Concussion symptoms can show up later than you expected

by Tim Ditman
OSF Healthcare

ALTON -- A January grocery trip for Charlotte Davis turned out to be life-altering.

The Shipman, Illinois, woman was loading food into the back of her van when she says the hydraulics failed, and the back door slammed into her head.

While she didn’t lose consciousness or have any visible signs of trauma, Davis doesn’t mince words: "It hurt really bad."

Davis says she put up with worsening headaches, garbled speech and weakened memory as long as she could.

"I tried to drive one day. I hit a flower pot, drove through the ditch, missed my turn, forgot where I was going three times," Davis says. "My eight year old granddaughter told her mom, ‘Please don't let Mawmaw drive anymore. She's scaring me.’"

When a CAT Scan found no brain bleed, Davis wound up at the OSF HealthCare rehabilitation office in Alton, Illinois. She was skeptical at first but now considers herself a prime example of why you shouldn’t just shake off a head injury – whether it’s in a football game or just around the house. Otherwise, serious issues like the brain disease chronic traumatic encephalopathy (CTE) may follow. CTE is often seen in football players. In July 2022, officials announced the late NFL player Demaryius Thomas had CTE.

Physical therapist Kelly Bogowith cared for Davis at the Alton office.

"All concussions are a form of at least mild traumatic brain injury," Bogowith says. "So it’s important to make sure that you get assessed and also ensure that you're not playing sports later that same day. A provider can give you education on how long you should be sitting out from sports and other physical activities, as well. And that might even include work."

"Sometimes with concussions, we may not have symptoms for hours or even weeks afterwards. So it's important to get checked out by your physician, urgent care, emergency department, or athletic trainer, depending on your setting," Bogowith adds. "But it's not something to shake off. And it can be especially important, too, to not have a second concussion because that can be very dangerous and even deadly."

Every patient recovering from a head knock receives a specially-tailored plan, Bogowith says. The roadmap could include different types of therapy, like physical or speech language. It will always include at-home activities – stretches for physical therapy or puzzles for speech language therapy, for example. And the OSF HealthCare team encourages you to ask questions along the way.

Davis’ plan started with massages and stretches to relieve tension. She progressed to walking, then running on a treadmill.

"I beat that treadmill," Davis says, beaming.

She beat the non-physical aspects, too. Davis’ memory and speech improved to the point that when she met with speech language pathologist Ashley Brim at the Alton location, it was a one-and-done.

"[Speech therapy] can range within working on targeting problem solving skills," Brim explains. "So, either really basic problem solving all the way up to reading paragraphs of information. And trying to figure out information that, most of the time, people don't think about. We can just read it and figure it out. But when you have a concussion, and that is impacting you, it makes it 10 times more difficult."

"We work on a lot of memory tasks," Brim continues. "Exercises for working on memorizing word lists, figuring out different ways to help the patient memorize things better. So they associate the word to something else and then they use those associations to be able to remember what has been said to them and chain it all together."

What people in Bogowith and Brim’s roles don’t want to see: people relying solely on pills to get through pain. That can lead to addiction and side effects. Therapy is somewhat the opposite, Brim notes. It gives the patient ownership of their recovery.

Davis agrees with that assessment and says her determination to see therapy through to the end has paid off in multiple ways. Most notably, she can handle playing with her eight grandkids.

"I want people to know that it's important," Davis says. "I understand that it's a pain. It's not always convenient. There are always other things people want to do. But if your doctor says to do therapy, I 100% will tell you: go to therapy. You don't know how bad you need it until you actually go."

Guest Commentary: Would Roosevelt have a chance if he was running for office today?

by Glenn Mollette, Guest Commentator

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One of the greatest Presidents of all time was Franklin D. Roosevelt. He served from 1933 to 1945. He led this country and saw us through some of our toughest years. Many say he stands as the greatest President of all time. Ironically, he had a difficult time standing.

Photographs of Roosevelt in a wheelchair are rare but you can find one on the Internet.

Franklin D. Roosevelt, was our 32nd President but he began experiencing symptoms of a paralytic illness in 1921 when he was 39 years old. His main symptoms were fever; symmetric, ascending paralysis; facial paralysis; bowel and bladder dysfunction; numbness and hyperesthesia; and a descending pattern of recovery. He was diagnosed with poliomyelitis and underwent years of therapy, including hydrotherapy at Warm Springs, Georgia. Roosevelt remained paralyzed from the waist down and relied on a wheelchair and leg braces for mobility, which he took efforts to conceal in public. In 1938, he founded the National Foundation for Infantile Paralysis, leading to the development of polio vaccines. Although historical accounts continue to refer to Roosevelt's case as polio, the diagnosis has been questioned in the context of current medical science, with a competing diagnosis of Guillain–Barré syndrome proposed by some authors.

We could talk and write about Franklin D. Roosevelt all day. However here are a few of his noted accomplishments from his 12 years of service – longer than anyone. Creation of the emergency banking act to counteract the Great Depression. Establishment of FDIC. Unemployment rate reduction. Setup many institutions to support the New Deal. Created institutions as part of the New Deal. Created the U.S. Social Security System. Established the minimum wage and 40-hour work week. He took action to prohibit discrimination in employment, led America to victory in World War II, and, took part in the creation of the United Nations. He also aided water pollution control and more. (Wikipedia)

However, would Roosevelt even have a chance today? Can you imagine him trying to conceal his wheelchair or his leg braces? Not in this age. Would The Press and the opposition tear him to sheds as being physically incapable of holding down the job?

Disabled Americans and people worldwide can point to Roosevelt as someone who dealt with tremendous physical obstacles to accomplish much for our country and the world.

Americans with disabilities should not be excluded from running for public office. We vote for who we want to vote for but in a free country all citizens should be able to try.

John Fetterman of Pennsylvania is trying. He has had a stroke, but he’s trying. It has been amazing to witness the amount of support Pennsylvania has given Fetterman. He is in a dead heat race with national celebrity Dr. Mehmet Oz whose star power as a long time TV doctor star has surely greatly boosted him in his race with Fetterman for the United States Senate.

Tragically, Fetterman’s health apparently prevents him from articulating clearly. His mental ability to quickly process what he is hearing is obviously impaired. This has to make it tough for him. Roosevelt did not have this problem. His mind appeared to be sharp and his speech clear and convincing during his years as President. This is where Roosevelt’s situation and Fetterman’s is different.

Fetterman needs and deserves time to heal. He obviously needs continuing medical treatment and therapy to recuperate from his stroke. He is still a young man. In a year, or two he may be fully recovered and more able to serve. This is unfortunate for Fetterman and his supporters but only makes sense for his personal health. The fact that he is running for such a demanding job in his current state demonstrates that his mental clarity is somewhat impaired. It also demonstrates that people close to him are mentally impaired to have encouraged him to continue in this political contest. He needs time to get well so that if elected he can serve effectively.

The bottom line is that voters will decide who represents them. This is one right we must continue to cherish, protect and be mentally clear about.

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Dr. Glenn Mollette is a syndicated American columnist and author of Grandpa's Store, American Issues, and ten other books. He is read in all 50 states. The views expressed are those of the author and are not necessarily representative of any other group or organization.

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This article is the sole opinions of the author and does not necessarily reflect the views of The Sentinel. We welcome comments and views from our readers. Submit your letters to the editor or commentary on a current event 24/7 to editor@oursentinel.com.

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