מוטי משיח על הטיפול בקנאביס רפואי בקרב הסובלים מפוסט טראומהמוטי משיח
מצגת באנגלית מאת דוקטור מוטי משיח העוסקת ביעילות הטיפול בקנאביס רפואי אצל אנשים אשר סובלים מפוסט טראומה.
A presentation by Dr. Moti Messiah talking about medical efficacy of medical marijuana in people who suffer from PTSD.
מוטי משיח על הטיפול בקנאביס רפואי בקרב הסובלים מפוסט טראומהמוטי משיח
מצגת באנגלית מאת דוקטור מוטי משיח העוסקת ביעילות הטיפול בקנאביס רפואי אצל אנשים אשר סובלים מפוסט טראומה.
A presentation by Dr. Moti Messiah talking about medical efficacy of medical marijuana in people who suffer from PTSD.
The festival season has began. For some people the season has triggered painful memories of loss and grief. It becomes very important to understand PTSD and. Our awareness can help them in their healing process.
primary care management of the returning veteran with PTSDgreytigyr
primary care management of the returning veteran with PTSD Overview on issues and approach in promary care to recognition and management of patients, veterans, and soldiers with PTSD and TBI.
# 1 thing that all treatments mention is SAFETY
Followed by: coping skills/ support system/ regaining control/ reducing stress/ relaxation skills/ self nourishing
"Reintegrating Returning Warriors and The Subtleties of PTSD: Practice, Research and Policy"
by Col Jeffrey Yarvis, Chief of Soldier Behavioral Health Service, Carl R. Darnall Army Medical Center, Washington DC
The festival season has began. For some people the season has triggered painful memories of loss and grief. It becomes very important to understand PTSD and. Our awareness can help them in their healing process.
primary care management of the returning veteran with PTSDgreytigyr
primary care management of the returning veteran with PTSD Overview on issues and approach in promary care to recognition and management of patients, veterans, and soldiers with PTSD and TBI.
# 1 thing that all treatments mention is SAFETY
Followed by: coping skills/ support system/ regaining control/ reducing stress/ relaxation skills/ self nourishing
"Reintegrating Returning Warriors and The Subtleties of PTSD: Practice, Research and Policy"
by Col Jeffrey Yarvis, Chief of Soldier Behavioral Health Service, Carl R. Darnall Army Medical Center, Washington DC
All we can hope for is to provide positive conditions for PTSD management
The most positive results have come from cognitive and mindfulness methods. However, they are compromised by intruding thoughts, hypervigilance and attention deficit
Compound movements performed in relatively isolated (“protected”) environments, heavy enough to require complete recruitment of cortical (motor cortex) and non-cortical (extra-pyramidal) CNS resources may “short-circuit” the automatic trauma response.
In other words, technique-oriented compound movement strength training may provide the necessary resources for trauma survivors to gain some control over their lives
Post-Combat Mental Health: Modern Treatment for Veterans with PTSDBeth_Coleman
For some, the war never ended.
Many war veterans do not really leave the battlefield because of Post-Traumatic Stress Disorder (PTSD). As a matter of fact, about half a million Iraq and Afghanistan American war veterans have been diagnosed with PTSD.
Posttraumatic Stress Disorder Although originally considered a.docxstilliegeorgiana
Posttraumatic Stress Disorder
Although originally considered an anxiety disorder, the DSM-5 removed PTSD from the classification of anxiety disorders and included it in a new chapter, Trauma- and Stressor-Related Disorders. PTSD was once considered a psychological condition of combat veterans who were “shell shocked” by and unable to face their experience on the battlefield. Individuals with PTSD were labeled as weak, faced rejection from their military peers and society in general, and were removed from combat zones or discharged from the military. Today we know that PTSD is a psychobiological mental disorder associated with changes in brain function and structure and can affect survivors of combat experience but also survivors of terrorist attacks, natural disasters, serious accidents, assault or abuse, and even sudden and major emotional losses (National Institute of Mental Health, 2014a). Scientists are focusing on genes that play a role in creating fear memories as well as studying parts of the brain that deal with fear and stress (Clapp, 2016). The DSM-5 criterion for PTSD has been expanded to include both direct and indirect exposure to potentially traumatic experiences (Uher et al., 2014).
