How a Teenager Found Undiagnosed Brain Injuries in the Military

New York Times Podcasts
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About this episode Dave Phillips reports on a critical blind spot in the US Coast Guard where elite 'surfman' rescue boat drivers… AI summary

Dave Phillips reports on a critical blind spot in the US Coast Guard where elite 'surfman' rescue boat drivers suffer from undiagnosed traumatic brain injuries (TBI) caused by the repetitive 'whip-crack' forces of rough seas, rather than explosions or direct head trauma. The story highlights the tragic case of Brett Bonner, a surfman who died by suicide after years of escalating symptoms including seizures and cognitive decline, which were initially misdiagnosed as PTSD. His daughter Kaylee Bonner conducted rigorous research that revealed widespread TBI symptoms among surfmen, exposing a systemic failure to recognize and address this occupational hazard.

Key takeaways 5
  • Mechanism of Injury: Brain injuries in surfmen are caused by the 'whip-crack' effect where force from waves amplifies as it travels up the body, reaching car-crash-level forces at the neck/brain level, even without direct head impact.
  • Misdiagnosis Trend: Symptoms like mood changes, memory loss, and sleep issues are frequently misdiagnosed as PTSD or depression, leading to a lack of proper TBI diagnosis and treatment for service members.
  • Research Gap: The Department of Defense has spent billions studying brain injuries but missed this specific type of injury caused by repetitive occupational forces rather than blasts or direct trauma.
  • Teen-Led Discovery: Kaylee Bonner, Brett's daughter, surveyed 77 surfmen (active and retired) and found that while few had diagnosed head injuries, almost all reported TBI symptoms like memory problems and mood issues.
  • Coast Guard Response: The Coast Guard responded positively to the reporting, with personnel expressing they had long wondered about these injuries but lacked answers, indicating a hunger for solutions.
Notable quotes 5 AI-generated: wording and quote attribution may be wrong. Use the play link to verify.
  • “A body standing on a boat acts a lot like a whip that gets cracked... by the time the neck jerks in the impact when you slam into the trough, it could be the force of a car crash.”
    ▶ 30:05 Dave Phillips explaining the physics behind how surfmen sustain brain injuries from waves without direct head trauma.
  • “My brain has started to fail me. I feel it. I see it. It's difficult to do things that used to come natural to me.”
    ▶ 27:55 A quote from a career surfman in his mid-50s responding to Kaylee Bonner's survey about TBI symptoms.
  • “You don't have to be around a big blast or even a small blast to get injured. You don't even have to hit your head.”
    ▶ 33:41 Dave Phillips reflecting on how his understanding of brain injuries has widened beyond traditional combat-related causes.
  • “I joined the Coast Guard to save lives like not this. And he re like that empathetic side of him really struggled with the jumpers.”
    ▶ 6:17 Jenna Bonner describing her husband Brett's emotional struggle with recovering bodies from suicide jumpers off the Golden Gate Bridge.
  • “Good. I'm glad you're doing these stories. I was on boats like that for years, and man, we always wondered about this. We never had any answers.”
    ▶ 31:32 A Coast Guard official's reaction to Dave Phillips warning them about the upcoming story on surfman brain injuries.

Chapters & Sections (17)

0:01 Coast Guard Surfman Brain Injuries chapter 2
2:24 Coast Guard Explosive Exposure and Personal Stories
4:37 Coast Guard Surfman Training and Duties
6:17 PTSD and Brain Injury Symptoms chapter 1
9:00 Rogue Wave Accident and Brain Injury Symptoms
11:57 Undiagnosed Brain Injuries and Seizures chapter 1
14:38 Post-Retirement Behavioral Decline and Symptoms
16:50 TBI Diagnosis and Tragic Suicide chapter 2
19:17 Escalating Domestic Violence and Fire
20:26 Family Witnesses Suicide via Video Call
22:16 Teen Researches Surfmen Brain Injuries chapter 3
26:19 Surfmen Undiagnosed Brain Injury Symptoms
27:46 Undiagnosed Brain Trauma in Coast Guard
29:23 Whip Crack Physics of Boat Waves
30:58 Coast Guard Brain Injury Prevention and Military Reporting chapter 2
34:32 Teen's Brain Injury Reporting and Supreme Court Ruling
36:33 Army Leadership Crisis and Tupac Conviction

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