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Archive for Brain Injury

The Joel Bieber Firm Team

Tuesday, November 13th, 2012

I reached into my sport coat pocket and found a small note from the manufacturer that said the following: “It took 121 people a total of 233 hours to complete this garment. We almost hate to let it go- wait… wait… we said almost!”

My experience with a team concept started small. I worked at a Burger King. I was called the Porter, which meant that I pretty much did it all including trash and mopping. That included getting there at 7AM to pick up trash in the parking lot. Later, I would be in charge of sticking burger patties on the broiler.

I would hear an order for two burgers, french fries and a coke come over the intercom. I just kept the burgers coming down the broiler chain. Sometimes I would have to run to the freezer to grab another box. Someone stood on the other end and would put them on a bun with include pickle, ketchup and mustard.

Of course, you could “have it your way” and hold the burger and bun if you wanted. At the register, the crowd would pay for their bag of food, and that doesn’t even include the adventure of the team at the french fry station or the apple pie station. Somehow, everyone got fed.

During college, I found myself working at Norfolk Shipbuilding and Drydock Corporation. As a pipefitter’s helper, I really had little to add. I was assigned to work on a new ship called the “Aquina”. Hundreds of employees all did a little bit. By the end, there was a ship ready to be taken out of dry dock and placed into the water. Low and behold… it floated. I did try to find a picture of it to post. I couldn’t… I hope it’s still floating!

We just finished moving our  Joel Bieber Firm Richmond law office. It was a reminder of teamwork as we boxed for the movers. We have that same feeling everyday as we work on cases. The lawyers might be the face of the case but its the paralegals and investigators who help build the foundation.

It is not unusual to finish the disbursement to a client and then have the client ask me if they can say thank you to the paralegal.  A reminder of  team.

For pic o’ day, I had to go with teamwork!

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Clarence Darrow’s Jury Selection

Tuesday, July 10th, 2012

Clarence Darrow was a lawyer who came to great fame with several “trials of the century” in the early 1900′s. In 1912, he was personally put on trial for jury tampering. If you haven’t read much about this famed lawyer, then go here for the story of that trial.

Previously, he had been retained to represent the McNamara brothers for the bombing of the Los Angeles Times Building. Public opinion overwhelmingly had already determined that both were guilty. So, Darrow admittedly felt that he needed to pick a favorable jury.

According to the evidence at Darrow’s trial,  for the McNamara trial, he had hired a private investigator to research the jurors. At his trial, it was determined that money was offered to two of the jurors to influence their decision on the innocence of the brothers; but that Darrow had no knowledge or intent in the act of bribery.

I have condensed much of the story. It reads like a book of law fiction. Darrow’s life, including the Scopes Trial, made Darrow larger than life. Those were the days when the community would come to the local courthouse and watch trials for an activity. Darrow’s closings were usually long. Some timed in excess of 12 hours.

Nowadays, jurors would be telling me to sit down. Of course, Judges usually ask me, if I intend to go longer than 30 minutes. With people so used to having a remote control in their hand, I’ll bet that they would unconsciously raise a hand as though they were changing the channel, if I went much longer than 30 minutes.

I was reminded of Darrow in reading a blog of a lawyer (Don Keenan). He was discussing Darrow’s focus on jury selection.  That led me to “The Last Trials of Darrow“ , a book written by Donald McRae that records Darrow’s methods in trial. It includes reference to a lady named Mary Fields Parton, who had a long-term relationship with Darrow.

After Darrow’s passing, it was she who decided to record many events from his trials. She felt that history would otherwise forget him. It was from her diary that McRae based many of the book’s quotes and details.  On page 24, McRae recites how Darrow came to determine what jurors he would consider. This  was a method, even after the bribery trial.

“Mary Field Parton accompanied by her 6-year-old niece, Kay, would knock on the front door of the juror under Darrow’s furtive investigation and ask if the little girl could use the bathroom.  Mary made it look like the sweetest of emergencies, and the juror or his wife could never resist.  The door would swing open, her niece would be taken down the passage to the smallest room, while Mary scanned any books, magazines and personal items in the family home.  Darrow placed particular emphasis on the juror’s taste in books for he believed that a man’s character and outlook was defined by his choice of reading.  He always insisted that Mary should study the shelves for a Bible, which for him represented the sure-fire symbol of a man’s moralistic bent.”

