Is it too late to wish you all a happy new year? We think not!
Here at SFTT we’ve been busy wrapping up our 2017 initiatives and planning for an even better 2018 with new programs and partners to help Veterans suffering from Traumatic Brain Injury (TBI) and Post Traumatic Stress (PTSD).
During the past year, Stand for the Troops, the Little Organization That Could and Has, hit a major milestone — we turned 20! Twenty, old enough to be a combat soldier which, in many ways we are. SFTT is at war helping American Veterans combat invisible war wounds.
In 2017, we fought for — and aided — our Veterans who suffer from TBI and PTSD by:
Securing educational grants 2017 for west coast Veterans wanting to pursue a career in sustainable agriculture and presently, a 2018 grant to continue this program is being reviewed. We’re also working to expand this program to make it available to Veterans on the east coast.
Helping fund Attention-Bias Modification Treatment for PTSD research at Columbia University and the New York State Psychiatric Institute by supporting the Principal Investigator, Dr. Yuval Neria. Dr. Neria’s other related projects establish innovative trauma care for Veterans and their family members, such as Man of War Project & Military Family Wellness Center.
Working in concert with the Knights of Columbus on The Frank Robotti Golf Classic where we raised awareness and funds for service dogs. We’ll be awarding money to a local service dog program soon.
In 2018 we plan to continue this good work while introducing a program that focuses on our co-founder, Col. David “Hack” Hackworth’s commitment to safeguarding frontline soldiers with more than lip service. Our new treatment plan, unveiled in the next few weeks, integrates proven medical and wellness therapies to effectively treat combat-related traumatic brain injury.
We’d love to hear from you so please drop us a line at email@example.com!
The Department of Veteran Affairs (the “VA”) continues to struggle to provide effective therapy for Veterans with PTSD and TBI. As such, SFTT has decided to focus most of its attention on helping Veterans and their families cope with the ravages of the silent wounds of war.
The devastating effect of brain injury for hundreds of thousands of Veterans and their families cannot be underestimated. While SFTT will focus primarily on “new” therapy programs, we will occasionally report on the very unsettling problems faced by Veterans and their families as they seek to recover their lives.
Some “alternative” therapies have already proven to be quite successful, but many others are not widely known to Veterans or the medical profession at large. Even if these programs were endorsed or approved by the VA, treatment is often beyond the financial means of most Veterans.
While SFTT will let the “news” speak for itself, the science of treating brain injury is still in its infancy. SFTT attempts to provide balanced reporting of the pros and cons of these emerging therapy programs but strongly encourages the reader to make up their own mind as to their efficacy.
Hyperbaric Oxygen Therapy or “HBOT”
Among the most promising therapies is hyperbaric oxygen therapy or “HBOT,” Essentially, HBOT consists of a series of controlled dives in a compression chamber where Veterans receive oxygen under pressure. Many independent research studies have confirmed the efficacy of HBOT, but the VA and the DoD have consistently claimed that there is limited evidence to sustain the assertion that HBOT helps to improve brain function.
Despite the VA’s policy, many countries use HBOT to treat brain injury. In fact, the Israel Defense Forces (“IDF”) use HBOT to treat any concussive event for its military personnel. SFTT has written often about the efficacy of HBOT.
Nevertheless, VA spokesperson Dr. David Cifu continues to claim that current VA program are more effective than HBOT. The clinical evidence strongly suggests that Dr Ciful is misleading Veterans, Congressional subcommittees that oversee the VA and the public about the lack of efficacy of HBOT. SFTT will fully address Cifu’s “misspeaks” and “questionable” scientific evidence at a later date.
According to an article published in Newsweek, the final round of clinical trials for MDMA assisted psychotherapy could lead the way for the United States to approve the drug for therapeutic use as early as 2021.
The third and final phrase of trials gets underway after the Food and Drug Administration (“FDA”) designated MDMA as a “breakthrough therapy” for post-traumatic stress disorder (PTSD) in August 2017, ensuring that it will work with advocates to complete the last phase quickly.
MDMA, or 3,4-methylenedioxy-methamphetamine, is an empathogen, meaning that it stimulates togetherness and trust among users. It also inhibits activity in the brain that treats fear and stimulates hormones that make people feel more connected. While some may refer to MDMA and ecstasy interchangeably, MDMA is the pure form of the drug, while ecstasy can be cut with unknown adulterants.
