Why Some Concussions Don’t Heal: A Patient–Provider Conversation on Real Recovery

A concussion story most people never hear. Dr. Zimmerman and his wife, Sara, share the raw, real experience of navigating yet another concussion—from subtle early symptoms to the emotional toll it takes on daily life.

When symptoms don’t make sense—but your body knows something is wrong. Fatigue, mood swings, dizziness, nausea, memory lapses, and loss of motivation all appeared quickly, even after what seemed like a minor hit.

Why standard care often leaves people stuck. Learn how normal scans, generic treatments, and symptom-chasing can miss the true neurological drivers of post-concussion symptoms.

What actually made the difference this time. From vestibular and eye movement findings to targeted neurological therapies, hear how a personalized approach helped symptoms improve faster than expected.

A powerful reminder for anyone who’s been told “this is just how it is.” This episode challenges the belief that chronic concussion symptoms are permanent—and explains why the right care matters more than ever.

Transcript

Have you ever wondered what it's like to have suffered a concussion, to struggle with symptoms, and then what it's like to even go through care? That is what we are going to cover today. Today, I'm joined by my wife, Sara, who recently suffered another concussion. Don't really know how many that is for a total, at least ten, if not more. but we're going to do this from a patient side and provider side. So she's going to talk about the different symptoms she was dealing with. She's also going to talk about her perspective as a patient with getting treatment. Whereas I will be focusing more on the medical side of why did we do what we did to help her get better? So first let's go back. Um, know you've had multiple concussions over the years and it should be noted that when we're talking about this okay some people they take another concussion others they really just flare up a weak or fragile system in the brain so what exactly happened this time um i was laying in bed with our four-year-old we were reading a book and i went to adjust the pillow It fell down, I didn't realize it, and I put my head back a little too hard and smacked it against the wall. And I didn't think really anything of it because. I've had way worse things happen to me and I got a concussion before, and so I didn't think that this would be really anything. OK, so we have a direct blow to the head, which is a potential mechanism for a concussion. Now it's also important to understand that when you've had multiple concussions and we'll talk about where the weaknesses were heard neurologically that as we go into this, but when did you first start noticing symptoms and what were some of the symptoms you noticed? Um, it was kind of almost right away, like not like right away, but like the next day, like Um, I was starting to get headaches a lot easier. I was really moody. Um, we homeschool. And so I just noticed doing stuff. I would get more frustrated and then I'm like, Hey, take a step back. I know. And like, there was times where I was like getting angry and I know I was getting angry, but I couldn't like help myself. If that makes sense. Um, I had a lot of nausea, um, didn't want to eat because like, I just, I just felt so nauseous most of the time that I'm just like, I'm done. I can't do anything. Um, I had a lot of neck pain right here and then jaw pain as well, right around here. Um, was super tired all the time um i was going to bed early waking up late and i was still tired throughout the day and i couldn't figure out what was wrong with me um on top of that i felt like i had no motivation it's like it's right before thanksgiving right before christmas i'm trying to get everything done and i'm just like i don't want to do it i'm done um my memory There are times where like, okay, I need to just get three things at the store and I'd walk in. I'm like, I think I remember this. I have no idea what else I was supposed to get. Should have wrote it down. And then had to go back once I finally remembered like an hour or two later what I actually needed at the store. And then also if I was driving for too long, I'd get dizzy where like, I just couldn't drive anywhere. So I didn't like driving long, long distances, like maybe over fifteen minutes if I could help it because I would just like start getting a little dizzy and headache. And I'm just like, I can't do this. I think that's okay. So, you know, that's a good bit of symptoms that she was dealing with. And whenever we first step back and say, could someone have a concussion? We've got to say, one, did they have a plausible mechanism of injury? So they hit their head did they have a jolt to the body that caused a whiplash motion and was it of sufficient force that could have cost him and so we definitely have a hit to the head um you know when you have a part that's weak it may not take as much force to truly cause another concussion or at least an exacerbation because for those of you that have had ankle injuries or things like that like i played soccer and you have so many ankle sprains over the years, it's not very hard to sprain your ankle again. It doesn't take the same injury that it may have taken you initially. And really the same thing is true when we look at a lot of concussions, is it doesn't take as much to do it when you've had multiple as it would for your first one, or if you were fully recovered and able to maintain it. Same thing with an ankle injury, which we'll talk about this more, But like with bad ankles, you know, you have to keep doing the exercises to stabilize all the muscles around your joint to reduce the likelihood of another injury. And as long as you do it, you're going to be in a better spot than if you don't. So we'll talk about it from a