Videos

A Follow-Up Interview with Dr. Seth Fischer

Seth Fischer, MD

Seth Fischer, MD, is a graduate of the University of California/Davis School of Medicine. He suffered a concussion while riding his bicycle near the UC Davis Sacramento campus in 2015. Since his graduation in 2018, Dr. Fischer is pursuing post-graduate studies and training in pediatric anesthesiology. He “matched” for an internship at Highland Hospital and residency at the University of California/San Diego. Dr. Fischer was the senior medical student chosen to give an address at the School’s graduation ceremony in May 2018. In this second interview, he discusses the residual symptoms that he continues to experience, and the failure of the medical profession to fully address chronic conditions. He also provides insights into the difficulties he has had with insurance and legal issues following his injury.

A Cyclist with the Post-Concussion Syndrome

Seth Fischer, BS

Seth Fischer is a fourth-year medical student at the University of California/Davis School of Medicine. He completed undergraduate studies at the University of Colorado, with a major in economics, and post-baccalaureate pre-medical studies at Mills College. Seth suffered a concussion while riding his bicycle near the UC Davis campus in Sacramento, California in 2015. He recounts the difficulties he had because of the post-concussion syndrome, and what he learned that might be helpful to others after a concussion. Seth worked as an anesthesiology technician prior to medical school, and he plans a career in pediatric anesthesiology.

Workers with Concussions

Maureen Miner

Dr. Maureen Miner is the Medical Director of an outpatient catastrophic rehabilitation and pain clinic, South County Pain and Rehab, Inc. in Gilroy California. She treats this unique patient population acutely and over the long term, working closely with catastrophic case managers. A double graduate of Stanford University and the postgraduate Stanford School of Medicine, she started her practice in rehabilitation medicine in 1993. In the past, Dr. Miner served as a staff member at Stanford Hospital, and as Director for the Chronic Pain Management Program, Co-Director of the Spinal Cord Unit, and Associate Chief of Physical Medicine and Rehabilitation at Santa Clara Valley Medical Center. Dr. Miner is a maintenance-certified Diplomate of the American Board of Physical Medicine and Rehabilitation and is also Subspecialty Board Certified in Spinal Cord Medicine and in Pain Medicine through the American Board of PM&R. She is a Diplomate of the American Board of Pain Medicine, and a Qualified Medical Examiner for the state of California. Since 2009, she has served as a Catastrophic Medical Director for Paradigm Outcomes, an organization that manages complex spinal cord injury, acquired brain injury and multiple trauma cases across the country. Since 2007, Dr. Miner has served as the Medical Director for Learning Services Post-Acute Neuro-Rehab Facility, and since 2000 as Rehabilitation Medical Director for the Care Meridian Sub-Acute Rehabilitation Facility in Gilroy, California. Dr. Miner has been active as an expert medical-legal witness for catastrophic cases, providing expertise in life care planning as well as knowledge of the California Workers Compensation System. Dr. Miner has been an active board member of the California Brain Injury Association, the American Spinal Injury Association, and the California Society of Industrial Medicine and Surgery

Discussion with Dr. Ernie Bryant

Dr. Ernie Bryant

Ernie Bryant is a board certified clinical neuropsychologist who has been in practice for 34 years. On completion of his post-doctoral fellowship in clinical neuropsychology in 1983, Dr. Bryant worked in the Department of Psychiatry at Kaiser Hospital in Martinez, California, evaluating and treating patients with brain injuries, chronic medical diseases, and psychiatric disorders. In 1989, Dr. Bryant assumed the role of the Director of Neuropsychology Services at the Kaiser Foundation Rehabilitation Center in Vallejo, California, and assisted in the development of a dedicated inpatient acute brain injury rehabilitation unit. He also served on the Northern California Kaiser Foundation Rehabilitation Advisory Board, developing local and regional treatment programs for post-acute brain injury patients. In 1998 Dr. Bryant assumed the role of Director of Clinical Services for Paradigm Outcomes, a position he continues to hold. As Director of Clinical Services, Dr. Bryant has an administrative role, overseeing and working with Case Management Teams across the United States who are focused on optimizing the functional recovery of catastrophically injured workers (brain injuries, spinal cord injuries, severe body trauma, complex amputations, and severe burns.) During his years at Paradigm, Dr. Bryant has also served as the Director of Research with a focus on assessing the efficacy of Paradigm’s Systematic Care Management model. Dr. Bryant has also maintained a private practice in forensic neuropsychology for 34 years and has published articles and presented numerous papers at local and national conferences on topics related to neuropsychology, brain injury rehabilitation, and management of catastrophic injuries.

