Traumatic Brain Injury

Traumatic Brain Injury

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Traumatic Brain Injury/Concussion

Results of recent and ongoing studies have made it clear that brain injuries like traumatic brain injury (TBI) pose substantial risk to pituitary function, multiple hormones and overall health and wellness. Hypopituitarism may benefit with appropriate hormonal replacement receiving replacement therapy such as antidiuretic hormone, glucocorticoid, and thyroid hormones when needed.

Testosterone, estrogen, progesterone, pregnenolone, DHEA, and recombinant human growth hormone replacement therapy should also be introduced as indicated.  Signs and symptoms of post-TBI hypopituitarism are often masked by what has been assumed to be post-traumatic syndrome.  It is possible to improve the quality of life and enhance the posttraumatic brain injury period with hormone replacement therapy and supplementation that addresses neuro-inflammation.

Clinical evidence has demonstrated that TBI may frequently cause hypothalamic-pituitary dysfunction, probably contributing to a delayed or hampered recovery from TBI.  Changes in pituitary hormone secretion may be observed during the acute phase post-TBI.  Diminished pituitary hormone secretion, caused by damage to the pituitary and/or hypothalamus, may occur at any time after TBI.

The most common alterations appear to be gonadotropin and somatotropin deficiency, followed by corticotropin and thyrotropin deficiency.

In order to improve outcome and quality of life in individuals who have suffered a TBI an adequate replacement therapy program is of paramount importance.

If you suffered a head injury from:

  • Fall
  • Gunshot Wound
  • Explosive Blasts
  • Repetitive Gunfire
  • Penetrating Head Injury
  • Deceleration Injury
  • Chemical Exposure
  • Hypoxia or lack of oxygen
  • Infection
  • Stroke
  • Car Accident
  • Motorcycle accident
  • Numerous Surgeries

Concussion(s) from any sport like:

  • Football
  • Baseball
  • Soccer
  • Cycling
  • Skiing
  • Snowboarding

The Effects of TBI

Most people are unaware of the scope of TBI or its overwhelming nature. TBI is a common injury and may be missed initially when the medical team is focused on saving the individual’s life. Before medical knowledge and technology advanced to control breathing with respirators and decrease intracranial pressure, which is the pressure in the fluid surrounding the brain, the death rate from traumatic brain injuries was very high. Although the medical technology has advanced significantly, the often overlooked effects of TBI are significant.

TBI is classified into two categories: mild and severe

A brain injury can be classified as mild if loss of consciousness and/or confusion and disorientation is shorter than 30 minutes. While MRI and CAT scans are often normal, the individual has cognitive, physical, and social problems such as:

  • fatigue
  • headache
  • difficulty thinking
  • memory problems
  • brain fog
  • attention deficits
  • mood swings
  • frustration
  • muscle weakness
  • exercise intolerance
  • weight gain
  • isolation
  • depression
  • anxiety
  • panic attacks
  • social phobias

These injuries are commonly overlooked.  Even though this type of TBI is called “mild”, the effect on the family and the injured person can be devastating.

Severe brain injury is associated with loss of consciousness for more than 30 minutes and memory loss after the injury or penetrating skull injury longer than 24 hours. The deficits range from impairment of higher-level cognitive functions to comatose states. Survivors may have:

  • limited function of arms or legs
  • abnormal speech or language
  • loss of thinking ability
  • emotional problems

The range of injuries and degree of recovery is very variable and varies on an individual basis.

The effects of TBI can be profound. Individuals with severe injuries can be left in long-term unresponsive states. For many people with severe TBI, long-term rehabilitation is often necessary to maximize function and independence.  Even with mild TBI, the consequences to a person’s life can be dramatic. Change in brain function can have a dramatic impact on family, job, social and community interaction.

So how do we treat a Traumatic Brain Injury?

First thing we recommend is to have a comprehensive lab performed. The labs values we look for with any TBI patient are as follows.

