#brain injuries

[thetragicallynerdy]

Reminder from someone with actual literal brain damage from a brain injury to stop fucking using "brain damage" and "brain injuries" as a means of describing someone whose opinions you don't like or deem as stupid.

It's ableist and offensive as fuck, and for some reason a lot of leftist people think it's okay to use. I've seen posts replying to right wing racists calling them "brain damaged if you believe this" and "do you have a brain injury? do you not understand X?". Just now I saw a beautiful post about fat people throughout history that was absolutely ruined by opening with "How do we break it to boomers with actual brain damage and nostalgic brainrot..." before continuing to say that fat people existed throughout history.

Brain damage does not make you racist. A brain injury doesn't make you ignorant, or fatphobic, or unaware of history and politics. Stop fucking using my disability as a catch all to describe people you think are shitty. Y'all use it like it's a replacement for how people used to use the R-slur, which shows you learned absolutely nothing about why the R-slur was wrong to use and decided to throw in other disabilities instead. Fuck off and stop doing it.

(And don't do it with other disabilities either, because I know y'all do.)

I know a lot of people with brain injuries. They're smart, and funny, and compassionate. They learn about the world and care about social issues and wish they could go to protests if their disability won't allow them to. Are there right wing people with brain injuries? Sure, absolutely. But they are not right wing because they have a brain injury, and using any disability as an insult is still fucking ableist.

Tldr - stop using brain damage and brain injury as an insult. It's ableist and incredibly offensive.

Love, your local brain injured/brain damaged pal

[gwydionmisha]

Trump is always attacking wounded veterans, whom he despises..

Note to people saying not to vote because of Israel: If you do not vote, you are affirming you want this man who is pro-genocide and won't respond to pressure and protests in charge of of our Middle east Policy.

[elizabethgoudge]

My dad was a chiropractor. He hated ball sports for men and high heels for women. He didn’t talk about this so much in the eighties, but he said every man he treated who had knee or lower back pain had played high school sports, generally football.

man how the hell is this stupid ass sport legal. why do we funnel HIGH SCHOOLERS into this

[ashleyinjurylawyers]

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[danahawthorne]

Just finished a novel, starting a new one, and I can’t help but say Marie instead of Delila when referring to the MFC! Are these writer problems, adhd problems, or brain injuries?? All of the above

[nfinitefreetime]

A horrible story you don't want to read

I got an email yesterday that I had some paperwork to do for one of my students. The paperwork was some sort of screening or intake form for an … I’m gonna say organization that I wasn’t familiar with, and so I looked them up, because typically when I get paperwork to do for a kid it’s from one of a very small number of sources. It was for a residential facility, out of state, that more or less…

[simonh]

CT Scan by National Library of Medicine Via Flickr: Contributor(s): National Institutes of Health, (U.S.). Medical Arts and Photography Branch. Publication: [Bethesda, Md. : Medical Arts and Photography Branch, National Institutes of Health], 1981 Language(s): English Format: Still image Subject(s): Brain Diseases -- diagnosis, Tomography Scanners, X-Ray Computed, Brain Injuries -- diagnosis, Consensus Development, Conferences, NIH as Topic Genre(s): Posters Abstract: Black poster with a black and silver image of the brain. The title is in large orange letters at the bottom of the poster. Extent: 1 photomechanical print (poster) : 87 x 64 cm. Technique: color NLM Unique ID: 101454390 NLM Image ID: C01014 Permanent Link: resource.nlm.nih.gov/101454390

[jcmarchi]

3 questions: Leveraging insights to enable clinical outcomes

New Post has been published on https://thedigitalinsider.com/3-questions-leveraging-insights-to-enable-clinical-outcomes/

3 questions: Leveraging insights to enable clinical outcomes

Associate Professor Thomas Heldt joined the MIT faculty in 2013 as a core member of the Institute for Medical Engineering and Science (IMES) and the Department of Electrical Engineering and Computer Science. Additionally, Heldt is a principal investigator with MIT’s Research Laboratory of Electronics (RLE), and he directs the Integrative Neuromonitoring and Critical Care Informatics Group in IMES and RLE. He was recently named an associate director of IMES, where he will focus on internal affairs, among other duties. 

