Category Archives: Government/Military

mTBI, Not So Mild for the Older Generation

Last month, Rep. Louise Slaughter (NY) fell, resulting in a trip to the hospital.  “The Congresswoman is tough as nails and she will bring that same spirit to the recovery,” said her Chief of Staff at the time.  A Google search of “Louise Slaughter brain trauma” results in many links, including one titled “Rep. Slaughter Announces Nearly $13 Million to Address Traumatic …”.  When clicking this link, however, one is directed to a now defunct personal webpage.  (A further search shows that Rep. Slaughter was a member of the Congressional Brain Injury Task Force, with particular attention paid to military weaponry.)

First elected to office in 1986, Slaughter was assuredly “tough as nails”, as she had to be, working in Congress and dealing with publications/broadcasters for so many years.  The first female chair of the House Rules Committee and the dean of the NY congressional delegation, Slaughter was planning on running for her 17th term.  “Louise was a trailblazer,” said Nancy Pelosi.  Unfortunately, the 88-year-old woman couldn’t recover from the intracranial hemorraging that resulted from the fall and passed away in mid-March.

Besides Rep. Slaughter, other politicians and others involved in politics have suffered such negative results from intracranial hemorraging.   Roger Ailes was a media consultant for President Richard Nixon, President Ronald Reagan, and President George H.W. Bush, as well as for Rudy Giuliani’s first mayoral campaign.  Most recently, he was CEO of Fox News until 2016 and served as a media consultant to Donald Trump’s presidential debates, before he passed away from intracranial hemorraging (subdural hematoma) in May 2017.  Additionally, one of the most respected past Presidents, Franklin Delano Roosevelt, died of intracranial hemorraging that was either caused by cancer or by high blood pressure.

Intracranial hemorraging is an all-encompassing diagnosis for bleeding within the skull that can be further categorized as an epidural hematoma, subdural hematoma, subarachnoid hemorrhage or intracerebral hemorrhage.  It is a form of mild traumatic brain injury (mTBI), that isn’t mild at all.  A concussion, for example, is a mTBI.

In 2012, the CDC reported that, “in the United States, the number of TBIs that occur each year among older adults, ages 65 years and older, is estimated at 237,844.”  Falls, as what happened to Rep. Slaughter, are the primary cause of TBI among the 65+ age range.  Additionally, it’s hard to assess how severe a brain injury is the older generation, because of other age-related issues.  Is a person’s memory loss due to a brain injury or simply a consequence of age?  The number of elderly Americans suffering a mTBI keeps rising, but the reason for this increase is unknown.  Perhaps it is because Americans are living longer?  Perhaps because Americans are living in their homes and generally staying active later in their lives?  Maybe it’s because new research and talk about such issues as sport-related injuries are being more broadly researched and discussed?

Tragedy Yields Action from Senate Sergeant-at-Arms

On September 11, 2001, Frank J. Larkin was working at the Secret Service’s New York City headquarters in the World Trade Center.  “[I was] dodging, unfortunately, folks who were jumping to their deaths, you know, witnessing that, which is something you just never forget,” he recalls.  A Navy SEAL, with nearly a decade in combat, Larkin has also worked for the Maryland State Police, in association with the Department of Defense, and as a Secret Agent for the US Secret Service.  Then, on January 6, 2015, he was nominated and appointed by Mitch McConnell to the position of Senate Sergeant-at-Arms, “its chief law enforcement officer, protocol officer, and executive officer.”

His son, Ryan F. Larkin, also felt this need to serve, following in his father’s footsteps and enlisting in the Navy in 2006.  Once enrolled, Ryan was deployed twice to Iraq, twice to Afghanistan and completed missions in Lebanon and Honduras.  Considered “a renaissance man,” he received many awards.  In March 2016, Ryan received an Honorable Discharge from the Navy.  While he stayed active post-deployment by, for example, attending college, his discharge was assumedly given at least partially because of a recognized brain injury.  On April 23, 2017, Ryan Larkin took his own life.

