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A Run to Remember Neurogenesis Hope for Regeneration

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					           BRITISH COLUMBIA’S VOICE FOR THE BRAIN INJURY COMMUNITY   Summer 2011




  A Run to
 Remember
 David	McGuire	is	
raising	awareness
  across	Canada
   Story	Page	6




Neurogenesis:
  Hope for
Regeneration?
    Page	10
 Major ICBC Injury Claim Lawyers Who Care
      DEALING	EXCLUSIVELY	WITH	MOTOR	VEHICLE	CLAIMS	FOR	CLOSE	TO	40	
                “The hiring of your firm following our tragic MVA will be a time for
                                             YEARS
                       gratefulness & appreciation never to be forgotten”
             Katherine V. (mother of a child who suffered a severe brain injury)




              BERNIE SIMPSON C.M.                           E. ANTHONY THOMAS
             	     Member	Order	of	Canada			                Dealing	extensively	with	Motor	Vehicle
             R
             	 ecipient	of	the	Queen’s	Jubilee	Medal	         Accident	Cases	for	over	15	years	
             	



        Choosing a lawyer to represent you may be the
          single most important decision of your life!
             We can help you get your life back on track.

  Our	firm	handles	motor	vehicle	
  injury	claims	exclusively.
  • Free consultation
  • Low legal fees by percentage
  • Reduced legal fees on major cases                           Head Office
  • Home and hospital visits                                    Suite 1512 - 808 Nelson St.
  • We handle all expenses                                      Vancouver, B.C. V6Z 2H2
  • Service in all languages including                          604-689-8888 (24 Hours)
                                                                Fax 604-684-1881
    support staff who speaks Punjabi,
    Hindi, Cantonese, Mandarin,                                 Surrey/Delta Office
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                                                                7253 - 120th St.,
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 BRAIN	DAMAGE	•	QUADRIPLEGIA	&	PARAPLEGIA	•	WRONGFUL	DEATH	•	HEAD	INJURY	•	SPINAL	CORD	•	WHIPLASH
headline 2
                                   Message from the Editor
                                                Janelle Breese Biagioni

                                                 Greetings!
We may be off to a slow start in terms of the good            viding you with up-to-date information on his travels.
weather, but nothing has slowed down the work of the          Check out his story and the website
Brain Injury Associations province-wide who are pre-          www.runtoremember.com.
paring for Brain Injury Awareness month in June. Take         This issue also features thoughts about the hot topic
time to support your local programs by volunteering,          of Concussion in Sports. While the world of profes-
making a donation, or stopping in for a coffee to show        sional athletes has been instrumental in keeping this
your appreciation for the hard work done in your area         issue current and bringing about some needed chan-
– no gesture is too small!                                    ges, there is a real concern about how to translate the
In this issue, we are pleased to bring you the story of       same message into recreational sports and day-to-
David McGuire. David, a brain injury survivor, is cur-        day activities. We welcome your thoughts on this topic
rently running across Canada to raise awareness and           and invite you to e-mail comments to headlinenews@
funds for brain injury. David’s story is inspirational. His   shaw.ca.
efforts will make a difference in the brain injury com-       Headline includes information on the Pacific Coast
munity and we are proud to show our support by pro-           Brain Injury Conference and the education and infor-
                                                              mation-based website www.brainstreams.ca in this
                                                              issue as well.
                  Sudoku
       The rules of Sudoku are simple. Place a digit
                                                              In closing, as you turn your face toward the sun (I
                                                              promise, there will be some!)…have fun and stay safe!
    from 1 to 9 in each empty cell so every row, every
  column, and every 3 x 3 box contains the digits 1 to 9.
                                                                               Headline is also available in PDF format.
       9                    1          8                                       If you would like a copy sent
                                                                               to your email address contact
                  6                    7    3                                  Mary Lou by email at: mlr@telus.net
                                                                               Please add Headline to the subject line
       7               3                         9
            6          9          1         5
            7                               2                                 R aincoa st 
            9          4          2         6
                                                                          Community Rehabilitation
       4                          5              1
                                                                   Services where you live, work and play
            5     9                    2
                                                                 2392 Kingsway                           tel: 604.444.3770
                  7         8                    5               Vancouver, BC
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                                                                                                        fax: 604.444.3729
                                                                                                toll free: 1.800.535.9988
                                                                 info@raincoastrehab.ca          www.raincoastrehab.ca
                   Solution on page 22

                                                                                                               headline 3
                                                            Government Resources
             headline                                       Regional Health Authority’s ABI Coordinators:
                 is published quarterly by                  Fraser Health - Aquired Brain injury Program-604-520-4175
                       Mike Rossiter                        Interior Health Authority-250-870-4664,
                    5851 Kittiwake Drive                    Contact Name: Deborah Preston
                 Richmond, BC V7E 3P1                       Acquired Brain Injury Program, Northern Health
                                                            Call 250-565-7393
                              •                             Vancouver Coastal Health Authority-604-714-4159
                                                            Vancouver Island Health Authority- 250- 370-8699,
                          Editor
                                                            Contact Name: Judith Armstrong
                Janelle Breese Biagioni
                     2031 Gourman Pl
                                                            Enquiry BC-to locate Provincial Government Departments
                 Victoria, BC V9B 6A9                       • Lower Mainland 604-660-2421
              Email: headlinenews@shaw.ca                   • Outside Lower Mainland 1-800-663-7867
                                                            • Victoria 250-387-6121
                              •                             Ministry of Advanced Education, Training and Technology:
                                                            Open Learning Information:
          HEADLINE welcomes letters and relevant            • In and Outside Lower Mainland 1-800-663-1633
      articles for publication, and reserves the right to   Student Loan Information:
  edit any accepted submissions for clarity and length. A
                                                            • Lower Mainland 604-660-2610
  signature, address, and telephone number are required.
           Please contact Janelle Breese Biagioni           • Outside Lower Mainland 1-800-561-1818- select 1 then 5
                      for copy deadlines.                   Public Guardian & Trustee of British Columbia:
                                                            • 700-808 West Hastings St. Vancouver, BC V6B 3L3
                              •                             Victim’s Info Line:
                                                            • 1-800-563-0808
       Mike Rossiter and HEADLINE editors take no           Adult and Youth Addiction Services:
      responsibility for, nor do they necessarily agree     • Lower Mainland 604-660-9382
       with, the opinions contained in articles, letters
                                                            • Outside Lower Mainland 1-800-663-1441
                        or advertising.
               Contact Janelle Breese Biagioni
               at 250-592-4460 for information.             Community Resources
                                                            BC Coalition of People with Disabilities
                                                            Advocacy Access Program for assistance with provincial and
                                                            federal disability benefits
                                                            Lower Mainland 604-872-1278
                                                            Outside Lower Mainland 1-888-663-1278

                      40981507                              Bus Pass for Persons with Disabilities and Seniors
                                                            Lower Mainland 604-682-0391
                                                            Outside Lower Mainland 1-888-661-1566
                                                            Tim Readman, Executive Director
                                                            Stroke Recovery Association of BC
                                                            Phone: 604-688-3603 Toll Free: 1-888-313-3377
                                                            www.strokerecoverybc.ca
                                                            Cerebral Palsy Association of BC
                                                            Lower Mainland Voice and TTY 604-515-9455
                                                            Outside Lower Mainland 1-800-663-0004
                                                            Community Brain Injury Program for Children & Youth in BC
                                                            Toll Free 1-877-451-5511
     CHANGE OF ADDRESS?                                     www.cbip.bc.ca
            We would like to keep our                       Epilepsy BC
              mailing list up-to-date!                      Lower Mainland 604-875 6704
       If you have moved or would like to                   Outside Lower Mainland 1-866-374-5377
           be on the mailing list, please                   Victoria 250-475-6677
       contact Mary Lou at: 604-274-1251                    Information Services Vancouver
         or email her at: mlr@telus.net                     604-875-6381
      (Please put HEADLINE in subject line of email)

headline 4
         AWARD HONOURS UVIC PSYCHOLOGY PIONEER
                   CATHERINE MATEER
Acclaimed clinical neuro-                                                                                     to bridge science with the
psychology professor and                                                                                      application to real people in
University of Victoria admin-                                                                                 real situations.
istrator Dr. Catherine Mateer
                                                                                                Mateer is a professor in
is the inaugural recipient of
                                                                                                UVic’s Department of
a new award from the BC
                                                                                                Psychology, a previous
Psychological Association,
                                                                                                director of Clinical Train-
created in her name – the
                                                                                                ing and former depart-
Catherine Mateer Scientist-
                                                                                                ment chair, and is cur-
Practitioner Award.
                                                                                                rently UVic’s associate
Mateer is widely known for                                                                      vice-president for academ-
her groundbreaking work                                                                         ic planning. She has auth-
in the area of cognitive                                                                        ored three books and over
rehabilitation for survivors                                                                    100 peer-reviewed articles
of head trauma. She has                                                                         and book chapters. Most of
helped people who have                                                                          them address the manage-
suffered problems with                                                                          ment of acquired impair-
memory, attention and self-                                                                     ments in memory, atten-
regulation following car accidents, falls and blows                   tion, executive functions, emotional adjustment and
to the head. Her work in neuroscience has demon-                      behavioural self-regulation. Mateer is also known for
strated the tremendous neuroplasticity of the brain                   her kind heart, generous nature and willingness to
that can help people compensate for problems,                         “go the extra mile” for students, clients, colleagues
leading to better recoveries and more independ-                       and staff.
ence.
“In my work with people who are experiencing cog-
nitive impairments as a result of brain injury, I have
always tried to use scientific theory and methods                       You’re in Good Hands.
to develop new interventions and to evaluate their                      Our goal is to assist our clients by obtaining
effectiveness,” says Mateer. “The work has been                         funding for all of their immediate needs
rewarding in and of itself, but to be recognized by                     in order to maximize their potential for
                                                                        recovery, while we proceed toward
a science-practitioner award named for me is an
                                                                        obtaining settlement or judgment that
incredible honour.”                                                     allows a sustainable and encouraging

