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~ Acquired Brain Injury (ABI): from the acute hospital to early rehabilitation – more on: www.CaringforPadraig.org and www.ansaol.ie

Hospi-Tales

Tag Archives: Traumatic Brain Injury

There Is Some Way Out Of Here

28 Sunday Dec 2025

Posted by ReinhardSchaler in Uncategorized

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An Saol, ireland, padraig, Traumatic Brain Injury

No one ever made a difference by being like everyone else.
The Greatest Showman

While Dylan wrote it, Hendrix came up with the definitive version. In one night in the recording studio, he captured the essence of this song.

There must be some way out of here
Said the joker to the thief
There’s too much confusion, I can’t get no relief

We have clarity. And we know what needs to be done. So let’s do it.

There are many here among us who feel that life is but a joke
But you and I, we’ve been through that, and this is not our fate
So let us not talk falsely now, the hour is getting late

Exactly. We have been through that and we know that life is not but a joke. We can’t wait any longer, it’s getting late, and later..

Outside in the distance a wildcat did growl
Two riders were approaching, the wind began to howl

2026 will bring change. We will not be waiting like Vladimir and Estragon on that lonely road, hoping that Godot will change their lives. We know that it is up to us to make change happen.

Behold, here come riders, horsemen in pairs!”
And he answered, “Fallen, fallen is Babylon; and all the carved images of her gods he has shattered to the ground.”

The Islandman, Tomás Ó Criomhthain, from the Great Blasket Island, wrote that the likes of us will never be again.

Before we go, we will make sure that Pádraig and the likes of him will never be treated the way they have been in the past. We are not like everyone else and because of that we will make a difference. We will not lie down and capitulate. There is a way out of here. Babylon will fall.

Bring on 2026!

Need

01 Wednesday Oct 2014

Posted by ReinhardSchaler in Uncategorized

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Brain Injury, ireland, National Rehabilitation Hospital, Provision of Neuro-Rehabilitation Services, Traumatic Brain Injury

images2Someone asked the question – what are the figures for Acquired Brain Injury (ABI) and  Traumatic Brain Injury (TBI) in Ireland?

Whatever about the answer – it’s the right question to ask.

In 2011, the government published the National Policy and Strategy for the Provision of Neuro-Rehabilitation Services in Ireland 2011-2015. Surprisingly, it did not include what business people would call a market study, and what medical people call an epidemiological study. In other words, the Government did not establish the need for neuro-rehabilitation in the country which seems to be surprising.

A CEO of one of the major interest groups and service providers said to me that this study does not exist, because the Government is afraid for the public to have access to those figures. Would he be right?

Again, looking at Germany and transferring the figures to Ireland – which is not, strictly speaking, valid but should give us an idea. Remember, this is just for TBIs, not for ABI, and not for rehab in general – in this case the figure would be much higher.

Description Germany Ireland
Pop in m 80 5
Acute TBI p.a. 267,000 15,353
ICU admissions 30,000 1,725
Beds in early NeuroRehab required 1,600 92
Admissions in Rehab Clinics 10,000 575
Costs per year in € 2,500,000,000 143,750,000
Source: Schädel-Hirn-Trauma. Epidemiologie, Versorgungsverläufe und Patientenbewertung. Paul Wenzlaff. Zentrum für Qualität und Management im Gesundheitswesen. Supported by ZNS Hannelore Kohl Stiftung. 2005.

 

Without going into too much detail: Ireland’s only National Rehabilitation Hospital has 3 beds for early neuro rehab for severe TBIs, and 110 beds in total for any kind of rehabilitation (source: Quick Facts about NRH) – when there is a likely demand for 92 beds in early neuro rehab and 575 beds for rehab just for TBI patients.

Pádraig is ok these days, not terribly awake or aware, but he continues to communicate with his tongue (although slowly), he eats (although little and very slowly), and all his vital parameters are ok. We asked for a meeting with his doctor to find out about his current medication and plans for further treatment. Today, there was a special nurse examining the skin on his shoulders which needs some attention – maybe it’s just regular cleaning, but there are a few small wounds, though nothing serious. A very nice nurse helped me today to transfer Pádraig into his wheelchair and back into bed, and all in very good humour:) We went out onto the roof terrace, the temperatures are still quite high here and we’re taken advantage of the good weather, as long as it lasts.

Check out Donal’s fundraising page for the Marathon, just in case you haven’t done so already.

UntitledWe have to organise ourselves – I know there will be a few people running this year, in addition to Donal. There was Ciara, there’s Cian, Fergal, and myself (though I’m still recovering from the half marathon which is not a good sign). Anybody else?

Keep watching out for the Dreamboat – it’s getting closer and closer to our shores!

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