Awareness, Affordability, Availability: The Concussion Care Gap

Concussion recovery isn't just a medical challenge. It's a systems challenge.

In this episode, Wendy sits down with neurorehabilitation specialist Dr. Kellianne Arnella to unpack what she calls the "Three A's" of concussion care: Awareness, Affordability, and Availability. Together, they examine why so many people struggle to access effective treatment, why outdated concussion advice still persists, and how gaps in education, insurance coverage, and specialized care continue to impact recovery.

From telehealth and insurance barriers to the importance of patient advocacy, this conversation explores what needs to change and how individuals can better navigate a system that often leaves concussion survivors behind.

Whether you're living with a brain injury, supporting someone who is, or working within healthcare, this episode offers a thoughtful look at the challenges and opportunities shaping the future of concussion care.

Connect with Dr. Kellianne Arnella

Instagram: @‌the.brainbody.ot
Website: Evolve Brain + Body

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Transcript

Meet Neuro Rehab Specialist Dr. Kellianne Arnella

SPEAKER_01 0:00

Welcome back to Rupture, the world of Beskesistan. I'm Wendy Lurie. I'm joined again today by Dr. Kellyanne Arnella. Kellyanne talks about what she calls the three A's of concussion care awareness, availability, and affordability. And we realize through the discussion that concussion may have a marketing and communications problem. Concussion needs better branding and a comms plan. Here's that conversation. Thank you so much for having me. So nice to see you again.

SPEAKER_00 1:05

You too.

SPEAKER_01 1:06

Let's talk about advocacy and let's talk about what you think needs to happen. You mentioned something when we were talking about three A's. Maybe you

The Three Biggest Barriers to Concussion Recovery

SPEAKER_01 1:14

want to start there.

SPEAKER_00 1:15

Yeah. So I a few years ago went back for my doctorate, and this was a big catalyst for me. Really, what was limiting people from accessing the care that we knew could help them so much. And what it boiled down to was what I refer to as the three A's. And that's being awareness, affordability, and availability. And when we think of these words, and we can kind of get into them a little bit more, but not just the surface value of what the words are, right? Because they're deeper than that. But really, those are the three A's.

SPEAKER_01 1:53

So a question for you on the first one on awareness. I mean, besides the fact that I'm a marketer, so awareness to me is sort of where you start when you're trying to deal with a marketing problem. I've been thinking, you know, the campaign, the stroke education campaign that's been going on for like decades? Sure. Yeah. It's it's really effective. Mm-hmm. I feel like we need something like that.

SPEAKER_00 2:15

You know, that's actually not a bad idea.

SPEAKER_01 2:17

It's not, right?

SPEAKER_00 2:18

No, because I think so many people, you know, I think that there's been a lot of research and there's been a lot of big things that have changed. Like concussions have always been there, but historically, and I think if you ask people on the street, nine out of ten people would say, oh, yeah, you rest for a few days after and then you should be good. And that's really not what's best practice anymore. And I think that even in my discussions with other providers, like physicians, or, you know, the messaging that's being given between different physicians is so widely different that it's kind of shocking. But yeah, I think that a more unified approach beyond just that

Why So Many Concussions Go Undiagnosed

SPEAKER_00 3:03

acute assessment of what a concussion is, but rather how to manage a concussion in the days and weeks that follow would be incredibly helpful.

SPEAKER_01 3:13

Well, and you know, I I still remember something you said, I think the first time that we recorded together, which is that 60% of concussions go undiagnosed. So an awareness campaign to let people know that it doesn't have to be like a hard hit or a life-changing event for you to have symptoms. And also like the whole idea of the word mild and what that means. Right. But I think about that 60% and what an education campaign around awareness could really do.