The BC Psychological Association created the                            new future.

award to recognize individuals who have made sig-
nificant and distinguished advancements in the field
of psychology using a scientist-practitioner model



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                   children	and	adults	throughout	the	Lower	
                   Mainland	&	Fraser	Valley	since	1987                      Personal Injury & Insurance Law
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                   T: 604.875.9100
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                   E: cslsi@telus.net                                   #1-505 Fisgard Street                                          Barri Marlatt or
 Treatment aimed at community reintegration                             Victoria, BC V8W 1R3                                        Lorenzo Oss-Cech


                                                                                                    JOB #H103-9643            headline                    5
                                                                                         CLIENT: HUTCHISON, OSS-CECH, MARLATT
                                                                                              INSERTION DATE : SPRING 2009
                                                                                               PUBLICATION: HEADLINE MAG
                             A Run to Remember      ~Melissa Wild



Just a little run...across                                                               re-learn to do the things
Canada! David McGuire                                                                    we all take for granted:
is running a marathon a                                                                  walking, talking, dress-
day across our country                                                                   ing ourselves, eating.
to raise awareness and                                                                   His life had been saved
funds for brain injury,                                                                  but now he had to learn
something that has af-                                                                   to ‘live’ again.
fected him, his family
                                                                                         He spent over a year
and his friends very
                                                                                         seeing every discipline
personally and dramat-
                                                                                         of rehabilitation profes-
ically.
                                                                                         sional available to him.
In 2005, David suf-                                                                      The good news is that
fered a traumatic brain                                                                  David is ‘one of the
injury - the last thing                                                                  lucky ones’ as he likes
he remembers is the TV exploding (not literally) -         to say. He did learn to walk and talk again and he
his brain was bleeding, his life was at risk. David’s      can do a lot of things many people with brain injury
girlfriend, Mandy found him in a pool of blood in          can’t, but life is not easy even for the ‘lucky ones’.
his apartment and immediately called emergency
                                                           David has a large scar on the left side of his head,
services. He was rushed to the hospital where his
                                                           which is the only physical sign of his injury, but on
family was given a choice: consent to an operation
                                                           a daily basis he struggles with short-term memory
that would remove a portion of his scull to allow
                                                           loss and aphasia. He is often treated poorly be-
his brain to swell without further damage, or don’t
                                                           cause his disability can’t be seen - it’s invisible - like
consent and take a moment to say your good-byes.
                                                           so many brain injuries. David explains some of the
Needless to say, they gave their consent and then
                                                           frustrations of living with his injury...
anxiously waited at the hospital. After the surgery
there were many unknowns; his family was told he           People look at me and don’t see anything ‘wrong’
may not wake up and if he does he will likely not          with me because you can’t see my brain injury.
walk or talk again.                                        I have to shave my head and show my scar for
                                                           people to accept that I am disabled, but then I get
David did wake up after being unconscious for
                                                           talked down to...it’s a catch 22.
seven days. He was confused; he had tubes in his
arms, mouth, and places tubes shouldn’t be. He             Life is frustrating when I can’t get simple words
didn’t know why he was there or why the nurse              out; I struggle with the most common things. It’s
wouldn’t let him scratch his head. A part of his skull     not funny that I can’t get the word “milk” out at the
was still in liquid nitrogen and his brain was still ex-   local store. People don’t know how to react so I get
posed and swollen beyond the limits of his remain-         smirked at, it happens all the time. I know it’s not
ing scull - he was trying to scratch his brain es-         their fault, they just don’t understand. Where is the
sentially - this was not recommended according to          training? No one teaches the people around me
the doctor. David didn’t have any memory of what           how to deal with that. No one teaches me how to
happened to him, he didn’t have much memory at             deal with it either.
that point at all.                                         I feel judged. People look at me like “Why are you
Twenty-nine days later, after having his skull put         not working? What’s wrong with you?” I have to
back and his head stitched up, David was dis-              re-live and explain one of the most horrific moments
charged to the care of his family and a myriad of          of my life to people around me every day just to be
health professionals who focused on helping him            ‘accepted’.


headline 6
It takes everything I have to remember to put on          It was David’s new found independence through
shoes, plan a run, take my water, set my training         running and the frustration of seeing local brain
watch, and find my way back home. Every time I             injury associations close due to lack of funding that
go out I am on my own. I have no mental map that          inspired him to do A Run to Remember: a mara-
guides me. I have no memory of where I am or              thon a day from St. John’s, NL to Victoria, BC. He
mental link to where I am going. It is a scary thing,     is breaking the silence that plagues brain injury and
a huge thing...just going for a normal run outside        bringing a voice to this cause so the next ‘David
on my own. I depend on technology and my family           McGuire’ won’t have to fall through the cracks and
to get me to my destination, to get me home, and          struggle the way he did.
keep me safe.
                                                          David has partnered with BrainTrust Canada, a
...and yet he is considered one of the lucky ones.        progressive non-governmental organization whose
Overnight David went from being an employee at a          mandate is to aid in the prevention of brain injury;
national bank to being told to just sit at home and       and to improve the quality of life for persons with
collect his disability cheque. He was not about to        brain injury. The association works with organizations
just sit and do nothing. But how does someone who         such as the National Ski Patrol System (CSPS) on
can’t remember how to get home or what he had             national concussion management, and coordinates
for breakfast get out, get a job, keep a job, and get     social marketing programs targeted at the highest
home at the end of the day? David’s frustration with      risk group for traumatic brain injury, young males
his new self, new life, and new dependencies led to       16-24. BrainTrust’s “protectyourhead.com” cam-
immense frustrations. He was dependent on every-          paign garnered 9 international awards, and named
one around him to go to the store, the bank, and          the organization the 7th most creative advertiser in
earn a living. There weren’t any supports available       Canada. ~ Read more @ www.braintrustcanada.com.
to him to help teach him or his family how to deal        The objective of A Run to Remember is to bring to
with this new person he had become. One day he            light the issue of brain injury to Canadians. De-
decided to go out on his own - so he ran. He didn’t       spite being an epidemic, occurring at comparable
know where he was, where he was going or how to           levels of serious mental illness, and having terrible
get home but he could run without anyone’s help -         economic and human costs, brain injury remains
he felt fantastic!




                                                                                 28	years	of	experience	
                                                                                 helping	brain	injured	
                                                                                 victims	and	their	families.
                                                                                 T: 604.683.9621
                                                                                 Toll-free 1.888.683.9621
                                                                                 Fax 604.683.5084
    Joe Murphy, Q.C.      Joe Battista, Q.C.     J. Scott Stanley
                                                                                 E: murphy@murphybattista.com
    Wes Mussio            Steve Gibson           Brian Brooke                    2020 - 650 West Georgia Street
    Derek Mah             Kevin Gourlay          Angela Price-Stephens           Box 11547, Vancouver Centre
    Irina Kordic          Eric L. Goodman                                        Vancouver, BC V6B 4N7


