I have just spent several days attending an online course on traumatic brain injury (TBI) sponsored by the American Speech Language and Hearing Association. There were 13 presentations ranging from hearing loss and tinnitus to imbalance and dizziness in mild TBI patients, as well as the psychological and psychiatric implications, neuro-imaging such as CT scans and MRI and even newer technology with even greater resolution. Much of this information came from presenters working with veterans returning from deployment in the Middle East. It is quite evident that there is a great deal of research going on in this area. This is a very complex issue. I believe that the key to successful treatment of victims and survivors of TBI is a dedicated team of professionals. This group would be comprised of health care providers such as neurologist, social worker, occupational therapist, physical therapist, and speech language pathologist to name only a few, with a case manager (usually a physiatrist or neuropsychologist), who will meet and staff each patient to ensure all the bases are covered and that proper referrals are made.
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