SFTT Commentary: SFTT has written several times about the use of MDMA (aka “Ecstasy”) in treating PTSD. While final trial results for MDMA will not be known for several years, it is worth remembering that drugs that treat behavioral or pain symptoms but produce no long-lasting improvement in brain function may not be cause for celebration. Let’s face it, the President’s Final Report on Combating Drug Addiction (page 20) states quite clearly that “the modern opioid crisis originated within the healthcare system.” Will another drug prove more effective?
Written Exposure Therapy “WET”
According to a press release by Marilynn Larkin for the Psych Congress Network, “Written Exposure Therapy (“WET”) is noninferior to first-line cognitive processing therapy (CPT) for treating posttraumatic stress disorder (PTSD) and can be delivered in fewer sessions, researchers say.”
WET involves writing about a traumatic experience under clinical guidance, using a structured format.
“Our study has important implications for clinicians, as it suggests that PTSD can be effectively treated using a much shorter, less burdensome intervention – i.e., five sessions, minimal face-to-face time with the therapist, no between-session homework assignments – than what is typically used in clinical practice,” Dr. Denise Sloan of National Center for PTSD, VA Boston Healthcare System, told Reuters Health.
SFTT Commentary: The suggestion that WET is “noninferior to first-line cognitive processing therapy (“CPT”) is hardly a ringing endorsement. Despite VA propaganda to the contrary, CPT has been largely unsuccessful in treating Veterans with PTSD.
SFTT readers are encouraged to drop us a line if they discover an interesting new therapy to treat PTSD or TBI or would like to share a public interest story. SFTT can be reached at firstname.lastname@example.org.
As reported earlier, the Department of Veterans Affairs (“the VA”) is now providing hyperbaric oxygen therapy of “HBOT” on a trial basis to Veterans with PTSD and TBI. This marks an abrupt turnaround within the VA that has repeatedly claimed that there is insufficient clinical “evidence” to support the use of HBOT in treating Veterans with brain injuries.
The VA’s position reportedly stems from some 32 “inconclusive” studies on the effectiveness of HBOT in treating TBI and PTSD. Most recently, the 2015 DoD trial of HBOT concluded that there was a “lack of evidence” that HBOT helped Veterans with PTSD or TBI.
Col. Miller, the DoD project manager, “didn’t see any value in moving forward with more studies.” As SFTT reported earlier, Col. Miller is an infectious disease specialist and not a brain trauma specialist. Fortunately, he now works for the Gates Foundation focusing on his specialty: infectious disease.
The VA and the DoD go to great lengths to discredit the use of HBOT in treating Veterans with brain injury. Nevertheless, their arguments seem rather spurious against the almost overwhelming scientific evidence that HBOT is effective in helping to improve brain functionality.
Some in the medical profession have questioned whether test protocols in the DoD 2015 study were manipulated to produce the “inconclusive” outcome. More to the point, how is it possible for the VA to continue to defend its ONLY two non-invasive therapy programs: Prolonged Exposure Therapy (“PE”) and, Cognitive Processing Therapy (“CPT”)? Patient outcomes for these two programs have been shown by independent studies to be next to useless.
Hopefully, the lack of any meaningful success in treating PTSD and TBI has forced the VA to accelerate its exploration of alternative therapies. Hopefully, HBOT will soon be incorporated into the treatment options currently provided to Veterans by the VA.
“In essence, our mental attitude is that we must take care of ourselves and through that process little Israel has become a blessing for the rest of the world…we treasure our soldiers, young and old. They are our only defenders….no one else will fight our battles. You can imagine that every concussive event will be treated with HBOT !” . . .“the policy of the IDF is that life has the highest value and they are committed to use any treatment, in any case, to save a life”.
Furthermore, as Dr. Paul Harch and others have pointed out, there are many independent scientific studies confirming the benefits of HBOT. Specifically, Dr. Xavier Figueroa has written a compelling argument suggesting that the VA has dropped the ball on HBOT research.