Prevalence
Most of the research on PTSD has been conducted with male veterans of military combat. In the cohort of Vietnam veterans (now in the “baby boomer” cohort), 3 out of 10 experience PTSD. Among Afghanistan and Iraq veterans, 11% to 20% experience PTSD (United States Department of Veterans Affairs, 2014). Only recently realized is the fact that many World War II veterans have lived most of their lives under the shadow of PTSD without realization of their disorder. PTSD occurs increasingly in women, although research is scarce. Rape, child abuse, and domestic violence are the most likely traumas that will result in PTSD in women. With more women serving in the military, combat-induced PTSD among women is expected to increase (Kaiser et al., 2014a). Prevalence rates of PTSD among older adults have not been adequately studied, but estimates are that between 3% and 5% of individuals older than age 60 experience PTSD. Many older individuals may not meet the full criteria for a PTSD diagnosis but may still exhibit symptoms (partial or subsyndromal PTSD) (Chopra et al., 2014). The percentage of older individuals with subclinical levels of PTSD symptoms ranges from 7% to 15% (Kaiser et al., 2014a). Current estimates may underrepresent the prevalence of PTSD in older adults (Clapp, 2016). In addition to military combat, seniors in our care now have also experienced the Great Depression, the Holocaust, and racism events that also may precipitate PTSD. Although they may have managed to keep symptoms under control, a person who becomes cognitively impaired may no longer be able to control thoughts, flashbacks, or images. This can be the cause of great distress that may be exhibited by aggressive or hostile behavior. Older individuals who are Holoca ...
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
HOT NEW PRODUCT! BIG SALES FAST SHIPPING NOW FROM CHINA!! EU KU DB BK substit...GL Anaacs
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We specializes in exporting high quality Research chemical, medical intermediate, Pharmaceutical chemicals and so on. Products are exported to USA, Canada, France, Korea, Japan,Russia, Southeast Asia and other countries.
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
New Drug Discovery and Development .....NEHA GUPTA
The "New Drug Discovery and Development" process involves the identification, design, testing, and manufacturing of novel pharmaceutical compounds with the aim of introducing new and improved treatments for various medical conditions. This comprehensive endeavor encompasses various stages, including target identification, preclinical studies, clinical trials, regulatory approval, and post-market surveillance. It involves multidisciplinary collaboration among scientists, researchers, clinicians, regulatory experts, and pharmaceutical companies to bring innovative therapies to market and address unmet medical needs.
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
Acute scrotum is a general term referring to an emergency condition affecting the contents or the wall of the scrotum.
There are a number of conditions that present acutely, predominantly with pain and/or swelling
A careful and detailed history and examination, and in some cases, investigations allow differentiation between these diagnoses. A prompt diagnosis is essential as the patient may require urgent surgical intervention
Testicular torsion refers to twisting of the spermatic cord, causing ischaemia of the testicle.
Testicular torsion results from inadequate fixation of the testis to the tunica vaginalis producing ischemia from reduced arterial inflow and venous outflow obstruction.
The prevalence of testicular torsion in adult patients hospitalized with acute scrotal pain is approximately 25 to 50 percent
1. Gilleland 1
Lily Gilleland
Lester/Hamilton
10th Honors Lit
For May 4, 2012
Are Veterans With PTSD Being Treated Fairly For Fighting For Our Country?
