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CRCC Newsletter, Issue 2

CRCC Newsletter, Issue 2

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Published by: 2d Marine Logistics Group on May 18, 2011
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05/25/2012

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CRCC
-
COMPREHENSIVE WARRIOR CARE
"
 APRIL 30, 2011
"
PAGE 1In this Issue
Psychiatry andConcussionsPsychology andConcussionStories from our HeroesBy the Numbers
-
 CRCC data 
-
The ANAM Test
Concussion Restoration Care Center
Mind Over Matter
 Mental Health in the Concussion Continuu
 m
LETTER FROM THE OICHello all! April has flown by and wehave gone through many changes.
 
LCDR Vath, our physical therapist, hasreturned home and his replacement,LCDR Rachel Oden
pictured to theright
 )
has arrived picking up right where her predecessor left o
ff 
. This issue will highlight ourMental Health team. The CRCCemploys a clinical psychologist whohelps our patients with thepsychological trauma that oftenaccompanies a concussion and providessupportive care to our caregivers. The CRCC also has a psychiatrist working in the Camp Bastion hospitalnot only o
ff 
ering caregiver support totheir sta 
ff 
, but evaluating concussionpatients in the emergency room. Heand his psychiatric technician are oftenthe first CRCC face our patients seeand they are a vital part of the CRCCteam.
 
 As always we will have my favoritesection, “ Stories from our Heroes”.
 
followed by some exciting research inthe areas of reaction times and theiruse in the military setting. Please enjoy this month’s edition.CDR Earl Frantz, DO, USN
LCDR Rachel Oden
 
CRCC
-
COMPREHENSIVE WARRIOR CARE
"
 APRIL 30, 2011
"
PAGE 2
THE PSYCHOLOGICAL IMPACT
Not surprisingly, for many of the concussed warriors, there is a strong psychologicalcomponent to their injury. As our OIC has toldmany a visiting dignitary, “unlike Aaron Rodgers
quarterback, Green Bay Packers
 )
, when these guys get concussed, it’s because somebody justtried to kill them , and that’s why we have ourclinical psychologist, CDR LaBrie.”Because many of the symptoms associated with a concussion are the same symptomsassociated with acute psychological injuries,sorting out the cognitive and psychological is a challenge for the entire treatment team. Forexample many symptoms, such as di
culty withsleep, are associated with both concussion andpsychological injury. Rather than trying todetermine which injury is causing a symptom werecognized that the cognitive impacts thepsychological just as the psychological impactsthe cognitive.By incorporating an experienced psychologistinto the multidisciplinary team, the CRCC is ableto address those non
-
physical issues that may beinhibiting the healing of our warriors andpreventing them from returning to the fight.
-
CDR Walt LaBrie, MSC, USN
 The Concussion RestorationCare Center has its primary location in Leatherneck,providing patients comprehensivemedical and mental health care.
 "
However, the Bastion Role 3Hospital plays a key role inidentifying individuals that su
ff 
era concussion. The primary teamin the Camp Bastion hospital is a psychiatrist and psychiatrictechnician who evaluateindividuals with suspectedconcussions.Patients are screened forneurologic symptoms withrecommendations that caninclude hospitalization forneurologic observation, admissionto a unit that minimizes risk of injury 
providing assistance withactivities of daily living 
 )
, orclearing individuals to return totheir unit with follow up at theConcussion Restoration CareCenter. Although evaluating concussions is a primary goal, theBastion team is also consulted foracute psychiatric cases, evaluating patients for personal safety orserious mental health issues. The team also screens US military patients for mental health issuesand provides information oncoordinating care with theoutpatient mental health clinic,the Combat Stress Team. The team is also available forcoalition service members working at Bastion to facilitatepositive morale in a high stresscommunity. Psychiatry in the highoperation tempo of a Role 3facility like Bastion hospitalprovides no end of experiencesand opportunities to care for ourUS and allied service members.
-
LT Mike Okasinski, MC,USN
SPOTLIGHT
-
PSYCHIATRY: BEFORE THE CRCC
 
CRCC
-
COMPREHENSIVE WARRIOR CARE
"
 APRIL 30, 2011
"
PAGE 3
STORIES FROM OUR HEROES
“When can I go back?” The anxious but also notquite focused eyes looked atme from a face scarred by shrapnel. “Soon”, I said tothe young corporal andmarveled again at the bravery and esprit de corps of ourMarines. This Marine’s concussionstory started the second week of April. He wasdismounted at the time of the blast on a foot patrol. Hefelt that something was outof the ordinary the first timehe saw the wall they had topass on their hump. As hepassed it the second time, onthe way to the pickup point,his misgivings became reality as an 82 mm mortar wasdetonated about 3 metersfrom his position. He wasthrown to the side,concussed and su
ff 
eredshrapnel wounds to the faceand side. Through the hazeof his altered consciousness,his first thoughts were for hisfellow marines. He called outto them from the tall grassand was reassured as eachone answered.His care at theConcussion Restoration CareCenter concentrated onrelieving his headache,helping him sleep andaddressing balance problems.He progressed with each of his visits. One day, theunderlying concern about going back outside the wiresurfaced. I let the younman talk as this seemed tosettle him. After going overhis fears and concerns, hecame to the bottom line. “Iam a Marine. Our culture isthat we support each other.We believe in sharedsu
ff 
ering 
-
one unit, one fight.”I didn’t have to give any counseling. He basically  walked himself through theprocess and came to theconclusion that he needed tobe with his platoon. Today, I released him tofull duty 
-
his headache gone,his wounds healing, his sleeprestored. I told him we carefor him and if he needsanything, he can come backto see us. He politely said he would but I suspect this isthe last time I will see him.He will go back to his unit,resume his duties and berenewed in his vigilance inlooking for IEDs. He smiledat me
a little boyishly 
 )
,straightened his shouldersand stepped out the door.He is another hero
-
one weare proud to serve.
-
Judy R. SchauerCAPT,MC,USN
“We believe inshared suffering -one unit, onefight.” 
 

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