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San Francisco Personal Injury Law Blog

Brain Plasticity Inc. to Study Impact of Brain Training for Traumatic Brain Injuries

  • 04
  • October
    2011

Many of my clients have suffered Traumatic Brain Injuries (TBI) or Mild Traumatic Brain Injuries (mTBI).  What is a TBI and what is an mTBI?

Traumatic Brain Injury describes an impairment of brain functioning. TBI can result from trauma or injury, infection or lack of oxygen. It can occur from motor vehicle accidents, head trauma, objects striking the head, falls, construction site injuries, chemical exposure, near drowning, birth related injuries, or hospital or other medical negligence.

Mild Traumatic Brain Injury is trauma-induced physiological disruption of brain function, as manifested by at least one of the following:

  • any period of loss of consciousness
  • any loss of memory for events immediately before of after the accident
  • any alteration in mental state at the time of the accident (eg, feeling dazed, disoriented, or confused)
  • focal neurological deficit(s) that may or may not be transient; but where the severity of the injury does not exceed the following:
    • post-traumatic amnesia (PTA) not greater than 24 hours
    • after 30 minutes, an initial Glasgow Coma Scale (GCS) of 13-15
    • loss of consciousness of approximately 30 minutes or less.

active brain(1).jpgThe Brain Injury Research Center at UCLA director David Hovda points out, "I don't know what makes it 'mild,' because it can evolve into anxiety disorders, personality changes, and depression." It can also set off a constellation of physical disabilities from chronic pain to sexual dysfunction and insomnia.

Apparently (although the brain injury is largely hidden) some new more powerful MRIs are available to track the flow of water through the brain's neurons, showing anomalies that indicate the presence of mTBI.

MTBI is hardly new. Some 5.3 million people in the U.S. are currently hospitalized or in residential facilities because of it, and its social consequences are severe. Drug therapy does not seem to provide the best solution, although unfortunately, this has been the solution of choice in many cases (in the military, for example).  The brain can heal to some degree. It has an intrinsic plasticity that allows it to recover.

The good news is that the U.S. Dept of Defense has awarded $2 Million to Brain Plasticity Inc. to study TBIs.  This company is a technology incubator dedicated to the discovery and development of novel technologies that harness the basic principles of brain plasticity to improve the lives of people with neurological and psychiatric disorder.

The grant will fund a trial of 132 people suffering from ongoing cognitive impairment following TBI across five separate locations in the United States. The technology used in this trial is derived from similar brain-plasticity-based cognitive training programs developed at San Francisco-based Posit Science, which continues to apply this core technology to develop new training programs that improve cognitive function in healthy individuals seeking to stay sharp and perform at their best.

At Choulos, Choulos & Wyle, we have extensive experience in the area of catastrophic personal injuries, including brain injuries.  Please feel free to contact us if you or anyone you know has any questions about their rights pertaining to TBI and/or mTBI.

About the author:  Claude Wyle is an aggressive advocate for Bay Area head trauma victims. Claude has decades of experience representing those harmed by the wrongful conduct of others, and, as a Bay Area brain injury lawyer, has fought to protect the rights of head injury survivors throughout his legal career.

Following California's Bike Laws Will Help Keep You Safe

  • 03
  • October
    2011

Thousands of bicycle accidents occur each year in California, resulting in serious injuries and even death. To help avoid dangerous crashes, bicyclists should be familiar with and follow California's bicycle laws, just as drivers should be aware of bicyclists and their rights. Several provisions of the California Vehicle Code govern bicycle operation and equipment in the state, including these key rules:

  • Bicyclists have the same rights and obligations as drivers; all laws that apply to motor-vehicle drivers also apply to bicyclists, and drivers must share the road.
  • Bicyclists may not ride on a street or highway under the influence of alcohol or drugs. Bicycling while impaired can result in a fine of up to $250.
  • All bicycles must be equipped with brakes and not have frame adjustments that prevent the rider from supporting the bike in an upright position with one foot on the ground when stopped.
  • When riding a bicycle in the dark, the bike must have a white front headlight (or a similar headlight attached to the bicyclist), a red reflector on the back of the bicycle and white or yellow reflectors on each pedal.
  • Bicyclists must ride as close as possible to the right-side curb or edge of the road unless they are riding at the normal speed of traffic and except when passing another biker or driver moving in the same direction, when preparing for a left turn, when riding on a one-way street with more than one lane or when reasonably necessary to avoid hazardous conditions.
  • It is illegal to "hitch a ride" or for a biker to attach him or herself to a streetcar or motor vehicle.
  • Every person riding a bicycle must have a permanent and regular attached seat.
  • Every bicyclist under 18 years old is required to wear a helmet.
  • Bicyclists may not wear headphones, ear buds, headsets or earplugs while riding.