neurological perspective in a little bit. But then the next thing with the concussion, it's do you have the appropriate symptoms? Now, we're typically looking for symptom onset within forty eight to seventy two hours, which we'd say is a checkbox. And then we'd say, do you have two symptoms that are either new or worsened compared to when the event happened? Which, as you heard our list, we definitely have more than two. Some of the most common symptoms that people have, and you don't have to have all these, okay? Headaches, fatigue, focus, concentration. mood changes, sleep changes, either too much or not enough, dizziness, right neck pain, cognition, any of that stuff related. Now, once again, you don't have to have all these. So don't be like, oh, well, my list isn't as long as hers. So therefore, I couldn't have had one. Because once again, that's not criteria. So we definitely are checking the boxes and all that. Now, she did something which she normally doesn't do. She's like, I need treatment. I'm usually pretty stubborn about it. You know? And she's like, couldn't that have been from us? Like, cause she didn't even tell me that this had happened. I basically was like, all right, not sure what's fully going on, but you know, there's some things you don't say to your wife, like what's going on. Um, but she said, I need treatment. And so the very next thing, when we look at the criteria for suffering a concussion is Because once again, you don't have to have all those symptoms. And then let's be very clear. You do not have to lose consciousness. You do not have to be falling. You do not have to be vomiting. Complete myths. Most people never have that. But step three, it's do you... Actually, sorry. It's not step three. It's step four. It's do you have findings on... a neurological exam. When we look at a neurological exam, we're looking at cognitive testing, which honestly, I don't do a lot of. I find it's one of the least useful components of my examination. I find the other things to be much more important to address. And as you address it, then cognition improves. So I view a lot of the cognitive things that we can measure as an effect of the concussion versus something that we need to go at directly. But the things that I find more important, it's going to be our balance testing, vestibular testing, as well as our eye movement testing or oculomotor testing. So we had you come into the office. One of the first things I had my staff do before we even did treatment, I was like, all right, go ahead, do our testing. So what did you notice when you did the testing? What did you feel? I didn't think it was as bad as it was in the past because I've done it a few times. I didn't get super tired. I did get a little dizzy after, or not maybe dizzy. I don't know if that's the right word, more tired. But I noticed too that I felt like when the dots were moving, faster it was a little easier and when the dots were moving slower it felt a little more difficult to follow along with it okay so that part of the test is going to be so that's eye movement testing so that's video oculography and whenever we looked at her results right so you do a variety of tasks so you've got gaze fixation looking at stationary targets You have pursuits looking at targets going left and right, up and down at different speeds. You have saccades where a target's jumping and you have to move your eyes to the new target. And then you have what's called an optokinetic, where you have a rapid movement of the background. And we're looking at how your eyes reflexively work. So she didn't feel as bad as she did in the past. She did have some symptoms, which is a check. You can ace the testing, but if it causes symptoms, that's actually a positive finding. Now it should be understood that you do not have to bomb the whole test to be abnormal. This is a very common thing that when I review with patients and I tell them where they struggled, like, oh, well then that's not too bad. You know, I mean, that was just a couple areas. But I want you to view it as like a sport team, right? You wouldn't say, well, you know, I mean, like we did good for fifty percent of what we were supposed to do and the other fifty percent wasn't that bad. So let's not worry about it. You'd be like, well, no, that's still abnormal. And really, from a finding standpoint, her eye movements from that perspective were not that bad. But there was something with your eyes where it's not computerized, but there was something else with your eyes. What did we do? And, and then I'll kind of talk about what we found. So, all right. So we did something going on that day. Yep. So we did something called virgins. So virgins is where you're looking at a target. Oh, and it got like super doubled really fast. Like they're not like, like, It should have been double closer here. And it was like my eyesight doubled here, like the two thumbs. Correct. So basically vergence testing, right? You're looking at something that comes in. We're looking to see when it goes blurry and when it goes double, double is going to be normal is going to be in ten centimeters or less. For her, it was like twenty, twenty five. It was something like that was like, all right, that's completely abnormal. And we're looking to see does one of the eyes kick out. And now as someone that's treated well over a thousand concussions, This is not something you're going to find in most of them, but it is something you're going to find in about twenty to thirty percent. And so this was definitely a positive finding, which was one of the more impactful sides when we looked at her eyes. And it's important to know that when we do the eye movement testing, they are sitting there. They have a black TV screen at this moment with the testing we're doing. So it's not like they're moving. It's not like we're challenging