Category Archives: PTSD

Articles dealing with my own struggle with PTSD and that of others

PTSD and Combat Trauma: Gouverneur Warren, a Hero Betrayed

gkwarren

Brigadier General Gouverneur Warren

Friends of Padre Steve’s World,

This is another article from one of my yet unpublished boos on the Battle of Gettysburg. Hopefully my agent will find a home for it. That being said the men who fought that battle were very little different from the men and women that serve in our armed forces today. I find a particular affinity with this man, General Gouverneur Warren.

Peace

Padre Steve+

Throughout this study we have been looking at how leaders at various levels in conduct of campaigns as well as battles make decisions. Likewise we examine the lives and character of those leaders as it applies to their actions at critical points of a battle. In this chapter we will examine three officers whose lives, character and actions at Gettysburg, specifically at Little Round Top exemplify two of the Chairman of the Joint Chiefs of Staff Desired Leader Attributes, “to anticipate and adapt to surprise and uncertainty” and the principle of Mission Command, to “operate on intent through trust, empowerment and understanding.” It is from those perspectives that we will look at this part of the battle, but we would be amiss if we did not address the nearly mythical status to which this action has risen.

The actions of three men at the Battle of Little Round Top; Brigadier General Gouverneur Warren, the Chief Engineer of the Army of the Potomac, Colonel Strong Vincent, commanding Third Brigade, First Division, V Corps and Colonel Joshua Lawrence Chamberlain, commanding the 20th Maine Infantry Regiment of Vincent’s brigade are very important to the outcome of the battle, but also for what they teach us about leadership and the profession of arms. This chapter focuses on Warren, in particular with his work with the Commander of the Army of the Potomac, George Meade and his actions to secure Little Round Top on July 2nd 1863, the next will deal with Chamberlain and Vincent.

The battle at Little Round Top is an iconic part of American History and in particular for the Army, a key element of how leadership has been studied. It has achieved nearly mythical status due to the actions of Colonel Joshua Chamberlain which have been told many times in history, fiction and in film, particularly Michael Shaara’s classic historical novel The Killer Angels and its film adaptation Gettysburg. While these accounts are certainly inspiring and allow us to experience the emotion and near spiritual quality of what Chamberlain writes, there is much more to learn.

That near spiritual quality and mythic status that we accord Gettysburg is important, for in large part it is why we come to the battlefield, and why we study. Chamberlain said it well many years after Gettysburg at the dedication of the Maine Monuments:

“In great deeds, something abides. On great fields, something stays. Forms change and pass; bodies disappear; but spirits linger, to consecrate ground for the vision-place of souls… generations that know us not and that we know not of, heart-drawn to see where and by whom great things were suffered and done for them, shall come to this deathless field, to ponder and dream; and lo! the shadow of a mighty presence shall wrap them in its bosom, and the power of the vision pass into their souls.” [1]

So as we endeavor to look at the actions of these leaders on that fateful day it is important to recognize that we cannot totally separate those actions that helped decide the battle from the mythos that surrounds the story. [2] Likewise, it important to acknowledge that we cannot separate their character and the totality of military leaders lives from their actions on a particular battlefield. Unlike Chamberlain Warren does not engender myth, and that is why he is often overlooked by many casual students and observers of the Battle of Gettysburg.

For the purposes of this study it is important to note that Warren was not a commander during this action, he was, like most senior officers today, a staff officer. Many times students of military history and theory are inclined to dismiss the contributions of staff officers because they do not have the overall responsibility of a battle, or the glamour of the limelight of the commanders that they serve under. However, for military professionals, especially those serving on senior staffs who prepare campaign plans, contingency plans and crisis plans the study of officers like Warren is essential.

The Federal Army at Gettysburg, like its Confederate opponent had a wide variety of officers serving in its ranks. Many of its senior officers were graduates of West Point. Many had served together in Mexico and in the various campaigns against Native American tribes. Those who stayed in the Army during the long “peace” between the Mexican War and the outbreak of the Civil War endured the monotony, boredom and often miserable conditions of isolated army posts, long family separations, as well as low pay, slow promotion and often low social status.[3] In light of such conditions, many resigned their commissions to undertake various professional, business or academic pursuits; in fact Samuel Huntington noted that in the years before the Civil War that “West Point produced more railroad presidents than generals.” [4] However, on the outbreak of the war returned to service whether in the service of the Union, or the Confederate States.

When the war began the Army underwent a massive expansion, which it met through and the call of up militia and raising new units from the various states. In the expansion many officers were appointed who had no prior military service, or if they did it was performed years or even decades before the war. Some of these men were simply patriots who rallied to the flag, others due to a sense of righteousness about their cause, while others were political opportunists or appointees. In the north this was a particular problem as “professional officers were pushed aside and passed over in the Union, the higher commissions going, in the first stages of the war at least to officers called back into service or directly appointed from civilian life, many of them “political” appointees.” [5]

At times the lack of experience, training and sometimes the poor character of these men was tragic. However, many of these men performed as well or better than some of their regular army counterparts at various levels of command. At the same time a good number of Regular Army officers were allowed to assist states in the formation and training of these new units, one of whom was Gouverneur Warren. Gettysburg would provide opportunity for the best and worst of all of these types of officers to succeed or fail. In this chapter we will look at one of the regular officers and two of the volunteer whose lives intersected on July 2nd 1863.

Brigadier General Gouverneur Warren was typical of the many professional officers of the old army. An 1850 graduate of West Point, Warren was a bright student who had absorbed the teachings of his professor, Dennis Hart Mahan as the core of his own military thought, both in his senior year in college and through reinforcement as a faculty member. [6] Warren was commissioned as a Brevet Second Lieutenant and because of his high standing in his class was assigned to Corps of Topographical Engineers. He spent his first seven years in a number of assignments which took him throughout much of the country.

