Investigating a Traumatic Brain Injury

Whether it is a traumatic brain injury or a car accident, insurance companies and adjusters have a system that allows them to pigeonhole an accident injury. Insurance companies do this to avoid thoroughly investigating an accident case and transposing the initial facts into the bottom line. It is fair to say that most things are not what they appear to be on the surface. Instead, there are layers of facts that provide a fundamental understanding. This is undoubtedly true of accident cases that involve my clients.

As seasoned accident injury lawyers, we look at our clients as if we were the client ourselves. Would we be satisfied if someone pretended to understand the ins and outs of our case based on the initial interview? The answer to that is a resounding no. Would we want our advocate to spend time investigating the incident and using legal arguments to win the compensation we deserve? Yes! This is the way we think of our clients. Let's delve into this and see what an attorney should do when faced with a new case involving a traumatic brain injury since, many times, the entirety of the symptoms are not easily defined from the get-go.

Initially, our firm arranged a free case review. During this initial interview, we learn about the accident, how the individual was injured, and review any documentation they bring with them. Such documentation includes police and medical records and wage reports. Once this introductory phase is completed, we open the discussion to questions, some from our legal team and others from the injured party. In short, we spend the time getting to know one another and delving into the accident.

At some point, the injured party may decide to go ahead and retain our firm. There is some paperwork to sign, and the work is about to begin.

Some traumatic brain injuries are clear-cut. The client has difficulty with memory and describes a period after the accident where he or she encountered many changes. For instance, they describe memory loss that is worse in the short term. They can remember things that happened long ago but not yesterday's accidents or events. They may also fail to remember that they must pay a bill, shut the water off, or put out food for their cat. All the deficits might be hidden in mild cases, and things may appear normal until you look deeper.

Other problems described by a TBI client include emotional lability. This occurs when they laugh at a serious event and sometimes cry uncontrollably during a humorous one. In some cases, this emotional lability occurs without a precipitating event. They may describe being mentally subdued, such as being in a mental fog most of the time.

The client may even mention that he or she had a good relationship with loved ones before the accident but has been angry and argumentative. In addition, their hobbies have fallen by the wayside, and they no longer express interest in them. They describe feelings of listlessness and fatigue, preferring to sleep for days on end. Sexual activity may have fallen off also.

After hearing from the client, we often sit with their close family members to see how they perceive the changes. This is an essential aspect of our intake, and the family is usually eager to explain what they observed.

The family members explain that they have been researching the subject and discovering what they can do for their loved ones. This is our opportunity to provide a list of resources to use. Small ways of helping the traumatic brain injured person make sense of their new reality can go a long way. For example, the family can use Post-its at home to remind the person to do certain things. This helps them get through the forgetfulness that is often a symptom of TBI and its accompanying anxiety.

Some clients cannot fully describe what happened immediately during and after the accident, if at all. This deficiency is assisted by a complete review of the medical records. It is all there, From initial reports by first responders to emergency doctors and nurses. Even momentary confusion when the patient is asked their name, date of birth, and other questions with an obvious answer. If the patient required emergency surgery due to complications that resulted from their injury, it is documented in the reports.

This occurs occasionally, and a thorough review of the medical records with the help of an expert can determine if complications were missed. An interesting question here is who is responsible. According to California Civil Jury Instruction 3929, the defendant is liable for additional harm from others in attempting to provide medical treatment. That means that if the initial injury was caused by a negligent driver and the injured party was further hurt by the application of medical care, the negligent driver is considered responsible for it all.

The initial MRIs and CT scans sometimes failed to identify a traumatic brain injury. In such cases, the use of neuropsychological testing is beneficial. These tests evaluate a psychological function linked to a particular brain structure or pathway. By administering these tests, it is possible to find brain trauma deficits.

MRI studies before and after administering gadolinium (contrast) show areas of hyperintensity may be found, indicating traumatic brain injury. Functional MRIs (fMRI) are also helpful because of their ability to show brain activity through blood flow. By using this technique, it is possible to show prior traumatic brain injury.

The video below discusses images of traumatic brain injury seen through MRI studies.

An attorney must investigate their client's case to determine the extent of their injuries. Further, it is essential to evaluate the disability the injuries will cause in the future. Both criteria are essential in reaching adequate compensation.

If this is left undeveloped, the client will face a bleak future trying to pay for continued medical care without receiving funds to do that. If the case is settled without doing this, the insurance company will insist that the injured party sign a waiver. The waiver forbids them from filing a claim due to damages incurred in the same accident in the future.

It is difficult to reassure a client that it is necessary to wait. That is understandable since the client faces mounting bills often without being able to work. However, facing extended future medical care could financially strap a family.

At our firm, we immediately send investigators to the accident site. Our investigative team makes every effort to determine how a collision happened using accident reconstruction techniques. We interview witnesses and obtain video footage from traffic surveillance cameras and those on nearby businesses that show the incident as it happened. Our investigators also review police reports of the accident, looking for mistakes since these records are frequently used in negotiations with the insurers and in court.

Once all the evidence at the accident scene is gathered, the investigators release it to our legal team to use it to build a robust case for our client.

Read the following to learn more about traumatic brain injury:

• Diagnosis of traumatic brain injury
• Mindful Meditation as Treatment for TBIs

Evaluating accident injuries is an essential part of my practice. No client deserves any less than we would be willing to accept. A lawyer must have abundant information when dealing with an insurance company. They may try to simplify your accident, but we know from experience that traumatic injuries are anything but simple.

We can provide free and friendly advice if you suffer traumatic brain injuries in an accident. Call us at (415) 805-7284 or toll-free at (800) 404-5400. You can also contact me online if that is more convenient for you.