other systems at the same time. It's done in isolation. And in daily life, we never really do anything in isolation. We're having combined eye and head movements, right? So we got our head moving, we got our neck moving, or we have a combined eye, head, neck, and hand, right? Or, oh yeah, I'm also moving my head and my eyes and I'm talking and I'm doing a cognitive task. So it's really about layering stuff. So if you do and you have issues on things that aren't layered, then guess what? If you layer them, there's definitely gonna be more issues. So that's what we saw on the eye movement side. And just know that eye movement issues are very, very common in concussions. Unfortunately, they're rarely evaluated. And if they are, they're usually dumped out technology. So you don't really have good pre and post testing. Now, the next thing we did was balance testing. See, this one I remember because I failed epically at this one. So I was standing. I don't think I was on a mat this time, or was I? Not initially. Okay, so I was just standing, and I was rocking. I could feel myself rocking, and I couldn't stop. And then you had me close my eyes, and it felt worse. And then... You had me on the mat, the blue foam, and I stood on there and like, I felt like I was almost going to fall over and you're like, no, keep your eyes open. And I'm like, I am this, this is me eyes open. Um, and so when you had me close my eyes, like you had to stand right directly right behind me, because like, as soon as I closed my eyes, I almost like face planted. Um, and then. After that you put the little headphones on me and it started beeping and I could stand like I didn't fall over and it was kind of amazing. Like, like almost like rich craft. Yeah. And so we posted that as a video where actually we had pre and post. Now we didn't do it with the headphones. But we did do a comparison of before treatment and after treatment. And at the beginning, balance for her, her vestibular system is the one that is the weakest by far. You know, to the point where if we go snorkeling, She will get out of the water beyond land and will still be swaying as if she's in the water. So it's a very, very weak system. And for her, the very first one that goes. And one of the reasons why this happens, it's whenever you have a concussion, you're usually always getting some sort of damage to part of your brain known as your brainstem. So your brainstem gets impacted and your vestibular has, basically you've got your inner ears, which people consider the vestibular system, which it's only one component, but all that information relays into your brainstem where you have your hubs for it. So you actually have the vestibular nuclei where everything goes and relays in. From there, your vestibular system feeds down to your neck. It feeds down to your, plays a role in your autonomic nervous system to help with reflexes for blood pressure and heart rate. It also feeds up into the eyes. And so it's very common when you have vestibular issues, you get anxiety, you get balance issues, you get headaches, you get a lot of neck issues, especially those who don't keep results, whether it's chiropractic, physical therapy, acupuncture, or you're made worse. That'd be definitely a more severe vestibular issue. So that's really common. So for her, vestibular issues greater than visual issues. But When we add in combined visual and vestibular, then it's even worse because your visual system does feed into your vestibular system as well. And then the part she's talking about with headphones, basically there's an app that we use for some of the patients who have more severe balance issues and it plays noise at different frequencies. So your brain fires off different frequencies. And so we're basically going for parts of the inner ear. You've got part that senses motion forward and back, up and down, side to side. Okay, there's two different parts that do all that. But depending on the noise, we can target one part more than the other. And we can also do both ears versus one. And so we found by messing with which one did she respond best to that made her a lot more stable. And then that was a layer that we used to help her whenever we started doing treatment, we did a lot of stuff with that. Um, but that's not the only thing we did to help with her balance. Okay. Cause that went in neurologically from more bone conduction or her ears. But we also did stuff because for you, it was, you were going forward. Um, we also did stuff vibration. So what do we do with that? Um, I don't know what they're called, but it was attached to the back of my calves and, um, pretty much anything that I was doing, it was, um, on the back of my legs. I don't know exactly what it was supposed to do. Yeah. So, so she had devices on the back of her legs that was vibration. And the goal of that was, So in a healthy brain, when you start swaying forward or back, it doesn't matter which way you sway, right? There's a certain amount. Once you start moving, you get a stretch in those muscles that are being stretched, should fire to the brain. But also outside of that, you still have parts of the brain, part of your vestibular system that just sounds like, oh, I'm moving forward. I'm changing my orientation with gravity. And it should then fire down to say, okay, that muscle that's being stretched, we need to activate it and contract to bring ourselves straight up and down. That wasn't happening. And so we were giving extra feedback so the brain could better calibrate this. So we're doing stuff on that end. And we ultimately blended a lot of different things. And we're not necessarily going through why we did every single thing. Because we do a lot of different things underneath one roof that people just in general are not getting access to. But how did it feel initially when you did treatment? Were