Association Between Cold Weather and Concussions Mr. Bobby L Porter, Behavioral Health & Clinical Psychology
Through my research at the beginning I was unable to find any data backing up my hypothesis on any Association between Cold Weather and Concussions, and in talking with my wife’s doctors, Dr. Sandy S Mcgaffigan MD, Neurologist at Northwest Neurology, Dr. Mahendra R. Shah Psychiatrist at Metro Behavioral Care LLC and Dr. Rush David Ph.D. Psychologist at Anxiety & Psychological Center of Riverdale, Georgia. Therefore, I took my concerns to my colleagues in the Department of Psychology at the South University of Georgia.
At this point, no one's aware of any association between cold weather and concussions. There is not a wealth of literature to support the idea that Cold Weather and Concussions have an Association to back up my hypothesis. Continued research and development are needed in my journey to find a name for this acute problem.
Tammy (my wife) was struck in the head by a large metal Box call a Way Port Box that was on the wall it about 150 lb. It set about 4.5 feet above the place she was standing. The force of the box hitting her head and left shoulder was Mass= 150lb (m), Acceleration= 4.5-foot drop (a) Total impact of force is= The result is 4.85639846430738 ton-force (tnf) per foot of drop. 4.5x4.856= 21.8537930894 lb. per Square inch. Over all speed (s) increase total = 5.78232287 x 〖10〗^(2) M^(-1) per foot of drop.
The Injury was on the left hemisphere and Frontal lobes (proximity to the sphenoid wing) about 9.75 centimeters in length, 0.95 centimeters in width and the laceration was 0.12054 centimeters deep. The laceration took 12 medical staples to repair the Injury and stop the profuse bleeding from the impact.
The Injury to the Frontal lobe gave Tammy (my wife) lasting effects not limited to: (aphasia) of her Speech and language, (apraxia) Problems with daily activities, routines that used to go well, Reduced memory for verbal (spoken) matters, decrease in analytical skills, Exhibit insecure, anxious and withdrawn behavior, and extreme highs and lows of depression.
The Injury to the in left hemisphere has impacted her Memory both (short term) and (long term), problem solving, Decision making, control of behavior and emotions, (Sequencing) Inability to plan a sequence of complex movements needed to complete multi-stepped tasks, (Attending) Inability to focus on task, Mood changes (easily overwhelmed by emotions), and Difficulty with problem solving.
My research is intended to explore and develop data backing up my hypothesis on the Association between Cold Weather and Concussions. We know that Concussion symptoms do not simply resolve, and there is the possibility of additional symptoms developing over time. How Concussive brain trauma: neurobehavioral impairment and maladaptation, could be affected by environmental factors like temperature (Cold Weather) after a concussive event? How both Cold Weather, biological, behavioral, and environmental factors are influencing my wife’s severe headaches, increasing sensitivity to sounds and light, also increasing her hypertension. How Cold Weather and Concussions is promoting damage to the individual's immune system, lowered nutrition/intake, explicit or declarative memory loss, psychometric measures of cognition, thinking, memory, information processing, and one’s intelligence / (IQ).
I will also look at how the Association between Cold Weather and Concussions is promoting difficulties through the post-trauma functioning level of the individual in the area of severe depression, ranging from the pole of extreme highs and lows throughout the day that will linger for several hours. I will look at various neurophysiological and neurochemical by-products of the trauma such as the neurochemical effects of stress, which can create the symptoms that an individual experiences on a day to day basis after a Concussion and or brain trauma related to cold weather.
Develop data to assist Neuropsychology and rehabilitation measures that more fully assess emotional functioning, anxiety states, hyperarousal, vigilance, circulatory effects, systemic effects, and multiple system involvements as regulated by the brain as cold Weather and Concussions is promoting difficulties. Last, I will look at the Association between cold weather and speech impairments such as slow or slurred speech that is more severe as body temperatures continue to fall due to environmental factors like (e.g., Cold Weather, quick temperature dropping fast/slow, cold water during a shower ect.).
1. Concussions and Cold Weather: Do plunging temperatures make people with Head Injuries More Likely to experience a higher range of sensory processing problems, strong tendency to see things that are not there, have severe headaches, increasing sensitivity to sounds and light, and increasing physiological hypertension of the sympathetic nervous system?
2. Can environmental factors like temperature affect a person with a head injury longterm?
3. Is this a syndrome, effects from the head injury, or an unexplained symptom linked to the Concussions itself, longterm post three years after the accident?
4. Could Vitamin B-12 deficiency be associated with Cold Weather and Concussions by increasing sensitivity? Note: Vitamin B-12 deficiency is proven to be related to TBI-Traumatic Brain Injury patients, and Language and Speech impairments after a head injury has occurred?
5. Could Vitamin D and Cold Weather play an important role influencing T-regulatory (Th3) cells in Post-Concussion patients, which govern the expression and differentiation of Th1 and Th2 cells?
6. How Concussive brain trauma: neurobehavioral impairment and maladaptation, could be affected by environmental factors like temperature (Cold Weather)?
7. Was my wife one of the Individuals with brain injury’s (particularly those with minor/mild brain injury) could she have been misdiagnosed or neglected post two months from the date of the brain injury before the first MRI was completed.
