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Detection of Blast-Related Traumatic Brain Injury in U.S. Military Personnel, New England Journal of Medicine, June 2011

One of Our Veteran's Testimonial Letters


Dear Dr. Wesch,

I have never found anything as helpful for blast related concussive injury in veterans than our pro bono treatment of seven veterans who's extensive injuries included multiple exposures to blast with loss of consciousness.  Most had attempted suicide, one three times.  Neuropsychiatric testing when compared to SPECT brain imaging concluded severe cognitive impairment, depression and some severe vestibular disturbances.  Blast injury differs from typical focal TBI by exhibiting multi focal areas of damage that is believed caused by air emboli resulting from gas pressure changes during blast exposure.

It appears these silent wounds set off a disease process that can take years to present clinically often as dementia, Alzheimer's or suicide.  Encouragingly the DOD has invested in Banyan Biomarkers, in Alatchua, Florida who tell me they can identify very specific brain injury, ie dendritic, anoxal, neuronal, glial etc from a drop of blood.  They also tell me they would be measure improvements form treatments like ours in the same manner.

If Banyan is right, I predict a much larger population of TBI will be identified.  Early intervention to prevent repeat exposures to blast and the intervention of HBOT within 3 hours of blast will prevent reprofusion injury.

All seven veterans we treated had great results, but I will focus on one vet who's only difference was he had no evidence of any trauma except blast exposure.

We treated JR, a 23 year old male who had 46 IED blast exposures, 23 rocket propelled and 4 grenade exposures.  There were multiple periods of loss of consciousness for varying times.  Seizure activity, anger control, impulse control, light sensitivity, memory, sleeplessness, suicide attempted with overdose and a combative violent life style were part of this young man's history.

He was accompanied by his father who two weeks later was replaced by his mother over fear regarding his advanced depression.  Six hours of Neuropysch testing and SPECT brain imaging was repeated after 40 Hyperbaric dives (treatments) at 2ATA.  JR returned from Houston 9 months later for Neuropsychiatric testing and was on no meds and in the National Honor Society studying Marine Sciences.  JR had vestibular problems that were corrected with Physical Therapy, he received a free sister device of the Alpha Stim.

Please see link:  Exploring the relationship between medication and veteran suicide

The off label use of these drugs, especially antidepressants should be explored as to the veteran suicide rate.  The Military refuses to use a safe drug "oxygen" even for wounds!  HBO has been shown to reduce amputation of diabetic foot wounds by 75%.

Interestingly, none of the drugs currently used and paid for by Tricare and the VA to treat our brain injured veterans are FDA approved to treat TBI.. but they refuse to pay for HBO!

Paxil & Zoloft are FDA approved for PTSD both of these and nearly all the antidepressants carry FDA black box warnings urging caution in 17-24 year olds because of the increased risk of suicide.  A 1/31/08 FDA alert informed the medical community of the increased risk of suicide of nearly all the currently prescribed anti epiletic drugs.  Many of these drugs are prescribed off label to our veterans with TBI and PTSD.

Some of my vets refused to take them due to dysphasia and depressive feelings.  A physician researcher in New Orleans has testified before Congress regarding similar findings.

Our work, had we charged would have cost less than $30,000/man.  

I hope this information helps.

Best Regards,

Raymond H. Cralle, RPT


More articles worth reading 


The War Come Home, by Sherry Karbin, Law.com, May 24, 2011

Army tries new brain scans to hunt blast effects, Fort Campbell, KY, AP, May 23, 2011

Report:  Many errors in VA mental health claims, by Rick Maze, Marine Corps Times May, 23, 2011

Returning Middle East Soldiers Cope With Stress Disorder, by Michael D. Abenethy, Times News, May 21, 2011

Traumatic Brain Injury Rehab Bill Offers Warriors New Hope, PRNewswire, May 12, 2011

Blast related traumatic brain injuresi turning up in civilian practice, by Bruce Jancin, Internal Medicine News Digital Network, April 24, 2011

Can Needles Soothe Wounded Warriors? by Michael Phillips, Wall Street Journal, April 23, 2011

Getting back to battle with a brain injury, by Blake Farmer, Nashville Public Radio, April 14, 2011

Military Focused on Brain Trauma, USA Today, Thursday October 28, 2010

Mr. Cralle recently received an award from the Marines for his donation of Hyperbaric Oxygen to Veterans and help with Mr. Raul Padilla's child who suffered a near drown accident.



Award from USMC to Mr. Cralle for his work with Veterans,click here to see Plaque.

 ORCCA donated over $60,000 in care to 3 veterans with severe-moderate TBI. 


Click here to see scans, reports and other information on the spectacular results we had with them.

Ray Cralle Finds Gold in the midst of sorrow, June 2010 Atlantic Ave

Ray Cralle, RPT, Miracle Worker, City People, Atlantic Ave, February 2009

NBIRR - Brain Injury Rescue and Rehabilitation Project - A DOD program for returning Veterans

Traumatic Brain Injury and Vestibular Pathology as a Comorbidity after Blast Exposure, by Matthew R. Scherer & Michael C. Shubert, APTA, Physical Therapy Sept 2009 Volume 89 Number 9, pg 980-992                                                                                                                                                                                                         

Hyperbarics, by Thomas M. Fox, Special Operation Technology.

Trauma preys in private on soldiers, by William R. Levesque, St. Petersburg Times, 11-22-07

New Focus on TBI, President's Commision on Care for America's Returning Wounded, Associated Press

Clinical Trial- Hyperbaric Oxygen Therapy and SPECT Brain Imaging in Traumatic Brain Injury

Clinical Trial- Treatment of Traumatic Brain Injury with Hyperbaric Oxygen Therapy

Clinical Trial- Pilot Study of Hyperbaric Oxygen Therapy (HBOT) in Chronic Traumatic Brain Injury(TBI)/Post Concussion Syndrome(PCS) and TBI/Post-Traumatic Stress Disorder(PTSD)

Clinical Trial- The Effect of Hyperbaric Oxygen Therapy on Patients Suffering from Neurologic Deficiency Due Traumatic Brain Injury

 ORCCA Hyperbaric Oxygen Delray Beach, Florida


Cralle Physical Therapy Website Hope Springs Website

            525 NE 3rd Avenue, #107
             Delray Beach, FL 33444




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