you getting symptoms from it? Were you getting tired from it? How did you do? After the first one, especially the chair spins, I... I felt dizzy. I felt a little bit tired. But after the first one, I had to wait in the waiting room for like, fifteen, twenty minutes just so I'm like, okay, I'm good enough that I can drive home. And they were hard. It looks super easy, but it was difficult to do pretty much all of them. Yeah. And chair spins are When you turn, you rotate, that is a highly vestibular-based stimulation. And because for her, the vestibular system is the weakest, she definitely has more issues with anything that's directly vestibular or challenges the vestibular system at a higher rate compared to other therapies. Also had her doing stuff with her eyes. So, you know, it took us not even a week to fix the convergence insufficiency, which is what the term is whenever... objects come into your eye and one of your eyes deviates out before it should. That's convergence insufficiency. So it's definitely an issue for a lot of people, but it's also something that usually tends to be overly diagnosed depending on the provider type. I'm just like, look, that's not their biggest issue. It's not that severe. And that's why we have to look at vestibular versus visual and oculomotor versus cervical spine with proprioception. How well do you do, you know, with locating where neutral is, where if you have that testing, you'll know what I'm talking about. So most of you aren't going to be aware, but basically they're wearing stuff, has a laser, eyes closed, we move their head. They have to come back to what they had initially told us was middle with their eyes open. And we see the discrepancy. There are those who do okay but then honestly probably eighty percent of people do pretty poor on that one and it is no surprise at that point in time why they struggle with a lot of their neck issues and headaches and the tension you know base of their skull down on their upper neck shoulder blades area so that's pretty common now you know we're not a facility that just does a neurological rehab um I also had you doing some different supplements for it. So whenever we look at the different supplements we do, I like using supplements that support how well the brain can produce and use energy. I also like supplements that help with the stress response and cortisol response. But then lastly, especially because the amount of concussions she's had, While we have her do fish oils, we have her do things as well that are much stronger than fish oils. And those are called plasmalogens. Most of you, this can be the first time you've ever heard the term plasmalogen. I've got a separate podcast and video that's much more in depth on plasmalogens. But basically, these are super fish oils, essentially, that get into your cell membrane and they do a great job. They're known to go down in brain injury, stroke. Alzheimer's, Parkinson's, basically anything where the brain is challenged by a big inflammatory mediator, whether it's from a physical injury, chemical or neurodegenerative, those levels go down. So replenishing plasmalogen levels goes a long way. We also implemented low-level laser therapy. One of the things that we did not implement in this time that we did in the past, now in the past she's done really well with it, This time we didn't bring it in, but yes, it would have helped, but we didn't. So, and that's hyperbaric oxygen therapy. Okay. So we've got mild hyperbaric oxygen therapy at one point three ATA, which she always responds well to in the past, less headaches, better energy, less fog, more clarity, all of that. But I don't want you to think that, okay, if you just don't get it, you're not ever going to get better. Now, with that being said, It definitely helps, especially if people are not sleeping as well. I've done some before and afters just after a quick session to see how people's brain function changes. And I've been shocked seeing what it does when I actually do objective testing with eye movements. So it's been pretty eye-opening, needless to say. What happens with that? So now we've done treatment, right? We've done supplements. We didn't do hyperbaric. And now some of you are like, ooh, but anxiety, should she have done other stuff like neurofeedback? Honestly, I'm not the biggest fan of neurofeedback in adults. I like it better in kids. But I have things that work a lot better. So one of the things that she responds really well to is vagal nerve stimulation. And we had a set that she would use in the office, but then we had a set that we'd actually bring home. and she would use it to sleep. So let you talk about your experience of using it. Um, they're amazing. So I have a lot of had a lot of jaw pain. Um, Every time I had a concussion, I noticed that it would hurt more and it was just talking for like a couple minutes and I'd feel it and I'd put those on and it just is like this little vibration right over here underneath my ears and on my neck and like it would go away. I slept with them on a few times and it was the best sleep I've ever had. Like I slept through everything and usually Like I hear walking, like our dog walking or one of the kids and every little thing will wake me up. And there was a few times where he was like, oh no, like the baby came in or her dog was barking. And I was like, oh. didn't hear that at all. Like I was able to sleep and I felt so rested afterwards after using it. And it actually, it helps me feel less anxious as well. And then we also use it on our oldest daughter whenever she does math because she tends to overthink and get stressed out over the littlest thing. And so whenever she's getting frustrated with that, I'm like, hey, it helps me You put it on, do your math homework with these on, and it helps her so much. Like, it's amazing. Yep. So for her, like