Showing posts with label TBI. Show all posts
Showing posts with label TBI. Show all posts

Wednesday, November 11, 2015

Joining Forces Wellness Week 2015

This week is "Joining Forces Wellness Week", in remembrance of Veteran's day, Nov. 9th -13th, 2015.  The Joining Forces initiative was launched by Jill Biden and First Lady Michele Obama in 2011.  This year the initiative is sponsoring a series of webinars directed toward healthcare providers.  These webinars are designed to teach providers more about veterans and improve their healthcare.  Continuing education credits for attending are available, sponsored by several academic institutions.

The press release on Joining Forces Wellness Week.
Go to this link to sign up for Joining Forces webinars this week.

The Defense Center of Excellence (DCoE), which focuses on psychological health and traumatic brain injury (TBI) has webinars on veteran health care and health care improvement available for "on demand" viewing.  Check out their website for more information.

In remembrance of Veteran's Day 2015, thank you to all who have served and the families who have supported them and continue to support them.  Peace to those who have passed and the loved ones who remember them.

For more on resources and support for the military family:
Free Stress Counseling resources
The Yellow Ribbon Reintegration Program
Combat Operational Stress Continuum
Family Liaison Officer/Ombudsman/Key
Blue Star Mothers, Blue Star Mothers and Adaptive Clothing (sew much comfort program)
Military OneSource
Female Vet -specific Resources
Minnesota's ADAPT parenting program
Strengthen your Marriage Resilience and FOCUS program
CREDO, Chaplain-led programs.  See CREDO Facebook page for most recent info.  Specific to marriage and family.  See this military marriage retreat resource article here, which also talks about Army's Strong Bonds, a cousin to the Navy's CREDO.
Military Family, Keep your Relationship Strong, Military OneSource for families
The D-Stress Line for Marines (free) and more resources for adjusting to State-side Life
The Family Medical Leave Act and Caring for your Wounded Warrior
Warfighter Sleep Kit
The Joining Forces campaign, 2012
OASIS program, Navy and PTSD
Sleep Resources, Kids having insomnia?
Free Stress-Relief Acupuncture Clinics, AWB's Military Stress Recovery Project

Monday, June 29, 2015

Music and Healing part 3: brain science

NIH Lecture on Music and Brain Function by Dr. Patel
From the National Institute of Health (NIH) Integrative Medicine Lecture series, there is a great lecture from Dr. Patel on how music affects brain function and learning.  He discusses briefly how music can be therapeutic (healing).  This lecture was given May 13th, 2013, and goes by the title, "Exploring the Impact of Music on Brain Function".  Dr. Patel is an associate professor in the Department of Psychology, Tufts University.  Follow this link to watch the powerpoint presentation.


Related posts
Music Healing part 1:  Music Therapy is Sound Healing
Music and Healing part 2:  Music Therapy for Inpatients at Mayo Clinic, a wonderful service
The Navy's OASIS program focuses on building resilience, and music therapy is included

Tuesday, June 16, 2015

Research study: Brain injury in servicemembers with just exposure to Blasts

Research out of the Boston VA TRACTS program has been looking at brain scans in veterans and service members exposed to bomb blasts.  They are finding evidence of "brain-aging" in exposed veterans, independent of medical diagnosis of TBI or mTBI.  This continues to be a decades-long study to learn more about how the brain adapts to trauma and resilience factors. 

Early evidence is showing that the brain is affected by blast exposure, even if servicemember does not experience classic symptoms of concussion.  See the beginning of the story for a less-than-5-minute youtube video interviewing the researchers and one of the veteran study participants.



Reference
Gregg Zoroya.  USA Today.  Published online 6.1.2015.  "Study:  Bomb Blasts may cause early aging in brains of troops.". retrieved 6/8/2015.  http://www.usatoday.com/story/news/nation/2015/06/01/veterans-tbi-blast-aging-brain-damage/27971927/

More Resources
The Boston VA TRACTS program, the Boston Translational Research Center for TBI and Stress Disorders.

TRACT was a featured program in the 2012 VA Research Week.  For the 2012 youtube video and information on how to join a study or learn more about ongoing VA research, check out the research and development (R&D) page.

