Danielle Leigh, KING 6:45 PM. PDT May 20, 2017
Soldiers in Afghanistan in 2009 while Victor Lindenberg Lewis of Everett was deployed. Photo:Victor Lindenberg Lewis.
A first of its kind study is showing the devastating impacts of wartime brain injuries on service members.
A UW Medicine neurologist followed 50 soldiers starting just after they suffered a concussive blast injury and tracked their conditions through brain imaging and other techniques over several years.
Dr. Christine Mac Donald, associate professor of neurological surgery at the University of Washington School of Medicine, said her findings bring into question medical beliefs that individuals will stabilize within a year after their injury.
Instead, Mac Donald found these service members' mental health symptoms evolved and even worsened five years later.
"The takeaway for me that was so striking was the substantial number of service members who significantly declined in this population that was supposed to be the mildest of the mild and that even with help that so few experienced sustained resolution," Mac Donald said.
The findings pose a significant challenge for the Department of Veterans Affairs, which has struggled to treat or properly diagnose traumatic brain injuries in service members.
Already, the VA estimates nearly 1 in 5 of the more than 2 million soldiers who have served in Iraq and Afghanistan have suffered at least one traumatic brain injury, and Mac Donald anticipates the costs of those injuries may not peak for decades.
"When are they going to get better? And the honest truth is, we don't know," Mac Donald said. "We have an opportunity to be proactive instead of reactive on such a costly issue and that in so doing, we do right for these service members and their families."
Mac Donald said her findings call for a stronger emphasis at the VA and across other healthcare systems on continuity of care and a comprehensive long term treatment strategy.
"It's getting people on the same page and utilizing these well-informed experts and bringing them together," Mac Donald said.
Victor Lindenberg Lewis of Everett is one of the 50 injured soldiers Mac Donald has followed for more than five years.
Lewis said he was injured by backblast from an RPG while serving in Afghanistan in 2009.
"It felt like I got hit by a car like I had been in a car accident. My head was ringing, and I couldn't hear anything," Lewis said.
Eight years later, Lewis is unable to hold a traditional job.
Some days, the box medications he takes each day for pain and mental health struggles related to his brain injury and the Post Traumatic Stress Disorder he developed are nearly as debilitating as the symptoms themselves.
"It's like I'm a different person. I went to Afghanistan as Victor, and I came back as Bob," Lewis said. "They are all telling us it's your new life. It's your new normal, and there is no normal."
Lewis is one of the more than 80,000 service members who has served in Iraq and Afghanistan and been diagnosed with a traumatic brain injury by the Department of Veterans Affairs, many of whom have struggled to obtain care, which alleviates their symptoms.
"I have had patients tell me, 'I wish I had lost a leg. I wish I had lost an arm, because then there would be a reason and people could understand,'" Mac Donald said.
Dr. Murray Raskind, a psychiatrist at the VA Puget Sound Healthcare System, said the VA recognizes it has a lot to learn about these injuries.
"You have to remember this is a relatively new type of problem," Raskind said. "In prior wars, blast concussions have been frequent, but many of those who suffered head trauma didn't survive as well."
Raskind said his research into traumatic brain injuries at the VA Puget Sound supports Mac Donald's findings.
"I think that awareness is spread throughout the VA that this is a very big problem," Raskind said.
Raskind is now beginning a new clinical trial in the hopes of finding an effective treatment for the migraines service members often experience following a blast concussion.
Raskind said those migraines have not responded well to traditional treatments, and this trial will test whether Prazosin, originally a blood pressure medication, is an effective treatment.
"It's hoped that it will provide initial evidence for reducing the effects of excessive brain adrenaline to decrease the risk of dementia in veterans who have post-traumatic stress disorder and/or mild traumatic brain injury," Kimberly Wilkie, a spokesperson for theVA Puget Sound Health Care System, said.
Interested participants in the 12-week clinical trial can call (206) 277-3740 and ask for James O'Connell.
Lewis is holding onto hope that one day his injuries will be better understood and his recovery better supported by more effective treatments that allow his symptoms to subside without the side effects.
"This is just the hand I got dealt, you know," Lewis said. "Never give up on anything. The day you stop trying is the day you start dying. So, always give 100 percent, always."
Lewis spends much of his time now playing golf.
He hopes to attend PGA Tour qualifying school later this year and earn a spot on the PGA Tour to fulfill a personal dream and raise awareness about wounded warriors.
