National Institute of Health to Build a Central Database on Traumatic Brain Injury

0 comments

Posted on 29th August 2011 by Gordon Johnson in Brain Injury

, ,

The NHI will partner with the Department of Defense to build a database will enable experts in the prevention, diagnosis and treatment of TBI.  The central repository will include new data, current databases and will allow for study comparisons.  The DoD involvement is crucial due to vast number of combat soldiers returning from active duty with TBI—DoD has documented 200,000 Service Members with TBI over the past 12 years.  Nationally, 1.7 million traumatic brain injuries occur annually.  TBI total fiscal impact in the United States is estimated at $60 Billion.

A database for Traumatic Brain Injury has a model to build after.  The NIH developed a successful database for Autism Research likewise will save up to 50 percent in project costs and speed research time to achieve meaningful results.

http://www.nih.gov/news/health/aug2011/ninds-29.htm

The National Institute of Neurological Disorders and Strokes is the leading funder of brain and nervous system research.

TBI is a burden borne by every age group, by every single segment of society.  Its common causes vary greatly and this database will be an integral tool for the treatment and prevention of Traumatic Brain Injury.

Bicycle Helmet-Wearing Former NFL Quarterback Spared Head Injury

0 comments

Posted on 2nd August 2011 by Gordon Johnson in Brain Injury

, , , , , , , ,

If you think wearing a bicycle helmet is for wimps, think again. Joey Harrington, a 33 year old former National Football League quarterback, was struck from behind by a driver of an SUV while riding a bike. On Sunday, July 31st, 2011, Harrington was hospitalized with non-life threatening injuries including a broken collarbone, a punctured lung, and a cut on his head. The crash caused Harrington to land on the vehicle. He was upside down when he skidded off and landed on his head and shoulder. Harrington was wearing a bicycle helmet which prevented much more serious injury. Harrington is expected to be released from the hospital on Tuesday, August 02, 2011. “>

Beaten Baseball Fan Suffered Traumatic Brain Injury

0 comments

Posted on 2nd August 2011 by Gordon Johnson in Brain Injury

, , , , , , , ,

Bryan Stow, 42, a San Francisco paramedic, who was attacked by two suspects on March 31st at Dodger Stadium in Los Angeles, last week has been upgraded from ‘critical’ to ‘serious’ condition but his doctors say they remain “extremely cautious about interpreting his progress”. Stow is able to open his eyes and respond to basic commands. Doctors said Stow suffered a 30-second seizure recently and underwent surgery to relieve fluid built up in this head. http://www.thirdage.com/news/bryan-stow-injured-giants-fan-undergoes-more-surgery_07-22-2011

New details of the attack, that has spurred nation-wide public outrage, were released at a bond reduction hearing on August 1st. Stow was punched on the side of his head from behind. As fellow paramedics witnessed, Stow become unconscious before he fell to the asphalt covered parking lot. Stow was unable to impede his fall. Witnesses further heard his head hit the asphalt and observed his head bounce upon hitting the ground. Once on the ground, one of the two beating suspects kicked Stow numerous times in the head. The other suspect also kicked Stow in the head. http://www.washingtonpost.com/national/court-documents-describe-attack-on-giants-fan-at-dodger-stadium/2011/08/01/gIQAuwWlnI_story.html

Battlefield Soldiers and Football Players with TBI have Higher Risk to get Dementia, Studies Show

0 comments

Posted on 1st August 2011 by Gordon Johnson in Brain Injury

, , , , , , , , , ,

A new study introduced at the Alzheimer’s Association’s International Conference in July, suggest a strong link between head injuries in veterans and dementia. Soldiers who had suffered brain injury were two times more likely to develop the brain disorder. http://today.msnbc.msn.com/id/43797462 Another study indicates an even more ominous prognosis for another group of veterans: retired football players. The research shows that by almost three times the normal rate, 35% of former NFL gridiron warriors studied had signs of dementia, compared to 13% in the general population. Other detailed studies done by research scientists at various universities including Loyola University in Chicago, UCLA and at the University of Pennsylvania, research indicates a Traumatic Brain Injury (TBI) and the development of ‘brain clogging plaque and tangles’ that are known to cause Alzheimer’s and dementia. The new research on combat veterans is especially worrisome to Dr. Douglas Smith, of the Penn Center for Brain Injury and Repair. He suggested that these injuries and long term effects to the brain may make the “Agent Orange” concerns of a generation ago “pale by comparison”.

