Proven Quality Allopathic Medicine

Honolulu Neuroscience Clinic of Honolulu, HI is an independent, private clinic, not affiliated with any hospitals or health care organizations. You might ask, what makes us unique?

We make house calls when our patients are unable to travel to the office. We travel to Kona and to Hilo, so that patients with frailties, who can not easily travel, can be seen in their own neighborhoods.

Because we are not constrained by the often excessive administrative oversight seen in hospital-based medical practices, and we can acquire and use the most advanced diagnostic equipment available, we can apply both natural medicine techniques with traditional allopathic medical techniques.

We can also provide personalized service in an era where physicians are too often aloof and distant from their patients.

Meet Our Doctors

Michael Russo

Dr. Russo obtained his bachelor’s Degree from Princeton University. He obtained his medical degree from The Chicago Medical School. He trained in Psychiatry at New York Medical College’s Metropolitan Hospital Center in Manhattan, New York.

He trained in Neurology at New York University’s Bellevue Medical Center, at the Manhattan Veteran’s Hospital, at the National Institutes of Health Intramural Epilepsy Program, and at the Hospital For Neurology and Neurosurgery at Queens Square, London, England.

He trained in Sleep Disorders Medicine at the Walter Reed Army Institute of Research. His 34 years in the United States Army trained him to treat each patient as his brother, son, daughter, mother, or father.

Peter Rossi

Peter Rossi graduated from the Philips-Exeter Academy, Dartmouth University, and Medical College of Pennsylvania. After excelling at among the most academically challenging and prestigious schools in the USA, he pursued his Internship and Neurology Residency at Emory University and Grady Hospital in New Orleans, LA. He specialized in Neuro-rehabilitation and is the past-President of the American Neuro-rehabilitation Society and past-President of the Hawaii Neurological Society. He is a member of the Queens Hospital System. Dr Rossi has over 25 scientific publications. His practice as this time is primarily medical-legal evaluations.

Dan Lovejoy

Our  IT Director and Office Manager of our Kealakekua office

Nataliya & Baby Jeanne-Marie

Sophia

One of our part time Medical Assistants at our Hilo office.

Elise & Becky

Elise, on left, is our general manager at our Hilo location. Becky, on right, is our scheduler. 

Caitlin & Jennifer

Caitlin (left), one of our Hilo Office’s Medical Assistants and Jennifer (right) is our Hilo Office’s Pharmacy Tech

Hollie

Our Honolulu Office’s Receptionist

Publications

Dr. Russo’s extensive experience in the fields of neurology and sleep disorder has led him to write a number of books, articles, and chapters discussing his research. We have a complete bibliography of his works available for your perusal in case you would like to read up on his research.

Dense Array EEG is being used clinically in only a dozen centers in the United States because the technique requires complex equipment and highly specialized training. Dr. Russo is one of the few qualified to use it, and the only Hawaii provider. Get in touch with us today for your service.

Peer-Reviewed Manuscripts

M. Russo, R. Perry, E. Kolodny, C. Gillberg. (1996) Case Report: Heller Syndrome, Proposed
Medical Evaluation and Pathogenesis. European Child and Adolescent Psychiatry, 5(3):172-177

Li LM, Russo M, O’Donoghue MF, Duncan JS, Sander JW. (1996) Allergic Skin Rash with Lamotrigine
and Concomitant Valproate therapy: Evidence for an Increased Risk. Arquivos de Neuro-psiquiatria
March 54(1):47-49

Russo MB, Brooks F, Dopler B, Neely E, Halliday A. (1997) Sodium Pentothal Hypnosis: A Procedure
for Evaluating Medical Patients with Psychiatric Co-Morbidity. Military Medicine 162, 3:215-218

Russo MB, Brooks F, Dopler B, Neely E, Fontenot J, Halliday A (1998) Conversion Disorder Presenting
as Multiple Sclerosis. Military Medicine 163, 10:709-710

B. Jabbari, Michael Russo, Michelle Russo. Electroencephalogram of asymptomatic adult subjects.
Clinical Neurophysiology. 2000 111(1)102-105.

M. Russo, M. Thomas, D. Thorne, H. Sing, Redmond, L. Rowland, D. Johnson, S. Hall, J. Krichmar,
T. Balkin. Oculomotor Impairment during Chronic Partial Sleep Deprivation. Clinical
Neurophysiology. 2003 114:723-736

M. Russo, S. Escolas, D. Thorne, H. Sing, D. Johnson, S. Hall, S. Santiago, D. Holland, A Kendall
D. Redmond. Occurrence and Patterns of Visual Neglect in U.S. Air Force Pilots in a Simulated
Overnight Flight. Aviation, Space, and Environmental Medicine. (2004) Vol 75, 4 Section
1:323-332 (Winner: Arnold D. Tuttle Award for best original research in aviation medicine – 2004)

Belenky, G., Wesensten, N.J., Thorne, D.R., Thomas, M.L., Sing, H.C., Redmond, D.P., Russo, M.B.,
and Balkin, T.J. Patterns of performance degradation and restoration during sleep restriction and
subsequent recovery: a sleep dose-response study. J Sleep Res, (2003) 12, 1-12

T. J. Balkin, P. D. Bleise, G Belenky, H. Sing, D. R. Thorne, M. L. Thomas, D. P. Redmond, M. B.
Russo, N. J. Wesensten. Comparative utility of instruments for monitoring sleepiness related performance
decrements in the operational environment. J Sleep Res. (2004) 13, 219–227

L. E. Banderet and M. B. Russo Cognitive Performance and Communications in a Network-Centric
Battle Laboratory. Aviation, Space, Environmental Medicine. (2005) 76;7(II):21-23

B. Doan, J. Caldwell, S. Hursh, J. Whitmore, R. O’Donnell, and M. B.. Russo. Assessing Psychoactive
Pharmaceuticals and Transitioning Pharmacological Fatigue Countermeasures into Operational
Environments. Aviation, Space, Environmental Medicine. (2005) 76;7(II):34-38

M. B. Russo, M. C. Stetz, and M. L. Thomas. Monitoring and Predicting Cognitive State and
Performance via Physiological Correlates of Neuronal Signals. Aviation, Space, Environmental
Medicine. (2005) 76;7(II):59-63

M. B. Russo, A. Vo, R. LaButta, I. Black, W. Campbell, J. Greene, J. McGhee, and D. Redmond. Human
Biovibrations: Assessment of Human Life Signs, Motor Activity, and Cognitive Performance using
Wrist- mounted Actigraphy. Aviation, Space, Environmental Medicine. (2005) 76;7(II):64-74

K. Fukuda, J. A. Stern, T. B. Brown, and M. B. Russo. Cognition, Blinks, Eye-Movements and
Pupillary Movements during Performance of a Running Memory Task. Aviation, Space, Environmental
Medicine. (2005) 76;7(II):75-85

H. C. Sing, M. A. Kautz, D. R. Thorne, S. W. Hall, D. P. Redmond, D. Johnson, K. Warren, J. Bailey,
and M. B. Russo. High Frequency EEG as Measure of Cognitive Function Capacity: A Preliminary Report.
Aviation, Space, Environmental Medicine. (2005) 76;7(II):114-135