There is plenty of anecdotal evidence to suggest that Veterans are seeking treatment centers all across the United States. In many cases, clinics are opening their doors to Veterans to help them recover from the silent wounds of war. Nevertheless, the treatment can be quite expensive as remains out of financial reach for most Veterans.
While Veterans and their support givers cope with this devastating war wound, SFTT remains hopeful that HBOT and other alternative therapy programs will soon be adopted by the VA to help these brave Veterans recover their lives.
Found below is an old (2012) but compelling video (caution, it takes a while to load) from a TV Station in Louisiana (WWL.com) which shows the remarkable recovery of Maj. Ben Richards mental and motor skills after having received treatment from Paul Harch:
While HBOT may not be “right” solutions for all Veterans suffering from brain injury, it does seem a far more compelling treatment alternative to the ineffective programs currently offered by the VA. More to the point, HBOT is non-invasive which suggests that we won’t have a new generation of addicts to contend with given failed VA programs.
As SFTT reported earlier, the VA will soon be providing a limited number of Veterans with access to hyperbaric oxygen therapy or “HBOT” at the VA’s Center for Compassionate Innovation (“CCI”) facilities in Texas and Oklahoma.
SFTT has yet to learn when these programs will begin or how many Veterans will be enrolled in these initial programs. As important, SFTT and the HBOT community at-large is interested in learning how “test protocols,” “metrics,” and “clinical trials” will be set by the VA and DoD to determine the benefits of HBOT.
As one sorts through the often nasty exchanges between proponents of HBOT and the VA gatekeepers like Dr. David Cifu, one cannot be oblivious to the fact that the VA does not want to encourage the adoption of HBOT in treating Veterans with PTSD and TBI.
The VA’s claim is that “patient outcomes’ using HBOT are inconclusive based on VA and DoD trials.
Could it be – as many have suggested – that the test protocols were flawed to produce “inconclusive” test results? From SFTT’s experience in monitoring the DoD, it would NOT BE THE FIRST TIME that test procedures have been deliberately modified to produce outcomes more to the liking of current military dogma.
Many will argue that further HBOT tests are not required given the wealth research currently available. In fact, found below is an extract from a Jan, 2017 report:
Xavier A. Figueroa, PhD and James K. Wright, MD (Col Ret), USAF Hyperbaric Oxygen: B-Level Evidence in Mild Traumatic Brain Injury Clinical Trials. Neurology® 2016;87:1–7 “There is sufficient evidence for the safety and preliminary efficacy data from clinical studies to support the use of HBOT in mild traumatic brain injury/ persistent post concussive syndrome (mTBI/PPCS). The reported positive outcomes and the durability of those outcomes has been demonstrated at 6 months post HBOT treatment. Given the current policy by Tricare and the VA to allow physicians to prescribe drugs or therapies in an off-label manner for mTBI/PPCS management and reimburse for the treatment, it is past time that HBOT be given the same opportunity. This is now an issue of policy modification and reimbursement, not an issue of scientific proof or preliminary clinical efficacy.”
While Secretary Shulkin is wise to proceed slowly, he must exercise extreme caution in allowing the naysayers within the VA any authority over the initial CCI HBOT trial programs.
HBOT Infrastructure in Place to Help Veterans
Assuming the VA leadership can get beyond the hurdles they largely created, Veterans with “mild TBI” and “persistent” PTSD should be able to quickly access hundreds of HBOT facilities across the United States. With equipment already in place around the country in hospitals and private health clinics, there is no need to hold up treatment for Veterans to wait for the VA to outfit its facilities.
Clear treatment protocols and directives need to be established for each private clinic providing HBOT to Veterans. HBOT is administered in a series of dives or sessions (usually between 28 and 40) over a 6 week to 2 month time frame. Supervision by a trained clinician is required at each dive. Clearly, a larger “dive chamber” capable of offering therapy to a number of Veterans at the same will help bring down the costs of HBOT.
Costs “per dive” or “session” vary significantly around the country. Some hospitals charge $1,800 per session, but most private clinics offer this service at a cost of between $250 and $350 per dive. Given the bargaining power of the VA, it seems most likely that a series of battery of dives can be accomplished for well under $10,000, which is less than half of what the VA currently spends on Veterans with TBI/PTSD.