SPEAKER_00 3:40

Yeah, absolutely. And so when I talk about awareness, right, and that's kind of folding into what we're talking about right now. I'm not just talking about on the side of like you as a person who's had a concussion. So we often think of like, oh, the people who had the injury aren't aware, but it's more than that, right? It's it's the it's one, the people, the victims of the injury, the people who have survived the concussion, who have sustained the concussion, who are living with their symptoms, but then there's also the provider, right? And if you go to your a neurologist or a physiatrist, you know, you're actually one of the lucky ones because so many people go to their primary care provider and they're not brain injury specialists, they're not focused on on this kind of aspect of this type of injury, you know? And so there's that miscommunication or that sort of like missing link in the awareness piece that if you go to a standard provider, not someone who is understanding of what the concussion, you know, of you know, of concussion protocol or or not even a protocol, just like concussion aware, then you might get put down a different trajectory than someone who goes to a different

Why Medical Research Takes Years to Reach Patients

SPEAKER_00 5:06

provider. And then of course, there's the general public, there's your educ educators, like people for kids who've had a concussion, and even for like a, you know, other types of professionals that are interacting with people who've had concussion too.

SPEAKER_01 5:20

Well, it was interesting. I was talking to a nurse practitioner last week who specializes in neurology, and we were talking about the thing you and I have talked about, which is that even though the guidance changed, the information didn't filter down.

SPEAKER_00 5:32

Right.

SPEAKER_01 5:32

She said that was a problem because that the the cause of that was that that information, all that data from the research didn't make it into the training materials.

SPEAKER_00 5:41

No. And there's there's I I this reminds me because I I at one point was like, I need to write an email to the CDC because I was so fired up, and I've done this with other groups, and I'll explain that. But there's a whole education component on what to do with kids who've had a concussion who are returning to school. And there is only one discipline mentioned that their focus in the school is different than what they would necessarily do for someone who has a concussion. But what we also know is that the best concussive, the best care for someone who's concussed is comprehensive care. And to eliminate complete disciplines from those education pieces, it's like, what do we what how why? It makes no sense. Right. And there's there's also this there's a lot that goes into it. And it especially for adolescents in sports whose parents just want them to get back to playing the sport, they choose to hear what they want, go to the providers who will give them what they want, which is a different issue, but you know, awareness does play into that as well. But yeah, there's there's something I read somewhere that it there's a 17-year delay in taking research and actually having it fully embedded in a field.

SPEAKER_01 7:12

17 years.

SPEAKER_00 7:13

Yes.

SPEAKER_01 7:14

For 17 years, people are getting the wrong guidance.

SPEAKER_00 7:16

Well, or they're getting it's trickling in for that time period. And it takes people a long time to adjust their ability to digest and then utilize that research. And and that is something that is like, you know, we are forever trying to speed up. And I think that, you know, a a delay, a slight delay is good, right? Because if we then we'd constantly be changing the way we do things.

SPEAKER_01 7:48

However, 17 years is really long.

SPEAKER_00 7:50

17 years is really long. But I think that that's the benefit of things like social media and YouTube and sharing, especially the way you guys are with Best Skessistan, because this is and rupture. So like

The Case for a National Concussion Awareness Campaign

SPEAKER_00 8:04

you're you're providing, you're giving people information where they don't, they're not necessarily like looking for it, right? Like it's not a provider looking on PubMed for research and then trying to preach about it. It's you are you are the the user of the research and you're sharing in a way that is helping other people get it, you know, in a way that like is in a format that's that's digested now.

SPEAKER_01 8:33

Like social media. So we just need to make sure this, we just have to amplify it everywhere. We've just got to get these messages out everywhere. And so we'll do that. You and I will take on like concussion awareness campaigns. But I I think that's true. I also think like if we could figure out how to fund a an awareness campaign. I don't know who funded the stroke education campaign. I'm assuming pharma's behind it. Well, but if they are, they're very quiet about it.

SPEAKER_00 8:57

There's so the American Heart Association does fund a good amount of stroke awareness campaigns. There are also some independent ones like same you.org, and they are, you know, I think that there's like, I think the AHA, the American Heart Association, has like a nice stronghold in a way where they are, they promote a lot and they fund a lot, and they're sort of seen as like the golden standard. In terms of concussion, there's a few of these groups, there's concussion.org, there's a few more the different brain injury associations of either your state or the US. And it's a little bit more splintered. And I think that there's that is not always a bad thing, but people don't necessarily go to one place to look. And I do also think that like with concussion, people don't necessarily for some reason say that it's a brain injury.

