Friday, June 23, 2017

U.S. Department of Veterans Affairs in Washington, D.C., United States for Friday, 23 June 2017 "Multi-war Veteran still winning at Golden Age Games, Women Veterans Summit registration open"

U.S. Department of Veterans Affairs in Washington, D.C., United States for Friday, 23 June 2017 "Multi-war Veteran still winning at Golden Age Games, Women Veterans Summit registration open"
See the changes to VA benefitsGolden Age Game athlete

[ABOVE] Legacy of service: WWII, Korean War, Vietnam Veteran still winning at National Veterans Golden Age Games
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U.S. Department of Veterans Affairs in Washington, D.C., United States for Friday, 23 June 2017 "Veterans Affairs YouTube Update"

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Military Health System in Washington, D.C., United States for Friday, 23 June 2017 "Men need to take control of their health"

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MH urology

Men need to take control of their health

Navy Lt. Cmdr. David Griffin (left), a urologist at Naval Hospital Pensacola, discusses a treatment plan with a patient in the Urology Clinic. Some of the common conditions seen at the clinic include male infertility, sexual health, kidney stones, urinary tract infections, urologic cancers, blood in the urine, urinary problems, vasectomies and more. (U.S. Navy photo by Jason Bortz)
NAVAL HOSPITAL PENSACOLA, Fla. — A visit to the urologist is not something most men look forward to, but results can range from improved sexual health to early detection of cancer.

June is Men’s Health Month and Naval Hospital Pensacola’s Urology Clinic reminds men of the importance of regular medical exams and to take control of their health care.

The clinic provides treatment for conditions of kidney, bladder and male reproductive organs. Some of the common conditions include male infertility, sexual health, kidney stones, urinary tract infections, urologic cancers, blood in the urine, urinary problems, vasectomies and more.

“The majority of patients that we see are men,” said Navy Lt. Cmdr. David Griffin, NHP urologist. “Unfortunately, men are not always comfortable talking about their health.”

Topics such as trouble urinating or sexual performance may be hard topics for some men to discuss, but they are all common problems that the clinic sees on a regular basis.

“Men have to actively take care of themselves,” said Griffin. “If you are having a problem, talk to your physician about it and get the treatment needed.”

While topics such as frequent urination or erectile dysfunction may be hard for some men to talk about, urologic cancers should be a topic all men should be willing to discuss with their physician. Early detection of testicular or prostate cancer will lead to better treatments and outcomes for patients.

For testicular cancer, men should perform regular self-exams while showering. If a lump or something unusual is discovered, an appointment should be made to see a physician.

Men should also let their physician know if they have any family history of prostate cancer and have a prostate exam when they turn 55. Signs that a man may have an issue with his prostate include frequent urination, difficulties urinating or blood in the urine. These signs could be due to an enlarged prostate, which is another reason to visit the Urology Clinic.

Another common condition seen at the clinic is kidney stones. Some people just naturally develop kidney stones, but dehydration and diets high in protein and sodium can also cause them.

“Dehydration can cause kidney stones, especially in high heat climates like Florida,” said Hospital Corpsman 3rd Class Bradley Blackwell, a urology technician at NHP. “You need to drink lots of water to flush the salts and calcium from your system.”

Men need to take control of their health, not just during Men’s Health Month but year round. If urologic symptoms appear for men or women, they should make an appointment with their physician. It could be something simple or it could be something that can cause long-term health problems.

Disclaimer: Re-published content may have been edited for length and clarity. Read original post. 

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Defense Health Agency to assume oversight of DoD HIV/AIDS Prevention Program

Vice Adm. Raquel Bono, director, Defense Health Agency (DHA), visited the Naval Health Research Center (NHRC) June 8, to discuss the transition of oversight for the Department of Defense (DoD) HIV/AIDS Prevention Program's (DHAPP) from Navy Medicine to the DHA.
SAN DIEGO — Navy Vice Adm. Raquel Bono, director, Defense Health Agency (DHA), visited the Naval Health Research Center (NHRC) June 8, to discuss the transition of oversight for the Department of Defense (DoD) HIV/AIDS Prevention Program's (DHAPP) from Navy Medicine to the DHA.