M. Russo, A. Kendall, D. Johnson, H. Sing, S. Escolas, S. Santiago, D. Holland, S. Hall, and D.
Redmond. Visual Perception, Psychomotor Performance, and Complex Motor Performance During an
Overnight Air Refueling Simulated Flight. Aviation, Space, Environmental Medicine. (2005)
76;7(II):92- 103

Stern J, Brown T, Wang L, Russo M. Head and Eye Movements in the Acquisition of Visual Information.
Psychologia. (2005) 48; 133-145

Minzhong Yu, Mary A. Kautz, Maria L. Thomas, Dagny Johnson, Edwin R. Hotchkiss, Michael B. Russo,
Operational Implications of Varying Ambient Light Levels and Times of Day Effects on Saccadic
Velocity and Pupil Light Reflexes. Ophthalmic and Physiological Optics (2007) 27:130-141
01 January 2018

Athena P. Kendall, Mary A. Kautz, Michael B. Russo, William D. S. Killgore The Effects of Sleep
Deprivation on Lateralization of Visual Perception. International Journal Neurosciences (2006)
116:1125-1138

Russo M. Recommendations for the Ethical use of Pharmacologic Fatigue Countermeasures in the U.S.
military. Aviation, Space, Environmental Medicine (2007) 78, 5; Section II, B119-B127

Stetz MC , Thomas ML, Russo MB, Stetz TA, Wildzunas RM, McDonald JJ, Wiederhold BK, Campbell JS,
Romano, JA. Mental Health in Combat and Stress Inoculation Training. Aviation, Space,
Environmental Medicine (2007) 78, 5; Section II, B252-B260

Thomas ML, Russo MB. Neurocognitive Monitors: Toward the Prevention of cognitive Performance
Decrements and Catastrophic Failures in the Operational Environment. Aviation, Space,
Environmental Medicine (2007) 78, 5; Section II, B144-B152

Russo M, Thomas M, Caldwell J, Arnett M. The Ethical Use of Cogniceuticals in the Militaries of
Democratic Nations. American Journal of Bioethics, (2008) 8(2):39-41

Russo M, Treatment of Excessive Daytime Sleepiness: Focus on Armodafinil. Clinical Medicine:
Therapeutics. (2009) 1:415-432

Tahmasian M, Khazaie H, Sepehry A, Russo M, Ambulatory Monitoring Of Sleep Disorders. Journal of
the Pakistani Medical Association, In Press

Abstracts (presented at National / International Meetings)

Russo MB, Zagzag D, Dogali M, Samelson D, Devinsky O, Miller D. (1993) Inflammation in the
Leptomeninges and Cortex of Epileptic Patients Evaluated with Subdural Electrode Arrays.
Epilepsia, Vol. 34, Sup 6 (American Epilepsy Society Annual Meeting)

Russo MB, Brooks F, Dopler B, Neely E, Halliday A. (1996) Vigabatrin in the Long-Term Control of
the Refractory Seizures Associated with Glutaric Aciduria. Abstract published in Epilepsia, Vol.
37, Sup 5 (American Epilepsy Society Annual Meeting)

Russo MB, Brooks F, Dopler B, Neely E, Halliday A. (1996) Vigabatrin in the Treatment of the
Refractory Seizures Associated with Glutaric Aciduria. Proceedings of The 7th International
Cleveland Clinics- Bethel Epilepsy Symposium. Cleveland, OH

Russo MB, M. Thomas, H.Sing et al, (1998) Saccadic Velocity Decreases with Cumulative Partial Sleep
Deprivation and Correlates Negatively with Driving Accidents. Sleep 21:235 April 15 Supplement
(American Academy of Sleep Medicine – APSS meeting)

Johnson D, Thorne D, Rowland L , Balkin T…. Russo M…(1998) The Effects of Partial Sleep
Deprivation On Psychomotor Vigilance Sleep 21:236 April 15 Supplement (American Academy of Sleep
Medicine – APSS meeting)

Belenky G, Wesensten N, Thorne D, Sing H, Thomas M, Russo M… (1998) Chronic Partial Sleep
Deprivation – Effects on Daytime Sleepiness Sleep 21:236 April 15 Supplement (American Academy
of Sleep Medicine – APSS meeting)

Thorne D, Thomas M, Sing H, Balkin T, Wesensten N, ….Russo M… (1998) Driving Simulator Accident
Rates Before, During and After One Week of Restricted Nightly Sleep Sleep 21:235 April 15
Supplement (American Academy of Sleep Medicine – APSS meeting)

Wesensten N, Thorne D, Balkin T, Redmond D, Sing H, Thomas M, Russo M… (1998) Actigraphic
Assessment of Commercial Drivers Over 20 Consecutive Days Sleep 21:237 April 15 Supplement
(American Academy of Sleep Medicine – APSS meeting)

D. Thorne, M. Thomas, H. Sing, D. Redmond, T. Balkin, N. Wesensten, M. Russo, A. Welsh, L.
Rowland, D. Johnson, R. Aladdin, R. Cephus, S. Hall, & G. Belenky (1998) Effects of Cumulative
Partial Sleep Deprivation on Driving Simulator Accident Rates Journal of Sleep Research 7, Supplement
2:276 (European Sleep Research Society meeting)

G. Belenky, N. Wesensten, D. Thorne, H. Sing, M. Thomas, M. Russo, D. Redmond, & T. Balkin (1998)
Objective Daytime Sleepiness Across 7 Days of Partial Sleep Deprivation. Journal of Sleep Research
7, Supplement 2:20 (European Sleep Research Society meeting)

N. Wesensten, D. Thorne, T. Balkin, D. Redmond, H. Sing, M. Thomas, M. Russo, & G. Belenky
(1998)Sleep and Wakefulness in Commercial Drivers Under Real-World Operations. Journal of Sleep
Research 7, Supplement 2:304 (European Sleep Research Society meeting)

M. Thomas, D. Thorne, H. Sing, D. Redmond, T. Balkin, N. Wesensten, M. Russo, A. Welsh, L.
Rowland, D. Johnson, R. Aladdin, R. Cephus, S. Hall, & G. Belenky (1998) The Relationship Between
Driving Accidents and Microsleep During Cumulative Partial Sleep Deprivation. Journal of Sleep
Research 7, Supplement 2:275 (European Sleep Research Society meeting)

M. Russo, M. Thomas, H. Sing, D. Thorne, T. Balkin, N. Wesensten, D. Redmond, A. Welsh, L.
Rowland, D. Johnson, R. Aladdin, R. Cephus, S. Hall, J. Krichmar, & G. Belenky (1998) Oculomotor
Measures Correlating with Accidents in a Simulated Driving Task During Sleep Restriction. Journal
of Sleep Research 7, Supplement 2:233 (European Sleep Research Society meeting)

H. Sing, J. Williams, M. Thomas, R. Aladdin, A. Welsh, D. Thorne, T. Balkin, D. Redmond, N.
Wesensten, M. Russo, L. Rowland, D. Johnson & G. Belenky (1998) Frequency Changes in a Wake EEG Related to
Sleep Deprivation. Journal of Sleep Research 7, Supplement 2:252 (European Sleep Research
Society meeting)

Krichmar, J., Russo, M., Thomas, M., Sing, H., Thorne, D., Balkin, T., Wesensten, N., Redmond, D.,
Welsh A., Rowland, L., Johnson, D., Aladdin, R., Cephus, R. Hall, S., Krichmar, J. and Belenky, G.
(1998) “Saccadic Velocity And Pupillary Light Reflex Changes Correlate With Restricted Sleep”, ARVO
Abstracts 1998. (Association of Research into Vision and Ophthalmology meeting)

Krichmar, J., Pollard, J., Russo, M., Thomas, M., Sing, H., Thorne, D., Balkin, T., Wesensten, N.,
Redmond, D.,Welsh, A., Rowland, L., Johnson, D., Aladdin, R., Cephus, R. Hall, S., and G. Belenky,
(1998) “Oculomotor Indicators of Fatigue and Impairment.”, Psychophysiology, Vol. 35, Supplement 1,
S4.

