Making the Invisible Visible—Breaking the Cycle of TBI Denial

The Challenge of Undetected Brain Injuries

In this groundbreaking episode of the Flager & Associates Personal Injury Hour, host Adam Flager is joined by Gary Gregory (CEO) and Dr. Paul Link of Brain Health Centers of America. They tackle one of the most frustrating obstacles in personal injury and workers’ compensation law: the “invisible” traumatic brain injury (TBI).

For years, insurance companies have relied on “protocols of denial.” Because classic imaging like MRIs often appear normal following a mild TBI or concussion, victims are frequently told their injuries are “all in their head.” This episode reveals how new technology is finally providing the objective evidence needed to win these cases and, more importantly, heal the patients.

Key Insights from the Episode:

• The “Eyes Don’t Lie” Technology: Gary Gregory explains the iSync platform, an FDA-cleared technology that captures 60,000 data points in a six-minute exam. By tracking eye movement abnormalities (saccades), the platform identifies TBI signatures with over 90% accuracy.
• Ending the Guesswork: Dr. Paul Link discusses how functional neurology addresses brain deficiencies without drugs or surgery. The objective data allows therapists to precisely target deficits, whether they are cognitive, ocular-motor, or vestibular.
• Impact on Veterans: Airing on Veterans Day, the discussion highlights the tragic link between undiagnosed TBI and increased suicide rates among service members. Rapid, objective testing can get warriors the care they need while still in service.
• Speed of Litigation: In a field where neurology waiting lists can stretch for months, Brain Health Centers of America provides comprehensive diagnostic reports to law firms in under 10 days, ensuring treatment begins when it is most effective.

Transcript

Date: November 12, 2025 Host: Adam Flager, Esq. (Flager & Associates) Co-Host: Joe Dougherty Guests: Gary Gregory (CEO/President, Brain Health Centers of America); Dr. Paul Link (Director of Clinical Education, Brain Health Centers of America)

Joe Dougherty: All right, ladies and gentlemen around the Delaware Valley, welcome to the Flager & Associates Personal Injury Hour here on WWDB Talk 860. We’ve got a phenomenal show, really a groundbreaking show, because we’ve talked about brain injuries for years and years, and we talk a lot about issues that individuals who get hurt on the job and have traumatic brain injuries face with their claims. I want to bring into the program our host, Adam Flager. Adam, how are you, sir?

Adam Flager: Doing well, Joe. Just like you, I am very much looking forward to this episode.

Joe Dougherty: A month ago when you told me about it, I was excited then. We’ve talked a number of times about brain injuries that happen on the job or in personal injury cases, and how a lot of times it steams me because the insurance companies go through protocols of denial. This is great technology. We’re bringing on Gary Gregory, the CEO and President of Brain Health Centers of America. Gary, how are you, sir?

Gary Gregory: I’m doing well. Thanks, Joe. It’s a pleasure to be here with Adam and you.

Joe Dougherty: And Dr. Paul Link, the Director of Clinical Education at Brain Health Centers of America. Doctor, how are you, sir?

Dr. Paul Link: I’m doing great. Thank you for having me on.

Joe Dougherty: What is Brain Health Centers of America, and what inspired its creation?

Gary Gregory: Brain Health Centers of America is an innovative physician medical group designed to take technology-enabled services and turn procedures that are diagnosed today in a subjective manner into something quantified and objective. We utilize leading local physicians, technology, quality control oversight, and AI processes to diagnose these conditions. One in four Americans suffer from brain health conditions ranging from concussions to ADHD, fatigue, dizziness, vertigo, and stroke, all the way through neurodegenerative disorders.

Joe Dougherty: It’s almost like an epidemic. I had concussions playing football, and I know I have short-term memory issues. Dr. Paul Link, tell us about your pathway and role.

Dr. Paul Link: I’ve been with the company for three years now. I’ve been a functional neurologist for the last 10 years, graduating in 2016. My whole delivery of neurology has been understood as neurology in the absence of drugs and surgery—assessing brain function through different tools. Before, it used to just be that you “got your bell rung” and sat in a dark room. Now we have many more objective ways to diagnose and definitive answers for how to deliver care.

Joe Dougherty: Adam, talk about the challenges you have had representing truly injured people in front of defense attorneys and claims reps.

Adam Flager: Orthopedic injuries are pretty straightforward. You hurt your neck or back; we can see an X-ray or an MRI showing a herniation. Brain injuries have more mystery. It’s often based on subjective complaints—headaches, nausea, being forgetful—but the MRI of the brain comes back normal. Defense doctors pounce on that to say the client isn’t really injured. There’s also a stigma. People don’t mind others seeing a broken bone X-ray, but they don’t want to talk about how cognitively they aren’t all there. This lack of objective medical evidence is a challenge to getting fair compensation. When I heard about Neurosync, I said this is what we need.

Joe Dougherty: Gary, what was the inspiration?

Gary Gregory: The genesis was technology coming out of Neurosync. Predominantly funded by the Department of Defense with over $20 million, the goal was to determine if eye movement abnormalities held a sensitive and specific biomarker for conditions like TBI or concussion. We have two FDA clearances: one broad for eye movement abnormalities and the second specific for concussion and TBI. We have over 500,000 patient assessments and 17 patents detailing the platform’s accuracy. It is 90-plus percent sensitive and specific. Instead of “follow my finger,” you’re getting quantified, objective data through the iSync platform.

Joe Dougherty: Dr. Link, what brought you to the company?

Dr. Paul Link: I was working with functional neurology for seven years and was exposed to eye tracking and balance tech. I wanted to be involved with identifying specific signatures for TBI versus ADHD and schizophrenia. I wanted to bring this to an underserved population of personal injury and workers’ comp injuries.

