His grumbling around with a headache sounds within-normal-limits to me for the day after a mild concussion, but I will say that often times being covered in bruises is SIGNIFICANTLY worse the next day. Plus, young men are the WORST patients. Unless they've done a contact sport for a while, they've never really been in pain, and are absolutely shocked and unable to cope with it. So unless he's a football or rugby player, he should notice the bruises feel worse! He might even be surprised and horrified at how much pain and how stiff he is upon waking the next morning.
Having a choppy memory or some amnesia of the event and immediate aftermath is perfect. Yes, a minor concussion is probably an hours-to-days phenomenon. When you get into repeated concussions you've lost me, that's a neurologist's or Physical Medicine & Rehab person's bailiwick.
In terms of correlation between severity/number of symptoms and length of concussion: I don't THINK so? TBIs in general are unfortunately a lot of "well, let's see what we end up with" and sometimes people do a ton better than we expect and sometimes a lot worse. We don't know how to predict outcomes very well!
Hmm, in terms of brain being more vulnerable: well, it is for sure after a real brain bleed or stroke to things like hypoxia, low blood pressure, etc, which is why a patient with a true TBI goes to the ICU for monitoring usually. Out of the acute phase for a concussion (days?) I don't know that we have much in terms of re-injury counseling, except for the fact that repeated concussions lead to CTE (the thing football players are rightly suing the NFL for these days). If he's covered in bruises, and dizzy, he probably won't WANT to do physical activities for days to weeks! Usually we say things like: listen to your body, don't push through pain, but be lightly active as you can tolerate.
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His grumbling around with a headache sounds within-normal-limits to me for the day after a mild concussion, but I will say that often times being covered in bruises is SIGNIFICANTLY worse the next day. Plus, young men are the WORST patients. Unless they've done a contact sport for a while, they've never really been in pain, and are absolutely shocked and unable to cope with it. So unless he's a football or rugby player, he should notice the bruises feel worse! He might even be surprised and horrified at how much pain and how stiff he is upon waking the next morning.
Having a choppy memory or some amnesia of the event and immediate aftermath is perfect. Yes, a minor concussion is probably an hours-to-days phenomenon. When you get into repeated concussions you've lost me, that's a neurologist's or Physical Medicine & Rehab person's bailiwick.
In terms of correlation between severity/number of symptoms and length of concussion: I don't THINK so? TBIs in general are unfortunately a lot of "well, let's see what we end up with" and sometimes people do a ton better than we expect and sometimes a lot worse. We don't know how to predict outcomes very well!
Hmm, in terms of brain being more vulnerable: well, it is for sure after a real brain bleed or stroke to things like hypoxia, low blood pressure, etc, which is why a patient with a true TBI goes to the ICU for monitoring usually. Out of the acute phase for a concussion (days?) I don't know that we have much in terms of re-injury counseling, except for the fact that repeated concussions lead to CTE (the thing football players are rightly suing the NFL for these days). If he's covered in bruises, and dizzy, he probably won't WANT to do physical activities for days to weeks! Usually we say things like: listen to your body, don't push through pain, but be lightly active as you can tolerate.
And wear a g-d helmet!