Wesensten N., Russo M., Kautz M., Belenky G., How is the Benzodiazepine Receptor Involved in Sleep
Processes? (1999) Sleep – Vol 22, Supplement 1, 279, 1999. (American Academy of Sleep Medicine – APSS meeting)

M. Russo, D. Thorne, M. Thomas, H. Sing, D. Redmond, T. Balkin, N. Wesensten, A. Welsh, L. Rowland,
D. Johnson, R. Cephus, S. Hall, & G. Belenky. (1999) Sleep Deprivation Induced Balint’s
Syndrome(Peripheral Visual Field Neglect): A Hypothesis for Explaining Driving Simulator Accidents
in Awake but Sleepy Drivers. Sleep – Vol 22, Supplement 1, 327, (American Academy of Sleep
Medicine – APSS meeting)

D. Thorne, M. Thomas, M. Russo, H. Sing, T. Balkin, N. Wesensten, D. Redmond, D. Johnson, A.
Welsh, L. Rowland, R. Cephus, S. Hall, & G. Belenky (1999) Performance on a Driving-Simulator
Divided Attention Task During One Week of Restricted Nightly Sleep. Sleep – Vol 22, Supplement
1, 301 (American Academy of Sleep Medicine – APSS meeting)

M. Russo, M. Thomas, H. Sing, D. Thorne, T. Balkin, N. Wesensten, D. Redmond, A. Welsh, L. Rowland, D. Johnson, R. Aladdin, R. Cephus, S. Hall, J. Krichmar*, & G. Belenky (1999) Saccadic Velocity and
Pupil Constriction Latency are Sensitive to Partial Sleep Deprivation, and Sleep Deprivation
Related Changes Correlate with Simulated Motor Vehicle Crashes. Neurology – 52:6 Supplement 2, A234 (AAN
annual meeting)

M. Russo, , M Thomas, H. Sing, D Thorne, T Balkin, N Wesensten, D. Redmond, A Welsh, L Rowland,
D. Johnson, R Cephus, S Hall, G Belenky. Sleep Deprivation-induced Peripheral Visual Neglect: A
Hypothesis for Explaining Driving Simulator Accidents in Awake but Sleepy Drivers. Journal of the
Neurological Sciences, Vol 187, Sup 1, S329, 15 June 2001 (World Congress Neurology)

M. Russo, S Escolas, S. Santiago, M. Thomas, H Sing, D. Thorne, D. Holland, D. Johnson, D Redmond,
S. Hall. Visual Neglect in Sleep Deprived Air Force Pilots in a Simulated 12-hour Flight. (2002)
Sleep Vol 25, April 15 Abstract Supplement A88 (American Academy of Sleep Medicine – APSS meeting)

S Escolas, S. Santiago, M. Russo Automaticity: Protects Against Performance Deficits in Sleep
Deprived Pilots. Proceedings and Abstracts of the Annual Meeting of the Eastern Psychological
Association, 2003. Vol 74, 50

S. Escolas, A. Kendall, S. Santiago, D. Holland, M. Russo. Sleep Deprivation Impacts Air Refueling
Instructor Pilots Differently Based on Simulator Experience (2003) Sleep Vol 26, 15 May, pg A195
Abstract Supplement (American Academy of Sleep Medicine – APSS meeting)

S. Escolas, A. Kendall, S. Santiago, D. Holland, M. Russo. Intervening Variables Influences The
Impact Extended Wakefulness On Air Refueling Performance. (2003) Sleep Vol 26, 15 May pg A193
Abstract Supplement (American Academy of Sleep Medicine – APSS meeting)

Russo MB, Escolas SM, Santiago S, Holland D, Kendall AP, Hall S, Sing H. Visual Neglect in 26
hours of Continuous Wakefulness Demonstrates Patterns Consistent with Prefrontal and Biparietal
Brain Impairment. (2003) Sleep Vol 26, 15 May pg A172 Abstract Supplement (American Academy of
Sleep Medicine – APSS meeting)

D Johnson, Stehrenberger M, Sing H, Hall S, Redmond D, Russo M, Thorne D, Belenky G. Visual Task
Performance as a Measure of Drowsiness. (2003) Sleep Vol 26, 15 May pg A202 Abstract Supplement
(American Academy of Sleep Medicine – APSS meeting)

S. Escolas, A. Kendall, S. Santiago, D. Holland, M. Russo. Impact of Extended Wakefulness on
Simulated Aerial Refueling Flight Performance. Aviation, Space, and Environmental Medicine. April
2003, Vol 74, page 415, Abstract Supplement (Aerospace Medical Association annual meeting)

MZ Yu, MB Russo, ML Thomas, RD Peters, B Ridley, ER Hotchkiss, Relationship Between
Oculometrics, Pupil Light Reflex and Adaptation Light Levels. Investigative Ophthalmology & Visual
Science. (2003) May Abstracts Supplement

Russo M, Vo A, Labutta R, Black I, Redmond D. Human Microvibration Patterns During Coma To Death
Transition Differ from Sleep, as Measured by Actigraphy. J Sleep Res 2004; 13(s1).

Russo M, Vo A, LaButta R, Redmond D. Actigraphy detects life signs microvibration patterns in a
patient transitioning from coma to death. Sleep 2004; 27: A357. (American Academy of Sleep
Medicine – APSS meeting)

Russo, M., Sing, H., Kendall, A., Johnson, D., Santiago, S., Escolas, S., Holland, D., Thorne, D.,
Hall, S., and D. Redmond (2004). Visual Perception and Simulated Flight Performance Task
Impairments in USAF Pilots Over One Night of Continuous Wakefulness are Correlated. Sleep 2004;
27: A139. (American Academy of Sleep Medicine – APSS meeting)

Yu MZ., Russo M., Johnson D., Kamimori G., Oculomotor Measures over 30 hours of Continuous Wake
with and without Caffeine. Sleep 2004; A138 (American Academy of Sleep Medicine – APSS meeting)

Mallis M, Russo M. (2005) Ocular Measures of Fatigue and Extended Wakefulness. Aviation, Space,
and Environmental Medicine. May Vol 76

M. B. RUSSO, M. THOMAS, D. THORNE, H. SING, M. KAUTZ, L. M. ROWLAND, D. JOHNSON, S. W. HALL, J.
KRICHMAR and D. REDMOND (2005) Sleep Length Associated Changes in Oculomotor Measures. Aviation,
Space, Environmental Medicine. May Abstract (Aerospace Medical Association Annual Meeting)

M. Kautz, M. Russo, M. Yu, D. Johnson, K. Warren, A. Kendall and H. Sing. (2005)

Evaluation of oculomotor functioning during 40 hours of continuous wakefulness. Aviation, Space,
Environmental Medicine. May Abstract (Aerospace Medical Association Annual Meeting)