                                                                                                     headline 7
unrecognized by the federal and provincial govern-        Organizations such as Foot Solutions, Honda, Rog-
ments.                                                    ers, BDO, Best Western, We Care, BrainStreams,
By undertaking this run, David and BrainTrust             ThinkFirst, SmartRisk, Preventable and The Can-
Canada hope to help people across the country             adian Ski Patrol have joined David and BrainTrust to
bring the epidemic of brain injury to light, encourage    make this event possible and start a movement in
prevention strategies, and aid in the development of      Canada.
effective programs specifically for people living with     Every three minutes someone sustains brain in-
acquired brain injury.                                    jury; that is a lot of Canadians just in the time it has
David began this journey on March 31, 2011 in St.         taken you to read this article.
John’s, NL and has currently completed 915 km
which has brought him into the province of Nova
Scotia as of May 4, 2011. He has been speaking to                                                             A Marathon
the schools and youth at every opportunity along
the way as well as the media and whoever else will
                                                                                                                a Day for
listen. He is reaching out to others with injury or                                                                 Brain
                                                                                                                   Injur y
                                                                                     sponsored by
their families to speak out and tell their story - he
wants to show Canada how many people have
been affected by brain injury and how drastic the ef-          Pave the way for David...
fects are personally, professionally and financially. It               Buy a Kilometer Online
                                                                                or                                    I have brain injury but I
is more common than most people realize; in every
                                                                       Text ʻ brain ʼ to 45678                         can run and I am going
room of people he speaks to he is hard pressed                                to donate $5
                                                                                                                         to make a difference.
                                                                                                                                      ~ David McGuire
to find someone who’s life hasn’t been affected by
brain injury - so many people just don’t recognize        www.runtoremember.com
it. “...she hit her head falling off her bike...he had
                                                                                                                             Join the Movement
a stroke......it’s just a concussion” These are just        working to reduce preventable brain injury     Help us stop preventable brain injuries
some of the common phrases we hear every day                                       It’s about making the right decision, take only the smart risks such as;

but how often do we remind ourselves that that                   ?      •                  check how much water there is before you dive in


stroke and that concussion are brain injury? We            HOW          • don’t movement and inspire change in
                                                          Be a part of the text while driving
                                                                        • don’t drink and drive, or get in the car with someone who has been drinking


                                                          Canada. people in Canada get brain injury every year - that’s 480 people per day -
                                                                        • wear the gear - helmets prevent up to 88% of brain injuries
may have fancy words for it but at the end of the               175,000
                                                                                                         more than a Boeing 747!
day it is brain injury and each one is serious no mat-    Make a donation! Become a sponsor! Share your
                                                                                       Youth are at the highest risk for brain injury.
ter how it is labeled.                                    story! controls everything - breathing, sense of smell, personality, walking, memory, and your ability to
                                                            Your brain
                                                                      learn and make decisions . . . but . . . your brain doesn’t heal like your arms and legs . . .

                                                                                            the following ways:
                                                          Donations can be made in permanent.
                                                                            brain injury is

                                                                                               Prevention is the only cure!
                                                                      through PayPal at
                                                          • online events such as A Run to Remember, we seek to create a lasting legacy for this cause.
                                                              Through
                                                          www.runtoremember.comto provide support go to:
                                                                               For more information or


                                                          • by www.braintrustcanada.com and www.runtoremember.com
                                                               texting ‘brain’ to 45678 to donate $5 on your
                                                          cellular phone bill*
                                                          • by mail to BrainTrust Canada
                                                          11-368 Industrial Ave, Kelowna, BC, V1Y 7E8
                                                          • in person to the run team enroute
                                                          • or at any Scotiabank across Canada
                                                          Share your story: email run@braintrustcanada.com
                                                          Visit our website www.runtoremember.com
                                                          or find us on Facebook, Twitter, Youtube, Flickr by
                                                          searching username: r2rcanada
                                                          For more information or to become a sponsor visit
                                                          www.runtoremember or contact the run team: run@
                                                          braintrustcanada.com or 250-762-3233.
                                                          *All charges are billed by and payable to your mobile service provider. Service is available on most
                                                          Canadian carriers. Donations are collected for the benefit of A Run To Remember by the Mobile Giving
                                                          Foundation and subject to the terms found at www.mobilegiving.ca. You can unsubscribe at any time by
                                                          texting STOP to 45678

headline 8
        Brain injury is devastating. Lives are turned upside down.
  We offer not just a house, but homes for people at all levels of abilities,
 a foundation to build relationships and be connected to the community.
Our transitional and residential rehab programs are developed and guided
  by rehab professionals, designed for each individual’s unique needs
                    and implemented on a daily basis.
           CONNECT’s mission is simple...to make lives better.
                   In Langley call       In Lake Country call
                 Janette Jackman         Christy McKeating
                   604-534-0705          250-469-9358
  janettej@connectcommunities.ca         christym@connectcommunities.ca
         Please visit our website at www.connectcommunities.ca

                                                                                headline 9
    Neurogenesis: Hope for Regeneration?
                                                   ~Larissa Szlavik
Every day, thousands of new neurons are produced             memory. While the implications of adult neurogen-
in the human adult brain. So then why is that people         esis aren’t completely understood, it makes a whole
who suffer substantial neuronal loss, such as brain          lot of sense that in order to be able to create new
injury survivors, or Alzheimer’s patients, have perma-       memories, you need to produce new cells. As it turns
nent deficits? You can have a partial liver transplant,       out adult neurogenesis only occurs in two regions
however with current technology there is no way to           of the brain, the olfactory bulb and the hippocam-
replace even small portions of the brain. This is be-        pus. The former is involved in odor perception, and
cause neurons form elegant networks with astound-            the latter is responsible for the consolidation of new
ing complexity. At a given moment a single neuron            memories. The classic case of a man named HM is
may communicate through thousands of connec-                 a stark illustration. HM suffered severe anterograde
tions. Imagine trying to add new noodles to a mound          amnesia after having his hippocampus scooped out
of spaghetti without disrupting any existing contacts.       for treatment of epilepsy. A great deal of research
For this reason, it was thought that once all these          suggests that some of the memory impairment in
networks are established, the brain doesn’t change.          Alzheimer’s is associated with a decrease in neuro-
However this is not the case. Whoever told you that          genesis in the hippocampus. Also chemotherapy
you were born with all the brain cells you will ever         prevents neurogenesis, and patients frequently com-
have was wrong. In the same way you are not the              plain of memory problems. While researchers are
same person you were ten years ago, the configura-            still trying to better understand this process it means
tion of your brain is also influenced by a decade of          one thing exciting, the brain has an innate capacity
experiences.                                                 to regenerate. It begs the question: can we coax the
                                                             brain into fixing itself?
In the previous article, the concept of brain plasti-
city was introduced. This is simply put as the brain’s       The only way a cell can be produced is from the
ability to change. A central aspect in being shaped          division of an existing cell (mitosis). Chances are
by your experiences is your capacity for learning and        if you’ve paid attention to the news in the last ten



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headline 10
years, the term “stem cell” carries a lot of weight.       trouble of a process that is energetically expensive if
Neural stem cells reside in the adult brain. They have     half the cells produced die? The brain cannot replace
the capacity to “grow up” to be any type of neuron.        tissue in the vast majority of regions, however some
However in the same way you need to feed and               speculate that the process of adult neurogenesis
nurture a baby to make it grow healthy, developing         is the brain’s way of trying. While medical technol-
neurons need specific environmental conditions to           ogy is a long way from being able to manipulate this
become functional neurons. Thus, there are only            process without causing major complications, we at
two regions that can act as neural “nurseries”. New        least know that the brain has the innate ability for re-
neurons destined for the olfactory bulb come from a        generation. This is a great leap in the right direction.
region lining the fluid filled sacs in the middle of the
                                                           From Kempermann et al 2003. The stages of hippo-
brain. Those that integrate in parts of the hippocam-
                                                           campal neurogenesis. Type-1 cells are neural stem
pus are produced in a special hippocampal region.
                                                           cells, giving rise to type-2a. Type-2a cells begin to
While these neurons seem to consistently adhere to
                                                           commit to becoming neurons, and produce types
the same fate, there is a lot of controversy whether
                                                           2b, and 3. Immature neurons have short processes
they can be persuaded to move to parts of the brain
                                                           and as they mature these processes grow extensive
outside these two structures.
                                                           branches that allow them to integrate into networks.
Neurogenesis occurs in four stages that were char-         References
acterized by the German neuroscientist Gerd Kem-           Kempermann, G., Jessberg, S., Steiner, B., and Kronenberg, G.
permann. Neural stem cells need to proliferate, to         2003. Milestones of neuronal development in the adult hippo-
produce special cells called neural progenitors.           campus. Trends in neurosci. 27(8): 447-452.
These progenitor cells being to commit to a special        About the Author
cell type, as if to say “when I grow up, I will become     Larissa Szlavik is currently a Master’s student with the Division of
a neuron!” This stage is termed differentiation. As        Medical Sciences at the University of Victoria. Her research fo-
these cells differentiate into immature neurons, they      cuses on understanding neural stem cells. She can be contacted
                                                           at lszlavik@uvic.ca.
have to migrate to the brain region where they will
settle. Once “home” they then mature into “grown
up” neurons with extensive branches with which
they will integrate into neuronal networks (see figure).                                                  •   Community Integration
There are many cellular events that drive the stages                                                     •   Driver Rehabilitation
of proliferation, differentiation, migration and matura-                                                 •   Vocational Rehabilitation
tion. By manipulating these cell signals with phar-           community therapists                       •   OTs, PTs, SLPs, RAs
maceuticals or environmental factors, it is possible           Building skills. Empowering people.TM     •   GVRD, Fraser Valley,
to affect the different stages of neurogenesis. In the                                                       Van. Island, Sea-to-Sky
natural process, about half of the newly generated
cells survive.
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There is much controversy over the purpose of adult                         #207-5740 Cambie St. Vancouver, BC V5Z 3A6
neurogenesis. Why would the brain go through the                                  www.communitytherapists.com