Warren’s work involved exploring and mapping for various enterprises including the project to help tame the Mississippi River, and the exploration of the Great Plains and Black Hills where he developed a sympathy for the various Sioux tribes he encountered noting on completion of his mission in 1858, writing that He had never heard a Sioux chief express an opinion in regard to what was due them in which I do not concur and that many of them view the extinction of their race as an inevitable result of the operation of present causes, and do so with all the feelings of despair with which we should contemplate the extinction of our nationality. [7] Following his years in the west he returned as faculty to West Point where he as an Assistant Professor, shared mathematics instructional duties with Oliver O. Howard and resumed his relationship with his former professor Mahan. [8]

On the outbreak of war Warren was granted leave from his duties at West Point to serve as Lieutenant Colonel of Volunteers in the 5th New York Infantry Regiment, also known as Duryee’s Zouaves. Where Duryee was appointed as a Brigadier General, Warren became its Colonel, serving with it during the Peninsula campaign where he was eventually given command of a provisional brigade and promoted to Brigadier General, serving as a Brigade Commander in at Second Manassas, Antietam and Fredericksburg.

At Chancellorsville he was pulled from his brigade duties by Hooker who employed him with good effect to assist his engineering staff, first with mapping and then building the fortifications that stopped the ferocious Confederate storm on the second day of battle. [9] In less than 48 hours Warren’s troops threw up five miles of the most formidable entrenchments yet constructed under battlefield conditions. [10] Edward Alexander, Longstreet’s artillery officer noted that when the Confederates came upon the fortifications after Hooker’s withdraw that “they were amazed at the strength and completeness of the enemys fortifications. [11] Following the battle Warren was appointed as Chief Engineer of the Army of the Potomac on May 12th 1863 by Hooker. When Hooker was relieved of command and was replaced by Meade on June 28th 1863, he was kept in that position by his fellow engineer Meade rather than being promoted to a division or being assigned as Meade’s Chief of Staff. As this turned out it was a wise choice.

Warren along with Major General Winfield Scott Hancock arrived at Cemetery Hill on the night of July 1st. As Meade organized his defenses he not only depended on his advice about the ground, but “consulted him constantly at headquarters or sent him off on matters of highest importance.” [12] Meade respected Warren and had offered Warren the chance to serve as his Chief of Staff, a position that Warren, like Seth Williams, the Adjutant General declined that offer indicating that he had too much work in their departments to take on the burdens of a new job. [13] Lee appreciated Warren’s calm, absorbed, and earnest manner, his professional skill and sound judgment.[14] These qualities would serve both men and the army well on July 2nd.

When Sickles moved III Corps forward during the afternoon without permission moved his Corps forming a vulnerable salient at the Peach Orchard leaving the southern flank in the air, Meade was aghast. Warren who from his reconnaissance of the previous day and the morning knew the position better than anyone recognized that something was badly awry on SicklesThird Corps front  matters there were not all straight. [15] He had sent an officer to discover to investigate Sickles’ front and that officer reported that the section of Cemetery Ridge assigned to III Corps was not occupied.[16]

Meade and Warren discussed the situation and realized that III Corps “could hardly be said to be in position” [17] and knowing VI Corps was now close at hand order V Corps, at the time his only reserve into the position vacated by Sickles. They went forward and seeing the empty spaces Warren told Meade “here is where our line should be” to which Meade replied: “It’s too late now.” [18] Warren, whose familiarity with the whole of the battlefield gave him concern about Sickles’ corps dispositions suggest that Meade send him to the Federal left, “to examine the condition of affairs.” [19]

Meade concurred with his Engineer and in dispatching him he also gave Warren the authority to take charge as needed saying “I wish you would ride over there and if anything serious is going on, attend to it.” [20] Again Meade’s choice of Warren for the task demonstrated the trust that is essential in command. The two officers worked together seamlessly and as Coddington described their relationship that day: “Meade chose him to act as his alter ego in crucial moments of the battle, and Warren rendered services for which Meade and the country were to be eternally grateful.” [21]Warren would not see Meade again “until the attack had spent its force.” [22]

little round top map

Hunt noted that “The duty could not have been in better hands.” [23]When Warren arrived on Little Round Top he found it unoccupied save for a few signal corps soldiers. Warren immediately recognized the tactical value of Little Round Top and noted that it was “the key of the whole position.” [24]Warren saw that the Confederates were massing not more than a mile away and that there were no troops on the hill to stop them. He believed that an area “of woods on the near side of the Emmitsburg Road as “an excellent place for the enemy to form out of sight” [25] which was exactly what Major General John Bell Hood’s division was doing, as Henry Hunt noted “The enemy at the time lay concealed, awaiting signal for the assault…” [26] To test his suspicions Warren sent a messenger to Captain James Smith’s 4th New York artillery battery on Devil’s Den to fire a single shot into the woods. Warren described the situation:

“As the shot went whistling through the air the sound of it reached the enemy’s troops and caused every one to look in the direction of it. This motion revealed to me the glistening gun-barrels and bayonets of the enemy’s line of battle, already formed and far outflanking the position of any of our troops; so that the line of his advance from the right to Little Round Top was unopposed. I have been particular in telling this, as the discovery was intensely thrilling to my feelings, and almost appalling.” [27]

