Traumatic brain injury analysis (Eric Thelin episode 1)

Traumatic brain injury analysis (Eric Thelin episode 1)

Table of Contents

Desk of contents:

02:05 Eric Thelin
07:08 Traumatic brain injury research
08:53 Concussion diagnosis needs to improve
12:05 Concussion awareness

Concussion Tales podcast introduction

[00:00 Melanie] If I say there may be hope for full restoration for individuals with a concussion, you say…?

[00:07 Professor McCrea] 100%!

[00:08 Professor Maas] And actually, you didn’t solely really feel it] you had been exterior the common medical system, as a result of they weren’t taken with you.

[00:16 Professor Sitskoorn] Neuroplasticity really opens you as much as the world. It makes it attainable to develop; it makes it attainable to rehabilitate.

[00:25 Professor Wilson] Traumatic brain injury has been known as a silent epidemic for that motive, as a result of it consists of adjustments and disabilities that aren’t apparent to different individuals.

[00:35 Dr. Zasler] If, as a doctor, you felt you had nothing to supply a affected person, then I feel ethically, you should say] “I don’t assume there’s something I can give you. Possibly it is best to see Dr. M.”

[00:48 Professor Diaz-Arrastia] Traditionally, now we have known as this stuff gentle traumatic mind accidents, which suggests that, properly… It could be a brain injury, but it surely’s not going to have nice penalties, proper? And that’s frankly not true.

Concerning the Concussion Tales podcast

[01:05 Melanie] Welcome to Concussion Tales, a Lifeyana podcast collection crammed with hope. I’m right here to let you realize that you’re not alone in your post-concussion restoration journey. My identify is Melanie and I spent six and a half years studying, experimenting, and coaching with a view to discover a strategy to heal myself from post-concussion syndrome.

After making a full restoration by the top of 2018, I launched into this mission to make the restoration journey simpler for you. That is why I began this podcast, wrote detailed blog post and downloadable guides, provide coaching and in addition the course that I want I had again after I was recovering — educating you every little thing that I wanted to know with a view to make my restoration occur.

On Concussion Tales, we dig deep whereas discussing hopeful tales of restoration in addition to the exhausting stuff within the messy center. Let’s dive proper in!

Eric Thelin

On this three-part episode collection, you’ll meet Eric Thelin, who makes a speciality of neuro-intensive care after brain injury. He’s a resident doctor and affiliate professor at Karolinska College Hospital in Sweden, and he has a lot to share about his expertise with sufferers who sustained a concussion or skilled post-concussion signs.

On this first episode, Eric will inform a bit of bit about how he himself tries to stability his work and life as a passionate traumatic brain injury researcher. Eric additionally explains his concentrate on particularly diagnosing what is required for any affected person individually. Let’s hear Eric Thelin.

Beginning the podcast dialog

I’m glad that you would be a part of!

[02:50 Eric] Thanks.

[02:51 Melanie] How are you doing?

[02:53 Eric] I’m good. I don’t know if I stated that, however I’m doing rotations in scientific neurophysiology.

[03:03 Melanie] Sure.

[03:03 Eric] It’s a part of my residency coaching in neurology. So really it’s a great factor, as a result of there isn’t a demand on me to truly produce something. So it’s principally like going again to med faculty once more, the place you’re simply operating round and studying loads of new issues. So it’s good.

[03:20 Melanie] That’s good. Yeah, it sounds good. 

I usually prefer to open my podcast episodes with a extra basic query to ensure that the listeners to get to know you a bit of bit.

[03:31 Eric] All proper.

[03:32 Melanie] And the query I’d prefer to ask you is: what exterior of labor provides you pleasure in life?

Enjoying video video games

[03:40 Eric] I feel that traditionally I’d have stated video video games. I performed loads of video video games rising up. I used to be a Nintendo individual. Should you can see the background right here, you’ll be able to see the Triforce from The Legend of Zelda collection. Right here within the bookcase I’ve a head crab from the Half Life collection.