                                                                                                                       headline 11
                              Life	Altering	Concussions
                                               ~John Simpson

I wanted to lend my voice to that of Janelle’s re-     third concussion is very high. If a child is abused
garding concussions and the real world and to sup-     the chances of getting help is even less likely. I
port what she has been saying.                         have met far too many men in prisons who had
                                                       concussions from abuse or a fall or from playing
We see on TV, we hear on the radio and read in
                                                       sports, who got no attention whatsoever. They
newspapers and magazines about concussion in
                                                       ended up doing poorly at school and dropping out,
sport. Back in 1988, I attended a conference in
                                                       turning to alcohol and/or drugs for self-medication
Toronto and one of the presenters was Frederick
                                                       and then crime.
G. Flynn, DO, FAAN, LTC, Chief Neurobehaviour at
the Walter Reed Medical Centre in Washington, DC.      My big worry is that in spite of all the media atten-
What struck me about this presentation was the fol-    tion, this is not trickling down into the everyday
lowing comments:                                       world. As an example, I had a phone call this
                                                       year from a mother whose son was involved in an
“In 1928, Martland described the neurological cog-
                                                       incident playing hockey. It was only through her
nitive and behaviour features seen in boxers after
                                                       persistence that they got the right medical help and
long careers. He coined the term, ‘punch drunk’ for
                                                       the right help for him in school, because the school
a syndrome manifested by vertigo, staggering gait,
                                                       was certainly not prepared to recognize the effects
Parkinson features and mental deterioration”.
                                                       of the concussion.
That was written some 83 years ago. Now, as I’ve
                                                       I must say that parents are not totally blameless.
said, we see concussions in virtually every sport;
                                                       There are parents who get very upset with coaches
however, those professional athletes get the best of
                                                       for keeping their son or daughter from playing be-
attention and we see many donating their brain to
                                                       cause they have great aspirations of them becom-
science on their death. Much has been learned.
                                                       ing professionals. By the same token, coaches are
I wonder just how much of this relatively new re-      not totally innocent. There are those coaches who
search is filtering down into the everyday system.      teach and coach at school and coach in the com-
I fear not that much in reality. Recently, I was as-   munity. In one incident the coach knew perfectly
sisting one particular family regarding their daugh-   well that one of his students was not to be playing
ter, who was an avid soccer, basketball player and     for the rest of a particular season, yet he played
an honour student. They shared with me the run         her on his community team where she sustained a
around they had from the medical profession until      second concussion.
she ended up with at least two more concussions
                                                       In another incident, two young men were taken to
because the first one was not taken seriously. It was
                                                       the same hospital following a motor vehicle crash.
not until she was seen by Dr. Brian Hunt and later
                                                       Both were similarly injured. One received extremely
underwent a neuropsychological evaluation and re-
                                                       good information, including a check sheet, and
ceived input from an education consultant, that her
                                                       was told if certain symptoms showed to contact
life started to improve. She may not have achieved
                                                       the hospital or his family doctor immediately. The
what she could have prior to sustaining the concus-
                                                       other got absolutely nothing and was just sent
sions; however, at least some help for her and her
                                                       home. This is from the same emergency room but
family was realized. These situations are simply not
                                                       obviously handled by two very differently trained
acceptable. The chances are had she been a top
                                                       professionals. These examples in 2011 certainly
athlete at university, she would have got immediate
                                                       indicate that there needs to be a lot more education
attention and the outcome would have been, in all
                                                       and awareness before the system picks up on how
possibility, a great deal better.
                                                       damaging a concussion can be. The one phrase
I fear for those children and there are far too many   you hear so often on the radio, TV or read in the
involved in abusive situations or who may be in-       press is: “one person was taken to hospital with
jured in a playground or playing sports that do not    non-life threatening head injuries”. Maybe it was
get attention. Without the immediate attention and     not life threatening, but very possibly life altering.
proper precautions the likelihood of second and

headline 12
                                       Greg’s Diary Entries
                                                                                   ~Greg Goldberg

Oct 3, 1998                                                                                       After our visit tonight, which was way too short,
When Jenny, (my wife at the time), tried to talk                                                  I was alone, alone with my corned beef and dill
some sense into me, I could sense her fear and                                                    pickle. Even after a hospital meal of tasteless
rage at my reluctance to ask for help. Today, I                                                   pasta and cold vegetables, I still found enough
politely requested an attendant to aid me with                                                    strength and space in my stomach to shovel into
my balance at shower time. It was the right                                                       my open mouth, some tablespoon mounds of
thing to do and this simple request put us both                                                   stale rice pudding with dry brown sugar sprin-
at ease, although I was too stubborn to admit                                                     kled on top.
it.                                                                                               My doctors and neurologists are happy with my
A polite young man, no more than twenty-five                                                      progress. They have told me that I am getting
years old, wore an animated shower cap that                                                       better and that I will be going home soon.
made me laugh this morning. He promised to                                                        I won. I won. However, if they were going to
securely hold my hand every morning in the                                                        send me home, I had to agree on one thing. I
shower. “Don’t hold my hand, I’m not a kid!                                                       had to agree to have an aide watch over me
Plus if you hold my hand, you’ll kind of be in                                                    when I was at home alone. I told the rehab
the shower with me and that my friend would                                                       team that it must be someone I know and some-
be very uncomfortable,” I lashed out at him.                                                      one I liked. They agreed and probably felt sorry
During today’s shower, he whistled (not at me),                                                   for this new aide of mine. That is when Sean
as he stood on the other side of the shower cur-                                                  came into my life.
tain while I quickly soaped and shampooed. I                                                      Greg Goldberg is a survivor of brain injury, author and
was too embarrassed to enjoy the feeling of the                                                   speaker. To learn more about Greg, or to subscribe to his
soothing warm water fall on my skin with some-                                                    monthly newsletter, visit www.tbitalks.com.
one else there. Apparently, this same attendant
would be with me for every shower for the rest of
my entire stay at R.I.T. (I will make sure that
he is always on the other side of the shower cur-
tain and I will demand that he stop whistling.
Either that or I’ll just stay dirty.
It is funny how you have to learn to enjoy some-
thing when you realize that it is desperately
needed to help you move forward.
I am becoming quite unhappy with my sur-
roundings and the food that the hospital
served; it is awful. For his night time visits, my                                                  ACQUIRED BRAIN INJURY (ABI)?
father, my mealtime saviour, would, once in a                                                       . . . with an ABI, a One-Day Functional Capacity Evaluation
while, bring me delicious treats from the local                                                     is not enough to determine ability to return to work . . .
delicatessen. He knows how much I love deli
food (and probably knew how bad it was for                                                          INTRODUCING THE 3-DAY ABI WORK CAPACITY ASSESSMENT
me) especially corned beef and dill pickles.                                                        ...a longer assessment allows for a comprehensive evaluation of the
                                                                                                    multiple symptoms associated with Acquired Brain Injury....
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                                                                                                                                                                 headline 13
                        Concussion in Sports … and Beyond
                                                      ~Janelle Breese Biagioni
A great deal of attention has come to the forefront                Remember… every brain is different so how you
about professional athletes sustaining a concus-                   would be affected by a concussion may not be how
sion while playing sports. This has been a hot topic               I would be affected. Each case is different and a
for the media. I don’t think any of us will complain               cookie-cutter approach to a person’s recovery is
about the increased awareness it has generated on                  not appropriate. While the individual may look fine
what is a concussion, what the challenges are that                 physically, it does not mean they are not struggling
a player has to cope with after sustaining a concus-               cognitively or with a mulitude of other symptoms
sion, and when it is safe for the athelete to return to            such as fatigue, headaches, poor balance, dizziness
play. It is bittersweet when something happens to                  etc. Recovery takes time and pinpointing the time
increase brain injury awareness for it means that yet              that each person will need equates to looking into a
again, the stats rise. However, knowing that play-                 crystal ball.
ers are now receiving proper treatment and they are
                                                                   What can we do to ensure that the concussion
not being rushed back to the field or ice is what the
                                                                   stories in the media are translated into everyday
brain injury community has strived to achieve for
                                                                   risks for others? We do this… we talk about it and
years.
                                                                   educate people on other ways that a concussion
In the shadows, at least for me, is the concern that               could happen and help them to understand that the
the seriousness and information about concussions,                 symptoms are real and can be serious if not dealt
and the prevelance of them beyond sports, is not                   with in an appropriate and timely matter.
filtering down to employers, parents, playground
                                                                   The following information on concussions comes
supervisors, or to the everyday “Joe” engaging in
                                                                   from Brainstreams.ca. I encourage you to visit the
recreational sports. A person can sustain a concus-
                                                                   website at www.brainstreams.ca for more informa-
sion through a work-related incident, a car crash,
                                                                   tion on how to cope with the symptoms of a con-
or from being assaulted and/or abused. Children
                                                                   cussion and when to return to work or play.
and youth enjoying scooters, skateboards and inline
skates are also at risk and need to be educated on                 What is a concussion/mild traumatic brain injury?
equipment, safety measures and what to do if they                  • A concussion is a mild form of traumatic brain
fall and hit their head. With an aging population, the               injury
possibility of falls and suffering a blow to the head              • You probably had a concussion if you were:
for the elderly is also a concern.                                      - dazed or confused after your injury,
A concussion, while ‘labelled’ a mild form of brain                     - lost consciousness (knocked out),
injury, is still a brain injury. An individual does not                 - or can’t remember what happened for a short
have to lose consciousness to have sustained a                             time before or after your injury
brain injury. The outcome of a concussion can be                   • The effects of a concussion can be serious
serious for any one of any age. Don’t mistake the                  What causes a concussion?
term “mild form of brain injury” to mean the per-
                                                                   • A direct blow or jolt to the head, face and neck.
son should feel fine in just a few days and that
                                                                     Could be from a fall, a tackle in a contact sport,
they should be able to get back to life as it was.