MB RUSSO, M THOMAS, D THORNE, H SING, D JOHNSON, LM ROWLAND, SW HALL, M KAUTZ, J KRICHMAR and D
REDMOND. (2005) CHRONIC PARTIAL SLEEP DEPRIVATION, DRIVING

PERFORMANCE AND OCULOMOTOR MEASURES Sleep (Abstract Supplement) (American Academy of Sleep
Medicine – APSS meeting)

Kendall A.P. Killgore, W.D.S. Kautz, M., Russo, M.B. (2005) Right-Hemispheric Deactivation of
Attentional Processing After 40 hrs of Sleep Deprivation. Sleep, Abstract Supplement (American Academy of Sleep Medicine – APSS meeting)

Kautz, M. A.; Russo, M. B.; Yu, M.; Johnson, D.; Warren, K.; Kendall, A.; Sing, H. (2005)
DETERMINING A STABLE BASELINE FOR ASSESSING OCULOMOTOR FUNCTIONING. Sleep,
Abstract Supplement (American Academy of Sleep Medicine – APSS meeting)

Yu MZ, Kautz M, Thomas M, Johnson D, Kendall A, Warren K, Sing H, Hotchkiss E, Russo M. (2006)
Stability of Saccadic Velocity under varying ambient light levels, repeated testing, and times of
day for application of oculometric monitoring in operational environments. Aviation, Space,
Environmental Medicine, Vol 77; 3:184 (Aerospace Medical Association Annual Meeting)

Russo M, Wilson G. (2006) Neurophysiologic Indicators of Alertness, Attention, and Cognitive
Performance. Aviation, Space, Environmental Medicine, Vol 77; 3:186 (Symposium: Aerospace
Medical Association Annual Meeting)

Sing H, Kautz M, Thorn D, Hall S, Redmond D, Russo M. (2006) High Frequency EEG as a potential
indicator of Alertness, Attention, and Cognition. Aviation, Space, Environmental Medicine, Vol
77; 3:186 (Symposium: Aerospace Medical Association Annual Meeting)

Kautz M, Thomas M, Yu MZ, Johnson D, Kendall A, Warren K, Sing H, Hotchkiss E, Russo M. (2006)
Oculomotor monitoring in operational environments. Aviation, Space, Environmental Medicine, Vol
77; 3:189 (Symposium: Aerospace Medical Association Annual Meeting)

Russo M, Caldwell J. (2006) Neurophysiologic Indices of Alertness and Performance. Sleep Abstract
Supplement (Symposium: American Academy of Sleep Medicine – APSS meeting)

Russo MB, Schmorrow DD. Improving Pilot Performance Through Cognitive and Physiologic Monitoring
and Interventions Aviation, Space, Environmental Medicine, 2007 Vol 78, 3;298-299 (Symposium:
Aerospace Medical Association Annual Meeting)

Russo MB, Cardillo CG, Thomas ML. Neurophysiologic Measures of Performance Aviation, Space,
Environmental Medicine, 2007 Vol 78, 3;299 (Symposium: Aerospace Medical Association Annual
Meeting)

Cardillo CG, Russo MB, LeDuc PA. Quantitative Electroencephalographic changes under continuous
Wakefulness and with Fatigue Countermeasures: Implications for Sustaining Aviator Performance.

Aviation, Space, Environmental Medicine, 2007 Vol 78, 3, 284 (Winner: Life Sciences and
Biomedical Engineering Award at Aerospace Medical Association Annual meeting)

Russo MB. A Trans-Cultural Bioethics Discussion: The Use of Cognitive Enhancement Pharmaceuticals
in War Aviation, Space, Environmental Medicine, 2007 Vol 78, 3;339 (Symposium: Aerospace Medical
Association Annual Meeting)

Sing H, Kautz M, Thorn D, Hall S, Redmond D, Russo M. (2007) High Frequency EEG as a potential
indicator of Alertness, Attention, and Cognition. Sleep

Stetz M, Stetz T, Cuff P, Russo M. (2009) Insomnia in Mild Traumatic Brain Injury Patients. Sleep
Vol 32; A310 (Abstract supplement)

Russo M, Stetz M, Stetz T. (2009) The Prevalence of Sleep/Wake Disturbances in Mild Traumatic
Brain Injury Patients. Sleep Vol 32; A311 (Abstract supplement)

Russo M, Stetz M, Swanson E, Stetz T. (2009) Excessive Daytime Sleepiness in Mild Traumatic Brain
Injury Patients (mTBI) Sleep Vol 32; A311 (Abstract supplement)

Stetz M, Russo M, Stetz T. (2009) An Accessible Tool For Assessing Military Personnel : The
Post- Traumatic Stress Disorder Checklist. Sleep Vol 32; A354 (Abstract supplement)

Torch W, Cardillo C, Russo M, Publicover N, Gutierrez E, McMullen S, Martin M, Parseghian Z.
(2009) Oculometric Indices Associated with Drowsiness and Performance Vigilance Impairment in
Sleep- deprived normal, Sleep Apnea, Narcolepsy, ASS/ADHD Subjects. Sleep Vol 32; A134 (Abstract
supplement)

Cuff P, Russo M, Stetz M, Stetz T, (2009) The prevalence of sleep/wake disturbances in mild
traumatic brain injury. Journal of the Neurological Sciences, Vol 285; S272, October 2009
(Abstract)

Russo MB, Profant J, Nillo R, Endicott N, Itil T (2014) Frequency of Occurrence and Description of
Abnormalities in Mild or Moderate Traumatic Brain Injury of Concussion, as Identified by Dense
Array Electroencephalograpy (DEEG) 18th Biennial Conference of the International Pharmaco-EEG
Society, Leipzig, Germany

Russo MB1, Stetz M2, Nillo R3, Endicott S2 SLEEP-ASSOCIATED ABNORMALITIES IN MILD OR MODERATE
TRAUMATIC BRAIN INJURY OR CONCUSSION, AS IDENTIFIED BY DENSE ARRAY ELECTROENCEPHALOGRAPHY (DEEG) SLEEP, Volume 38, Abstract Supplement, 2015

Book Chapters
Itil T,  Russo MB. The Pharmacologic Treatment of Antisocial Behaviors,  (1988) Chapter 13 in 
Textbook of Criminology and Forensic Psychiatry,  Vol. 7  Dott. A. Giuffre, S.p.A., Milan
 
M. Russo.  Sleep Stage Scoring. Chapter in eMedicine Textbook of Neurology.  (2006)
 
M. Russo.  Normal Sleep, Sleep Physiology, and the effects of Sleep Deprivation.  Chapter in 
eMedicine Textbook of Neurology.  (2006)
 
Russo M, Torch W, Thomas M.   Diagnosis and Management of Sleep Deprivation.  (2006) In Best 
Clinical Practices. American Academy of Sleep Medicine Press.  West Chester, IL
 
Cardillo C, Russo M, LeDuc P, Torch W.  Quantitative EEG changes under continuous Wakefulness and 
with Fatigue Countermeasures: Implications for Sustaining Aviator Performance.  Foundations  of 
Augmented Cognition.  3rd  Edition.  Editors: D Schmorrow, L Reeves,   Springer-Verlag, Berlin, 
Germany. (2007)  pp 13-2201  January 2018                                                                                    
                                         
 
Torch W, Russo M, Cardillo C, Thomas M.  EyeCom Biosensor, Communicator and Controller System for 
Assessing Cognitive State via Oculomotor Signals.  Foundations of Augmented Cognition.  4th  
Edition.
 