Brainline Facebook page

Related blogposts on Brain Injury, TBI
 Traumatic Brain Injury Awareness Month
Art Therapy for TBI and PTSD at Walter Reed
Music and Healing, Part I, brain research
TBI, Military Concussion Center, and OSCAR
D-STRESS line for Marines and Sailors
Female Soldiers and their Wounds of War
OASIS Navy program, San Diego area
Veterans with TBI report Relief with Acupuncture
Delayed Diagnosis of TBI story
On TBI treatment in the VA: From Surviving to Thriving Documentary, 30 min


Wounded Warrior program posts
Wounded Warrior Care and CAM at Camp Pendleton, acupuncture and massage available
The Family Medical Leave Act and Caring for your Wounded Warrior
Combat Stress vs. PTSD
Taking long leave time to care for wounded warrior
Navigating health care from MTF to VA to Non-profits
What is Operation Warfighter? And linked to the Warrior Transition Command blog
Activities of Daily Living and special compensation for wounded warriors, an article link


Military Family issues posts
Homecoming Preparation and transition between trainings or sea time:  Communication; also includes resources for extended family and healthcare providers who work with service members and their families.

Research review posts
Opioid use and prescription rate in Veterans and adverse event rate
The ADAPT program of Minnesota
Lower body amputees and fall recovery
Article review:  Pain Medicine 2014










Monday, September 2, 2013

Building Resilience with Soldier 360, a program for Soldier-Leaders

Soldier 360 is a project out of the DCoE, the Defense Center of Excellence.  It is a great program to teach soldier-leaders about resources available to them, their families, and their soldiers.
In my opinion, it helps to fulfill the Army Pain Management Task Force's goals of "focus on the warrior and family-sustaining the force" and "synchronize a culture of pain awareness, education, and proactive intervention".

Check out this recent article about the Soldier 360 program, published in army.mil and written by SSG Bryan Dominique in June 2013, "A 360 approach to leader development at JBLM".

Over the past year I have been privileged to be a guest speaker for the local Soldier 360 classes offered nearby.  It has been wonderful to work with the soldiers, all NCOs (that's soldier-leaders for you non-Army folks), and the instructors.  Soldier 360 is a leader's course that focuses on building resilience while teaching comprehensive soldier fitness  It gives soldiers tools and resources for mind-body-spirit fitness for themselves and their soldiers.  The classes have a variety of topics that include (as a short list):  biofeedback, relationship-building, mindfulness, learning the new PRT (physical readiness training) variations, stress management, substance abuse red flags and resources, and chaplain resources.  It brings order to the various support groups and resources available at most installations to help soldiers deal with issues and build resilience that includes Army Medicine, ASAP, MFLC, the Wellness Center, ACS (Army Community Services), and Chaplain services.  The course is based on the adult-learning model, so the focus on any class is learn-by-doing or active engagement in the course topic (lots of question and answer sessions).  As a guest speaker, I give a talk on Traditional Chinese Medicine (acupuncture) and non-drug pain management options.  I am grateful to my volunteers, particularly Jessica Martens, EAMP, of Sound Acupuncture and Daniel Cashman, EAMP, of Seattle Asian Medicine and Martial Arts who help me give demonstrations to the class on Traditional Chinese Medicine.  Jessica and Daniel help me with auricular acupuncture demonstrations, Tai Chi demonstrations, and help field the many questions.

My Soldier 360 Volunteers! 
from left to right:  Jessica, Daniel, and Megan

I encourage any NCO to make time to attend the course when it comes to your installation, or encourage the NCOs who work for or with you to attend.  Check out the links to the articles below or the Soldier 360 facebook page for more details.

More articles on Soldier 360: 
Soldier 360 teaches holistic healing, published in the Army Times, April 2011
Soldier 360 program helps JBLM soldiers adjust to post-deployment life, published in the JBLM-Patch, February 2013.
Soldier 360 provides resiliency training to soldiers, spouses in Europe, published on army.mil, April 2011.
Free Stress Counseling Resources

For more on the Army Pain Management Task Force, see the related blogpost.

--Megan

Wednesday, April 17, 2013

Music and Healing, part 1

Music Therapy is Sound Healing:  from Ancient Medicine to Modern Research

[This is part of our Music and Healing blogpost series, part 1.]
 