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Upon confirming his fears Warren resorted to ruse and action. He order the “signalmen to keep up their wigwag activity, simply as a pretense of alertness, whether they had any real signals to transmit or not…”[28] He also sent messengers to Meade, Sickles and Sykes, the commander of V Corps asking Meade to “Send at least a division to me” [29] instructing the messenger, Lieutenant Randall Mackenzie to tell Meade “that we would at once have to occupy that place very strongly.” [30] Sickles refused on account of how badly stretched his lines were, however George Sykes of V Corps responded sending Captain William Jay to find Barnes commander of his 1st Division. The messenger could not find Barnes, but instead came across the commander of the division’s 3rd Brigade Colonel Strong Vincent. Vincent knew that Barnes was self-medicating his “pre-battle anxieties out of a black commissary quart bottle” and was already “hollow from skull to boots” and demanded “What are your orders? Give me your orders.” [31] Upon learning that Sykes wanted a brigade to proceed to Little Round Top Vincent responded immediately to take the initiative and ordered his four regiments up Little Round Top without waiting for permission. Vincent told Sykes messenger “I will take the responsibility myself of taking my brigade there.” [32]

Meade’s choice of Warren was demonstrated in how Warren continued to act with alacrity and decisiveness throughout the afternoon. “As the Union line began to crumble on Little Round Top, Warren, vested with the authority of Meade’s chief representative, emerged as the right man at the right place at the right time.” [33] Warren did not stop with sending messengers, but seeing the danger building he noted that the northwest face of the hill was still unoccupied and open to attack. Warren forgot “all about a general’s dignity” he “sprinted down the east slope of the hill like a rabbit.” [34] There he found Brigadier General Stephen Weed’s brigade which he had previously commanded. Since he did not see Weed, but he found Colonel Patrick O’Rorke of the 140th New York and ordered him to follow him up the hill, saying “Paddy…give me a regiment.” [35] When O’Rorke said that Weed expected him to be following him Warren took the responsibility telling O’Rorke “Bring them up on the double quick, and don’t stop for aligning. I’ll take responsibility.” [36] O’Rorke followed with his gallant regiment with the rest of the brigade under Weed following. Warren’s actions were fortuitous as the 140th New York and Lieutenant Charles Hazlett’s battery of the 5th Artillery arrived at the crest just in time to repulse the advancing Confederates. In the fight the brigade would take fearful casualties and by the end of the battle, Weed, O’Rorke and Hazlett would all be dead, but with Vincent’s brigade they held on and saved the Union line.[37]

Warren continued to urge on the Federal troops despite being wounded, in the words of a reporter who observed him in “a most gallant and heroic manner, riding with utmost confidence over fields swept by the enemy’s fire, seemingly everywhere present, directing, aiding, and cheering the troops.” [38] Once he was assured that Little Round Top was secure he proceeded to rejoin Meade “near the center of the battlefield where another crisis was at hand.” [39]

Warren distinguished as a Corps commander until he ran afoul of the fiery General Phillip Sheridan in 1865. Sheridan relieved Warren of command of V Corps following the Battle of Five Forks where Sheridan believed that Warren’s Corps had moved too slowly in the attack. The relief was brutal and ruined his career. Warren was a professional soldier and took the relief hard. Unfortunately as a topographic engineer he was an outsider to many in the army and not fully appreciated by Grant or Sheridan who in their haste at Five Forks destroyed his career.

After the war Warren resigned his commission as a Major General of Volunteers and returned to his permanent rank as a Major of Engineers. He served another 17 years doing engineeringduty and was promoted to Lieutenant Colonel in 1879, but his past always haunted him, even his sleep. He wrote his wife while supervising a major bridge construction project over the Mississippi River in 1867: “I wish I did not dream so much. They make me sometimes to dread to go to sleep. Scenes from the war, are so constantly recalled, with bitter feelings I wish never to experience again. Lies, vanity, treachery, and carnage.” [40]

He sought a Court of Inquiry to exonerate himself but this was refused until President Grant left office. The Court eventually exonerated him but he died three months before the results were published. Embittered he directed that he be buried in civilian clothes and without military honors. His funeral was attended by his friends Winfield Scott Hancock and Samuel Crawford, his oldest army friend and mentor Andrew Humphreys was called away before the service due to the sudden illness of his son. [41] The Washington Post noted that Warren “had gone “where neither the malevolence nor the justice of this world can reach him. He had enough of the former; and denial of the latter not only embittered his closing months of his life, but undoubtedly hastened his end.” [42]

Warren’s actions on that hot and muggy July 2nd exemplified the leadership qualities that we as an institution strive for, and from a leadership perspective demonstrate how the Chairman’s Desired Leader Attributes and the principles of Mission Command“the ability to operate on intent through trust, empowerment and understanding” should work in a relationship between seniors and subordinates. But his life also serves to remind us of the ethics of our profession. Loomis Langdon, who served as the official recorder for the board of inquiry wrote of Warren:

“I had never met General Warren till he came before his Court of Inquiry…I learned to value his good opinion – and while I admired him for his great patience, his wonderful energy, habit of concentration, his vast learning and untiring application, I loved him for his tenderness, gentleness and charity, even to those whom he believed had combined to do him a cruel wrong; and I admired him for his nobleness of character and his courage and unselfish patriotism.” [43]

It is easy for military professionals to become totally focused in our profession, especially the details of planning and process to forget the humanity of those that we serve alongside. Warren is one of those complex figures who are not easy to categorize. His biographer Jordan wrote that:

“Warren was a man with fine intellect, widely read, and of keen sensibilities. He was also an excellent engineer, mapmaker, and scientist. He was a soldier who cared much for the safety and welfare of the men under him, and he was sickened by the appalling carnage of the war in which he took such a prominent part. He was arrogant and proud, and he hesitated hardly at all in putting down those of his colleagues he regarded as inferiors. His mind’s eye took in much beyond what was his immediate concern, but this gift worked against him in the hierarchical realm of military life. Warren was prone to long sieges of depression, and he himself agreed that others found him morose and unsmiling…” [44]

Warren

In reading military history is far too easy to isolate and analyze a commander’s actions in battle and ignore the rest of their lives. I think that this does a great disservice to the men themselves. In time of war gives up something of themselves and sometimes even heroes like Gouverneur Warren are destroyed by the actions of institutions that they serve.