Husband Of TBI Survivor Shares Blog On His Wife’s Miraculous Recovery

1 comment

Posted on 15th April 2010 by Gordon Johnson in Brain Injury

,

Believe in miracles – no matter what the doctors tell you.

That’s the message from George. He’s a Canadian resident who asked that we share his family’s story and blog with you, to give hope to those who feel hopeless after their loved one sustains a traumatic brain injury.

 “My wife Yvonne was involved in a head-on collision with a tractor-trailer in late January 2010,” George wrote us. “The car spun out on icy roads and crossed the line. Initially the doctors didn’t give us much hope. They said she might never leave the ICU and they asked us if it was her wish to be an organ donor. Yea, pretty damned bleak.”

 Well, apparently the doctors were wrong about Yvonne.

“She is healing beautifully and she IS a miracle girl!” George said.

The family has been keeping a blog about Yvonne’s progress, http://yvonneonthemend.blogspot.com/.

“I just wanted to share this so other families who suddenly find themselves in this situation will be able to read about her,” George wrote. .

The blog’s first entries date back to a day or two after the accident, which took place Jan. 27.

College Basketball Sees An Increase in Concussions

0 comments

Posted on 6th March 2010 by Gordon Johnson in Brain Injury

, , , , , , ,

Football isn’t the only sport that is causing concussions in players: There has been a rise in head injuries for college basketball players.

In a detailed story, the Associated Press suggests that college hoops has gotten more physical and fast-paced with more massive players, and this is leading to more concussions. http://sportsillustrated.cnn.com/2010/basketball/ncaa/wires/03/05/2060.ap.bkc.concussions.on.rise.adv07.1263/

The issue has become so serious that the National Collegiate Athletic Association will hold a summit on concussions this spring.

Head and face injuries in all NCAA divisions have risen 6.2 percent from 1984 to 2004, a study by the National Athletic Trainers Association found, with concussions making up 3.6 percent of all injuries reported. Strangely enough, female hoops players were three times more likely to sustain a concussion than male players.

Several marquee players – such as Michigan State’s Delvon Roe and UCLA’s Malcolm Lee – have been forced to sit out games and practices after they exhibited the symptoms of concussions. And the Air Force basketball team has suffered at least six concussions this season.

College players are no longer “pipe-cleaner thin,” according to AP, and “the game has adapted to the size and strength of its players, becoming more about power than finesse.”

Let’s see if the college basketball moves faster to address the concussion problem than other pro and collegiate sports.

The obvious counter to the thesis of this research is not that concussions have gotten more frequent, but that the diagnosis of concussions has changed. It is unlikely that concussion itself is increasing. The game has changed very much. But now, trainers, coaches and fans understand the symptoms, and players injuries are given more attention. That is a good thing.

Better brain trauma testing urged for those at war

0 comments

Posted on 13th March 2009 by Gordon Johnson in Brain Injury

, , , , , , , ,

Date: 3/12/2009 6:14 PM

By KIMBERLY HEFLING
Associated Press

WASHINGTON (AP) — A group of doctors and scientists said Thursday the U.S. needs to devise a uniform test for traumatic brain injury to be performed on all troops who are exposed to a blast or other violent event in wartime.

Traumatic brain injury, or TBI, is often referred to as the signature wound of the Iraq war. Roadside bombs, vehicle accidents and other events have left hundreds of thousands of troops with such an injury.

Most are mild, and military medical officials have said an overwhelming majority heal without treatment. But Brig. Gen. Loree Sutton, the head of the Defense Centers of Excellence for Psychological Health and Traumatic Brain Injury, has said 45,000 to 90,000 troops have suffered more severe and lasting symptoms.

The recommendations to Congress on Thursday came from a conference last fall in Paterson, N.J., sponsored by a congressional task force on brain injuries. Reps. Bill Pascrell Jr. of New Jersey and Todd Platts of Pennsylvania are chairmen of the task force.

