Posted tagged ‘headache’

Head Injury

November 3, 2012

Hello All.  It has been quite a while.  Lots of things developing lately…i will announce when ready.  Recently something happened, and how I reacted, reflects on how differently we osteopathic physicians assess and look at a situation.  Hopefully by sharing this episode, the broader public can assess their current health situation in context and compare between MDs and DOs.  Four days ago, I received a call from my chidren’s daycare.  You need to come.  Something happend to Kathleen.  What happened? You just need to come and pick her up.  Another kid ran into her on his bike.  Her head whacked the handle bar and she had this gigantic blue lump on her forehead the size of an egg…really it was quite a chickenegg.  The skin was scraped so thank goodness I did not have to sew her up.   My best friend, who is also a pediatrician with her kids in the same school prods me.   Did K hit the kid or did the kid hit K?  Her little one “saw the whole thing,” told her mommy that he did it and that K was the innocent bystander.  My best friend was really concerned and freaked out, more so than I.  The next day when i went in to drop her off, the staff was very nervous.  Her teacher who was present and watching the kids, felt so bad, she was crying and very apologetic.  I said to her, “Ahh, its okay. I’ve seen worse.  Accidents happen.” Really…I’ve seen worse…concussions, gigantic gaping cuts that lead to thick scars, etc…besides, the worst brain injuries happen when the force is transmitted deeper and absorbed by the skull or neurons; if her skin and scalp is bruised than, logically, it took most of the force and some minor residue is absorbed internally…better that than a “brain bruise,” i.e., concussion with brain swelling risks…  I let it pass.  I think everybody thought that I would flip out, threaten them and expect some head rolling.  Even my best friend was suprised at how lightly I was taking this.  She called me the next day and said that she was amazed at how Kathleen was healing.  Overnight, the lump and swelling practically went away.  It could have been the 2 doses of arnica that we gave her that night…but I suspect that she drained well simply because her head had been treated in the past.  Today, 4 days post injury, she is already starting to get the raccoon eyes when blood in the injured tissue starts to break down and ooze underneath the skin and bruising appears around the eyes (usually takes about a week).  My friend, who is an MD, whose two kids have great big giant melons, and traumatized ones at that, have really hard heads consequently, had never seen such quick resolution.  (I should have taken pictures…next time…told her to do the same for her kids and we will compare).  She was suprised that I was unfazed by this event.  She stated that if it was her kid she would be completely freaked out, paranoid and upset and try to get to the bottom of the cause of this accident.  I said accidents happen all the time…we see it…it will not be her only one…besides…she going to be smart-er for it…???????what?????how did you arrive at this conclusion???? you want her to have head trauma??? no…of course not…if it happens, if its minor, i’m not going to fuss over it.  Kathleen is already smart, primarily because of good genes and secondarily because she has an intact family with social support and involvement; everyone who comes in contact with her comments on how bright she is.  I proceed to explain that she took a blow to her forehead, frontal lobe, location of executive function.  The pressure and force of the trauma shocked her system, the brain and all those lovely neurons, 6 layers of gray matter (in humans, 3 in monkeys).  The pressure will force the neurons to cope and adapt and form new connections.   I plan on waiting for 2-3 weeks to let the pressure build up before i decompress her head…once new connections are made, releasing the pressure will not make them ‘unconnect,’ i.e., they will be permanent…it is not the size of the brain that counts, or necessarily the number of neurons, but the complexity and number of connections between the neurons that count…Some of you may be agast at how I plan on caring for her…allowing “pressure to build up”…mind you i can wait because she is subclinical, meaning it has not (yet) affected her sleep, behavior, personality…believe me, if she showed any signs, i would certainly throw my plans out the window and intervene sooner…Read my prior post on how Genius is Made and you will hopefully get a clearer understanding…Just today I treated a teenager who slipped and fell and severely whacked his head that he immediately and for hours afterwards got a headache, very likely a mild concussion…I treated him immediately because I did not want him to suffer.  The traumatic force alone was probably enough to cause connection formation, so that it would continue even if i decompressed him enough to eradicate the pain of the pressure.  I told his mom this, and she commented that this was the most unusual of perspectives that she has heard about head injury…she commented that he always seemed to be a bit brighter than his peers, but that she had attributed this to his being a 7 month preemie…i agreed with her, that the gravitational forces upon a premature infant head causes it to be heavy and dense, sometimes misshapen, but that they do end up smart, the only problem is that they also have focus, attention and impulse control issues…now on the other hand, what happens to fully mature and formed brains that undergo a traumatic injury…less plastic, less pliable tissue, less likely to form new connections, but with the same or even worse tendency to vascular congestion? is it reasonable to postulate that the protein build up in the brains of alzheimer’s patients is not so much the result of a genetic tendency to excess production and deposition but rather, poor clearance and drainage of normal protein production?  how about those ex-football players now who have early dementia, or Mohammed Ali’s neurologic issues, how can these diseases not be linked to trauma? or that during a critical developmental period in autistic children, when they are still neurologically plastic, from past traumatic injuries, instead of forming connections of those few neurons, the are developing “garbage collecting” white matter cells whose sole function is to try and dispose of those proteins because the drainage can range from mildly affected or severly compromised (hence the ‘spectrum’).  Osteopathy is very common sense medicine.  The nerds in their ivory towers would rather attribute genes and genetics to a biochemical process of deranged excessive metabolism and engineer (pharmaceutically, genetically) a product that will interfere or disrupt those processes.  Ahhh…how about we undo the trauma, let the tissue drain itself, clear and heal itself…i like this way better because it is profound and far more beautiful in its precision as to…causation…and the patient can be whole again and not have to be forever dependent on any medical system or drugs or machines.  i think that most patients suffering and lost in the vast CMS (conventional medical system) would consider this perspective refreshing and appreciate its beauty and simplicity.   ADDENDUM:  today is 11/3/2012, 5 days after her head injury…Kathleen has been difficult, whiny, clingy and just plain unpleasant this whole day.  As in a prior post, emotional lability is a sign of traumatic head injury.  I checked her head tonight and it is completely whacked out.  She slammed her head pretty hard and the force was still fully impressed in her forehead and the front part of her skull and brain.  I treated her and she said that she felt better.  Poor thing! ADDENDUM: Kathleen is now 8 years old and we just had her parent-teacher conference.  Her teacher says that she likes math! Who knew?? Well, I kinda did…Maybe she likes math because I show her my shortcuts…Next real post, I will update you on her lisp and that tongue…still driving me crazy.