                                                        Notes

[1] Chamberlain, Joshua Lawrence. Chamberlain’s Address at the dedication of the Maine Monuments at Gettysburg, October 3rd 1888 retrieved from http://www.joshualawrencechamberlain.com/maineatgettysburg.php 4 June 2014

[2] Note: My use of the terms myth, mythology or mythos should not be considered negative, and the use of the terms does not mean that there is not some degree of fact or truth in them. The definitions of the term mythos are important to understanding my use of the term here, first it denotes a traditional or recurrent narrative theme or plot structure of a story, and secondly a set of beliefs or assumptions about something. (See the Oxford American Dictionary.)

[3] Taylor, John M. Duty Faithfully Performed: Robert E Lee and His CriticsBrassey’s, Dulles VA 1999 pp.37-38.

[4] Huntington, Samuel P. The Soldier and the State: The Theory and Politics of Civil-Military Relations The Belknap Press of Harvard University Press, Cambridge MA and London 1957 p.199

[5] Ibid. Huntington. The Soldier and the State: The Theory and Politics of Civil-Military Relations p.213

[6] Jordan, David M. Happiness is Not My Companion: The Life of G.K. Warren Indiana University Press, Bloomington Indiana 2001 p.6

[7] Ibid. Jordan Happiness is Not My Companion: The Life of G.K. Warren p.30

[8] Ibid. Jordan Happiness is Not My Companion: The Life of G.K. Warren p.33

[9] Sears, Stephen W. ChancellorsvilleHoughton Mifflin Co. Boston and New York 1996 p.372

[10] Hagerman, Edward. The American Civil War and the Origins of Modern Warfare. Midland Book Editions, Indiana University Press. Bloomington IN. 1992 p.91

[11] Alexander, Edward Porter Military Memoirs of a Confederate: A Critical Narrative 1907 republished 2013 by Pickle Partners Publishing, Amazon Kindle Edition location 7007

[12] Coddington, Edwin B. The Gettysburg Campaign: A Study in Command, A Touchstone Book, Simon and Schuster New York, 1968 p.332

[13] Sears, Stephen W. Gettysburg. Houghton Mifflin Co. Boston and New York 2003 pp.129-130

[14] Ibid. Coddington, The Gettysburg Campaign: A Study in Command, p.332

[15] Ibid. Sears Gettysburg p.262

[16] Tredeau, Noah Andre. Gettysburg: A Testing of Courage, Harper Collins Publishers, New York 2002 p.319

[17] Ibid. Tredeau. Gettysburg: A Testing of Courage, p.319

[18] Ibid. Tredeau. Gettysburg: A Testing of Courage, p.320

[19] Ibid. Jordan Happiness is Not My Companion: The Life of G.K. Warren p.90

[20] Ibid. Tredeau. Gettysburg: A Testing of Courage, p.320

[21] Ibid. Coddington, The Gettysburg Campaign: A Study in Command, p.388

[22] Guelzo, Allen C. Gettysburg: The Last Invasion Vintage Books a Division of Random House, New York 2013 p.260

[23] Hunt, Henry. The Second Day at Gettysburg in Battles and Leaders of the Civil War Volume III, The Tide Shifts. Edited by Robert Underwood Johnson and Clarence Clough Buel Castle, Secaucus NJ p. 307

[24] Ibid. Jordan Happiness is Not My Companion: The Life of G.K. Warren p.92

[25] Ibid. Jordan Happiness is Not My Companion: The Life of G.K. Warren p.92

[26] Ibid. Hunt The Second Day at Gettysburg in Battles and Leaders of the Civil War Volume III, The Tide Shifts. p. 307

[27] Pfanz, Harry F. Gettysburg: The Second Day. University of North Carolina Press, Chapel Hill 1987 p.206

[28] Foote, Shelby, The Civil War, A Narrative. Volume Two Fredericksburg to Meridian Random House, New York 1963 p.503

[29] Ibid. Jordan Happiness is Not My Companion: The Life of G.K. Warren p.92

[30] Ibid. Guelzo Gettysburg: The Last Invasion Vintage p.261

[31] Ibid. Guelzo Gettysburg: The Last Invasion Vintage p.262

[32] Longacre, Edward Joshua Chamberlain: The Soldier and the ManCombined Publishing Conshohocken PA 1999 p.127

[33] Ibid. Coddington, The Gettysburg Campaign: A Study in Command, p.395

[34] Swanberg, W.A. Sickles the IncredibleStan Clark Military Books, Gettysburg PA 1957 p.214

[35] Ibid. Jordan Happiness is Not My Companion: The Life of G.K. Warren p.93

[36] Ibid. Foote The Civil War, A Narrative. Volume Two Fredericksburg to Meridian p.504

[37] Ibid. Jordan Happiness is Not My Companion: The Life of G.K. Warren pp. 93-94

[38] Ibid. Coddington, The Gettysburg Campaign: A Study in Command, p.388

[39] Ibid. Coddington, The Gettysburg Campaign: A Study in Command, p.396

[40] Ibid. Jordan Happiness is Not My Companion: The Life of G.K. Warren p.249

[41] Ibid. Jordan Happiness is Not My Companion: The Life of G.K. Warren p.309

[42] Ibid. Jordan Happiness is Not My Companion: The Life of G.K. Warren p.308

[43] Ibid. Jordan Happiness is Not My Companion: The Life of G.K. Warren p.309

[44] Ibid. Jordan Happiness is Not My Companion: The Life of G.K. Warren preface pp.x-xi

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“They Remain Fresh and Open in the Heart” Moral Wounds, often Hidden but Never Healed

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Tombstone at the British Cemetery, Habbaniyah Iraq

Friends of Padre Steve’s World,

Stephen King wrote: “Nightmares exist outside of logic, and there’s little fun to be had in explanations; they’re antithetical to the poetry of fear.”