The Real Cost of Brain Injury Recovery

SPEAKER_00 9:58

So then they don't think that the brain injury associations are their place to go.

SPEAKER_01 10:02

When really well, that's the language problem, right? That's the like people don't get that a concussion is a mild TBI, and also that mild doesn't mean what you what people expect it to mean in terms of symptoms or sort of the longevity of symptoms or anything like that. But so we need a lot of education, a lot of awareness. Okay, that's the first A.

SPEAKER_00 10:21

Mm-hmm.

SPEAKER_01 10:21

We have a lot of work to do. Your second A is affordability.

SPEAKER_00 10:25

Affordability. And so what I want you to think about with affordability is when I imagine it, when I hear it, I think, or what I used to think was the co-pays, right? If I had a copay, I I know that when I was seeing a PT for an issue that I had with my shoulder, I was paying $75 a visit, right? And I had out of pocket, that was after insurance. Right. So my insurance paid a component of it and then $75 in addition to that for every visit afterwards, right? Okay, that's fine. It's it's still a good amount of money per session, right? But there's also there's all these other things that fold into one person going to an appointment. And it's time you have to take off of work, it's the which is a cost to some people, especially when they don't have those benefits built in. There is the if you have to hire child care. I have three young children. So I had to make sure that those, if the appointment time didn't work out while they were in school, and at that time I had an infant, so I had to make sure that he was

How Telehealth Could Transform Concussion Care

SPEAKER_00 11:35

cared for. So paying out of pocket for the child care costs, right? And then there's like the travel and the time burden. So as we know, I was in a, you know, that that was my personal experience. But then my experience as a clinician, I was working in the center of Manhattan, and I know it would take people an hour and a half, sometimes two hours just to get to the appointment that was a half an hour. And so that sort of pulled into people's ability to be consistent with the program. And when we would offer these varied methods of service delivery, so telehealth or a hybrid version of that, a lot of insurance companies say it's all or nothing. So it's either all in person or it's all telehealth, and you cannot mix. Or some do not cover telehealth altogether. I don't think Medicare does. So Medicare does cover telehealth. They do their, it just hasn't been fully written into their program yet. So the past couple of years, so long story short, prior to 2020, prior to COVID, you either had to be in a rural area or you had to be in a Medicare, like you had to be in an approved facility that was able to deliver telehealth services. And this is for the rehab component.

SPEAKER_01 13:01

This isn't for like a the diagnostic part or right.

SPEAKER_00 13:04

There, they they had a separate set of rules. And so, for example, where I was, you could not do telehealth prior to 2020. COVID happened, we shifted overnight, there was a provisional law put in place, and and we were able to do it. And then it expired in 2024 at one point, and then we had to kind of refight for it. And again, it's been extended, but again, it has not, it's not fully accepted yet. The thing is that most insurances see what Medicare approves as the gold standard, and then they follow suit. And so that's the challenge is that we need Medicare to approve it in order for the other insurances to see, like, oh, okay, well, they're doing it, we will do it too. But Medic but telehealth in general has been one of these tools that has allowed us to provide care to people in a way that is so much more efficient for them, both financially and that time burden, right? And so when you think of that comprehensive cost of care, not just the monetary value of each visit. The time. Yeah, the time, the time burden. I I, you know, even my in my paper, I talk about not only in rural areas, but you would think that in like an urban area, you would have quicker access,

The Medicare Challenge

SPEAKER_00 14:31

but it's not true. You know, you can it can take a long time to get places and rural adjacent or urban adjacent, like right now, I'm in the suburbs, and the closest concussion center to me is 45 minutes, 50 minutes away without traffic. And yeah.

SPEAKER_01 14:49

That's a heavy burden. All right, so so if we can address the awareness problem with marketing and education and things like that, how do how do we convince Medicare?

