Archive for the ‘TBI’ Category

Brain-injured troops face unclear long-term risks

December 4, 2008

Many of the thousands of troops who suffered traumatic brain injuries in Iraq and Afghanistan are at risk of long-term health problems including depression and Alzheimer’s-like dementia, but it’s impossible to predict how high those risks are, researchers say.

About 22 percent of wounded troops have a brain injury, concluded the prestigious Institute of Medicine — and it urged precise steps for studying how these patients fare years later so chances to help aren’t missed.

The Veterans Affairs Department, which requested the report, and the Pentagon already are taking some of the recommended steps. But a report out Thursday highlights the urgency.

By LAURAN NEERGAARD, AP Medical Writer

An Afghan soldier keeps watch at a checkpoint in Kabul in August ...

“I don’t think we really knew how big a hole in scientific knowledge there is about blast-induced brain injuries,” said Dr. George Rutherford of the University of California, San Francisco, the report’s lead researcher.

Traumatic brain injury, or TBI, is a signature injury of the Iraq war. Most do not involve penetrating head wounds but damage hidden inside the skull caused by an explosion’s pressure wave. It can range from a mild concussion to severe injury. And because symptoms may not be immediately apparent, troops may not seek care.

“If you have a gunshot wound to some specific part of your brain, I can tell you the consequences,” Rutherford said. But with blast concussions, it’s not even possible to say “if you have six of these, are you six times more likely to have something bad happen to you than if you’ve had one?”

Returning soldiers have reported headaches, dizziness, memory loss, confusion, irritability, insomnia and depression. The military has said most of the TBI-injured troops recover with treatment.

“There’s clearly a whole bunch of people who have mild TBI who have no negative outcomes,” Rutherford agreed.

Related:
PTSD, psychological health and traumatic brain injuries

Read the rest:
http://news.yahoo.com/s/ap/20081204/ap_on_he_me/med_brain_injury

Veteran’s Day: Remember Their Health Care

November 11, 2008

While fixing the economy will certainly be a dominant issue for both President-elect Obama and the 111th Congress, we hope, on this Veterans Day, that health care for our wounded warriors will also be a top priority. Regrettably, the wars in Iraq and Afghanistan are likely to continue to add to the numbers of veterans in need of mental and physical treatment and rehabilitation.

To meet this need, the Department of Veterans Affairs (VA) must have sufficient resources provided in a timely and predictable manner next year, and for years to come.

About 18 percent of men and women who served in Iraq and Afghanistan have already returned home at risk of post-traumatic stress disorder (PTSD) or depression, according to a recent study by the Rand Corp.

By Raymond Dempsey
The Washington Times

Another 19 percent are estimated of having experienced a traumatic brain injury (TBI) caused by improvised explosive devices that “rattle” the brain. In total more than 300,000 veterans of the wars in Iraq and Afghanistan may already be suffering from these often invisible wounds of war.

In too many cases, the VA is unable to properly treat the physical and mental scars of war, in part because its budget has been late for most of the past two decades, and the amount of funding – which has thankfully grown in the last two years – is wildly unpredictable from year to year.

The result is that the VA is severely constrained in trying to plan or manage its budget. Robert Perreault, a former Veterans Health Administration chief business officer, has rightly noted in congressional testimony that “VA funding and the appropriations process is a process no effective business would tolerate.”

Such haphazard financing can directly affect the quality of care at VA hospitals and clinics across the country. Insufficient or late funding can mean an increase in waiting times for appointments. Purchasing new and replacement medical equipment may be put on hold, further delaying the delivery of needed medical treatment. And life-altering conditions such as PTSD and TBI may go undertreated or are not treated at all if specialized mental health care personnel cannot be hired when needed.

Read the rest:
http://www.washingtontimes.com/news/2008/
nov/11/remember-health-care-for-veterans/