San Francisco Cyclists Injured in Hit-and-Run

  • 19
  • September
    2011

On the night of June 2, 2010, David Mark Clark was driving his Nissan Rogue sport utility vehicle through Potrero Hill when he encountered four bicyclists. As he drove, Clark hit each of the four cyclists with his vehicle. The four cyclists survived, but suffered serious injuries, including broken legs, bruised organs, lost teeth and a broken jaw.

Clark's arraignment was initially scheduled for August, but was postponed until September 22. The Albany, California, man faces several charges, including four counts of attempted murder. This case brings to light the serious public safety issues that surround motor vehicles and bicycles.

Cyclists Face Serious Danger

Over 600 bicyclists were killed and another 51,000 injured on American roads in 2009, according to the National Highway Traffic Safety Administration report on bicycle accidents. The fatalities accounted for 2 percent of all motor vehicle traffic deaths and 2 percent of crash-related injuries that same year. In 2008, 109 of California's nearly 3,500 traffic fatalities were bicyclists.

"Moth Effect" Study Suggests That Some Bicycle Lights Increase the Risk of Nighttime Bicycle Accidents

  • 03
  • September
    2011

321189334_e120067864_m.jpgCyclists who ride at night need to have lights on their bicycles in order to be safe.  Lights are essentially divided into two categories: "to see" and "be seen."  Of course "to see" lights are those that provide a steady beam to light up the road or trail in front of you, the cyclist.  The "be seen" lights are the issue here.

Many people use blinking lights in order to be seen by traffic at night.  However, there is this interesting phenomena called the "Moth Effect" which suggests that these blinkies could be unsafe.

What is the "Moth Effect"?  It suggests that blinking red lights on the back of bicycles might be more dangerous than steady red lights.  On several occasions, when drunk drivers have hit cyclists from behind, it has been argued that the red blinkie lights actually attracted the drunk.

Have you ever watched moths outside in the dark attracted to a lighted room?  Similar thing. Taillights on "blinking mode" cause these unalert drivers--especially drunk ones--to fixate on the lights and potentially steer right towards them and hit the bicycle!

Sounds crazy but it makes some sense if you think about it. You might try this theory out at night yourself.  I am not suggesting that you go out with a blinking red light on the back of your bike and sit outside the local bar. Try going out in the dark by foot and finding such a light.  Feel how you are drawn to the target and how distance becomes irrelevant?

This effect can also be measured analyzing how, when faced with oncoming traffic, drivers begin steering away from the oncoming vehicle but that 2 seconds before the meeting drivers will deflect the steering wheel in the direction toward the approaching vehicle.  This suggests that drivers might even steer off the road in the direction of their fixation.

The moth effect seems to have two enabling conditions:

  1. The first is minimal optic flow information, as when a driver is on a dark road at night or perhaps traveling in bad weather.  The driver is forced to rely on a sense of egocentric direction relative to a landmark--the fixated object
  2. The second is an intense attentional fixation on a roadside target.  The more attention focused on one task, the less available to others. 

The study suggests that a steady light allows motorists to judge distance better and make safer passes. 

What do you think of this theory? Are cyclists actually increasing the danger of riding at night when they use blinking lights? If you or anyone you know has been injured by this deceiving effect, or has any questions about how cyclists may be in danger while on the roads, please feel free to contact me.

About the author:  Claude Wyle is an aggressive advocate for Bay Area bicyclists. Claude has decades of experience representing those harmed by the wrongful conduct of other, and, as a Marin County bicyclist accident attorney, has fought to protect the rights of injured cyclists throughout his legal career. Claude is also an avid cyclist himself and member of the Marin County Bicycle Coalition, San Francisco Bicycle Coalition and Silicon Valley Bicycle Coalition and is a sponsor of Safe Routes to School.

Risks and Legal Remedies for Bay Area Bicycle and Pedestrian Accidents

  • 02
  • September
    2011

The Golden Gate Bridge is one of San Francisco's most famous landmarks and, like Alcatraz, an extremely popular tourist destination. Unfortunately, it is also one of the most hazardous places for pedestrians and bikers because of the mix of avid cyclists, leisure bikers and pedestrians on the bridge's pathways.