Advertisements

So Very Close…

January 23, 2011

Hello my faithful readers, all three of you.  I wanted to share with you some exciting news.  I am so very close to figuring out migraines.  I am so close to a migraine cure.  It is hard to believe.. You know your doctor keeps talking about avoiding triggers and pills when it happens…well, guess what, those are all…secondary.  Today I made a stupendous breakthrough.  Lets start from the beginning several months ago…I was able to help several people get slowly better but I could not quite predict the timing, the response… I always say that any doctor worth his or her salt should be able to anticipate, explain, predict and give sustained lasting results.  And I did this today…2 patients…

J.  comes to me intermittently for back pain.  Today, he brings in eye pain, previously diagnosed as ocular migraine.  This is the first time in years that this problem has popped back up.  I asked some questions and summarized his issues for him. Your past migraines were worse when you were cycling.   They calmed down for a period of time after you started marathon running.  After you hurt your knee, you were unable to run and it started back up.  He remarked that my observations were impressive and spot on.  Then I told him that his eye migraine was coming from his L hip.  The L hip was his bad side because he had fallen on it frequently.  I offered to prove that it to him and did so quite easily.

The second migraine case today came in because she had neck pain and numbness in her shoulder and hands.  The neat thing was that she was referred to me by 2-3 degrees of separation.  As I was treating her, I said, “I’m suprised you don’t have migraines.”  She responded, “Oh, yes I do.”   Then it clicked.  Her migraines were connected to and mostly likely caused by her neck pain.

I got so excited about the possibility of offering migraine cure and a guarantee that I got a website to explain it all so far.  Read and please tell me if I am wrong at www.osteopathicheadacheclinic.com

Doctor, My Baby’s Soft Spot is Hard and Very Small!