2017 KING-TV
Read the original here:
Study highlights struggle of soldiers who suffer brain injuries - kgw.com
- Hyperbaric Chamber Therapy Brain Injury - May 7th, 2011 [May 7th, 2011]
- Treatment for Traumatic Brain Injury - May 9th, 2011 [May 9th, 2011]
- Atlanta Traumatic Brain Injury Treatment Emory - May 11th, 2011 [May 11th, 2011]
- Hyperbaric Oxygen Therapy Brain Injury Part 2 (Tbi) - May 20th, 2011 [May 20th, 2011]
- Mark, anoxi brain injury, physical therapy after stem cell treatment - May 21st, 2011 [May 21st, 2011]
- Hyperbaric Oxygen Therapy - May 21st, 2011 [May 21st, 2011]
- Bob Hahn Traumatic Brain Injury Recovery - May 23rd, 2011 [May 23rd, 2011]
- Mark, anoxi brain injury, after stem cell treatment at Tiantan Puhua Hospital Beijing - May 24th, 2011 [May 24th, 2011]
- New Beginnings community center for brain injury rehabilitation - May 30th, 2011 [May 30th, 2011]
- Traumatic Brain Injury - Part 1 - Dr. Robert Kohn, Neurologist - June 2nd, 2011 [June 2nd, 2011]
- Am I Brain Damaged? from traumatic brain injury - June 3rd, 2011 [June 3rd, 2011]
- SLI Wellness Center for Brain Injury Rehabilitation - June 11th, 2011 [June 11th, 2011]
- Update on Libya, Radiation in Japan, Tramatic Brain Injury treatment and more, 03/23/2011 - June 12th, 2011 [June 12th, 2011]
- Origami Brain Injury Rehabilitation Center - Finding Your Path - June 12th, 2011 [June 12th, 2011]
- Traumatic Brain Injury - Part 5 - Doctor Kohn, Chicago Neurologist - June 16th, 2011 [June 16th, 2011]
- The struggle to treat traumatic brain injury - June 17th, 2011 [June 17th, 2011]
- Traumatic Brain Injury Survivor Speaks about ProTECT trial at UC Health University Hospital - June 17th, 2011 [June 17th, 2011]
- Stem cell treatment for Brain Injury of Adrian - June 23rd, 2011 [June 23rd, 2011]
- Division of Vocational Rehabilitation Services for Traumatic Brain Injury (TBI) - June 24th, 2011 [June 24th, 2011]
- Hyperbaric Chamber Treatment Stroke and Traumatic Brain Injury TBI - July 4th, 2011 [July 4th, 2011]
- Traumatic Brain Injury - Part 2 - Dr. Robert Kohn, Neurologist - July 6th, 2011 [July 6th, 2011]
- Traumatic Brain Injury - Part 7 - Doctor Kohn, MD, Neurology, Neuropsychiatry - July 14th, 2011 [July 14th, 2011]
- Neurofeedback Training and Treatment at Healing Unleashed in Denver Colorado - July 15th, 2011 [July 15th, 2011]
- Alexis Verzal takes independent steps - July 18th, 2011 [July 18th, 2011]
- The New WalkAide System: Advanced Functional Electrical Stimulation (FES) for Treatment of Foot Drop - July 18th, 2011 [July 18th, 2011]
- Doctors Cool Newborn to Limit Brain Damage - July 19th, 2011 [July 19th, 2011]
- Traumatic Brain Injury - Part 6 - by Neurologist, Dr. Robert Kohn - July 24th, 2011 [July 24th, 2011]
- Brain injury and trauma treatment by homeopathy - July 31st, 2011 [July 31st, 2011]
- Traumatic Brain Injury - Part 4 - Dr. Kohn, Neuropsychiatrist / Neurologist - August 9th, 2011 [August 9th, 2011]
- Preserving Hope, Predicting Health - August 17th, 2011 [August 17th, 2011]
- Sask Brain Injury Association - August 19th, 2011 [August 19th, 2011]
- Cognition and Mild Head Injury by Dr. Muriel Lezak - August 21st, 2011 [August 21st, 2011]
- Brain injury_Shawna_ USA_before stem cell treatment 1.wmv - August 25th, 2011 [August 25th, 2011]
- Origami Brain Injury Rehabilitation Center - Recovery is a Journey - August 26th, 2011 [August 26th, 2011]
- Different types of Concussions by Dr. James Chesnutt.mov - August 30th, 2011 [August 30th, 2011]
- Brain injury_Shawna_ USA_after stem cell treatment 1.wmv - September 11th, 2011 [September 11th, 2011]
- With Brain Injuries, Soldiers Face A Battle For Care - September 23rd, 2011 [September 23rd, 2011]
- Tripler Medical Center Treats Traumatic Brain Injury (TBI) - September 24th, 2011 [September 24th, 2011]
- Sessions' Traumatic Brain Injury Amendment to DOD Appropriations - October 2nd, 2011 [October 2nd, 2011]
- Using Stem Cells for Treatment of TBI | Dr. Charles Cox | Research Trials - October 5th, 2011 [October 5th, 2011]
- Healing brain injuries - October 8th, 2011 [October 8th, 2011]
- Veterans Services at Origami Brain Injury Rehabilitation Center - - October 8th, 2011 [October 8th, 2011]