According to an article in the Contra Costa Times, ambulances responded to bicycle accidents on the Golden Gate Bridge an average of once a month between 2000 and 2009. Serious injuries often result from bicycle accidents, especially in places like the bridge, where tourists frequently stop to take photos amid experienced bicyclists zooming across the span to connect with Bay Area bike paths.

From June through September 2011, seismic retrofit work will close to cyclists one side of the bridge's pathways. The Contra Costa Times reports that this may result in about 2,000 pedestrians and bicyclists using a single sidewalk each hour on a typical weekend afternoon. This shift in traffic greatly increases the risk of accidents between bicyclists and between bicyclists and pedestrians.

Trial Ordered for San Francisco Bicycle Hit-and-Run Driver

  • 23
  • August
    2011

Over a year later, a trial has finally been ordered for the hit-and-run rampage by David Mark Clark of Albany who said he heard voices inside his head who seduced him into mowing down four bicyclists, almost killing at least one, my client Rolando Casajeros.  The attacks began on Harrison Street near 23rd Street. Throughout the mile-long rampage, Clark's SUV swerved several times to intentionally hit the cyclists before he crashed into a light post and fled on foot.

David Mark Clark-thumb-175x131.jpgClark said,

"I was forced psychologically to drive around. And I couldn't stop."

It was a long six minutes for the survivors who were pursued and hit, suffering serious injuries on the night of June 2, 2010 some with broken legs, bruised organs, lost teeth and a broken jaw and other facial fractures.

I am disgusted to say that the most seriously injured of the four cyclists, whom I am representing as a San Francisco Bicyclist Lawyer, was injured by Clark, who claims to be a crystal healer by trade.  Going on an insane rampage isn't exactly how I imagine a true healer should act, to say the least. I am glad that Mr. Clark will be held accountable for his crimes. I wish he could be held civilly accountable as he had a small insurance policy and no assets to speak of. While Clark may go to prison or to a mental facility for his actions, my client is left with a life altered for the worse, and a lot of financial hardship. My best hope is that the City of San Francisco waive its lien for the medical bills which are very high, and that Rolando be allowed to go on with his life without crippling debt on top of his injuries.

In a cyclist vs. automobile collision, the bicyclist is going to suffer injuries, incur the medical bills, lose time from work and possibly be left with a permanent disability.  When the wrongful conduct of a person causes you or someone you love severe injury, great pain, high expenses, and disability, it can be a confusing and challenging time. Please feel free to call me if you or a loved suffered an injury from a bicycle accident and I'll be happy to speak with you free of charge and to explain your options to you.

About the author:  Claude Wyle is an aggressive advocate for San Francisco Bay Area bicyclists. Claude has decades of experience representing those harmed by the wrongful conduct of other, and, as a Marin County bicycle accident attorney, has fought to protect the rights of injured cyclists throughout his legal career. Claude is also an avid cyclist himself and member of the Marin County Bicycle Coalition, the San Francisco Bicycle Coalition, the Silicon Valley Bicycle Coalition and a contributor and supporter of Safe Routes to School.

San Francisco Sheriff's Cadet Held in Pedestrian Hit-and-Run Accident

  • 05
  • August
    2011

A San Francisco sheriff's cadet is being held in jail on $1 million bail for suspected involvement in a hit-and-run accident that killed a pedestrian in the North of Panhandle neighborhood.

The sheriff's cadet is accused of hitting a pedestrian in his 60s at the intersection of Masonic Avenue and Turk Boulevard around 2:30am on Friday, May 6. According to CBS News San Francisco, the driver - who was off-duty at the time - hit the pedestrian, did not stop and attempted to drive away, hitting at least four parked cars before slamming into concrete planters in front of St. Mary's Hospital. Law enforcement officials arrested the sheriff's cadet at the hospital, and he now faces charges of hit-and-run, vehicular manslaughter and driving under the influence.

The hit-and-run pedestrian accident occurred in an area known to be dangerous to pedestrians. People living along the Masonic Avenue corridor have long sought safety improvements to the street, and CBS News San Francisco reports that the San Francisco Municipal Transportation Agency is considering redesigning Masonic Avenue to have a boulevard layout with a center median and bike lanes on both sides.

More to Be Done to Reduce Dangers of Commercial Truck and Bus Accidents

  • 29
  • July
    2011

Recently, the National Transportation Safety Board held a two-day forum to discuss commercial trucking and busing safety among federal regulators, industry representatives and safety advocates. The Associated Press reports that the focus of the forum was prevention of deadly accidents and understanding why past safety recommendations have not been enacted or implemented yet.

