CRCC - COMPREHENSIVE WARRIOR CARE

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JUNE, 2011

Concussion Restoration Care Center
We’ve Moved!
Expansions in Concussion Care
• Move It, Move It, Move It MESSAGE FROM THE OIC Greetings! The month of May has flown by leaving in its wake many changes. Moving into a new a facility always comes with challenges, however doing it in the desert and in a war zone was an experience that we will never forget. The new building brings our warriors a clean and inviting environment in which to recover. We had a lot of VIP visitors this month. In fact we had over 140 new warriors come into our clinic for care! Oh, we did have the honor of having multiple non-patient VIPs. Our team had the privilege to give walk-throughs to many distinguished leaders including, the Commandant of the Marine Corps and the Assistant Secretary of Defense (Health Affairs). patients experience, we added to the team our MLG Chaplain, LCDR Tomlinson. The Chaplain adds another discipline, under the same roof, to assist in getting our warriors back to 100% and back to the fight. We have to say good-bye to HN Garcia, HN Roach, and HM3 Tissier. They have been valuable members of the team and will be missed. As they move on to other areas of the Alpha Surgical Mission, we can say he#o to HN Underwood who joined our team at the beginning of June. We are also hailing Chief Toler, an independent duty corpsman (IDC) who has been working with the primary care providers in concussion evaluation and management. • VIP Visits • Stories from our Heroes • By the Numbers collecting the data

In this Issue

I think these tours brought home I hope this update gives you a the fact that what our team is doing is sense of some of the good that Navy really helping. We are creating an Medicine is providing to our injured enduring mission of caring for the Marines, Soldiers and Sailors. complex body, mind and soul injuries in Enjoy and God bless. these heroic patients. CDR Earl Frantz, DO, USN To address underlying spiritual issues that many of our concussed

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CRCC - COMPREHENSIVE WARRIOR CARE"
MOVE IT, MOVE IT, MOVE IT!

JUNE, 2011

When the CRCC was stood up in August of 2010, it was in a more austere wooden building that barely afforded room to the five providers. Corpsmen were squeezed into a small passageway, and there was no area for the clinic nurse. The physical therapist was located in a tent next door.
The original CRCC building and Physical Therapy ten (above).

operation a 1/2 mile away. The facility now houses combined spaces with the Combat Stress Team (CST), including a large indoor conference room for multidisciplinary reviews, staff lectures, training, and group therapy. The new facility is co-located with several other buildings dedicated to health care, setting the tone for what will be a much larger medical complex, including the Extended Care Ward (ECW), Dental Clinic, Combined Aid Station (CAS), and Wounded Warrior Battalion. The close proximity of all of these services will offer an even greater level of service to the Marines, Sailors, and Soldiers already benefiting from the multi-disciplinary approach of the CRCC. - LCDR Dan Clark, NC, USN

All that changed May 1st. Over three days the CRCC continued to see patients while it moved people, equipment, and, well . . . just general stuff, to a brand new building complete with hard floors, fluorescent lighting, exam offices, a treatment room, and spacious check-in area. Physical therapy and occupational therapy now share a space that accommodates a full rehabilitation gym plus patient care stations. With the help of the MAGTF Support Battalion Marines, the staff were able to move their entire
THE VIP’S ARE HERE! As mentioned in the OIC message, we had the honor of hosting multiple distinguished guests. The Commandant of the Marine Corps, General James Amos, visited and was so impressed with the system and team that he had us make a video, walking someone through the areas of the CRCC. This video can be viewed at http:// www.dvidshub.net/Video/115869/ concussion-restoration-care-center. Tours were also given to Dr. Woodson;, the Assistant Secretary of Defense, Lieutenant General Waldhauser, Commander US Marine Forces Central Command; Major General Toolan, Commanding General for 2nd Marine Expeditionary Force (FWD); Major

The new CRCC and CST Facility. Physical Therapy and Occupational Therapy share a space in the building on the right.

General Spiese, Deputy Commanding General for 1st Marine Expeditionary Force; RADM Smith, Joint Chiefs of Staff Surgeon; and British Brigadier General Cordell, Allied Command Operations Medical Advisor. These tours are an essential part of communicating to the people who make decisions in support of who we are and what we do. Our team shined in all of these tours and the mission was effectively presented and communicated. At the end of the day, all were impressed with the fact that 98% of the Warriors that come here are returned in a healthy manner back to the fight. - CDR Earl Frantz, MC, USN

From le' to right: LT Jake Norris, HM1 Jason McGee, LCDR Dan Clark, CAPT Judy Schauer, HM2 Jonathan Huffman, CDR Earl Frantz, CDR Walt LaBrie, General James Amos, Commandant of the Marine Corps, HN Stephan Roach, LCDR Rachel Oden, LCDR Kathleen Ditto, Brigadier General Michael Dana.

