TBI

Thousands of GIs Cope With Brain Damage
By MARILYNN MARCHIONE,AP
Posted: 2007-09-09 15:08:05

NASHVILLE, Tenn. (AP) - The war in Iraq is not over, but one legacy is already here in this city and others across America: an epidemic of brain-damaged soldiers.

Thousands of troops have been diagnosed with traumatic brain injury, or TBI. These blast-caused head injuries are so different from the ones doctors are used to seeing from falls and car crashes that treating them is as much faith as it is science.

"I've been in the field for 20-plus years dealing with TBI. I have a very experienced staff. And they're saying to me, 'We're seeing things we've never seen before,"' said Sandy Schneider, director of Vanderbilt University's brain injury rehabilitation program.

Doctors also are realizing that symptoms overlap with post-traumatic stress disorder, and that both must be treated. Odd as it may seem, brain injury can protect against PTSD by blurring awareness of what happened.

But as memory improves, emotional problems can emerge: One of the first "graduates" of Vanderbilt's program committed suicide three weeks later.

"Of all the ones here, he would not have been the one we would have thought," Schneider said. "They called him the Michelangelo of Fort Campbell" - a guy who planned to go to art school.

As more troops return from the war, brain injuries are a growing burden - for them, for the few programs to treat them, and for taxpayers who pay for their care and disability if they cannot hold jobs.

Most TBIs are mild, and most of these patients recover within a year. But one-fifth of the troops with these mild injuries will have prolonged or lifelong symptoms and need continuing care, the military estimates. Nearly all of the moderate and severe ones will, too.

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