The number of fatal commercial-trucking accidents has decreased in recent years. In 2005 there were more than 5,200 fatalities from semi-truck accidents, while in 2009 there were about 3,200, according to the U.S. Department of Transportation. Although this represents some progress in improving commercial-truck safety, NTSB member Robert Sumwalt said there is still much more work to be done.

In fact, the NTSB has made about 100 safety recommendations that have not been adopted by regulators or busing and trucking industries. For example, the NTSB recommended that buses have seat belts installed for all passengers way back in 1968. Yet, the National Highway Traffic Safety Administration only proposed a rule requiring seat belts on new buses in 2010. The rule is not final, though, and it would not apply to buses already in service.

Dangerous Roads Often a Factor In Marin County Bicycle Accidents

  • 06
  • July
    2011

mcbc_jpg

Marin County is well known as the birthplace of mountain biking with Mt. Tamalpais in its center with more trails than you can count.  Chances are that on any given morning, especially on weekends, you will usually find a group of road bikers zooming by, many before 8:00 a.m.  Marin County is a cyclists paradise for both mountain bikers and road bikers.

However, as to roadway safety in Marin County, many roadways are not designed or maintained with cyclists in mind. Many have no shoulders on the side of the road for bikers.  Moreover, many roads in this biker's paradise have been poorly paved, or striped or poorly maintained, creating  unsafe conditions which can and do contribute to causing bicycle accidents and bicycle injuries. 

Overall, Marin has become more bike-friendly over the past decade, with the number of bike commuters -- and bike lanes -- skyrocketing, thanks in part to a $25 million federal investment in bicycle and pedestrian infrastructure.

Source: The Bay Citizen (http://s.tt/12IzM)

Overall, Marin has become more bike-friendly over the past decade, with the number of bike commuters -- and bike lanes -- skyrocketing, thanks in part to a $25 million federal investment in bicycle and pedestrian infrastructure.

Source: The Bay Citizen (http://s.tt/12IzM)

Overall, Marin has become more bike-friendly over the past decade, with the number of bike commuters -- and bike lanes -- skyrocketing, thanks in part to a $25 million federal investment in bicycle and pedestrian infrastructure.

Source: The Bay Citizen (http://s.tt/12IzM)

Marin, according to the Bike Accident Tracker, has overall become more bike-friendly over the past decade, with the number of bike commuters -- and bike lanes -- skyrocketing, thanks in part to a $25 million federal investment in bicycle and pedestrian infrastructure.

While out there riding, especially over this busy holiday weekend, it is important though to be aware of the cyclists' dangerous roads of Marin County. According to the Marin County Biking Coalition, the most dangerous roads are accident-prone because of a combination of high-speed traffic and narrow roads.

Marin is tied for fewest biking fatalities in the Bay Area, however, there are still some dangerous roads to watch out for:

  • Fairfax: Sir Francis Drake Blvd (near Baywood Canyon Road)
  • Sausalito: Intersections of 2nd St and Main St and with Richardson St
  • Corte Madera: Corte Madera Ave and Chapman Dr
  • Novato: Diablo Ave and George St

Whether these roadways are particularly dangerous because of the slow-paced tourists interspersed with fast-paced weekend riding clubs, or curvy mountain roads inhabited by lots of cars with no shoulders on the side of the road, cyclists need to be extra careful. For bicycle riders, the roadway is much more often a substantial factor in causing bicycle crashes. Keeping your eyes on the road has much more meaning for cyclists.

As a lifelong Marin bicyclist and a pro bicycling attorney, I always look at the condition of the roadway as a potential factor in causing bicycle accidents. If you or someone you care about has been injured in a bicycle accident, please feel free to call me and to discuss the potential factors which may have contributed to the crash. If you suspect that the roadway was a factor, then please take photographs of the condition of the roadway and measurements if you can do so safely. I have encountered many cases where the public entity in charge of a roadway has repaired the roadway right after a bicycle crash. Please preserve the evidence as best you can or retain an attorney who can hire an investigator to do so as soon as possible.

Please be safe out there!

If you or anyone you know has any questions about safe bicycling in Marin county, do not hesitate to contact me

About the author:  Claude Wyle is an aggressive advocate for Bay Area bicyclists. Claude has decades of experience representing those harmed by the wrongful conduct of other, and, as a Marin County bicyclist accident attorney, has fought to protect the rights of injured cyclists throughout his legal career. Claude is also an avid cyclist himself and member of the Marin County Bicycle Coalition. 

