Understanding A Teenager’s Brain, Or Why Kids Don’t Rise And Shine

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Posted on 29th November 2010 by Gordon Johnson in Uncategorized

Parade Magazine this Sunday told readers, who we assume included a lot of frustrated parents, the ins-and-outs of the brains of teenagers.

 http://www.parade.com/news/2010/11/28-inside-the-teenage-brain.html

It’s not just hormones that account for the moodiness, cluelessness and sleepiness of teens. It’s what’s in their noggins. The takeaway from the story is that PET scans and fMRI tests have shown that the brains of teenagers are much different than those of adults.  

The brains of youths are still developing, and are works in progress. The skills a child or pre-teen starts, and continues to practice as a teen, are the ones that their brains will continue to develop. And those that one avoids, or rarely does, will fall by the wayside. So it’s a smart idea for teens to establish good work practices during this period, as those aptitudes will follow them the rest of their lives.

Secondly, teenagers don’t have fully developed frontal lobes, or a developed prefrontal cortex. In fact, the prefrontal cortex doesn’t fully form until someone is in their late 20s. And this part of the brain governs controlling impulses and making plans. So your teen does have an excuse for some of his or her foolish behavior. 

And according to the Parade article, the brains of teenagers are “physically programmed to stay up later and sleep later.” These kids also need more sleep than adults, up to 9.2 hours compared with 7.5 to 8 hours for adults. 

So don’t be so tough when Sally doesn’t want to rise and shine, or when Billy’s teacher calls to complain that he’s falling asleep in morning math class. 

Parade also offers some “Stay Sane” tips about how to deal with your teenager.     

New Jersey Youth Sustains Brain Injury From Fall At Rutgers Game

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Posted on 15th November 2010 by Gordon Johnson in Uncategorized

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Stunts that just seem to be playful can often turn dangerous, as a 20-year-old New Jersey man found out Saturday. 

Nicholas Amabile of Florham Park. N.J., remained in critical condition Sunday from head injuries he sustained when he fell down a flight of stairs at Rutgers Stadium in Piscataway, according to The Star-Ledge of Newark Monday.  

Amabile isn’t a Rutgers student, but he attended the Scarlet Knight’s game against Syracuse University on Saturday. According to Amabile’s friend and witness, Anthony Pryer, they were leaving the game in the second quarter when Amabile suddenly decided to slide down the staircase railing. 

Amabile fell about 30 feet and was knocked unconscious. He was taken to Robert Wood Johnson University Medical Center in New Brunswick, N.J., where he remained.

Authorities wouldn’t comment on the extent of his head injuries.                                      

http://www.nj.com/news/index.ssf/2010/11/florham_park_20-year-old_man_i.html

 

In A Case Worthy Of ‘House,’ Mom Was Put In Coma Five Months Until Diagnosis

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Posted on 8th November 2010 by Gordon Johnson in Uncategorized

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Doctors put Donna Landrigan in a coma for five months as they struggled to find out what was wrong with her.

Landrigan’s tale was chronicled by AOL Health, kicking off with the painful headaches that the mother of three, then 35, was suffering from for almost a month until she finally collapsed on her kitchen floor.

http://www.aolhealth.com/2010/11/04/doctors-induce-5-month-coma-to-save-womans-life/?ncid=webmail

But as Landrigan’s case demonstrated, diagnosing a brain malady can play out like an episode of “House.” Physicians for months were stymied and couldn’t determine exactly what was wrong with Landrigan’s brain. Ultimately, she received treatments at four hospitals in several different states.

Doctors initially thought that Landrigan has encephalitis, or swelling of the brain due to infection. But tests came back negative. Then physicians believed that the young mother had nonconvulsive status epilepticus, which entails seizures and kills more than half the people who have it. But that diagnosis didn’t pan out.

At that point, doctors put Landrigan into a coma using propofol, the powerful anesthetic that killed pop superstar Michael Jackson. They did it because they feared that her brain could not continue to withstand the seizures she was having. Later, doctors put Landrigan into an even deeper coma using pentobarbital.

 The woman’s condition worsened, and doctors then went on to a new diagnosis: That one of Landrigan’s own antibodies was injuring her brain. 

That, it turns out, was the answer. Landrigan had anti-NMDA receptor antibodies, which can attack brain nerve cells, according to AOL Health. These antibodies typically appear when someone has a teratoma, which is a kind of tumor that people get in the ovaries or testes. 

Doctors removed Landrigan’s ovaries and fallopians tubes, and discovered that she did in fact have a benign teratoma. Her diagnosis was anti-NMDA receptor encephalitis. Landrigan was then slowly brought out of her induced coma.