In my research, through observation and verbal conversations with my wife I have determined she is suffering from repetition associated with cold weather and her concussion. She will have dizziness, light sensitivity, smell sensitivity, nausea, the pressure in head, and pressure in the eye. Also suffering from twitching when sleeping, severe headaches, increase hypertension, impaired judgment, and anxiety with panic attacks.
During the cold weather, the pain in the head is more severe on the left side of her frontal lobe, the part of the brain that controls important cognitive skills, also the exact side of the head injuries. All of this is brought on post environmental factors like Cold Weather.
To find a successful treatment of concussive brain trauma and its effects on environmental factors like temperature and how it affects a person with a head injury longterm. We must also consider the individual's level of emotional adjustment, by identifying the possible health consequences of persistent stress reactions such as damage to the individual's immune system, lowered nutrition, explicit or declarative memory loss, psychometric measures of cognition, thinking, memory, information processing, and intelligence.
We must look at the “Determination of ‘recovery’ or its degree, must also consider higher-level functions, social interactions, recreation, emotional behavior, and role activities (work, school, environmental factors, and home management).” Treatment must include assisting the individual with adjustment to the current “sense of self,” understanding the dynamic impacts of change, assisting the person with the ability to adapt and adjust, and addressing problems with self-awareness.
Contributing factors include, but are not limited to, gathering information about preexisting factors, previous head trauma, ecological demands, developmental age, community support, emotional factors, social interests, the stress of litigation, motivation, and the individual's will to survive. Neuropsychology and assessment of those that have sustained brain injury have to transcend psychometric measures of cognition, thinking, memory, information processing, and intelligence.
Tammy is spending most of her time having difficulties in the area of visual sensory processing, severe depression, ranging from the pole of extreme highs and lows throughout the day that will linger for several hours. She has difficulties in communicating how she is feeling, at the same time juggling her responses. She seems to understand a conversation that is going on at the time, but if you have her to repeat it back to you, she is unable to remember any or all of the conversation. Tammy is experiencing some severe mood swings, giving answers to questions not related to the original questions.
1. Disabilities and Medical Conditions:
She had a TBI-Traumatic Brain Injury, active Language and Speech impairments, experiences difficulty saying words correctly in a consistent way, short-term and long-term memory loss, problems and impaired judgment, and anxiety with panic attacks. She is very sensitive to fluorescent lighting. Post-concussion syndrome, severe headaches, increased sensitivity to sounds, and hypertension high blood pressure. All of this has changed Tammy’s life from the Headaches, Memory loss, Difficulty multi-tasking, Anxiety, Irritability, difficulty overcoming changes in weather conditions and Fatigue, that should have been resolve within 6-11 months after an injury happened.
2. Cognitive and Communication Problems:
She has Difficulty keeping up with a conversation, poor organizational problems, and impaired judgment. Unable to do more than one thing at a time, she has speech impairment when articulating her words. Tammy cannot follow written instructions without getting nervous and have some attack. The symptoms of her chronic Depression have affected her performance from the bedroom to everyday life in our marriage. She has problems concentrating for periods of time, having trouble organizing thoughts, and becoming easily confused or forgetful. Almost every day Tammy will experience difficulty learning new information; unable to interpret the actions of others. Therefore, she has greater problems in any social situation.
3. Visual sensory processing:
Tammy frequently seems bothered by light, especially bright lighting, becomes distressed in unusual visual environments. Difficulties in the area of body awareness and Difficulties in the area of balance and motion are seen through observation. She seems to have fewer difficulties with incandescent lighting but increased difficulties with fluorescent lighting, therefore experiencing some severe mood swings and severe headaches until she leaves the room.
4. Difficulties in the area of planning:
Tammy is showing evidenced by observation only that she frequently performs inconsistently in daily tasks, has trouble figuring out how to do multiple things at the same time, seems confused about how to, perform tasks in proper sequence, and fails to complete tasks with multiple steps.
5. Post-traumatic responses:
She has experienced physical and emotional trauma which is associated with very high rates of posttraumatic responses. Tammy has flashbacks and dissociation that are often triggered more than ones but not less than 5 or 6 times a week. She has severe signs of PTSD with emotional distress or physical reactions to what has happened to her after the accident from work. As the PTSD is triggered, Tammy is getting mad about what has happened to her at work. She also can’t understand why it happens to her. The flashbacks and dissociation are triggering panic attacks daily. She is experiencing fatigue, but decrees in need of sleep. Through the day she is having speech impairments such as slow or slurred speech.
6. Panic attacks:
She is showing evidenced by observation, experiencing trouble getting words out quickly before or during a panic attack. Tammy’s panic attacks have gotten worse and harder to overcome just about every day. She will struggle to pull herself out of the anxiety disorder after it starts, she will get little to no relief from the panic attack even with medication.
Tammy has a strong tendency to see things that are not there, example, people, cars, flashes of light that do not exist to anyone but her. This makes her feel like she is going crazy and then it will throw her in a severe panic attack. She has the Hallucinations most of the time with different types of Paranoia; Tammy has Delusions even when I am driving, example cars or people on the side of the road that is not there. A different Example would be she had a Hallucination of a nude Chinese man setting in a trashcan, in return was not true.
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Mr. Bobby Porter, NSCS
South University of Georgia
College of Arts & Sciences
Behavioral Health & Clinical Psychology
Phone: 678-353-8599 Fax: 540-808-1555