Robert Kelly

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Type 1 diabetes mellitus (T1DM) can complicate recovery after mild traumatic brain injury (mTBI) by mimicking post-concussive symptoms. This case details the recovery of a 17-year-old female with T1DM who sustained an mTBI and lumbar spine fractures following a motor vehicle collision. Post-traumatic amnesia, short-term memory deficits, and impaired glucose regulation complicated her recovery. Cognitive symptoms of mTBI, such as working memory and attention deficits, can be worsened by nocturnal hypoglycemia, increasing the risk of poor glycemic control due to challenges with dietary and insulin management. Additionally, mTBI symptoms, such as headache and irritability, can overlap with hypoglycemia. At her one-week Physical Medicine and Rehabilitation (PM&R) follow-up, she reported persistent daily headaches, fatigue, neck pain, and nightly glucose readings in the 40s. In addition to standard concussion follow-up, the primary team coordinated a same-day evaluation by pediatric endocrinology, allowing real-time insulin adjustment in the clinic. With interdisciplinary management, the patient returned to her pre-injury cognitive baseline, her headaches improved, and her glucose levels stabilized. Misattributing symptoms to either mTBI or hypoglycemia can delay targeted treatment for both conditions, leading to worse functional outcomes and a prolonged rehabilitation course. This case highlights the importance of glycemic monitoring and team-based management in adolescents with T1DM recovering from concussion. It also illustrates the absence of standardized management strategies for adolescents with concurrent mTBI and T1DM.

The Next Chapter Starts Now — book, workbook, and digital edition by Bobby Kelly Phoenix Strategist Bobby Kelly — who once trained President George W.

Iran held off the U.S. Navy in the Strait of Hormuz with cheap drones and missiles. The bigger lesson may be the one China just learned about a future Pacific fight.

The devastating reality laid bare by recent stories on opioids is not an isolated anomaly.

Last month I talked about the amazing archeological findings of Neanderthal teeth and how they discovered ancient dental work on them dating back to 59,000 years ago. I also posed the question of whether the Neanderthals or ancient human ancestors were better or worse off than we are when it came to dental problems like cavities.

A scholar lays out three paths after the Iran war: spend vastly more, pull back to Asia, or trade exquisite weapons for cheap ones.

The US Defense Budget After the Iran War - The United States and Iran are trapped in a bizarre, slow-motion war in the Persian Gulf.

In the past few days, the US president, Donald Trump, has turned his curious loathing for his country's allies towards South Korea . He has complained that the nation free-rides on the US military presence on the peninsula and did not participate in the Iran war. He has also talked up his rapport with North Korean dictator Kim Jong-un. To date, Trump has focused his anti-ally ire on Western partners such as Canada and Denmark; this turn towards Asian allies is new.

A few months ago in these pages, I wrote about adverse childhood experiences and what they cost this community (“Stories put face on data in opioid crisis,” My View, July