When veterans return home from their deployment, some bring back badges or medals;
some bring back physical scars to show their bravery. However, some veterans return with a
mental scar, a suffering from an event that they have experienced. Post-Traumatic Stress
Disorder (PTSD) is what they could be diagnosed with. This is a mental disease where a soldier
or veteran has been traumatized. Symptoms of PTSD are self-blame, reoccurring nightmares,
flashbacks, angry or violent outbursts, having feelings or guilt, worry, sadness, and many other
symptoms. PTSD is almost always mixed with more issues such as depression and can often lead
to drug abuse as an attempt to ease the symptoms (Espejo). PTSD is most common in soldiers
between the ages of eighteen and twenty-four. Many times when these veterans return home,
they are not treated kindly or fairly, and some are told to simply “move on” (Disorder Disease
Counseling Should Continue for Veterans); others are simply denied help because the veterans
who are taking therapy have been in the therapy program too long. Veterans are not being treated
fairly for their service in the military. There are more effective ways for PTSD to be treated and
2. Gilleland 2
the therapy they might or might not be receiving is not helping them, and the government is not
helping veterans receive the Healthcare insurance and benefits they deserve.
There are many different forms of treatment for PTSD. One form is the program
Operation Wolfhound (Caprioli). In this program dogs are trained to perform various tasks for
veterans with PTSD. This includes calming the veterans during flashbacks and waking them
from nightmares. The dogs chosen to work with veterans must meet certain standards. They
cannot be more than four years old; this is so the emotionally venerable veteran will not have to
cope with the loss of their companion. The dogs must also come from parents that have been
screened for genetic diseases and temperament problems, usually back to at least four
generations. This is so the dog is as healthy as possible and to be sure it is suited to take care of
the veteran. After a dog goes through the minimum amount it can be trained and its trainer
believes it is ready, the dog can be given to a veteran for weekly hour long training sessions.
This will not only bring to the dog and the veteran closer together, but it also lets to veteran train
the dog for their specific needs. By being able to train and take care of this animal, this
indirectly gives the veteran more control of their condition.
Another program used to treat veterans diagnosed with PTSD is virtual therapy.
Although videos games are commonly seen to promote violence, this could actually help
veterans with PTSD. Virtual Iraq, a video game used by therapists and researchers, puts the
soldiers back in the war in a safe controlled way (Katz). Video games treat soldiers by letting
them face their fears by duplicating the sights and sounds of the battlefront, making it easier for
soldiers to open up to their therapists. People diagnosed with PTSD tend to ignore and attempt
3. Gilleland 3
to avoid their problems. This tends to keep their trauma alive and as a result, is what hurts them
the most. By using virtual reality the veterans are put back in the moment in a controlled way
and this is what helps therapists understand their patients and helps patients explain how they
feel. This program allows them to release their fears and when the fear is gone, the veterans
begin to look at the situation more rationally (Ziezulewicz). This type of treatment allows them
to realize that the event wasn’t their fault or there was nothing they could do. This relieves them
of their stress and lets the soldier get closer to closure. Unfortunately, most researchers have
found this new program and form of therapy to be inconclusive but times are changing and
researchers believe that with more time and more conclusive results virtual therapy will be a very
popular choice for treating PTSD in the future.
One very effective therapy for the treatment of PTSD is Emotional Freedom Technique
(EFT). While, the legitimacy of this technique or therapy is very controversial, supporters of
EFT say that the technique is based off of 5,000 years of Chinese medicine. However skeptics
consider EFT to simply be the power of suggestion. Chuck Elberti, a Vietnam veteran, was
treated using EFT; he states that the EFT was effective as a treatment but not as a “cure”. EFT is
not like other treatments were you sit on a couch and talk to a therapist or psychiatrist (Jordan).
It uses certain energy points in the body and the mind’s ability to put new distance between the
mind and the traumatic experiences (Innes). This is done by having clients tap on “acupuncture
points” on their body while repeating words that represent their issue. This helps them release
the stress of their issue and recover. Patients and veterans can also be taught to use this
technique so they can do it outside of a therapist’s or doctor’s office. Veterans find this form of
4. Gilleland 4
therapy desirable because the military teaches soldiers to get over traumatic events move on.