Today, we have advancements from technology to learn about others through what they post on Facebook. Does that really tell us anything? I suppose you can drive by and see if their cars have bumper stickers that would tell you what they might consider important. “Rush is Right” might be an indicator of their ideology, but does that mean that they can be fair as a juror?

The method of using someone to go into their home would certainly be considered tampering. It is relevant to know if a prospective juror has a bias or prejudice. Such knowledge cannot be gained from any kind of personal contact.

Today, pic o’ day is about old fashioned work and just going after it… even if it’s a ball.

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Kill The Head

Tuesday, April 10th, 2012

If you follow football or watch ESPN for more than a minute per day; you probably heard the pregame “motivational speech” that the defensive coordinator for the Saints,  gave to his defense before the NFC championship game against the San Francisco 49ers.

Just by happenstance, a man making a documentary was recording when Coach Williams said in part, the following, “We’ve got to do everything in the world to make sure we kill Frank Gore’s head. We want him running sideways. We want his head sideways. Every single one of you, before you get off the pile, affect the head. Early, affect the head. Continue tough and hit the head.”

In print it looks bad. If you heard it, you know that it sounded monotone and cold;  like some serial killer. Some have defended it.  Others, like Hall-of-fame quarterback Fran Tarkenton, have said that Williams should face criminal charges.

It was a speech that addressed attacking a man to give him a head injury. The other part of the speech included going after a player’s knee and also injuring their quarterback.

Some defensive players have tried to provide some defense that includes that he really didn’t mean it. Intentionally injuring someone is just hyperbole for the violence of football.  These are probably the same people that listen to Jim Nance announce the Masters as though everything in the present is actually history; and they conclude that it’s all historical. Living in fantasy. (I just wanted to throw something in about the Masters. I did want one man to move because he was blocking my golf course view with his stomach. Yep, no pictures because no cell phones, and now I know why!)

When I heard this speech, it made me think about practicing law a bit. Recently, we have had some cases continued because there were no judges available.

The Virginia General Assembly just entered into a compromise state budget that supposedly includes money for filling 23 trial court judge positions. Unfortunately, that’s only a start.

When someone says that they want their day in court, they usually don’t think of how it will happen. Our case in two weeks has been set for almost a year. Experts from out of state and in state have been retained and they have their schedules set to come to trial. Unfortunately, most of those retainers are non-refundable and will have to be paid again for the next trial setting.

It really is a good strategy for insurance companies, lobbyists and wrongdoers. You don’t always have to donate to campaigns or causes on a large scale; just target a few on such committees as the Appropriations committee or Finance to fight funding. If there are no judges to hear the cases and no one gets appointed, then cases take longer to get to court.

Sometimes I use my blog for personal venting. Forgive me for some venting. In legal terms, one way to “Kill the Head” is  to make sure that there is no funding. No Judges… No trials. Kills Justice.

For pic o’ day, I went with two. When you take a bit of vacation and come back; sometimes it makes you wonder why you would ever leave. I thought I would find some pictures about “being busy” and these made me laugh.

   

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A Good Night’s Sleep

Wednesday, April 4th, 2012

 

“I wish I could get a good night’s sleep”. I’ve heard it and I’ve said it.

I just received my “ESPN The Magazine” and flipped it open. Inside is an article by Peter Keating that discusses a recent Stanford study.  Stanford researcher, Cheri Mah, did a study on sleep and wrote an article  titled “Snooze you win? It’s true for achieving hoop dreams, says study”

In 2002, Mah was researching the effects of sleep on Stanford students. Just by coincidence,  the study included several  student collegiate swimmers. She initially picked students because of their unusual sleep habits.

The students were told to just “get a good night’s sleep” before their competition. The swimmers ultimately reported personal best times, during the periods of the study that they received the most sleep.

The research took another step in specifically studying 11 basketball players between 2005-2008. The study required that the players alternate their sleep ; sometimes taking required naps and other times sleeping as much as 10 hours a night.