As SFTT has stated on many occasions, HBOT is not the “silver bullet” to eradicate this silent wound of war, but many more Veterans with brain trauma will begin to be able to reclaim their lives with less reliance on VA prescription drugs that simply mask symptoms rather than provide any lasting improvement in brain functionality.
This could be a BIG DEAL for ailing Veterans and family members who provide our Veterans such caring support.
In a somewhat surprising but not totally unexpected development, the “VA’s Center for Compassionate Innovation (CCI) will offer Hyperbaric Oxygen Therapy (“HBOT’) to a small number of selected veterans with chronic PTSD in a pilot program to be run through facilities in Oklahoma and Texas.”
SFTT joins Bethesda Hyperbaric Oxygen Therapy (“Bethesda HBOT’) in applauding this initiative by the VA. Bethesda HBOT notes that “worldwide research and years of clinical experience has clearly demonstrated that HBOT is not only extremely safe in treating PTSD and head injury, especially when compared with psychoactive and mood altering drugs, but also has been effective in treating thousands of veterans and active duty service members with underlying brain injury.”
“As healthcare leaders interested in innovative approaches to care, the VA Center for Compassionate Innovation (CCI) is facilitating use of HBOT for a subset of Veterans who have noticed no decrease of symptoms after receiving at least two evidenced-based treatments. CCI uses innovative approaches to treat conditions where traditional methods have been unsuccessful. VA will monitor the HBOT clinical demonstration project and the HBOT research study to help inform the potential for HBOT usage to treat a larger number of Veterans with PTSD.”
As SFTT reported earlier, it seems that Secretary David Shulkin agreed to accelerate the use of HBOT for Veterans with PTSD over widespread opposition within the VA.
In fact, the Stars and Stripes article cites some 32 “inconclusive” studies on the effectiveness of HBOT in treating TBI and PTSD. Furthermore, it quotes Col. Scott Miller, the lead study author for a 2015 VA study, arguing that there was a “lack of evidence” HBOT helped and that “he didn’t see any value in moving forward with more studies.” SFTT finds it surprising that Col. Miller was lead on this project when he is reportedly an “infectious disease specialist.”
Several HBOT specialists have suggested that the DoD botched test protocols that let to its “inconclusive” findings.
How does this VA Change in Policy on HBOT Affect Veterans?
It is evident in the Stars and Stripes article that entrenched administrators within the VA are opposed to the use of HBOT in treating Veterans with PTSD and TBI. As SFTT has reported many times, the “High Priests” and Gatekeepers at the VA have mounted a vigorous campaign to discredit the use of HBOT in treating Veterans with brain trauma.
Frankly, scientific or clinical evidence is not lacking to support the use of HBOT in treating Veterans with brain trauma. What is lacking is a willingness of the VA to support alternative therapies.
One must hope that the VA will move expeditiously to provide HBOT to “selected Veterans” at CCI facilities in Oklahoma and Texas, but the widespread adoption of HBOT by the VA is still some years away.
Questions for the VA?
When will initial “testing” begin?
How many Veterans with “chronic PTSD” be including in the program”
Who will administer the HBOT test protocols for these Veterans?
If “legitimate” test results prove encouraging, how will Veterans gain access to HBOT therapy?
Since HBOT Oxygen Chambers (and qualified personnel) are lacking at VA facilities, will Veterans receive this therapy from the private sector?
Estimated time frame from evaluating test results to widespread deployment of the HBOT alternative.
While SFTT is delighted that the VA is pressing forward with HBOT, it does seem that it is more of a reaction to public and political pressure rather than any internal VA initiative. Based on years in observing the VA bureaucracy, it is likely that its administrators will do everything possible to discredit this noninvasive and widely accepted therapy to treat PTSD.
In a carefully crafted message, “The Department of Veterans Affairs announced this week that it would begin offering hyperbaric oxygen therapy (“HBOT”) to some veterans with post-traumatic stress disorder, despite a lack of evidence that it works or being approved by the Food and Drug Administration as a treatment for PTSD.”
The news was released by “Stars and Stripes” on November 30 in an article titled “VA to offer unproven hyperbaric oxygen therapy to vets with PTSD.”