They don't teach them how to deal with what comes later. Veterans now learning about new
therapies available so that they can overcome, adapt, and essentially deal with the negative
experiences of their deployment.
Because the veterans either do not know they have PTSD, or they just simply refuse help,
over half of veterans with PTSD do not seek help. Suicide hotlines have helped more than
22,000 veterans and avoided more than 1,000 suicides (Katz). In response to this Secretary of
Defense Robert Gates acknowledged that the military health care system had failed the veterans .
The House Veterans’ Affairs Committee passed a bill to U.S. Department of Veterans Affairs
(VA), allowing the VA to use paid advertising to promote its efforts (Katz). Only about half of
the estimated 300,000 soldiers with mental health problems have sought treatment. This
alarming rate shows the American public the truth about veterans and raises the visibility and the
attention that is needed. This is also raising the attention of the U.S. Military. In November
2007, the Joshua Omvig Veterans Suicide Prevention Bill was signed by President Bush, making
it into a law, which aims to help veterans with Post Traumatic Stress Disorder (New Data Shows
Alarming Rates of Military Mental Health Problems). This bill contributed to the rise and
attention for veterans with PTSD. Many states have begun to recognize and become aware of
PTSD and other mental illnesses brought on by the negative experiences during deployment.
Gates said that members of the military should not be reluctant to report their mental problems
after combat (Colville). This statement means that the government is trying to improve life for
veterans. As stated before, more suicide hot line advertisements have been put up since surveys
5. Gilleland 5
showed an alarming number of veterans who are not seeking help. However, it is unfortunate
that some veterans are not even aware that they have PTSD and do not seek the help they
desperately need to move on with their life and they tend to suffer silently. Chuck Elberti stated
that he was not even aware that he was traumatized so badly. PTSD causes such emotional
detachment that veterans might not even be aware they have it and might not realize it until they
reach a “breaking point”. The worst outcome of someone reaching a “breaking point” is suicide
and by then it is too late. With the help of his family and friends, Mr. Elberti was able to receive
treatment before it was too late for him. Many veterans might not be as fortunate.
The scary part about the failure of therapies or treatments for patients with PTSD is that it
could result in veteran suicide. The number of suicides reported by the Army has risen to the
highest level since record-keeping began three decades ago (Goode). The Pentagon and the
veteran’s agency have responded to this rise in suicide rates by implementing programs and
increasing efforts to understand and address the problems. They have also supported suicide-
prevention programs and have hired hundreds more mental health providers. Veterans suddenly
find themselves without a job. They no longer have a mission or purpose. They have lost their
war unit and the support and comradery that comes with it. They are completely lost, but do not
get help. This often leads to homeless veterans, loss of family, and suicide. At Fort Campbell, in
Kentucky, at least 14 soldiers have killed themselves this year alone (Goode). To help other
soldiers there, training and other activities were stopped for three days and replaced with suicide-
prevention training. The Army also commissioned a five-year $50 million dollar study of the
causes of suicide among soldiers. The Army turned to four outside experts to lead the research.
Sergeant Blaylock, stationed at Fort Campbell, tried to pick up the pieces of his life but grief and
6. Gilleland 6
guilt from the death of two members in his unit trailed him. That grief and guilt combined with
other stresses (financial troubles, disputes with his wife over their daughter, the absence
comrades who had helped him make it through a year of war) was more than he could handle and
he reached his “breaking point.” (Goode). On December 9, 2007 he decided to end his own life.
Financial troubles, guilt, and PTSD combined with other issues veterans face can eventually
consume their mind and without receiving true help, it can cause veterans to feel there is no other
option other than suicide. That added in with the stress war can put on family ties is very
dangerous.
In some cases, veterans with PTSD are denied treatment for their mental disease.
