New Study Explains Why Rest Is Key Following A Brain Injury

brainWhen my son suffered a concussion two years ago, his doctor told him the key was rest.  For this then 11 year old, that meant laying down, with no reading, no television, and no video games.  Just rest.

Rest has long been thought to help following a brain injury, but recently, a new study came out explaining why that was the right advice.

The study, which examined trauma in the brains of mice, found that when there is single, mild incident, the mice lose 10-15 percent of their neuronal connections in the brain, but there was no accompanying cell death.  When the mice rested for three days, almost all of the connections came back, healing the brain.

However, the study found that without rest, when additional events occur, the neuronal connections don’t heal and can become permanent.  Thus, the prescribed rest is critical to offer the brain an opportunity for any mild injuries to heal.

One issue with the study is that it is only based on very mild injuries.  In more severe cases, a one-time incident can cause cell death and have long-term consequences even if the victim tries to take the rest needed or prescribed.

If you or a loved one has suffered a brain injury as a result the conduct of someone else, please call us at (512)476-4944 so we can help you.

 

 

 

Insurance Recorded Statement: Beware This Seemingly Innocent Question

 

 

“If we get some of your bills, do we have permission to pay your medical providers directly?”

That’s a question that I’ve started seeing when GEICO takes recorded statements of some of my clients (and I can only assume that other insurance companies will follow behind).  It seems innocuous.  The client says, “yes.”  Of course, that would be great.

It’s terrible.

Agreeing to this simple request can really hurt your accident claim.  Why?

Medical expenses are funny.  For most medical providers, there are at least two numbers for medical bills.  First, there is the “rack rate” — the full price rate that the medical providers try to charge those without insurance.  Second, there is the “insurance rate” — the contractual rate that the medical provider and health insurance companies agree is a proper charge for a particular service.  (And in reality, these insurance rates can be different for every different health insurance company, Medicare, Medicaid, and so on.)

Which rate is charged, has an impact on your case.

By offering to pay the bill directly, GEICO and other carriers are trying to get permission to go to your medical providers and try to cut your case out from under you.  They’ve paid something they’re going to have to pay anyway, often at a lower rate than you would be able to recover from them, and in the process, they’re decreasing the value of your claim while decreasing their risk.  It’s all good to them.

It’s also taking money out of your pocket.  If hospital A has a $10,000 bill but is willing to accept $7,500 (and I’m making these numbers up), then if GEICO pays the hospital directly, it saves itself $2,500.  However, if the lawsuit goes forward and GEICO has to pay you, the client, the $10,000 and then you pay the hospital the $7,500, then that $2,500 savings goes to you and not the hospital.

So agreeing to this seemingly innocent request is costing you money!

There are a number of ways that an insurance company can use a recorded statement to its advantage.  While this is a relatively new tactic, it’s not the only tactic.  We always tell our clients that they shouldn’t agree to a recorded statement without having a lawyer present to help protect the clients’ rights.

If you or a loved one has been in a car wreck and have been contacted about a recorded statement, please call us at (512)476-4944 and let us help you before that statement occurs.

 

 

Another Fatal Austin Wrong Way Driving Wreck

Yesterday, Austin saw yet another fatal wreck caused by a driver going the wrong way on one of our highways.  In this round, driver John McClintock was arrested for driving the wrong way on Mopac, where he is alleged to have hit and killed Domonick Turner.

Sadly, this type of thing happens way too frequently. It seems like this should be a scenario that never plays out.  But over the years, Austin has seen a number of wrecks where this happens.   While I’ve written on these types of wrecks for years, the frequency really hit home when my wife called me one morning telling me that she was shaken up and pulled off the road because a driver crossed the median of IH 35 and almost hit her head on.

But that was an unusual situation.  Yesterday’s wreck had the two main hallmarks of most wrong  way crashes:  (1) alcohol is involved; and (2) the wreck happened in the wee hours of the day.