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CRCC - COMPREHENSIVE WARRIOR CARE"
combat engineer. Even still, two IED’s placed by a cunning enemy were OUR HERO’S SCARS unfortunately discovered by his comrades stepping on “I’m ready to get back them. LCPL J. experienced a with my men.” The young concussion on both SGT is still speaking slowly occasions. A “sprained brain” from his concussion from - the way I explain a just a few days back. He’s still concussion to our warriors, reacting slowly on the relating it to a sprained computerized test we ankle. His more profound administer to our patients. injury though affects his He tells the Corpsman that heart and soul, not just his he’s not having symptoms. brain. He finally admits to me that SGT M. and LCPL J. he’s still having headaches, didn’t simply experience a troubles concentrating, some mild traumatic brain injury weakness and frequent bad (mTBI). They experienced a dreams of recent events. He traumatic mind injury (TMI). doesn’t want to let us know The concussions our heroes because he’s trying to get out experience are on a different of our clinic and back with level of an athletes’ his unit. SGT M. was concussion. The Green Bay involved in an intense quarterback or the LA firefight, the kind you see in Galaxy soccer player who “Band of Brothers” and experiences a concussion is suffered a mild concussion. one thing. Our warriors Such fortitude reflects the getting a concussion as a kind of Marine he is. SGT M. result of someone trying to was meritoriously advanced kill them and their comrades at every opportunity, making is a different story. Fear, guilt, SGT in only three years of and “what if ’s” set in service. He’s on his 2nd intangible realities that combat tour. conflict with the hero’s deep STORIES FROM OUR HEROES stops in their care. Their care is orchestrated the family physician who cares about the person that has the concussion and not just the concussion that has the person. They are treated by physical and occupational therapy. Our clinical psychologist spends hours with them, working through the psychological injury, helping them to recuperate from the experience. They may see the chaplain who meets with them to listen with holy ears, addressing their fears head-on. He provides prayers along with words of comfort, solace, and grace. In providing this kind of care, we hope to tend to both the hero’s mTBI and TMI.

JUNE, 2011

Fear, guilt, and “what if’s” set in intangible realities that conflict with the hero’s deep seated sense of duty to return to his men.

SGT M. and LCPL J. are on the mend. They are heading back to their units to return to their own band of brothers. Any scars they may carry are the cost of freedom that we celebrate and hold dear as Americans. They deserve our care, our support, and our thanks. Amongst the festivities this “Why couldn’t I find the seated sense of duty to return July 4th, be sure to thank one IED?” The 20 year old LCPL to his men. of our heroes from our last is a mine sweeper - about the For our Marines, Soldiers, decade of war with an all most dangerous job on the volunteer force. and Sailors who experience planet. He’s unearthed more physically, emotionally - Rick Sams numerous signature weapons and spiritually traumatic CDR,MC,USN of the enemy and is concussions, we pull out the considered a top notch

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CRCC - COMPREHENSIVE WARRIOR CARE" encounter-based system to track a patient’s time at the LT Jake Norris from the CRCC. All information can be Joint Combat Casualty integrated and is kept securely Research Team (JC2RT) and the CRCC support staff, led by on password protected HM2 Jonathan Huffman, stood computers in secure password protected files. Multiple staff up a new comprehensive database on May 10th with the members can access the intent of expanding its tracking database at the same time, easing use. and surveillance capabilities. The database has had a The new database traces its measurable impact. Clinicians roots to the previous team led are able to get crucial by CAPT Keith Steussi who information that allows them established a clinical database to respond to data calls from focused on concussion and senior leadership. Equally CDR Shane Vath, who built a important, the CRCC can physical therapy database. When the current team arrived, utilize the database to examine its own practices across they realized the potential of the tool their predecessors had domains by tracking patient outcomes and analyzing trends. made. Over the course of These efforts may help lead to several months, the staff Institutional Review Board brainstormed ideas about how to further develop the tracking (IRB) approved research projects that potentially could system by integrating the have DoD-wide impact. Even separate databases with each now, the database has been other. identified by in-theatre and When HM2 Huffman CONUS subject matter experts rotated into the CRCC in midon concussion as a potential April, the new database lacked model for how in-theatre a champion. He teamed with concussion databases should be LT Norris from the JC2RT and setup. together they built the new While HM2 Huffman database. In addition to his knows the potential magnitude other duties, HM2 Huffman of the work, he won’t rest on devoted himself to implementing the new system. his laurels. Balancing his many responsibilities as a Corpsman, He learned to use the he will continue to discover database’s software programs ways to improve the CRCC’s and incorporated feedback database and benefit the from the staff. clinic.We are grateful for his His efforts have yielded and LT Norris’ efforts. fruit. The new database uses an
BY THE NUMBERS -

JUNE, 2011 Mailing Address
CRCC 2D MAINT BN FWD ATTN: SURG CO UNIT 73615 FPO AE 09510-3615

DSN Phone:
318-357-3900

We’re on Sharepoint!
In the RC(SW) homepage - search CRCC

THE CRCC TEAM
• CDR Earl Frantz - Officer in Charge, Sports Medicine and Family Medicine Physician • CAPT Judy Schauer - Sports Medicine and Family Medicine Physician • CDR Richard Sams - Family Medicine Physician • CDR Walter LaBrie - Clinical Psychologist • LCDR Daniel Clark - Clinical Manager • LCDR Kathleen Ditto Occupational Therapist • LCDR Rachel Oden - Physical Therapist • LT Michael Okasinski Psychiatrist • HMC Rod Toler - Independent Duty Corpsman • HM1 Jason McGee- Leading Petty Officer • HM2 Joshua Huffman - General Duty Corpsman • HN Jack Underwood - General Duty Corpsman • HN Tyler Prolo - General Duty Corpsman

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