                      health
    Group Homes Support Home Sharing Rehabilitation

    Suite 400 - 601 West Broadway
    Vancouver, BC V5Z 4C2
    toll free 1.800.590.SALT
    t. 604.871.4306
                          www.saltgrasshealth.com

headline 14
  assault, vehicle accident, walking or running into




                                                             Resources
  an obstacle, skateboarding, snowboarding,                   I   N     T    E    R     N    E      T
  explosion…and the list goes on
• Most concussions can be prevented
After a concussion stop what you are doing, let
someone know what happened and get help
• It is very important to seek medical advice as
  soon as possible if you think you have had a               Headline is a proud supporter of
  concussion
• Tell whoever is around you at the time that you
  think you have a concussion. They could be a
  family member, friend, co-worker, teammate, or                  Learn      Connect         Find
  coach.
• Immediately stop doing the activity whether it is              Pacific	Coast	Brain	Injury	Conference
  work, school, sports or driving                                            www.pcbic.org
                                                                      BC	Brain	Injury	Association
Brain Recovery                                                    www. bcbraininjuryassociation.com
• In the minutes to days after a concussion, brain           Campbell	River	Head	Injury	Support	Society
  cells are in a vulnerable state                                            www.crhead.ca
                                                                Fraser	Valley	Brain	Injury	Association
• Usually the symptoms/problems of concussion
                                                                             www.fvbia.org
  are temporary and over time will go away
                                                                           Brain	Trust	Canada
• Healing usually happens over several days, but in                    www.braintrustcanada.com
  some cases may take many weeks or months.                            www.protectyourhead.com
• Some symptoms may appear right away and                          Comox	Valley	Head	Injury	Society
  some may appear later                                                  www.cvheadinjury.com
                                                                     Nanaimo	Brain	Injury	Society
• Symptoms may get worse with an increase in                                  www.nbis.ca.
  activity                                                         Powell	River	Brain	Injury	Society	
• Having had a previous concussion may increase                        www.braininjurysociety.ca
  the time needed to heal                                     Prince	George	Brain	Injured	Group	Society	
                                                                              www.pgbig.ca
Common concussion symptoms and problems                                  Brain	Injury	Resources
Thinking	             Physical	            Emotional                 www.braininjuryresources.org
                                                                    Ontario	Brain	Injury	Association
Difficulty thinking   Headache             Irritable                         www.obia.on.ca
clearly                                                              Brain	Injury	Association	USA
                      Nausea or            Sad, depressed,
Feeling slowed        vomiting (early      tearful                          www.biausa.org
down                  on)                                      South	Okanagan	Similkameen	BI	Society
                                           More emotional                   www.sosbis.com
Difficulty            Fuzzy or blurred                                Victoria	Brain	Injury	Society
concentrating         vision                                                  www.vbis.ca
Difficulty            Dizziness or light                                The	Perspective	Network
remembering           headedness                                               www.tbi.org
new information                                                            The	TBI	Chat	Room
                      Sensitivity to                                        www.tbichat.org
Trouble               noise or light                                       G.F.	Strong	Rehab
expressing
                      Poor balance                                         www.gfstrong.com
thoughts and
                                                                          BC	Eplilepsy	Society
finding the           Clumsiness
                                                                          www.bcepilepsy.com
right words
                      Changes in sleep                                      Headway	Centre
                      pattern                                Howe	Sound	Rehabilitation	Services	Society
                                                                          www.howesound.net
                      Feeling tired,
                                                                   Northern	Brain	Injury	Association
                      having no energy
                                                                              www.nbia.ca


                                                                                                 headline 15
                                                                          The Most Up-to-date Information on Brain Injury
                                                                                     at Your Fingertips 24/7
                                                                                      www.brainstreams.ca


If you or someone you know has sustained a brain                         Topic: “Return to activity following concussion”
injury and you are looking for the most up-to-date                       answered by Alice Rose
information to assist in recovery and rehabilita-                        Alice Rose has
tion www.brainstreams.ca is your go-to place! The                        been the Community
recently launched website is rich with content on                        Intervention Co-
the healthy brain, the injured brain, the journey and                    ordinator of the Early
how to move forward in life. From all corners of the                     Response Concus-
province (or anywhere in the world), people can                          sion Service at GF
connect with experts on topics like: returning to                        Strong Rehab Centre
school, grief and loss, dating and relationships and                     in Vancouver, BC
brain research. At any time, visitors are invited to                     since 2002. The Early
read the stories of others who have or are experi-                       Response Concus-
encing life after brain injury. As you look through                      sion Service is one of
the plethora of information, if you have a question                      two concussion clin-
for one of the experts, feel free to submit it and we                    ics for people aged
will forward it on to the expert for that topic. The                     16 or over in British Columbia. Alice graduated as an
following Q & A is taken from the website and dem-                       Occupational Therapist from University of Toronto
onstrates the help readily available to profession-                      in 1975 and completed her Master’s of Education
als, families, friends, and survivors of brain injury.                   in community rehabilitation and disability studies at
                                                                         University of Calgary in 2002. She received the 2010
                                                                         Ginney Fearing ‘Learning as a Way of Being’ award
                                                                         in recognition of curiosity, application of evidence-
            Personal Injury                                              based practice, approaches and enablement of
                                                                         others.

                                                                         Question
                                                                         Hello Alice:
                                                                         I am a 66 year old woman who is in the process of doing
                                                                         her master’s degree in counselling at UVic. On Septem-
                                                                         ber 3, 2010 I was rear-ended by a large pickup doing
                                                                         approximately 80 km. I suffered a whiplash that caused
                                                                         severe pain in my neck, shoulders and back. Along with
                                                                         the whiplash I also suffered a concussion. I did not strike
                                                                         my head, but as you know, one doesn’t have to in order
  We can help                                                            to have a concussion.

  “If you’ve been seriously
                                                                         After the accident I was having a great deal of trouble
  injured by someone else,
                                                                         concentrating, focusing, and recalling, as well as put-
  we will achieve a fair                                                 ting information to memory. I started to take a herbal
  resolution to properly                                                 remedy, which did help to take the brain fog away and
  compensate you.”                                                       did improve some of the above complaints, but I am still
                                                                         dealing with some memory lapses that are causing me
                                                                         great concern.
                                                                         For example, I have lived in the same home for eight
                          Mair Jensen Blair LLP Lawyers
               700-275 Lansdowne Street, Kamloops, BC V2C 6H6
               Phone: (250) 374-3161 | Toll Free: 1-888-374-3161         years and I forgot to pay my rent in January. That would
           V i s i t o u r w e b s i t e a t w w w. m j b l a w. c o m