Therapy is being discontinued because the veterans who are taking therapy have been in the
program “too long” (Disorder Disease Counseling Should Continue for Veterans). The veterans
who have served in the military are very important people, yet treatment like this is not
respectable and it is not helping veterans with PTSD at all. This shows that sick veterans are
being swept under the rug after fighting for their country, simply because the government does
not want to spend the money to meet their needs. Soldiers at Walter Reed Hospital were forced
to live in unhealthy conditions and were denied treatment (Colville). In response, U.S. Secretary
of Defense, Robert Gates, acknowledged the problems with military healthcare saying that
soldiers would now be encouraged to seek mental and physical treatment. He also admitted that
the U.S. military has made mistakes in handling the treatment and rehabilitation of returning
soldiers. Not all of the more than 1.5 million military service members who have been deployed
7. Gilleland 7
overseas have received needed medical treatment and accommodations (Colville). This was also
admitted by Robert Gates. He initiated an overhaul of the military's medical system after a
scandal last year at Walter Reed hospital in Washington where soldiers were found living in a
building infested with mice, mold, and cockroaches and many soldiers were unable to get
treatment because of bureaucratic red tape. In another case, a Veterans Administration
psychologist was encouraging other staff psychologists to avoid diagnosing Veterans returning
from Iraq with PTSD because so many veterans are seeking disability payments (Lee). This is
an extreme injustice to veterans, and is considered fraud. The reason behind this crime is to
“cut back” on the amount of diagnosed PTSD veteran because so many are seeking payments for
their condition. The therapists were urged to instead diagnose patients with an adjustment
disorder, which is very similar to PTSD, but is much milder and less permanent, usually lasting
only six months. By diagnosing these veterans with inaccurate mental diseases is a strong
injustice and could result in the death of a soldier who fought for our freedoms, which is not fair
or appropriate for their service.
Veterans diagnosed with PTSD are entitled to benefits, but at times the government finds
ways to deny veterans the compensation they deserve. Veterans diagnosed with PTSD are
entitled to additional health and financial benefits (Platt). Though this has been changed, the only
veteran eligible for PTSD benefits were ones who fought in combat arms. This shows that the
VA has had a very narrow view of what a traumatic event is. In addition, veterans were required
to recall the names of people involved with the traumatic event, as well as the time it occurred.
8. Gilleland 8
This is difficult for veteran with PTSD because they are not remembering names or date, they are
remembering the faces of those they lost, and the fear and guilt that is associated with it.
Following their wartime service, 1,029 veterans with PTSD were denied those benefits upon
discharge from the military. These veterans felt that this was a huge injustice to them, especially
since their PTSD was so bad that they had to be discharged. They feel as though they have been
shortchanged on benefits. These veterans eventually received compensation for this injustice.
For the past 13 years, Arthur Laselle, a Vietnam veteran who has served for two tours, has
applied for PTSD benefits through the VA, yet he has been denied consistently. Though he has
been diagnosed with PTSD by a therapist, he is still pressed for information about the event he
suffers from. He cannot give the VA this information because it is not only too painful for him
to recall, but it was also too hectic for him to remember the exact date and time of the event. Not
to mention how, in addition, it is painful for him to relive these experiences every time the VA
cross checks his information and asks him painful questions. This in an example of how hard it
is for veterans with PTSD to receive the benefits they deserve.