- Hope Beyond Trauma - October 9th, 2011 [October 9th, 2011]
- Traumatic Brain Injury - Part 3 - by Neurologist Dr. Robert Kohn - October 10th, 2011 [October 10th, 2011]
- Understanding and Improving Vocational Outcomes following Traumatic Brain Injury - Video - October 16th, 2011 [October 16th, 2011]
- LI facility dedicated to Terri Schiavo - Video - October 17th, 2011 [October 17th, 2011]
- Treating Traumatic Brain Injury with Neurotopia - featuring Holden McCray - October 18th, 2011 [October 18th, 2011]
- Brain Injury Survivors: Adriana Villar (Making a Difference: Story 1) - Video - October 21st, 2011 [October 21st, 2011]
- Fabio - brain injury - Video - October 23rd, 2011 [October 23rd, 2011]
- The Latest Developments in Traumatic Brain Injury Treatment - Video - October 25th, 2011 [October 25th, 2011]
- Stem Cell Treatments and Brain Damage Video of MRI of Brain Chambers WWW.STEMCELLREGENMED.COM - Video - October 29th, 2011 [October 29th, 2011]
- Military lags on promising treatment for brain-injured soldiers - Video - November 6th, 2011 [November 6th, 2011]
- Brian Moylan (TBI survivor) talking on treatment from the NHS - Video - November 10th, 2011 [November 10th, 2011]
- Brain Injury Experts at Madonna Rehabilitation Hospital - Video - November 12th, 2011 [November 12th, 2011]
- H200 Hand Rehabilitation System - Testimonials - Clinical Focus - Video - November 13th, 2011 [November 13th, 2011]
- Coping with Brain Injury: Robots and Rehabilitation - Video - November 16th, 2011 [November 16th, 2011]
- Traumatic Brain Injury Rehabilitation using MediTouch HandTutor - Video - November 18th, 2011 [November 18th, 2011]
- Brain Injury Treatment Success | College Station Chiropractor Dr. David Bailey - Video - November 30th, 2011 [November 30th, 2011]
- Hyperbaric Oxygen Therapy (HBOT) corrects brain-injury. - Video - December 7th, 2011 [December 7th, 2011]
- Story of a Traumatic Brain Injury Recovery with Hyperbaric Oxygen (Part1/4) - Video - December 8th, 2011 [December 8th, 2011]
- Hyperbaric Oxygen Therapy Brain Injury - Video - December 10th, 2011 [December 10th, 2011]
- Redwood Extended Care Facility - Brain Injury Services - Video - December 10th, 2011 [December 10th, 2011]
- What If... Brain Injury Rehabilitation - Video - December 17th, 2011 [December 17th, 2011]
- Dangers in Self Medication - Young Adults with Lyme Disease - Leo J. Shea, III, PhD - Video - December 18th, 2011 [December 18th, 2011]
- Reducing Severe Traumatic Brain Injury in the US - Video - December 19th, 2011 [December 19th, 2011]
- Traumatic Brain Injury - Part 8 - Dr. R. Kohn, MD, Neurology - December 21st, 2011 [December 21st, 2011]
- Brain injury rehabilitation using Wii recreational therapy - Video - December 24th, 2011 [December 24th, 2011]
- CNS President/CEO Dr. Mark Ashley discusses how research shapes brain injury rehabilitation - Video - December 29th, 2011 [December 29th, 2011]
- Albert James De Meillon-Traumatic Brain Injury-Part 1 - Video - January 1st, 2012 [January 1st, 2012]
- Hope Beyond Trauma_Janie Smith - Video - January 10th, 2012 [January 10th, 2012]
- Neurofeedback adhd - Video - January 11th, 2012 [January 11th, 2012]
- We are the World, We ARE The Children - Video - January 11th, 2012 [January 11th, 2012]
- New Hopes for Treating Traumatic Brain Injury - Video - January 11th, 2012 [January 11th, 2012]
- NeuroRestorative's Robin Ray Featured on ABC in Southern Illinois - Video - January 13th, 2012 [January 13th, 2012]
- Careers at Origami Brain Injury Rehabilitation Center - Video - January 26th, 2012 [January 26th, 2012]
- Chris Persel discusses what makes CNS a leader in brain injury rehabilitation - Video - January 27th, 2012 [January 27th, 2012]
- Care for catastrophic injuries, spinal cord and traumatic brain injury - Video - January 27th, 2012 [January 27th, 2012]
- Military Tests Pressurized Chamber to Treat TBI - Video - January 27th, 2012 [January 27th, 2012]
- Richmond Traumatic Brain Injury Attorneys Applaud White House Research Initiative Targeting Veterans’ Health Issues - January 28th, 2012 [January 28th, 2012]
- Protect Your Brain...Why? - Video - January 30th, 2012 [January 30th, 2012]