Although her seizures ended once her tumor was removed, Landrigan is not back to her old self. A year after being taken out of her coma, the mother, now 36, remains in a wheelchair and has nerve damage, according to AOL Health. She still expects to walk one day.       

 

    

 

 

Dutch Dig Wooden Shoes, But Won’t Wear Bicycle Helmets

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Posted on 3rd November 2010 by Gordon Johnson in Uncategorized

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 The newpaper story would a lot more amusing if its content wasn’t about foolish, dangerous behavior.

It seems, according to an article Tuesday in The Wall Street Journal, that even though the Netherlands has the highest per capita use of bicycles, the Dutch refuse to wear helmets while riding. The story’s headline and kicker are “Getting These Cyclists to Use Helmets is Like Tilting at Windmills: Bicycle-Loving Dutch Hate Headgear; ‘We Are Not in Germany.”’ 

http://online.wsj.com/article/SB10001424052702304248704575574250616160146.html?mod=WSJ_LifeStyle_Lifestyle_5

 The story starts out with an anecdote about a university doctor who had a bike accident, sans helmet, that left him unconscious and in the hospital. But he did not learn his lesson: When he got back on his bike after his recovery, he still refused to wear a helmet.

The Dutch are so averse to wearing bike helmets that kids typically taunt other kids for wearing them. So one of the country’s provinces, in an experimental program, handed out free helmets to children in 42 schools to encourage kids to wear them, according to The Journal’s Page One story. Those helmets were decorated with pictures of “Coolie,” a cute blue cartoon mascot who is wearing a helmet.

In the spring, the automaker Volvo also distributed free, stylish helmets to children.

The Dutch anti-helmet brigade argues that the headgear doesn’t really protect bicyclists involved in bad accidents. Even Dutch doctors came up with lame excuses for declining to wear helmets, saying that they didn’t look good and that no one else wears them in the Netherlands.  

 

 

  

‘Monster’s Ball’ Screenwriter Hit In Head By Manhattan Subway

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Posted on 2nd November 2010 by Gordon Johnson in Uncategorized

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 An Oscar-nominated screenwriter was in critical but stable condition after being hit in the head by a subway train in Manhattan this weekend.

Will Rokos, who wrote the script for “Monster’s Ball,” was clipped in the head while leaning over the subway platform at the 14th Street station by a No. 2 train Saturday. He was trying to peek down the tunnel to see if the train was approaching.  

 http://www.polijam.com/index.php?option=com_content&view=article&id=35732:screenwriter-injured-by-ny-subway-train&catid=57:entertainment&Itemid=56

 http://nymag.com/daily/entertainment/2010/11/monsters_ball_screenwriter_sur.html

The train was speeding into the station, and hit Rokos. He was sent crashing into the station platform, where bystanders found him.

According to press reports Rokos, 57, was semi-conscious and awake when police arrive at the scene. He was then transported to Bellevue Hospital.  

Rokos was nominated for an Academy Award in 2002 for “Monster’s Ball,” the film that netted an Oscar for actress Hallie Berry. She became the first black actess to win an Oscar in the Best Actress category.

Will NFL Crackdown On Helmet-To-Helmet Hits Turn Players Into Pansies?

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Posted on 23rd October 2010 by Gordon Johnson in Uncategorized

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Well, it didn’t take long for players to blast the National Football League for cracking down on helmet-to-helmet hits. 

One of the three players fined for a particularly violent Sunday of the game last weekend, with concussions galore, went so far as to threaten to retire. That player was Pittsburgh Steelers James Harrison, who complained on Sirius XM Radio that the NFL was “handicapping” him.

“How can I continue to play this game the way that I’ve been taught to play this game since I was 10 years old,” Harrison griped. 

http://www.nytimes.com/2010/10/21/sports/football/21hits.html?_r=1&ref=todayspaper

Harrison’s threat to walk came the same week that the NFL sent a video to all 32 of its teams, a video that included shots of the three tackles that prompted large fines being imposed on players. One of those depicted was the move that got Harrison’s penalized to the tune of $75,000: His hit of Cleveland Brown’s receiver Mohammed Massaguoi.    

On the video, NFL exectuive vice president of operations Ray Anderson read the riot act to players, saying, “Illegal hits to the head of an opponent will not tolerated. A player is accountable for what he hits.”

The argument from the players is essentially that they are big boys, when they signed their contracts they knew football was a violent game, and they are willing to take the risk of being injured, including being “concussed,” as some stories put it.

