<p>Question for parents regarding my job. I’ve had this job for less than two weeks. It’s with residential living, and my boss is getting married this weekend so she won’t be back for one in half weeks. She won’t be in tomorrow.</p>
<p>I’m meeting with financial aid tomorrow to discuss medical withdraws and withdraws in general. Long story short I’ve had a headache every day I’ve been here from a concussion, which I got on move in day. On top of that concentration isn’t the best, nor is focus or memory. I rather withdraw now, and take the year off until Summer semester than fail this first semester.</p>
<p>She knew what had happened because I asked if I would be able to take off at some point to go to back home to see my doctor. Previous post: I have no coverage up at college only urgent, or e.r. </p>
<p>My question. If it works out better for me to go now should I tell my boss’s supervisor that I’m withdrawing? Wait to withdraw until my boss come backs? She told me if I had any questions I could go ask her boss or another higher up at the building. Would a letter of resignation be necessary, or just going in and telling her boss? If I don’t put in the withdraw right away, but I know I will should I give them like a 1 or 2 week notice? If I did this I know my boss would still be gone.</p>
<p>Yikes! A concussion IS an urgent care issue, and it does not sound like you have gotten adequate medical care. How have you been treated since the accident? Did you have a CT scan that day?</p>
<p>Your main concern is your health. If you decide to withdraw from school, it is fine to let your boss’ supervisor know now, rather than wait. </p>
<p>I am sorry about your headaches, etc from the concussion. It reminds me of my first semester in college as a freshmen. I had just had a spinal tap prior to school which removed too much fluid and gave me extreme headaches. I had to go home for a few days and just rest, but I eventually came back and stayed on track.</p>
<p>Before you withdraw from school, be sure that you get some medical guidance and talk to your counselors. This could be just temporary, and you will be over it soon.</p>
<p>I went to urgent care which is how I got my diagnose, but seeing how I have migraines and a history of concussion they referred me back to my neurologist. I wish it would be a quick fix but last time I had concussion it took nearly a year before my doctors said it was no longer post concussive. That is what worries me and my dad understands where I’m coming from. I thought it would be ok, but I feel bad because I really like the job. They also told me it take a year to learn everything there and they have other workers leaving this year, one in winter and one in spring. Guilt always eats at me.</p>
<p>I plan on discussing with financial aid, and I do have an appointment with my academic counselor tomorrow but when I made it, the appointment was possibly declaring a major not discussing withdraw. I might just tell her at the start that I need to discuss something, but I feel like she will be unprepared since that is not what I originally made appointment for.</p>
<p>No, I didn’t have a CT scan. The PA that saw me said there was no need since I had no indication of bleeding, and she didn’t want to risk the radiation. Also I did tell her I had a history of migraines, and concussions.</p>
<p>A) It is NOT an “urgent care” or emergency room situation
B) A CT scan will only show bleeding. It will show NOTHING with regards to a concussion.
C) A CT scan/MRI are POINTLESS in concussion episodes. If signs and symptoms warrant this imaging, then a concussion is no longer the primary problem.</p>
<p>“Imaging tests
A cranial computerized tomography (CT) scan is the standard test to assess the brain right after injury. A CT scanner takes multiple cross-sectional X-rays and combines all the resulting images to produce detailed, two-dimensional images of your skull and brain.”</p>
<p>This note is from the Mayo Clinic website reviewing standard treatment for concussion. I would head back into the college urgent care and ask for a doctor to review the file and the ongoing problems. If the symptoms are significant enough to warrant a medical withdrawal, they are worth a doctor’s evaluation first.</p>
<p>Most research would disagree with the Mayo Clinic’s webpage. A “concussion” will not show up on an MRI. Many of the signs and symptoms listed on their website for requiring imaging are beyond that of a concussion. I would agree with if those signs and symptoms show up, then seeking immediate medical treatment is important.</p>
<p>If a patient is not vomiting, stumbling, or have significant neurological impairment, then I would not refer them to an emergency room nor would I suggest getting an MRI/CT Scan.</p>
<p>OP, normally, I am one for considering other people’s needs, how my actions will affect them, etc. But this is different. It’s not like you’re just skipping out. You have a medical situation which needs to be dealt with. </p>
