Category: Communication Corner
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Concussion Update
In the wake of a sports-related brain injury causing a student-athlete’s death in New Jersey, Tua Tagovailoa’s on-field seizure activity, and the 2022 International Concussion in Sport Group meeting set to release updated guidelines from Amsterdam, it is a perfect time to think about the current state of concussion care. The brain, because of its…
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Heart Rate Variability & Monkey Mind 🧠
During my sports medicine fellowship in the Fall 2007 I was introduced to a heart-mind-body connection that has fascinated me since. The beat-to-beat change in rate of cardiac rhythm known as heart rate variability (HRV) is a measure of the automated response to stress. In no other way has the heart & brain connection, the…
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History Through a Modern Lens
A patient said to me the other day, “you cannot view history through a modern lens.” I thought a lot about this. She vocalized something in a way the left my mind unresolved. To add to her idea, you can, but you must remember that you have the benefit of the lessons learned in this…
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“Admin Day” for Doctor
Navy SEAL teams say slow is smooth and smooth is fast. In my day-to-day activities as a physician I can feel this in my bones. Methodically I turn the door knob and remind myself over and over that, “every moment is a new adventure” to reset my mind and treat each encounter with the uniqueness…
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Surgery, Should I or Shouldn’t I
“Doctor, is this really necessary?” What are the risks? What are other options? What happens if I do nothing?” These questions outlined by neurosurgeon, Christer Mjåset, should be part of every dialogue between doctor & patient in shared decision making for intervention. If the doctor doesn’t prompt this conversation, the patient should. Also ask, “what…
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Change Yourself, Change the World.
Leadership can be defined in many ways. Possibly the most important thing a person can do in order to be more adept in this arena is to be self-aware. So what is the fear? “What got you here, won’t get you there.” – Joel Brockner. Leaders push into the unknown. As we rise up the…
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Brain fog to Brain expert
Brain injury can have far reaching impact on the trajectory of a person’s life. When I was injured in my Sophomore year at Wagner College Football, The American Academy of Neurology’s (1997) guidelines suggested retiring an athlete for life after three diagnosed concussions. I had three documented brain injuries in the first 5 weeks of…
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Surgery, Should I or Shouldn’t I
Read this before your surgical consult: “Doctor, is this really necessary? What are the risks? What are other options? What happens if I do nothing?” These questions outlined by neurosurgeon, Christer Mjåset, should be part of every dialogue between doctor & patient in shared decision making for intervention. If the doctor doesn’t prompt this conversation,…
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Communication Corner – Email Barrage
If you are like me, then you have a love/hate relationship with email. Mostly hate. Except when you are the sender and need to communicate something to someone. The concern about an email inbox that is never ceasing and ever more time-consuming is no trivial matter. In fact it is identified as a driver of…
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SIRVA – Shoulder Injury Related to Vaccine Administration.
Shoulder pain is typical after you receive a vaccine. That being said, the pain should be fairly well localized. It may be associated with some … SIRVA – Shoulder Injury Related to Vaccine Administration.
Thomas S. Bottiglieri, D.O. 