Gulf War Veterans Treating Symptoms and Syndromes (2001) / Chapter Skim
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Appendix B: Workshop Summary
Appendix B: Workshop Summary
Pages 141-150
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From page 141... ...
to identify illnesses and conditions prevalent among Gulf War veterans, including medically unexplained physical symptoms; and (3) to identify valid models of treatment for such illnesses (to the extent that they exist)
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From page 142... ...
A research program was commissioned to determine if there was an excess of ill health in the veteran community, to find if such ill health could be related to exposures in the Gulf, and to come up with treatment and preventive strategies. A study by Simon Wessley found that British Gulf veterans report the same kinds of symptoms that British Bosnian veterans do but at two to three times the rate.
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From page 143... ...
At Walter Reed's intensive program, the goal for treating MUPS is to improve outcomes through structured care targeting behavior and knowledge, to prevent disability in people with MUPS. The approach advocated is collaborative; that is, the patient and the physician collaborate and negotiate exact and explicit behavioral goals.
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From page 144... ...
is designed to provide long-term follow-up care for veterans. The team of health care providers in the clinic includes a physician, clinical psychologist, nurse practitioner, nurse researcher, female physician for women who prefer a female provider, and specialty consultants and support service providers (physical therapy, dietary, SW, COP, occupational and vocational therapy)
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From page 145... ...
responded that they believed the conditions experienced by Gulf War veterans had both biological and psychological aspects with regard to etiology and required treatment consisting of both biological and psychological interventions. The remaining 50% of the mental health providers were more likely to believe that the problems were physical in nature, whereas the remaining half of the internal medicine providers were more likely to believe that the problems are psychological or psychiatric in nature.
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From page 146... ...
Seven presenters called for more extensive testing to arrive at appropriate diagnoses, although the kinds of tests desired varied among presenters and included tests for activation of coagulation and concomitant hereditary risk factors, bone density, ANA, creatinine, hyperalbumin, spec scans, viral screens, and specialized MRIs and tests for streptococcus and staphylococcus, peripheral nerve dysfunction, upper motor neuron dysfunction, dysautonomia, brain stem dysfunction, and cranial nerve dysfunction. Several presenters put forward the idea that massive doses of intravenous antibiotics were effective treatments for reducing the severity of symptoms, which they believed were due to infections.
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From page 147... ...
He reviewed the committee charge and reminded those present that while the committee greatly appreciated the information provided, some of the issues raised were beyond the scope of the committee's charge and could not be addressed within the bounds of the current study.
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From page 148... ...
John Graham, British Liaison Officer (Gulf Health) BREAK Irritable Bowel Syndrome Presentation and Discussion Howard Spiro, MD Medically Unexplained Physical Symptoms Charles Engel, MD Concluding Discussion LUNCH 1:30-1:40 Introduction Bernard Rosof, MD, Chair 1:45-1:55 David Berg, MS Director, Hemex Laboratories, Inc.
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From page 149... ...
Messer Staff Sergeant, USMC Ret. 4:35-4:45 Harold Nelson Staff Sergeant, US Army 4:50-5:00 Denise Nichols, Vice Chairman National Vietnam and Gulf War Veterans Coalition 5:05-5:15 Michael Oldaker USMC, Ret.
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