In one of the most ridiculously sarcastic and stereotypically macho comments I read, Miami Dolphins linebacker Channing Crowder said, “If they’re going to keep making us go more and more and more like a feminine sport, we’re going to wear pink every game, not just on the breast cancer months.”  

The NFL’s video didn’t go over too well in the New York Giants’ locker room, either, according to a story in the New York Daily News. It was headlined, “Big Blue Hits Back: Giants Players On Collision Course With NFL Over Rules.”

 http://www.nydailynews.com/sports/football/giants/2010/10/22/2010-10-22_big_blue_hits_back.html

Giants running back Brandon Jacobs called the NFL’s whip-cracking “insane.” Other Giants said it will make players “soft,”  and prompt them to miss tackles rather than risk being fined.

For my part, I’d say that players signed up for a violent game expecting broken bones and torn muscles. But they did not know then about the long term, and cumulative, effect of repeated concussions. 

Perhaps an attempt to have a conversation with some of the retired NFL players who have developed dementia at an early age would convince make some of these players change their minds about helmet-to-helmet hits.

Maybe, I don’t know.  Maybe they’ve already taken too many hits to the head to really understand.

I do know that the NFL is going to have rough going getting players to buy into their crackdown. And that’s a shame.

 

NFL Backs Down After Threat To Suspend, Not Just Fine, Players For Helmet Hits

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Posted on 21st October 2010 by Gordon Johnson in Uncategorized

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 It looks like the National Football League didn’t have the guts to make good on its threat. 

Just one day after threatening to suspend players for making helmet-to-helmet hits, on Tuesday the league instead just fined the three players who wreaked havoc in games over the weekend, when several injuries took place. 

http://www.nytimes.com/2010/10/20/sports/football/20hits.html?_r=1&ref=todayspaper

The NFL’s logic is that it wants to give teams and players “fair warning” that it plans to really crack down on brain-injuring helmet-to-helmet hits and safety-rule violations. Th NFL said that on Wednesday it planned to tell coaches, players and teams that the next punishments it metes out will be much worse, and could include suspensions.

Pittsburgh Steelers linebacker James Harrison was fined $75,000 for helmet-to-helmet hits that injured two Cleveland Browns players, putting them out of the game. 

New England Patriots safety Brandon Meriweather, who “launched himself into Baltimore Ravens tight end Todd Heap,” according to The New York Times, was fined $50,000 by the NFL.

Finally, Atlanta Falcon quarterback Dunta Robinson was fined $50,000 for hitting Philadephia Eagles receiver DeSean Jackson so hard that they both sustained concussions.

The Times reported that in a letter to all three fined players Ray Anderson, the NFL’s senior vice president of football operations, wrote that “future offenses will result in an escalation of fines up to and including suspensions.”

I’ll believe it when I see it. On Monday Anderson had conceded that suspensions, not fines, would be the real deterrent to make players stop helmet-to-helmet hits. Then the league only fines the players anyway.  

NFL Considers Socking Players With Suspensions For Helmet Hits

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Posted on 19th October 2010 by Gordon Johnson in Uncategorized

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After a spate of player concussions and injuries this past weekend, it looks like the National Football League is poised to crack down on players who made hard head hits during games.

Several press accounts, including one in The New York Times Tuesday, reported that the NFL would mete out tough penalties and possibly even suspend players who inflicted dangerous blows to the heads of other players. NFL executive vice president of operations Ray Anderson warned of the coming actions Monday. 

http://www.nytimes.com/2010/10/19/sports/football/19hits.html?_r=1&ref=sports

 The NFL should take action after the long list of shenanigans last Sunday. After being hit in the helmet Detroit Lions linebacker Zack Follett was hosptialized overnight. Pittsburgh Steelers player James Harrison “knocked two Cleveland Brown players out of the game with head injuries,” according to The Times.

And the topper seems to have been New England’s Brandon Meriweather, who was penalized for his hit on Baltimore’s Todd Heap.

The Times quoted Anderson as saying that the league didn’t want another Darryl Stingley incident on its watch, referring to the New England Patriots player who was paralyzed in a 1978 hit and died in 2007. 

There is even talk of suspensions for helmet-to-helmet hits, a suggestion made on-air Sunday by former NFL player Rodney Harrison, who had a reputation as a hard-hitting — even dirty– player during his career. According to The Times,  Harrison said that that suspensions, not fines, “got his attention” when he was playing.

 The NFL competition committee might even consider barring all hits that invovle using a helmet, The Times reported.