Editors: D. Schmorrow, D. Nicholson, J. Drexler, L. Reeves.  Strategic Analysis Press.  Arlington, 
VA. (2007)   pp 258-264
 
Russo M, Caldwell J, Thomas M.  Ethical Considerations in the Use of Cogniceuticals as Augmented 
Cognition Mitigation Strategies: Alertness Sustaining Fatigue Countermeasures.  Foundations of 
Augmented Cognition.  4th  Edition.  Editors: D. Schmorrow, D. Nicholson, J. Drexler, L. Reeves.  
Strategic Analysis Press.  Arlington, VA.  (2007)   pgs 112-118
 
M. Russo, A Kendall, D. Johnson, .H. Sing, S. Escolas, S. Hall,  S. Santiago, D. Holland, D. 
Redmond. Relationships Among Visual Perception, Psychomotor Performance, and Complex Motor 
Performance in Military Pilots During an Overnight Air-Refueling Simulated Flight: Implications for 
Automated Cognitive Workload Reduction Systems.   In Foundations of Augmented Cognition (D. 
Schmorrow, Ed.), pp. 174-182.  Lawrence Erlbaum. Mahwah, NJ.   (2006)  M. Russo.   Neuroethics.  In Practical Ethics.  
Book
Helmet Mounted Displays: Sensory, Perception, and Cognition.   Rash E, Russo M, Lebendowsy T, 
Schmeisser E   (Editors).   2009
U.S. Patents
System and Method for Determining Visual Alertness,   01 FEB 2005, U.S. Patent 6,849,050
 
Human Biovibrations – a method of detecting human micro and macro-biovibrations using a digital 
signal processing actigraph.    U.S. Patent  App 20,090,149,779
 
High Frequency electroencephalography for assessing alertness.  Provisional Patent Application 
filed 1 May 2006;
 
Science and Technology Watch Column –  Journal of Aviation, Space, Environmental Medicine
 
Russo M, Vo A, Conlin R, Redmond D.  Digital Signal Processing Actigraphy.    Science and 
Technology Watch Column;  Aviation, Space, Environmental Medicine.   (2006)  77; 5:564,566
 
Cardillo C, Russo M.  Quantitative Electroencephalography for the Assessment of Performance.  
Science and Technology Watch Column;  Aviation, Space, and Environmental Medicine  (2007)  78;2:156
 
Sing H and Russo M.  High Frequency EEG as Source of Alertness Drowsiness Index and Cognitive 
Function Capacity.  Aviation, Space, and Environmental Medicine  (2007)  78;12:1178
 
Russo M, Thomas M, Cardillo C, Waclawski R.  Ocular Movements for Assessing Brain Function.
 
Aviation, Space, and Environmental Medicine  (2008) 79;6:645
 
Russo M, Roberts M, Goldberg M, Marzo M.  Functional Neuroimaging using High Density Quantitative 
Electroencephalography (HD-QEEG)  Aviation, Space, and Environmental Medicine  (submitted)
 
Russo M, Stetz M, Jenkins C, Folen R.    Armodafinil for the Treatment of Excessive Sleepiness. Aviation, Space, Environmental Medicine.   (2009) 80
Proceedings
M Russo, S Escolas, S Santiago, H Sing, D Thorne, D Holland, D Johnson, D Redmond, S Hall.  Visual 
Neglect in Pilots in a Simulated Overnight Flight.  Proceedings of the Army Science Conference, 
December, 2002.
 
M Russo, A Kendall, D. Johnson, S. Santiago, S. Escolas, D. Holland, D. Thorne, S. Hall,  D. 
Redmond, M. Thomas.  Visual Perception, Flight Performance, and Reaction Time Impairments in Military Pilots 
during 26 hours of Continuous Wake: Implications for Automated Workload Control systems as Fatigue 
Management Tools.  Proceedings of the NATO / OTAN RTO-MP-HFM 124,  3-5 Oct, 2005, Prague, CZ
 
M. Russo, E. Fiedler, M. Thomas, J. McGhee.  Cognitive Performance in Operational Environments.  Proceedings of the NATO / OTAN RTO-MP-HFM 124,  3-5 Oct, 2005, Prague, CZ
 
Thomas, M.; Kautz, M., Stetz, M. & M. Russo (2005).  Warfighter cognitive readiness, state, and 
performance in the battlefield:  implications for sensemaking across the battlespace.  In:  Panel 
C: Human-Systems Integration across the Battlespace. Proceedings of the 7th HICS and 1st 
Sensemaking Symposium.  Sponsored by ARO Center for Human-Centric Decision Making Center for Human 
Machine Studies.  Greenbelt, MD, November 17-18.
Letter
Russo M, Maher C, Campbell W.  Cosmetic Neurology: The controversy over enhancing movement, 
mentation, and mood.  Letter to the Editor – The Healthy Human.  Neurology. 2005 64; April 12 (1 of 
2):1320-1321.
US Government Technical Reports
T Balkin, D Thorne, H. Sing, M Thomas,  D Redmond, N Wesensten, M Russo, J Williams, G Belenky. 
Effects of Sleep Schedules on Commercial Motor Vehicle Driver Performance.  DOT  Tech Report, 
FMCSA;  DOT-MC-00-133 May 2000
 
M. Russo, M Thomas, H. Sing, D Thorne, T Balkin, N Wesensten, D. Redmond, A Welsh, L Rowland, D. 
Johnson, R Cephus, S Hall, G Belenky.  Sleep Deprivation Induced Balint’s Syndrome (Peripheral 
Visual Neglect): A Hypothesis for explaining Driver Simulator Accidents in Sleepy but Awake 
Drivers.  Ocular Measures of Driver Alertness Technical Conference Proceedings, April 1999.  Tech 
report:  FHWA-MC- MM-136    pp125-129
 
M. Russo, M Thomas, H. Sing, D Thorne, T Balkin, N Wesensten, D. Redmond, A Welsh, L Rowland, D. 
Johnson, R Cephus, S Hall, G Belenky.  Sleep Deprivation Related Changes Correlate with Simulated 
Motor Vehicle Crashes.  Ocular Measures of Driver Alertness Technical Conference Proceedings, April 1999.  Tech report:  FHWA-MC-MM-136    pp119-124

Testimonials

I am a Tactical Commander for a U.S. Embassy’s security Response Team. I was responsible for ensuring the safety and security of top-level U.S. diplomats in a high risk environment. On January 4th, 2016 our base was attacked and a 5,000 pound vehicle born improvised explosive device was detonated outside the perimeter wall. The ensuing blast destroyed over 60% of the compound to include the building I was in. I was unconscious for quite some time and do not recall what happened prior to or shortly after the traumatic event. I was immediately identified as having suffered major head trauma and was flown out of the country to seek proper medical care in the United States.

During the past year, I have had the privilege of being a patient of Dr. Michael Russo. Dr. Russo epitomizes what I have come to see as his amazing character and utter devotion to the patients in his care. His commitment to my welfare and the welfare of my family has had a major impact on my recovery. His exams have been extremely thorough and I have learned a great deal about the injury I sustained, the impact it has on me currently and will have in the future. He has access to technology in his practice, to include the Dense Array EEG, that was almost impossible to find anywhere else in the state. Dr. Russo has given great comfort to my loved ones through his ability to transform technical industry diagnoses into real life, digestible information that helps them understand what I am going through, and how best to help me. He takes his time with my appointments and addresses every concern with sincerity and the utmost professionalism. I am certain that without being under his care, I would not be doing as well as I am today.