[04:15 Melanie] Wow!

[04:16 Eric] I do know. So, it’s undoubtedly one thing that could be a fairly in depth a part of my life. I imply, after having children, I have to say enjoying video video games is often one thing I do between 10:00 pm and 11:00 pm. In case you have the time and I’m not sleeping.

[04:38 Melanie] Yeah.

[04:40 Eric] However now my oldest daughter is six years previous. So, I’m introducing her and we’re enjoying a bit of little bit of guitar. Apart from that I like watching films and exhibits. I’ve at all times been lots into well-liked tradition normally. 

Swedish sports activities

And since I’m a Swede, I after all additionally love snowboarding and cross nation snowboarding. Out of doors actions normally. I’ve performed floorball hockey. It’s not like floorball hockey you might be enjoying within the Netherlands.

[05:16 Melanie] No.

[05:16 Eric] It’s a sort of indoor hockey the place the ball is hole.

[05:20 Melanie] With out ice?

[05:21 Eric] No. Effectively, I performed that after I was little or no. I don’t have a ball or a stick on this room. However it’s a quite common exercise we do in Sweden with a few mates your age. It’s an excellent train. 

Truly I used to be out operating simply an hour in the past. In order that’s one thing I used to do to get in form. I ran marathons and stuff like that. However now I train to maintain me match and alive, principally.

[06:03 Melanie] As a result of in all probability, you’ve discovered that additionally at work.

[06:10 Eric] Sure. Cardio exercise is sweet. It has loads of advantages. Sure.

[06:15 Melanie] Yeah, I get it. 

Work-research stability

You already know what, you don’t even want work, proper? You have got so many actions.

[06:22 Eric] That’s partly true. And the children take up the remainder of the time. However sure, that is maybe an issue that life turns into very intertwined with work, particularly if you happen to do loads of (traumatic brain injury) analysis. Since you are by no means actually away, are you? College students can at all times attain you, and also you at all times wish to be there for them. 

So you should set up some kind of work life stability. And I feel everybody has to seek out their very own work life stability that matches them. I feel that I’m fairly content material the way in which issues are actually.

[07:03 Melanie] Effectively, I’m glad for you.

[07:04 Eric] Thanks.

[07:05 Melanie] It sounds actually good. 

Traumatic brain injury analysis

Traumatic brain injury research

How is it for you at work, what are you specializing in principally?

[07:12 Eric] We’re doing a fairly in depth research on gentle traumatic brain injury (mTBI) within the Stockholm area. (Bear in mind: a concussion is named a ‘mild’ traumatic brain injury in the mean time, however that is being modified as a result of it misleads about the severity of the brain injury.) 

CT scan for concussion

A few of you might need had a light traumatic brain injury and had been despatched to an emergency room, the place you met an emergency room doctor. They’d then resolve if you happen to wanted a computerized tomography (CT scan), of your head or not, to see if you happen to had a hemorrhage that will require both monitoring within the native hospital or a switch to a neurosurgical unit – relying on the severity of the hemorrhage.

[07:49 Melanie] Yeah.

[07:50 Eric] There are at present loads of traumatic brain injury pointers to display and detect all these sufferers and all these hemorrhages. The issue is that these pointers are oversensitive. They’re constructed that manner, so you’ll not miss any hemorrhage. Nonetheless, this ends in loads of pointless CT scans being carried out.

[08:10 Melanie] Yeah.

CT scans usually miss out on concussion

[08:11 Eric] Just one in 10 of all CT scans, utilizing the present pointers, will doubtless present a brain injury. This implies there are loads of pointless prices, there may be loads of pointless radiation, and loads of pointless ready time within the emergency room for lots of people. 

So, in our traumatic brain injury analysis undertaking, we are attempting to tweak the rules with a view to create a calculator for emergency room physicians. They will enter some information in regards to the affected person after which by means of machine studying magic, they are going to know the danger of this affected person having a hemorrhage. 