Sadly, these wrecks are almost always serious because of the nature of head on collisions and the fact that there is almost nothing a victim can do to avoid the wrecks.

However, there are some actions that road designers can take to make these types of wrecks less likely to occur.  I’ve written extensively about these potential solutions, and you can find those articles by searching this site.

Posted on: November 12, 2015 | Tagged

Good Brain Injury Related News From The University of Texas

brainYesterday, Admiral William McRaven, the Chancellor of the University of Texas System, made several announcements about his future plans for the system.

Recognizing the increase in brain injuries and diseases, Admiral McRaven proposed an “unprecedented investment” to have the University of Texas academic and health campuses work together on research and initiatives to improve brain health.  Admiral McRaven compared his envisioned level cooperation to that of the Manhattan Project, when researchers all over the country came together to collaborate and create the atomic bomb during World War II.

While this initiative isn’t on the immediate horizon, it’s an exciting prospect to think about the University that I love playing a big part in helping so many of my clients.

Posted on: November 6, 2015 | Tagged

Austin Dog Bites Are Increasing

Beware of dog sign.Last week, the Austin American Statesman reported that dog attacks are increasing in Austin.  The number of dog attacks has increased every year since 2007.  This year is no exception.  Austin has experienced over 1,000 attacks so far, on pace to break last year’s record.

These are not good statistics.  I’ve represented a number of victims of dog attacks, ranging from the run-of-the-mill attacks to a horrific case where a dog attacked and killed a young child.

These are often terrible cases for those involved.  With aggressive dogs, there is usually significant pain and trauma relating to the original attack.  Many serious attacks have long-term physical consequences, including physical limitations and scarring.  And almost all involve permanent psychological scarring.

Legally, there are a number of different avenues of claims that may be made.  The obvious claim stemming from a dog attack is against the dog owner.  In Texas, dog owners have various responsibilities to help protect the public from unsafe dogs.

If the dog owner was a renter, there may be a claim against the home or apartment owner, depending on the specific facts of the attack.  Additionally, if the dog owner was a renter and a property management company was involved, the property management company also has duties and responsibilities that it must follow.

The more difficult situation in these cases is finding funds for a recovery.  Traditionally, homeowners’ insurance companies have provided coverage for these claims.  Now, as insurance companies are becoming more aware of how serious these claims are, many companies are starting to exclude coverage for dog attack claims.  This is important information to know not only for the victim of attack, but also for dog owners.  If you own a dog, talk to your insurance company and make sure that you’re covered should something go wrong.

 

If you or a loved one has been injured in a dog attack, please call us for help at (512)476-4944.

 

Austin Police Chief: Too Many Austin Car Wrecks

Young man using smart phone in his car

Young man using smart phone in his car

Austin Police Chief Art Acevedo took the unusual step this week of having a press conference to urge Austin drivers to be more safe.   Chief Acevedo was prompted to take the action because this year has already been record-setting in terms of number of traffic fatalities.

Acevedo noted that the top causes of wrecks are intoxication, speed, distraction and failure to stop.

I won’t argue with Chief Acevedo.  We see wrecks car caused by these four items every day.

Personally, we hope Austinites and others heed Chief Acevedo’s warnings so that our roadways are safer for all of us.

You can read more about his press conference here and here.

What Is A Life Care Planner?

Many of our more serious cases require a life care planner.

A life care planner is an expert witness, usually a doctor or nurse or combination of the two, who sets out the likely care that you’ll need for the rest of your life.  It can include things such as surgeries, physical therapy, follow up doctor care, and accommodations (walkers, shower stools, etc as applicable) that you will need.

The life care planner then estimates the costs of this care throughout your life.

Life care planners are very useful because they can give you a holistic view of your injuries and prognosis that covers a number of different disciplines.  In the non-litigation world, these experts are often seen as case managers — coordinating your care among the different types of doctors that you have to see.

The downside of life care planners is that, like other experts, they can be extremely expensive.  Before hiring one, we’ll have to make a decision about whether the expense can be justified.