The article is hardly a ringing endorsement of HBOT. More to the point, Secretary Shulkin reportedly said on Wednesday that “the VA must ‘explore every avenue’ and ‘be open to new ideas.’”
Well, HBOT may be “new” to the VA, but this therapy has been around for decades and is used successfully around the world to treat patients with brain trauma. The VA stigma exists because Dr. David Cifu and many other bureaucrats within the VA continue to push a stale agenda of ineffective and often dangerous therapies that don’t work.
In fact, this is one of the major reasons that Veterans with PTSD and TBI have sought treatment outside the VA. Talking heads at the VA would like Veterans and the public to believe that HBOT is “snake oil,” but there is a long and detailed clinical trail of evidence that suggests otherwise.
Arguing that HBOT is “not FDA or DoD approved” rings a bit hollow after the President’s Report on Fighting Drug Addiction and Opioid Abuse states that “the modern opioid crisis originated within the healthcare system.”
Let’s face it: What do you do when evidence-based medicine is proved wrong? Well, in this case, the Federal government will provide “the healthcare system” with billions of taxpayer dollars to fix the mess they largely created. Sounds absurd, but you don’t even have to read the small print.
While SFTT is thrilled that Dr. Shulkin has decided to part ways with the orthodoxy of failed VA therapies to treat Veterans with PTSD, it will be years before all Veterans will receive the lifesaving benefits of HBOT. Furthermore, it is likely that the VA and DoD will again manipulate test protocols to produce treatment outcomes that produce inconclusive results.
Will HBOT work in all cases? Of course not, but life-changing outcomes are far more likely with HBOT than the only two failed programs currently offered by the VA:
Prolonged Exposure Therapy (“PE”) and,
Cognitive Processing Therapy (“CPT”)
In any event, we hope that doctors within the VA system will not be so dismissive of HBOT that it leads to another Veteran suicide like Eric Bivins. For those who want a first-hand look into the travesty of the VA system, follow this painful trail of systemic abuse by Eric’s widowed spouse, Kimi.
Our brave Veterans deserve more and SFTT would like to thank Secretary Shulkin for taking this important first step.
Over five years ago, SFTT met with Judge John Schwartz, one of the early pioneers in the Veteran Court system. Discussing the rationale for Vet Courts, Judge Schwartz stated the following “We offer hope to these troubled veterans who have served our country so valiantly. It’s simply common sense.”
Drug Courts began to emerge in the nineties to deal more effectively with a growing drug problem in the United States. As SFTT wrote earlier,
“Since the mid-1990, the US judicial system has recognized the need to deal with drug-related criminal activity and have established some 2,600 Drug Treatment Courts in the United States. Drug treatment courts are specialized community courts designed to help stop the abuse of drugs, alcohol, and related criminal activity. Non-violent offenders who have been charged with simple possession of drugs are given the option to receive treatment instead of a jail sentence. These programs have proven to be remarkably successful for reducing the level of recidivism in our prison system.
Capitalizing on the infrastructure and success of the Drug Treatment Courts, some 50 or so Veteran Courts (now reportedly 300) have sprung up across the United States to deal with veterans who have committed a crime while suffering from substance abuse. In many cases, these troubled vets have the support of other Vets (often from the Vietnam era) who “mentor” their military colleagues through the rehabilitation process.
This descriptive video from Justice for Vets provides a useful overview of why our Veterans deserves a better choice than incarceration:
Thanks to Judge Schwartz and other inspired leaders in our judicial and police system, Veteran Courts have expanded all across the United States. Nevertheless, NPR reported earlier this year that many more Vet Courts are required. Specifically, NPR noted that some states still do not have a Vet Court and that North Carolina has only 3 when the evidence suggests that we require 17.
As SFTT and others have reported in the past, Veterans with PTSD and TBI have been largely neglected by the Department of Veterans Affairs (“the VA”). Veterans suffering from brain trauma often resort to substance abuse to curb pain and many resort to crime to support their habits. Should we penalize these brave Veterans for our collective failings to provide our Veterans with the support they deserve?
SFTT would like to thank the many Veterans and volunteers in the legal profession who give of their time to support our Veterans through an often confusing legal system.