I said, Vegas Nerve Simulation does really, really well. She's a, I call it more of a super responder, okay, because as I use this on, you know, at this point in time, it's a newer device that's out, but I've used it on easily, you know, she definitely responds well. out of the highest, ten, twenty percent level. Lots of people, they still like it. Helps calm them down. They do better when they're using it. And so it's a great tool that we have. Now, don't just go randomly buy any vagus nerve simulator. They are becoming more popular. So there's things that are out there that are good. And then there's a lot out there that are complete junk where people are just selling stuff to make money. So absolutely did great with vagus nerve stimulation. And like I said, improving sleep quality. So, you know, we only did treatment, you know, we normally do ten treatments. I don't even know if she did all ten. I think I did six or seven. You know, because one of the benefits is one of your brain, you've already had treatment before. And if you're providing the brain what it needs, you're still going to rebound faster, right? So she was on supplements. Limiting screen time. also getting plenty of rest okay those who don't sleep well they really struggle because deer and sleep is a time when your brain removes all the waste reduces inflammation and it repairs so having the increased sleep actually was a big benefit of reducing down the amount of treatment that was needed and so now we're not even two weeks into treatment you know with doing it most of the time daily even though it wasn't always a daily thing but How are you feeling by that point in time? By the fourth session, I felt great. Like, you even had to remind me, like, okay, you feel great, but you're not done. Like, you still can't go back to what you were doing previously. You still have to. I was slacking on supplements sometimes. You know, you still got to pick your supplements. You still got to do the exercises. But, yeah, it felt like, oh, like, I can actually do stuff, and I want to do stuff. And so you have to keep in mind that you don't overdo it. Yeah. So, yeah, I know she saw really good results. She saw them fast. But it's also pretty common that we see results pretty fast within a two-week window for most people. Also helps that her nutrition pretty on point to begin with. So it wasn't like there was processed foods and everything else that we're having to pull out. But, you know, she still has things that she needs to do. She still has home exercises, still have to make sure things are being done right. Because in the world of post-concussive syndrome and chronicity of symptoms, overall, her symptoms are significantly less. Many of them have completely disappeared. Well, there are those that are there minimally. But as i mentioned earlier she's the example of someone who's jacked up her ankle so many times it is never going to be back to where it should um but if you do the right things you're gonna be able to maintain it where it's not gonna be a hindrance in your life at all and so i don't want to set up any type of miss conceptions or false beliefs that she goes on her merry way and she never has to do anything again the rest of her life and she'll be okay because you know what that's not true in well and i thought that in the past and then how many times do i keep having concussions and having to okay i have to do my exercise now because i hit my head or go back into the office Correct, because one, you never know when you're going to have another concussion, right? Concussions happen all the time and it's not from sports. Yes, that's a top five, but it's not a top two. Top two, fall or accident. Those are the top two. She had three car accidents back all in her teenage years, basically. And when you have that many that go untreated, for so long that can set you up for issues so I tell people look there's three different ways it goes after you've had treatment one you never do your exercises again your brain holds everything forever because everything is just that will support it and that's all you need two you Don't do your exercises. You still feel good for about six months and then you feel your symptoms start slowly fading away and you start doing them. Not that you have to do your exercises a ton because you really don't. It's five, ten minutes, a couple of times a week, and you'll keep your results and you do well. You do that for a period of time and then you probably can just fade off because you've built enough resilience. But you have to build resilience and neuroplasticity within your brain. You have to rebuild those connections very, very strongly, just like you would a relationship. You can't have a, well, you know, it's not a great relationship. Well, if it's not a great relationship, it's not going to hold over time if it's challenged. Same thing is true with our brain. And then the third group is they do their exercises and the results instantly fade. Okay. You know, I'm going to say realistically, she's kind of in between that second and third group. where because of the amount of things that she's had in her life she needs to keep doing it once again it's not something where it's a big part of daily life it right doesn't take long no it it's just by the door um of our bedroom and so to remind me oh hey once i leave maybe i should do one of these and it takes like not even five minutes like maybe three maybe i'm doing them too fast So, I mean, really, you know, whenever I give people home exercises, it's only meant for five to ten minutes. I don't try to make it a big thing because I know if I give people too long, they don't do it anyways. But it's really blending that with, right, it's all the foundationals added together. How do you eat, sleep, stress, exercise, and socialize? That is your pillar of health. And