Skip main navigation

Military Health System

Clear Your Browser Cache

This website has recently undergone changes. Users finding unexpected concerns may care to clear their browser's cache to ensure a seamless experience.

Top U.S. Military Enlisted Leader Shares Experience of Stigma Surrounding TBI

Image of A man wearing headphones in front of his computer. Senior Enlisted Advisor to the Chairman Ramón “CZ” Colón-López talks about his personal experience with traumatic brain injuries in a podcast with the Traumatic Brain Injury Center of Excellence. The “Picking Your Brain” podcast focuses on the latest TBI research and clinical recommendations, the effects of TBI on military readiness, veterans, and the loved ones who support their recovery process. (Photo: Air Force Master Sgt. Michael J. Cowley)

Senior Enlisted Advisor to the Chairman Ramón “CZ” Colón-López shared his compelling story of recognizing and getting help for traumatic brain injuries on the Picking Your Brain podcast, from the Defense Health Agency’s Traumatic Brain Injury Center of Excellence.

In an interview with U.S. Navy Capt. Scott Cota, TBICoE branch chief, Colón-López spoke about suffering from multiple TBIs, while pretending everything was okay.

“We tend to hide it pretty good until we cannot hide it anymore,” he said.

He shared his experience with the stigma surrounding TBI diagnosis, as some service members may be hesitant to speak up if they are concerned about their mission readiness. It was that reluctance that impacted Colón-López’s marriage and his overall health.

On the podcast, Colón-López, who was a U.S. Air Force command chief master sergeant before assuming the SEAC position in December 2019, explained how he has sustained up to eight TBIs. Instead of seeking help, he used to drink to excess and look for those “thrills,” − something dangerous to prove he was okay. It was not until he had a mountain biking accident that almost killed him when he realized he needed help. After being diagnosed with TBIs, he got into treatment and is now the most senior enlisted service member, by position, in the U.S. military.

Getting Help for TBIs Starts with Leadership

Asking for help is not a sign of weakness, and senior leaders coming forward to talk about their treatment and medical care can inspire service members to take their own health more seriously.

Colón-López, who served as a pararescueman during his career and has deployed multiple times in support of military operations, is just one of over 458,000 service members who have received a TBI diagnosis in the past 21 years. The Department of Defense has resources to recognize and treat TBI and help service members cope, as brain health is critical to overall mission readiness. Service members and families should be willing to break the silence if you suspect you or a loved one has a TBI, as the sooner you seek help the quicker you can improve your quality of life.

On “Picking Your Brain,” Colón-López and Cota dove into the discussion on health care options available to those with TBIs, as well as the responsibility senior leaders have in addressing the stigma service members may face. “Many will not say anything, as they are afraid of being removed from their unit or being separated from the military,” Colón-López said. However, by not reaching out and asking for help, overall health and relationships can be impacted.

We Must Support the Warfighter

The podcast highlights the Defense Health Agency’s effort to bring more awareness to TBIs and to maintain a medically ready force.

“There are good products that are out there. It’s a matter of us ensuring that we’re messaging about those and getting them out to the broadest audience,” Cota stated. They discussed the holistic approach to treatment and using Total Force Fitness, a Military Health System program that provides access to psychological, spiritual, medical, financial, environmental, and nutritional resources.

Colón-López also discussed some of the causes of TBI, both on the battlefield and in training, stating, “In this position, I have found myself explaining TBI and the effects of it to some senior civilian entities that do not understand how this happens. Most of them assume it’s just either being shot in the head or being blown up in a vehicle by an IED, and they really don’t quite grasp that shooting LAW rockets and Carl-Gustafs, and being on the range firing heavy weapons—all of that stuff actually starts chipping away [at] the health of any brain that is exposed to it.”

Resources, clinical research, education, and trainings are available through TBICoE, a branch of the DHA Research and Engineering Directorate. A Head for the Future, TBICoE’s awareness campaign, has fact sheets, key information about TBIs, and real stories of recovery and hope.

Listen to the Picking Your Brain podcast to learn more about Colón-López’s story, as well as additional episodes featuring experts and real stories about those experiencing TBI.

You also may be interested in...