I prefer physical pain and physical injury to moral, emotional, and spiritual injury. I agree with Alexander Dumas who wrote in the Count of Monte Cristo“Moral wounds have this peculiarity – they may be hidden, but they never close; always painful, always ready to bleed when touched, they remain fresh and open in the heart.”

That is how I feel over ten years after returning from Iraq in 2008. No matter how well I am doing there are times when things going on in the present fill me with terror and evoke the ghosts of my past. As much as I want to put my war and other wars in the past I see American political leaders, propagandists, and religious leaders doing all they can to bring about new wars abroad and divide us at home.

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I find this deeply unsettling and it causes great anxiety, especially when I try to sleep. On Saturday night I had terrible nightmares of war with superiors trying to force me to commit war crimes. Four times Judy tried to wake me as I screamed and fought and I couldn’t pull myself out of the dreams. Thankfully I did not end up throwing myself out of bed and causing injury as I have done before. Likewise the Papillons, including our youngest boy, Pierre, now know to move to a different part of the bed when I am so unsettled.

Guy Sajer wrote in his book The Forgotten Soldier, “Only happy people have nightmares, from overeating. For those who live a nightmare reality, sleep is a black hole, lost in time, like death.” United States Army General Gouverneur Warren, a hero of many Civil War battles including Gettysburg wrote to his wife after the war “I wish I did not dream so much. They make me sometimes to dread to go to sleep. Scenes from the war, are so constantly recalled, with bitter feelings I wish never to experience again. Lies, vanity, treachery, and carnage.”

In my dreams I remember everything about the war like it was yesterday. The images are vivid: wounded Marines, a wounded Iraqi boy with his father, a rocket flying just a few feet above my head, taking small arms fire in Ramadi on the ground and aboard an Army helicopter which returned fire as we took off from Ramadi, destroyed cities and villages, destitute and terrified people, and refugees.

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But those dreams and nightmares blend reality with unreality, real places with imaginary places, places that I’ve been to but are not the same as they are in the real world and they frequently show up. You think that I would be used to them; but no matter how often I have them I never get used to them, and I can’t really explain them, I only try to survive them.

Of course now I am dealing with constant physical pain with my knees, hip, and ankles. This is something relatively new for me, but even so, I can deal with physical pain better than emotional or spiritual pain, and the nightmares and night terrors.

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Ramadi, January 2008

One of my favorite actors, James Spader, plays a character named Raymond Reddington on the television show The Blacklist. During one episode he told another character something quite profound, something that if we actually embrace it can be somewhat comforting. “There is nothing that can take the pain away. But eventually, you will find a way to live with it. There will be nightmares. And every day when you wake up, it will be the first thing you think about. Until one day, it’s the second.”

Anyway, I think that Reddington’s words are true. toward the end of next month I will be getting another sleep study, this one to try to figure out how to mitigate the physical violence in my dreams, even as I deal with constant physical pain. Who knows, maybe the physical pain will dull the emotional or spiritual pain that lies deep in my psyche and inhabits my dreams and nightmares?

But I guess that is just a rhetorical question.

So until tomorrow,

Peace

Padre Steve+

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Filed under mental health, PTSD

“After You Hurt the Knee it isn’t as Fun…” Padre Steve Deals With More Knee Injuries

I Don’t Know if I will be Able to Climb Little Round Top Again

Friends of Padre Steve’s World,

Last night I went to bed a bit down because of the unexpected death of my friend Mitch. But, I was also thinking about ways I could try to get back into shape as I awaited a consult from the Sports Medicine Doctor to the orthopedic surgeon who did the arthroscopic surgery on my left knee. Physical therapy on Tuesday had gone well and because I have been doing so well I stopped using a cane or crutch to stabilize me as I walked. I thought I was making progress.

To a certain extent I was, my left knee and leg were getting stronger, despite the fact that my right knee has not responded to the non-surgical Platelet Rich Plasma and Gel injection treatments given over the past two and a half months. But I had also not taken as seriously as I should the continued pain and weakness in the right knee, and the fact that it has been buckling on me of late. My sports medicine doctor told me that it looked like something other than osteoarthritis was the cause of my right knee problems, my kneecap feels loose and the doctor thinks something may be going on underneath the patella.

I knew I had physical therapy today and was looking forward to more improvements. Then the unexpected happened. My right knee buckled and gave out as I was walking down the steps from my front porch to the car. I fell in a heap at the bottom of the steps, my left knee landed hardest on the concrete walkway while my right knee hit the bricks in our planter, but that was a glancing blow. My left ankle feels like it has a mild sprain, the right foot has a lot of pain on the top of the foot below the ankle. I have no idea what is going on with it. My left knee hurts worse than before or after my surgery.

I wondered if I should wake up Judy and have her take me to the ER or maybe try to get an appointment with my PCM, or just contact the surgeon, and go to physical therapy. I sent an email to the surgeon, contacted the head of the officer retirement section at the Naval Personnel Center, and then went to physical therapy. My physical therapist put me through the paces and it was agonizing. She, a civilian, also warned me in a stern voice: “Sir, if I ever hear of you walking around without using a cane or crutch, I will kick your ass…” I believe her.