  • Growth Hormone
  • Somatotropin C (IGF-1)
  • IGF BP-3
  • DHEA-S
  • Testosterone Free
  • Testosterone Total
  • Dihydrotestosterone (DHT)
  • Sex Hormone Binding Globulin
  • Prostatic PSA
  • Estrone (E1)
  • Estradiol (E2)
  • Pregnenolone
  • Progesterone
  • FSH
  • LH
  • Prolactin
  • Copper
  • Zinc
  • Insulin
  • Iron
  • TSH
  • T3, Free
  • T4, Free
  • rT3
  • TSH Index
  • T3/rT3 Ratio
  • TPO
  • ACTH
  • Cortisol AM
  • Homocysteine
  • hs-CRP
  • Hemoglobin A1c
  • Vitamin D3

 

TBI Treatment for Veterans

Warrior Angels Foundation

The Warrior Angels Foundation is a 501(c)(3) non-profit organization founded and run by combat Veteran brothers. Their goal is to give life-changing treatment to those suffering from Traumatic Brain Injuries. We know so many Veterans returning from active duty are commonly plagued with PTSD and TBI, which is often misunderstood and misdiagnosed. The Warrior Angels Foundation works closely with Veterans and their families to get them the proper care they deserve.

Dr. Rob, a Veteran of the U.S. Army, 3rd Infantry Division, 2nd Battalion, 64th Armor is a participating physician with the Warrior Angels Foundation. To apply for the program, visit http://waftbi.org/get-support/ and fill out the form. A representative from the foundation will contact you to discuss the next steps of the program.

There is no obligation, just help from fellow Veterans who have been there and care about your health.

Learn more about The Warrior Angels Foundation

 

ReNue Health is located conveniently in Springboro, Ohio with easy access from Dayton International Airport, Cincinnati International Airport or the adjacent Wright Brothers Private Airport (MGY) for those travelling by private aviation.

Dr. Rob sees new patients in Ohio and Utah. Only one visit is necessary to perform a comprehensive history, interview, and education. Follow up evaluations, adjustments and balancing of hormones are done by phone or written communications and a return visit to Dr. Rob is not necessary. Ongoing testing and adjustment is mandatory and performed through a laboratory convenient to your home.

In addition to the Ohio office, Dr. Rob sees new patients in Salt Lake City, Utah. Salt Lake City appointments can be made by calling the main office number 937-350-5527 for information.

FREQUENTLY ASKED QUESTIONS

INITIAL CONSULTATION

To schedule a consultation simply call 937.350.5527 and one of our team members will assist you. Please complete all Renue Health questionnaires, ordered laboratory and obtain any necessary old medical records before you arrive for your initial consultation. This will allow Dr. Rob and his staff time to compile your biomarkers effectively and efficiently. You will receive an email after you make a consultation appointment that contains a link to our online patient forms. You can then download all of the intake forms, Elite Lifestyle Questionnaire and Nutritional Questionnaire.  http://www.renuehealth.com/request-an-appointment/ Upon completion of your consultation, you will receive a copy of all your biomarkers, relevant data and recommendations on a flash drive. Should you need additional copies of your medical records, a $30 administrative fee will be charged for copies, handling, and postage.

FORMS OF PAYMENT

We require a credit card number at the time of scheduling your consultation. Our administrative team immediately begins creating your portfolio to gather your administrative data and biomarkers. We are already working behind the scene in preparation of your upcoming consultation. This credit card will be used to hold your appointment and will be kept on file and will be used to complete payment for services, unless otherwise specified by you at the time of check out. We accept cash, checks, Visa, MasterCard, Discover, and American Express.

INSURANCE COVERAGE

We do not accept insurance. We will provide you with an itemized bill that you can file with your insurance company. Patients who have out-of-network benefits may or may not be reimbursed. Our office cannot assist you with claim resolution. You may be able to use pre-tax dollars from a Health Savings Account (HSA) or a Flexible Spending Account (FSA) to pay for your fees related to your services from this office. Renue Health nor Dr. Rob nor any of his employees or affiliates is responsible for payment differences or amounts set by your insurance company. Payment amounts vary per insurance provider depending on your agreement with them and this office is not responsible for dictating or making you aware of the terms and agreements between your insurance company and yourself. Please contact your insurance company with any questions or concerns regarding covered amounts and deductibles. All of our services must be paid for at the time the services are delivered.

DISABILTY FORMS

Dr. Rob does not fill out medical disability forms for patients, and does not submit medical records to support disability claims.

CANCELLATION OR RESCHEDULING OF CONSULTATION

Your consultation must be cancelled or rescheduled at least 72 hours (3 business days) prior to your consultation time, or you will be charged $100.00 US for the visit. You may cancel your appointment by calling the office at 937-350-5527 or send us an email through our directions and contact information page. We currently have a waiting list for consultations and many of our clients are travelling from considerable distances. We ask that if you know that you need to cancel or reschedule, please let us know as soon as possible so that we may offer your consultation time to someone on the current waiting list.

