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Jack Sisson's TBI Blog

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From KVAL:

EUGENE, Ore. -- It's a wound few understand or even see: Many of Oregon's service members are coming home forever changed by Traumatic Brain Injury, known as TBI for short.

In World War II, brain injury was caused by blunt force or by flying shrapnel. Even in the Revolutionary War, cannon blasts were the threat.
Although brain injuries were part of warfare before Iraq and Afghanistan, we still don't know much about TBI. Also, because doctors have become so good at saving lives, many more troops in Iraq and Afghanistan are surviving explosions and returning home with this mysterious injury.
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During Bravo Company's 15 month deployment, they lived through massive IED explosions and mortar attacks on a daily basis. These blasts can send sound waves hurtling though the air at 1,600 feet per second, sending percussion waves through the heads of soldiers. "The first time it gets you," said Bravo Company's Julio Najara, "the first time you're like oh my God. You're like -- you freeze."

IED blasts killed four Bravo Company service members - and Stock says all of those who survived came home with brain injuries. "Brain injury and war go hand in hand," said Stock. "The percussion waves are so great they're throwing vehicles, throwing people as well as shrapnel."

Brain injury specialists say when shock waves from the blast travel through the heads of soldiers, tiny air bubbles are created in the brain tissue. And doctors say those bubbles can spontaneously pop even several months after an explosion.

"People without real serious looking wounds end up dying or nearly dying from blast wave exposure," said Oregon National Guard Major James Sardo. "The problem with TBI is that it's an internal injury, and someone could be seriously injured and look just fine."

Of the 1.6 million soldiers who have fought in Iraq and Afghanistan, it's estimated that 320,000 - or one in every five soldiers - came home brain injured.

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