By the time I got back to the office from physical therapy I had heard back from the man at NPC who recommended that I modify or cancel my current voluntary retirement orders. I also heard back from my surgeon’s nurse. All agreed that I should request that the retirement orders be cancelled and a new request submitted for my mandatory date of my 60th birthday in late March.

That was something I had began to expect when I got word from the Sports Medicine doctor that there was something else wrong with my right knee other than osteoarthritis, which I suspected back last August when I fell down my stairs. I always knew I had arthritis in my knees but it was mild and never interfered with any of my physical activities. The only times the knees hurt before that fall was in cold damp weather. After that it has been difficult. Despite the fact that I didn’t have a torn meniscus in my right knee it constantly hurt worse than the left knee, I held out hope that the non-surgical procedures would make the difference.

So I emailed my Commanding Officer, Executive Officer, and Regional Chaplain to explain what I am going to have to do. All were sympathetic and tomorrow I will submit my request through my Commanding Officer, and on to NPC where it will need to be approved. The head of the officer retirement branch doesn’t think it will be a problem. If It gets approved I can probably get the treatments/ surgeries that help me recover.

This is a disappointment. I really was looking toward to going on terminal leave, having my retirement ceremony and re-entering the civilian world in September. I don’t like being as crippled as I am. Last year at this time I was walking, power-walking, or running 5 to 15 miles a day, five days a week. I am so discouraged by this, I cannot do anything like that now. Likewise, for me it embarrassing to have to admit that I am physically broken.

I agree with the great New York Jets Quarterback, Joe Namath said:

“After I hurt the knee, football wasn’t nearly as much fun. I was limited. But you make do with what you have. I adjusted some. I was lucky to play as long as I did, with the different kinds of injuries I got. I played with two severed hamstring muscles in my leg late in my career. I could barely run, other than to drop back to pass.”

I fully agree with him. Until last year I have had very few physical injuries that I couldn’t overcome. Perhaps they will be able to fix me before I retire, and I am not one to give up hope or belief that I can get better. I won’t stop trying, because I want to be able to hike 15 to 20 miles in a day, up and down broken terrain and climb Little Round Top at Gettysburg without using the roads.

I’ll keep you informed, so pray for me a sinner,

Peace,

Padre Steve+

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Filed under healthcare, life, Loose thoughts and musings, Military, PTSD

Chronic Pain, Insomnia, Trumped Up National Emergencies and a brief Thought for the Night

Friends of Padre Steve’s World,

I had a very difficult time sleeping last night. Part, probably much was due to physical pain in my knees and especially my right hip. Then there was the pounding rain and wind that kept me awake, and finally the anxiety that I feel for our nation in the wake of President Trump’s “Trumped up” Declaration of National Emergency. I didn’t get to actual sleep until nearly 4 AM, in the military that’s 0400, if you work in the Trump White House Donald’s little hand is shoving a chicken leg down his gullet and and his big hand is on tweet. But I digress…

I’m tired despite having slept until almost 11:00 AM, since today was President’s Day I didn’t have physical therapy at our Navy clinic. I have an assessment on my shoulder at the physical therapy clinic for a nagging injury that has been afflicting me since my return from Iraq. I got treatment for it way back then but little has changed, it’s just gotten worse as I tried to get back some upper body strength doing pull-ups late this summer, and yes I’m still tired. I had a whole bunch of stuff that I started but just saved as drafts this evening.

So with that, especially the Trump National Emergency, I leave you with this thought:

Russian exile and Chess Grand Master Gary Kasparov who wrote:

“First of all, people here should understand that nothing is for granted. There were many warnings in the past, you know, but every time, Americans and Europeans—they believe that it’s like bad weather. It comes and goes. But the danger is real. I always want to quote Ronald Reagan, who said, “Freedom is never more than one generation away from extinction.” Now, probably, it’s not even one generation. Things can happen very quickly, because there’s so much power that comes in the hands of people who have very little affection for the values that make up the core of liberal democracy and the free world.” 

Because of that I believe that we must stand for principle and work for a new birth of freedom even as it seems that freedom itself is in danger due to the actions of the American President. We must stand or we will lose everything that generations of Americans as well as others have fought so hard to preserve, but it is difficult. As Max Boot wrote back in March of this year:

“Trump is sucking a substantial portion of America into his Orwellian universe. The rest of us have to struggle simply to remember that war isn’t peace, freedom isn’t slavery, ignorance isn’t strength.”

So until tomorrow,

Peace,

Padre Steve+

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Filed under Loose thoughts and musings, mental health, Military, News and current events, Political Commentary, PTSD

A Last Drink before Surgery in the Morning

Friends of Padre Steve’s World,

As I lift this stein, an hour and a half before I can neither eat and drink before by arthroscopic knee surgery Thursday I wish you all the best. Sadly, in order to get to the hospital where the surgery will be done I will have to be up way before sunrise. As anyone with any sense knows, the darkness of the morning is God’s way of letting you know you should still be in bed.

I had a great day having lunch with a Navy Chaplain who I now call a friend who I threw a coffee cup at in between missions in Al Anbar Province in 2007. Yes I was already dealing with PTSD back then but didn’t know it. He’s a great guy, and my wife Judy loves his wife as a dear friend. Then this evening I dinner and a couple of beers with a fellow progressive Navy Chaplain of my age who suffers from many of my afflictions and others far worse.

