Every 21 seconds, someone in the U.S. suffers a Brain Injury

ACKNOWLEDGED A MAN

Barbara Del Buono

The true story of a senseless, violent crime.

Inspiring story of a young man whose life was changed forever by Brain Injury.


Barbara Del Buono has chronicled the events that took place as a result of this tragic event into a powerful, inspiring book - ACKNOWLEDGED A MAN, Survivor of Assault in the YMCA.

From a place deep inside, she deals with the anger, the pain, the courage it took to help Nick recover what was left of his life. Nick's incredible will to live, unceasing faith in God, undaunted spirit and amazing grace under conditions most of us can't even imagine are awesome and inspiring. He participates in life as a gentle, wise, endearing man.

The dramatic life change that this family deals with leaves the reader uplifted and inspired. Barbara shares the peace found in forgiving and the triumphs she, as Nick's caregiver, discovered in home rehabilitation.

Barbara can help all of us who deal with tragedy find ways to cope and take charge of our changed lives in a new and wonderful way.

Barbara served on the first Governor's Task Force on Brain Injury in the United States.


EXCERPTS FROM ACKNOWLEDGED A MAN

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Nick, 25 and single, is the second of our eight children. He is one of the few men who actually liked Basic Training in the Air Force. He loved the condition of his body and maintained it. He had joined the Y six weeks earlier and was working out in the Bar Bell Club at the YMCA on that fateful afternoon.

We received the phone call every parent dreads – “this is the emergency room at St. Mary’s hospital…we were led to believe it was nothing too serious. Upon arrival, we were not taken to see our son, we were directed into a room with a waiting policeman. “Your son has been hit in the head with a baseball bat.” The words stung me – a baseball bat? Why? In the YMCA?

Nick was bleeding from the mouth and nose. His entire face was so disfigured he was hardly recognizable. When I saw him I felt like someone had punched me in the stomach. Seeing his bruised and swollen face made me feel like vomiting. Nick had sustained two fractures of the skull, one on each side of his head, a fracture of the jaw, lacerations on his forehead and on the back of his head.

It would be three weeks before the doctor discovered another blood clot; his brain had been bleeding all this time! Nick wasn’t injured once; he was injured over and over and over again. Treatment was not given or was withheld or delayed for many explainable reasons. He was not taken to a trauma center with state-of-art medical equipment to handle this kind of injury.

The belief that he would die or even should die may have caused decisions to be made that delayed use of those measures that were available to save him from more damage. The doctor said Nick’s chances of coming out of coma were zero. A friend, Dr. Reynolds, frankly told us that the doctors were hoping Nick would die during one of the times he had pneumonia, probably out of a sense of compassion for Nick and us.

Your browser may not support display of this image. The medical profession had made no provisions for caring for patients in Nick’s condition. John and I along with four other families in similar situations formed the Brain Injury Association of Connecticut. Brain Injury Associations now exist in every state with the national headquarters in Virginia.


Your browser may not support display of this image. Joseph Tramontano, 32, divorced and was, much to our shock, in charge of the weight lifting room at the Y. Stories of this man’s violent temper came flooding in to all members of our family. At the first court appearance, his $50,000 bond was reduced to $10,000. A friend in the courthouse let us know that the Attorney General for the state of CT was in the courthouse that day. He is also the uncle of Joseph Tramontano – and his law firm was representing Tramontano! We were constantly fearful that some how, some way, the attorney general would get his nephew ‘off.’





Your browser may not support display of this image. John and I were in the incredible position of having to sue the YMCA. We believed that Y officials were responsible for the injuries Nick sustained due to their negligent supervision of Joseph Tramontano. The first piece of evidence, however, came from Nick’s membership card. A former client brought us another crucial piece of evidence. The Constitution and By-laws of the National Council made them responsible for the operation of local YMCA’s and the programs they offer to the public.

Medical personnel and machines had saved Nick’s life...His needs were unending; nevertheless there was a newfound peace in being with him. We had to assist Nick in his efforts to move his limbs again, help him speak again and stimulate his mind. While reading to Nick I came upon a poem that described his life so poignantly:

A Man,

by Emily Dickinson

Fate slew him, but he did not drop; she felled – he did not fall –

impaled him on her fiercest stakes – he neutralized them all.

She stung him, sapped his firm advance, but when her worst was done,

and he, unmoved, regarded her, acknowledged him a man.





ENDORSEMENTS:

We gratefully acknowledged the following endorsements which appear on the jacket of Acknowledged A Man - Survivor of Assault in the YMCA:

"It takes an exceptional individual and family to realize that what is evil is not an affliction but a response lacking compassion towards the individual and family experiencing the affliction. "
Bernie Siegel, M.D., Author Love, Medicine & Miracles and Prescriptions For Living

"This book should be on the 'must read' list of all health care professionals. “

Yehuda Ben-Yishay, PhD.,

Professor of Clinical Rehabilitation Medicine, NYU School of Medicine,

Director, Brain Injury Day Treatment Program, Rusk Institute of Rehabilitation Medicine

"It is indeed a harrowing - and instructive - tale, and I admire your candor in telling it."
Michael Korda, Corporate Vice President, Editor-in-Chief, Trade Division, Simon & Schuster; Author of: Man To Man

"Defendants committing fraud and hiding evidence, doctors who don't know how to treat Brain Injury and don't care are more common than we think."

