Following acute TBI rehabilitation there have been a limited number of strategies that have been used in the treatment of cognitive disorders. These methods have included restorative cognitive rehabilitation procedures that utilize stimulation and practice (e.g., of vigilance with a computer intervention); strategy cognitive rehabilitation (e.g., utilizing visualization, creating associations), compensatory cognitive rehabilitation strategies; and medications (e.g., cognitive enhancing medications directed at arousal, attention and/or memory). All of these methodologies provide at best modest improvements, but it is still common for patients with TBI to be told that after a year and a half they have obtained about all of the improvement that they can expect, and that, therefore, they must simply adjust to the current state of affairs.
In Baxter v. Temple, [1] a New Hampshire Supreme Court case in which plaintiff alleged she suffered brain damage as a result of exposure to high levels of lead paint, defendant's "forensic" neuropsychologist, David Faust, Ph.D. argued that while plaintiff's treating neuropsychologist's testing may have been appropriate in a "clinical" setting, her choice of tests in a "forensic" setting was inappropriate and invalid. Over the years, there has developed a mythical belief that medical providers and clinicians should not serve as expert witnesses and that only "forensic" independent examiners should be permitted to serve as expert witnesses. [2]
In order to keep IBIA members apprised of current brain injury literature, NTL editors and editorial board members have prepared a list of recently published articles that may be of interest.
Clinicians who venture into the legal world are entering a foreign country, with its own language, customs, and expectations. It can be an enjoyable challenge to explain your findings and conclusions to intelligent, but non-clinically trained, people and to do so without recourse to jargon, but also without losing subtle distinctions and nuances that should be communicated. As with travel to any foreign country, a little preparation and a decent map will pay dividends.
Haim Ring was born in Uruguay in July 18, 1944. He received his M.D. title from the Faculty of Medicine in Montevideo in 1973 and in 1980, he completed a 5 year residency program in P&RM at the Loewenstein Rehabilitation Hospital (LRH), which is affiliated with the Faculty of Medicine in Tel-Aviv University and is the largest rehabilitation center in Israel. His untimely death on September 15, 2008 was the end of a professional career of almost 35 years at the LRH. Haim Ring was father of three children – Edan, Matan and Shani. His wife Irene accompanied him to many rehab congresses and was known to many in the international rehabilitation community.