In this compelling episode of The Daily, Sabrina Tavernise and Dave Phillips delve into the disconcerting findings uncovered in a posthumous analysis of a mass shooter's brain, triggering a reevaluation of military safety protocols. The stark revelations begin with the story of Robert Card, a soldier whose brain showed severe white matter damage, indicative of injuries from repetitive blast exposure experienced during military training—not just combat. The discussion sheds light on the potential scope of brain damage among soldiers and questions the efficacy of the current safety measures in place to protect them.
The conversation takes a deeper turn as Phillips presents a poignant argument: the behavioral changes observed in veterans traditionally attributed to psychological disorders may also have physical origins. With cases like Card's challenging the presumptions about "coming home different," the podcast highlights the urgency to reassess veteran care, addressing the possibility that anxiety, depression, and PTSD-like symptoms could be manifestations of physical injuries to the brain. This episode nudges the military community and society at large to contemplate the true costs of service and the imperative of safeguarding our soldiers' well-being.
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Repetitive blast exposure during military training, exemplified by Robert Card's case, suggests potential for significant brain injuries. Post-mortem examination of Card's brain revealed severe white matter damage, correlated with grenade blast exposure. This finding supports emerging research that repetitive blast exposure, even from standard weapons fire, can harm the brain's white matter, challenging the safety standards for military training. These injuries, resembling symptoms of PTSD, imply the possibility of widespread brain damage among soldiers due to training-related blast exposure, not just from combat.
As awareness grows about the brain damage caused by blast exposure, it points to a previously underestimated risk factor in military training. The military's existing safety threshold, specifically the 4 PSI limit, is now suspect, and current research urges reconsideration of protective measures to preserve soldier health and safety. Despite knowledge of these risks and evidence of characteristic scarring in the brain, the development and implementation of improved safety protocols have thus far been insufficient.
Dave Phillips introduces a critical reevaluation of the behavioral changes in soldiers returning from war, highlighting the potential misdiagnosis of anxiety, depression, and other symptoms as purely psychological effects. The case of Robert Card represents a growing recognition that such symptoms may in fact stem from physical brain injuries caused by blast exposure, rather than—or in addition to—psychological combat trauma. This shift in understanding underscores the need for rethinking how to diagnose, perceive, and care for veterans, taking into account the physical repercussions of blast exposures during both training and combat.
1-Page Summary
The case of Robert Card has highlighted a growing concern about the repetitive blast exposure military personnel may face during training, suggesting that it could lead to significant brain injuries.
After Robert Card's death, the Maine state medical examiner sent his brain to a specialized brain lab at Boston University. There, researchers sliced his brain into very thin sections for microscopic examination and discovered profound injuries caused by damage to the white matter that connects gray matter. The damage evidenced in Card's brain is thought to result from the blast waves that surged through the brain during exposure to blasts—specifically grenade blasts in his case, which were previously thought to be safe.
Dave Phillips notes that recent research indicates that repetitive blast exposure from firing weapons can lead to a type of brain damage that affects the brain’s white matter, differing from CTE-like injuries. The case of Robert Card supports the suggestion that the safety threshold for blast exposure during military training is set too high. Phillips also highlights that Card never served in combat, implying that the brain damage may stem solely from military training, which could have wide implications for all troops during training.
Service members like Robert Card have shown symptoms similar to PTSD, leading to the consideration that an underlying condition related to blast exposure might be prevalent among soldiers. As Card had only been involved in training blasts, these findings indicate that significant brain injuries can occur without combat experience, affecting soldiers’ mental health substantially.
The military has been aware since around 2005-2006 that blasts from combat can cause brain damage, and substantial resources have been dedicated to understanding the effects of blasts. A brain bank was established by 2012, bearing evidence of characteristic scarring in whi ...
Repetitive blast exposure in military training
Dave Phillips delves into the subtle yet profound distinctions between physical injuries and psychological trauma in soldiers returning from war, reconsidering what causes their changes in behavior.
Phillips opens up the debate on whether we've been missing the mark on diagnosing issues in veterans—whether their anxiety, depression, and other symptoms are not merely psychological responses to the horrors of war but also, or instead, the result of physical brain injuries from blast exposure.
Phillips explores the case of Robert Card, whose behavioral changes were initially thought to be caused by the psychological impact of combat trauma. However, there's a growing acknowledgment that physical injuries from blast exposures during military training or combat might explain changes in behavior that have traditionally been attributed to psychological trauma.
This raises critical questions: Could conditions li ...
Revisiting the causes of "coming home different" from war
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