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To Iraq and Back: Living Wills, Immunizations Gone Bad and More Sleepless Nights

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This is another installment of my To Iraq and Back series which tells of my deployment to Iraq with RP1 Nelson Lebron in 2007 and 2008.

One of the sobering things as you get ready to go to war are administrative issues that deal directly with your mortality. They are mundane actions when we do them in peacetime but chilling when you put them in context of going to war.

In our society in which people do all they can to push back even thinking about death discussing the issues that deal with your possible dismemberment, disability or your death are taboo. The month before I deployed  Iraq Judy had me take out an additional life insurance policy that doubled what the military would provide in the event of my demise.  At that point Iraq was a cauldron, hundreds of casualties each month and I was going to the heart of the action in Al Anbar province.

Part of our processing to go to combat was a will and power of attorney update.  We had not updated our wills since well before coming to the Hampton Roads area so I took advantage of this time to get it done.  The will itself was pretty easy since we have no children and have not been married to anyone else.  That was the easy part.

The next part was dealing with various powers of attorney, a general power of attorney and a medical power of attorney. The medical power of attorney is something that I routinely deal with at the hospital. I have dealt with them before in other places.  At the same time they become somewhat disconcerting when you are getting to go into a combat zone where there is heavy fighting going on. For most that is disconcerting enough, but chaplains go into action unarmed.

Sometimes when I fill out one of these I pray that I don’t end up like Karen Anne Quinlan or Terri Shaivo.  When I did it this time all I could think about was me being so badly wounded that it would be like the movie The Naked Gun.  I someone telling Judy “Doctors say that Dundas has a 50/50 chance of living, though there’s only a 10 percent chance of that.” While this is going on I could just see me unable to respond trying to say “give me one more at bat skip, just one more chance…please.”  This may not seem like the most spiritual thing for a Priest to be saying but I don’t want to be in the afterlife before my time. It would be bad form.

Legal matters finished we had to get our immunizations. When you deploy the military always ensures that you are vaccinated against about everything imaginable. These include typhoid, anthrax, smallpox, malaria, yellow fever, certain regional diseases and probably others that I have forgotten.

I had received many of these before at various times. This included my first Anthrax vaccine. On this second occasion something happened and ti had a reaction to it.  My bicep felt like someone had shoved a baseball in it and the sucker hurt like hell. By the next morning I knew that my reaction was not “normal” because the first one I had did not do this.

I thought back to the Anthrax scare right after September 11th 2001 and I didn’t want to take any chances regarding something that the media said could be dangerous. What if they had messed up and given me a bad batch of the vaccine. Hell, just because I’m paranoid doesn’t mean that they are not out to get me. Besides if I was going to die for my country I didn’t want it to be from a reaction to a vaccine and not something heroic.

So I went back to the immunization section. Like a typical officer I simply “excused” my way past the queue of sailors waiting to get PPDs read and went to the desk. I figured that I wasn’t going to wait in line behind people with routine stuff when things looked like they were getting sporty for me.I call it “self-triage.”

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The Corpsman at the desk was polite and asked what he could do.  I told him that “I think I’m having a reaction to the Anthrax vaccine.”  He gave me a funny look and asked which one in the series this shot was. It was the second and since I figured that the next question would be “did you have a reaction the first time?” I continued “This didn’t happen the first time.”

The Corpsman looked at my arm and said “Obviously sir the first time you had no antibodies to Anthrax so it had nothing to react to….”  I was thinking “no shit Sherlock” when the young man went to get his Chief. The Chief came in, looked at my arm and said: “Gee sir it looks like you are having a reaction to the shot.”

I was thinking well no shit but didn’t say it. So the Chief took me back to his office and started having me checked to make sure that I didn’t have a fever or a number of other things, like if I was dizzy or was having trouble breathing. No I was neither dizzy nor experiencing breathing difficulties but was simply in pain, a bit scared and really pissed.

After his battery of questions and a couple of phone calls asked me “do you think that you are safe to drive?”

At that point I would have said anything to get the hell out of there and get on with what I needed to do to make sure that I wasn’t going to die.  So I said “of course I am.”

He asked if I was sure and I reaffirmed this to him in a convincing enough manner for him to send me over to Portsmouth by ambulance.

Portsmouth Naval Medical has a small office manned by a couple of nurses whose job it is to report bad vaccine reactions up to the FDA and God only knows who else. These ladies were very pleasant and when they got a look at my arm they were impressed.  Once again I heard “Yes sir you are having a reaction.”

I got to answer yet another battery of questions and they took a couple of pictures of the baseball sized knot on my left bicep.  One of them made a couple of phone calls and a few minutes later I was told that I would be okay. The explanation was that the subcutaneous injection had caused the vaccine to be encapsulated in my arm rather than doing what it needed to be doing. I was told to inform whoever gave me my next shot in the series to make sure that they got in the muscle. I was told to take some Motrin for the pain and swelling and do a lot of push-ups, pull-ups and massage the bicep to help the swelling dissipate faster. My fears eased and I left the hospital and reported back to the processing site where all of my fellow sailors had already left for the day.

I spent another tense and sleepless night with Judy, the emotional distance still there.  We talked about various things but nothing serious. I don’t think that either of us was able to vocalize well what we were feeling.

