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On
January
6, 2000,
patient
sustained
head
injury
while on
duty as
highway
patrolman
when a
fleeing
felon
ran a
road
barrier |
Patient was thrown
300ft and received
multiple injuries
with head injury
being most severe.
Patient was in
recuperation and
rehabilitation until
October 2000 and was
released from
traditional
rehabilitation
therapy. Patient
has been highly
motivated to return
to work even though
he was told that he
would probably never
be able to return to
his normal
activities. Patient
started on
Cognitive Systems
System October 23,
2000 with short-term
memory, sequencing
problems, visual
field neglects and
visual deficits.
-
Workers’
Compensation (CompSource,
OK) initially
authorized a
3-month trial
using the
Cognitive Systems
System based
therapy.
-
In December 2000
patient was doing
rifle target
practice at
250-300 yards and
was overcoming
some of his visual
neglect. However,
he was too weak
and shaky to hold
his revolver.
-
Patient was
reacting to sound
and sight stimuli
very appropriately
and had enlarged
his peripheral
vision.
-
2 months later
patient reacted to
minor emergency
without becoming
agitated or
confused.
-
Patient’s energy
level has
increased to point
where he can be
involved with
various activities
without agitation
and spends 1-2
hour’s daily
working on the
cognitive
therapeutic
exercises.
-
Patient is
enjoying social
activities and
does not avoid
meeting new people
or situations that
he had avoided
after the
accident.
-
Patient looking
forward to
returning to work
full time. In
February 2001
patient was
approved for
limited duty,
limited to 4 hours
per day,
performing
assigned duties.
-
Workers’
Compensation
issued a
continuance of
Cognitive Systems
System based
therapy for 6 more
months with a
three month
extension at the
case manager’s
discretion, plus
Neuropsychological
evaluations
ordered by the
Neurosurgeon.
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As of August 2001,
the patient
continues to
improve and is
focusing on his
ability to
multi-task and
problem solve at
advanced levels.
-
In August 2001,
patient planned
and drove a 4,000
mile road trip to
New Jersey,
returning through
Philadelphia,
Chicago, St. Louis
and Oklahoma
City. Patient was
invigorated by the
trip and only made
one wrong turn in
Philadelphia at
night.
-
Patient continues
to progress but
wants to feel 100%
before returning
to work full-time
as a patrolman.
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