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But Darren was getting worse. He started having seizure-like attacks, and for a while, doctors had him on twenty different medications. The military thought he was making it all up, says Teresa, to avoid going back to Iraq.
Teresa's tale didn't surprise Pogany when she first called him last spring. He'd heard lots of stories of soldiers too sick or injured to serve who'd found themselves removed from the Army without what they believed was proper treatment and support. Like Darren, some were discharged because of legal or discipline problems and were never fully medically evaluated for underlying mental-health problems. Others who did undergo a Medical Evaluation Board process claimed the assessments ignored serious injuries like PTSD and TBIs and instead focused on minor ailments or diagnosed them with general pre-existing conditions like "personality disorders" that made them unfit for duty but not eligible for pension, health and life insurance.
Army spokeswoman McNutt counters these claims, saying Evans Army Community Hospital at Fort Carson "has an outstanding Medical Evaluation Board section which takes pride in dispositioning soldiers in a comprehensive and timely manner. All soldiers undergoing the Medical Evaluation Board process receive a thorough examination to ensure that all medical and behavioral health issues are documented. During the process, if additional medical issues are identified, they may be added to the record. In addition, soldiers are counseled and afforded multiple opportunities to appeal decisions made during the Medical Evaluation Board, the physical evaluation board and the physical disability rating process. Anytime we become aware of something that may have been missed or inadvertently overlooked, we ensure the error is corrected."
So Pogany connected Darren and Teresa with the right medical experts, who agreed he had signs of head injury as well as dementia — and a brain scan this past October found multiple lesions on his brain. And now, finally, Teresa tells Pogany they seem to be getting somewhere. Darren was just sent to a Veterans Affairs medical center in California for evaluation and treatment. And the chief psychiatrist at the Evans Army hospital noted that "disinhibited behavior is quite common amongst individuals with brain injuries of this kind, and may have contributed to his episodes of behavioral dyscontrol in the past 6-8 months." Teresa's hoping it's enough to convince the district attorney to throw out his domestic-violence conviction and to get the Army to switch his administrative discharge process to a medical retirement with benefits.
Darren's potential medical retirement is the latest of several promising developments at Fort Carson. The installation and others like it have implemented "warrior transition units," where soldiers with physical or psychological injuries are allowed downtime for care and rehabilitation.
"In response to an identified need that soldiers and leaders required further awareness and education on mental health, Fort Carson developed a training program to help leaders and soldiers better understand how to identify behavioral health problems and provide assistance to their battle buddies," says McNutt.
The Behavioral Health Department at Evans has also stepped up its mental-health care efforts, she says, developing programs to readily identify and treat these problems. "With very few exceptions, soldiers can walk into the clinic without an appointment," she says. "By implementing these changes, it will reduce the time it takes to get an appointment and time spent waiting in the clinic to see a provider."
And — most surprising — Pogany, whose mug was once on Wanted posters across the base, now has the ear of Fort Carson's commander.