DHAPP was established in 2001 to help contain the global health threat posed by the HIV pandemic. DHAPP's mission was, and still is, to assist foreign militaries develop HIV control programs in support of global health security and DoD security cooperation efforts.

Since DHAPP's founding, the Navy, through Navy Medicine and NHRC, has served as executive agent (EA) for the organization. NHRC was selected to manage DHAPP, which is a directorate of the research center, due to the command's expertise in HIV research and development of effective prevention and intervention programs for the U.S. military.

In 2014, one year after the DHA was stood up, the DoD approved the realignment of all medical EA organizations under DHA's leadership. DHA oversight will streamline interagency collaboration for DHAPP and enhance the DHA's global health engagement capabilities and mission.

Bono's visit provided the opportunity for her to learn more about DHAPP operations, the level of administrative support NHRC provides for the directorate, and meet with staff before the transition is complete in late August. This was Bono's second visit to NHRC and DHAPP. While serving as the U.S. Pacific Command (PACOM) surgeon, Bono toured the command during a West Coast visit.

"When I was the PACOM surgeon, a large part of my portfolio included going into different countries to support global health engagement and look at theater security cooperation," said Bono. "DHAPP, along with the President's Emergency Plan for AIDS Relief and other government agencies, was among our constant partners. I was always very impressed when these organizations came together in interagency collaboration, sharing collective goals and making progress towards achieving them."

Bono went on to say that having DHAPP align under DHA's leadership will enable broader opportunities for the organization to expand its interagency partnerships and work more closely with the DoD's combatant commands (COCOMS). DHA is a joint, integrated combat support agency that enables the Army, Navy, and Air Force medical services to provide the COCOMS with a medically ready force and a ready medical force.

"As a combat support agency, with direct linkages to the COCOMS, DHA can amplify the work DHAPP is doing towards global health engagement," said Bono. "I'm also interested in how DHAPP can synergize with the Armed Forces Health Surveillance Branch and the Global Emerging Infections Surveillance section to create a collective impact that broadens our effectiveness in advancing global public health."

Rick Shaffer, DHAPP director, said he and his team are looking forward to opportunities the transition will bring.

"Change can be unsettling, but this transition moves DHAPP in a positive direction," said Shaffer. "We've grown a great deal since 2001, and joining forces with DHA will allow us to reach a far greater potential as a DoD program, particularly as we look to increase our medical stability operations and continue our work helping partner militaries become self-sufficient with their own HIV prevention, care, and treatment programs."

During a meet and greet with DHAPP staff, Bono told them she's looking forward to working with them as they leverage their expertise for the benefit of all the services.

"We are on the precipice of making tremendous change and I see DHAPP's transition as a very unique opportunity," said Bono. "In the DHA, we are leaning very far forward, constantly challenging conventional thinking and behavior, to achieve our full potential. If you aren't uncomfortable, you aren't leaning far enough forward. But no matter how far forward you're leaning, I will not let anyone down, because I've got you by the belt strap. So, lean forward. Get a little uncomfortable. Prepare to make new things happen."

Disclaimer: Re-published content may have been edited for length and clarity. Read original post. 

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Updates from the VA Office of Health Equity

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VHA Office of Health Equity VHA.Health.Equity@public.govdelivery.com

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LGBT Pride Month; June & July Focus on Health Equity & Action Cyberseminar; Health Equity Training Programs
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Announcements

June 22, 2017

VA Celebrates June as Lesbian, Gay, Bisexual and Transgender Pride Month

lgbt pride
The Department of Veterans Affairs (VA) is pleased to observe the Lesbian, Gay, Bisexual, and Transgender (LGBT) Pride Month during its traditionally recognized month of June. This year's theme is "It Takes a Rainbow." LGBT Pride Month is observed to recognize the impact and contributions LGBT individuals have made and continue to make in society and in the workplace.
The Office of Health Equity champions health equity issues for vulnerable Veteran groups including LGBT Veterans. Many LGBT Veterans experience stigma and disparate health outcomes. In recognition of the health and social challenges faced by LGBT Veterans, OHE has sought to improve healthcare and wellbeing by:
  • Advocating for the services and healthcare needs for LGBT Veterans;
  • Coordinating VA participation in the Healthcare Equality Index sponsored by the Human Rights Campaign from 2013-2016;
  • Providing subject matter expertise and serving on the committee to develop VA’s recently released, first-ever handbook to improve the experience of transgender employees at the VA to transition at work;
  • Leading cutting edge research on health disparities in transgender Veterans; and
  • Providing subject matter expertise in the development of sexual orientation and gender identity data fields in the VA electronic health record to better identify and address the care needs of LGBT Veterans. 