Now, I have every bit of confidence in the surgery that will be conducted on my left knee Thursday, which is like a few hours from now, which is kind of like today if I lived in Germany. But by the time you read this dear reader it will be today, unless you ready it tomorrow or sometime after that, but I digress…

That being said, my right knee, which I had a Platelet Rich Plasma treatment on a week ago still hurts like a motherfucker. If that continues I will probably need a knee replacement which could throw my projected retirement date into doubt. Honestly, I don’t give a flying fuck so long as it gets fixed before I leave active duty and have to surrender valuable private sector work in order to wait on the VA to fix it. Call me selfish and entitled, but after nearly 38 years of throwing my body under the bus for the country I deserve getting it taken care of before I retire and am cast off into the abyss of veteran care.

So anyway. Whenever you read this, lift a pint and say a prayer for me, and those far worse off than me. There are a lot of them, and most are too intimidated by the system to throw the bullshit flag like I have been doing for the past decade. I owe much of this to my military and civilian therapists and psychiatrists who encouraged me as a Chaplain and senior officer to tell the truth and speak out. Sadly, quite a few of the senior officers and Chaplains I have known swallowed the pain and taken their lives, and there were times that I would have done the same if it wasn’t for Judy and our dogs, especially Molly who decided she wanted to live with me in North Carolina during the times I most wanted to die. I couldn’t kill myself because she was so devoted to me. Now I have Izzy, Pierre, and Minnie. Judy would love all of them, but Pierre and Izzy are devoted to me. Strange how things like that keep you alive when nothing else does.

Until tomorrow, have a great night.

Peace,

Padre Steve+

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Filed under healthcare, Loose thoughts and musings, mental health, ministry, PTSD, suicide

I Won’t Shut Up Until It’s Fixed: Military and Veteran Mental Health Treatment

Friends of Padre Steve’s World,

Last night I came across the story which threw me back in to the abyss of PTSD. I still suffer terribly from it. I have terrible nightmares and night terrors and often physically act out my dreams. Since 2014 this has resulted in two Emergency Room visits due to the injuries incurred in those dreams, including a broken nose. In the deepest depths of anxiety, fear, depression and at times paranoia I contemplated suicide many times. The only thing that kept me from it was what the effect would be on Judy and how my dog Molly would understand that daddy wasn’t ever coming back.

Anyway, I read about the story of Colonel Jim Turner who committed suicide in the parking lot of the Bay Pines Florida, Department Of Veternas Affairs Medical Center. He had dressed in his Dress Blues with Medals, got out of his car, sat on his service records, and killed himself with a rifle. The story struck so close to home because in July of 2014 I was at the same point following an encounter with a a provider and what was a very inhuman and machinelike system of treatment at Naval Medical Center, Portsmouth, Virginia.

I had been getting treatment and therapy since the summer of 2008 when I crashed following my return from Iraq. In 2013 I thought that I was doing well enough to discontinue therapy. But in early January 2014, my former Commodore at EOD Group Two, Captain Tom Sitsch committed suicide outside a hospital in New Hampshire. He had been retired about five years and his life was falling apart, but when I met in the spring of 2008 he was the only man who seemed to care about me, and how I was coping as I was crashing. His death hit me really hard and I realized that I needed to get back into therapy at least to have someone to talk to every couple of weeks to make sure that I was  okay.

I wrote about these encounters on this blog a number of times from the day until it happened until the situation was resolved by the intervention of my former Commanding Officer at Naval Hospital Camp LeJeune, NC who had since been promoted to Admiral and put me in direct contact with Rear Admiral Jeff Moulton who commanded the Medical Center and Naval Region East.

After my encounter with the provider, a young Psychiatric Resident physician, I was considering suicide in a very similar way to how Colonel Turner killed himself. I was goi g to purchase a chrome plated M1911A1 .45 pistol, my favorite or all weapons I used in the military, clothe myself in my choker whites with full medals and put a round in my heart. I was ready to do it, and then I thought of the effect on my wife Judy, my dogs, and the people who would witness what I did.

If Admiral Lane had not reached out to Admiral Moulton I might well have died by my own hand. But those men took the time to listen to me and ensure that I got help. They saved my life. I am still in therapy. I still suffer crazy nightmares and act out my dreams, even last week when I scared the shit out of my Papillon dog Izzy and Judy when I tried to defend myself from a enemy combatant who had a pistol pointed at me, but I don’t want to die.

But an interesting thing happened. While reviewing my medical records in preparation for going into the VA system I found that the young Psychiatry Resident had put in a very perjorative diagnois Of a personality disorder based on a brief visit and a phone call, in fact the diagnosis was put in weeks after I had talked with her and after I had talked with Admiral. I guess she never thought that I would know about it. I talked with my current therapist who could access her notes about it today. When we talked he gave the dates on her notes, he told me what she wrote, and so this evening I went to my blog archives because I knew I had written about it when it happened. The result blew me away.

If I was a civilian I could sue her for malpractice, but since I am on active duty I cannot due to to provisions of the Feres Decsion. Now at this point in my life I don’t want revenge, I just want to have the perjorative diagnosis removed from my records. Until today I didn’t realize that I had the evidence at my fingertips, my scrambled brain had me think that the encounter was in 2015, but my blog and the Medical records show that it happened in July and August of 2014.

Pray for me, and if you have any legal advice please let me know. I plan to go forward as the psychiatrist is still on active duty at another base heading a clinic that treats patients with PTSD. I wonder if she is using her position to slander young sailors and marines who disagree with her or do not want to use her as a therapist, and who don’t know that a provider can so easily use a medical record to prejudice other providers against them.

