Your Weekly Dose of #5ThoughtsFriday: A description of what we think is important at BIAMD

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Here are the 5 things we thought were
worth sharing with you this week (plus a few more):
                                                                   Credit Ethan Hyman/The News & Observer, via Associated Press  
5)  A Football Coach’s Struggle With C.T.E. and a Guilty Conscience
RALEIGH, N.C. — In the last years of his life, the longtime football coach for dominating college teams wrestled with impaired speech, forgetfulness, lapses in concentration. And with his conscience.

His body was betraying him, and now, possibly, so was the sport he loved.

A few years earlier, the coach, Don Horton, had learned that he had Parkinson’s disease, but these new, intensifying infirmities were more commonly linked to chronic traumatic encephalopathy, or C.T.E., a degenerative brain disease caused by repeated hits to the head and linked to football and other contact sports.

Was his deteriorating health, Horton wondered, a consequence of his many years as a football lineman? Even worse, he worried, was he responsible for exposing hundreds of players to the kind of head trauma now impairing his life? After all, as a prominent assistant coach at Boston College and North Carolina State for nearly 20 years, he had recruited and encouraged scores of athletes to play major college football.

To read this powerful article, CLICK HERE
4) Revisiting the Brain Trauma Foundation Guidelines for the Management of Severe Traumatic Brain Injury (4th Edition)
Specialty societies, health care delivery systems, and clinicians that treat TBI patients generate demand for complete treatment protocols. The mandate is to give clinicians what they need to be able to make decisions in practice. Development of rigorous and comprehensive evidence-based protocols is essential to the appropriate utilization of guidelines. Such protocols merge evidence, consensus, and standards for general good practice in clinical care. The Brain Trauma Foundation’s role is to provide the evidence and related recommendations; currently, delineating specific, comprehensive protocols is beyond the scope of these guidelines. 

In the 4th Edition of the Brain Trauma Foundation’s guidelines, there are 189 publications In this 4th Edition of the Brain Trauma Foundation’s guidelines, there are 189 publications used for evidence—5 Class 1, 46 Class 2, 136 Class 3 studies, and 2 meta-analyses. Over the past 20 years, our community has evolved along with the science and application of evidence based medicine in general. As a consequence, with each new iteration of the guidelines, we have applied the most current methodological standards and established more rigorous procedures for future work. This approach resulted in changes in the evaluation of previous work, an increase in the quality of the included studies, and essential improvements in the precision of the recommendations.

To review the Brain Trauma Foundation Guidelines,  CLICK HERE.

(Guidelines are not intended to supplant physician judgment with respect to particular patients or special clinical situations and are not a substitute for physician-patient consultation.)
Maryland Traumatic Brain Injury Advisory Board is still seeking volunteers to serve on the Board for its upcoming term. 

Individuals who wish to apply to serve should click on the button below, fill out the online application form from the Governor's Appointment Office, and select " Brain Injury Advisory Board, State Traumatic"  from the pull down menu for  "State Agencies /Commissions". 

(HealthDay)—Black and Hispanic people are less likely than white people to make an appointment to see a neurologist, according to a new U.S. study.

Researchers found that black people with conditions that affect the brain, such as Parkinson's disease and stroke, tend to be treated in the emergency room and end up in the hospital more often than their white peers.

"Our findings demonstrate that there are substantial racial and ethnic disparities in neurologic health care access and utilization in the United States," said study author Dr. Altaf Saadi, from Massachusetts General Hospital and Brigham and Women's Hospital in Boston.

"These disparities are concerning, not only because racial and ethnic minorities represent 28 percent of Americans, but because all Americans should have equitable access to health care regardless of who they are, where they live, or what resources they have," Saadi added in a news release from the American Academy of Neurology.

For the study, the researchers analyzed data compiled on close to 280,000 people over the course of eight years. Of these people, almost 17,000 reported having a neurologic disorder, such as Parkinson's disease, epilepsy, multiple sclerosis or other brain-related conditions.

To the article on this study,  CLICK HERE.
To view the abstract, CLICK HERE
  2) What We Are Reading That You Might Enjoy...

A special 25th anniversary edition of the extraordinary international bestseller, including a new Foreword by Paulo Coelho.

Combining magic, mysticism, wisdom and wonder into an inspiring tale of self-discovery, The Alchemist has become a modern classic, selling millions of copies around the world and transforming the lives of countless readers across generations.

Paulo Coelho's masterpiece tells the mystical story of Santiago, an Andalusian shepherd boy who yearns to travel in search of a worldly treasure. His quest will lead him to riches far different—and far more satisfying—than he ever imagined. Santiago's journey teaches us about the essential wisdom of listening to our hearts, of recognizing opportunity and learning to read the omens strewn along life's path, and, most importantly, to follow our dreams.

The Alchemist is the second best selling book in the world, so you’ll be inducted into a large community of people equally touched by Santiago’s dreamquest.

For More, CLICK HERE. 

  (If you decide to buy anything mentioned in #5ThoughtsFriday, don't forget to use  Amazon Smile  and select the Brain Injury Association of Maryland as your donation beneficiary.) 
1) Quote We Are Contemplating...

"You drown, not by falling in a river, but by staying submerged in it."
                                                                                                                                    - Paul Coelho
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 Want to find a story from a past #5ThoughtsFriday blog posts, visit the archive by clicking HERE.

 Please let us know your requests and suggestions by emailing us at or contacting us on Twitter. 

 Which bullet above is your favorite? What do you want more or less of? Let us know! Just send a tweet to @biamd1 and put #5ThoughtsFriday in there so we can find it.

 Thanks for reading! Have a wonderful weekend.

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