In the world of neuro-optometric rehabilitation and sports vision, partnering with other professionals is essential. Concussion, traumatic brain injury and stroke, among other neurological conditions, are multifactorial and, therefore, often require a team approach to manage successfully.

I am fortunate to have built a strong network of referring optometrists, athletic trainers, occupational and physician therapists and neurologists, among others, who recognize that we can all be a valuable part of the team. Together, we work toward the common goal of helping our patients function better and return to work, school or the playing field.

Years ago, I treated a young man whose father was a coach for the largest youth football league in our metro area. Today, I have a close relationship with that league because I asked that father what I could do to make his program better. I like to plant a seed whenever I talk to a parent, coach, trainer or doctor who may need our services in the future.

I communicated my findings with that young man’s father by picking up the phone and explaining what was occurring and how I could help. I take this same tact with referring providers, but in their case, I communicate the comprehensive testing we do, and the benefits patients are able to achieve as a result.

Practicing in Iowa, I can order bloodwork, an MRI or a CT scan and then call the neurologist I often collaborate with and say, “Here’s what I’m seeing. I’ve ordered an MRI, and I’m sending this patient to you. I’d like to rule out X.” The neurologist appreciates receiving that background information, as it is timesaving in diagnosing the patient.

There is no shortage of demand for concussion care. Every year, I host open clinics and webinars for anyone who wants to attend: parents, coaches and health care professionals. I train occupational therapists (OTs) to test for oculomotor disorders and perform therapeutic exercises within their licensure. Otherwise, these visual problems can get overlooked in a hospital or rehabilitation setting. When the OTs know what to look for, they can take initial steps and then refer patients to me.

Building credibility in a community and developing strong collaborative relationships took me some time and effort, but it has been well worth it. OM

CONCUSSION CARE NEEDS

The CDC has found the need to further study and educate the public about concussions. In a 2017 Youth Risk Behavior Survey, 15% of students self-reported having had one concussion in the last year, with 6% reporting two. Athletes were at a slightly greater risk, the studies findings:

DR. FITZGERALD is the founder and owner of Dr. D.M. Fitzgerald & Associates in Cedar Rapids, Iowa. She serves as vice president and education chairwoman for the Neuro-Optometric Rehabilitation Association (NORA). Contact her at drfitz4eyes@hotmail.com.