Heart Disease and the Law Enforcement Officer

By: Jonathan Sheinberg, MD, FACC Cedar Park Police Department

EDITORS NOTE: Dr. Jon Sheinberg is Board Certified Cardiologist and he is a sworn officer in the State of Texas. He is working hard to learn more about and fight heart disease in law enforcement. We conducted an interview with Dr. Sheinberg and are honored to publish his article.

DrJonSheinberg

As a fellow Law Enforcement Officer and a physician I am trying to spread the word. We are missing the boat, and because of this, we are dying. There is a simple reason that law enforcement officers have some of the best pensions in the country – we do not live long enough after retirement to fully collect them. Several programs have been created to address premature officer death and officer safety is a primary concern for every agency whether on the local, state or federal level. Police officers and Special Agents are intimately aware of safety policy and procedure requirements: wear reflective vests, always use body armor, do not engage in high- speed pursuits for low-level crimes etc. Despite these efforts however, there is another cause of officer death and disability that is usually overlooked – cardiovascular disease.

Heart disease is a major problem for law enforcement!

Heart attacks are always in the top two or three categories of police line of duty deaths. However, if extrapolated to a full 24-hour day, heart attack likely becomes the number one killer of men and women in uniform. This is not new information. More than 20 years ago, International Association of Chiefs of Police (IACP) published some of their initial data (Violanti, 2013). The data are shocking. The life expectancy of a police officer is 20 years less than his or her civilian counterpart. Continue reading

PTSD Can Attack Years Later by Allen Kates

Jonathan-FigueroaPTSD Can Attack Years Later
Even With No Previous Symptoms

EDITORS NOTE: This article has been graciously provided by Allen R. Kates, BCECR, MFAW the Author of CopShock, Second Edition: Surviving Posttraumatic Stress Disorder (PTSD)

“I can’t eat, I can’t sleep, I can’t think,
I feel sick. I can’t do this anymore.”

Can you develop Posttraumatic Stress Disorder (PTSD) months or even years after a traumatic event like 9/11? Without showing any previous symptoms?

There are studies of World War II veterans and victims of motor vehicle accidents that say Yes.

This phenomenon is called “delayed onset PTSD,” according to the therapist’s diagnostic bible known as the DSM-IV-TR. It states that symptoms first appear at least six months after the traumatic event. That could mean months or even years later.

Yet some mental health professionals argue that the individual must have had symptoms early on, but didn’t recognize them. They also suggest that the PTSD sufferer delayed getting help for months or years, not that the PTSD itself was delayed.

Nevertheless, many law enforcement officers with no obvious previous symptoms do develop PTSD months or even years after a traumatic event.

As an example of delayed onset PTSD, here is the story of a police officer that developed the disorder five years after 9/11 and what he did about it… Continue reading