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CRCC Newsletter Mar31

CRCC Newsletter Mar31

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The first newsletter from the Concussion Restoration Care Center aboard Camp Leatherneck, Afghanistan.
The first newsletter from the Concussion Restoration Care Center aboard Camp Leatherneck, Afghanistan.

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Categories:Types, Brochures
Published by: 2d Marine Logistics Group on Apr 05, 2011
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02/05/2013

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CRCC
-
COMPREHENSIVE WARRIOR CARE
"
MARCH 31, 2011
"
PAGE 1In this Issue
Letter from the OICMission StatementWhat does the CRCC do?Where We’re HeadedStories from our HeroesBy the Numbers
-
CRCCdata 
At le
 
-
the sta
ff 
of CRCC
Back Row:LCDR Ditto, CDR LaBri 
Front Row:HM3 Woodberry, LCDR Clark, CDRSams, CDR Frantz, HN Tissier, CAPT Schauer, HA Garcia, HN Roach, HM 
1
 McGee, LT Norris
Concussion Restoration Care Center
Premier Issue!!
Below, the Sta
ff 
of the CRCC
LETTER FROM THE OICHello all,My name is Earl Frantz and I am a SportsMedicine and Family Medicine Physician. I amcurrently an Independent Augmentee as the O
cerin Charge of the Concussion Restoration CareCenter here at Camp Leatherneck, Afghanistan.The purpose of this news letter is to do a monthly update on what we are doing out here.Since this is the first news letter, I will give an outlineof our sta 
ff 
and our mission. Every month we willgive updates and new events happening, including results of our data collection, so you, can see in realtime the fruits of our labor.The one thing that stands out to everyone whoworks here is the uncommon bravery and valor of thepatients we are blessed to serve. Thus there will be a story or two about these real American heroes. Thispromises to be a special, unique and rewarding deployment for all of us, and I look forward toworking and growing with each and every one of you.CDR Earl Frantz, DO, USN
 
CRCC
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COMPREHENSIVE WARRIOR CARE
"
MARCH 31, 2011
"
PAGE 2
WHAT DOES THE CRCC DO?
The CRCC gives the best possible care toour marines, sailors, and ISAF counterparts andreturns them to duty in the most e
cient, safemanner. This includes:Concussion CareSports MedicineFamily MedicineMental HealthPhysical Therapy Occupation Therapy ManipulationAcupunctureWe provide our warriors with currentevidence
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based care like ANAM testing,occupational and physical therapies,psychological evaluations and awareness training on things like sleep hygiene, acupuncture,counseling, home exercise based programs, andeducation all geared toward returning thatwarrior to duty as soon as possible in the safestmanner .Our Family and Sports Medicine physiciansare the foundation of the group utilizing a holistic approach. They identify any outlierswith co morbid conditions and treat accordingly.Our Sports Medicine Docs also o
ff 
er nonoperative muscle skeletal care. They alsoconduct trend analysis and research which willshape the future by establishing new protocols.These physicians spearhead training in themanagement of concussion and heat injury forother providers in theater.Our Mental Health specialists work with thewarriors to identify early PTSD and/orunderlying mood disorders, as well as developing coping and healing activities using group therapy sessions, sleep hygiene education, and cognitivebehavior therapy The OT/PT work in tandem with our teamproviding vestibular rehabilitation for concussedpatients as well as customized splinting forupper extremity injuries. Physical Therapy provides evaluations for co
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morbidmusculoskeletal conditions associated withconcussion, like cervical neck strain.The sta 
ff 
corpsman help bring all thistogether providing first line contact with ourwarriors and directly assisting the providers incheck
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in, assessment, evaluation, testing, andfollow up.
WHERE ARE WE HEADED?
The CRCC is a proof of concept of specialized care in the field and is observing trends that may mold and shape the way we dobusiness in the future.We are compiling an extensive amount of data on ALL concussed patients
over 160metrics
)
so we may answer critical questions onthe recovery and prognosis of our woundedwarriors; for example, can we identify high riskpatients and place them in a low risk MOS?A dedicated research psychologist assignedfrom the in
-
theater research team is currently leading the e
ff 
ort in this data collection andanalysis.The CRCC is developing an extended carefacility to house concussed warriors, providing an ideal living environment in the field tomaximize their recovery and return to full duty.
CHAIN OF COMMANDThe CRCC is led by CDR Earl Frantz, MC, USN under CDR Christensen, MSC, USN,CO Alpha Surgical Co. The CRCC is located near 2nd Maintenance BN, CLR
-
25 in the 2ndMLG Compound, Camp Leatherneck.
 
CRCC
-
COMPREHENSIVE WARRIOR CARE
"
MARCH 31, 2011
"
PAGE 3
STORIES FROM OUR HEROES
Semper Fidelis! We arevery fortunate to work in theCRCC where we see thisuncommon virtue embodiedin our patients on a daily basis. We typically see young enlisted Marines in our clinicwho have su
ff 
ered a concussion from an IEDblast while convoying in anMRAP or while dismountedon foot patrol. We recently had an infantry Company Commander, a MarineCaptain whisk through ourclinic. Less than 24 hoursprior to presenting he waswith other senior leadersassessing a compound takenin a battle with the Taliban.He noted evidence of a possible IED and orderedthe room to be re
-
assessed.Within moments he foundhimself and his superiorsthrust to the groundsecondary to a blast. Despitesu
ff 
ering shrapnel woundsand symptoms of a concussion, he took charge of the situation, directed theMedEvac of injuredpersonnel and attended tothe loss of one of his NCO’s.Ultimately he wasMedEvaced to the hospitalfor his shrapnel wounds andconcussive symptoms, thenseen in our clinic thefollowing day. His one andonly concern was getting back to his men who neededhim in this dire hour. If hewas experiencing any lingering symptoms, it’sdoubtful he would tell us
– 
 loyalty to his men tookprecedence to his well being.He dutifully completed ourconcussive exercise stresstest, declared he wassymptom free andrespectfully asked to bedischarged from the clinic.Those of us who spendour days ‘behind the wire’stand in awe of such loyalty in the face of personaldanger. Our Marines live andbreathe the virtue of 
Semper Fidelis
. We consider ourselvesblessed to care for the few and the proud.
-
CDR Richard “Rick”Sams, MC, USN
SPOTLIGHT
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 PHYSICAL THERAPY 
The CRCC PhysicalTherapist providesmusculoskeletal evaluationand condition educationincluding realisticexpectations for return toduty for both patients andtheir chain of command.Specific treatment plansare designed to addressinjuries while appropriately stressing healing tissues toallow a more rapid returnand maximizing physicalfunction.Injuries sustained due toIED exposure are evaluatedand appropriately addressedwhich eases apprehensionand concern. Gunshotwounds and shrapnel injuriesare closely managed tomaximize functionaloutcome.In
-
theater managementallows rapid evaluation,rehabilitation, and return tofull operational duties.Typical sports injuries areevaluated and managed inclose proximity to the unit.This practice retains thefighting force in country,minimizes downtime, andfacilitate return to fullfunction.
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CDR Shane Vath, MSC,USN
“ 
Loyalty to hismen took precedence tohis well-being 
.”  “In-country management allows rapid evaluation,rehabilitation, return to full operational duties and unit reintegration.” 

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