Even Molly seemed differed, I’m sure that she sensed that something was going on as I had continued to pack and re-pack my gear from EOD. Molly does not like it when either of us pack as it usually means that one or both of us is leaving.

The next morning I repeated my “Groundhog Day” trek back to Norfolk Naval Station fighting the idiots driving to work on the I-264, I-64 and I-564 battle zone where matching wits with the witless I safely picked my way through traffic while drinking my black coffee.

This was our next to last day of processing and we checked and re-checked paperwork, received our signed wills, living wills and powers of attorney. That morning I met with Father Pat Finn a mobilized reservist and Episcopal Priest from South Carolina and we had a nice chat where we were joined by Fr Steve Powers a retired Navy Chaplain and Rector of St. Brides Episcopal Church in Chesapeake.

Following that I was asked to assist with a sailor who was having some personal difficulties getting ready for the deployment.  These tasks completed I went back to muster with the others and sat down next to Nelson. Following this we went out where the Storekeepers and other supply staff had our gear.

We gathered outside where we lined up and given a sea bag in which to put our issue.  There were boxes of stuff everywhere and a couple of civilians and sailors stood by to ensure that we got what we were going to get.  Uniforms with all of our name tapes rank insignia and qualification pins sewn on were there as well as more socks, t-shirts and other assorted gear.

Our stash was a bit lighter than the others as we already had much of what was being issued. When this was done and we were released. I told Nelson to go home as his family was coming into town from New York.  Taking the newly issued gear home I again went about packing and repacking and took Judy out to dinner after which we spent our time alone together pondering the future.

Peace,

Padre Steve+

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Monday Musings: The War at Home

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Last week was quite challenging at work with sequester and other things going on. Needless to say I was busy but it was at the same time quite rewarding, though not without pain of seeing a number of people that I know, respect, care for and even love go through their own various hell on earth. That I guess is part of ministry, being connected to people in good times and in bad and even when you have no answers, can provide no healing or effectively change their situation. All I could do in each case was to be there for them, with them and where possible provide assistance however limited.

The events of the week coupled with my own impending transfer to a new duty assignment have left me even more introspective than usual. I have been thinking about those times in my life where things were happening that I had little control of, or where maybe even my my choices or decisions brought about difficult times.

I began to think about the time just before I reported to my current billet. I was still struggling with PTSD and though faith had returned it was still quite fragile. I was selected for promotion on the 22nd of June, my dad died of complications of Alzheimer’s Disease on the 23rd, we had his memorial in California on the 26th and the day before I returned to Virginia I was told that I was coming to Camp LeJeune and that I had no choice in the matter. Promotion sometimes brings unexpected change.

At the time I really didn’t want to come. I wanted to finish my last year at the old billet and move on to a ship or possibly something that would get me to Afghanistan, where I believed that I would be “back in the fight.” Instead I went from one hospital serving as a staff chaplain to another serving as the director of Pastoral Care. It was a move up, but not the one that I wanted.

However I was in the front lines, just in a different way. Camp LeJeune and the Marines and Sailors who serve aboard it has been part of the war since the beginning. We have many wounded warriors, men and women, wounded in mind, body and spirit. To see the young men and women with prosthetic limbs, walking in pain with canes or crutches, others with facial disfigurement, blindness, massive scars from burns is humbling. To see these young men and women wearing the Purple Heart Medal, or awards with a “V” device for valor in combat action is truly humbling. To see others suffering in mind and spirit, many struggling with PTSD, TBI, and dealing with various forms of depression, despair and sometimes succumbing to alcohol or drug abuse, including prescription pain medications for chronic pain and even attempting or completing suicide has shown me that the effects of war extend far beyond the battlefield and that this war will go on far longer than the wars in Iraq or Afghanistan.

Major General Smedley Butler wrote in 1932:

“But the soldier pays the biggest part of this bill.

If you don’t believe this, visit the American cemeteries on the battlefields abroad. Or visit  any of the veterans’ hospitals in the United States….I have visited eighteen government hospitals for veterans. In them are about 50,000 destroyed men- men who were the pick of the nation eighteen years ago. The very able chief surgeon at the government hospital in Milwaukee, where there are 3,800 of the living dead, told me that mortality among veterans is three times as great as among those who stayed home.” 

Yes this will be with us a very long time.

In a sense I was again in the front lines, this time seeing a part of war that will need to be addressed for a very long time. It has made me much more sensitive to the victims of war and suspicious of people who have no “skin in the game” who constantly advocate war as first response. This will be with me and influence my life and ministry for the rest of my life even after I retire from the Navy in a few years.

I am down to a few weeks left in this assignment before I go to teach mid-grade and senior officers going on to important Joint billets, men and women who have been likewise in the fight for the past dozen years and many of whom will rise to senior leadership before their careers are over. It is a once in a lifetime opportunity. I hope to make the most of it.

Anyway, I have an earlier than normal day tomorrow I shall close for the night.

Until tomorrow,

Peace

Padre Steve+

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Filed under iraq,afghanistan, leadership, Military, ministry, Pastoral Care, PTSD, Tour in Iraq