December 2, 2010

I bet there are plenty of mommies and grandmamas out there who look, check, and look again.  The first baby or the first grandchild is beautiful, healthy, nurse well and is such a wonderful ‘good’ baby.  And people quietly notice the soft spot pulsating.  Is this directly related? Why, yes it is.  The compressed infant was able to expand and decompress immediately after birth and the ‘good’ baby is the ideal, healthy, calm and happy.

Then with the next child or next grandchild, this baby is different.  There were some manageable diffiiculties.  Labor was not ideal.  It was difficult.  Baby might have been a few days to a week overdue.  Mommy may have needed an epidural or pitocin (a medication given to “augment labor” and shove the baby’s head through the birth canal).  The baby had some latching difficulties.  You had a lactation counselor try to help you, but the baby just won’t take.  The baby doesn’t open wide enough to engult the whole areola and ends up gumming your breasts.  The nipples are raw, cracked and you scab, nurse, are gummed and re-bleed.  The baby may or may not be fussy (yet).

You say, “All this from the birth?”  Yes, absolutely.  You try cramming your head in a vice for 36hours.  You wouldn’t come out without a headache.  You wouldn’t be anywhere near normal.  Try wearing restrictive head gear tight for a few hours.  You would not survive a day or even two.  Does it seem possible that an arduous birth process, far from ideal could possibly lead to early latching and breastfeeding issues, and later colic, facial eczema, and funny looking malformed heads. Much later on after accumulating more head trauma can this lead to developmental delay, AUTISM, headaches, allergies, ADHD and behavioral issues? hmmmm… How do I know all this?  Because I treat all of theses problems with osteopathic manipulative treatments and parents notice a difference.  Read and see the prior posts.  Look at the website with the great before and after pictures and even the YouTube channel.  Do you know of any other pediatrician who can get these kinds of changes?

Geniuses Are Made

August 7, 2010

People are not born geniuses. Yep.  They may be born with the potential, but it has to be tapped. I have reached this conclusion after much thought.  The beautiful infant brain that, ideally, is floating in a weightless environment freely forming for 40wks unfettered is, for the first time, challenged; either in the last trimester, last month or through birth.  Geniuses are made.  The crucible through which they are formed is not even cylindrical (that would imply even a larger volume and more space); it is conical; it is called the birth canal.  Under tremendous stress and pressure, the infant brain is squeezed down well over 66% during this passage.  Isn’t this how a lump of rock becomes a potential diamond?  On the other hand, what else do we have?  We have a whole range of rocks, big lumps, small lumps, dull lumps, unpolished lumps with or without potential, with some polish, a great big sparkling gem; a whole range of human potential.  We have geniuses, autistics, autistic savants, and unfortunately, delayed children with a range of mental retardation and behavioral issues who grow up to be all types of adults completely well adapted to who and what they are, very functional to non-functional to dysfunctional in their daily lives on various planes.

It is a double edged sword, this crucible. 

The ones that bear this silently and quietly are the boys.  They hurt and they suffer…and no one around them and not even they know it.  Some boys are such pleasant little guys, you would not know otherwise.  When I see them, hear their birth history, their feeding history, I feel (this is called an examination) their heads and then know the horrors, the pressures that have changed their heads, their tissues. 

I see so many men and dads. There is a mental sharpness that peaks out behind a quiet, never whiny, never complaining, calmly excepting exterior.  When they put their cranium in my hands, I fee all the weight, all that heaviness.  It is real, the weight of this world.  These people do not sleep.  When they do sleep, they are not rested.  Their heads are heavy, and want to sink into a cool soft pillow.  It is hard to lift that head up in the morning.  For some reason, most men do not get headache.  They seem to tolerate these compression strains okay and live with the heaviness.  After years of  unknowingly suffering this way, they usually come to me for neck and shoulder pain.   

Guys, if this sounds like you, you seriously need head treatment.  I have been doing this work for over 10 years.  I know what I am talking about.  I can pretty much say with absolute confindence that the first visit will result in 5-10% relief.  www.doctorhoang.com