SPEAKER_00 14:58

So I think that the data of people utilizing uh telehealth and I think like getting the right people to advocate for

Advocacy That Can Change Healthcare Policy

SPEAKER_00 15:09

us as providers to be able to continue doing that, I think that that would be beneficial. Who are the right people? I mean I think it's uh I think I think making sure like you, I I say that and as I'm thinking in my head, I'm like, I know that a lot of universities will have like a student hill day where they send students to Capitol Hill. I've worked a little bit with the Brain Injury Association of New Jersey. I couldn't go this year, but they they did do sort of an advocacy day. I know that Figs, like the the scrub company, just did a giant campaign and had a lot of healthcare providers on like in Washington, DC advocating. But I think it's it's I think we sometimes defer to the people above us to be the ones advocating, but they're not the ones in the trenches. And I know that there's also some resistance to using telehealth. There are other major hospitals that don't don't offer it.

SPEAKER_01 16:17

That's a different problem. I mean, that makes this problem even harder.

SPEAKER_00 16:20

Yeah. And then that makes it harder. Sorry. Then that makes it harder for it makes it harder for people who are sort of on that, like on the fence about using telehealth if they think that it's gonna be like, oh, will this be right for me? Or, you know, you know, they kind of they're required, there's like buy-in required.

SPEAKER_01 16:40

And yeah.

SPEAKER_00 16:42

Any sort of hurdle that we can like, you know. Yeah.

SPEAKER_01 16:46

But so it sounds like lobbying would help. I think so. I think it's which is by the way, another form of marketing. I mean, it's coming back to marketing, which is really interesting, right? Because it's how do you get your message to the right audiences?

SPEAKER_00 16:59

Exactly. And uh it's how do you get your message, but how do you get the right message? Because there are sometimes it's like people, you know, historically it's been like, okay, well, what is OT? And that's the message they bring. But really, no, it's like, how do we like let me just I think sometimes I want to just say like, let's just make pretend they know what OT is and let's advocate for why we should have access to the things that we need rather than starting

Does Concussion Care Need a Marketing Plan?

SPEAKER_00 17:24

with like making sure they know who we are, you know? Right, right, right.

SPEAKER_01 17:29

Yeah. But it sounds like concussion needs a marketing plan.

SPEAKER_00 17:32

I think it does.

SPEAKER_01 17:33

Just like the state of concussion, the brand concussion needs a marketing plan.

SPEAKER_00 17:38

Absolutely. I

Why Specialized Brain Injury Care Is So Hard to Find

SPEAKER_00 17:39

agree.

SPEAKER_01 17:40

Okay, so then the third one, availability. Availability. That's an access thing too, right?

SPEAKER_00 17:46

That's an access thing too. And so we start to think like, and and availability really can go into anything, you know, because it's physically available, right? So from where I sit at this moment, the closest center that is like calls themselves a concussion center is 45 to 50 minutes away. And they're not, and that's you know, I'm not in a rural area at all. But if you move out of this space where I am, and let's say you're in, I don't know, unless Iowa.

SPEAKER_01 18:19

I have we have a TBI friend in Iowa who said she's in a specialist desert.

SPEAKER_00 18:24

There you go. And specialized care improves your outcomes. So the more specialized services you have access to, the better your outcomes will be. So that's huge. And that it that is huge. And it's oh it is okay to like get what you can get, you know, from who you have available to you. But if you could see somebody in person that could do what they could do, right? And then what if you could then have access to somebody who was specialized in concussion via telehealth who could then see you, you know, to help m navigate that in between, between like, okay, you've come this far, but you still have this much to go, you know? Right. But really, yes, it's it's the availability. And it's not, you know, that plays into telehealth as well. So it's like the physical availability, but then also like, you know, it's it's the distance, it's it's knowing where the specialists are. Right. The three A's, as you might notice already, they're not sort of, they're not in a vacuum, each of them. They kind of really intertwine. They they really are enmeshed in each other. But yeah, the availability really being like the physical availability, the number of, you know, I think any of us, anybody listening, you can think of how many clinics you know of that are rehab space, but really they're they're orthopedic, right? Like physical, yeah, PT. Well, people PT, right. PT. And so it's like it's an orthopedic center. So they're doing hips, they're doing knees. That's not a brain. That is completely different than neurological rehabilitation. And so majority of these places will take you on, of course, and it's not an negative on them. I'm not saying it in that way, but they might not have the tools to effectively specialize in concussion when their whole thing is really hips and knees, shoulders.

