WNY Family Magazine July 2019 | Page 37

the most. Keep reading for Galloway’s advice on how we all can learn to rec- ognize signs of TBI and be part of the support system that can make all the dif- ference for the children affected by it. Parents of a Child with Suspected TBI: First, understand that you are the first and primary line of defense. Take every bump on the head seriously. There may be no marks or immediate signs of a problem but that doesn’t mean there isn’t one. If your child loses conscious- ness, even briefly, or seems dazed and confused, vomits, or shows unequal di- lation of the eyes following a blow to the head, seek medical help right away. Look for both immediate and de- layed changes in behavior or ability. Children often “grow into” their injury as they access different parts of the brain at different ages. For example, when Luke grew into the need for executive brain functioning — such as planning, flexibility of thought, self-awareness, impulse control, organization, time man- agement, working memory, and self- control — he suddenly couldn’t com- plete higher-level assignments or read higher-level books. “Parents need to ask themselves, Why are previous As turning into Cs and Ds?” notes Galloway. “Don’t assume the child is just lazy or a ‘screw up,’ as Luke called himself. Think back: Did my daughter experience a hard bump on the head when she fell down the stairs? Could my son have had a blow to the head dur- ing baseball practice that we didn’t know about? Never rule out brain injury, even if professionals do. Keep trying. Keep searching for answers. Keep insisting.” Do your best to support each other. When someone in your family has TBI, it takes a steep toll on the whole family. Ten- sions arise, and relationships are strained as parents search for solutions and reach out for help. The most important thing is that the whole family sticks together and supports each other. Parents must stay united and avoid blaming one another or lashing out in frustration. Remind your- selves that you need to work together to help your child get the right diagnosis and treatment as soon as possible. Don’t blame yourself. TBI causes a host of alarming and upsetting symp- toms. Without a proper diagnosis, the blame may fall unduly on the parents. Galloway urges you to resist the inevi- table self-blame that can set in when oth- ers point in your direction over a period of time. Neither you nor your child is to blame for the unfortunate symptoms your child suffers. Don’t be afraid to get a second (or third) opinion. Do your best to work with your first-line medical team, holding a firm line that you need answers. But if you hit a brick wall and continue to feel dismissed, take your concerns elsewhere and explain why. Maintain an expecta- tion that you will be heard and present your concerns as clearly and concisely as possible. Keep a detailed notebook of your child’s difficulties and take it to ap- pointments. Know that not all doctors or educators have been trained fully in how to recognize TBI symptoms. Never give up. Whatever you do, don’t give up hope that someone will believe you. If you know something is continued on page 42 UBMD F aMily M eDicine Collaborative Care at a Convenient Location When looking for a health care provider, there are a lot of qualities to consid- er. At UBMD Family Medicine, our providers and staff work to ensure that your care needs are met in all the ways that matter to you. Comprehensive Care for All Ages. We’re with you through every life stage and milestone. Our practice cares for all ages – from new- borns to grandmothers. 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