I have never experienced treatment under a caregiver who displays such a level of commitment and caring to others around them. Dr. Russo is a trusted and loyal individual to look to for comfort and I am glad he is in charge of my care.

Lawrence C

Patient

Sara's Story

“My husband is part of the United States Military and has been for over 27 years would probably be for another 27 years if it were not for his injuries that have kept him from being able to perform his duties within the military. He loved serving other and chose to go into the military to help protect the rights we hold dear as Americans and to serve other soldiers.

When did he become injured? I believe that with injuries in the brain it is not always easy to pinpoint an exact date and time of an injury and would have to say this is true with my husband.

He in 1997-1998 served in what was Bosnia where not only did he witness great atrocities that would continue to play in his mind even until today, but he was exposed to frequent and semi-regular mortar attacks that would shake the ground and all who stood on it. He later served in Iraq where in 2007 he was one of many who were in the blast zone of a rocket missile that was targeted into the military camp.

During this episode he was knocked unconscious for a time. When he came too, he did not seek medical attention as he probably should because of his “old school soldier” attitude, he was moving and above ground so he needed to help others around him that were injured with visible injuries, that were trying to get debris of them, that needed consoling, etc.

When he returned from Bosnia, he had a hard time sleeping, was angry at little things and little things would become big issues, he would relive nightly different missions and things he had seen, even acting out those nightmares that cumulated with me waking to being strangled by my sleeping husband.

I have to make clear here, he was sound asleep and was terrified when I could get him awake that he might hurt me or our children. We did try to seek help, at the time we were advised that I had better stop talking and my husband should drop it or it would destroy his career. We stupidly listened and tried to cope with the new normal.

He within a year of returning from Bosnia was sent on an unaccompanied tour and he began to have more symptoms of something being wrong. It was hard being on the other side of the world to see your spouse falling apart. The changes became more and more pronounced, he was behaving and acting in ways that just were not him, almost the complete opposite.

I on more than one occasion contacted people from the chaplain to people in his command that something was wrong. At this point I was again warned I would destroy his career and my husband was lead to believe that was what I was doing and that perhaps I was not military spouse material.

We separated for a time and the changes were still active in his life but at this point I was looked at as the overly zealous soon to be divorced woman and was ignored. We after about 3 years brought our family back together, and by this time we were used to the “new normal” and the angry outburst and nightmares were nothing like they had been when he first came home from Bosnia.

When he arrived back home the middle of 2008 from Iraq there were changes, but the military now teaches families, almost drills it in to our heads, that soldiers will come back from deployments changed.

They offer and provide reunification classes that are again to remind us that we have changed and they have changed during the deployments and that we can and should expect changes in behavior, in emotions, in us wanting to maintain what we have set up for the our homes, etc. Also history had shown the girls and I that Daddy when he comes back was different for a while but this time there were many differences.

Our two grandchildren were living with us, the girls themselves were now older could now see what I had tried to shield them from. He on the outside bore no wounds, didn’t walk with a limp, no scars, but he had many unseen wounds and scars. We gave him space initially hoping he would soon bounce back.

He would have nightmares, was hypervigilant, he would hold up in our master bedroom to the point of bringing the TV and computer in there something he had always refused to allow. If the grandchildren squealed something that used to bring smiles made him run for cover and left them wondering what the matter with Grampie was.

He also was having memory issues that we brushed aside as he just wasn’t hearing us. He would at times laugh at things that just were not laughable but he would catch our looks and walk away.

As we moved on he did not “bounce back”. His hearing was worse, they did hearing exams and MRIs , discovering his hearing was significantly changed from before Iraq to after, but they gave him stronger hearing aids and blamed the ringing in his ears on the hearing loss.

They also began to blame the hearing loss for his memory changes. “I didn’t hear you” became a frequent response, though he might have at the time been able to repeat what had been said but a few minutes later couldn’t recall the conversation. We also started hearing “I’m thinking” to questions that required no thought.

He was having frequent headaches that would knock him out for hours at a time. They would blame on his blood pressure being elevated, but we noted that the headaches still where happening when his blood pressure was “normal”.

He was super sensitive to loud noise, seemed to always be tired regardless of how much sleep he got, nothing seemed to make him happy even things that before had brought joy to him, he would repeat things over and over and began to have to have a regular routine or the world was coming to an end.

His symptoms could take hours to list but he had no rhythm or reason to his moods, one day he would sleep all day the next bouncing of the walls, would speak without thought of who or what he was saying or how it would be perceived, he would be extremely aggressive and short fused, uncharacteristically lewd, seemed to lose all sense of social grace and at times military bearing and this is but a partial listing.

I think what kept us from realizing how bad he was and the amount of trouble he was having was his military bearing.

We sought help for the symptoms individually, not knowing what the matter was but even with treatment for those individual symptoms he still was having problems. He recognized at times he was having trouble and that he was behaving in ways that were not his normal and this upset him more.

He even began to question his faith and all that he once held dear. Being that we are a military family we move frequently and one of the disadvantages of that is that at each new location the medical starts over each time, the system is designed so that should not happen but after so long in the system it does repetitively.

He began trying to hide his symptoms because of fear he’d be told he was going crazy and tried to do what they had previously told us to do to help. While at the new duty station overseas, his nightmares became worse and he again began to act them out, on many occasions I would wake to him over me strangling me. For that matter many of the symptoms became worse, trying to hide them only seemed to bring them out.

Yes, hiding was one way of dealing with it because in today’s day and age to say you are being strangled in your sleep and your spouse is having angry outburst, makes people think of domestic violence, so in fear we kept silent for a time.

Though silent I began researching online what was happening and eventually began to talk with his medical provider. I was not completely honest with his medical provider either but tried to get his provider to ask questions that would help him discover what was going on.

In January of 2011 my husband had a heart attack at that point and I also discovered in picking up his meds at the pharmacy while he was TDY that he had not been taking them correctly , we had more of some and less of some than what we should have. This was enough that I began talking with his provider. They did testing there in Japan that eventually led us here to Hawaii in March of 2011.

While he was being tested it was discovered he needed immediate bypass surgery. We both had a big wakeup call, the blockage was enough that the heart attack could have taken his life and that all the symptoms that we had been dealing with needed to be taken care of. Together when we returned to Japan we went to behavioral health where they diagnosed PTSD but still they felt that something was not right.

Eventually because of his heart condition and the PTSD the military moved us to Hawaii to be closer to Tripler and into a unit where my husband’s job was and is to heal. Here in Hawaii he for over a year saw psychiatrist, psychologist, neuropsychologist, audiologist, primary care doctors, physical therapist and it seemed any other –ologist that might have an opinion.

The doctors gave him medicine to help with symptoms, they did MRI’s, CAT’s and PET scans, went to local hospitals for EEG’s and sleep studies, but one symptom would come under control and another would seemingly get worse. Or the treatment would leave him more tired or sleeping at odd times, he no longer is able to drive because he fell asleep at the drop of a hat.

