Brain Injury
Definition
A brain injury is a disruption in the normal function of the brain caused by an external force, such as a blow to the head, or an internal event, such as a stroke or tumor. Brain injuries can range from mild to severe and may result in temporary or permanent cognitive, physical, and emotional impairments.
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Surgery
Yale’s Department of Surgery is a premier center for adult and pediatric surgical treatment, providing comprehensive care for a full range of conditions and diseases. To ensure that our patients experience shorter hospital stays and less postoperative discomfort, we employ the latest technologies and surgical techniques, and perform minimally invasive surgery whenever possible. Our renowned surgeons and faculty continue to push the frontiers of surgical science through innovative treatment and leading-edge research, with the ability to offer treatment options that can be difficult to find elsewhere. More state-of-the-art surgical suites at Yale New Haven Hospital than in any other hospital in the region Collaboration with the Yale Department of Biomedical Engineering and with industry to develop 3-D bioprinting for the regeneration, repair, and replacement of human tissue and vessels Nationally recognized Center of Excellence and designated training center for transcatheter aortic valve replacement (TAVR) Yale’s Endocrine Neoplasia Laboratory is an internationally renowned multidisciplinary research group in which surgeons work with endocrine geneticists to decipher the molecular genetics of endocrine tumor disease First program in Connecticut to offer three different minimally invasive bariatric surgical techniques: Roux-en-Y gastric bypass, LAP-Band® surgery, and laparoscopic sleeve gastrectomyGeneral Surgery, Trauma & Surgical Critical Care
We specialize in the comprehensive care of traumatically injured patients with life-threatening conditions, critically ill surgical patients, and patients with acute surgical emergencies. They are trained in both traditional open and minimally invasive surgeries, and perform a variety of elective and urgent procedures. Our surgeons also provide vital surgical critical care in support of Yale New Haven Hospital’s Level I adult and pediatric trauma centers. They are committed to research, education for health care providers, as well as injury prevention, state trauma system development, and disaster management. We understand that having a traumatic injury, surgical emergency, or being in a situation requiring critical care can be stressful for patients and their families. Our team members will do their best to help keep everyone as comfortable as possible during care. Our surgeons, nurses, and specialists are available 24 hours a day, 7 days a week to respond immediately to all major trauma codes, and provide our patients with comprehensive, continuous care and support from admission to discharge. Along with our clinicians, a host of support services, including religious ministries, social workers, and care coordination services are available to help our patients. We focus on: General surgeryfor patients undergoing elective or routine surgery, as well as those with emergency surgical conditions. We evaluate patients prior to surgery in outpatient locations, the emergency department, or the hospital, depending on the urgency of their condition. We always have a senior surgeon available to rapidly attend to critical problems. Trauma carefor all trauma patients admitted to Yale New Haven Hospital, the regional Level 1 trauma center for southern Connecticut and the only trauma center in the state to be verified by the American College of Surgeons for both adult and pediatric patients. Surgical critical careto manage all critically ill surgical patients in the Surgical Intensive Care Units at Yale New Haven Hospital’s York Street and Saint Raphael campuses, and the Intermediate Care Unit at the York Street campus. Conditions we commonly treat include: Acute and chronic appendicitis Acute and chronic biliary disease Abdominal wall hernias of all types Intestinal disease Intestinal fistulas Diverticulitis Pancreatitis Soft tissue infections Sepsis Complex postoperative complications requiring critical managementNeuropsychology
We are dedicated to excellence in patient care through the study of the cognitive and behavioral changes that can result from medical and brain injuries. We are experts in identifying a patient’s pattern of cognitive and emotional functioning and how this relates to expected brain function. A neuropsychological evaluation combines tests of cognition, behavior, and emotional functioning. This comprehensive evaluation will help to determine whether cognitive changes are related to symptoms of a medical or neurological illness, a psychological condition, or a normal part of aging. This evaluation is also part of the gold-standard workup for neurosurgery candidates. We provide neuropsychological evaluations for a wide array of medical and neurological disorders, as well as neurosurgery-specific candidacy evaluations. In addition, our bilingual neuropsychologists are able to provide evaluations in Spanish. We have expertise in the following areas. Epilepsy Memory disorders & dementia Multiple Sclerosis Oncology Parkinson’s disease Stroke Traumatic brain injury What to expect at your appointment A neuropsychological evaluation consists of an interview and testing, and lasts approximately three to six hours. During the interview, you will be asked about your cognitive and emotional symptoms, health history and medications, and other important background information. Neuropsychological Testing : Cognitive testing is designed to assess domains of thinking including attention, processing speed, memory, language, visual spatial abilities, and problem solving. Tests include paper-and-pencil as well as computerized methods. Emotional functioning is evaluated during the clinical interview and supplemented with self-report measures. We often request information from a close relation (family member or caregiver) about the individual’s functioning in daily life. The results from testing will aid your providers in diagnosis, treatment planning, and recommendations to improve your overall well-being. The neuropsychological evaluation typically includes administration of standardized tests to determine cognitive functioning in the following areas: General/baseline intellectual ability Attention Processing speed Visuospatial abilities Language Memory Executive functioning (problem solving) Motor skills Behavioral and emotional functioning What to bring to your appointment We are very attentive to our patients’ needs. We work with each patient so that they feel as comfortable as possible. We encourage patents to get a good night’s sleep and eat a good breakfast before the appointment. Please bring the following: Glasses and hearing aids Water and a small snack, if needed Reports from any prior neuropsychological testing previously completed A family member, friend, or caregiver so they can provide insights into your abilities Please call us at 203-785-4085 if you have any questions about your appointment.