Resources



June Focus on Health Equity and Action Cyberseminar Focuses on New Research on Disparities in Obesity and Hypertension and Diabetes Disparities in the VHA Patient-Centered Medical Home

Chronic conditions 3 panel

Please join the Office of Health Equity for the June 2017 Focus on Health Equity and Action Cyberseminar titled, “Chronic Health Conditions among Vulnerable Veterans: Current Research and Action.” Event description and registration information is below.

Chronic Health Conditions among Vulnerable Veterans: Current Research and Action

Thursday, June 29th, 2017
3:00 – 4:00 PM (EST)

REGISTER

Event Description

June’s Focus on Health Equity and Action Cyberseminar session spotlights recent publications on chronic health conditions and disparities among vulnerable Veteran patient groups:
  1. The Obesity Epidemic in the Veterans Health Administration: Prevalence Among Key Populations of Women and Men Veterans (April 2017)
  2. Racial and Ethnic Disparities Persist At Veterans Health Administration Patient-Centered Medical Homes (June 2017)
Panelist will discuss the following: 1) demographic variability in the prevalence of chronic health conditions and disparities among Veterans using primary care in VHA; 2) recent efforts in using VA data to systematically characterize health and healthcare disparities in VA for vulnerable Veteran groups; 3) the potential for the patient-centered medical home to identify and reduce disparities; and 4) operational and research partnerships executed by the Office of Health Equity to advance the goals of the VA Health Equity Action Plan.

Confirmed Speakers

  • Jessica Y. Breland, PhDVA Palo Alto Healthcare System, Palo Alto, CA 
  • Donna L. Washington, MD, MPHVA Greater Los Angeles Healthcare System, Los Angeles, CA  
  • Uchenna S. Uchendu, MDChief Officer, Office of Health Equity, Washington, DC

Background Resources 

REGISTER


Visit the Office of Health Equity website at https://www.va.gov/healthequity/ for more details about Veteran health equity issues, VA’s strategic plan to achieve health equity for Veterans (Health Equity Action Plan), and to learn more about the Focus on Health Equity and Action Cyberseminar series.


July FHEA Cyberseminar – Using Effective Communication of Healthcare Disparities and Vulnerabilities to Empower Professionals, Veterans and Stakeholders

July’s Focus on Health Equity and Action Cyberseminar session spotlights the EMPOWER research project, and the Make the Connection video project targeting vulnerable Veteran groups.

Using Effective Communication of Healthcare Disparities and Vulnerabilities to Empower Professionals, Veterans and Stakeholders

Thursday, July 27, 20173:00 – 4:00pm EST

 REGISTER


Panelist will discuss the following:

  1. Key findings of the EMPOWER project which was designed to understand how to effectively communicate with healthcare professionals about healthcare disparities;
  2. Using tailored peer to peer Veteran stories of recovery to connect Veterans, family members, friends, and other supporters with information, resources, and solutions to issues affecting their lives; and
  3. Operational and research partnerships executed by the Office of Health Equity to advance the goals of the VA Health Equity Action Plan.  

Confirmed Speakers

  • Diana Burgess, PhD Health Science Researcher, VA Minneapolis Healthcare System, Minneapolis, MN
  • Wendy Tenhula, PhD Deputy Chief Consultant for Specialty MH, VA Central Office, Washington, DC 
  • Uchenna S. Uchendu, MD Chief Officer, Office of Health Equity, VA Central Office, Washington, DC

Background Resources


Increasing the Number and Competency of Professionals to Address Veteran Health Equity and Care

The Office of Health Equity is committed to increasing the number of health professionals and stakeholders and competency to address the health equity needs of Veterans. Did you know that approximately two-thirds of physicians in the United States have trained at the VA? VA also sponsors approximately 10% of graduate medical training positions according to Darrell G. Kirch, MD, President and Chief Executive Officer of the Association of American Medical Colleges.
In his Foreword to the National Veteran Health Equity Report, Dr. Kirch describes OHE’s efforts to increase knowledge of Veteran health and equity issues as informing “the way the next generation of physicians thinks about equity and care for vulnerable patients.” With this in mind, OHE is pleased to share upcoming trainings and fellowships that will inform how successful we will be in reducing health disparities and achieving health equity.
  