During the sleep study, players were asked not to drink coffee(Guess I would have a difficult time without the coffee!) or alcohol. Over the course of five to seven weeks, it was proven that sleep effected performance. In fact, players were able to sprint faster in timed testing; Shooting accuracy improved and the athletes indicated that their focus was greater.

The simple result is that more sleep meant better performance. Mah described results as showing that optimal sleep ”is an unrecognized, but likely critical factor in reaching peak performance”.  In the Journal titled “Sleep”, she and her colleagues described that our internal clocks release certain hormones that act as though a person is taking performance enhancing supplements.

Extensive research shows that not getting enough sleep, described as sleep debt; impacts cognitive function, mood and physical performance. It also applies to the damages that people experience when they are in pain, and simply cannot get a good night’s sleep.

I’ve always known that sleep is important. When clients describe problems that they are having, they usually don’t say “I can’t get to sleep”. They do describe emotional issues, focus and concentration, and anxiety. It really is a true measured damage from a car crash that doesn’t necessarily show up in a doctor visit or as part of a medical bill. A good reminder to me,  get more sleep!

And of course, pic o’ day is a carryover for more sleep. You never know what you might be missing:

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Legionnaires at the Luxor

Wednesday, February 1st, 2012

    

      A few years back, I received an unusual phone call. The caller said that an injury happened at a hotel, while in a hot tub. I immediately assumed that someone had fallen.

     A husband and wife were in a hotel hot tub and had contracted Legionnaire’s disease from bacteria in the hot tub. The one was experiencing some significant symptoms including memory loss and dizziness. 

     At that time, I knew only a little bit about Legionnaires and how it attacked the immune system. I quickly googled it and was reminded that Legionnaires ‘ disease derived its name from a 1976 Philadelphia American Legion convention, where an outbreak occurred. Completely unexpected.

     After some quick research I was retained on the case. We ultimately resolved the case a couple of years ago. The injuries included of pneumonia and permanent problems of brain injury and  neurological deficits; all from a hot tub in an expensive hotel.

     Recently, the Luxor Hotel in Las Vegas, Nevada, has been in the news relating to claims that guests have been diagnosed with Legionnaires disease. The Southern Nevada Health District has reported three cases in the past year. One man has even died.

     Water samples from the Hotel/Casino found traces of the bacteria in their water. Typically, the disease takes the form of a fever/pneumonia or an upper respiratory illness. Symptoms usually become prevalent within 2 weeks of exposure, which makes it harder to figure out the source. If antibiotics are not started quickly, then the mortality rate can be as high as 30%. Even worse in a hospital, where a person’s immune system is already potentially weakened.

     Usually during treatment, doctors ask about travel history. Poorly ventilated areas around water; or showers, hot tubs or heating/air conditioning  sytems can all be high exposure areas.

     Luxor Hotel has predictably gone into defense mode by quickly outlining all the steps that have been taken since the bacteria has been discovered. I blog on this because, after handling that case, it has made me much more aware during travel, to try to pay attention to ventilation issues in the room. Plus, I never consider it “an upgrade” when a hotel front desk tries to move me to a room that includes a hot tub. No thank you. I’d rather sleep in a closet size room.

     If you click on the disease attachment above, it will give you a much better description of the disease. It just wasn’t something that I thought about before that original phone call.

     Sometimes I find it very hard to switch to pic o’ day after a serious issue. But, then I realize I need a good smile.

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Courtroom Odds

Sunday, January 29th, 2012

In the next few days, I will be in a mediation. Usually during the mediation process, the mediator will ask me what I think that the range of verdict might be on this specific case. It will be something like “what do you think would happen if this case were tried 10 times to verdict”. (Yes, part of me does want to say “after the 6th time, I’d pull out my remaining hair and move to tooth extraction”)

If you’re not trying cases to verdict, then you really are just speculating. Well, I guess you really are speculating anyway; But, that brings us to a courtroom statistical anomaly that happened on Friday.

Last week, our law practice had several trials that were scheduled. Three of those did go to trial. The others settled or were moved for scheduling.

