Case of the Week: James—Iraq veteran

James' brain after numerous concussions

When we created the Change Your Brain, Change Your Life Foundation, we had people just like James in mind. James, an Iraq veteran, is the first person the Change Your Brain, Change Your Life Foundation has sponsored to receive a full evaluation, including brain scans and treatment, at the Amen Clinics. Here is his story.

An Army scout sniper from 2000 to 2005, James spent time in Iraq, Kosovo, Bosnia, Austria, and Poland. During his deployment in Iraq, his vehicle was struck several times by IEDs (improvised explosive devices).

Although James wasn’t wounded from shrapnel, he did experience perforated eardrums and several concussions.

The first one was a mild concussion, according to a doctor in Baghdad, during which he did not lose consciousness.

The second time he experienced a concussion, James did lose consciousness and had blurred vision.

His third head trauma occurred while on base in Baghdad. He fell about 10 feet off the back of a large ammunitions truck and landed on his head. Once again, he had a brief loss of consciousness.

His fourth concussion happened when he was using a sledgehammer on a trailer hitch and it rebounded off the hitch and hit him in the head.

During one of the explosions, one of James’ closest friends was killed.  To this day he still feels guilt, thinking that he was somehow responsible, he should have done something different, or why was he the one to survive and not his friend.  Every year he still gets together with his friend’s family.

“None of these events were fatal to me, but my head’s been through a lot of damage,” he said.

Since then, he has been dealing with a number of issues. Now 28 years old and a personal trainer in Orange County, James has problems with his memory. He had always done well in school, but since returning home, his ability to learn new material has suffered. His ability to listen has also dropped off.

Since about 2003, terrible insomnia has been keeping him awake at night. For about two years, he averaged only about two hours of sleep at night. After returning home, he still had trouble falling asleep and usually couldn’t doze off until 1 or 2 in the morning. Then he would wake up every hour and a half to two hours before getting up around 4 to 5:30 am.

Coffee and energy drinks helped him get through the days when he felt really tired.

James understands very well that sleep impact brain function, and he thinks that might be part of the reason why he has trouble remembering easy things. He thinks it might play a role in his heightened sensitivity to light. If it’s bright outside, it’s really hard for him to function.  This is consistent with a syndrome called the Irlen Syndrome, often seen after brain injuries (see www.irlen.com for more information).

Many other Iraq veterans are dealing with similar symptoms since returning home.

James is very excited that the Change Your Brain, Change Your Life Foundation has sponsored him to receive a full evaluation, including brain scans and treatment, at the Amen Clinics.

“The biggest thing I’m hoping to get out of this brain healthy treatment is better quality of sleep.

And hopefully that will help my memory and cognitive function,” he told us.

His brain scans showed a clear pattern consistent with brain injury, including decreased activity in his prefrontal cortex, left temporal lobe and left occipital lobe.  The temporal lobes are involved in memory and the ability to listen. The prefrontal cortex is involved with attention and planning.

Based on his brain scans and a complete evaluation, we started James on a brain rehabilitation program similar to what we have been using on the players involved in our retired NFL players study.

His treatment consists of supplements geared specifically to enhancing cognitive function, as well as some lifestyle changes. Considering he works in the fitness industry, James already had a fairly brain healthy diet and exercise regimen. But there were some areas he could improve.

For example, he’s drinking less alcohol—no more than two drinks a week. And he’s learning to meditate 30 minutes every day. In addition, he is doing online memory brain trainer exercises for about one hour a week.

After just a few weeks, James was already noticing some positive changes. “My sleeping pattern is more regular now. It’s not as inconsistent as it used to be,” he said.  He recently announced to his co-workers after getting eight hours of sleep that he could cure world hunger.

James is going to be coming back in for a follow-up at the end of August. All of us at the Change Your Brain, Change Your Life Foundation are very excited to see what kind of improvements he will have made and to track his progress. I will keep you updated on James’s progress too.

Finally, I would like to give James my heartfelt thanks for having very graciously offered to allow us to tell his story so that it might help others.