When communities reach out to help these brave warriors, our society is enriched. From our perspective, it’s simply a matter of doing the right thing! We owe these brave young men and women big time!
SFTT joins millions of Americans in offering our thanks this Thanksgiving to the Veterans and active duty personnel who valiantly defend our freedoms.
As we all sit down to enjoy the traditional Thanksgiving turkey, SFTT is reminded of those who have sacrificed their lives for our country and the many Veterans who continue to suffer from the silent wounds of war.
While the battlefield war may be over, tens of thousands of Veterans suffer the effects of brain trauma. The effect of this debilitating injury not only affects the Veteran, but their family and loved ones who act as caregivers. While one would like to think that we are close to finding a life-changing solution for Veterans who suffer from PTSD and TBI, no credible solution appears imminent.
Some promising new therapies have surfaced in recent years, but the Department of Veterans Affairs (“the VA”) seems stuck in a time-warp defending outdated and failed programs. SFTT remains hopeful that the VA will come to its senses and begin adopting some successful third-party programs that have worked wonders for Veterans.
Hiding behind the mantra of “evidence-based medicine” sounds good, but loses its luster when the evidence strongly suggests that the VA programs have failed.
Our Veterans and their loved ones need solutions now!
As 2017 draws to a close, SFTT would like to thank a few people and organizations that have made a difference in the lives of Veterans this year. By no means is this an all-inclusive list, but one that offers our Veterans a path to recovering their lives:
Paul Harch and Hyperbaric Oxygen Therapy
Dr. Paul Harch is one of the leading practitioners of Hyperbaric Oxygen Therapy or “HBOT.” HBOT is a commonly used therapy provide patients with oxygen administered under pressure in a series of “dives” in an HBOT chamber. Used widely around the world for decades, HBOT has been shown to stimulate brain cells and help reverse the symptoms of PTSD and TBI. While many Veterans have found dramatic improvement in their condition, HBOT is not recommended by the VA to treat Veterans with PTSD and TBI.
Colin and Karen Archipley of Archi’s Acres
Thanks to combat-decorated Marine Sergeant Colin Archipley and his wife, Karen, a successful fashion industry entrepreneur in her own right, Archi’s Acres provides dedicated Veterans with the skills necessary to run a successful organic farming business in their community. With meaningful jobs in short supply for Veterans returning from multiple deployments to Iraq and Afghanistan, Archi’s Acres gives Veterans a lifeline to become entrepreneurs in a rapidly growing and eco-friendly business.
Yuval Neria and Equine Assisted Therapy
Dr. Neria is Professor of Medical Psychology at the Columbia University Medical Center and “Scientific Advisor” to Stand for the Troops (“SFTT”). He is now deeply involved in the Man O’War Project which is the first-ever clinical research study to determine the effectiveness of equine-assisted therapy (“EAT”) and establish guidelines for the treatment of military veterans who suffer from Post-Traumatic Stress Disorder (“PTSD”).
Maj. Ben Richards and Service Dog Bronco
Maj. Ben Richards is the Director of Veterans Operations at SFTT. Over a year ago, Maj. Richards acquired a service dog, Bronco, which has brought much needed comfort, safety and stability to his life. Sadly, the VA is “studying” the efficacy of service dogs in helping other Veterans with PTSD. This study will not be available until 2019.
Dr. Henry Grayson and Neuro Pathways
Dr. Grayson is co-chairman of SFTT’s Medical Task Force and has provided several day-long training programs to caregivers and clinical psychologists dealing with veterans suffering from Post Traumatic Stress (“PTSD”). The author of Use Your Body to Heal Your Mind, Dr. Grayson presents a radical view of health and healing based on an equally radical world view that we are all intrinsically connected rather than separate and that our belief in our separateness is a causal source of emotional and physical illness. Positing the body as the recipient of our beliefs, he shows that reading and responding to the body is a reliable path to emotional and physical healing. This is a challenging read with practical help for all willing to explore beyond the borders of traditional beliefs.”