Each Monday, I have a “lawyer meeting” to go over trial schedules; talk about upcoming cases and also review prior trials. Last Monday, we discussed 2 trials that lawyers in the practice had tried to verdict, the previous week. The only point in throwing that into the blog is that it certainly seems as though, we as a practice, are trying more cases. Keeps you on your trial toes.

Last week, Geoff and I had a case in Richmond Circuit Court, that I referenced in a prior blog. It started on Tuesday. It was scheduled as a 2 day trial, but had gone into Thursday. Because of events that occurred during trial, it will have to be tried again and never made it to verdict. I’d discuss more about why that happened, but it’s probably best not to chance that those defense lawyers might be reading the blog.

Here’s where it gets unusual. Remember, we were in Richmond. Our Judge was pushing us to finish because of trials that were to start after us.

The next trial in that Courtroom was also one of our Law Firm’s cases. It gets stranger. The defense firm on that next case was the same law firm that had defended the case that Geoff and I had just tried. It was also the same Judge, who happens to be retiring this Tuesday.

Because it was Richmond, there were several other courtrooms and Judges that could have been assigned. Chris Booberg tried the case from our firm, and called on Friday night to tell me of the verdict. I don’t like to mention results; But, let’s just say…..the jury truly held the defendant responsible in a money verdict.

What are the odds of the same judge, defense firm and courtroom? Now that’s somewhere between slim and none.

Finally, you might remember that I previously had given some thought to including “this day in history” at the end of each blog. Just as a sample, here’s some Jan 30th history, speaking of “what are the odds”:

1649- Kings Charles of England was beheaded; 1933- Hitler was named Chancellor of Germany; 1948- Ghandi was assassinated; 1968- North Vietnamese forces launched the attacks that began the Tet Offensive; 1972- British Troops opened fire on demonstrators in Northern Ireland, sparking “Bloody Sunday”.

For pic o’ day, this reminded me to stay on my New Year’s resolutions.

You can’t pretend!

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North Carolina Abuse Verdict

Sunday, November 20th, 2011

A jury trial, abuse of a child and a case against a hospital for failure to report that abuse. Those facts rightfully equal a large verdict. The facts are egregious and even in the conservative state of North Carolina, a Cumberland County jury said that THIS should have never happened. ”This” is what happened and a father sued on behalf of his son.

The boy was six years old when his mother brought him to Cape Fear Valley Medical Center in April 2003, with a broken wrist. His mother told hospital staff that her son had jumped off a porch and on to his wrist. The little boy reportedly tried to tell the doctors a different story.  The X-rays also showed some prior fractures; some that were still healing. After treating him at the ER, the doctors released the boy back to his mother and her boyfriend. They did not follow up on the issue of the prior fractures or listen to what the boy told them. In fact, no one performed a law required child-abuse screen.

Less than three months later, the boy was brought to the hospital with severe head trauma that resulted in quadriplegia. He was in the hospital for a week before a doctor, who wasn’t even one of his treating physicians; examined him and reported to the State Department of Social Services (DSS) that the boy had suffered 56 past and present injuries. Finally, an investigation which resulted in the arrest of the mother’s boyfriend, Johnny Kegler, for child abuse.  Unfortunately, the boy cannot walk, talk, or care for himself.

Once the father found out that the hospital, its parent company, and a radiology center, as well as several health care providers had ignored all the signs of abuse at the original visit for the broken wrist, he filed suit on behalf of his son, for medical malpractice because they ignored all the signs of abuse and sent his son home.

Initially, both the trial court and a state appellate court granted the defendants summary judgment,dismissing the father’s lawsuit; ruling that there was no proof of a  breach of the standard of care or that the hospital’s failure to report were the cause of the subsequent injuries. It shows how difficult it is to proceed with a successful malpractice claim.

The case was revived when the appellate court granted a rehearing and determined that additional evidence showed that the doctor who had initially reported the abuse, should have been enough, as expert testimony, for the case to proceed to a jury. The rehearing considered that this doctor had worked extensively with the DSS. He had testified that he knew that DSS would have taken immediate action after the first hospital visit, if someone had called them. (692 S.E.2d 119 (N.C. App. 2010).)