2017 VA Diversity and Inclusion Summit: Building the Workforce Pipeline of Tomorrow

VA Diversity Summit
The VA Office of Academic Affiliations (OAA) will host VA’s inaugural Diversity Summit on June 28-29, 2017 at the Meharry Medical College in Nashville, TN. The summit’s theme is “Building the Workforce Pipeline of Tomorrowand it will commence at the conclusion of the Empower2 Conference; a national meeting for those historically black colleges and universities (HBCUs) that have health professions education programs.
The summit’s purpose is to strengthen VA’s valued relationships with the HBCU community. HBCU attendees will have a venue to explain the obstacles experienced by their schools while working with VA. VA will provide summit participants with additional information on its health professions training mission and identify additional partnership opportunities. This meeting will further provide OAA with the opportunity to identify the best approaches to ensuring appropriate and consistent outreach to all HBCU health professions schools. VA intends to listen and prioritize solutions to the concerns identified at the summit.
Office of Health Equity Chief Officer Uchenna S. Uchendu served on the planning committee and will be moderating and participating on a panel at the event (11:00am – 11:45am, Veteran Diversity, Equity, Demographics and Opportunities).

2017 Diversity and Inclusion Summit Agenda


Leaders for Health Equity Fellowship Program

LHE Fellows
Photo Caption: Inaugural Class of the Leaders for Health Equity Fellowship Program (2017) 

Applications for the 2018 fellowship program are currently being accepted from June 1, 2017 to July 15, 2017.

Apply Now


The Leaders for Health Equity (LHE) is a fellowship program offered by the George Washington University Health Workforce Institute through the generosity of the Atlantic Philanthropies. The vision of the program is to develop global leaders who understand the foundations of health inequity and have the knowledge, skills, and courage to build more equitable organizations and communities.
Fellows are selected from the United States and the developing world based on prior commitment in the area of health equity and demonstrated leadership promise. The program builds and supports a linked group of global multidisciplinary leaders equipped with the technical knowledge, skills, and network to advance health workforce equity in their communities, institutions, and professional circles. The program will select 10 U.S. and 5 international fellows per year. Apply for the fellowship at http://bit.ly/LHE2018.
Office of Health Equity’s Kenneth T. Jones, PhD (pictured above) is a member of the current and inaugural class of the LHE Fellow. As a part of his professional development experience in the fellowship, Dr. Jones is focusing on the development of a data visualization tool and maps that overlay Veteran clinical quality measures and community markers of social determinants of health at various geographic levels in order to 1) increase understanding of social determinants on Veteran health outcomes and 2) increase efforts to improve Veteran care.

Robert Wood Johnson Foundation Clinical Scholars Program

Applications for the Robert Wood Johnson Foundation (RWJF) Clinical Scholars Program will open in January 2018. The program provides funding and leadership training to clinically active providers to help leverage their ideas to improve health outcomes in communities across the country (http://clinical-scholars.org). Providers working in collaboration with veterans, their families, and local organizations are encouraged to apply.
The Clinical Scholars program provides funding and leadership training to clinically active providers with experience in providing healthcare services to children, adults, and families. Preferred applicants are engaged in their community and motivated to leverage their passion and ideas to improve health beyond the clinical setting. Fellows identify complex health equity issues further challenged by social, political, and environmental factors and propose novel interdisciplinary approaches to improve health beyond the clinical setting. Potential fellows apply in multidisciplinary clinical teams (> 2) and may represent the range of health affair professions: dentistry, medicine, nursing, pharmacy, physical therapy, social work, and/or veterinary medicine. The currently funded 2016 team projects are focused on a range of complex health issues: oral health, mental health and opioid abuse, behavioral health, immigrant health, community violence, and the foster care system (http://clinicalscholarsnli.org). 