A prominent figure that recently came to our attention was Kris Kristofferson, who had been misdiagnosed with Alzheimer’s when it was actually Lyme disease. According to his wife, the 79-year old singer “suddenly came back,” after 6 “dives” in a Hyperbaric Oxygen Therapy Chamber (“HBOT”). Says his wife, Lisa, in an article published in the UK Daily Mail:
“We were driving back from his sixth HBOT treatment and he looks over at me and says, ‘Wow, I feel like I’m back.’ And I looked right in his eyes and I said, ‘OH MY GOD, HE’S BACK! It was like, WHOA!'”
As readers of SFTT are aware, the Department of Veterans Affairs (“the VA”) has done everything possible to discredit the use of hyperbaric oxygen in treating Veterans with PTSD and TBI. More to the point, the VA has been pushing its own failed treatment programs (Cognitive Processing Therapy and Prolonged Exposure Treatment) in the name of “evidence-based” medicine.
When people in the medical profession argue on the basis of “evidence-based” medicine, it has much the same ring as the doctrine of “religious infallibility.” Let’s take everything with a grain of salt, since there is still much to discover, even for those wedded to the orthodoxy of “evidence-based” medicine.
SFTT is thrilled that Kris Kristofferson is on the road to recovery. Furthermore, we are not surprised to learn of the benefits of HBOT in treating the “real” cause of his ailing mental health.
While Mr. Kristofferson has a choice in seeking “a second opinion” and the type of therapy he prefers to treat his condition, most brave Veterans do not. Sadly, the VA does not provide Veterans with a “second opinion.” Also, the Va’s narrow treatment programs referred to as the “McDonaldisation of mental health care” offer no tangible benefits to Veterans or their families.
We sincerely hope that – in the not too distant future – our brave Veterans will be able to avail themselves of Hyperbaric Oxygen Therapy and other “old” and emerging treatment programs through the VA.
There was a time when many considered Al Jazeera to be a voice of Middle Eastern terrorists. Whether it was or not is a matter of conjecture, but most would now agree that Al Jazeera has morphed into a credible news organization.
While one could nitpick some of her conclusions, it is difficult to refute the argument that within the Department of Veterans Affairs (“the VA”) “the McDonaldisation of mental healthcare is a problem.”
” . . . if you go to any VA in the country, you’re going to probably get cognitive processing therapy or cognitive behavioural treatment (actually, prolonged exposure) because those are the evidence-based practices that they use. It’s like if you go to any McDonald’s, a cheeseburger is going to be the same.”
Yep, the VA only serves two flavors of milkshakes (chocolate and vanilla) to treat Veterans with PTSD:
Cognitive Processing Therapy, and
Prolonged Exposure Treatment.
More to the point, if the VA’s two PTSD therapy programs don’t work, its doctors are likely to prescribe a cocktail of potent drugs to keep the Veteran’s symptoms in check. This is hardly the outcome our brave warriors and their families should expect.
For an organization that prides itself on providing “evidence-based” medical treatment to Veterans, the GAO and the Rand Corporation have found that these programs resulted in negligible benefits for Veterans with PTSD. In effect, “evidence-based” medicine seems to apply to every “alternative” therapy program other than the failed programs mandated by the VA.
As distinguished members of medical profession talk about “evidence-based” medical programs to treat PTSD, one can only wonder how warriors with the symptoms of PTSD in the distant past coped without the benefit of clinical trials.
Mind you, acupuncture seems to be have successful for some 2,000 years without the benefit of clinical trials. The benefits of oxygen therapy programs have been around for centuries and there have been many documented therapy programs listed since as early as the 1930s. Nevertheless, the folks at the VA – headed-up by chief spokesperson, Dr. David Cifu – still dispute the benefits of hyperbaric oxygen therapy in treating Veterans with PTSD.
Despite efforts by Reem Shaddad and many others to expose the hypocrisy within the VA, Veterans with PTSD and TBI will need to seek help outside the VA.
SFTT is not convinced that there is a “silver bullet” to cure PTSD and TBI, but it is abundantly clear that the two PTSD therapy programs mandated by the VA are not effective. For this reason, SFTT endorses a far wider use of alternative therapy programs to provide Veterans with a “real” choice over the VA’s failed programs.
Sure, there will be some “snake-oil” peddlers and charlatans that seek to take advantage of Veterans, but it is unlikely to be nearly as severe as the opioid epidemic perpetrated by the “evidence-based” healthcare system.