Now that the Appellate Court had sent it back to the trial court for trial, the evidence introduced to the jury showed that the hospital’s policy required staff to complete an abuse and neglect screen when any child presented with multiple prior injuries. Had the hospital staff filled out the form and reported suspicious facts surrounding the multiple injuries, DSS would have discovered that the boyfriend was using an alias and had an outstanding warrant against him for another crime. At the point the abuser would have been removed from the home.

The jury awarded the boy $20 million and his father $4.87 million.(relating to the claim for medical bills) The parties had reached a confidential high-low agreement during deliberations. The boy will now have the ability to get care. It’s care, though, that he should not have needed. In Virginia, because of malpractice lawsuit caps, the recovery would have been capped to a little over 2 million, which would not even begin to cover the medical expenses for the boy.

After that story, it’s hard to just post a pic o’ day. I thought that I would post a funny picture of “hiding turkey” but it also points us to to thinking of Thanksgiving and giving thanks.

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Don’t Forget Your Teeth

Thursday, November 10th, 2011

     One business traveler forgot more than $20,000 worth of jewelry, when she left her Italy Hotel. USA Today reports that over 30,000 items are left behind at the McCarran airport in Las Vegas, when they shed them for security screening. That’s 82 items a day of forgetfulness.

     The USA Today article says that people have left possessions that have included diamond engagement rings, an NFL Super Bowl ring and even some professional video equipment.  One Hyatt hotel reported that a bride left behind her wedding ring.  One hotel manager described their lost property department as “a treasure trove”.

     Many hotels say that they respect the guests’ privacy and will not return an item unless the owner asks for it.  Of course, the article says that some of the forgotten items that have been been requested to be returned included hearing aids and false teeth.

      I wonder how you forget the teeth.  Do you remember when you decide to order lunch corn on the cob? Calling the hotel front desk and asking if housekeeping found a set of teeth in room 1224, has to be an embarrassing mouthful. (Promise… no more on this)  

     Robert Bjork, a UCLA psychologist professor, says that habits protect us from forgetting things. Those habits “are disrupted by travel”. Most people develop strategies to lessen the forgotten items. I’m probably like most. I try to do a “one more time”,  just before leaving the hotel room. At the airport, I look closely at the bins and pat the pockets to make sure I’m feeling the wallet, keys and cell phone. Thankfully, the teeth aren’t a worry.

     In everyday life, it is understood that we forget. That even extends to the important stuff. For injury claims, defense attorneys and insurance companies don’t seem to understand such forgetfulness.

     Sometimes, a client will be taken to a hospital after the crash and report leg, back and neck pain. Such reported injuries may even include broken bones. Then, when they claim a  head injury a few days later, the defense attorney attacks them for not “reporting all their injuries at the hospital”.

     I’m guessing that you might think, “yea, why wouldn’t they say that they had a headache?” Well, I’ve asked ER doctors about that. Their training is to treat life threatening injuries; stop the bleeding and fix the breaks. For a headache or someone even hitting their head, there may be no significant discussion unless the person is unconscious at the hospital.

     Many people will hit their head against the seat or even the side window or door. Sometimes, they even notice tenderness when they get home. Being knocked dazed may not even register as a head injury. Then, they later start to notice symptoms of a head injury that may include such things as a headache, nausea, difficulty sleeping, forgetfulness and anxiety. Symptoms that they did not have before the crash.

     Some injuries and symptoms may not be readily known; Or, a person gets distracted at the hospital or could even be a bit shook up when talking to emergency medical people. If it’s believable that a person would leave their ring or teeth behind because of distraction or forgetfulness; then it sure seems to me that someone might not always know or report every injury immediately. It’s just not a defense that concerns me because it deals with true humanity.

     And now…. pic 0′ day. Everyone should dress casual for Friday and Saturday.

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Defense Medical Exam

Thursday, July 14th, 2011

     I had been practicing law in Virginia for about three months. My employer had thrown me right in,which included handling several depositions.

     I noticed that insurance companies kept hiring the same doctor to give medical opinions. The defense lawyers called these opinions an “Independent Medical Exam”.

     I soon noticed that the same doctor kept getting hired by different defense attorneys.  (for the sake of this blog, I’ll call him Dr Nappy) Sometimes, he would see our injured clients for the defense and give his opinion. I noticed the consistency of those repeated written opinions.