EMERGENCIES AND URGENT CARE

In case of a serious medical emergency, call 911 or go directly to the nearest emergency room. Dr. Rob serves as a medical consultant. Unless we have accepted you as a primary care concierge patient by application and contractual arrangement, we require you have a primary care physician for your urgent care and problems that arise when Dr. Rob is not available. Our staff is available to take your message about your health Monday through Friday 10am-4pm. We are not available outside of these hours. Please allow up to 72 business hours for a return call. In many instances, we may be able to get back to you sooner than that. Another way to contact the Renue Health Team is by sending us an email through our directions and contact information page. If you are a concierge patient then you have Dr. Rob's private cell phone number and Team numbers and can feel free to contact him or any of the team members directly.

LABS

We have access to laboratories nationwide to accommodate your needs, whether you live locally or out of state. Some of the specialty labs that we recommend involve blood, stool, urine, or saliva samples and can be done by you in your home. You will be given all lab kits and step-by-step instructions for at-home tests at the time of your consult. Once all of the final lab results are received, we will review them with you at your visit. When we request laboratory tests, it is essential that they be performed promptly. Many tests can take up to 4 weeks to perform and for the results to be returned to us. Please do not delay in completing your tests. Some of the specialized tests may not be considered medically necessary by your insurance carrier, and therefore might not be covered. It is your responsibility to make a follow-up appointment to review your lab results with Dr. Rob. If you are unable to return to our office to review your labs, we are available by Skype, Face time, or telephone.

RETURNS

We do not accept returns of supplements or specialty labs. Specialty lab kits must be used within 3 months.

NUTRITIONAL THERAPY AND SUPPLEMENTS

Nutritional therapy and laboratory/diagnostic testing are integral components of your treatment plan. Test results are used to design your personal health care program as well as uncover the root causes of your medical condition. Nutritional supplements are often recommended and we will help you select and find the highest quality products. The supplements that we recommend at Renue Health are available for purchase from our office. It is possible to have your supplements automatically shipped to your home or office for your convenience.

REFILL POLICY

Refills are granted at the time of your consultation or follow up appointments. When you are running low on your medication, it is a REMINDER that you are probably due for your follow up appointment. I generally prescribe enough medication to last until your next follow up appointment. Supplements are immediately available to you by calling the office, visiting the office, or by ordering directly from the websites.

WEBSITE

Information about Dr. Rob, Renue Health and the focus areas of our practice is available on our website at http://www.renuehealth.com and you can learn more about Dr. Rob at http://www.renuehealth.com/about-renue-health/

HOTEL ACCOMMODATIONS

These hotels are conveniently located nearby Renue Health. Hilton Garden Inn
12000 Innovation Way
Miamisburg, OH 45342
(937) 247-5850
Hampton Inn & Suites
25 Greenwood Ln
Springboro, OH 45066
(937) 743-2121
Comfort Inn
15 Sharts Rd
Springboro, OH 45066
(937) 746-0151

WHAT WE TREAT

While the focus of our practice is on the optimization of male performance and health we also do optimize the performance and health of women. Medical conditions we treat and testing we perform:

  • Abdominal Pain
  • Adrenal Fatigue
  • Allergies
  • Athletic Performance
  • Autoimmune Conditions
  • BioIdentical Hormone Replacement
  • Bell's Palsy
  • Carotid Ultrasound with CIMT
  • Cholesterol Management
  • Comprehensive Intracellular Nutrient Testing
  • Comprehensive Laboratory Testing
  • Detoxification Programs
  • DEXA Scan
  • Diabetes
  • Digestive Issues
  • Dysautonomia
  • Fitness Evaluations
  • Flexibility Testing
  • Food Sensitivity Testing
  • Gastric Inflammation
  • Gluten Sensitivities
  • Healthy Aging
  • Heart Attack & Stroke Prevention
  • Hormone Optimization for Men & Women
  • Leaky Gut
  • Low Testosterone (Low T)
  • Medical Body Composition Analysis (mBCA)
  • Men's Health
  • Mental Focus & Clarity
  • MTHFR gene mutations
  • Metabolic Syndrome
  • Neurocognitive Testing for Parkinson's, Alzheimer's, and ADD
  • Nutrition Counseling & Optimization
  • Natural Weight Loss
  • Parasympathetic Overtraining Syndrome
  • POTS Syndrome
  • Strength Testing
  • Sympathetic Overtraining Syndrome
  • Underactive Thyroid
  • VENDYS Vascular Endothelium Testing
  • VO2 Max Testing
  • Women's Health