Brainline.org has a short synopsis of the healing properties of music. While music has been used for soothing the aches and pains of kings from medeval times; it continues to be studied in the present day.
The following quote is from brainline.org:
Sound Energy Therapy
Sound energy therapy, sometimes referred to as vibrational or frequency therapy, includes music therapy as well as wind chime and tuning fork therapy. The presumptive basis of its effect is that specific sound frequencies resonate with specific organs of the body to heal and support the body. Music therapy has been the most studied among these interventions, with studies dating back to the 1920s, when it was reported that music affected blood pressure.11 Other studies have suggested that music can help reduce pain and anxiety. Music and imagery, alone and in combination, have been used to entrain mood states, reduce acute or chronic pain, and alter certain biochemicals, such as plasma beta-endorphin levels.12 These uses of energy fields truly overlap with the domain of mind-body medicine.
11. Vincent S, Thompson JH. The effects of music upon the human blood pressure. Lancet. 1929;213(5506):534-538.
12. Chlan L. Music Intervention. In: Snyder M, Lindquist R, eds. Complementary/Alternative Therapies in Nursing. 4th ed. New York: Springer Publishing Company; 2001:58-66.

Brainline.org also lists Sacred Heart Hospital of Eau Claire, Wisconsin, as having a rehabilitation program that includes music therapy.
If you would like to read about how music therapy may be useful in helping concussions or traumatic brain injuries (TBI) heal, check out Brainline's story, "The Cerebellum Blues".

--Megan

NIH Lecture on Music and Brain Function by Dr. Patel
From the National Institute of Health (NIH) Integrative Medicine Lecture series, there is a great lecture from Dr. Patel on how music affects brain function and learning.  He discusses briefly how music can be therapeutic (healing).  This lecture was given May 13th, 2013, and goes by the title, "Exploring the Impact of Music on Brain Function".  Dr. Patel is an associate professor in the Department of Psychology, Tufts University.  Follow this link to watch the powerpoint presentation.
 

Tuesday, February 19, 2013

TBI update: DoD numbers for 2012


This is an updated link for DoD (Department of Defense) TBI numbers for 2012.  March is TBI Awareness Month.  Please see a related post from last March for more information and links.

In these new graphs,
Notice the total number by branch:
Navy
Marines (part of Navy)
Army
Air Force

Reserves
National Guard

Other posts:
Traumatic Brain Injury Awareness month

Monday, July 16, 2012

Veterans with TBI report Relief with Acupuncture

There is a good article in Acupuncture Today from a Practitioner of Acupunture and Oriental Medicine about how her patients, who are war veterans, report relief from symptoms related to TBI (traumatic brain injury or severe concussion) with her acupuncture and oriental medicine treatments.  Here is a synopsis.  Please see the link below for the full article.

"Veterans with Traumatic Brain Injury Report Relief with Acupuncture"
Acupuncture Today
December, 2010, Vol. 11, Issue 12
Written by Lynn Morgan, RN, L.Ac, OMD


Dr. Morgan writes:  "Traumatic brain injury is defined as a non-degenerative, non-congenital insult to the brain from an external mechanical force, leading to possible concussion, skull fractures, internal hemorrhage or other internal injuries. This might result in permanent or temporary impairment of cognitive, physical and psychosocial functions with an associated diminished or altered state of consciousness."

In Dr. Morgan's experience as a practitioner of Acupuncture and Oriental Medicine at the George E. Wahlen Department of Veterans Affairs Medical Center in Salt Lake City, "Medical treatment often consists of rehabilitation, mental health counseling, vocational rehabilitation and group therapy. Patients often are on a long list of medications to treat the various symptoms. Common medications are antidepressants, sleep aids, migraine medications, anti-seizure medications and narcotics."

So, in the Utah VA clinic she provides care in, "we are using acupuncture to provide some relief to these patients. Acupuncture has become one component of the integrative medicine program being offered under the umbrella of holistic medicine. Patients are seen on an outpatient basis and are being treated for a variety of health issues including chronic pain, post-traumatic stress disorder and traumatic brain injury."

It is encouraging to note that, with acupuncture treatment, "patients are reporting a decrease in the intensity of their headaches, better sleep and an ability to cope on a daily basis."