Modeling Brain Injury Care in the VA System

Anthony Chen, MD

Dr. Anthony Chen is on faculty with Veterans Affairs Northern California Health Care System (VANCHCS) and the University of California, San Francisco (UCSF). Dr. Chen has dedicated the past decade to serving veterans and others with brain injury through direct clinical care, innovations in care programs, and neuroscience-driven advancements in treatment. He has worked to develop a ‘continuum of care’ to support veterans in their journey from injury to wellness, integrating clinical and research efforts in the Program in Rehabilitation Neuroscience (a collaboration between VA and UC), the Center for Integrated Brain Health and Wellness (a facility at VANCHCS that supports veterans in achieving health and well-being), and the Successful Transitions and Re-integration Program (an outpatient program at VANCHCS that provides intensive, interdisciplinary support and community-integrated housing to veterans with traumatic brain injury [TBI]). Dr. Chen completed bachelor’s and master’s programs in neuroscience at Harvard University and received a medical degree from Harvard-Massachusetts Institute for Technology. He completed an internship at Beth Israel-Deaconess, a neurology residency at UCSF, fellowship training in cognitive neuroscience, patient-oriented research, and cognitive/rehabilitation neurology at UCSF/UC Berkeley, and conducted advanced work through VA awards.

Causes of Brain Injury in Military and Veterans

Hetal Lakhani, MD, and Richard Reyes

Dr. Hetal Lakhani is a board-certified physiatrist. She completed her internship at Graduate Hospital in Philadelphia, PA and a physical medicine and rehabilitation residency at Upstate Medical University in Syracuse, NY. Dr. Lakhani served as chief resident in her last year of residency. After residency, she completed a brain injury fellowship at Kaiser Permanente Northern California. Dr. Lakhani has worked in both the acute and subacute rehabilitation settings. She has provided education to many professional and public audiences through the Veterans Administration and at the Grand Rounds Program at Kaiser Foundation Rehabilitation Hospital. She is currently the medical director of the Polytrauma/TBI Program at the VA Northern California Health Care System. Mr. Richard Reyes served in the US Army from 1977-2015. Thirty years of his service time were active duty and 8 years were with the Army Reserves. He worked in various positions during those years, including in the fields of communications, medical services, and transportation. His last assignment was working as a logistician. He has been mobilized over fifteen times overseas in his career and deployed three times.

Parents and Sports-Related Concussions

Michelle Camicia, MSN

Michelle Camicia is the mother of two children, ages 13 and 15. She enjoys her children’s sporting activities that have included football, snowboarding, soccer and others throughout their childhoods. Michelle is also a nationally recognized rehabilitation nurse leader who has been the Director of Operations for Kaiser Foundation Rehabilitation Center in Vallejo, California since 2003. The Center serves Kaiser Permanente members throughout Northern California who have experienced a major disabling injury or other events or medical conditions requiring intensive inpatient rehabilitation. Michelle’s life has been devoted to improving the care and access to care for people with major disabling neurologic conditions. She is a candidate for a PhD in Nursing and Healthcare Leadership from the Betty Irene Moore School of Nursing at the University of California, Davis, and she enjoys influencing healthcare policy through participation in national committees and task forces.

Comprehensive Care of Concussions

Richard Delmonico, PhD

Richard L. Delmonico has been working in rehabilitation and neuropsychology for more than three decades. He is Chief of Neuropsychology at the Kaiser Foundation Rehabilitation Center, a position he has held since 1998. He is also Regional Lead for Neuropsychology Services for Kaiser Permanente Northern California, and Associate Clinical Professor of Physical Medicine and Rehabilitation at the University of California Davis School of Medicine. Dr. Delmonico previously worked as a neuropsychologist with the Traumatic Brain Injury Model Systems Program at Santa Clara Valley Medical Center. Dr. Delmonico is a member of the Board of Directors of the Brain Injury Network of the Bay Area and the Board of Directors of the San Francisco Neurological Society. He previously served on the Board of Directors of the Brain Injury Association of California, and is a past president of the Northern California Neuropsychology Forum. His research, publications, and professional presentations have focused on substance abuse, sexuality, and the emotional and behavioral consequences for persons with traumatic brain injury, stroke, and dementia, as well as the service needs of these populations.

Concussions in College Athletes

Melita Moore, MD

Dr. Melita Moore is Head Team Physician for the University of California Davis Intercollegiate Athletics Department. In this role, Dr. Moore is responsible for more than 650 student athletes who participate in 23 sports on the University of California Davis campus. Her department also includes a large group of athletic trainers. Dr. Moore is an Associate Professor in the Department of Physical Medicine and Rehabilitation at UC Davis. She is also a consultant to the National Basketball Association’s Sacramento Kings, and assistant team physician for Sacramento State University. Dr. Moore also serves on the board of directors and curriculum committee of Mind Game, a concussion care consortium for the Sacramento Valley. Dr. Moore has the distinction of being board-certified in three medical specialties – – physical medicine and rehabilitation, sports medicine, and brain injury medicine. She received her doctor of medicine degree from The Ohio State University and completed post-graduate PM&R training at Sinai Hospital in Baltimore followed by a fellowship in sports medicine at UC Davis.