SPEAKER_01 20:30

But how will a patient

The Confusion Around Concussion Treatment

SPEAKER_01 20:31

know that, right? They hear that they need therapy for their concussion.

SPEAKER_00 20:34

Right. They don't.

SPEAKER_01 20:36

They don't need physical therapy. Some might for mobility issues, things like that. Some might, but not primarily. So how do you solve this one?

SPEAKER_00 20:46

That one, that one is a tough one to solve because I think that actually more and more, and and here's the other thing, and this is like bigger, this is all three of the A's in one. But then that brings in the issue of like these typical rehab spaces that we all kind of are familiar with, right? And in order to, and the affordability component, which I will say there's there is a there's another side to that where insurance-based care in many places looks very different than care that is

Insurance Barriers and the Therapy Mill Model

SPEAKER_00 21:27

like an out-of-pocket or a cash cash-based model. So typically, if you're accepting insurance as a private practice, you have to increase the volume of patient care because of the way the reimbursement works, is that an insurance company can say, okay, I'll give you, you know, $40 for this visit when the overhead cost per patient is something like $100 to $200 for the person.

SPEAKER_01 21:55

And so So you're losing money on every patient.

SPEAKER_00 21:57

So then the clinic is losing money on every patient. And in order to balance that, they're forced to see four patients, three or four patients per hour per therapist. And then those are the experiences where you get like you're you're in one of these fast paced, you are, you are the you are the fourth patient of the hour for that therapist. And then you get seen by somebody else, right?

SPEAKER_01 22:23

It feels like a mill. And I think we've all had bad PT experiences where it feels that way.

SPEAKER_00 22:28

Yeah.

SPEAKER_01 22:28

And I don't, we can't, we can't say just there are wonderful ones.

SPEAKER_00 22:32

Yeah. And it's not their fault. It's just it is it is the way reimbursement model. And I think that with concussion and brain injury, we just we can't, that's not the type of care that works best. You know, it's it's you need that one-on-one care, especially in the beginning, to to make sure that you're getting, you're hitting the the things that you need and you're you're you know, addressing those underlying deficits and and you know, stuff that's meaningful and important to that person and getting those, getting down to that nitty-gritty. But yeah, there's just not as many neuro rehab spaces. I can tell you again, like in my geographical area, there is there are two. And there, you know, there's two probably amongst, you know, 20, if there were 20 rehab places, two specialize in neuro rehab. So I it's it's yeah. Yeah.

SPEAKER_01 23:33

So that's a re this one is a really hard one to solve, right?

SPEAKER_00 23:36

Yeah.

SPEAKER_01 23:36

But it kind of feels like if we

Solving the Awareness Problem First

SPEAKER_01 23:39

could figure out how to solve the first one, the creating awareness, and it's not awareness necessarily for everybody, it's awareness with the right constituencies, right? So it could be lawmakers. Right. It's providers, it's patients, it's people who work in schools to watch for this in kids. It's like this is how you would build the plan, right? Is who are the audiences? But if you can start to get the awareness up so that people would understand the need and then get to the right people who could make do things on a legislative basis. Mm-hmm. That might push toward more availability. If it feels like availability is the hardest one to do because you have to do the other pieces first.

SPEAKER_00 24:19

Right.

SPEAKER_01 24:20

Is that does that sound right?

SPEAKER_00 24:21

Right, right, right, right, right. Yeah. So it's it's yes. And it's it's again, it's it's sort of like an onion, but like Or Shrek.

unknown 24:30

Yeah.

SPEAKER_01 24:30

Odors of layers.

SPEAKER_00 24:33

Well, I was just gonna say it's like, you know, when you peel the onion and then you realize you missed half of the layer on one side, so then you have to go back. That's what it's like. So you can build awareness with like one group of people, but then realize that, oh, okay, like we have to come back here. And, you know, uh how do we, you know, how do we manage this side, you know, to balance the other side, you know? Right.

SPEAKER_01 24:54

And I would look at we would look at like if you were to take this to a marketing agency, right? They would look and say, like, who are the audiences? Is it we we would get all fancy with our jargon and say this is B to B to C to B. So it's like business to provider, but it's also business to patient and patient to provide. It's it's a complicated system, but it could be mapped. And social media would be a really, really efficient way to get the message out because it is because it's very, very cost effective.