Dr. Morgan also gives an case study:
"One of my patients -- we'll call him "Jim" -- came to the acupuncture clinic for treatment of severe headaches and sleeplessness. Jim, a 27-year-old male and Iraq War veteran, got caught in a crossfire in 2003. A bullet entered his helmet but did not penetrate his skull. The blast resulted in a blood clot located in the parietal area of his brain. For the first year, his words were slurred and his concentration and short-term memory were adversely affected. He reports developing severe, debilitating headaches, which he describes as 'helmet-like.' He is haunted by nightmares. This combination causes him to lose a lot of time at work, resulting in significant depression and worry over financial issues.
After working with Jim over several weeks . . . . He recently reported a decrease in his headaches, better sleep and relaxation, and an ability to cope better with his chronic pain. Jim also was taught to do several of these points himself while at home and says he finds this helpful in diminishing his headaches before they get too severe."

She concludes her article with: 
"Acupuncture will not be able to provide a cure for these veterans with traumatic brain injury, but it will give them some relief they greatly deserve when used in conjunction with other medical treatments. Although the issue of war is forever controversial, we should not deny the veterans themselves the best possible medical care the country can provide. That includes acupuncture."

Source:  Morgan, Lynn.  "Veterans with Traumatic Brain Injury Report Relief with Acupuncture".  Acupuncture Today: vol. 11, issue 12.  (Dec 2010).

Saturday, May 26, 2012

Stress-Relief Acupuncture

What is Stress-Relief Acupuncture?
copyright Megan Kingsley Gale, 2011
While all forms of acupuncture treatment relieve stress in some way, Stress-Relief Acupuncture referred to here is also called "five needle protocol" and is similar to the NADA protocol (see below). This protocol is 5 special points in each ear. These points are needled bilaterally in each person (each ear gets needles) for a total of 10 needles per person per treatment. (*1) This is a very powerful protocol that brings the body from "fight or flight" mode to "rest and digest" mode while the needles are in. It helps the body remember what it is like to be in "rest and digest" mode. This protocol has been very effective in Disaster Relief clinics (see the work by Acupuncturists without Borders) and is being used in Military Stress Recovery Project Clinics. It aids in recovery from shock. Some people experience pain relief and better sleep as side effects of the treatment (see Testimonials page). Remember, the main purpose of the Stress-Relief Acupuncture treatment is to remind the body how to be in the "rest and digest" mode (aka parasympathetic state). It reminds the body and mind how to come out of the "fight or flight" (sympathetic) mode. The parasympathetic state is essential to quality sleep. Quality sleep leads to better memory and overall body function and strength. Quality sleep is essential to resilience.
*1: Accommodations are made for those who have an injured ear or are wearing hearing devices that obstruct the auricle, as appropriate.
Stress-Relief Acupuncture is used in the De-Stress Vets clinic and other Military Stress Recovery Project clinics across the country.
Acu-tack Courses:  Stress-relief Resources for Corpsmen and Medics
For information about an even simpler protocol available to corpsmen, medics, and other deploy-able military medical personnel (nurses, physicians, and so on), please see the Acu-tack for Stress Relief and Acu-tack for Pain Relief courses.  The Acu-tack courses are designed as a front-line intervention to treat the symptoms of combat stress and pain as soon as possible by putting this simple protocol in the hands of the front-line medic and corpsman.  The sooner the cycle of pain, stress, and insomnia can be disrupted, the greater resilience and healing can kick in.  Thereby reducing the long-term effects of stress and reducing the occurrence of the related long-term stress reaction disorder, PTSD (post traumatic stress disorder).
--Megan Kingsley Gale, EAMP/L.Ac.
Related Resources:

Thursday, April 12, 2012

Wounded Warriors—Navigating from MTF to VA to Non-profits to Find Support

The Doctor Is In – TRICARE’s Wounded Warrior Support
Support for the Wounded Warrior from various organizations--navigating the system and finding what benefits are available to you and your family--a short overview.