Attorney Lawrence J. Smith, Chairman, Traumatic Brain Injury (TBI) Litigation Group,
Association of Trial Lawyer of America (ATLA)



BOOK REVIEWS:

Dallas Morning News:


"Nick Del Buono went to the Waterbury YMCA one day to lift weights and was carried out in a coma, brutally beaten. Doctors gave him no chance of survival, much less of living a normal life again. His parents refused to give up, however, and through their tireless efforts, Nick slowly began to recover. The Del Buono's eventually discovered that their son's attacker was a YMCA instructor, so they sued. (Local Y's are affiliated with but not completely governed by the national organization; individual Y's are free to establish and manage their own programs.)
Every parent - make that every citizen - should read this harrowing story of one family's crusade to reform an institution and rehabilitate its loved one."


The Connecticut Law Tribune

"Acknowledged a Man: Survivor of Assault in the YMCA is the story of one man's struggle for vindication after he was assaulted with a Louisville Slugger baseball bat in the Waterbury YMCA weight room. On one level, the book chronicles her son's struggle for life as, defying his doctors' predictions, he slowly and miraculously recovers from his debilitating injuries. On another level, her book illustrates a fascinating pursuit of justice, both civil and criminal."


Journal of the International Neuropsychological Society:

"The account of her son is touching but it also details the issues that are unique to family members. It deals with her difficulties in finding the appropriate hospitals, and dealing with insurance companies; it covers their entire legal process and the growing strength of the family that had to occur in order for them to get over these hurdles. It became painfully clear to me that living inside an injured brain requires the dedicated efforts of an entire 'village' to assist such patients. Yet, in the USA, the trend for making resources available for the treatment of TBI patients is going the wrong way. Let us - patients, families, insurance companies and health care providers - each do our part to reverse this trend."
Ronald M. Ruff, Director of Neurorehabilitation,

St. Mary's Hospital and Medical Center,

Associate Adjunct Professor Dept. of Neurosurgery,
UCSF Clinical Neurosciences.


Writer's Digest:

"This could not have been an easy book to write. The author's pain -and anger - are evident in the narrative and understandably so. Writing this book is courageous and driven from a place deep inside-possibly cathartic, a warning to others, and a helpful, supportive tool.

Del Buono's use of imagery-primarily, the Three-headed-Dragon provides a way to organize the story of her son's assault at a local YMCA that results in a Brain Injury and a dramatic life change for the entire family. Additional imagery, her son's 'visions' of angels and dragons, strengthens the metaphors.

Del Buono writes descriptively and with emotion. She chronicles events and feelings, creating an intimacy with the reader. In the face of adversity, she and her family mobilize and fight the Three-headed Dragon for what they believe is right, resulting in a civil suit win."

Publisher’s Marketing Association:

"A harrowing story of a gruesome attack, his medical odyssey, the Y's possible responsibility in having people unsupervised in their buildings. Damning to criminal justice system in this case and to the apathy of the YMCA national organization. Useful Appendix. Good book, well written, for families who must deal with Brain Injuries."
Judge, PMA Benjamin Franklin Awards

"The cover doesn't fit! It seems too inappropriate for such a loving story of a mother for her son! I understand it now, but would not probably have bought the book because of the cover. Oh, what I would have missed."
Judge, PMA Benjamin Franklin Awards




Readers Testimonials:

The readers of your labor are your most valued critics. We can't thank these people enough for taking the time to write and tell us how Acknowledged A Man affected them.


"I just wanted you to know that this was a great book. You gave the "real" story about brain injury and not the "sugar coat" which usually happens…” Stacey Clark, BIA NY State

“An extremely well written book about the changes a loving and caring family go through when their son is viciously attacked. Highly recommend to all in medical field dealing with the 'long term' injured. This book should be mandatory reading for any individual contemplating a career in physical therapy or rehabilitation IF they are interested in learning about the patient's viewpoint. An excellent look at the medical profession, legal system, and a YMCA through the heart and eyes of a family forced to deal with them 'head on'. A real eye-opener to those serving in positions of responsibility on local boards of national organizations.” Barnes & Nobel On-Line Review

"This is the greatest book I ever read, I couldn't put it down…” Fran Prater

Author of a marvelous, heart-rending, uplifting book…”

Ed Flynn, host of WATR's Talk of the Town

"I highly encourage you to get the book and see what she did with and to the system to get her son to where he is today. Without her grit and sacrifice, he would have never made it." Ila Nofziger, Brain Injury Recovery Awareness Foundation