headline 16
be a first for me. On my way to my lawyer’s office I            I am sure the demands of graduate studies are quite
could not remember if I had reached the street to turn        stressful. Stress management is another important
on or if I had passed it. This is a street I am very famil-   component of your recovery as stress can influence
iar with. My ability to visualize, a skill I was constantly   sleep, headaches and cognitive performance. I en-
good at seems to be very hit and miss. This is why I          courage you to apply relaxation techniques, including
could not visualize whether I had past the street or not.     meditation.
When reading a section in my class text book I find I          It is expected that you will continue to recover and
cannot remember what I just read, nor can I compre-           during that process you can improve your cognitive
hend what I just read. I am constantly rereading a page.      performance by taking care of your overall well-being,
If I do an assignment I can get the job done, but I cannot    as well as using written reminders, alarms, and/or
remember what I did so I have to constantly review my         personal assistive devices. For example keep track of
work and I still cannot remember the information. The         your appointments and when bills are due by writing
class I started right after the accident was grueling and     the details on a calendar; use a daily planner and ‘to
I just barely passed the class.                               do’ lists to schedule and track daily or weekly activi-
                                                              ties. When learning new material it may also help to
Prior to the accident I did not suffer any of these mala-
                                                              rehearse or repeat information; for example it may be
dies. At the end of the day my brain hurts and feels
                                                              helpful to read the text out loud or to take time to sum-
exhausted. I have gone to a chiropractor and massage
                                                              marize each chapter after reading it.
therapist for my neck, shoulders and back, but who do
I go to for my brain? Thank you in advance for help-          You mention that your brain sometimes feels exhaust-
ing me solve this problem. As a side note, I have also        ed at the end of the day. People often struggle with
developed shingles. I have never had shingles before the      physical and cognitive fatigue following a concussion
accident.                                                     so it is important to ‘budget’ your energy thoughtfully.
                                                              Here are some suggestions for energy conservation
Sincerely,
                                                              that will also help your cognitive function.
M. A.
                                                              Allow some time at the beginning of each day to plan
Answer                                                        and priorize the tasks and expectations for the day.
                                                              This time would be used to check your daily planner,
Dear M.A.,
                                                              e-mail, assignments, review written communications
The symptoms you describe following your motor
                                                              and pull information or materials needed for the day
vehicle crash are commonly experienced following a
                                                              without interruptions or other demands.
concussion and may also be influenced by any pain
and discomfort from your whiplash injury, poor sleep,         Avoid or limit your exposure to noisy, busy or overly
headaches, dizziness and/or fatigue. As these symp-           stimulating places. It may be helpful to use earplugs
toms resolve you will probably find that your thinking        when in a noisy environment or organize your work-
problems also settle down.                                    space to minimize clutter and visual distractions. This
                                                              will help you focus and it will reduce feelings of con-
Although it is tempting to focus on the difficulties you
                                                              fusion. For example, turn off the radio or television
have observed in specific situations I would recom-
                                                              when you are trying to study; go to the grocery store
mend that you first reflect on your overall health.
                                                              when it is not busy; drive in light traffic.
How well are you sleeping? Falling asleep, staying
                                                              Work on one assignment or task at a time. Write down
asleep and feeling rested and refreshed when you wake
                                                              your priorities and your plan. This helps to keep your
up is very important to your healing and recovery. You
                                                              focus and helps you from feeling overwhelmed.
need to have a routine time for going to bed and espe-
cially for getting up in the morning.                         Give yourself more time than usual to complete as-
                                                              signments. Work for short periods and take breaks.
Are you including some light aerobic activity in your
                                                              This will help reduce the stress that can impact on
daily routine? Participating in regular exercise helps
                                                              your ability to concentrate.
our cognitive performance and also helps with get-
ting a good sleep. I suggest that you either start or         It is important to pace yourself throughout the day
continue with regular light aerobic exercise (walking,        allowing for ‘micro-breaks’ of 5-10 minutes before you
treadmill, stationary bike, swimming or water based           feel fatigued; it may take you more time to complete
exercises) and gradually increase your participation          your tasks. When concentration is critical for a task,
(first the frequency, then the duration and lastly the        pick a time when your energy level is at its best. You
intensity).                                                   can adjust your effort by pacing i.e. take regular brain
                                                                                                        headline 17
breaks before you experience symptoms (poor concen-
tration, fatigue)
Although the presence of symptoms does not mean you
should not be participating in your academic studies
it is important that you pace yourself and gradually
return to activities both at home and at school. Being
a student is an extremely demanding job as you are                          Save the Date!
being exposed to new information and learning every                    February 15 – 17, 2012
day. If your symptoms increase it is a signal you have                PCBIC’S 22nd Conference
pushed too hard and need to adjust your effort.
You may find some other helpful suggestions on this         After an inspiring and thought provoking Conference
website http://www.brainstreams.ca/learn/injured-           in 2010, the Pacific Coast Brain Injury Conference
brain/concussion/coping-symptom...
                                                            Society (PCBICS) is pleased to announce the 22nd
It may be helpful to contact the Resource Centre for
                                                            Conference will be held February 15 – 17, 2012 at the
Students with a Disability at University of Victoria.
They may be able to assist with short term accommo-         Sheraton Vancouver Wall Centre Hotel. Other satellite
dations or supports. Please see their website for more      venues are being confirmed and will be announced
information http://rcsd.uvic.ca/. I understand that
Victoria General Hospital provides some rehabilitation      soon. Visit www.brainstreams.ca/conference in
services for people who are recovering from an ac-          June 2011 for more information on the program,
quired brain injury. Please talk to your Family Physi-      satellite venues and registration. If you would like to
cian about the resources available in your community.
                                                            sponsor or exhibit at the Conference, please contact
Thank you for your excellent question and all the best
with your graduate studies.                                 Rosemary Casson at 604-984-6449 or via email at
Sincerely,                                                  sponsor@pcbic.org. See	you	there!
Alice



                                                  T RAUM AT I C BRAI N AND SPI NAL CORD I N J URY
                                                 Regaining Your Quality Of Life is our goal. We work together
                                                 with your rehabilitation team to ensure that you receive the
                                                 best possible rehabilitation while at the same time securing full,
                                                 lifetime compensation for you and your family.

                                                 Our experienced team offers specialized expertise with a human
                                                 touch. Give us a call and then decide.

                                                 • Free initial consultation          • Flexible appointment times &
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                                                   who have been injured in BC        • Handle all legal expenses

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  specialized   expertise with a human touch
headline 18
               Peg Lalor and the Dave Irwin Foundation
                                                ~ Sue Rowan

Peg Lalor, a world class windsurfer, avid skier, and    sage to Peg, including well wishes from a number
self employed entrepreneur, sustained an extremely      of Centennial staff members participating in the
severe brain injury in June 2010 after being hit by a   race can be found at http://www.youtube.com/
car on her bike in downtown Calgary. Peg was in a       watch?v=3XnNaGO-jR0.
coma at Foothill’s Hospital for six weeks, emerging     As one of Peg’s family members, I wanted to share
very slowly over the next six weeks before being        this story not only to raise awareness about the
transferred to the Centennial Centre for Brain Injury   Dave Irwin Brain Injury Foundation but also to high-
in Ponoka Alberta. At 53 years of                                         light the amazing facility Canada
age, Peg is giving heart and soul                                         has in the Centennial Centre for
to relearn life’s most basic skills                                       Brain Injury in Alberta. It is my
- and charming the Centennial                                             understanding that six beds are
Centre staff along the way! She is                                        reserved for BC residents at Cen-
blessed with a wonderful medical                                          tennial Centre but due to the costs
team, a great mix of humility and                                         associated with slow rehab (often
humour, and many friends and                                              a 10-18 month hospital stay) it ap-
family to support her along the                                           pears that many of those beds are
way. Peg’s goal, like many others                                         not being filled with BC residents.
in Ferintosh unit, is to one day                                          Though several high profile BC
walk again!                                                               residents, including Captain Trevor
This past February, one of Peg’s                                          Green, have spent time at Centen-
long time friends, Cindy Rand                                             nial Centre in recent years, many
(Invermere, BC), pulled together                                          others, I suspect, are not being of-
the Peg Lalor Rocks ski team                                              fered this kind of rehab opportunity.
to compete in this year’s “Dash                                           It is my hope that other BC families
for Cash” at Sunshine Village in                                          with less notoriety will also have
Banff, Alberta. The event was                                             an opportunity to receive this level
sponsored by the Dave Irwin                                               of care. Yes, it is a difficult road for
Brain Injury Foundation, set up in                                        patients and family alike, but it is
honour of one of Canada’s Crazy                                           also a once in a lifetime opportun-
Canuck’s, whose career ended                                              ity for severe brain injury survivors
rather abruptly following a crash during a train-       to be given a chance to lead more meaningful lives.
ing run in March 2001. It was Dave’s survival and       Investing in brain injury upfront not only improves
ongoing recovery from his own severe brain injury       the lives of patients and families, it saves our med-
that led to the formation of this important founda-     ical system precious resources in the long run.
tion. He now has his sights set on helping other        My sister Peg still has a tough row to hoe in Alberta
families impacted by the devastation of life altering   and we are told to expect many more bumps along
brain injuries. He is a guy busy giving back to his     the way. She plans to eventually return to Vancouver
community.                                              to be closer to family, but that move will not end her
The Peg Lalor Rocks ski team placed an admirable        plans for rehab. Peg is keen to pull together a team
second in this year’s race, though perhaps more         of supporters to help her continue working towards
importantly claimed second prize for their fundrais-    a more independent life in Vancouver. For a girl
ing efforts, raising a total of $8,660 for the Dave     who has sported an “attitude is everything” bumper
Irwin Brain Injury Foundation. The team’s main          sticker for years and still has one stuck to her wall in
sponsor, CP Rail, was instrumental in the team’s        Ponoka, I have no doubt she will one day contribute
success, contributing the entry fee and supplying       something very special to the brain injury commun-
the team with some pretty slick ski racing gear. CP     ity and to our society at large. That future contribu-
Rail also went the extra mile of connecting Peg to      tion is made possible in no small way by a positive
the action on the mountainside, providing her with      attitude and the good fortune of landing on Centen-
an iPad the week before the race and videotap-          nial Centre’s doorstep. Watch this lady carefully ...
ing a message from the race course so that she          she’s a real dynamo and has only just begun to wow
could be part of this great event. The team’s mes-      you with all she can do!