"The Doctor Is In -- TRICARE's Wounded Warrior Support" was published in the DoDLive blog April 2nd, 2012, written by Brigadier General W. Bryan Gamble, MD, the Deputy Director of TriCare Management Activity.  General Gamble gives advice on how to navigate the services available to Wounded Warriors.  Wounded Warriors often receive treatment first at a Military Treatment Facility (MTF), and if he or she must separate from the military, he/she must go through the transition to civilian life and civilian and veteran health care resources.  This transition can be very tricky to navigate.  Here is a synopsis of General Gamble's advice (for full article, go here):
  1. TriCare Programs
  2. The National Resource Directory for Wounded Warriors
    • a list of programs and benefits available to servicemembers injured in the line of duty
    • includes health programs, employment resources, caregiver support, homeless assistance and information on compensation.
  3. The Department of Veterans Affairs (VA) health facilities
    • Visit the VA health eligibility website and fill out the electronic application to apply for VA benefits or
    • call the VA Health Benefits Service Center
      • 1-877-222-8387
  4. Military Treatment Facilities (MTF)
    • TriCare benefits counselors and Wounded Warrior liaisons
      1. Seek these people out to help answer your questions and arrange your transition of care to your VA health facility
      2. Explain VA benefits and services, and help you plan your discharge from the MTF
    • If you are separating from active duty, ask about TAMP
      1. Transitional Assistance Management Program (TAMP) --service for which you and your family may be eligible if separating from active duty
      2. TAMP gives you and your family 180 days of health care assistance after your separate from active duty
      3. To see if you are eligible, go to the TriCare TAMP website. TriCare is often updating its site, so you may need to go to the main TriCare site and search for "TAMP".
  5. Non-profit organizations that help Wounded Warriors
    • Fisher House Foundation--provide free or low-cost housing to families of injured warriors.  Gives families a place to stay near the MTF while their warrior is receiving care.
    • The VA Vet Center Program--offers local, community-based readjustment counseling for veterans and their families
  6. Social Security Administration--has info about disability benefits for Wounded Warriors
Related phone numbers from the National Resource Directory for Wounded Warriors:

  • Veterans Crisis Line 1.800.273.TALK (8255)
  • National Call Center for Homeless Veterans 1.877.4AID.VET (424.3838)
  • VA Caregiver Support Line 1.855.260.3274
  • Wounded Warrior Resource Center 1.800.342.9647 
  • Vet Center Combat Call Center 1-877-WAR-VETS


  • Related Blog posts:
    Operation Warfighter--transition assistance and employment assistance
    Acupuncturists without Borders Military Stress Recovery Project (MSRP) Clinics
                    Women Veterans Only MSRP
    Adaptive Clothing available to Servicemembers--great way to stay comfortable and covered in rehab compared to the average hospital gown


    For a Military Stress Recovery Project Clinic near You: This is the link to the list (by state) of Military Stress Recovery Project clinics. These are civilian clinics available through a larger non-profit group, Acupuncturists without Borders. They recently opened a Women Veterans only clinic in Albuquerque, New Mexico, due to patient demand. The Military Stress Recovery Project clinics are open to all veterans, active duty servicemembers, reservists, Guard, their families, and their care providers.
    And, De-Stress Vets, www.destressvets.com. 


    Hope this information helps you continue on your road to recovery.

    --Megan

    Saturday, April 7, 2012

    Art Therapy for PTSD and TBI at Walter Reed

    Therapist Uses Art to Help Troops Heal
    part of Brain Injury Awareness Month, posted March 30th, 2012, on DoDLive blog.

    "Creative arts therapist Melissa Walker offers a wealth of supplies to service members to complete their art projects in the Healing Arts Program at the National Intrepid Center of Excellence at Walter Reed National Military Medical Center in Bethesda, Md. Walker developed her program to help those with psychological health issues and traumatic brain injuries.   The program aims to help the recovering service members find a creative haven where their buried post-war thoughts and emotions can come to the surface through art and therapy."--Terri Moon Cronk, AFPS, DoD News.
    For the full article, click here.