BMX Biker TJ Lavin Remains In Medically Induced Coma After Accident

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Posted on 18th October 2010 by Gordon Johnson in Uncategorized

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 MTV “Real World/Road Rules Challenge” host TJ Lavin remained in a medically induced coma in a Las Vegas hospital Monday, according to The Los Angeles Times.  

http://latimesblogs.latimes.com/outposts/2010/10/bmx-rider-tj-lavin-remains-in-a-medically-induced-coma-.html

Lavin is recovering from head injuries he received Thursday in an accident while he was trying to qualify for the BMX Dew Tour Championships. The 33-year-old was wearing a helmet when he fell and was knocked unconscious. He sustained brain injury, a right-eye orbital fracture and a fractured right wrist.

Lavin, at University Medical Center, on Saturday was able to move his hands. But his mother reported that he is on sedation “to rest and minimize brain swelling.”   

 

HBO And ‘Sopranos’ Actor James Gandolfini Tackle Combat And PTSD In Nov. 11 Documentary

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Posted on 18th October 2010 by Gordon Johnson in Uncategorized

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New Jersey native James Gandolfini, who portrayed Tony Soprano in “The Sopranos,” has not been sitting on his laurels. And he has continued his partnership with HBO.

Gandolfini, who has taken an interest in war veterans, has now executive produced a documentary on war and stress, called “Wartorn: 1861-2010, Exploring Combat and Post-Traumatic Stress,” that will debut on Veteran’s Day, Nov. 11.

The actor previously spearheaded “Alive Day Memories: Home from Iraq” for HBO.

“Wartorn” looks like an intriguing chronicle of a topic I have written about often, namely post-traumatic stress disorder, or PTSD. This syndrome is nothing new to war. Even Homer wrote in “The Odyssey” epic, “Must you carry the bloody horror of combat in your heart forever?”

And this film will also explore the macho military warrior culture, in which a soldier who confesses his suicidal thoughts is told to “man up” and report back to duty. The soldier leaves and shoots himself.

HBO’s press release Monday on the documentary nicely sums up the history of PTSD.

“Civil War doctors called it hysteria, melancholia and insanity,” the announcement says. “During the First World War it was known as shell-shock. By World War II, it became combat fatigue. Today, it is clinically known as post-traumatic stress disorder (PTSD), a crippling anxiety that results from exposure to life-threatening situations such as combat. With suicide rates among active military servicemen and veterans currently on the rise, the HBO special ‘Wartorn 1861-2010’ brings urgent attention to the invisible wounds of war.”

I’d submit that “shell-shock” is not just a mental condition: It is an apt description of a concussion, and PTSD is often a  byproduct of that physical damage to the brain.

Gandolfini’s documentary promises to chronicle the lingering effects of combat stress and post-traumatic stress on military personnel and their families throughout American history, from the Civil War through today’s conflicts in Iraq and Afghanistan. 

The HBO Documentary Films presentation debuts on Nov. 11 from 9 p.m to 10:15 p.m. ET/PT. The docummentary will also repeat many times on HBO and HBO2.

The documentary shares stories through soldiers’ letters and journals; photographs and combat footage; first-person interviews with veterans of WWII (who are speaking about their PTSD for the first time), the Vietnam War, Operation Desert Storm and Operation Iraqi Freedom; and interviews with family members of soldiers with PTSD. 

Also included are conversations between Gandolfini and top U.S. military personnel (General Ray Odierno, commander of U.S. troops in Iraq, and General Peter Chiarelli, Vice Chief of Staff of the U.S. Army), enlisted men in Iraq, and medical experts working at the Walter Reed Army Medical Center in Washington. 

General Chiarelli, who is working to reduce the rising suicide rate in the Army comments, “You’re fighting a culture that doesn’t believe that injuries you can’t see can be as serious as injuries that you can see.”

Truer words have never been spoken about concussions and brain injury, although the Army and NFL seem to be catching on this year with all the publicity and public hearings on TBI.

HBO offered a detailed list of some of “Wartorn’s” segments. They include:

Angelo Crapsey: In 1861, 18-year-old Angelo Crapsey enlisted in the Union Army. His commanding officer called him the “ideal of a youthful patriot.”  In letters sent over the course of two years, Crapsey’s attitude toward the Civil War darkened after he experienced combat and witnessed the deaths of countless soldiers, including several by suicide.

By 1863, Crapsey, was hospitalized, feverish and delirious; eventually he was sent home to Roulette, Pa.  Becoming paranoid and violent, he killed himself in 1864 at age 21. His father John wrote, “If ever a man’s mental disorder was caused by hardships endured in the service of his country, this was the case with my son.”  A postscript reveals, “After the Civil War, over half of the patients in mental institutions were veterans.”

