With lessons learned from 17 years of military action stemming from 9/11 and years of resulting trauma rehabilitation, the American Osteopathic Academy of Addiction Medicine (AOAAM) and the Association of Military Osteopathic Physicians & Surgeons (AMOPS) are teaming up to present a joint civil military session to share best practices from military trauma rehabilitation on Friday from 11 a.m. to 4 p.m. in Room 5, 2nd Floor, of the convention center.
Veterans and Trauma / Pain / TBI / Substance Use and Recovery has been designed to increase awareness and strengthen interdisciplinary teams in trauma rehabilitation, according to Col. William Bograkos, MA, DO, FACOEP, FACOFP, president of AOAAM.
“We need to build bridges across the silos of specialties,” says Col. Bograkos. He sees addiction medicine and addiction psychiatry as sub-specialties with knowledge that can best be shared through a joint session with our military colleagues.
Friday’s session will bring five distinguished speakers to OMED to cover trauma recovery, moral injury, mind/body medicine for pain, traumatic brain injury (TBI) and opioid use disorder.
Col. Bograkos noted that the current conflict has produced a surge of trauma survivors.
“With excellence in battlefield emergency medicine and trauma care, we had a surge of trauma survivors who came back fast,” he said, with injured soldiers moving from battlefield injury to Walter Reed in about 72 hours.
However, the presentations during the session will highlight that stateside physicians are working with more than TBI or post traumatic stress disorder (PTSD).
Lieutenant General Douglas J. Robb, DO, MPH, will kick off the session with a look at the continuum of care required in the returning warfighter. He will be followed by Captain Jon T. Perez, PhD, discussing moral injury, or as Col. Bograkos called it “the trauma that doesn’t bleed.”
“We’re also utilizing physicians from Balboa Naval Hospital,” said Col. Bograkos. “Commander Jeffrey H. Millegan, MD, MPH, will speak about body/mind medicine for pain.”
Dr. Millegan is affiliated with the Defense & Veterans Center for Integrative Pain Management, which listed osteopathic manual medicine among its best five practices in integrative pain management in its Task Force report to the Army Surgeon General, said Col. Bograkos. The other four are yoga, acupuncture, biofeedback and mindfulness.
The session will wrap up with a presentation on TBI by Commander Lynita Mullins, DO, and a review of opioid use disorder among active military and veterans by Anthony Dekker, DO, FAOAAM,
“Blast injury is actually the signature injury of current conflict, and there’s a whole number of illnesses and injuries that are associated with blast injury,” said Col. Bograkos. “But it’s more than traumatic brain injury. What we’re seeing in this country is toxic brain injury, ie substance induced neurocognitive disorders. People with TBI are vulnerable to substance use disorder and people with substance use disorder are vulnerable to TBI.”