The group suggested that the assessment tool be used in wartime to determine if a soldier should return to duty. It also recommended improvements to traumatic brain injury research, better access to care and more resources for families of troops with TBI.

It asked Congress to spend $350 million on its recommendations to be overseen by the Defense Centers of Excellence for Psychological Health and Traumatic Brain Injury.

“We’re approaching this from every different angle possible,” Pascrell said. “We have a sense of urgency.”

Copyright 2009 The Associated Press.

Wisconsin Brain Injury Association Seeking Grant Reviewers

0 comments

Posted on 27th October 2008 by Gordon Johnson in Brain Injury

, , , , ,

10/27/08 From the Brain Injury Association of Wisconsin (BIAW):

The Health Resources and Services Administration (HRSA) is looking for new
and experienced objective grant reviewers with expertise in traumatic brain
injury. HRSA is looking specifically for individuals with specialized
education, knowledge, and experience in the area of traumatic brain injury
to apply to be a HRSA Grant Reviewer for its Maternal and Child Health
Bureau. Individuals with TBI and family members are especially needed.

As a Grant Reviewer you will assist HRSA in objectively evaluating
applications against established criteria. These competitive applications
are being submitted by State TBI Programs around the country. If you are
interested in being a Grant Reviewer, please send a note expressing your
interest along with a CV (curriculum vitae) to:

Captain Janie Martin-Heppel
Director, Federal Traumatic Brain Injury Program
DHHS/HRSA/Maternal and Child Health Bureau
Room 18-A-18, the Parklawn Building
301-443-2259; fax: 301-443-8604
jmartin-heppel@hrsa.gov

An email note with the required information is also acceptable. If you do
not have a CV, a paragraph or two about your qualifications will suffice.
For example, if you are a family member or caregiver and you don’t have a
CV, you could start with: “I have been a caregiver for my son who has a
TBI for the past five years…”

Questions should be directed to Captain Janie Martin-Heppel.


Thank you,
Brain Injury Association of Wisconsin

Department of Defense Treated Brain Injured Vets Like Defense Lawyers Do

1 comment

Posted on 21st May 2008 by Gordon Johnson in Brain Injury

, , , , , , , , ,

I have always called it the Defense of Misdirection. This year, is an election year, and I have an easier term for people to understand: SPIN. Spin is what defense attorney’s do. They spin everything, ignoring the obvious and coming up with some type of misdirection to disregard the diagnosis of treating doctors. The goal is to shift blame from everyone but the defendant who actually caused the injury by his/her/its wrongful conduct.

The favorite spin of defense attorneys is to blame it on pre-injury (pre-morbid is the medical term, meaning previously to the injury “mordibity”) psychological problems. The Army now is using similar tactics. With insurance companies the motive is to build up the skepticism of the jury, to reduce the amount its insured is required to pay. With the Military, the motive is to find as many warm bodies as possible to send back into a combat zone, to keep the numbers up for the surge in Iraq. There might also be the motive to save billions in VA benefits, too.

An April 23, 2007 story in the Army Times details the way in which the Army is using so-called “personality disorders” and tactics typical of Defense lawyers to force soldiers to go back into combat, or deny them proper veterans medical and disability benefits. For the full story, click here: http://www.armytimes.com/news/2007/04/military_braininjury_thurman_070420w/

The insurance industry propaganda machine is always trying to stir up sentiment about frivolous lawsuits. What actually happens in the Courtroom is dramatically different.

Defense attorneys learn how to spin any disability into something where they can raise jurors skepticism. Defense attorneys hire doctors who know what is expected of them. Ridiculous, psychosomatic diagnosis not found in the real medical world since Freud, are reinvented.
(The actual condition of Conversion disorder is so rare, that only left-over Freudian influence in the psychiatric profession, keeps it in the DSM-IV.) Pre-morbid personality disorders are found even though the person was considered well adjusted and productive before they got hurt. Any emotional counseling around life’s normal challenges such as divorce or marital difficulties is turned into evidence of deep seeded psychosis.