US Department of Veteran Affairs
Veterans Health Administration
Office of Health Equity
810 Vermont Avenue, NorthWest
Washington, D.C. 20420, United States 
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Veterans Affairs Office of Inspector General (OIG) in Washington, D.C., United States for Thursday, 22 June 2017 "Administrative Investigation – Misuse of Official Time and Failure to Properly Supervise, Oklahoma City VA Health Care System"

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The Department of Veterans Affairs, Office of Inspector General (OIG), issued the Administrative Investigation – Misuse of Official Time and Failure to Properly Supervise, Oklahoma City VA Health Care System (Report No. 17-00253-267). You may view and download this report by clicking on the report title above.
Report Summary: The VA Office of Inspector General (OIG) Administrative Investigations Division received an allegation that a former (since removed) Research Investigator (subject employee) at the Oklahoma City VA Health Care System did not show up for work at VA and was instead working at Johns Hopkins University (JHU) during his official VA duty hours.  Further, Philip Comp, MD, PhD, former (now retired) Associate Chief of Staff for Research, allegedly improperly approved the subject employee’s pay for the time he was absent from VA.  We found that, between April 2014 and September 2016, the subject employee teleworked without authorization for 157 hours, collected dual compensation from VA and JHU for 1,374 hours, and misused his official time when he received VA pay for 441 hours while traveling and giving lectures during his VA duty hours that were not VA sponsored.  We further found that Dr. Comp failed in his supervisory responsibilities by being unaware of the subject employee’s attendance, yet certifying the subject employee’s subsidiary timecards as well as VA’s electronic time and attendance system for hours he was not present at the facility and/or did not work.  We referred the dual compensation matter to the Western District of Oklahoma United States Attorney’s Office.  They reviewed the evidence, declined to proceed with criminal charges, and advised OIG to proceed with the matter administratively.  The subject employee’s use of unauthorized telework, misuse of official time, dual compensation, and falsely claimed hours created a cost to VA of $102,542.

Please use either Adobe Acrobat Reader version 11 or equivalent PDF reader software to open and view our reports.  Adobe Acrobat Reader may be obtained free of charge from Adobe's website.  Those with text-only or adaptive browsers may want to review Adobe’s accessibility guide.  (Our disclaimer for these software products) 

Veterans Affairs Office of Inspector General (OIG)
801 I Street NorthWest
Washington, D.C. 20536, United States
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U.S. Department of Veterans Affairs in Washington, D.C., United States for Thursday, 22 June 2017 "Wartime Veterans: Find out if you qualify for VA pension benefits"


VA Pension
  
VA pension is a needs-based benefit for wartime Veterans with limited or no income who are age 65 or older. Those who have a permanent and total non-service-connected disability may also qualify. In addition, Veterans who are housebound or require an aid to perform daily activities may qualify for pension at an increased rate.
Like Jim, a Korean War Veteran who has Alzheimer’s and needs care 24/7. His sons found the help their family needed through VA pension benefits.
Using the financial support from Jim’s pension benefits, the family hired an aid to take care of Jim on a daily basis. With the help of a caregiver, Jim and his wife are able to stay in their house and get the services they need.
“Just knowing somebody is there in the morning to help to start their day and help with their daily activities is a real relief for our family,” says James, Jim’s oldest son.
Tim, Jim’s youngest son, says the money has been a godsend. “It has helped my mother and my dad. It relieves a lot of pressure and stress on us as a family.”
Visit Explore.VA.gov or click the button below to learn more about VA home loan programs and all VA benefits.
 
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U.S. Department of Veterans Affairs
810 Vermont Avenue NorthWest
Washington, D.C. 20420, United States
 
                                                           

US Department of Veterans Affairs
810 Vermont Avenue, NorthWest
Washington, D.C. 20420, United States 
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Veterans Affairs Office of Inspector General (OIG) in Washington, D.C., United States for Thursday, 22 June 2017 "VAOIG - Administrative Investigation Advisory - Alleged Misuse of Travel and Conference Funds, Veterans Health Administration, Office of Strategic Integration, Washington, DC"

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The Department of Veterans Affairs, Office of Inspector General (OIG) independently reviews allegations and conducts administrative investigations generally concerning high-ranking senior officials and other high profile matters of interest to Congress and the Department. While these reviews and investigations may result in the issuance of a formal report, they can also lead to the issuance of an administrative advisory to VA senior leadership. Advisories have been issued instead of reports if allegations are substantiated but no recommendations are made or are unsubstantiated during the course of the investigation and there is a need to notify VA leadership of the investigative results.