Managing Concussion-Related Pain

Steven Moskowitz, MD

Dr. Steven Moskowitz is a specialist in physical medicine and rehabilitation with clinical expertise in complex musculoskeletal and neurologic rehabilitation including spinal cord injury, multiple sclerosis and chronic pain. He provides overall medical supervision for Paradigm’s pain program. After beginning his clinical practice in 1989, he worked at the Lahey Clinic in Burlington, MA for 16 years and currently practices at Mount Auburn Hospital in Cambridge, MA and the Life Care Center of Nashoba Valley, MA. He led efforts in a variety of case management models including catastrophic case management, highrisk acute care case management and workers’ compensation. His experience in healthcare administration and management began with his role as associate chief medical officer of the former Advantage Health Corporation where he led the development of unique programs for the management of pain disorders including a primary-care based, multi-site disease management program for low back pain and the development of a network of outpatient rehabilitation facilities and comprehensive rehabilitation programs. In addition, he developed a utilization management model for a Massachusetts managed care company and developed outpatient utilization review guidelines for a capitated physical therapy network in Connecticut. A consultant for medical staff peer review redesign for The Greeley Company from 2003 to 2006, Dr. Moskowitz has served on a number of committees, including the Greater Boston Chapter of the National Spinal Cord Injury Association, the Spinal Cord Injury Standards Committee of the Commission on Accreditation of Rehabilitation Facilities, and the Medical Advisory Committee of the New England Chapter of the National Multiple Sclerosis Society. He is a member of the American Academy of Pain Medicine, the American Academy of Physical Medicine and Rehabilitation, and the American Pain Society. He also has experience as a workers’ compensation utilization review physician. Dr. Moskowitz has worked with Paradigm Management Services since 1997 as a Paradigm Medical Director for catastrophic and chronic pain case management, and now serves as Senior Medical Director for Paradigm’s chronic pain program.

The Post-Concussion Syndrome

Mel Glenn, MD

Mel Glenn, MD, has been a leader in physical medicine and rehabilitation and brain injury medicine for many decades. He has trained many physicians at all three Boston medical schools during his medical career. Dr. Glenn joined the medical staff of the Department of Physical Medicine and Rehabilitation at Spaulding Rehabilitation Hospital in 1998, and is an Associate Professor of Physical Medicine and Rehabilitation at Harvard. He is the former Project Director of the Spaulding/Partners Traumatic Brain Injury Model System. He has been the Medical Director of Brain Injury Services in Massachusetts for NeuroRestorative, which operates post-acute residential programs for people with brain injuries, since 1991, and the Medical Director of Community Rehab Care, a community-based outpatient rehabilitation and support services program for adults and children with disabilities since 1996. Prior to 1998, Dr. Glenn served as Professor and Chairman of the Department of Rehabilitation Medicine at Boston University School of Medicine. Early in his career, while on the faculty of Tufts University School of Medicine, Dr. Glenn was the Director of the Brain Injury Program at Greenery Rehabilitation Center. Dr. Glenn has published more than 50 peer-reviewed journal articles and book chapters, and delivered hundreds of presentations on topics related to brain injury medicine. Dr. Glenn was editor of the “Update on Pharmacology” column of Journal of Head Trauma Rehabilitation from its inception in 1985 until 2013, and is now Editor Emeritus.

Concussions in Young Children

Maya Evans, MD

Maya Evans, M.D., is a physical medicine and rehabilitation physician at Shriners Hospitals for Children/ Northern California in Sacramento, California, and an assistant clinical professor in the University of California/Davis Department of Physical Medicine and Rehabilitation. Her clinical interests include the care and treatment of children with brain Injury, cerebral palsy, and spina bifida. She is also a specialist in adaptive sports and recreation. She previously served as medical director of pediatric physical medicine and rehabilitation at Children’s Hospital of Wisconsin. Dr. Evans is board certified by the American Board of Physical Medicine and Rehabilitation in brain injury medicine, pediatric rehabilitation medicine, and physical medicine and rehabilitation. Dr. Evans received her medical degree from Rutgers – New Jersey Medical School (NJMS). She completed a residency in physical medicine and rehabilitation at Rutgers-NJMS/Kessler Institute for Rehabilitation, West Orange, N.J., and a fellowship in pediatric rehabilitation medicine at Rutgers-NJMS/Children’s Specialized Hospital in Mountainside, N.J.

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Thanks to these colleagues for the website photo opportunities:

Kam Gardner, MS, CCC-SLP, Speech-Language Pathologist
Raymond Samatovicz, MD, Physiatrist, Brain Injury Medicine Specialist
Kaiser Foundation Rehabilitation Center, Vallejo, California

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