    Related videos:
    The Painter in the Park


    Thursday, April 5, 2012

    Brain Injury Awareness Month: A National Guardsman Shares His Story of Delayed Diagnosis of Traumatic Brain Injury (TBI)

    "Delayed Diagnosis" is t

    This is a great concise story originally posted by Robyn Mincher on the DCoE Blog titled "One Veteran's Delayed Diagnoses" and  re-posted on DoD Live March 31st, 2012, as part of National Brain Injury Awareness Month.
    *********
    The story is quoted, in its entirety, below (or follow the links above for the original post):

    Sometimes we encounter frustrations in our daily routine—an important package delivered late or being struck in traffic come to mind. For Samuel Console, a retired Pennsylvania Army National Guard lieutenant, lateness was more than a simple annoyance. His traumatic brain injury (TBI) diagnosis occurred six years after an improvised explosive device (IED) blew up next to his Humvee.
    In 2005, Console was a combat engineer in Iraq searching out and quarantining IEDs, which he encountered often.
    “We knew the area we were going to was very hot,” said Console. “We were going out and putting protective barrier around polling sites. Our mission was at night … when you can’t see IEDs.”
    The last thing Console remembers after the explosion is an orange flash of light. “I came to and said ‘IED!’ but it had happened seconds before,” he said. “I couldn’t hear anything because my ears were ringing so loud.”

    Back at base, Console was queasy and his head felt as if someone had hit him with force. He debriefed leadership on the combat incident, and since no immediate medical assessment was required at the time, he went to sleep without an evaluation.
    “This was in 2005, when there was no protocol unless you brought up your symptoms. No one was using the term TBI,” Console said. “As an officer, you’re not supposed to get off your horse—you’re supposed to charge back into battle.”
    That’s essentially what happened. The next morning, he didn’t feel right and had a headache, which he brushed off as adrenaline, but continued serving out his deployment.

    When he returned home, Console’s wife immediately noticed he was different. Not only physically—from his loss of balance, increased sensitivity to light, pulsing headaches, short memory and hearing loss—but psychologically as well.

    “I was very much disconnected, experiencing sadness and depression. I spent a month without sleeping,” Console said. “My wife and I got married two weeks before I deployed, and she considered me a different husband and [ours] an entirely new marriage [when I returned].”

    Console was diagnosed with post-traumatic stress disorder (PTSD) and stayed in therapy for three years, but became frustrated when his symptoms returned. Around this time, doctors became more aware of TBI and co-occurring conditions.
    “During a meeting with my VA doctor, I said ‘I’m upset all the time and have hearing loss! I was blown up!’ He replied, ‘Were you ever in proximity to an IED? We have to get you an MRI.’”

    After confirming that he had not been in a car accident or situation that would have recently caused head trauma, doctors diagnosed him with TBI stemming from the 2005 IED blast. He finally had an answer to his ongoing post-combat symptoms.

    Console started prolonged exposure therapy, journaling his experience that later turned into a book: “Service and Sacrifice: Memories of Operation Iraqi Freedom with a Veterans Mental Health Resource Guide.” The book offers tips on what service members and veterans can do when they have post-combat stress to self-check their behavior, and ensure they get proper diagnosis and treatment. Console hopes the book motivates veterans to be proactive and raise their hand when there’s a concern.
    “I meet veterans who won’t even go to VA, but that’s where you get your help. I’ve met vets who haven’t gotten checked for TBI even when they have symptoms,” he said. “I encourage everyone to take a very strong hold of their personal health.”

    Learn more about TBI resources provided by Defense Centers of Excellence for Psychological Health and Traumatic Brain Injury (DCoE) and Defense and Veterans Brain Injury Center, a DCoE center.
    *****************

    Wednesday, March 28, 2012

    Acupuncture used to treat TBI at Military Concussion Care Center, part of the "Operation Stress Control and Readiness Program (OSCAR)" through the Navy and Marine Corps

    Acupuncture Makes Strides in Treatment of Brain Injuries, PTSD (VIDEO)
    similar to Kandahar video.  Also an article from the DoD Live "Armed with Science" blog, written by C. Voorhees, June 2011.

    Military field physicians are using the practice of acupuncture to treat cases of mild traumatic brain injuries (mild TBI), including concussions, and cases of post-traumatic stress disorder (PTSD).

    Acupuncture is a simple, non-medication way to treat insomnia, headaches, nightmares, and anxiety.