As someone without children, I cannot imagine what the loss of a child feels like.  However, I have always heard that it is the worst thing that can ever happen to a parent. Specifically related to Sergeant-at-Arms Larkin, it upended his life, including his career.  In March, he sent notice of retirement.  “Now I feel this obligation to help others…. These men and women volunteered to go in harm’s way to protect this nation, and we promised that we’d take care of them.  But we’re not living up to that promise.”  Upon leaving his job, he intends to spend his time advocating for projects related to traumatic brain injury research, particularly research related to military blast exposure, like that experienced by his son.

A VA study, published in September 2017, reported that the suicide rate for veterans is about 20 percent higher than the rate for non-veterans.  (That statistic is debatable.  Some say its lower and others have said its as high as 22 percent.)  “These findings are deeply concerning,” said VA Secretary Dr. David J. Shulkin at that time.  “What’s more, they report that veterans’ suicides account for 18% of the suicide deaths in the country, while they only make up 8.5% of the adult population.”  The National Center for PTSD, part of the VA, knows and notes the relationship between PTSD and suicide.  On January 10, 2017, Rep. Peter King (NY) introduced H.R. 411, the Veteran Suicide Prevention Act.  This bill was referred to the Subcommittee of Health on February 3, 2017 and it seems nothing has been done with it since that time.

[As of April 2018, Larkin is still in office and he has stated that he will not retire until his replacement is found.]

Update: Camps for a Cure

As reported in May 2017 as one of the West Coast facilities being built, the brain injury treatment center for military personnel near Naval Hospital Camp Pendleton will open its doors April 2 .  Operating as part of the Intrepid Spirit system, this is the first such facility to be opened on the West Coast.  Up until now, those in the military who sustain a brain injury in the call of duty generally must receive treatment at one of the 6 Intrepid Spirit centers, none of which is in the section of the country.  As David Winters, president of the Intrepid Fallen Heroes Fund, which funded this project, says, “We know that being able to be close to home, surrounded by loved ones, is a crucial part of the recovery process… so we are opening centers on the West Coast this spring… in order [so] that service members who need treatment do not have to uproot themselves and their families to get it.”  Currently, brain injured soldiers are treated at the Concussion Care Clinic at Camp Pendleton hospital, which was only opened in 2014.  However, this new facility can care for hundreds, if not thousands, of new patients.  (This new brain injury-specific facility will not only treat more soldiers, but will also teach prevention tactics and conduct brain/brain injury research.)

See also: Camps for a Cure

Brain Injury Awareness Month Across the Country: Capitol Hill

Brain injury affects America as a whole, and its importance should be recognized on Capitol Hill.  As part of this national recognition, on March 5, Press Secretary Sarah Sanders introduced Retired Marine Corps Sergeant John Peck to the press.   Peck’s story is remarkable and therefore must be noted in its entirety: “Sergeant Peck suffered a traumatic brain injury in Iraq during his first tour of duty.  Then, after two years of therapy, he re-enlisted and deployed to Afghanistan.  While there, he stepped on an IED and lost both arms and legs.  He spent two years at Walter Reed, and in 2016 received a double arm transplant.  He is now doing physical and occupational therapy at Walter Reed, and doing incredibly well.”

Earlier this week, our legislators further honored brain injured Americans at Brain Injury Awareness Day, which is always honored on Capitol Hill during Brain Injury Awareness Month.  Generally, from what I can determine, the day is simply associated with Brain Injury Awareness Month and, therefore, in March.  However, Brain Injury Awareness Day is not honored on a specific calendar day.  (For example, in 2017 it was on Wednesday, March 22.  This year it was on March 20.)  The point of the day, though, is unchanging: to increase knowledge and awareness of brain injury with our elected officials.

As noted in an earlier article, the theme of 2018 Brain Injury Awareness Month is Change Your Mind.  Scheduled by the Congressional Brain Injury Task Force, co-chaired by Reps. Bill Pascrell, Jr. (NJ) and Thomas J. Rooney (FL), the events this past Tuesday were a Brain Injury Awareness fair, a Congressional briefing and a reception celebrating Brain Injury Awareness Month.

When I can find the audio of the Capitol Hill Congressional briefing, I will post it on this site.  Additionally, as I find state events honoring the month, I will post them.

