Education, Marriage/Relationships, Military TBI, Research, and Treatment & Rehabilitation. BIAA continues to offer special pricing for Caregiver Education Series CDs for all caregivers, survivors, family and friends.

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The increased search functionality allows visitors to search by key word as well as product category. We’ve also separated all our books based on their target audience, so you’ll be able to find exactly what you’re looking for. Scroll down on the first page of our Marketplace to view monthly special offers, and be sure to sign up under the Stay in Touch section for exclusive updates.


BIAA Welcomes New Officers and Directors By Susan Connors, President/CEO, Brain Injury Association of America At its meeting in December 2015, the board of directors of the Brain Injury Association of America (BIAA) elected a new slate of officers and four new directors as volunteer leaders at the national level.

Brant A. “Bud” Elkind, M.S., CBIST, is the new chairman of BIAA’s board. Mr. Elkind is employed as director of clinical operations for Robin Hill Farm, Inc., a post-acute residential treatment and rehabilitation company located in south central New Hampshire. He is the immediate past chairman of the board of governors of BIAA’s Academy of Certified Brain Injury Specialists (ACBIS) and past president of the Brain Injury Association of New Hampshire. Mr. Elkind has an immediate family connection to brain injury. is

Douglas L. Brewer, M.B.A., is the new vice chairperson of BIAA’s board. He is employed as chief administrative officer of Brookwood Medical Center, an acute care hospital in Birmingham, Ala. He was previously vice president for Select Medical Holdings Corporation/SSM Healthcare, where he drove strategic growth through new joint venture partnerships, acquisitions, and other business relationships. Mr. Brewer previously served on the board of the Brain Injury Association of Missouri. The Honorable B.J. Penn, M.S., is

now secretary of the BIAA board. He was the Assistant Secretary of the Navy (Installation and Environment) and briefly served as acting Secretary of the Navy in 2009. In 1995, Mr. Penn departed military service to join Loral Corporation, which was later acquired by Lockheed Martin. He began his career as a naval aviator after receiving his B.S. from Purdue University and his M.S. from The George Washington University, where he later served on the governing board.

Gregory Brickner, M.B.A., is BIAA’s

treasurer. He is employed as the director of business development at the Atlanta Medical Center in Georgia. He is formerly the chief financial officer for HydroWorx International, Inc., a Pennsylvania-based firm that manufactures specialized healthcare equipment for individuals with physical disabilities. Mr. Brickner earned his Bachelor of Science in Business Administration and Master of Business Administration from Shippensburg University’s John L. Grove Collect of Business.

John D. Corrigan, Ph.D., ABPP, returns to BIAA as a director having served as a member of the board more than a decade ago. Dr. Corrigan is a professor in the Department of Physical Medicine and Rehabilitation at Ohio State University and Director of the Ohio Valley Center for Brain Injury Prevention and Rehabilitation, which is the designated lead agency in the state of Ohio for TBI policy and planning. He is editor-inchief of The Journal of Head Trauma Rehabilitation, which has been designated by BIAA as its scholarly journal. Dr. Corrigan is the project director for the Ohio Regional Traumatic Brain Injury Model System and chairs the executive committee of the TBI Model Systems Project Directors. He is a member of the Institute of Medicine (IOM) Board on the Health of Select Populations and serves on the Neurological and Behavioral Health Subcommittee of the Defense Health Board. Dr. Corrigan has received many awards for his service and research in brain injury rehabilitation, including BIAA’s William Fields Caveness Award, the Robert L. Moody Prize, and the Gold Key Award from the American Congress of Rehabilitation Medicine. Maureen Cunningham, CFRE, is

also a new director on BIAA’s Board. She is employed as the executive director of the Brain Injury Association of Missouri and has 23 years of nonprofit experience with health and social service organizations. Ms. Cunningham currently chairs the State Affiliate Section, a special interest membership group within BIAA for chartered state affiliates.