In April/May I was researching online on veteran sites and reading post on Facebook and came across a site that lead me to homecoming4veterans.org that talked about neurofeedback and how it was helping soldiers with PTSD. I had a ray of hope that this might help him, as they were saying PTSD was causing all of what was happening, though all the medical providers he was seeing could not even agree on this diagnosis.

The site listed providers here in Hawaii and after reading the site through and through I went back to Facebook and was saddened to read that active duty where not being able to get coverage to allow for this, even though many of the veterans who had participated were according to their families doing better.

About this time he was referred to a neurologist as he was now stumbling around, blanking out and just having quite a few neurological symptoms. The neurologist at Tripler listened and ordered many test but felt that something was going on with his sleep that was causing a lot of his symptoms so she voiced she was going to refer us out into the civilian sector as she was not specialized in sleep disorders.

Initially she had voiced sending him to one of 3 providers but the more he rambled using military terms she felt that he would do better to go to this one particular neurologist, Dr. Russo. She voiced he would understand the military as he recently retired from the military himself. In the back of my brain I thought that name seemed familiar from the homecoming4veterans.org.

We got authorization from our insurance to see Dr. Russo and scheduled his first appointment in June. From the first appointment, your practice was different. Coming in the first day, it was comfortable, almost like coming into a friend’s house, your office staff and you made us feel at home.

You reviewed a mountain of information and made few recommendations, but it was the second appointment that made a believer in you and your treatment methods. You began treatment for what you believed to be a brain injury and the PTSD using different medications and the neurofeedback.

You were confident enough in your diagnosis but the military’s medical system couldn’t agree because they couldn’t see the damage on the tests that they had done and continued to run. You received your DEEG and we got authorization from Triwest to complete one. The DEEG was able to prove visually the brain deficits and injury that could not be seen otherwise!

Since beginning treatment that was able to be geared more to him because of the DEEG findings. His outbursts have decreased and when they happen now he is able to be redirected. He is able to do more than sit and fixate on an online game. He is being able to sleep better, it is still not a full night but he is at least getting 6 hours of sleep most nights. He has not strangled me in his sleep and is not acting out his dreams like he was.

He is being able to tolerate the noise of toddlers and little children again. He has begun to actively have a relationship with his children and grandchildren again. He still has challenging days but the challenging days are decreasing and there is improvement that providers who questioned the treatment can’t deny and give account for!

To other families I would say, don’t give up! If it doesn’t sound right or seem right it may not be right. Medical providers are human too and they can only tell you what the test they are doing say. They all agreed that something was not right but with what they had available to them they just could not see it.

You are not alone, no matter how alone you feel, there is someone out there that is going through something very similar. If it isn’t in your circle of friends reach out, the internet allows you to talk with people around the world. Be honest, honest with yourself, honest with family or your support people, and honest with your medical providers. Keep your faith and don’t stop, you know your loved one best.”

Jim N

Dr Russo has been very knowledgeable, informative and compassionate with my care since my initial consultation. These qualities have continued throughout my care and has changed my life in a positive manner. I look forward to our journey thru the remainder of my recovery from traumatic head and brain trauma.

When did he become injured? I believe that with injuries in the brain it is not always easy to pinpoint an exact date and time of an injury and would have to say this is true with my husband.

He in 1997-1998 served in what was Bosnia where not only did he witness great atrocities that would continue to play in his mind even until today, but he was exposed to frequent and semi-regular mortar attacks that would shake the ground and all who stood on it. He later served in Iraq where in 2007 he was one of many who were in the blast zone of a rocket missile that was targeted into the military camp.

During this episode he was knocked unconscious for a time. When he came too, he did not seek medical attention as he probably should because of his “old school soldier” attitude, he was moving and above ground so he needed to help others around him that were injured with visible injuries, that were trying to get debris of them, that needed consoling, etc.

When he returned from Bosnia, he had a hard time sleeping, was angry at little things and little things would become big issues, he would relive nightly different missions and things he had seen, even acting out those nightmares that cumulated with me waking to being strangled by my sleeping husband.

I have to make clear here, he was sound asleep and was terrified when I could get him awake that he might hurt me or our children. We did try to seek help, at the time we were advised that I had better stop talking and my husband should drop it or it would destroy his career. We stupidly listened and tried to cope with the new normal.

He within a year of returning from Bosnia was sent on an unaccompanied tour and he began to have more symptoms of something being wrong. It was hard being on the other side of the world to see your spouse falling apart. The changes became more and more pronounced, he was behaving and acting in ways that just were not him, almost the complete opposite.

I on more than one occasion contacted people from the chaplain to people in his command that something was wrong. At this point I was again warned I would destroy his career and my husband was lead to believe that was what I was doing and that perhaps I was not military spouse material.

We separated for a time and the changes were still active in his life but at this point I was looked at as the overly zealous soon to be divorced woman and was ignored. We after about 3 years brought our family back together, and by this time we were used to the “new normal” and the angry outburst and nightmares were nothing like they had been when he first came home from Bosnia.

When he arrived back home the middle of 2008 from Iraq there were changes, but the military now teaches families, almost drills it in to our heads, that soldiers will come back from deployments changed.

They offer and provide reunification classes that are again to remind us that we have changed and they have changed during the deployments and that we can and should expect changes in behavior, in emotions, in us wanting to maintain what we have set up for the our homes, etc. Also history had shown the girls and I that Daddy when he comes back was different for a while but this time there were many differences.

Our two grandchildren were living with us, the girls themselves were now older could now see what I had tried to shield them from. He on the outside bore no wounds, didn’t walk with a limp, no scars, but he had many unseen wounds and scars. We gave him space initially hoping he would soon bounce back.

He would have nightmares, was hypervigilant, he would hold up in our master bedroom to the point of bringing the TV and computer in there something he had always refused to allow. If the grandchildren squealed something that used to bring smiles made him run for cover and left them wondering what the matter with Grampie was.

He also was having memory issues that we brushed aside as he just wasn’t hearing us. He would at times laugh at things that just were not laughable but he would catch our looks and walk away.

As we moved on he did not “bounce back”. His hearing was worse, they did hearing exams and MRIs , discovering his hearing was significantly changed from before Iraq to after, but they gave him stronger hearing aids and blamed the ringing in his ears on the hearing loss.

They also began to blame the hearing loss for his memory changes. “I didn’t hear you” became a frequent response, though he might have at the time been able to repeat what had been said but a few minutes later couldn’t recall the conversation. We also started hearing “I’m thinking” to questions that required no thought.

He was having frequent headaches that would knock him out for hours at a time. They would blame on his blood pressure being elevated, but we noted that the headaches still where happening when his blood pressure was “normal”.

He was super sensitive to loud noise, seemed to always be tired regardless of how much sleep he got, nothing seemed to make him happy even things that before had brought joy to him, he would repeat things over and over and began to have to have a regular routine or the world was coming to an end.

His symptoms could take hours to list but he had no rhythm or reason to his moods, one day he would sleep all day the next bouncing of the walls, would speak without thought of who or what he was saying or how it would be perceived, he would be extremely aggressive and short fused, uncharacteristically lewd, seemed to lose all sense of social grace and at times military bearing and this is but a partial listing.

I think what kept us from realizing how bad he was and the amount of trouble he was having was his military bearing.

We sought help for the symptoms individually, not knowing what the matter was but even with treatment for those individual symptoms he still was having problems. He recognized at times he was having trouble and that he was behaving in ways that were not his normal and this upset him more.