SPEAKER_00 25:24

Yeah.

SPEAKER_01 25:24

I mean, nobody's gonna give us the money for a $50 million TV campaign.

SPEAKER_00 25:28

You never know. You never know. We could ask. There's I think there's also some value

Small Actions That Create Big Change

SPEAKER_00 25:35

in these micro level advocacy opportunities. And so I have often, you know, I've I've talked about this and I I often encourage my patients to do this too, where they're like, I don't, they, you know, sometimes they don't know how they fell into our lap. And then I'm like, okay, well, look, let's get like you can go back to your doctor and say, this is what helped me. I found someone who specializes in this. And finding that, you know, like, or if I was referred a patient from, let's say, a neuro ophthalmologist, and then they were like, Well, my I found that person, you know, by chance, my primary care doctor said something different. I'm like, okay, well, you need to go back to your primary care doctor and say, this is where I am because I went in that route. Because you're now taking your experiencing and you're reversing, I call it like a reverse referral. Like you're explaining to this provider how you navigated that, you know, that that cycle so that you could get where you needed to be. And I think that that's there's value in that. There's value in these like small, you know, communications amongst ourselves and the, you know, you know, in our in in our circles, that's sort of one of the best ways that we can kind of increase awareness without the $50 million budget.

SPEAKER_01 27:04

Which we'd be happy to take and we'll still ask for. A question if a patient asks the provider, their clinician, for referral to rehab,

How to Ask for the Care You Need

SPEAKER_01 27:14

if the clinician hasn't suggested it, are they more likely to get it? Does it work like pharma advertising, where if you actually go to your doctor and say, I want this drug, more often than not, the doc will say yes?

SPEAKER_00 27:24

Oh, so like, I mean, I think with rehab 100%. I think like I actually would think it's more successful than like any sort of pharma thing. Because like if I went to my doctor and was like, I want this drug, they'd be like, why? You don't qualify. Like, you're not, you know, you don't need a Z pack, Kelly. But if they can go, and I am, I haven't thought about doing this, but I'm happy to give them a like an actual script, not like a prescription, but like a script. Like, I please refer me to this because this, you know, there's I actually you're you're making me hold myself accountable. I'm gonna send the email today. That's what I'm thinking. So by me, I know that there's no network of providers over the past year. Since I've kind of established my private practice, I have started to make these connections with other providers. But I know that many pediatricians, like they are like they're doing the right thing, they're giving the right information, like

Navigating Referrals After a Concussion

SPEAKER_00 28:30

they're providing good education when someone has a concussion, but then they hand them a sheet of five providers that says concussion on top. But there's no, it's not like I know who the providers are, like I know what their discipline is, but the person with the list doesn't, you know, like the parent. So they're like, okay, so who do I call it? Who do I call it who do I go to? And there's not really anything that's explaining like this is where this is where you should start, and then you can go to that person next. Or if you're having this symptom, you can go here, here, or here.

SPEAKER_01 29:12

That would be really useful.

SPEAKER_00 29:14

Which I think, again, yes, I agree. I think that would be pretty useful. I think that there's, you know, I and I I defer to the schools just because I feel like this is one of the biggest, you know, I think that they're you you you get kids that are 10 years after having a concussion, and then they're like, well, yeah, I had all those issues, but I just kind of swept them under the rug. And now I'm going to do something different and I can't do that anymore, you know. But the same thing.

SPEAKER_01 29:45

I think we talked about this once, and and I think it's it it it's it's disturbing, right? Because people do think that if a kid gets a concussion because you know kids are made out of rubber, they bounce back really fast. You can just send them right back in.

The Hidden Impact of Childhood Concussions

SPEAKER_01 29:58

But the fact that there are problems later is really disturbing. You know, they're not connected back to the original event, which gets back to awareness about what a concussion can do.