Mill Valley Bicycle Accident Attorney Reports Bicycle vs Truck Collision In Mill Valley

  • 07
  • June
    2011

MCBC_logo-www150.gifAs a pro-bicycle attorney and advocate, and a lifetime Mill Valley resident and cyclist, I am sad to report a serious bicycle vs. truck accident in Mill Valley occurring last Thursday at or around 5:00 p.m. at the Sycamore Ave. and Camino Alto intersection, one of Mill Valley's busiest.

I am also concerned about how this bicycle accident happened, to say the least! This intersection is right across from the Mill Valley Middle School, where over 900 students attend, many of whom ride their bicycles to and from school.  I was one of these student cyclist who rode to MVMS many years ago, so I felt particular shock when I learned of this truck and bicycle collision at this very corner.

Madeline Rose, the 26-year-old cyclist, suffered very serious personal injuries in this truck vs. bike accident. My partner George Choulos and I wish Ms. Rose a speedy and complete recovery back to good health. We, and other Mill Valley bicyclists are praying for your recovery.

Ms. Rose was run over by a Maggiora & Ghilotti dump truck as it was making a right turn from Sycamore Ave. onto Camino Alto just as she was passing the truck to either turn right onto Camino Alto or go straight onto Sycamore.

I'm a long time member of the Marin County Bicycle Coalition whom I support wholeheartedly, and also a Mill Valley Bicycle Accident Attorney who fights every day to make motorists Share The Road.  I know this particular intersection from years riding it and driving it, which helps me to understand the nature of the accident.

Mill Valley is a haven for safe cycling.  It is highly unlikely that anyone could drive through Mill Valley without seeing at least a few cyclists, old and young.  I rode to school and home to my friends' homes on my trusty bike for years, yet these days I find it hard to let my daughter ride without me.  Traffic in Mill Valley has changed so much, with greater congestion and greater distraction, and in sum, more danger for bicyclists.  Am I paranoid or protective?  After so many years as a bicycle attorney, I know of so many ways that motorists fail to drive safely, and fail to allow cyclists their right to share the road.

The following California Vehicle Code Sections may be applicable to this bicycle crash.  Issues likely to arise are whether the trucker was at a stop and whether he failed to keep a proper lookout for bicycle traffic to his right before he started moving, whether the trucker made a right turn signal and kept a proper lookout to determine whether he could turn with proper safety, and if Ms. Rose could see the signal as she approached the intersection:

  • 22106. No person shall start a vehicle stopped, standing, or parked on a highway, nor shall any person back a vehicle on a highway until such movement can be made with reasonable safety.
  • 22107. No person shall turn a vehicle from a direct course or move right or left upon a roadway until such movement can be made with reasonable safety and then only after the giving of an appropriate signal in the manner provided in this chapter in the event any other vehicle may be affected by the movement.
  • 22108. Any signal of intention to turn right or left shall be given continuously during the last 100 feet traveled by the vehicle before turning.

Even though the Mill Valley Police say they have not determined yet who is at fault, as a bicycle accident attorney, odds are that they will find at least some or most of the fault lies with Ms. Rose.  I am often frustrated by police reports which consider only a fraction of the facts and often disregard the law giving bicyclists the right to share the road with motorists.  The details of each case are critically important to determine the final word on fault.  And ultimately fault is determined by a judge or jury, not the police. 

Why does fault matter?  I sincerely believe that accountability matters.  If we have accountability, we can change the behavior of drivers on the road to make the roads safer for all of us.

My motto is that "if it is predictable, it is preventable."  Collisions between bicycles and motorists are almost always predictable to some extent, and therefore usually preventable with more care.  Having said that, if a collision is predictable and therefore preventable, failure to keep a proper lookout is negligence.

Right turns in a big truck are certainly more challenging than in a small automobile.  However, commercial truckers are professional drivers who are trained to deal with challenges on our public roads, small town streets included.  Truck drivers need to be on guard because they can cause so much damage so quickly.

It is my hope that Ms. Rose or her family know to call an experienced bicycle accident attorney as soon as possible to make the right party accountable.  Our hearts go out to Ms. Rose who is in stable condition although in the ICU at Marin General.

For comments or to discuss this bicycle accident or other similar bicycle accidents, please feel free to contact me.

"If it's predictable, it's preventable."

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