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    • Scott Pryor
      Scott Pryor

      Attorney at Law - Scott is a member of the State Bar of Georgia and is listed in the top 1% of trial attorneys in the nation by the Litigator Awards. He is also a member of Super Lawyers, National Trial Lawyers, the Georgia Trial Lawyers Association—Champion Level and sits on the Communications Committee of GTLA, and the Multi-Million Dollar Advocates Forum.

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    • James MacLelland
      James MacLelland

      COO - James has 25 years of experience building productive teams, scalable processes, and profitable businesses.  Immediately prior to joining The Scott Pryor Law Group, as COO of a national law firm, James built and operated one of the largest legal intake teams in the country. Guiding a team of 70 individuals running 24/7 and 365 days a year they successfully marketed, retained, and onboarded over 200 new clients to the firm daily, achieving a pace and capacity of over 50,000 new clients annually. 

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    • Philip Lorenz
      Philip Lorenz

      Attorney at Law - Philip W. (“Phil”) Lorenz is a seasoned trial attorney, Phil has tried, mediated, or facilitated settlement of tens of millions of dollars in claims and lawsuits over the course of his career.

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    • Paul Dietrick
      Paul Dietrick

      Attorney at Law - Paul A. Dietrick has practiced civil trial law for over forty years, in State and Federal Courts, and Georgia Appellate Courts. Paul is a zealous guardian of the rights of those injured by the negligence and carelessness of others. Paul’s clients have recovered millions of dollars in settlements and verdicts.

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    • Jocelyn Galloway
      Jocelyn Galloway

      Attorney at Law - Jocelyn Galloway is an attorney with over a decade of experience and a legal process innovator who has dedicated her career to protecting the rights of plaintiffs against large corporations.

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    • Angie Hemmings
      Angie Hemmings

      Client Experience Manager - Angie joined The Scott Pryor Law Group and quickly made her mark on the Firm. Her previous employment on staff at a local church prepared Angie for her current role in client relations and marketing. Meeting prospective clients, checking in regularly with current clients, and staying in touch with former clients are what Angie is passionate about. She wants you to know that you and your family are important to her.

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    • Rhonda Anzaldua
      Rhonda Anzaldua

      Marketing Manager - Rhonda brings over 20 years of customer service and hospitality experience to the marketing and intake team. She is passionate about providing our clients with an outstanding experience from the very first day, and prides herself in her ability to be straightforward and honest but also able to empathize and offer comfort in the difficult conversations.

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    • Steve Ware
      Steve Ware

      Senior Case Manager

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      Meet Everyone

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    When a loved one is killed because of another's negligence, it is important to hold them responsible...
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    A quick moment in time, a sudden slamming of the brakes, or a loud blare of a horn can be all the time you have to prepare yourself in the event of a car accident.
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    According to the National Highway Traffic Safety Administration (NHTSA), the number one leading...
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    Children are our pride and joy, and we do everything we can to protect them. That’s why it is even more devastating...
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    A faulty construction machine that destroys your property, undisclosed side effects in over-the-counter medication, a poorly designed toy...
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    If you have been injured at work, your employer should pay for your medical treatment. While employers and insurance companies...
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    Slips and falls can result in surprisingly serious injuries. Even otherwise healthy people can suffer from severe harm due to a simple fall.
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Understanding the Levels of Brain Injury Recovery

Understanding the 8 Levels of Traumatic Brain Injury

A traumatic brain injury (TBI) can result from any blow to the head: a punch, a fall, a tackle, an accident on the road. Despite the casual way some have treated it in the past, a concussion is also a kind of TBI. Since the brain is so complex and delicate, a TBI can have many different results, depending on how and where a person was hurt, their age, their health, and how quickly they received medical treatment.

To understand how much damage a brain has suffered and how well a person is recovering, doctors use the Rancho Los Amigos Scale of Cognitive Functioning (also called the RLAS or the Rancho Scale). “Cognitive functioning” refers to how the patient’s brain is working—how well they can use their senses, respond, think, and move.

