(163) Cranium and Body Slams: Polytrauma System of Care

Molly's new profile picture

Golly, Miss Molly

A Blog about a Service Dog and her Veteran with PTSD

(Supporting the Veteran and the Family Caregiver)


Dog Physics

Molly with headache

Got aspirin?

Molly careens around the banister, sliding into a bookcase. She shakes it off but loses traction and falls on her bottom still in motion. Bashing her side into a wall, she stops and jumps to her feet. In a forward motion, she leaps and retracts her paws. This time, her slide leaves her in victory at the front door without a collision. While she is thick-headed and tough-skulled, she’s learned to manage her slide to avoid further injury. In her case, she recovers from navigation errors and shakes them off.  Over the years, she has learned speed control, how to gage distance, and how to mitigate damage—all excellent lessons in physics for a dog.

People Physics

While fitted with a substantial cranium, the human brain cannot withstand the bashing, beating, and impacts that Molly does every time she takes flight across the wood floors. The human brain offers redundancy and amazing healing properties. The human head, however, cannot withstand repeated blows or the impact of even one IED (incendiary explosive device) without repercussion.

Throughout history, each war has extracted its unique toll from American warriors. For those fighting the wars in Iraq and Afghanistan, TBI (Traumatic Brain Injury) deprives the warrior of cognitive functions and causes severe headaches, hearing and loss of sight, sleep deprivation, and often debilitating balance that affects one’s ability to walk. Other impacts from these wars include the loss of limbs and post-war trauma such as PTSD. While any one impact is more than a warrior deserves, Iraq and Afghanistan Veterans find themselves pushed beyond the limits that any body should endure.

Polytrauma Care

The word ‘polytrauma’ does not exist—at least it is not in the dictionary. That is how it was for the phrase ‘post-traumatic stress disorder’ until warriors returned home with the condition and it was diagnosed decades later. The VA, however, created a Polytrauma System of Care (PSC) in 2005 and has screened over one million Veterans for the impacts of TBI and other war-related conditions.

“PSC provides comprehensive and coordinated rehabilitative care to Veterans with life-changing injuries, including TBI, limb loss, blindness, hearing loss and tinnitus, among others.” VA New Release on February 5, 2016

Our military has learned since Vietnam and provided in-theatre medical support to help those with life-threatening injuries until better care is available. Our warriors are surviving conditions that would have been terminal in previous conflicts. “Today they not only survive, they thrive, in large part due to PSC, a thoroughly Veteran-centric VA program,” stated the press release.

Over 110 VA facilities offer polytrauma care in the US, including five Polytrauma Rehab Centers that offer comprehensive inpatient rehabilitation. Additionally, 23 sites offer comprehensive outpatient rehabilitation along with 87 clinic teams. Collectively, these facilities and programs offer “interdisciplinary evaluation and treatment, development of a comprehensive plan of care, case management, patient and family education and training, psychosocial support, and use of advanced rehabilitation treatments and prosthetic technologies.”

Don’t Be a Knucklehead—Get Help

Please do not be like Molly and keep knocking your head around banisters, walls, and bookcases. Help is available and the VA is extending an invitation to the Veteran in need. To begin your recovery, you or a family member can contact the VA Crisis Helpline at 1-800-273-8255 (press 1) or go on-line to www.polytrauma.va.gov/.

Molly’s Brain

After Molly tangled with a kitchen chair, I sent her outside. Within minutes, I noticed feathers sticking out of her mouth. I made her cough up the bird she managed to catch. She’s progressed from knucklehead to bird brain.

Post your Comments: 

In what other ways are the wars in Iraq and Afghanistan different from previous wars? Please reply below. 

Photo credits: pculbrethgraft

Source cited:

  • Veterans Affairs (US Department of Veteran Affairs). “VA’s Polytrauma System of Care Marks One Million TBI Screenings.” VA News Release on February 5, 2016.

About the blogger 

Dr. Penelope “Penny” Culbreth-Graft is a retired city manager and graduate professor. She lives with her disabled Vietnam Veteran husband, William, and his service dog, Molly, on Cheyenne Mountain in Colorado. She writes, paints, cares for her husband, and spends time with her granddaughter.