However, there have been changes in favor of veterans with PTSD attempting to receive
benefits. As stated before, if a veteran wanted to receive benefits for they would have to provide
names, locations and times when a traumatic event occurred, something many veterans have
found impossible. Now a veteran from any military unit who has served in a war zone and can
prove that they suffered from a stressful or traumatic event can apply for benefits (Rules Change
for Vets' PTSD Benefits). Agreeing with these changes, U.S. President Barack Obama states, “I
don't think our troops on the battlefield should have to keep notes just in case they need to apply
9. Gilleland 9
for a claim. And I have met enough veterans to know that you don't have to engage in a firefight
to endure the trauma of war (Rules Change for Vets' PTSD Benefits).” This statement shows that
the government is indeed making changes that are taking care of veterans. This quote also shows
that trauma can be measured in many different ways and that it may be difficult for veterans to
“prove” they were in a traumatic event. Fortunately for veterans, these efforts are a big step up
from what the rules used to be. Efforts made by the U.S. Court of Federal Claims, the National
Veterans Legal Service Program, and the government have resulted in the courts approving
retirement benefits to over 1,000 veterans with PTSD. A class action settlement between the
federal government and a group of disabled veterans will award lifetime healthcare benefits to
these veterans (Vogel). The veterans involved with this lawsuit are very pleased with this
decision, stating, “It’s getting your dignity back” and “It’s a huge relief.” This shows that
perhaps veterans are beginning to receive the justice and benefits they deserve for their service.
Not only are the rules for veteran’s benefits changing, but the timeliness of mental health
referrals and other important transactions for receiving benefits is also being changed as well. It
takes the VA’s system an average of four years for veterans to receive mental health benefits
(Sapien). This time frame is very unprofessional is also demands immediate reform. U.S.
Defense Secretary Robert Gates states, "I know that the department is not perfect and mistakes
have been, and will be made. Things happen too slowly (Morgan)." This statement shows that
the U.S. government plans to make changes to its ways of looking over referrals. Previously,
noncombat veterans had to convince claims adjudicators that they were traumatized by a specific
event with incident reports, statements from their peers or other evidence. The VA would now
10. Gilleland 10
"presume that veterans are telling the truth." This is a good adjustment because veterans with
PTSD are not always able to recall every detail of the traumatic event that happened. PTSD
causes veterans to go into a state of “denial” usually in the form of emotional detachment, in
order to avoid facing the guilt they have. This poses as a problem to them when they want to
receive Veteran’s Healthcare Benefits.
Through research, it has been shown that there are many things not known about PTSD,
especially to the American public. Though there are many different treatments, there is still no
definitive cure for PTSD, but veterans are recovering in momentous ways. However, it have
been shown that Unfortunately, some veterans do not even know that they have PTSD or they
are denied or diagnosed falsely for government gain but the ones who do get help can recover or
at least learn how to deal with to move on with life. The government also is very difficult when it
comes to granting benefits to veterans with PTSD. Some bills are passed and changed, appeals
are looked over so slowly that it takes nearly four years or more, but most of the changes made
are for the benefit of the veterans. In America, veterans are suffering and at times nothing is
being done to help. Veterans can be helped through the love and support of their friends and
family and with treatments and therapies aimed at treating PTSD. When a veteran has somebody
behind them to give support, they are able to accomplish much more than anyone could expect.
So, are veterans getting what they deserve? Chuck Elberti, a Vietnam veteran, was asked this,
and his response was this, “Did I get what I deserved? I don’t think any Vietnam veteran was
treated fairly or respectfully. It was an unpopular war and very often ordinary military people
would be an easy target for blame. I am very happy to see that military veterans today are
11. Gilleland 11
treated much better and get the respect they deserve. But I still don’t think that as a country we
do all that we can for them.” Though this is the opinion of one man, the statement rings true.
However, times are changing, and with the help of people who are willing to stand up for the
veterans who once put their lives on the line for others, then in the future, Chuck Elberti, and
many other PTSD victims can proudly exclaim that they got what the deserved.
Works Cited
Caprioli, Jennifer. "Dogs Go the Distance." US Army (2010). Gale Opposing Viewpoints In
Context. Web. 28 Mar. 2012.
<http://ic.galegroup.com:80/ic/ovic/ViewpointsDetailsPage/ViewpointsDetailsWindow?
displayGroupName=Viewpoints&disableHighlighting=false&prodId=OVIC&action=2&catI
d=&documentId=GALE%7CEJ3010562263&userGroupName=cant48040&jsid=dba71f72
93440e45682d150af9870174>.