Heldt received his Medical Engineering and Medical Physics (MEMP) PhD from the Harvard-MIT Program in Health Sciences and Technology (HST) in 2004. Heldt’s research interests include signal processing, estimation and identification of physiological systems, mathematical modeling, model identification to support real-time clinical decision making, monitoring of disease progression, and titration of therapy, primarily in neurocritical and neonatal critical care. Here, Heldt describes how he collaborates closely with MIT colleagues and others at Boston-area hospitals, and how his research uses and analyzes physiologic data to aid clinical action.

Q: How does your research apply to solving clinical needs?

A: We look at current clinical environments and observe the volumes of multimodal physiologic waveform data that are collected on patients in critical care, peri-operative care, or even emergency care. Much of this data is typically visually reviewed by the clinicians and subsequently discarded after a holding period of just a few days. We thus lose the opportunity for more systematic analyses and for deriving patient-specific insights. Critical to such analyses of these data streams is a deep understanding of the relevant physiology at the time scales of interest. We leverage insights from physiology, formulated as reduced order mathematical models capturing the essential mechanisms that enable clinical action. We have applied this approach successfully to estimate intracranial pressure noninvasively, to make diagnostic decisions based on the analysis of the shape of the capnogram, and, are currently using ultrasound-based approaches to detect embolic events in patients on life support, such as ventricular assist devices or extracorporeal membrane oxygenation. 

Q: You work closely with colleagues across MIT, and with clinicians at Boston-area hospitals, including Boston Children’s Hospital (where you hold a courtesy research appointment in neurology), Boston Medical Center (neurosurgery), and Massachusetts General Hospital (emergency medicine). What has been the fruit of some of these collaborations — what is the impact on your research?

A: Boston is a fantastic place to conduct translational research that crosses from our laboratories at MIT into the clinical environments for validation in the actual target patient population! The collaborative disposition and forward-thinking mindset of our clinician colleagues have really been fundamentally enabling for our research and have provided amazing mentoring to our students, postdocs, and me. We have collected validation data in brain-injured patients in the ICUs [intensive care units] at Boston Medical Center, Boston Children’s Hospital (BCH), and Beth Israel Deaconess Medical Center (BIDMC); we have collected pilot and validation data for our capnography work in the emergency departments at BCH and BIDMC; we have collected data for our emboli work in the operating rooms and ICUs at BCH, and have analyzed the medical records of the neonatal ICU at BIDMC and the emergency department at Massachusetts General Hospital.

Our work with the neonatologist at BIDMC was focused on analyzing the monitoring alarm patterns in the neonatal ICU. We counted a staggering 177 alarms/baby/day, or one alarm every eight minutes on average, per baby. And this is a 54-bed neonatal ICU operating close to capacity every day! Such volumes of alarms contribute to noise pollution in an environment that should ideally be very calm. Additionally, since most of the alarms are nuisance alarms or do not require any clinical intervention, the clinical staff becomes desensitized to the alarm load and might end up ignoring truly important events. We analyzed the alarm patterns and alarm thresholds for a particular type of heart rate alarms and recommended a change in thresholds. This resulted in a 50 percent reduction in heart rate alarms per patient per day. Initially, the clinical staff had to file weekly reports to make sure the reduction in the alarm rate did not result in missed or adverse events. After about three months without a single reportable event, the hospital safety committee approved the change.