                                                                                                   headline 19
                                      June is Brain Injury Awareness Month
                                        Be Aware – Be Prepared
                                        Deborah St. Jean, Executive Administrator, BCBIA
BCBIA wants to be clear - a blow to the head may          • Participating in skiing, snowboarding, skating
cause a brain injury. Protect you and your family           and blading sports/games
from acquiring a brain injury by preventing acci-         • Participating in contact sports like hockey,
dents that are known to cause brain injury.                 boxing or football, etc.
Several names are commonly used for a brain injury        • Horseback riding and when participating in all
are: Concussion, Traumatic Brain Injury (TBI) or            types of racing activities
Acquired Brain Injury (AB). Brain injuries can range    7. Playgrounds should be surfaced in shock
from mild to severe. Some brain injuries may not          absorbing sand or with material such as mulch.
cause permanent deficits; however, others may            BC Brain Injury Association works hard throughout
result in long-term, long-lasting serious challenges,   the year to get the message out: Think Ahead – Be
including difficulties with cognitive functions.         Aware. Protect your head. Brain injury is not curable.
Brain Injury is for Life – Protect Your Head –          To donate, offer project support, become a member
Think Ahead                                             or find out more about what you can do to prevent
1. To avoid falls at home:                              brain injury, visit our website at BCBrainInjuryAs-
   • Use a step-stool and/or grab bar when              sociation.com or email us at:
     reaching for items in high places                  info@bcbraininjuryassociation.com



                                                              Take a Break
   • Install safety gates at the top and bottom of
     stairways to protect small children and infants
   • Install grab bars next to the tub and toilet
   • Prevent youngsters from falling out of upper
                                                          O   G   U   D   B   Y   C   L   J   G   N   I   K   I   H   N   F   Z   Z   N
     windows by installing window guards                  A   Q   N   Y   X   E   D   I   T   L   U   Z   I   Q   W   A   T   E   R   V
   • Make sure all stairways have handrails               J   G   O   C   A   M   P   I   N   G   I   V   S   L   D   B   T   M   Z   C
   • Remove tripping hazards such as scatter rugs         A   A   V   S   B   P   T   I   H   J   A   B   R   O   A   S   N   P   E   V
                                                          Q   F   F   B   D   F   K   R   E   M   M   U   S   H   K   N   E   I   D   I
     and electrical cords                                 X   G   E   X   C   S   R   E   W   O   L   F   C   U   F   B   S   V   A   H
   • Use non slip rubber mats in showers and              C   T   E   S   N   U   S   K   S   I   F   S   I   C   K   I   K   D   A   R
     bathtubs                                             H   K   H   C   T   O   C   S   P   O   H   R   N   Z   E   K   A   N   Y   W
   • Undergo regular eye exams to ensure field of          E   R   V   S   K   M   I   K   V   P   V   Y   C   U   G   I   T   L   C   O
                                                          L   Z   V   F   N   L   Z   T   W   E   K   I   I   Z   N   N   E   C   O   J
     vision is accurate                                   M   B   G   G   N   L   P   S   A   S   R   X   P   D   I   G   B   Q   T   V
   • Improve balance, strength and coordination           E   A   T   A   B   A   E   C   E   C   G   T   E   O   T   S   O   Z   T   F
     with a regular exercise program                      T   R   R   R   A   B   T   N   O   L   A   N   D   S   A   D   A   V   A   M
                                                          S   B   A   D   T   T   Q   N   U   O   B   V   N   B   O   U   R   T   G   I
2. Always wear a seat belt when driving or riding in
                                                          T   E   V   E   H   E   F   R   U   J   P   A   M   Y   B   O   D   Z   E   R
   a vehicle.                                             Y   C   E   N   I   K   N   G   E   S   J   L   T   S   Y   L   I   N   U   P
3. Do not drive a vehicle or operate equipment            X   U   L   I   N   S   P   O   R   T   S   E   F   E   O   C   N   R   N   B
   under the influence of drugs or alcohol.                A   E   E   N   G   A   P   D   V   T   M   X   S   W   G   H   G   M   U   S
                                                          D   L   W   G   V   B   S   A   N   D   C   A   S   T   L   E   S   S   F   K
4. Use a child safety seat, a booster seat or seat
                                                          W   R   X   V   J   D   J   O   F   L   S   C   I   N   H   L   V   T   N   U
   belt according to the child’s age height and
   weight when in a vehicle.
                                                          Find the following hidden words:
5. Obey the law and store firearms in a locked             barbecue                    gardening                   summer
   cabinet. Ammunition should be stored separately,       basketball                  helmets                     sunset
   also in a locked cabinet.                              bathing                     hiking                      suntan
6. Ensure you and your children wear safety helmets       biking                      hopscotch                   tide
                                                          boating                     June                        travel
   when:                                                  camping                     picnics                     vacation
   • Playing baseball or softball (batting and            clouds                      rain                        vegetables
     running bases)                                       cottage                     sandcastles                 water
   • Riding on all-terrain vehicles, seadoos, snow        flowers                     skateboarding               waves
     mobiles, motorcycles or bicycles                     fun                         sports

headline 20
                      Heads Up
                          WHAT’S HAPPENING
                                                                      SOUTH OKANAGAN SIMILKAMEEN BRAIN INJURY SOCI-
                                                                      ETY (SOSBIS)
                                                                      SOSBIS is hosting its Education Day on Friday, June 10, 2011
                                                                      at the Penticton Lakeside Resort. The theme is “Living Life Suc-
                         AROUND THE PROVINCE                          cessfully after a Brain Injury”. For more information, visit www.
                                                                      sosbis.com or e-mail info@sosbis.com.
                                                                      TRI-CITIES BRAIN INJURY SUPPORT GROUP
BRAINTRUST CANADA
                                                                      As the sun is shining more often, Tri-Cities Brain Injury Support
Braintrust Canada is the organizer of A Run to Remember with
                                                                      Group is definitely feeling warmer. Each month the group gets
David McGuire, a brain injury survivor running across Canada to
                                                                      bigger and bigger as new members join us. At our meetings,
raise funds and increase awareness about brain injury. David’s
                                                                      friends get together and discuss interesting topics and do fun
story and up-to-date information on the run appears in this issue
                                                                      activities. Recently, we all met up in New Westminster and met
of Headline. For more information, call 250-762-3233 or visit the
                                                                      up with Headway, another brain-injury support group. Currently,
website www.runtoremember.com.
                                                                      we are planning a trip to the Vancouver Aquarium. Our meet-
BULKLEY VALLEY BRAIN INJURY ASSOCIATION (BVBIA)                       ings are on every 1st Thursday of each month from 2 - 4 pm
BVBIA offers case management services, and assistance with            at the Coquitlam Public Library - Poirier Branch on 575 Poirier
accessing rehabilitation programs, one-on-one emotional sup-          Street. For more information, please contact Sandi Caverly at
port, family support, and social and recreational activities. For     604-916-5027 or stcaverly@shaw.ca or Martin Granger at mar-
more information, call 250-877-7723.                                  tin_granger2007@hotmail.com. New members are welcome!
CAMPBELL RIVER HEAD INJURY SUPPORT SOCIETY                            VICTORIA BRAIN INJURY SOCIETY (VBIS)
(CRHISS)                                                              VBIS offers individual and group programs to survivors and their
CRHISS provides education, advocacy, support, and fellowship.         support system. Programs offered include: Peer Support, ABI
For more information, call 250-287-4323.                              101, Coping Skills, Personal Enhancement, Creative Arts, a Family
                                                                      Support Group and Education & Awareness seminars to community
COMOX VALLEY HEAD INJURY SOCIETY (CVHIS)
                                                                      groups. For more information call 250-598-9339 or visit www.vbis.ca.
CVHIS hosts a weekly drop in luncheon for a nominal cost to
survivors and their families. For more information, call 250-334-
9225 or visit, www.cvheadinjury.com .
FRASER VALLEY BRAIN INJURY ASSOCIATION (FVBIA)
                                                                          Personal Injury • ICBC
FVBIA Brain Injury Association offers programs, drop-in ses-              Medical Negligence
sions and support groups. For more information on FVBIA, call
                                                                                                                         Free initial consultation
604-557-1913 or (toll free) 1-866-557-1913                                                                               Percentage fees
or e-mail info@fvbia.org.                                                                                                available

