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VA HOSPITALS FOCUS ON TRAUMATIC BRAIN INJURY --
Facilities must be certified by the end of the
month.

The traumatic brain injury program
featured in the story below will be implemented at all VA facilities by
the end of the month. Background here...
http://www.vawatchdog.org/07/vap07/vap022707-1.htm
Story here...
http://www.kcrg.com/news/local/6386772.html
Story below:
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Iowa City VA Hospital Workers Focus on the
Brain
By Steve Nicoles, Iowa City Reporter
IOWA CITY - The VA Hospital in Iowa City is taking a closer look at the
brain and the effects of war. Workers at the VA Hospital have until the
end of the month to become certified in traumatic brain injuries. And
they're finding cases often don't look like bob woodruff.
Doctors at the VA in Iowa City will tell you about two trends with the
war in Iraq: people are living longer, but they're living with injuries.
"The more subtle injuries tend to be the traumatic brain injury and the
post traumatic stress which are very disruptive to their everyday
lives," said Dr. Deborah Gideon, neuropsychologist.
Gideon focuses on the subtleties of brain injuries.
As a neuropsychologist she tests veterans for hours, trying to see if
they have any of a variety of cognitive deficiencies.
"The more difficult and challenging cases are those in which people are
walking and talking but having serious difficulty managing their
everyday affairs," said Gideon.
These difficult injuries don't show up on an MRI. When patients go
through the machine, it's easy for doctors to see if shrapnel from a
roadside bomb hit them in the head. But more and more often doctors are
seeing patients without physical injuries.
"Traumatic brain injury is a very complex entity. MRI will reveal
abnormalities in only a small number of patients," said Dr. John Cowdery,
VA chief of staff.
Medical staff at the VA is required to become more familiar with the
brain. By the end of the month, they're expected to be able to
understand the problems so they can look for solutions.
Doctors say military personnel are getting brain injuries from blast
waves. When a bomb explodes nearby, compressed air called a blast wave,
hits a soldier. The soldier might not have exterior head wounds, but
still have internal injuries.
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Larry Scott --