With colleagues from the MGH Department of Emergency Medicine, we developed and tested a triage rule to identify patients at risk of septic shock. At the time, the MGH ED [emergency department] saw more than 120,000 patients/year, and around 75 percent of patients ending up in the ICU with severe sepsis and septic shock came through the emergency department. Hence, ED triage was the first point of patient contact and the first opportunity to flag patients for possible sepsis and septic shock and initiation of early goal-directed therapy. One result of our work was a significant reduction in the time to appropriate antibiotic administration in the emergency department. The work was subsequently validated in other Partners hospitals and implemented in the electronic medical record system of Partners-affiliated hospitals. 

Q: Can you talk a bit about your background, and about how you became interested in systems-physiology and biomedicine? What are your goals for your research, and for your career?

A: That is a longer story! In short, I started out studying physics back in Germany. After a while, I got interested in applying concepts I learned in physics to physiology and medicine, so I designed my own MD/PhD program by picking up medicine as a second major. Through some fortuitous events, I ended up attending surgeries for congenital heart defects for about a term. This was a very formative experience, and almost pushed me toward dropping physics and going all-out on becoming a surgeon. However, I had also always wanted to spend part of my education abroad and had applied to various universities in the U.S. I ended up getting admitted to the graduate physics program at Yale and spent a couple of years doing nonlinear optics. While I loved the work at Yale and had a fantastic mentor, I missed the clinical exposure and application of my work to medicine. I had heard about the HST program and decided to send in an application. I joined the MEMP program in 1997 and have been at MIT ever since.

In our current research, we are very interested in providing better monitoring modalities for patients with brain injuries. We are developing novel algorithmic and device approaches so we can replace the current invasive monitoring modalities with entirely noninvasive ones and provide additional clinically actionable information that gives insights on the physiology of the injured brain and can help guide treatment decision. I want to see some of these technologies through to routine deployment at the bedside.

The great thing about being in IMES and MIT is that we everybody is very collaborative. What I am looking forward to is much of the same, working with colleagues in IMES on important problems that none of us is be able to tackle alone, but that together we have a real chance of tackling — and having fun along the way! 

[sukinohealthcare]

Brain injuries affect people’s lives significantly and dealing with the condition requires tremendous patience and knowledge. According to the experts, a very effective way to deal with a brain injury is to understand the stages of recovery and the time one may take to get through to facilitate proper care and keep expectations real. Although the recovery process is subjective and varies with every person, there is a list of phases that most patients experience and the time it takes to recover from each of them. 

[nightmaretour]

"Brain damage" only sounds like a harsh and offensive way to describe brain injuries because people constantly use it as an insult. It's a totally neutral descriptor of what it is. I have brain damage. My brain is damaged. It's not ableist to call it that, it's ableist to call people you don't like brain damaged because you think it's an inherently bad thing to be.

(Yes abled bodied neurodivergents, that includes you)

[ID: a dark red banner with the words "This post is about physical disabilities, do not derail." in grey font. Either side of it is a lighter grey wheelchair user symbol with the user leaning forward with the arms raised and back, giving the appearance of wheeling fast. End ID.]

[agreenroad]

Why Are People Crashing Cars/Planes A LOT More Than Usual, Causing Insurance Companies To Lose Money? Got More Parking Lot Deaths?

WAS THE COVID VACCINE A GIFT THAT KEEPS ON GIVING? What are the things that most people who keep getting boosters do not know about these MRNA gene altering jabs? Mark @Mark15148549 Dec 3, 2023 The shots: The gift that keeps on giving. IgG4 antibodies, LNP, toxic Spike protein, SV40 sequence, Triple Helix DNA, Negative efficacy, Sicker when you catch covid, Higher chance of heart disease,…

[caintooth]

seeing people my age talk about how scared they are of memory loss, which they only associate with old age, is so surreal to see as a 24 year old who has actively experienced memory loss for a long time now

there are causes for memory loss besides dementia and alzheimer’s, i hope y’all know that. dissociative disorders, trauma, brain injuries, thyroid problems, even just stress and lack of sleep can fuck up your ability to store, process, and access memory. and that’s just a few of the many causes i can think of off the top of my head right now.

please stop treating disabled people like some scary “other” that you might become only in the distant, decades-away future. we are your age, too. you may become one of us sooner than you know. stop acting like memory loss marks the end of a life, when so many of us have so much living left to do!

