Jesus.
I'm not an expert (not a neuropsychologist) but I am a clinical psychologist working at VA who has been forced to contend with the mTBI issue (first as a C&P examiner where every friggin case that had comorbid PTSD (or potential PTSD) and a 'history of combat-related concussion' came with a requirement that I somehow disentangle presently reported symptoms of irritability, insomnia, (self-reported) memory problems, attention/conc. problems, etc.) as being due to PTSD or to residuals of the mTBI. This is a determination that basically every peer-reviewed source of information (including the official publications by the VA/DOD on the issue) I could get my hands on said couldn't really be done (and I said as much pointing to the specific literature). The answer is base-rates
.
There is no other area that I encounter in regular clinical practice where the public perception is SOOOOOO far off and discrepant from the actual clinical/scientific reality than the mTBI (residuals) / 'post-concussion syndrome.' And the foaming at the mouth fury of veterans presenting in my present position (post-deployment health psychologist) is only going to intensify over the time as a result, i.e., 'I have a TRAUMATIC BRAIN INJURY! I can't work! I verbally lash out at my wife/boss because I can't help it because I have a TRAUMATIC BRAIN INJURY! How the hell could they deny my service-connection increase to 100% and 'total and permanent unemployability status'??? I mean, doc, I have a TRAUMATIC BRAIN INJURY! They're messin' with my money, my life, my friggin FAMILY! They're HURTING MY CHILDREN!'
Jesus.
No, man...what your record confirms is that you reported that in 2005 (10 years ago) you were on deployment and a hatch came down hitting you on the head and you were dazed/confused for 5 min's with no loss of consciousness, no traumatic amnesia, no complications in the immediate aftermath and of course no demonstrable/imaged physical damage/complications.
What the record confirms is the HISTORICAL EVENT of hitting your head. You hit your head ten years ago. That's it. You are not 100% unemployable as a direct result. You do not have an iron-clad excuse for beating your wife and not even attempting to regulate your emotional/behavioral responses to normal life stressors. You do not deserve combined benefits (from social security disability and service-connected VA benefits) paid for by the tax payers for the rest of your life (60+ years?) to not work another day in your life.
Again, we're not talking moderate to severe head injuries (which we all know is or can be a completely different scenario)...we're talking bump on the head with no LOC or posttraumatic amnesia 10 years ago. It doesn't even pass the common sense layperson bull**** detector.