A Different Perspective: Cold War Tactics in Cuba

The news late last year that the Cuban government might have found a way to produce sonic effects that harmed the brain of over 20 embassy agents was horrifying.  Now, the publication The Nation asks if making Americans fearful of travelling to Cuba was the sole purpose: Is it merely a construct of fear developed by the Trump administration?

To reiterate that effects reported on as suffered by those in the embassy, “Some can no longer remember words, while others have hearing loss, speech problems, balance issues, nervous-system damage. Headaches, ringing in the ears, and nausea.”  The Nation states the government’s conclusion of these findings, which may seem obvious to many brain injury survivors and their families: “We think the audible sound was a consequence of the exposure, because audible sound is not known to cause brain injury.”  For example, tinnitus is a known effect of brain injury.

Regardless of this finding, the publication goes on to say that, “the alert reflects an ongoing effort by President Trump’s State Department to frighten US travelers away from Cuba.”  True, no tourist, and only those who worked for the embassy and their families were affected.  However, Americans should not discount the study’s findings, especially simply because of dislike of the President.  The consequence of error could be significant.

(The prevailing liberal reaction to this problem is curious, given the Democratic Party’s stance on guns and other physical weapons that can be used to commit murder or injury, but statistically have a lower percentage of doing so than whatever has occurred in Cuba.  The President’s response is curious too, in that it puts blame on the Cuban government without a full and comprehensive investigation.)

[SEE PREVIOUS ARTICLE FOR FURTHER INFORMATION ON THE AMERICAN TROUBLES IN CUBA]

2018 Brain Injury Awareness Month

This month, March 2018, Americans recognize Brain Injury Awareness Month.  The theme for this year, through 2020, is Change Your Mind.  The significance of this theme is to show the ongoing public awareness campaign to provide, “a platform for educating the general public about the incidence of brain injury and the needs of people with brain injuries and their families.”  Many posters and webpages note the statistics, commonality and horror of brain injury in the United States.  Yes, as the Brain Injury Association of America notes, “Brain injury changes the way you think, act, move and feel.”  However, in some ways, for the better.  In this sense, part of what the BIAA is seeking to do is de-stigmatization.  (The theme for 2015 to 2017, #NotAlone, is still very apropos.) Search on Twitter or use the hangtags #ChangeYourMind, #BrainInjuryAwarenessMonth or simply #braininjury.

Note: From what I can find, Brain Injury Awareness Month is not a federally designated month.  However, “the Department of Defense (DoD) and the Brain Injury Association of America recognize March as Brain Injury Awareness month to increase awareness of Traumatic Brain Injury (TBI).”  Additionally, the month has been legally designated by many states.  New Jersey, for example, signed into law Section 36:2-87, to mark March as Brain Injury Awareness Month, in 2013.

Cold War Tactics in Cuba

The Associated Press has released audio of mysterious sounds that some US diplomats and their families , as well as Canadian diplomats and families, were unknowingly subjected to in Cuba before suffering a variety of neurological problems.  “Some can no longer remember words, while others have hearing loss, speech problems, balance issues, nervous-system damage, headaches, ringing in the ears, and nausea. Some have shown signs of brain swelling or concussions — mild traumatic brain injuries.”  News in North America since last year, it wasn’t until a few weeks ago that the US State Department determined that it was most likely that these problems were “specific attacks”.  (Most likely from the Cuban government, but environmental issues or simply human error could cause such problems, too.)  Though it is known that audible attacks can be a weapon, the exact weapon used in this instance is still not known or understood.

There have been some studies showing that sound can cause brain injuries.  A study conducted by the University of Texas in 2014, for example, showed that, “prolonged exposure to loud noise alters how the brain processes speech, potentially increasing the difficulty in distinguishing speech sounds.”  Such a conclusion goes way beyond the general thought that prolonged exposure to loud noise results in hearing loss.  Additionally, there are already words to describe some of the problems people have with sound.  Misophonia, literally “hatred of sound”, was proposed in 2000 as a condition in which negative emotions, thoughts, and physical reactions are triggered by specific sounds.  The more likely culprit is hyperacusis, a “debilitating hearing disorder characterized by an increased sensitivity to certain frequencies and volume ranges of sound (a collapsed tolerance to usual environmental sound).”  Causes of hyperacusis include, but are not limited to, post-traumatic stress disorder and traumatic brain injury.