"What a great book! I am sitting there wiping my eyes and trying hard to keep my strength.” Shellie Beck

"I was spellbound by your story. I could not put your book down. The power of your LOVE and COURAGE brought me to tears many times." Lisa Harrison

"We all have our cross to bear! One's own appears small after reading your book."
Andy & Brigette Tscheppe

"I am overwhelmed…We appreciate your efforts in advocating and fighting to move people out of the stone-age in treating Brain Injury." Monica Cochran

"She makes you feel you are pulling the load she is pulling…” Sarah Torselli

"Excellent - I couldn't put it down until completed." Jennell Russell

"A very strong and powerful book, very worthwhile reading." Lamore Dudley

"The tragedy of this story is the flaws of our society…The glory of this account is the love, courage and dedication of his family who reached for the possible and ignored the adversity."
Don Wright, Psychotherapist

"The story of Nick is tragic, yet one of triumph of the human spirit, trusting in God…" Willa White

"I read your book a week ago and it has stayed with me every minute since I finished it." Jackie Cowen

"We were enthralled with each chapter…" Bob & Charlene Holt

"Thank you for helping so many families that deal with TBI…" Blanche Elwell

"I started reading it and could not put it down...” Terri Drum





YMCA

You slobs put the weights away after using them

This is to all you slobs, keep the room clean, that means you.

How would your react if you were confronted with these signs on the wall of the YMCA?

Nick Del Buono didn’t like them and this resulted in his being severely injured by an “ex” volunteer staff leader of the YMCA who attacked him with a baseball bat in their weight lifting Bar Bell Club.

The programs offered through your YMCA are not regulated and enforced by the national YMCA.

The national YMCA claims that each local YMCA is “independent” and “autonomous” and can do things “any way they want to.”

Barbara believes that the national YMCA may be practicing “naked licensing” of its trademarks “YMCA” and “Y” by allowing them to be used in this manner.

If the national YMCA does not take control of the programs offered to the public through the use of its trademarks, Barbara believes the YMCA should lose them for not “exercising legitimate control” over their own trademarks as the U.S. Code requires.

Had there been national standards that the board of directors had to follow, the signs would not have been on the wall of the YMCA, no crime would have been committed, and Nick Del Buono would not have a Traumatic Brain Injury.

“National YMCA may have something bigger to explain, why it collects millions of dollars each year from local Y’s for the right to use it’s famous trademark name yet has not control, which lawyers say trademark law requires.” KFWB Correspondent Bob Jimenez









RIGHT TO DIE

Judges are deciding whether or not it is legal to starve someone to death. Imagine, your child is in a serious accident, goes into a coma and needs to be fed through a tube. Is it humane to take feeding tubes away? Is starvation cruel and unusual punishment?

Thousands would protest if criminals on death row were systematically starved, says Barbara Del Buono. In Oregon, physician assisted suicide increased by 68% in one year. This is an issue currently being decided in Florida, California, Alabama and Delaware; and it is an issue that every state will have to weigh in on. An impassioned advocate for this and other quality of life issues, Barbara’s interest is personal. Her son, Nick has a Traumatic Brain Injury.

Who has the right to decide when another person should die and how they should die?

What is the difference between pulling the plug on a respirator and disconnecting the feeding tube?

All organ donations (except kidney and cornea) are from victims of Traumatic Brain Injury.

Tort Reform


Tort cases make up only 10% of all civil cases.

Only 2% of people injured in hospitals due to malpractice file a case.

16,000 trial courts in all 50 states report no evidence of an increasing number of tort cases

Punitive damages are awarded in only 6% of cases.

If tort reform is enacted, and you are injured, will you get just compensation for loss of your hand, your eyesight, loss of your ability to read?

Motor vehicle accidents, drunken driving incidents, assaults, gun shot injuries and other violent acts are reported daily. Many of these result in TBI and other serious personal injuries.

Should congress or a jury of your piers decide for you what just compensation should be for physical injuries that may affect the rest of your life?

Will tort reform hurt you if you are seriously injured in an accident or become a victim of violent crime?

Do you believe juries act fairly after having listened to facts presented in court?




SPORTS AND TBI

300,000 people will sustain a sports related concussion this year.

Football Brain Injuries occur at a rate of one in every 3.5 games.

5% of soccer players will sustain a Brain Injury.

The head is involved in most baseball injuries.

Horseback riding will account for 6,000 Brain Injuries.

Are children playing soccer, football or riding a bike in danger of a TBI?

Multiple concussions lead to permanent brain injuries.


ABOUT THE AUTHOR:

Barbara served on the first Governor’s Task Force on Brain Injury in the US. She is a founding member of the Brain Injury Association of Connecticut (BIAC). She is the founder of the Waterbury Chapter TBI Support Group and served as chairman for three years. Barbara along with her husband were care-givers for their son Nick at home for 22 years. Barbara is a speaker and advocate for TBI survivors at school, medical seminars, radio and TV shows.