SPEAKER_00 30:07

Right. Exactly. And there's it's it's it's hard because you know, I'm dealing with this right now about clearing somebody to go back to like their regular activity, and they are doing all the things, but there's really not there's a standard for the immediate concussion, like for the immediate diagnostic component of if they have a concussion, but there is not much to say that they've healed from the concussion, which I don't think we necessarily need, but then it's like, okay, well, you you're going to have symptoms as you go. It's just such a gray area.

SPEAKER_01 30:48

So poorly understood.

SPEAKER_00 30:50

Right. And I think it's it's also like, you know, you have for someone like you, right? We can we can clear, like, okay, we're not gonna get you 100%. That's not our goal. But our goal is to get you on the

Recovery Isn't Always a Straight Line

SPEAKER_00 31:03

right track so that you can continue going without our guidance, right? Or without our, you know, one-on-one sessions. But there's this difficulty where people are then that they're sort of second-guessing. The education component, they're like, they're like, well, I I'm still having symptoms sometimes, or I'm not back at my full capacity. So how do I get back there? And there's a lot.

SPEAKER_01 31:28

There's a lot. There's a lot. Wow. Okay. So thank you for the three A's. Because I think it's a really helpful way to think about this, but it feels like it all starts with awareness and education.

SPEAKER_00 31:39

Yep.

SPEAKER_01 31:40

And we'll do what we can on social. We'll do things together. And that's the other question. I want to make sure. How do people find your work? Where should people go if they want to learn more about what you do and all that great insight you offer?

SPEAKER_00 31:53

So I do have my Instagram, which is the brain b dot brainbody.ot. But on there, you know, I'm really putting out, it's not

Resources for Patients and Families

SPEAKER_00 32:07

only concussion, I'll say that, but it's also really it's something meant for everybody. I don't like to put it out there just for clinicians. I don't like to put information out there rather just for clinicians. I think that it's important because I think we can do so much as clinicians. I've talked about this a lot recently. Everything we do is worth nothing if the people that we're doing it for don't know that it exists and they don't know what it is. And so there's enough out there, clinicians educating other clinicians. And if I can do anything, it's like kind of being that bridge between the clinician and the client, where it's like, okay, those are the fancy words that mean double vision. But if you're experiencing double vision, like that is not normal. And maybe we can kind of look further into that. So that's that. And then I have my website, which is evolvebrainandbody.com. And that really, I, you know what, I should put on some resources on there. I do have one that I made about concussion and knowing essentially what it looks like for kids. So, and it really is good for adults too, but it goes through the symptoms, you know, other than a headache. There's so many other things that can be presenting: a stomach ache, nausea, eye strain, all of those things people don't necessarily associate with concussion. And that would be helpful for people to know.

SPEAKER_01 33:29

So, yes, it would be great for you to have a resource page if you need any help. We just did one on our our website. We actually linked to you, to your Instagram. But you gave us a ton of suggestions about resources that were evidence-based and really reliable. So happy to flip that back over to you, though you already know them. But the resource page would be really helpful. Yeah. Um, and I think just people finding out all the you know stuff from you and like you all of the you know, everything that you've talked about and and how to make those connections and and also the language that we both talk about a lot in terms of like helping people understand what's really going on would be really helpful.

SPEAKER_00 34:05

Yeah, absolutely.

SPEAKER_01 34:07

Thank you for coming back and talking about the three A's. I think it's really, really helpful. I do find it ironic that it always comes back to marketing, but everything comes back to marketing communication because the science is there. The problem isn't an absence of science. The problem is getting the information to the right people. Right. And making sure that everyone knows how serious a concussion can be and

What Needs to Change Next

SPEAKER_01 34:26

how important it is to get diagnosed right away and treated right away by the right kinds of providers.

SPEAKER_00 34:33

Yes, absolutely.

SPEAKER_01 34:35

Thank you, Kellyanne.

SPEAKER_00 34:36

You're so very welcome. Thank you.

SPEAKER_01 34:40

Thanks for joining us for this week's episode of Rupture, the world of Eskistan. Today's episode featured Dr. Kellyanne Arnella, and we talked about the three A's of concussion care. To hear more information, to hear more stories, and to support our work,

Closing Thoughts

SPEAKER_01 34:56

the best way? Subscribe right here on our YouTube channel. Thanks and see you next time.