    What is "Operation Stress Control and Readiness Program (OSCAR)"?
    "Operation Stress Control and Readiness Program, a joint Navy-Marine Corps effort, embeds psychiatrists and psychologists within combat teams to provide mental health care to troops in Afghanistan. The program trains medical officers, corpsmen, chaplains, religious personnel and key leaders at the sergeant and first sergeant level to deliver basic mental health services. Troops also have the option to see physical therapists, occupational therapists, and acupuncturists at an outpatient concussion center to address physical and emotional impacts of combat-related injuries.
    Having psychiatrists and psychologists embedded in regiments and battalions gives troops who might not naturally turn to a mental health provider a range of ways to seek help." [Armed with Science article.]


    Navy Cmdr. (Dr.) Keith Stuessi, former director of the Concussion Restoration Care Center at Camp Leatherneck in Afghanistan, believes acupuncture is useful for treatment of mild TBI.
    Stuessi describes the Concussion Restoration Care Center as a success – treating more than 320 concussion patients thus far. Of the more than 20 troops he personally treated, almost all saw marked improvements in their sleep, anxiety levels and frequency of headaches. Cmdr. Earl Frantz, who replaced Steussi at Camp Leatherneck in March, continued the practice of using acupuncture on troops with symptoms of mild TBI [Armed with Science article].

    Related articles: July 2011 Medical Monday:  Breaking Ground on Identifying and Understanding TBI.
    Related posts:  the DSTRESS LINE for Marines and Sailors
                              Traumatic Brain Injury Awareness Month (March)
                              What is the Training/Education Level of your Acupuncturist?
                              Military Chaplains and Combat Stress
    For a Military Stress Recovery Project Clinic near You:
                        This is the link to the list (by state) of Military Stress Recovery Project clinics.  These are civilian clinics available through a larger non-profit group, Acupuncturists without Borders.  They recently opened a Women Veterans only clinic in Albuquerque, New Mexico, due to patient demand.  The Military Stress Recovery Project clinics are open to all veterans, active duty servicemembers, reservists, Guard, their families, and their care providers.

    --Megan

    Thursday, March 15, 2012

    Traumatic Brain Injury (TBI) Awareness Month

    Source:  ClipArt
    March is BRAIN INJURY AWARENESS Month
    For more resources on TBI, scroll to the end of this post.


    March is "Brain Injury Awareness Month".  [Short YouTube video here.]  A recent DoDLive blog post, "TBI:  To Be Improved" is by Army Staff SGT Victor Medina.  He authors the "TBI Warrior blog" and shares his story of recovery from a warzone TBI.  For the whole article, see:  TBI: To Be Improved on the DoDLive blog.  Here's the intro:
    From Elaine Wilson, Family Matters Blog Editor: I’d like to introduce guest blogger Army Staff Sgt. Victor Medina, who sustained a moderate traumatic brain injury during his third deployment in Iraq in 2009. Several months later, Medina started a blog titled “TBI Warrior” to help educate other survivors and caregivers affected by a brain injury through his own experiences — before and after TBI. He shared his story in a Defense Centers of Excellence Blog on March 2.

    The mission of Medina's blog "TBI Warrior:  Traumatic Brain Injury is a New Beginning.  IT WILL GET BETTER" is to:  "provide insight on Traumatic Brain Injuries from the perspective of a survivor and a caregiver.  Empower survivors and caregivers through education, providing resources to heal with hope.  We stand for early identification and appropriate intervention with compassion.  The survivor's knowledge and motivation are key to successful rehabilitation."

    In Medina's blog, he makes a good point with referenced arguments that the diagnoses of PTSD and TBI, while often diagnosed together, are separate conditions and diagnoses.  He makes the point that if you have a TBI you may or may not also have PTSD.  It is okay to have one and not the other; the conditions are not "comorbid".  See his blog for the entire thoughtful argument.

    The Defense Centers for Excellence has a great resource page on Traumatic Brain Injuries.  It includes links to some videos and more links to finished studies or ongoing related research.  In honor of Brain Injury Awareness Month, there is a related DoD webpage for more resources that include Fact Sheets, ICD-9 coding guidance on TBI for providers, and mobile apps for health care providers.  This includes the fact sheets "Courage to Care--TBI:  What Military Families Need to Know," and a TBI statistics sheet.

    Want to learn what the mechanics of a blast, such as an IED are?  Check out the "mechanics of a blast injury" video on the BrainLine Military website.