<p>Honestly – please don’t feel guilty. Your boss will understand and will be able to deal with the situation. Also please don’t worry about your advisor, and whether she will be prepared for tomorrow’s meeting. Your health is what matters right now, and your only question should be how to get a medical leave of absence with the least disruption to your ultimate education. Your advisor should be able to help you with this, or know who can.</p>
<p>Best wishes for a speedy recovery. And no guilt!!</p>
<p>You were only seen by a PA? Concussion is a serious, and sometimes long term (as well you know by now), neurological condition. Why weren’t you seen by a neurologist? If you’ve not yet seen one, you need to do so immediately. And don’t worry about the job. Your health is more important. Isn’t it?</p>
<p>What will a neurologist do for a concussion? OP could anything else be going on? Are you sure it’s guilt about the job you are experiencing? No need to answer here, just curious.</p>
<p>Not sure what else a neurologist would do other than order rest (possibly for an extended time) but at this point I would also be pushing for an evaluation by a neurologist.</p>
<p>I have a friend who just took an LOA from college in his senior year because of a concussion. What I think is a bit ironic is that he in studying athletic training and athletic trainers are considered one of the best when it comes to sport-related concussion management. But it can happen to anybody and he suffered his playing hockey at least 9 months ago and continues to have post-concussion syndrome problems…</p>
<p>Anyway… if my patient were to still be having symptoms 2 weeks post-concussion, I would have referred them to a specialist at that point. The person I would send them to is not a neurologist, but a sports medicine physician who specializes in concussions and I’d let him make the call whether to further refer or not. </p>
<p>Concussions are one topic I am pretty sure about when it comes to evaluation and management. I deal with them on a regular basis. In the last month, I’ve managed 3 and in the last week alone have ruled out 3 possible concussions while on the sidelines. As an athletic trainer, I am biased but I fully believe that an athletic trainer is better with the management of a sport-related concussion than 90% of doctors or PA/NP.</p>
<p>My neurologist treats my migraines, which is why I was referred back to him. I do agree that if I could see a sports medicine physician I would. Seeing how this wasn’t a sports accident I don’t know if my neurologist or primary care doctor would refer me. Although the first concussion I got was related to sports accident. I didn’t even see a sports medicine doctor than either, instead I went to a pain clinic. Now that clinic refers patients to a concussion clinic.</p>
<p>The guilt weights in my decision to stay not go. If I didn’t have all these post concussive symptoms still I would stay and wait for Winter break to see my neurologist, but with the symptoms I feel it’s in my best interest to leave. I do love my job, and it would’ve given me great experience in a potential field. As I said before I rather take care of my health. I was just wondering if it was acceptable to go above my boss since she is not here. I will talk to the her supervisor Monday because I will be talking to financial aid after my shift today.</p>
<p>Fuma,
Is it possible to just leave for a visit with your neurologist; then follow his/her advice about withdrawing?
It might be possible for you stay enrolled, to keep your job but take a medically prescribed reduced academic load.</p>
<p>MRI will show changes in the brain tissue, such as inflammation. This would seem to be appropriate to think about doing, given all your symptoms, though I am not a doctor, just a parent of a varsity-sport D who has had concussions and continuing issues with her brain an hormones. H also had many during the years he played his sport.
OP, are your pupils dilating normally? Are you super-senstitive to light? Before you go in, write a little history of what happened and all your symptoms since- it is a big help!</p>
<p>And that is different from a concussion. An MRI will NOT show a concussion because the structural changes that occur for a concussion are so small they won’t show up.</p>
<p>I would suggest letting the supervisor know ASAP that you will be withdrawing from school and wiill need to leave the job, the more notice they have the easier it will be to cover for you. Though not required, I would recommend a written resignation, and mention that you are leaving due to a medical issue that forced withdrawing from school and not the job or environment. It is more professional, and might make them better disposed if sometime down the road you decide you want to work there again:).</p>
<p>I am glad you are getting checked out, there could be other issues besides the concussion. I am not an MD, but one thing I learned as a volunteer first responder is that with accidents and such, symptoms don’t always show up immediately or may be masked.</p>