Carey, Benedict. "Review of Landmark Study Finds Fewer Vietnam Veterans With Post-
Traumatic Stress." New York Times [New York] 18 Aug. 2006. Review of Landmark Study
Finds Fewer Vietnam Veterans With Post-Traumatic Stress. 18 Aug. 2006. Web. 18 Apr.
2012.
<http://www.nytimes.com/2006/08/18/health/policy/18psych.html?ref=posttraumatics
tressdisorder>.
Coats, Christopher. "Alcohol Abuse Another Obstacle for Returning Troops." FindingDulcinea.
13 Aug. 2008. Web. 28 Mar. 2012.
12. Gilleland 12
<http://www.findingdulcinea.com/news/Americas/August-08/Alcohol-Abuse-Another-
Obstacle-for-Returning-Troops.html>.
Colville, Liz. "Pentagon Vows to Improve Military Mental Health Care." FindingDulcinea. 6 May
2008. Web. 13 Apr. 2012. <http://www.findingdulcinea.com/news/Americas/May-June-
08/Pentagon-Vows-to-Improve-Military-Mental-Health-Care.html>.
Dahlen, Dr. Barbara Van. "Depression / Blog." PBS. PBS. Web. 01 May 2012.
<http://www.pbs.org/thisemotionallife/blogs/healing-depression-using-emotional-
freedom-technique>.
Dao, James. "Veterans Affairs Faces Surge of Disability Claims." New York Times [New York] 13
July 2009, New York ed., sec. A: 10. New York Times. 13 July 2009. Web. 18 Apr. 2012.
<http://www.nytimes.com/2009/07/13/us/13backlog.html?ref=posttraumaticstressdiso
rder>.
"EDITORIAL: 'Disorder' Disease Counseling Should Continue for Veterans." 2012. Gale Opposing
Viewpoints In Context. Web. 26 Mar. 2012.
<http://ic.galegroup.com:80/ic/ovic/NewsDetailsPage/NewsDetailsWindow?displayGro
upName=News&disableHighlighting=false&prodId=OVIC&action=2&catId=&documentId
=GALE%7CA282005322&userGroupName=cant48040&jsid=f75287cf0e2f2938c92b5afcc
c6e8bd3>.
Goode, Erica. "After Combat, Victims of an Inner War." New York Times. 1 Aug. 2009. Web. 18
Apr. 2012.
13. Gilleland 13
<http://www.nytimes.com/2009/08/02/us/02suicide.html?ref=posttraumaticstressdisor
der>.
Innes, Stephanie. "Tapping Method Touted to Treat PTSD." Arizona Daily Star. 10 Oct. 2011.
Web. 02 May 2012. <http://azstarnet.com/news/local/tapping-method-touted-to-treat-
ptsd/article_5c4540a8-2716-597c-b55d-bed4c0a38a07.html>.
Jordan, Bryant. "Tapping ‘Energy’ to Deal with PTSD." Military.com. 17 Aug. 22010. Web. 1 May
2012. <http://www.military.com/news/article/tapping-energy-to-deal-with-ptsd.html>.
Katz, Josh. "Suicide Hotline Hearing from Thousands of Troubled Vets." FindingDulcinea. 28 July
2008. Web. 12 Apr. 2012. <http://www.findingdulcinea.com/news/Americas/July-
08/Suicide-Hotline-Hearing-from-Thousands-of-Troubled-Vets.html>.
Katz, Josh. "The Road to Health Is Paved with Good Nintendos." FindingDulcinea. 17 July 2008.
Web. 12 Apr. 2012. <http://www.findingdulcinea.com/news/entertainment/July-
August/The-Road-to-Health-Is-Paved-with-Good-Nintendos.html>.
