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David Dwork
Barron & Stadfeld, PC
100 Cambridge Street
Suite 1310
Boston, Massachusetts 02114
(617) 723-9800
dpd@barronstad.com |
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| 1. "What is brain injury? |
Brain injury is an insult to the brain that generally results from an external trauma such as a blow to the head, but may also occur without any physical contact to the head as in a sudden acceleration/deceleration injury caused by a car crash. Trauma or forces exerted on the brain cause damage which often might be at the microscopic level which as a result can impact speech, cognition, behavior, personality, emotions, and perceptions. |
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| 2. Does a person need to be "knocked out" to sustain a
brain injury? |
No. Often the person may sustain no loss of consciousness or coma or
only a fleeting alteration in consciousness. Nonetheless, there may be
injury to the brain, which can cause deficits in a person's
functioning. |
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| 3. Is brain injury a serious medical problem in
America? |
Absolutely. The statistics regarding head injury are staggering.
Approximately two million head injuries occur each year in the United
States and between 75,000 and 100,000 Americans die each year as a result
of traumatic brain injuries. For those who survive, 500,000 will require
hospitalization and 70,000 to 90,000 will suffer long-term, physical,
intellectual, psychological and cognitive deficits. However, the general
public is not generally aware of the gravity of the situation. This is why
head injury is often referred to as the "silent epidemic". |
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Emergency rooms are generally set up to deal with life threatening and
emergent physical injuries and not the more subtle cognitive deficits that
may result from a neurological insult to the brain. If there are not
"gross" signs of damage, such as hemorrhaging, swelling or contusion of
the brain, or signs of skull fracture or other serious trauma to the head,
a brain injury may be ignored or not diagnosed in the emergency room. In
addition, routine neurological examination is not necessarily capable of
picking up subtle, cognitive impairments that can result from a diffuse
axonal injury, which is injury to the brain cells themselves on a
microscopic level. Similarly, neuroradiological diagnostic tests are not
equipped to pick up microscopic damage that results from an
acceleration/deceleration injury to the brain. |
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| 6. How is a brain injury diagnosed? |
Clearly, if there is evidence of gross damage to the brain, such as
hemorrhaging, swelling or contusions, these physical findings will
generally be detected on a CT scan or MRI. Further, a neurological exam
may detect evidence of neurological insult. However, where the damage is
microscopic, such as in the case of diffuse axonal injury, the diagnosis
must be made as a result of the history obtained from the patient (for
example, a blow to the head or sudden acceleration/deceleration injury),
the symptoms reported by the patient (such as alteration of consciousness,
headaches, dizziness, confusion, impulsivity, personality changes or
cognitive difficulties) and the results of neuropsychological testing,
which is sensitive enough to detect impairments in cognitive, perceptual
and emotional functioning. |
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| 7. What does the phrase "mild" traumatic brain injury
refer to? |
This phrase in many respects is a misnomer. There is nothing "mild"
about a traumatic brain injury as even a brain injury which does not
result in any loss of consciousness can have serious impact on a person's
day-to-day functioning. However, generally, where the person sustains no
loss of consciousness or a very brief period of alteration of
consciousness, the brain injury is referred to as "mild." However, the
degree or presence of loss of consciousness does not necessarily have a
direct correlation with the sequeli resulting from the brain
injury. Certain individuals, either as a result of the nature of the
injury to the brain or genetic makeup or predisposing physical, cognitive
and emotional reasons, may sustain devastating impairments which interfere
with the person's ability to function from even a "minor" traumatic brain
injury. The degree of brain injury refers only to the acute phase and the
length and presence of any loss of consciousness, and not to the long-term
impact that the injury may have on the person's ability to function. |
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| 9. What other symptoms are associated with traumatic
brain injury? |
Individuals who have suffered a brain injury may experience symptoms
and impairments in a number of areas including cognition, memory, problems
with arousal, impaired judgment, disorientation, language and learning
deficits, fatigue, hearing and vision impairments, emotional lability,
anxiety and depression, disinhibition, and other physical, behavioral,
personality and emotional changes. |
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| 11. Is it important which attorney I hire? |
Yes. While all attorneys must pass certain minimum standards to
practice law and be licensed by the state, there are vast differences
between attorneys in terms of their areas of practice, level of experience
and the types of cases they handle. Brain injury cases are unique and one
should consider finding a lawyer who is knowledgeable, experienced and
concentrates his practice in handling traumatic brain injury cases, in the
same way that one would want to find a doctor experienced in these
injuries before seeking treatment. |
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| 12. Is it appropriate to ask a lawyer his or her
experience in handling cases of this nature? |
Absolutely. The old saying "an educated consumer is the best consumer"
is absolutely true. You are the consumer and have every right to know the
degree of your lawyer's experience in handling cases such as yours. It is
perfectly appropriate to ask to see information regarding the lawyer's
professional background, the number of cases that the lawyer has handled
dealing with head injuries, the lawyer's experience in trying such cases
and other matters concerning the lawyer's professional background and
experience. |
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| 13. Will I have to pay a fee to talk to a
lawyer? |
No. Lawyers at Barron & Stadfeld, P.C.'s Traumatic Brain Injury
Litigation Group, like most lawyers who handle such cases, consult with a
perspective client for no charge. If it is determined that there is a case
that can be pursued on the individual's behalf, then the lawyer and the
client will enter into a contingent fee agreement which will provide that
the attorney will only get paid if you recover (the "contingency") and
then the method of payment is that the attorney gets a percentage of what
you recover. If you lose, the attorney does not get paid for his or her
time. This agreement will be in writing and will spell out any other terms
of the engagement. |
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| 14. In addition to attorney's fees, may there be other
expenses involved in pursuing a claim? |
Yes. To successfully pursue a claim involving traumatic brain injury,
the lawyer will generally have to involve a number of experts who charge
for their time. Accordingly, neuropsychologists, neurologists, accident
reconstructionists, economist, vocational rehabilitation counselors,
life-care planners and other professionals may be retained in the pursuit
of your case. The cost of these professionals will generally be advanced
by the law firm. The law firm will then be reimbursed for these expenses
from any recovery obtained on your case. However, you should discuss these
costs and other expenses with the attorney because generally these
expenses will remain the client's responsibility. |
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| 15. Should the lawyer be knowledgeable about and
prepared to help you in other aspects of your legal needs? |
Yes. Although the lawyer may be primarily retained to pursue a claim on
your behalf, for example, arising out of a car accident, the lawyer should
be knowledgeable about other private and public benefits to which you
might be entitled including social security disability, Medicare, private
disability insurance, health insurance and other programs. Lawyers at
Barron & Stadfeld, P.C.'s Traumatic Brain Injury Litigation Group are
knowledgeable in these areas and are prepared to assist you in pursuing
your right to any other benefits to which you might be entitled. |
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| 17. Can I talk and meet with you regarding my case
without obligation? |
Yes. Until you are satisfied that attorneys at Barron & Stadfeld,
P.C.'s Traumatic Brain Injury Litigation Group can assist you and you have
decided to retain them to pursue your case and a written fee agreement is
entered into, you are under no obligation. It is always the client's
choice who to retain and keep as their attorney and there is no charge or
obligation to talk with us. We are pleased to talk with you and to answer
any questions. You are under no obligation whatsoever. It is the client
who controls when and whom they hire to represent them. |
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