Joe Dougherty: How do you see yourself increasing value in the med-legal arena?

Gary Gregory: We deliver tools to biopharma to advance drug development, but specific to TBI, our goal is to deliver a diagnostic exam that is the most comprehensive in the market. By amassing traditional physical exams with ocular motor and ocular vestibular assessments, we create a clear statement of whether or not a plaintiff has a TBI. As we say, “the eyes don’t lie.” We make the invisible visible for the attorney, the patient, and the insurance company.

Joe Dougherty: Adam, how does this change your representation?

Adam Flager: When clients finish treatment, they are tested again. You can see on easy-to-read charts and graphs how they have improved. You can judge the client’s results against what a healthy brain would be able to do. It’s dramatic to see the improvement. There’s an assumption that if you get treatment, you get better, but standard vestibular therapy wasn’t doing enough for all clients. This new technology makes the invisible visible for a layperson on a jury.

Joe Dougherty: Gary, how widespread is the knowledge of this?

Gary Gregory: It’s both the tip of the iceberg and used on a broad scale; we estimate over 5% of all PI cases are currently being assessed with our technology. We deliver a 30-plus page report that looks at all concussion subtypes, Mood, sleep, headache, and balance.

Dr. Paul Link: Classic types of imaging for concussion, like an MRI, do not show functionality deficiencies. We do a multi-varied approach: cognitive assessment, cervical exam, headache questionnaires, and mood assessments, then measure ocular motor and vestibular structures. There are no subjective aspects to it.

Joe Dougherty: Doc, where are you from?

Dr. Paul Link: I’m originally from the Poconos, though you probably hear a Canadian accent.

Joe Dougherty: Can this technology differentiate damage from a new injury versus an old concussion from childhood?

Dr. Paul Link: It’s not exactly like rings on a tree, but you combine assessments with a detailed history. We look at objective changes because these structures don’t repair overnight. We can know if a client had an injury overall based on cognitive deficiencies and ocular motor findings.

Joe Dougherty: Gary, talk about the power of AI here.

Gary Gregory: In a six-minute exam, we grab 60,000 data points that go to the cloud and are analyzed instantaneously. We utilize patented software analytics and AI. Our technology was used in the XFL; the documented inaccuracy of a doctor on a sideline doing a “follow my finger” test is clear, whereas this is 90% plus sensitive and reliable.

Joe Dougherty: Describe the test.

Gary Gregory: The individual inside the headset follows an item moving in a circle—called Smooth Pursuit. There are 10 assessments done in approximately six minutes. We analyze these data points 50 different ways to measure variance against a norm. If you have a TBI, the eye movement is jerking around, trying to catch up. The full workup takes over an hour, but that core component is six minutes.

Joe Dougherty: Who are your other clients?

Gary Gregory: Clinical markets like Mass General, sports arenas like WVU, biopharma for drug development, and the military for TBI and readiness indicators for fatigue. We can assess if a warrior is ready for duty or should be on the sidelines.

Joe Dougherty: It’s Veterans Day today. How does this help veterans who may be struggling with undiagnosed brain injuries and psychological issues like suicide?

Dr. Paul Link: Research shows a two to tenfold increase in suicide rates or neurodegenerative conditions like Parkinson’s and dementia from unrepaired brain injuries. Utilizing this while they are in service to get them care immediately has been tremendously impactful.

Joe Dougherty: How long does it take for a law firm to get a report?

Gary Gregory: Typical return time is under 10 days. We schedule the patient within a couple of days, do the analysis, and have a specialist sign off. It is a 7 to 10-day process.

Adam Flager: Orthopedic therapy is easy to get, but neurology has huge waiting lists. If a client is told they can’t be seen until March, that doesn’t help. Time is of the essence; the sooner you are diagnosed, the better the outcome. This was an area of weakness in the field because it took too long.

Joe Dougherty: Dr. Link, how much does it matter that people get testing quickly?

Dr. Paul Link: The faster you can diagnose it, the faster you can get to work. The days of just waiting in a dark room are behind us. Getting testing right away allows you to avoid areas where brain regions fail to compensate for one another.

Joe Dougherty: Gary, how does this impact the pathway of treatment?

Gary Gregory: You can’t treat what you haven’t diagnosed. Precise diagnosis allows a therapist—physical, vision, or occupational—to precisely address deficits. We also have a general wellness platform, Prosync, to work on memory, concentration, and focus.

Joe Dougherty: Dr. Link, how many people go misdiagnosed and perhaps over-drugged?

Dr. Paul Link: Numbers are uncountable. If you can’t tell if it’s a cognitive deficit or ocular motor region issue, you can’t serve them appropriately. Take a child with reading comprehension issues—did they not understand the words, or did their eyes not grab the words correctly, causing them to miss lines? That is a saccade reading deficiency. When you place objective evidence, the guesswork is gone.

Joe Dougherty: Gary, what are the long-term goals?

Gary Gregory: To make technology-enabled services available through a broad number of physicians using a standardized clinical approach. We want best-in-class machine learning and AI to expedite care across the nation.

Joe Dougherty: Is it ever too late to get tested?

Dr. Paul Link: No, it’s never too late. You only get one brain. Reach out to Brain Health Centers of America and we will find you a provider.

Gary Gregory: We are enthused to work alongside firms like Flager to support the plaintiffs they are caring for.

Adam Flager: My job is to make sure my clients are set up with the right care. Brain health centers are a game changer.

Gary Gregory: Contact us through Brain Health Centers of America on the web.

Adam Flager: Adam Flager, Flager & Associates, 215-953-5200 or flagerlaw.com. Joe, your wife called; she’s donating your brain to science while you’re still alive.

Joe Dougherty: Thank you everyone for listening.