He even began to question his faith and all that he once held dear. Being that we are a military family we move frequently and one of the disadvantages of that is that at each new location the medical starts over each time, the system is designed so that should not happen but after so long in the system it does repetitively.

He began trying to hide his symptoms because of fear he’d be told he was going crazy and tried to do what they had previously told us to do to help. While at the new duty station overseas, his nightmares became worse and he again began to act them out, on many occasions I would wake to him over me strangling me. For that matter many of the symptoms became worse, trying to hide them only seemed to bring them out.

Yes, hiding was one way of dealing with it because in today’s day and age to say you are being strangled in your sleep and your spouse is having angry outburst, makes people think of domestic violence, so in fear we kept silent for a time.

Though silent I began researching online what was happening and eventually began to talk with his medical provider. I was not completely honest with his medical provider either but tried to get his provider to ask questions that would help him discover what was going on.

In January of 2011 my husband had a heart attack at that point and I also discovered in picking up his meds at the pharmacy while he was TDY that he had not been taking them correctly , we had more of some and less of some than what we should have. This was enough that I began talking with his provider. They did testing there in Japan that eventually led us here to Hawaii in March of 2011.

While he was being tested it was discovered he needed immediate bypass surgery. We both had a big wakeup call, the blockage was enough that the heart attack could have taken his life and that all the symptoms that we had been dealing with needed to be taken care of. Together when we returned to Japan we went to behavioral health where they diagnosed PTSD but still they felt that something was not right.

Eventually because of his heart condition and the PTSD the military moved us to Hawaii to be closer to Tripler and into a unit where my husband’s job was and is to heal. Here in Hawaii he for over a year saw psychiatrist, psychologist, neuropsychologist, audiologist, primary care doctors, physical therapist and it seemed any other –ologist that might have an opinion.

The doctors gave him medicine to help with symptoms, they did MRI’s, CAT’s and PET scans, went to local hospitals for EEG’s and sleep studies, but one symptom would come under control and another would seemingly get worse. Or the treatment would leave him more tired or sleeping at odd times, he no longer is able to drive because he fell asleep at the drop of a hat.

In April/May I was researching online on veteran sites and reading post on Facebook and came across a site that lead me to homecoming4veterans.org that talked about neurofeedback and how it was helping soldiers with PTSD. I had a ray of hope that this might help him, as they were saying PTSD was causing all of what was happening, though all the medical providers he was seeing could not even agree on this diagnosis.

The site listed providers here in Hawaii and after reading the site through and through I went back to Facebook and was saddened to read that active duty where not being able to get coverage to allow for this, even though many of the veterans who had participated were according to their families doing better.

About this time he was referred to a neurologist as he was now stumbling around, blanking out and just having quite a few neurological symptoms. The neurologist at Tripler listened and ordered many test but felt that something was going on with his sleep that was causing a lot of his symptoms so she voiced she was going to refer us out into the civilian sector as she was not specialized in sleep disorders.

Initially she had voiced sending him to one of 3 providers but the more he rambled using military terms she felt that he would do better to go to this one particular neurologist, Dr. Russo. She voiced he would understand the military as he recently retired from the military himself. In the back of my brain I thought that name seemed familiar from the homecoming4veterans.org.

We got authorization from our insurance to see Dr. Russo and scheduled his first appointment in June. From the first appointment, your practice was different. Coming in the first day, it was comfortable, almost like coming into a friend’s house, your office staff and you made us feel at home.

You reviewed a mountain of information and made few recommendations, but it was the second appointment that made a believer in you and your treatment methods. You began treatment for what you believed to be a brain injury and the PTSD using different medications and the neurofeedback.

You were confident enough in your diagnosis but the military’s medical system couldn’t agree because they couldn’t see the damage on the tests that they had done and continued to run. You received your DEEG and we got authorization from Triwest to complete one. The DEEG was able to prove visually the brain deficits and injury that could not be seen otherwise!

Since beginning treatment that was able to be geared more to him because of the DEEG findings. His outbursts have decreased and when they happen now he is able to be redirected. He is able to do more than sit and fixate on an online game. He is being able to sleep better, it is still not a full night but he is at least getting 6 hours of sleep most nights. He has not strangled me in his sleep and is not acting out his dreams like he was.

He is being able to tolerate the noise of toddlers and little children again. He has begun to actively have a relationship with his children and grandchildren again. He still has challenging days but the challenging days are decreasing and there is improvement that providers who questioned the treatment can’t deny and give account for!

To other families I would say, don’t give up! If it doesn’t sound right or seem right it may not be right. Medical providers are human too and they can only tell you what the test they are doing say. They all agreed that something was not right but with what they had available to them they just could not see it.

You are not alone, no matter how alone you feel, there is someone out there that is going through something very similar. If it isn’t in your circle of friends reach out, the internet allows you to talk with people around the world. Be honest, honest with yourself, honest with family or your support people, and honest with your medical providers. Keep your faith and don’t stop, you know your loved one best.”

Kevin Y

Very good doctor who takes time to listen to all your symptoms and explains what testing and medication he thinks will help you to get better. Found I had very high mercury levels after 2 other doctors told me nothing was wrong. Would recommend him to family and friends

Edward T

My son sees Dr. Russo because of his seizures and he has been helping us to find the right medicines for him to take. He is an awesome Dr. If I need to reach him I can text him and always get a reply. He is there to help and he does help. I’m glad to have a dr for my son like him

Benjamin

There are no longer any neurologist on the Big island. Dr. Russo comes to Kona once a month and to Hilo once a month. What a nice, sensitive caring Doctor. Blessed to find him. Took extra care with my special needs son ans spent time explaining and researching his thoughts. Highly recommend Doctor Russo

Alfred P

To Whom It May Concern: My name is Alfredo Pasatiempo, Jr. and I am patient who suffers from chronic pain from various surgeries to the back, ear, right knee, and herniated surgery, etc. I am writing this review to acknowledge that Dr. Russo, is an outstanding practitioner who cares for his patients. He helped me change my life and today I am on very limited pain medications. I am an undergraduate with a degree in Psychology and now in graduate school to earn a masters, SAC.

Shareen

My father was diagnosed with Parkinsons in 2006. Our first visit with Dr. Russo, took one look at my dad and after a few tests for eye movement & 10 minute exam, diagnosed him with something I never heard of, PSP (Progressive supranuclear palsy). Just Like That! after a decade of not understanding. 3-6 in every 100,000 people worldwide or approx. 20,000 Americans have PSP. 1 doctor could diagnose it Miraculous! Innovative, Caring, Compassionate, Giving is how FAITH is defined! TY your gifted!

Anthony K

with each visit with Dr. Russo He made sure that all my questions were answered DEEG Hawaii was able to reveal seizures that conventional EEG’s weren’t able to show while giving my diagnosis Dr. Russo asked me the question of why did I suffer with high blood pressure, which in turn I found out that i suffered from a mild sleep disorder Now my health is becoming better and better I have literally seen over 100 different doctors on the mainland Docto Russo is a great doctor!

Call Or Stop By Today!

250 Ward Ave #170, Honolulu, HI 96814

81-6623 Mamalahoa Hwy Kealakekua, HI 96750

By Appointment Only

1335 Kalanianaole Ave, Hilo, HI 96720