Why Was a Head Injury During Military Service Only Treated by Psychiatry?

Why was only a psychiatric evaluation conducted after sustaining a head injury during mandatory military service?

Hello Dr.
Chang, I have a question to ask you.
Over twenty years ago, during my mandatory military service, I suffered a brain injury due to improper discipline.
At that time, I was supposed to see the neurology department at Hospital 802, but I was sent away by a nurse to the psychiatry department instead.
In fact, seeing a psychiatrist did not help me.
An X-ray showed nothing wrong, and I was discharged from the military.
The psychiatrist who treated me was Dr.
Long X.
Wei, who only provided me with a diagnosis certificate for schizophrenia and did not mention applying for compensation from the military.
Now, twenty years later, I sought treatment for headaches at the neurology department of Kaohsiung Medical University Hospital.
Dr.
Chen reviewed my MRI and determined it was an old injury.
I would like to ask Dr.
Chang, why is the military medical system in our country so dismissive of soldiers' medical care? Patients are left to fend for themselves after their service.
Serving in the military is for the country, and especially after obtaining specialized education, it seems the national healthcare system is so careless.
Does the treatment of patients depend on their financial status, background, or family standing?

A Peng, 40~49 year old female. Ask Date: 2012/11/13

Dr. Zhang Zhehong reply Psychiatry

Hello, you can seek a reliable psychiatrist and neurologist to discuss these thoughts and opinions in person.
Additionally, arrange for leisure activities to enhance relaxation techniques and incorporate elements of joy to help forget worries.
Wishing you all the best.

Reply Date: 2012/11/13

More Info

The situation you described raises several important issues regarding the treatment of head injuries, particularly in the context of military service. It is concerning that your head injury was primarily addressed through psychiatric evaluation rather than a comprehensive neurological assessment, especially given the potential long-term implications of such injuries.

Head injuries can have a wide range of effects, both physical and psychological. When a soldier sustains a head injury, it is crucial that they receive a thorough evaluation from a neurologist or a specialist in traumatic brain injury (TBI). This is because head injuries can lead to various complications, including concussions, post-concussion syndrome, and even more severe conditions like intracranial hemorrhages or skull fractures. The fact that you were directed to psychiatry without a thorough neurological examination raises questions about the adequacy of the medical response at that time.

Psychiatric symptoms can indeed arise from head injuries, particularly if there is an underlying neurological issue that has not been addressed. For instance, conditions such as post-traumatic stress disorder (PTSD) or depression can manifest after a traumatic event, including head injuries. However, these psychiatric conditions should not overshadow the need for a comprehensive neurological evaluation. It is essential to differentiate between psychological effects stemming from the trauma and any potential physical damage to the brain.

The military medical system should ideally provide a holistic approach to treatment, considering both the physical and mental health of service members. Unfortunately, as you've experienced, there can be systemic issues that lead to inadequate care. The perception that treatment is influenced by a patient's socioeconomic status or background is a serious concern and can undermine trust in the healthcare system. Every service member deserves access to appropriate medical care, regardless of their background.

In your case, the subsequent diagnosis of old injuries after 20 years indicates that the initial assessment may have been insufficient. Chronic headaches and other symptoms can be a sign of unresolved issues from the original injury. It is essential to seek further evaluation and treatment from specialists who can provide a comprehensive assessment of both neurological and psychological health.

If you are still experiencing symptoms, I recommend pursuing a multidisciplinary approach. This could involve consultations with neurologists, neuropsychologists, and rehabilitation specialists who can work together to address both the physical and psychological aspects of your condition. Additionally, if you feel that your treatment was inadequate, you may want to explore options for filing a claim for medical compensation or benefits related to your military service.

In conclusion, the treatment of head injuries, especially in a military context, should be thorough and multifaceted. It is vital for healthcare providers to recognize the complexities of such injuries and to ensure that all service members receive the care they need. Your experience highlights the importance of advocating for comprehensive medical evaluations and the need for systemic improvements in military healthcare.

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