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Heidi Reyst Ph.D., CBIST, joined

Upcoming WEBINARS Caregiver Webinar: Using Technology to Improve Executive Functioning in Children and Young Adults with Brain Injuries Thursday, March 3, 2016 3:00 p.m. eastern/12:00 p.m. (noon) pacific Caitlin Schlauch, M.S., CCC-SLP, CBIS, Erin Borges, M.A., CCC-SLP, CBIS, and Ethan Kichura, B.S., L.S.C.I.

Mitchell Rosenthal Memorial Lecture Webinar: Clinical Implications of Sleep Following TBI Thursday, March 10, 2016 3:00 p.m. eastern/12:00 p.m. (noon) pacific Risa Nakase-Richardson, PhD, FACRM

David Strauss Memorial Lecture: Cognitive Rehabilitation Focus on Awareness Thursday, April 21, 2016 3:00 p.m. eastern/12:00 p.m. (noon) pacific Sheldon Herring, PhD

Caregiver Webinar: Behavior after Brain Injury: The Role of the Family Wednesday, May 18, 2016 3:00 p.m. eastern/12:00 p.m. (noon) pacific Sandeep Vaishnavi, MD, PhD

Mitchell Rosenthal Memorial Lecture: Subconcussive Blows to the Head Tuesday, June 7, 2016 3:00 p.m. eastern/12:00 p.m. (noon) pacific Thomas McAllister, MD, Heather Belanger, PhD, ABPP-CN, and Rodney Vanderploeg, PhD

Caregiver Webinar: How to Select the Right App and Use it Consistently Thursday, July 21, 2016 3:00 p.m. eastern/12:00 p.m. (noon) pacific Michelle Ranae Wild, MA 34

the BIAA board having been elected as chairperson of the ACBIS board of governors. Dr. Reyst is employed as vice president of clinical administration for Rainbow Rehabilitation Centers in Michigan. She received the Brain Injury Association of Michigan’s Legacy Society Professional Service Award in 2009 based on her advocacy for individuals with brain injury and her commitment to educating professionals in the field.

Benji Wolken, C.P.A., is a senior partner at Ernst & Young LLP, specializing in audits of clients in the financial services industry at EY’s Chicago office. During his 35 years of professional experience, Mr. Wolken has joined BIAA’s Board having served both public and non-public companies and is a recognized leader in the asset management and brokerage industries. Mr. Wolken has served in leadership roles in several nonprofit organizations and professional societies. He is the parent of a teenager who sustained a TBI in 2014.

ADVERTISER INDEX

Advertiser and Website

Page

The Lighthouse Neurological Rehabilitation Center............7 www.lighthouserehab.com NutCase....................................................................................9 www.nutcasehelmets.com Special Tree............................................................................ 11 www.specialtree.com Montero Law Center.............................................................. 13 www.monterolaw.com Beechwood Rehabilitation Services..................................... 14 www.beechwoodNeuroRehab.org Skilled Medical Rehabilitation Center.................................. 17 www.finr.net/smrc Hope Network Neuro Rehabilitation....................................25 www.hopenetworkrehab.org Rainbow Rehabilitation Centers ..........................................35 www.rainbowrehab.com


1608 Spring Hill Rd., Suite 110 Vienna, VA 22182

The Corporate Sponsors Program gives rehabilitation providers, long-term care facilities, attorneys, and other leaders in the field a variety of opportunities to support the Brain Injury Association of America’s advocacy, awareness, information, and education programs. BIAA is grateful to the Corporate Sponsors for their financial contributions and the many volunteer hours their companies devote to spreading help, hope, and healing nationwide. For more information on how to become part of Brain Injury Association of America Corporate Sponsors Program, please visit the sponsorship and advertising page at www.biausa.org or contact Carrie Mosher at 703-761-0750, Ext. 640 or cmosher@biausa.org.

Profile for Katherine Price Snedaker

BIAA: THE CHALLENGE!  

The Brain Injury Association of America"s magazine, WINTER EDITION 2016

BIAA: THE CHALLENGE!  

The Brain Injury Association of America"s magazine, WINTER EDITION 2016

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