Infographic
Feb 8, 2024

Brain Injury Awareness Month: Infographic

Brain Injury Awareness Month infographic, visit health.mil/BIAMonth.

Even a mild traumatic brain injury can impact mission readiness and the ability to deploy. #BeABrainWarrior by understanding the signs and symptoms of TBI and knowing when to seek care. TBI is treatable and recovery is possible. https://health.mil/BIAMonth #BIAMonth

Infographic
Nov 29, 2023

TBICoE's Low-Level Blast Research Infographic

What is TBICoE doing to help warfighters exposed to low-level blast? Leading the charge: 1. Collaborated on Military weapons training studies and Epidemiology studies 2. Led health and performance efforts in support of the Section 734 Program Advancing the science: 1. Measured LLB exposure effects on performance 2. Provided recommendations on LLB surveillance 3. Advanced DOD’s understanding of LLB health and performance effects Answering the call: 1. Outlined next steps for LLB research 2. Helped to develop guidance for managing brain health risk from blast overexposure 3. Recommended the development of a tool to capture career blast exposure These efforts are in support of the Warfighter Brain Health Initiative LLB Relevant Aims 1. Understand the known and emerging threats and hazards to brain health 2. Monitor warfighters for brain exposures 3. Reduce risk of brain exposures that may negatively impact brain health

This infographic illustrates TBICoE's research activity on understanding how low-level blast influences warfighter brain health. This work directly supports Line of Effort 2 of the Warfighter Brain Health Initiative. Learn more about low-level blast exposure and TBI at health.mil/LLB.

Infographic
Jul 12, 2023

What is the Acute Concussion Care Pathway?

What is the Acute Concussion Care Pathway? The Acute Concussion Care Pathway is one of the DHA Director’s Quadruple Aim Performance Plan projects. The intent is to equip providers with state-of-the-science tools to standardize concussion assessment and care across the MHS. It is supported by the DHA Procedural Instruction 6490.04 which establishes the infrastructure to ensure patients achieve optimal concussion clinical outcomes.

TBICoE developed this infographic as a quick reference tool that demonstrates application of the standardized acute concussion assessment and care process. By adhering to this established pathway of care for mild TBI, providers across the MHS can ensure a reduction in unwarranted variation and foster an integrated, standardized system of readiness and ...

Infographic
May 22, 2023

Dizziness and Visual Problems After Concussion

Graphic containing general information on dizziness and vision  problems after a traumatic brain injury. Visit health.mil/TBIFactSheets and download related fact sheets for information.

More than 80% of all concussions—also known as mild traumatic brain injury—in the military are considered mild. Dizziness and visual problems are among the most common symptoms after concussion and often resolve within days or weeks

Infographic
Jan 4, 2022

Dizziness and Visual Problems After Concussion

Graphic containing general information on dizziness and vision  problems after a traumatic brain injury. Visit health.mil/TBIFactSheets and download related fact sheets for information.

More than 80% of all concussions—also known as a mild traumatic brain injury— in the military are considered mild. Dizziness and visual problems are among the most common symptoms after concussion and often resolve within days or weeks. This infographic reviews common signs and symptoms to look out for.

Infographic
Feb 24, 2021

Returning to Duty After Concussion

What's the best way to recover from a concussion? Returning to duty too soon after a concussion can lead to prolonged symptoms, decreased readiness, poor marksmanship, accidents and falls, and increased risk of more concussions. Progressively increasing activity in a step-wise manner can help you resolve your symptoms and return to duty safely. Ask your primary health care provider about TBICoE's Progressive Return to Activity to help you return to duty as quickly and safely as possible. Visit health.mil/TBICoE.

This TBICoE infographic gives an overview of the risks of returning to duty too soon after a concussion and explains how a progressive increase in activity can help get you back to duty safely. Returning to duty too soon after concussion can lead to prolonged symptoms, poor marksmanship, decreased readiness, accidents and falls, and increased risk of ...

Skip subpage navigation
Refine your search
Last Updated: December 01, 2023
Follow us on Instagram Follow us on LinkedIn Follow us on Facebook Follow us on X Follow us on YouTube Sign up on GovDelivery