Is this the dumbest sport for your brain?

Most of you know how I feel about collision sports that are risky for brain injuries. But one emerging sport could be the worst I have ever seen as far as brain health is concerned.

I’m talking about MMA, mixed martial arts and Ultimate Fighting. Even worse than boxing, it allows male and female fighters to hit, kick, and basically pummel each other. In these brutal brawls, fighters routinely get clocked in the face, head, and neck.

Some experts say that MMA fighters are at higher risk for concussions than athletes in any other sport. Duh!

If you want proof, read this article about Michael Kirkham, a MMA fighter who suffered a brain hemorrhage in his first professional bout and died two days later. According to the article, Kirkham’s death is the second directly related to a sanctioned MMA event on U.S. soil.

Experts in Kirkham’s case say it might have been something called “second-impact syndrome.” That’s where a person suffers a head injury and in the following days and weeks, subsequent head trauma can cause a catastrophic injury.

This is another reason why all sports-including professional, college, and high school-need to be more vigilant about diagnosing and treating concussions and other head injuries.

As a neuroscientist, I just don’t understand why anyone would sign up for this kind of a beating. Getting beaten to a pulp on a regular basis is not the sign of intelligent life!

If you want to live your best life, protect your brain. It’s the only one you’ve got.

I seriously question why this sport is legal. I think it is worse than dog fighting. I love dogs, but these are human beings. Is the money that is made on MMA really worth causing lasting brain damage and damaging the combatants’ lives? I cannot imagine any thoughtful person answering yes.

Some people will say these fighters know the risk. I highly doubt it. No one likely ever told them about the risk for dementia and a life time of cognitive impairment. Sports commissions need to wake up and start protecting athletes not directly put them in harm’s way.

Case of the Week: Chase—addiction

Drug-damaged brain

After years of treating people with addictions, we have found that one of the best ways to break denial is to show someone an image of their brain.

Chase, 18, is the son of a billionaire. He was drinking, smoking pot, taking OxyContin, and doing coke and meth, but was in complete denial about his addiction.

His mother had tried to get Chase into treatment, but he resisted because he didn’t think he had a problem. The mother saw my program on public television and asked if I would meet with her son.

Brain SPECT scans were performed at the Amen Clinics and the images revealed that his brain was very toxic.

When Chase saw the images, he GOT IT immediately. Even though he felt like his drinking and drug use weren’t a problem, the scan proved without a doubt that they were seriously harming his brain.

Chase immediately cut out drinking and stopped doing drugs and has been clean and sober ever since.

If he had never seen the pictures of his brain, he probably would still be in denial and continuing to abuse drugs and alcohol.

It does not always happen so dramatically, but it does enough that I know the scans are often worthwhile.

Can brain trauma be rehabilitated?

After looking at the brain scans of more than 100 active and retired NFL players, it is clear to me that playing professional football causes long-term brain damage. Our study’s initial findings led us to a question that had much more implications outside of football.  “Could we rehabilitate brains that have been damaged by chronic trauma?”

The answer might surprise you. Read more in my latest blog on the Huffington Post:

http://www.huffingtonpost.com/daniel-amen-md/can-brain-trauma-in-nfl-p_b_651123.html

The NHL finally gets smart

In March, I wrote about how the National Hockey League (NHL) and Players Association had agreed that they needed to ban hits to the head.

Well, they have made good on their promise.

The committee has agreed on a new penalty for headshots. Starting this season, a five-minute major penalty and game misconduct—the suspension of a player for the rest of that game—can be issued for headshots. The penalty will include the potential for supplementary discipline as well.

I am hopeful that this will reduce the number of concussions for hockey players.

After working with the more than 100 former professional football players in our retired NFL players study, I understand just how life-changing these concussions can be. Many of the players in our study have cognitive impairment, memory loss, problems with addiction, obesity, and more.

The NHL is making a smart move, and I applaud their efforts to ensure the brain health of their players.

Now it’s time for other sports to follow their lead.

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