    Here are those TBI resource pages again:
    Department of Defense Traumatic Brain Injury resource page
    Defense Centers of Excellence Brain Injury Awareness Month webpage (fact sheets, mobile aps)
    Victor Medina's TBI Warrior blog
    Courage to Care's fact sheet "TBI:  What Military Families Need to Know"
    TBI Statistics/Numbers
    Some nice graphs with data on TBI from the Department of Defense as recent as February 2012.
    The National Instutite of Health's Research on TBI page.  This is a special branch called the "National Institute of Neurological Disorders and Stroke".
    The Center for Disease Control and Prevention (CDC) Brain Injury page
    There is a cool interactive website for learning about the brain and brain injury called BrainLine.
    American Heros at Work is a U.S. Dept. of Labor project that addresses the employment challenges of returning Service Members and Veterans living with TBI and/or PTSD.
    "Mechanics of a Blast Injury" video on BrainLine Military.
    Traumatic Brain Injury:  The Journey Home

    DVBIC = The Defense and Veterans Brain Injury Center, a DCoE component center, offers medical care, research initiatives and programs to active duty military, dependents and veterans.  Information on brain injury and associated research and treatment.
    Fort Campbell Makes Advances in TBI Evaluation
    Real Warriors
    Army Surgeon General on Brain Injury Awareness Month
    More reading lists on TBI, "Take Note program"
    Related Article from Fort Sam Huston on National Brain Injury Awareness Month
    Post-combat Driving program for servicemembers and their families. 
    Army Medicine TBI overview video for servicemembers and their families

     2013 post on DoD numbers for 2012 update with more detail than image below.
     
    --Megan

    Tuesday, March 6, 2012

    Video: Acupuncture in Military--Kandahar (KAF) Doctors Use Acupuncture to Treat TBI



    Kandahar Air Field, Afghanistan.  New pain treatment options for servicemembers.  Acupuncture is drug-free.  Acupuncture is wonderful as an adjunct treatment for combat injuries and operational theater injuries such as concussions, traumatic brain injury (TBI), stress, anxiety, poor sleep, and racing thoughts.  See more on Stress-Relief acupuncture at the De-Stress Vets website.

    This is why Acupuncturists without Borders is so successful in treating people recovering from disasters in their Disaster Relief mobile clinics and the Military Stress Recovery Project.

    There are several levels of education of acupuncturists.  There are detox specialists, medical acupuncturists, and Licensed Acupuncturists/East Asian Medicine Practitioners who have a masters or doctorate degree in the medicine.  For a more thorough explanation, please see the list from the CCAOM (Council of Colleges on Acupuncture and Oriental Medicine).  Please ask your acupuncturist what training in acupuncture they have received and ask to see their license or training certificate before you receive a treatment.

    From CCAOM site "Know Your Acupuncturist":

    Acupuncture Training hours
    Description of Title or Certificate
    3 - 4 years graduate school
    (1500-2000+ hours)
    "Licensed Acupuncturist" or "East Asian Medicine Practitioner"
    Received a master's or doctorate in study of Acupuncture and Traditional Chinese Medicine from an accredited program* AND passed the National Board Exam.
    300 hours or less
    "Medical Acupuncturist" or “medical acupuncture”
    An MD, osteopathic physician, naturopathic physician, or chiropractor who takes a continuing education course in acupuncture pain relief procedures only.
    100 hours or less
    "Detox Specialists" in the United States.
    They are limited to using 5 needles or less in each ear. Ear/Auricular acupuncture only.

    For more detailed information, check out the CCAOM's "Know Your Acupuncturist" page.

    *accredited program.  Acupuncture program must be accredited by the ACAOM (American College of Acupuncture and Oriental Medicine), which has been given the directive from the U.S. Department of Education as the only accrediting body for training of Acupuncturists.

    --Megan Kingsley Gale, L.Ac./EAMP (MSAOM), Dipl. OM
    Licensed Acupuncturist/East Asian Medicine Practitioner
    (Master of Science in Acupuncture and Oriental Medicine)
    Nationally Board Certified Diplomate in Oriental Medicine (NCCAOM**)

    **NCCAOM = National Certification Commission on Acupuncture and Oriental Medicine, the national board exam providers for Acupuncture and Oriental Medicine National Board exams in the U.S.A.