OIG’s intention is to maintain transparency with veterans, Congress, and the public by releasing information related to administrative investigative work completed by OIG.  As other administrative investigation advisories are completed, they will be available on our website if they are not prohibited from public disclosure.

You may view and download these administrative investigation advisories by clicking on the link to our webpage at https://www.va.gov/oig/publications/administrative-investigation-advisories.asp.  The individual advisory may also be accessed by selecting the weblink below. 
Please use either Adobe Acrobat Reader version 11 or equivalent PDF reader software to open and view our reports.  Adobe Acrobat Reader may be obtained free of charge from Adobe's website.  Those with text-only or adaptive browsers may want to review Adobe’s accessibility guide.  (Our disclaimer for these software products)

Veterans Affairs Office of Inspector General (OIG)
801 I Street NorthWest
Washington, D.C. 20536, United States
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Military Health System in Washington, D.C., United States for Thursday, 22 June 2017 "Prevent TBIs this summer and beyond"

Health.mil

Traumatic Brain Injury

Prevent TBIs this summer and beyond

Each year, more than 1 million people visit the emergency room because of TBIs. And contrary to common belief, most TBIs experienced by service members result from motor vehicle accidents, not exposures to blasts. TBI can damage your brain tissue, and it can impair your speech and language skills, balance and motor coordination and memory. (MHS graphic)
During Men’s Health Month, we’re taking a closer look at men’s risk of traumatic brain injury. The good news is there are ways to “protect your head” and prevent TBI while you enjoy your favorite summertime activities.

Each year, more than 1 million people visit the emergency room because of TBIs. And contrary to common belief, most TBIs experienced by service members result from motor vehicle accidents, not exposures to blasts. TBI can damage your brain tissue, and it can impair your speech and language skills, balance and motor coordination, and memory. Depending on the severity of your injury, your symptoms might last for days, weeks, or even longer. It’s especially important to prevent head injuries because more than 50,000 people die from TBI-related symptoms each year. 

TBI risk and men

In general, men take more risks with their health and safety, and it can increase their chances of sustaining TBIs. Your risk for TBI might increase during the summer months, especially if you engage in activities where a bump, blow, or jolt to the head is possible. Men also tend to experience more TBIs than women, and they’re more likely to visit the emergency room, be hospitalized, and die from brain and head injuries.

TBI risk and alcohol use

Summertime can see an increase in social events where heavy drinking might occur. Alcohol use can increase your risk for TBI, and it can impact your recovery and treatment. It impairs your decision-making skills, which could lead to you taking more risks with your health and safety. Combining energy drinks with alcohol also can lead to more binge drinking. Driving while impaired increases your risk for motor vehicle accidents too. In addition, alcohol abuse increases your risk of falls and other accidents that can cause head injuries.

After a TBI, consuming alcohol – especially in large amounts – interferes with brain healing and recovery, and it can lead to longer hospital stays and poorer outcomes at discharge. Excessive alcohol consumption after a TBI can reduce your seizure threshold and interfere with seizure medications. Long-term effects from alcohol abuse include multiple organ damage (including your liver, pancreas, heart and brain) and possible brain shrinkage. The good news is that substance-abuse treatment and abstinence from alcohol allow time for your brain to heal.

TBI risk and summer activities

Take these steps to prevent TBI while you enjoy summer fun:

During sports,

  • Make sure you wear a bike helmet when biking, skateboarding, and rollerblading.
  • Watch out for fly balls at baseball and softball games. If you’re playing, wear a batting helmet while hitting and be attentive while fielding.
At the pool,

  • Be aware of how deep any pool is before you dive in.
  • Encourage safety and discourage running around wet pool areas to help prevent falls.
While driving,

  • Wear your seatbelt. Insist your passengers wear seat belts too.
  • Always wear a motorcycle helmet when operating a motorcycle or other motorized vehicles.
Men are at increased risk for TBI year-round, and consuming alcohol while engaging in summer activities could further increase your risk. Be smart and safe about keeping your head and brain injury-free this summer. Visit A Head for the Future’s webpage to learn how to prevent, recognize, and recover from TBI too.

Disclaimer: Re-published content may have been edited for length and clarity. Read original post.          

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