      Other times, he simply gave his opinion after reviewing the medical records in the case. Each time, the opinion was similar;  He would say that the client should have gotten better. He would go on to say that they needed no treatment and certainly had no permanent injury.

     In about the first month or so, I had already taken this same doctor’s deposition, multiple tims. There were different attorneys on the other side, defending these cases, but the doctor was adamant in his opinion.

      As a young lawyer, I tried to combat him with my enthusiasm but I’m not sure that I made much impact on his “independent medical opinion”. He frustrated me and I didn’t think that such opinion was fair to the clients.

     Shortly thereafter, I received a phone call from a defense lawyer.  ”Hey, did you hear what happened to Dr Nappy?” he asked. I hadn’t heard anything and I was supposed to take his deposition again in the upcoming weeks.

     The defense lawyer went on to tell me that Dr Nappy had done surgery in the emergency room. Then, he changed and left. Just as he stepped out of the hospital door, someone hit him over the head with a baseball bat.

     He was found and rushed back inside. The same team that had just been with him in surgery, was now working to save his life. He ultimately lived but had a head injury and never returned to work.

     Later, I was told that nothing was stolen. This occurred before security cameras and no one was ever charged. It was speculated that either an unhappy patient had assaulted him, or someone angry from his defense opinions,  had taken “justice/injustice”  into their own hands.

     The doctor had impacted many cases by his consistent defense testimony. I will never understand the motivation of doctors that do such a thing by always testifying for the defense. Maybe some really believe that all claimants are faking. Whatever his motivation; that certainly doesn’t mean that he deserved such a horrible injury.

     It is my belief that such doctors are not effective in testifying and I always hope that jurors see through their motivations and testimony. Many times, for testifying, these defense medical witnesses receive more money than the treating doctors, that  provided the actual medical treatment. Of course, the opinion by these hired doctors would not be used by defense lawyers, if they were not favorable to the defense.

     As referenced earlier, this doctor never testified or did reviews again. Shortly thereafter, I started seeing another doctor “on the circuit”.  I have learned that there seems to always be someone else willing to step up.  

     I’m not sure how they find these “opinion givers” that they can count on. I just rely on the jury system to overcome the testimony of these hired opinion-givers.

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Brain Injury and Talking Teeth

Thursday, July 7th, 2011

   As a child, my parents would take me to a Dentist named Dr. Evey. Now, most kids are scared of the dentist and so was I. Dr. Evey  had experience in dealing with those fears.

     Every time I would go for a teeth cleaning, that same fear would creep on my shoulder. So, he would make great effort in making me laugh.

     He kept a collection of false teeth and would pretend like the teeth would talk to me. It was almost like a puppet show, but they were just talking teeth.

     I would laugh my fears away because of those talking teeth. In fact, I always would ask him to pull all my teeth, so I could have my own set of false teeth.

     I thought that it would really be fun to pull those teeth out and play with them. I had no thought of the consequences. My brain was not developed enough to understand a future of Polident; scary corn on the cob events; and the fact that teenagers are not humored with false teeth, like a kid might be.

     Thankfully, Dr. Evey did not take me seriously. He just cleaned my teeth and sent me on my way until the next “tooth show”. My brain was not developed to appreciate that pulling all my teeth was not a good idea.

    Decision making is made in the frontal lobe of our brains. When someone gets in an accident and hits their head, it can have a long term effect on the executive functioning and thinking.

     Our practice represents many people that have hit their head in a car crash. Many have their symptoms resolve in a year. Some, though, have permanent problems that effect them for life.

     Brain injury can occur without bring knocked unconscious. Sometimes, even the force of an airbag can cause such trauma.

     The impact on the person extends to family members. Some describe the event as “the day I lost my wife or husband” . The person they married is changed and it’s because of someone’s carelessness.

     For brain injury, help needs to be given to the individual and to the family. The Brain Injury Association of America (BIA) provides information on treatment and support groups. It also helps families cope with the issues of brain injury.

     Sometimes, just understanding the issues and symptoms becomes a big relief to families. A brain injured person is helped to overcome being a victim; to become a brain injury survivor.

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