That is additionally good for low and center revenue nations, the place there could be 20 sufferers that must have a CT scan, and docs must triage between them: who ought to have it first?

[08:52 Melanie] Sure. 

Concussion analysis wants to enhance

Concussion diagnosis needs to improve

I’m very glad that you’re engaged on this as a result of, after all, the diagnostic stage on the ER wants to enhance. Additionally, the instruments that docs have at their disposal with a view to precisely – or in any respect – diagnose mild traumatic brain injury wants to enhance.

Concussion signs 1 12 months after damage

[09:27 Eric] Precisely. The opposite necessary side of this, which I feel your listeners could be taken with, is that we plan to do a secondary evaluation of this TBI analysis undertaking sooner or later, the place we analysis all these sufferers who’ve had a go to to the ER one 12 months after

Did they in any manner search medical consideration for situations reminiscent of headache, ache, vertigo, nausea, sleeping issues, or any kind of pathology that may very well be associated to post-concussion syndrome? In different phrases, pathologies that would happen both early on or persist for some time after a extra gentle traumatic brain injury. 

However that is at present in its infancy. That is one thing that we’ll do when now we have completed step one of the research.

[10:21 Melanie] What do you wish to do with this information?

Higher post-concussion care

[10:24 Eric] We wish to create the Stockholm post-concussion syndrome rating. If a affected person comes into the ER, the physician will know what the dangers are of this explicit affected person looking for medical consideration for some kind of post-concussion syndrome inside a 12 months. It may very well be straightforward for the emergency room doctor to catch these sufferers early on on account of our traumatic brain injury analysis. It will undoubtedly enhance post-concussion care.

Dangers for post-concussion signs

There are a number of research on the market that present that sufferers who sustained a concussion are individuals with pre-existing situations, like depression and different psychiatric illnesses. Feminine gender really can also be a danger issue for lots of the self-reported post-concussion syndromes. We expect there’s a 30% danger. 

Concussion clinic referral

So let’s say there’s a 30% danger that this affected person will want medical consideration for post-concussive signs inside a 12 months. Then you’ll be able to present higher post-concussion care by writing a referral to a rehab clinic within the emergency room, which in the present day will likely be unimaginable. 

We solely have a number of rehab clinics which might be actually good in Stockholm. So, we are able to’t write this referral for everybody. Nonetheless, if we are able to catch these sufferers early on, it may save society and these sufferers loads of ache, struggling and cash.

[12:03 Melanie] This sounds actually good. 

Concussion consciousness

Concussion awareness

Additionally, if physicians put in all the info, there’s a step of consciousness added in between. These docs now know that sufferers might have lingering concussion signs. I feel no physician who ever handled me was conscious of the truth that I may very well be having signs for over six years. That could be a change that you’re going to make with this as properly.

[12:41 Eric] I hope so. 

Higher administration of concussion sufferers

Like I shared with you in Antwerp: a affected person that is available in and has a negative CT scan however does have signs, is the worst affected person now we have. That’s as a result of we predict that there’s nothing that we are able to do. There is no such thing as a capsule; there isn’t a excellent golden bullet that may clear up all of their issues. 

Like you might be saying, I feel that if these scores can convey consideration to those sufferers in any manner, I feel that will likely be a really small however worthwhile step towards higher administration of those sufferers.

Physician and affected person consciousness

[13:23 Melanie] Sure. It should certainly create consciousness with the docs, but additionally with sufferers themselves. Nobody ever advised me that I may have lingering signs for thus a few years. And had I identified it, I’d have performed different issues at first with a view to ensure that my restoration would have been sooner.

Share your suggestions?

Now, I’d love to listen to from you. What do you are taking away from this episode? Is there one thing that you may apply to your life immediately? Head on over to and depart your remark now.

And if you wish to hear and browse extra Concussion Tales, actionable steps and inspiration, make sure you subscribe to the Lifeyana e mail checklist whilst you’re there, so that you just by no means miss out on new supplies we always make for you.

Assist the podcast

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