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Traumatic Brain Injuries Are Finally Being Recognized As Real Wounds

CBS 60 Minutes presented a very powerful piece last night, May 5, 2013, on traumatic brain injuries (TBI's) as real, and this is important, physical wounds.  TBI is not the same as PTSD.  It is something completely separate from PTSD, but can be an extremely debilitating factor if both are being experienced by the same person.

The Pentagon's statistics show that up to as many as 36% of Iraq and Afghanistan War veterans are suffering the physical effects of traumatic brain injuries.  This is in comparison to the 10% who have incurred single, or multiple amputation injuries.  The obvious problem here, that is until now, is that TBI's are not visible physical wounds like amputations.  

Because of this, some "bad medicine" practices were common for those who were suffering the effects of TBI's while in combat areas.  They were often sent back out into the field before these wounds had physically healed.   In 2009, when these TBI's began to be understood a little better, orders were given to the effect that when a soldier experiences a concussion due to an IED, or any other military action, that soldier is to be pulled out of the fight until the symptoms of that concussion have resolved themselves completely.  It is now known that If you get a second traumatic brain injury, before the first one has healed, you begin to get real, even permanent, physical brain damage and associated cognitive issues.

The 60 Minutes piece also dealt with a civilian and veteran, by the name of Arnold Fisher.  He is a very wealthy man, a man on a mission, who has already built one National Injury Counseling Center for the specific diagnosis and treatment of traumatic brain injuries, at Walter Reed, and plans to build 9 more facilities of this kind on military bases around the country.  They are equipped with the latest, most sophisticated diagnostic technologies to help identify those who are suffering from the actual, physical damages to the brain that are common to these injuries.  These facilities use a technology called SWI, which "sees" the actual, physical damage to the brain in these injuries better than the traditional C-T Scanning technologies that have been used to date.  They are now able to get real pictures of the physical damage to brain as a result of those traumatic concussive injuries.

About one half of the soldiers who have gone through this diagnostic have been identified as suffering from the damage done in these physical wounds of traumatic brain injuries.  The current facility at Walter Reed is only able to care for 20-30 cases a month at this time. But those involved say that there may be tens of thousands who are actually walking wounded with TBI's.

Soldiers who have suffered these wounds, have often felt the sting of being accused of malingering, or of being cowards.  But now the new technology is proving beyond a doubt that these are, indeed, real and physical injuries.  They can show the real and actual brain damage.  The reality of these injuries is made even tougher when you realize that, for the most part, they cannot be "cured."  But more and more medical professionals are learning about how to train the wounded to cope with it more effectively.

The fact is that so many of our combat veterans from the recent wars, where homemade IED's and roadside bombs of ever greater power and sophistication have become ubiquitous, are coming back home with these "invisible" wounds.  Arnold Fisher has enlisted the generosity of many other very wealthy individuals in the effort to raise the funds to continue building these TBI facilities around the country.  The government should be doing this, but for budgetary reasons among others, it is not.  It is a good thing that there are people like Arnold Fisher and his wealthy friends who are ready, willing and able to step up to the challenge and do something about it.

I wrote an article a while back about the very valid argument that TBI's deserve a Purple Heart award.  That is beginning to happen.   This is good news for those who have suffered the isolation and misunderstanding of this often devastating class of war injury.   

We offer our gratitude to all of our active duty military and our veterans for the sacrifices you have made for us.  We owe you everything that we can do to help you get back to "normal."   We also want to thank Arnold Fisher for his care and dedication to these veterans.

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