Lee, Christopher. "Official Urged Fewer Diagnoses of PTSD." Washington Post. The Washington
Post, 16 May 2008. Web. 02 May 2012. <http://www.washingtonpost.com/wp-
dyn/content/article/2008/05/15/AR2008051503533.html?hpid=topnews>.
Love, Julia. "Answers about VA's New Stress-disorder Policy." Los Angeles Times. Los Angeles
Times, 13 July 2010. Web. 28 Mar. 2012.
<http://articles.latimes.com/2010/jul/13/nation/la-na-ptsd-benefits-20100713>.
14. Gilleland 14
"Mentally Ill Veterans Need More Effective Psychotherapy." Mental Illness. Ed. Roman Espejo.
Detroit: Greenhaven, 2012. Gale Opposing Viewpoints In Context. Web. 26 Mar. 2012.
<http://ic.galegroup.com:80/ic/ovic/ViewpointsDetailsPage/ViewpointsDetailsWindow?
displayGroupName=Viewpoints&disableHighlighting=false&prodId=OVIC&action=2&catI
d=&documentId=GALE%7CEJ3010154267&userGroupName=cant48040&jsid=1539395ff
d683b478edab711f81dde87>.
Morgan, David. "Gates Acknowledges Mistakes in Treatment of Troops." | Reuters. 01 May
2008. Web. 01 May 2012. <http://uk.reuters.com/article/2008/05/01/uk-usa-military-
mentalhealth-idUKN0150996820080501>.
Platt, John. "Fitness & Well-Being." Mother Nature Network. 29 Mar. 2012. Web. 02 May 2012.
<http://www.mnn.com/health/fitness-well-being/stories/senator-launches-
investigation-into-ptsd-treatment-denials-by-mili>.
Rules Change for Vets' PTSD Benefits. PBS. 12 July 2010. Web. 27 Mar. 2012.
<http://www.pbs.org/newshour/bb/military/july-dec10/ptsd_07-12.html#>.
Sapien, Joaquin. "Donate." ProPublica. 11 May 2011. Web. 02 May 2012.
<http://www.propublica.org/article/more-than-half-of-recent-war-vets-struggling-with-
mental-health-problems>.
SCHAFFER, AMANDA. "Not a Game: Simulation to Lessen War Trauma." New York Times. 28
Aug. 2007. Web. 1 May 2012.
<http://www.nytimes.com/2007/08/28/health/28game.html?_r=1>.
15. Gilleland 15
Staff, FindingDulcinea. "New Data Shows Alarming Rates of Military Mental Health Problems."
FindingDulcinea. 18 Apr. 2008. Web. 12 Apr. 2012.
<http://www.findingdulcinea.com/news/Americas/March-April-08/New-Data-Shows-
Alarming-Rates-of-Military-Mental-Health-Problems.html>.
Vogel, Steve. "Vets Win PTSD Settlement." Washington Post. The Washington Post, 03 Aug.
2011. Web. 13 Apr. 2012. <http://www.washingtonpost.com/blogs/federal-
eye/post/vets-win-ptsd-settlement/2011/07/29/gIQAFbKehI_blog.html>.
Wallis, Claudia. "Casualty of War: Mental Health." Time. Time, 12 Mar. 2007. Web. 28 Mar.
2012. <http://www.time.com/time/nation/article/0,8599,1598474,00.html>.
"WRAL.com: Raleigh, Durham, Fayetteville." WRAL.com. Ed. Kathy Hanrahan. 13 July 2010.
Web. 02 May 2012. <http://www.wral.com/news/local/story/7955080/>.
Ziezulewicz, Geoff. "ARMY.MIL, The Official Homepage of the United States Army." Military
Uses Virtual Therapy to Help Troops Heal Wounds. 30 June 2009. Web. 01 May 2012.
<http://www.army.mil/article/23695/Military_uses_virtual_therapy_to_help_troops_h
eal_wounds/>.