then you add on neurological exercises. You add on nutritional supplements. You can add on hyperbaric. and the other things, and that can bring you further, right? We can add in vagal nerve stimulation. We've got low level laser therapy, you know, low level lasers that do a great job as well. We have a variety of tools that we can layer in, but those are not meant to replace those essentials. So we want to do this episode you could really get an idea of what it's like to go through treatment from someone who recently just went through treatment from another concussion hear their perspective but then also hear about the medical side why i do certain things why you know for her we biased a lot of things for her vestibular system much more than we did for her eyes and it's because that's what the testing showed us we needed because lots of people unfortunately they're going to clinics this is meant to be of no offense to those who treat concussions that i'm going to put in this category people do the best what they know but if i had to guess eighty to ninety percent of clinics treating concussions have very little understanding of neuroanatomy neurophysiology neuroimmunology and everything that's happening in a concussion so people are getting generic treatments that are just super generic not going to help any of the hard cases and They also, many of them are doing symptom-based care. If all I did was symptom-based care for her and said, well, you have neck pain and you have headaches, you know, look, I say this to someone who's a dual licensed nurse practitioner and doctor of chiropractic. I will actually, I'm not going to say I'm going to let her say, you've been doing adjustments since I was in chiropractic school. I will do those last. oh, there are times where like, I'm like, oh yes, my neck feels so much better. And then like two hours later, it's like, my neck hurts so bad. Like what is going on? And then I'd get frustrated because they're like, well, you shouldn't have more than one neck adjustment, like a week or something. Like it would get so frustrating, but my neck hurts. So please. Right. So the symptom focused providers say you need another adjustment or you need acupuncture or you need us to do more stretching or massaging of your neck. Right. Whether it's PT, chiropractic, all of that. Well, I was also going to say, too, I notice after a concussion, like if I get a neck adjustment. it makes me want to throw like I don't sometimes I don't throw up but like it makes me so nauseous after getting like a neck adjustment that it's just like oh okay why did I do that like pain is back and now I just feel sick correct so whenever I said initial you know earlier those with bad vestibular issues Getting their neck worked on can make them worse. She's one of those. And it's why, you know, with one of her prior concussions, even though she was seeing one of her friends and adjusted, I told her, you cannot get your neck worked on. You know, I'm like, wait, what? I was like, yeah, you can't touch her neck because I know what happens. And that's actually how we found out. She, you know, hats up neurologically going on the beginning was whenever too much stuff was being done on her neck and it made her throw up. And that was without. a new concussion that was just from all the old ones that had never been treated so please please i know you want to chase symptoms i get it she wants to chase symptoms right i want to chase symptoms with some of the stuff but as someone that's been treating concussion since twenty thirteen please do not chase symptoms if you actually want to get better right um chasing symptoms is literally like taking a four-sided dice and throwing it and hoping you always get the number you want it's you may have times you're gonna get it right but the times you are wrong is gonna far exceed the amount of times you're right and that's my frustrations when i'm in different facebook groups and everything else oh i did this and it helped i did this and i was like no You have to understand why. I can evaluate someone and say with high predictability if an adjustment may help them. But I can also evaluate them and say, you know what? You're not going to get fixed with an adjustment. Maybe it's not going to hurt you, but your results aren't going to last. Or maybe it's going to help you. Or it's actually going to make you feel worse. And it's because the evaluation. So your evaluation drives what you do. And this is why going back to what I was saying. Eighty to ninety percent of concussion clinics, they are chasing symptoms. They do not understand the underlying issues behind a concussion. I beg you as someone, once again, who's treated concussions for over a decade and has seen the most complex cases, find someone who's obsessed with concussions because that's the difference between you getting your life back And many people, unfortunately, will get treatment from a place that doesn't understand it. They will then say, oh, I did it. It didn't work. Therefore, I am broken and I cannot get better. That is not true. It just means you had the wrong treatment. So by being picky up front, you're going to save yourself a lot of heartbreak, pain, suffering, physically, financially, and everything else by getting the right care. Any questions, please put them in the comments, things you'd like us to cover. Maybe I'll make some shorter videos on it. But once again, wanted to walk you through a more recent experience when it's fresh on both of our minds and provide more insight because as much as concussions are being talked about, which honestly it's still not much, the more insight that we can bring into concussion care, what it's like, the more likely people are actually going to get the proper care to help them get the results and outcomes they're looking for. I hope you enjoyed this.