However, the United States government is not wholly confident that sound caused these brain injuries.  Since there is very little way to determine if such sound came at the direction of the Cuban government or by it, it is important not to draw final conclusions.  Still, the United States has severely shrunk its embassy staff in Cuba.  Earlier this month, President Trump expelled 15 Cuban diplomats from the United States.  Additionally, since September 29, 2017, “The Department of State warns U.S. citizens not to travel to Cuba.”

Protecting the Head with Modernized Technology

“With a better understanding [of] how traumatic brain injuries occur, a Brown-led research team hopes to develop new standards for head protection and next-generation helmets,” reads a news story from Brown University.  In July, the Office of Naval Research granted the university $4.75 million to study brain injury, specifically as it relates to helmet use in the military and in athletics.

Currently, helmets must essentially follow standards that were set in the late 1970’s (there have been changes in sizing since that time), with the technology that was available 40 years ago when computers were still an anomaly.  “[Brown University associate professor Christian Frank’s lab] has developed a novel technique for measuring for effects of traumatic forces on individual neurons…  a custom-built device that can apply compressive forces to neurons inside three-dimensional cell cultures [not a 2D petri dish, as is presently used].”  With these updated and more stringent standards, Brown University and their associates hope to first develop a helmet that can gather all the data about the brain during the action that resulted in its injury.  Ultimately, because they are now learning about the effects of injury on a cellular level, researchers hope to develop a helmet prototype to completely prevent such injuries.

Update: Patriotic Day Can Traumatize America’s Patriots

Last year, I noted how July 4th can be traumatizing for some of those with a brain injury.  This year, I want to recognize that some towns do support those who suffer from it.  In Mississippi, a celebration at Old Trace Park in Ridgeland County holds an event that is partially sponsored by the Brain Injury Association of Mississippi.  In Iowa, Brett Greenwood, the former defensive back for the University of Iowa Hawkeyes who suffered a brain injury in 2011, will be serving as Grand Marshall of the Bettondorf parade.  (“The goal is for Greenwood to walk on his own,” says his former Iowa football teammate Pat Angerer.)  As for prevention, the Tucson News Now provided advice on how to ensure the health of pet’s brains amid the summer heat of July 4th celebrations.

The Huffington Post notes the ongoing trauma for some troops, specifically noting the trauma suffered by some of the veterans of the Vietnam War.  On this blog, the article, Patriotic Day Can Traumatize America’s Patriots, also recognizes this trauma.

See also: Patriotic Day Can Traumatize America’s Patriots

Camps for a Cure

Located in San Diego, CA, Camp Pendleton proclaims to be, “The West Coast’s Premier Expeditionary [Marines] Training Base.”  Last Tuesday, May 9, they broke ground on a $12 million, 25,000 square foot facility that aims to make the Camp a premier brain injury research and treatment center, too.  The funding needed to build the facility was raised through private donations and the funding of Arnold Fisher, a New York-based real estate tycoon.   Fisher says that he sees helping the troops as his duty as an American.

Part of the Department of Defense organization National Intrepid Center of Excellence (NICoE), which is headquartered in Maryland, the Camp Pendleton facility will be the seventh of nine planned NICoE facilities focused on brain injury and the first on the West Coast.  Presently, NICoE has erected facilities in Fort Belvoir, Virginia, Camp Lejeune, North Carolina, Fort Campbell, Kentucky, Fort Hood, Texas, and Fort Bragg, North Carolina.  A center at Joint Base Lewis-McChord, Washington, is still under construction and facilities are still to be built in Fort Carson, Colorado and Fort Blass, Texas.

Beyond Marine training, the Camp defines part of its vision to be, “providing superior service and support.”  Therefore, they also deal with the injuries that may come as a result of a brain injury or come in conjunction with it – specifically, physical and behavioral problems.  In fact, Camp Pendleton has been training and supporting the troops for 75 years.

So far, NICoE facilities have about a 90% rate for patients to return to duty.  Still, as Capt. Lisa Mulligan, commanding officer at the Camp Pendleton hospital, says, “Science as a whole remains in the infancy of its understanding of the potential for recovery after head injury.  This center will combine the resources of clinical, research and educational specialists to broaden our horizons.”