Opinion ID: 3013796
Heading Depth: 3
Heading Rank: 3

Heading: Cognitive Testing

Text: In February 1993, Leech was tested by reason of his memory loss and headaches. His brain CT scan was normal. In August 1993, Dr. Lee J. Barolo’s psychological evaluation of Leech showed average intellectual functioning on the Wechsler Adult Intelligence Scale-Revised (“WAIS-R”) but other tests indicated possible cognitive decline. In December 1993, Dr. Ravi Kant of the Allegheny Neuropsychiatric Institute noted personality change, cognitive difficulty, attention deficits, inflexibility, and shortterm memory problems. These symptoms constituted “mild” traumatic brain injury. He 4 noted that most patients recovered fully, with rapid improvement in six months. Neurologic specialist, Dr. Guy Costello, noted that medication improved Leech’s headaches. He found normal judgment and intact cranial nerves and neurologic exams. By February 1994 Leech had improved. In particular, he did not have sleep or appetite problems but did have increased motivation and energy and kept busy. By March 1994, Leech reported doing “significantly better.” Tr. 361.