Dr. Mark D'Esposito

You're going to get better.

As opposed to saying...

yeah you really had a brain injury um this is what happened we need to rehabilitate you just like we would do if you tore your anterior cruciate ligament i don't know why tearing your crucial ligament or your achilles tendon gets more interest than than tearing axons in in your brain it's it's it's amazing to me that that there's more emphasis on orthopedic injuries than brain injuries

Not only that, but one of the most common symptoms that my patients with concussion have is their sleep is disruptive.

And that's true in neurology.

It's fascinating.

Almost every neurological disorder, my patients complain of their sleep.

And I started asking, you know, not a lot of neurologists ask you how you sleep, you know, but I remember back from my residency, one of the first things my attending would do when we got to the ward is, I said, how'd you sleep last night?

And it's just across the board.

Patients are not falling asleep, they're not staying asleep, and we still don't understand why just brain injury does that.

So almost every concussion patient says, I'm not sleeping well, which then compounds the problem.

So optimizing sleep, obviously optimizing nutrition.

There's a question about activity.

It used to be that we used to recommend, you know, you had a concussion, you should don't go to work, you know, sleep, you know, just take it easy for a while.

Don't exercise.

Keep the blinds drawn.

But now it's the idea that you should really get up and moving.

You got to do what you can tolerate.

You don't want to give yourself more of a headache or more light sensitivity.

But as much as you can tolerate is...