KAMLOOPS BRAIN INJURY ASSOCIATION (KBIA)                                                                                Focused on your needs

KBIA offers many services and programs, including case                                                                  Bill Morley
coordination and life skills support. For more information, call at                                                      604 631 3127
250-372-1799.                                                                                                            Free home and
                                                                                                                         hospital visits
NANAIMO BRAIN INJURY SOCIETY (NBIS)                                                                                      bmorley@fasken.com
NBIS offers rehabilitation and case management services, dis-
ability benefits assistance, and workshops focusing on issues
ranging from trauma recovery to life skills strategies and anger
management. For more information, call 250-753-5600 or visit
their website at www.nbis.ca.
POWELL RIVER BRAIN INJURY SOCIETY (PRBIS)
PRBIS www.braininjurysociety.ca provides support and
services for persons with acquired brain injury, spouses, family
members and caregivers included. For more information, call
604-485-6065 or toll free 1-866-499-6065.                                              Vancouver Calgary Toronto Montreal
                                                                                       Quebec New York London Johannesburg

                                                                                       Tenacity Persistence Determination


                                                                                                                                headline 21
                                                        Reflections
                                                        By Janelle Breese Biagioni


                                 “Perseverance is failing nineteen times
                                    and succeeding the twentieth.”
                                                             ~ Julie Andrews

Perseverance is defined as a “steady persistence in                    •	Beethoven	(composer)	-	was	deaf	
a course of action” and to do so in spite of ob-                      •	Ray	Charles	(musician)	-	was	blind	
stacles or objections. It takes perseverance to over-                 •	Thomas	Edison	(inventor)	-	had	a	learning		   	
come any obstacle in life, but it is especially true for              	 problem	
people working to overcome the deficits of an injury.                  •	Albert	Einstein	(scientist)	-	had	a	learning	
The road can be long and hard. Life is different for                  	 disability	
the person and family members as unwanted chan-                       •	Terry	Fox	(runner)	-	was	an	amputee	with	can-
ges are integrated into their day-to-day routines.                    cer	
It takes patience, courage, and constant focus to                     •	Stevie	Wonder	(musician)	-	is	blind	
move forward. The abilities of the injured person                     •	James	Earl	Jones	(actor)	-	was	a	stutterer	
may change, but it does not mean that they can’t                      •	Helen	Keller	(author)	-	was	deaf	and	blind	
go on to experience meaningful, joyful activities and                 •	Marlee	Matlin	(actress)	-	is	deaf	
contribute to society with pride.                                     •	Franklin	D.	Roosevelt	(president)	-	was	
                                                                      	 paralyzed	from	polio	
The following list of people overcame tremendous                      •	Vincent	Van	Gogh	(artist)	-	was	mentally	ill	
obstacles to do extraordinary things:                                 •	Woodrow	Wilson	(president)	-	had	a	learning		 	
                                                                      	 problem	
                                                                      •	Itzhak	Perlman	(concert	violinist)	-	was	
                                                                      	 paralyzed	from	the	waist	down	
                                                                      •	Stephen	Hawking	(physicist)	-	has
                                                                      	 Lou	Gehrig’s	disease	
                                                                      •	Rick	Hansen	–	paraplegic	(Man	in	Motion)
                                                                      If you or someone you know is working through
                                                                      rehabilitation and recovery, choose one of these
 David Marr Q.C.   Kevin Cowan        Danielle Leslie    Joseph Zak
                                                                      individuals for inspiration. Learn everything you can
                                                                      about them and how they overcame their difficul-
  “We care about your future”                                         ties. Draw upon their strength and courage to move
                                                                      beyond the obstacles you are facing. You can do
       A team of experienced professionals sensitive to               extraordinary things even if your life is far different
        the needs of both the survivor and the family.                from what it was – keep on trying… keep on smil-
                                                                      ing!

                                                                                                      9 3 2   5 1 7   8   4 6
                                                                                                      5 1 6   8 4 9   7   3 2
                                                                                                      7 4 8   3 2 6   5   1 9
                           We travel to you                                 Sudoku Solution           2 6 4   9 7 1   3   5 8

        Suite 600-175 Second Avenue, Kamloops, BC V2C 5W1                       Page 3                3 7 1   6 5 8   9   2 4
                                                                                                      8 9 5   4 3 2   1   6 7
            T: 250.372.1221 TF: 1.800.558.1933                                                        4 8 3   2 9 5   6   7 1
                       E: hmz@hmzlaw.com
                                                                                                      1 5 9   7 6 4   2   8 3
                    www.hmzlaw.com                                                                    6 2 7   1 8 3   4   9 5


headline 22
BC BRAIN INJURY ASSOCIATIONS &
*This list updated Summer Issue, 2011.

Abbotsford
                                                                                  Support Groups
                                                                         Carol Paetkau                 604-557-1913          TF 1-866-557-1913
Acquired Brain Injury Society of the Yukon                               Anne-Marie Yahn               867-668-5283
Alberni Valley Head Injury Society/Port Alberni                          Linda Kenny                   250-724-6772
Barriere/Merritt                                                         Terry-Lynne Stone             250-372-1799
British Columbia Brain Injury Association                                Deborah St. Jean              1-877-858-1788
Brain Trust Canada                                                       Laurie Denton                 250-762-3233
Brain Trust Canada - Vernon Contact                                      Marcie McLeod                 250-307-6064
Bulkley Valley Brain Injury Association                                  Katherine Metz                250-877-7723
Burnaby Chinese Brain Injury Support Group                               Angela Kan                    604-877-8606
Campbell River Head Injury Support Society                               Shelley Howard                250-287-4323
Caribou Brain Injury Society                                             Shilo Toews                   250-392-7772
Chilliwack                                                               FVBIA                         604-557-1913          TF 1-866-557-1913
Comox Valley Brain Injury Society                                        Dixon Hiscock                 250-897-1255
Comox Valley Head Injury Society                                         Jeremy Coombs                 250-334-9225
Cowichan Valley Head Injury Support Group                                Barb Grantham                 250-748-9338
East Kootenay Brain Injury Association                                   Dawn Widdifield               250-417-6220
Fraser Valley Brain Injury Association                                   Carol Paetkau                 604-557-1913          TF 1-866-557-1913
Golden Brain Injury Support Group                                        Donna Madden                  250-344-5688
Kamloops Brain Injury Association                                        Terry-Lynn Stone              250-372-1799
KBIA - Salmon Arm/Shuswap Contact                                        Teresa Wolfe                  250-833-0369
KBIA - Barriere/Merrit Contact                                           Terry-Lynn Stone              250-372-1799
Langley/Aldergrove Brain Injury Support Group                            FVBIA                         604-557-1913          TF 1-866-557-1913
Maple Ridge Support Group                                                Ian Moore                     604-944-9030
Mission                                                                  FVBIA                         604-557-1913          TF 1-866-557-1913
Nanaimo Brain Injury Society                                             Mark Busby                    250-753-5600
New Westminster Headway                                                  Gabrielle Pape                604.520.0130
B.R.A.I.N. (Brain Resource, Advocacy & Information Network)              Tina Suter                    604-540-9234
North Okanagan Shuswap Brain Injury Society (Salmon Arm/Shuswap)         Robyn Coatta                  250-833-1140
Northern Brain Injury Association                                        Carmen Jose                   1-866-979-4673
Peace Country Society for Acquired Brain Injury                          Linda Proctor                 250-782-7519
Powell River Brain Injury Society                                        Deborah Dee                   1-866-499-6065
Prince George Brain Injured Group Society                                Alison Hagreen                250-564-2447          TF 1-866-564-2447
Sechelt/Sunshine Coast Brain Injury Support Group                        Susan Goddard                 604-885-8524
South Okanagan Similkameen Brain Injury Society                          Dave Head                     250-490-0613
Terrace Brain Injury Support Group                                       NBIA                          1-866-979-4673
TriCities Support Group                                                  Sandy Caverly                 604-916-5027
Vancouver Headway                                                        Leah Pentilla                 604.732.4446
Vancouver Survivors Support Group                                        Lillian Wong                  604-873-2385
Victoria Brain Injury Society                                            Barbara Erickson              250-598-9339
West Coast Support Network                                               Wanda McAvoy                  250-726-7459
West Kootenay Brain Injury Association                                   Kim Johnson                   250-304-1259
*Please email name and phone number changes to headlinenews@shaw.ca to ensure this list is kept as up-to-date as possible.


                                                                                                                                 headline 23
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