The Failure of Tort Reform

Steve Cohen has an interesting article, On Tort Reform, It’s Time To Declare Victory and Withdraw, detailing the failings of tort reform in the medical malpractice context.  In his article, Steve outlines some of the things we’ve learned since tort reform started passing in waves, including in Texas:

1) Tort reform hasn’t decreased healthcare costs.  The theory was that doctors afraid of getting sued were prescribing all kinds of unnecessary tests.  In fact, studies have shown that doctors in states that have enacted tort reform measures prescribe tests at the same rate as those that haven’t had tort reform measures.

2) Runaway juries aren’t a real problem.  Indeed, the data suggests that the average jury awards in medical malpractice cases are significantly lower than the average awards handed down by judges.  If anything, juries are conservative on these cases.

3) Tort reform hasn’t significantly decreased the cost of insurance for doctors, though in states with tort reform measures the increases in rates have been slightly lower than the increases in states without tort reform.

What has happened since tort reform?  Insurance company profits have skyrocketed.  That’s who has really benefited from tort reform.

Unfortunately, in Texas and other states, while trying to craft tort reform for medical malpractice cases, the reforms have bled into other areas of claims, and have hurt the rights of most injured persons and businesses.

With tort reform proven to be a failure, it’s time to make sure it stops.

I’ve Been Injured In A Water Park Or An Amusement Park? Can I Sue Or Make A Claim?

Roller Coaster2 It’s that time a year again.  Almost like clockwork, as soon as school is out, I get inquiries from people like you asking whether you can make a claim against a water park or an amusement park after you get injured.

And the answer is generally yes.  If you’re injured at a water park or an amusement park there are typically several times of claims that you can make.  First, you can make a regular negligence claim arguing that the park’s conduct fell below the standard of care.  In other words, you’re arguing that you were hurt because the park did something it wasn’t supposed to do or that it didn’t do something that it should have done.  There are literally thousands of different variations on this that could lead to claims.

You may also have a products liability claim against the park.  These claims occur when you’re hurt because something with the ride itself goes wrong.  Again, there could be thousands of different possibilities here.  A safety device might not work, the ride might not run as it was designed to do, etc.

There are other claims that might arise based on your particular situation.

And even if you don’t have a claim, many parks have medical payments insurance.  This medical payments coverage pays for medical bills incurred as a result of an incident at the park even if the incident wasn’t the park’s fault.  The limits on these claims are smaller — often around $2,500.00 — but those funds can be helpful when you’re paying out of pocket for medical care.

If you or a loved one has been injured in a water park or amusement park incident, feel free to call us at (512)476-4944.

Drivers Aren’t Being Smart With Their Smart Phones

Avoid-texting-while-drivingAT&T released the results of a scary study this week finding that smart phones are allowing people to drive while distracted in new and “creative” ways.

According to the study:

  • 61% of drivers surveyed admitted that they text and drive
  • 33% admitted emailing while driving
  • 28% admitted surfing the internet while driving
  • 27% admitted using Facebook while driving
  • 17% admitted snapping a photo or selfie while driving
  • 14% admitted using Twitter while driving
  • 14% admitted using Instagram while driving
  • 12% admitted shooting video while driving
  • 11% admitted using Snapchat while driving
  • 10% admitted using video chat while driving

This is obviously a concerning trend.  As we find more and more uses for smartphones, it appears that we’re also creating more and more ways to drive in a distracted manner.

That’s bad news for all of us.

 

 

Perlmutter & Schuelke, PLLC maintains offices in Austin, Texas. However, our attorneys and lawyers represent clients throughout the state of Texas, including Dallas, Houston, San Antonio, Forth Worth, El Paso, New Braunfels, San Marcos, Kyle, Buda, Round Rock, Georgetown, Lockhart, Bastrop, Elgin, Manor, Brenham, Cedar Park, Burnet, Marble Falls, Temple and Killeen. By Brooks Schuelke


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