Jurors often see the Defense doctors as equally credible to the plaintiffs treating doctors, for reasons that are hard to fathom. As the plaintiff has the “burden of proof”, any doubts are resolved in favor of the Spin Doctors. Often the most credible evidence is that of friends and co-workers, who tell of how normal and productive the plaintiff was before. Defense lawyers try to spin this, and apparently, so does the military. The Army Times story linked above, tells of a soldier who was claimed to have a personality disorder, even though it didn’t show itself until he returned from Iraq.
Edward Kaspar said he served as Town’s lieutenant and was a witness to the incident in which a rocket exploded above Town’s head in Iraq, causing his brain injury.
“I was pretty shocked to hear about his problems now,” Kaspar said by e-mail. “This personality disorder thing just doesn’t make sense. I’m not a trained medical professional, but I can say that in the years he served as one of my soldiers, he definitely had it together. _ I relied on him to get the job done and he never failed me, both in peacetime and in war.”

Senators and Congressmen are calling for our wounded soldiers to get better treatment than this. While Bush and McCain are still fighting giving maximum benefits to Iraq Veterans, the political tide looks like by early next year, the laws will be improve. But changing the written rules won’t be enough. The culture of denial must be changed. Doctors, both civilian and military must start to believe that good, hard working people, are not malingers, just waiting for a chance for a free ride. People don’t choose the life of the disabled. They are disabled because their minds have been fundamentally changed by either trauma or extraordinary stress in a way, that has left them only a shadow of who they were. This is not a life of luxury, but a tragedy that deserves all of the assistance either our court system in the case of civilian injuries, or the VA system, in case of military injuries, can provide.

There can be no disagreement on this: forcing a soldier with a brain injury or PTSD to return to combat is unconscionable, not just because it is exposes that soldier to death and more disability, but because it exposes other soldiers to the same, because they will not be able to rely on that soldier.

NFL, War and Brain Injury, Part II

0 comments

Posted on 16th May 2008 by Gordon Johnson in Brain Injury

, , , , , , , ,

Yesterday I commented on the intersection of news about Iraq War veterans and the death of an NFL player. Today, we focus more on the synergistic effect of the interplay between brain injury and emotional problems.

It was reported in the April 19, 2008 edition of the Science Daily that one in five Iraq and Afghanistan Veterans suffer from PTSD or major depression. In addition, 19% are reported to be suffering from the effects of brain injury.

Click here for the complete story: http://www.sciencedaily.com/releases/2008/04/080417112102.htm

According to this article:
Researchers surveyed 1,965 service members from 24 communities across the country to assess their exposure to traumatic events and possible brain injury while deployed, evaluate current symptoms of psychological illness, and gauge whether they have received care for combat-related problems.
The article said:
“There is a major health crisis facing those men and women who have served our nation in Iraq and Afghanistan,” said Terri Tanielian, the project’s co-leader and a researcher at RAND, a nonprofit research organization. “Unless they receive appropriate and effective care for these mental health conditions, there will be long-term consequences for them and for the nation. Unfortunately, we found there are many barriers preventing them from getting the high-quality treatment they need.”
Odds are that they will get this attention. The recent federal funding has allocated large sums of money for TBI research and treatment from these two wars. Still, these numbers, if they are to be believed (i.e.,19% with TBI) mean that there are considerably more veterans involved the 20,000 or so that have been involved in recent studies. A 19% figure could push the number of vets with post concussional syndrome well into the hundreds of thousands. That would make even a half of billion dollars, seem inadequate.

Combat involves a synergistic (as defined yesterday) exposure to screwing up what makes the brain work. Not only are enemy attacks particularly bad for the organic matter inside the brain, but the constant vigilance and stress that which can occur, can create a more vulnerable brain to an “organic” injury. Prevalent throughout almost all neuropsychological literature is the challenge to distinguish between actual physical injury to brain tissue (organic injury) and the effect of emotional responses on the brain. There is no shortage of areas that the allocated research funds could be directed. Still, we believe that focusing on the synergistic effect and the vulnerabilities to injury of someone exposed to the stress of combat, should be near the forefront of priorities.