Noah Pierce: More than a century after Crapsey’s suicide, 23-year-old Noah Pierce got in his truck, put a handgun to his head, placed his dog tag next to his temple and shot himself. Pierce’s mother Cheryl recalls how her son changed following two tours of Iraq, showing a photo of him “filled with hate and disillusionment.”

Cheryl Pierce says, “The United States Army turned my son into a killer,” adding, “They forgot to un-train him.”  In a letter he left in the truck, Pierce wrote, “I’m freeing myself from the desert once and for all…I have taken lives, now it’s time to take mine.”

World War II vets: “Combat fatigue” was considered a character flaw in World War II. In a famous story, Gen. George S. Patton slapped a soldier hospitalized with nervous exhaustion, ordering “that yellow SOB” back to the front. It took 50 years for WWII vets to be diagnosed with PTSD. Today, in the documentary, a group opens up publicly about their traumas for the first time.

Al Maher, who was a Lieutenant in the Army Air Corps, laments the toll his war experience took on his family life – he became abusive and took to drinking. As a result, he has not spoken to his sons in 25 years. Abner Greenberg, a corporal in the Marines who lost two best friends in Iwo Jima, kept his wartime traumas pent up and never shared them with his children until he joined a PTSD group and discovered what was wrong with him. Former Army sergeant Bill Thomas remembers shooting four Germans, and being moved when the sole survivor showed him a family photo. “How do you explain the horrors?” Greenberg asks. “It consumes you.”

Akinsanya Kambon: Marine combat illustrator Kambon served as a corporal in Vietnam for nine months. “The Marine Corps teaches you to be like an animal,” he says, adding he turned into “a mad dog.” One of his nightmarish drawings is of a soldier, eyes still flickering, whose lower torso is blown away. “It’s one of the images that I wake up screaming about,” he says, “but it won’t go away.”

Gen. Ray Odierno: In Baghdad Gandolfini meets with Gen. Ray Odierno, Commander of Allied Forces in Iraq, who says that 30 percent of service men and women report symptoms of PTSD and explains how Vietnam helped inform today’s understanding of combat trauma. “Nobody is immune,” says Odierno, relating how his own enlisted son lost his left arm when a rocket-propelled grenade ripped through his vehicle, killing the driver. Later, at nearby Camp Slater, Gandolfini visits with U.S. Army Sgt. John Wesley Matthews, who speaks candidly about his bouts of depression, reliance on sleeping pills and contemplation of suicide.

Jason Scheuerman: A member of the 3rd Infantry Division in Iraq, Scheuerman grew up in a family of soldiers. His father Chris recalls how Jason went to see an Army psychiatrist, and filled out a questionnaire admitting that he had thought about killing himself. After a 10-minute evaluation, he was told to “man up” and was ordered back to his barracks to clean his weapon. Instead, he shot himself. “It’s not just the soldier that’s in combat that comes down with PTSD,” says Chris Jr., who served in Afghanistan. “It’s the entire family.”

Nathan Damigo: In San Jose, Marine Lance Cpl. Nathan Damigo got a hero’s welcome when he returned home from Iraq. A month later, he was arrested for attacking a Middle Eastern taxi driver at gunpoint. As his mother Charilyn explains, Damigo was drunk and confused, and went into “combat mode” as he assaulted the cabbie. 

After a final night of freedom, Damigo makes a court appearance where he is sentenced to six years in jail. “They took him when he was 18 and put him through a paper shredder,” says his heartbroken mother.  “We get to try to put all the pieces back together. Sometimes they don’t go back together.”

Herbert B. Hayden: In 1921, Col. Herbert Hayden’s Atlantic Monthly story “Shell-Shocked and After” described the “perfect hell” of being sent to the front in WWI. His nightmare continued even after he returned home six months later “back and yet not back at all.” Suicidal, Hayden checked into Walter Reed Hospital, “searching for a spark in the emptiness,” but found only newspaper clippings of tormented ex-soldiers who were not being cared for. “What was wrong with my country?” he asked.

William Fraas Jr.: Two years after his return from the current Iraq conflict, Billy Fraas is trapped by memories, transfixed by computerized photos taken over 29 months and three tours of duty.  The leader of a reconnaissance team, he was sent home after PTSD symptoms surfaced, and his leg still shakes uncontrollably when he sits at the computer. Fraas’ wife Marie is frustrated by what’s become of her husband. “Even though he wasn’t shot,” she says, “he still died over there.” Adds Fraas, “I’ve seen humanity at its worst. And I struggle with that on a daily basis.”