[curtiscripe]

Curtis Cripe Shares Tips for Those Supporting Loved Ones with Brain Injuries

Curtis Cripe: Helpful Tips for Family and Caregivers of Individuals with Brain Injuries

Caring for a loved one with a brain injury involves various complexities, requiring patience, understanding, and resilience. It can be a journey filled with challenges but also moments of profound connection and growth. In this context, Curtis Cripe offers invaluable tips and insights tailored to family members and caregivers, providing guidance and support in navigating the unique demands of this role.

Learn more about brain injury. Start by educating yourself about the specific type of brain injury your loved one has. Understanding the nature and consequences of brain injuries will enable you to provide better support during their recovery journey. This knowledge can help you anticipate challenges, offer appropriate assistance, and be a source of comfort for your loved ones as they navigate through this difficult time.

Empower them with independence. Promote independence in brain injury patients whenever feasible. Empower them to make choices and engage in decision-making, even if it necessitates additional time and patience.

Encourage rehabilitation exercises. Support their rehabilitation efforts by providing positive reinforcement and creating a supportive environment. Encourage them to actively engage in the exercises prescribed by their healthcare team, emphasizing the importance of consistency in their routine. Consistent effort is crucial for steady progress and achieving rehabilitation goals.

Be patient when dealing with emotional challenges. Brain injuries can often result in emotional changes due to the impact on cognitive functions and neural pathways. It is crucial to approach individuals with patience and understanding as they navigate these challenges. If necessary, do not hesitate to seek the support of mental health professionals who specialize in traumatic brain injuries for comprehensive guidance and assistance.

Understand the impact of brain injury. Some challenges individuals face may not be immediately evident to others. Invisible struggles such as cognitive difficulties, memory lapses, and persistent fatigue can significantly influence one's daily life and interactions. It's important to demonstrate empathy, understanding, and flexibility to effectively support those dealing with such invisible battles.

Address communication barriers. Communicating with brain injury survivors can present unique challenges due to cognitive impairments that may affect language processing and expression. It is crucial to use clear and straightforward language to facilitate understanding. Additionally, being a patient and attentive listener is important, allowing them the necessary time to articulate their thoughts and feelings effectively.

Take notes. Memory issues are a frequent occurrence for many individuals. It can be beneficial to keep vital information documented in order to mitigate the impact of forgetfulness. Utilizing tools such as calendars, reminders, and notes can significantly aid in maintaining an organized approach to daily tasks and responsibilities.

Track their progress. Remember to celebrate the small victories along the way! It's important to acknowledge and appreciate progress, whether it's in physical improvements, reaching cognitive milestones, or enhancing emotional resilience. You can stay motivated and encouraged on your journey by keeping track of these achievements.

Curtis Cripe mentions that every brain injury is unique, meaning what helps one person may not be suitable for another. Stay adaptable, show compassion, and reach out to fellow caregivers and experts. Remember, you're not walking this road to recovery alone.

Learn more about NTL Group's research and development head Dr. Curtis Cripe and his work by clicking on this link.

[forgetful-nerd]

Every Leo needs a show/book/movie to obsess over that is completely separate from anything related to being a ninja.

It's just nice to see him have his own silly interests.

[ssoto523-blog]

For years, researchers have studied the effects repeated blows to the head have on athletes in pro football, hockey, soccer and other sports. Now, researchers at Boston University are conducting the first major study of CTE, the degenerative brain disease linked to repeated hits to the head, in athletes who died before their 30th birthday. John Yang reports.

[hobgoblinbard]

All caught up on the latest episode & now I just have to be delulu for a month to stay sane :)