The Rancho Scale describes separate levels of cognitive functioning following a TBI.

  • Level I: No response. The patient cannot respond to sound, sights, sensations, or movement.
  • Level II: Generalized response. The patient slowly begins to respond to sound, sight, and other things that they sense, though their responses may be inconsistent. Their responses are general: groans, movements, faster breathing, raised blood pressure levels.
  • Level III: Localized response. At this level, the patient may begin to recognize people they know. They can make more specific responses, such as turning toward the source of sounds. They may be able to answer “yes/no” questions and obey single commands, although not consistently.
  • Level IV: Confused and agitated. As the patient improves, they become frustrated and fixated on their wants and needs—bed, the bathroom, going home. They may scream, act out, or become verbally abusive. At this level, they can understand some of what is going on around them, but not all of it. Nonetheless, with help, they can begin to do basic tasks such as dressing themselves or following simple instructions.
  • Level V: Confused and inappropriate. The patient continues to have difficulty understanding what is happening. They may not know the date or why they are in the hospital, and they may make things up (confabulate) about events in the past or present. They are likely to have gaps in their memory surrounding the accident, and they have difficulty retaining new information. However, they can hold brief conversations and follow instructions with assistance.
  • Level VI: Confused and appropriate. The patient’s memory is improving, but it is still poor in the short term. For example, they will know the date and where they are but forget what happened in the morning. They can pay sustained attention for up to 30 minutes. They can handle activities of daily living (ADLs) such as dressing and eating, but they need help with more complex daily activities, like crossing the street.
  • Level VII: Automatic and appropriate. The patient has now improved enough to return to familiar daily routines in their household, and they are processing new information. But they continue to have difficulties in responding and adapting, and they do not realize their reduced level of function. They can be stubborn and distractible, and they are likely to make unrealistic plans to return to life as normal.
  • Level VIII: Purposeful and appropriate. As recovery continues, the patient begins to understand the ongoing limitations of their TBI. Although they may still be depressed and irritable, they adapt to their situation, using assistive devices and techniques as necessary.

Recently, doctors have added two further stages of recovery (IX and X) to the Rancho Scale to describe patients’ further improvement as they relearn old abilities and adapt to their new ones. It may take days, weeks, or even months for a TBI patient to progress through these stages, depending on how severe the injury was and the patient’s earlier state of health.

The Next Steps for TBI Patients and their Families

The treatment team will provide the TBI patient and their family with further instructions on the help they will need as they progress through the stages of recovery. Even a mild TBI requires time off, assistance, and care. Moderate to severe TBI patients, when they do recover, may have to go through rehabilitation to relearn basic ADLs and daily routines.

They can also suffer prolonged or permanent cognitive damage, leading to long-term issues such as:

  • Fatigue
  • Memory problems
  • Trouble with concentration
  • Difficulty maintaining physical balance
  • Mental health problems, including emotional difficulties and personality changes

Even when a TBI is not as severe as it might have been, TBI patients and their families will face mounting costs and losses from their injury. These include:

  • Medical expenses—emergency care, hospital bills, rehabilitation
  • Lost wages
  • Future earnings, if the disability is prolonged

If you or your loved one has suffered a TBI, our Georgia personal injury attorneys would be glad to speak to you about how to recover these costs. Depending on the circumstances of the injury, you may be entitled to compensatory damages, not only for your medical expenses and lost earnings but for pain and suffering, emotional distress, and other possible claims. The state of Georgia also maintains a Brain and Spinal Injury Trust Fund for Georgia residents who need additional assistance in living with a TBI.

There is no need to worry about upfront legal fees—you will pay nothing unless we win the case or settle in your favor. Call the Scott Pryor Law Group, Personal Injury & Accident Attorneys, at (404) 474-7122 to set up your appointment today.

6185 Crooked Creek Rd NW
Ste. H
Peachtree Corners, GA 30092
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