As I said back in 2014, I will not shut up until the system is fixed. The late Colonel David Hackworth who Inhad the honor of corresponding with before he died noted: “If a policy is wrongheaded feckless and corrupt I take it personally and consider it a moral obligation to sound off and not shut up until it’s fixed.”

That is now part of my mission, not just for me, but for men like Colonel Turner, Captain Sitsch, and the countless men and women who have been callously treated by military and Veterans Administration mental health providers. For the approximately 20 military personnel and veterans who take their lives every day. All of us deserve better,

By my calculations the psychiatrist who did this to me wasn’t even born whenI enlisted in the Army or had even entered medical school when I deployed to Iraq. At the time that she saw me she had never deployed, been in combat, or commanded troops, in fact I would dare say that when I saw her I had much more experience dealing with death and troops suffering from PTSD than she did. I’m pretty sure that when I told her I didn’t want to do therapy with her I told her that, perhaps she was offended that a non-physician would tell her that, but I tend to tell the truth, and call things the way that I see them.

So anyway, until tomorrow, or maybe since it’s after midnight, later today I wish you peace, and pray for me a sinner.

Peace,

Padre Steve+

 

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Filed under ethics, leadership, mental health, Military, News and current events, PTSD, suicide, Tour in Iraq, us army, US Marine Corps, US Navy

PTSD, Medical Records, Malfeasant Malpractice, and the Minstrel Boy: Surprises You Discover by Seeing Your Actual Medical Records

Friends of Padre Steve’s World,

I was going through some of the 1000 pages of my electronic medical records and close to 500 pages of hard medical copy records. My God, they are a treasure trove of information. I am beginning to organize them for my meetings with Disabled American Veterans and Veteran’s Administration for my military disability claim. According from one of my friends, a retired Navy Physician who now works for the VA in dealing with claims I should have an 80-100% disability rating from the VA due to all that is goofed up with me. I’d settle for 80-90%, 100% sounds too extreme. But severe chronic PTSD, Traumatic Brain Injury, chronic insomnia, night terrors, injuries sustained in physically acted out nightmares, severe Sleep Apnea, hearing loss, Tinnitus, speech comprehension at the 3rd percentile, not to mention numerous injuries to my legs, knees, hips, ankles, shoulders and wrists incurred through years of physical abuse in and out of combat environments.

These do not include many of my psychiatric and psychological records which are in a different system, nor the hard copy records from my time in the Army which I still have, but they are impressive and full of surprises.

For me this included an obviously punitive diagnosis made by a Psychiatry Resident four years ago who had only met me for 15 minutes. During that time she treated with such contempt and disrespect that I issued a formal complaint about her. My complaint actually helped get me a competent therapist, but this physician attempted to harm me by diagnosing me with a disorder than cannot be made in such a short time of clinical observation. The fact is that I was dealing with PTSD and combat trauma while she was still in high school, and that was before it happened to me. As a result I am going to seek some kind of sanctions on that doctor through the military or through her accrediting body.

If it wasn’t for the restrictions of the Feres Doctrine I would immediately sue the Navy because how badly that encounter effected me then. I do actually plan on exploring ways to punish that doctor for what she did because the diagnosis was made purely to poison the relationship that any future Navy (Military or Civilian) therapist might have with me, but I digress because I went all of this to write about a Star Trek the Next Generation episode which I just watched as part of my current binge watching of Star Trek TNG seasons. The episode was called The Wounded and dealt with PTSD, combat trauma, loss, and the unwillingness of some to let wars end. It has always been one of my favorite episodes of that franchise, long before I ever went to Iraq or came back with PTSD and TBI.

One of the quotes from the episode was uttered by Captain Jean Luc Picard, played by Sir Patrick Stewart. He made a comment about people who could not get over their anger, that is especially applicable to those who went to war or lost friends or family in war:

“I think, when one has been angry for a very long time, one gets used to it. And it becomes comfortable like…like old leather. And finally… it becomes so familiar that one can’t remember feeling any other way.

I understand that. I still have a lot of anger. Not at the Iraqis, but the men and women who sent us into Iraq. Trust me, I have no lingering sympathy for Saddam Hussein and his thuggish dictatorship, but that being said the justification to go to war was so unjust that had our leaders been in the dock at Nuremberg they would have been found guilty of at least two counts on those charges. No honest person who looks at history or international law can say otherwise, especially it because it was an American, Justice Robert Jackson who organized the trials and who noted before they began:

“If certain acts of violation of treaties are crimes, they are crimes whether the United States does them or whether Germany does them, and we are not prepared to lay down a rule of criminal conduct against others which we would not be willing to have invoked against us.”

Once again I digress, because what brought all about my post tonight was that Star Trek TNG episode that I first saw some 27 years ago. When the episode comes to it’s conclusion Chief Miles O’Brien played by Colm Meaney tells his former Captain, Benjamin Maxwell played by the noted character actor Bob Gunton that the war is over. He then reminds him of the Irish song The Minstrel Boy which they begin to sing:

The Minstrel Boy (Thomas Moore)

The minstrel boy to the war is gone, In the ranks of death ye will find him; His father’s sword he hath girded on, And his wild harp slung behind him; “Land of Song!” said the warrior bard, “Tho’ all the world betray thee, One sword, at least, thy rights shall guard,One faithful harp shall praise thee!”

The Minstrel fell! But the foeman’s chain Could not bring his proud soul under; The harp he lov’d ne’er spoke again, For he tore its chords asunder; And said “No chains shall sully thee, Thou soul of love and bravery! Thy songs were made for the pure and free They shall never sound in slavery!”

The Minstrel Boy will return we pray When we hear the news we all will cheer it, The minstrel boy will return one day, Torn perhaps in body, not in spirit. Then may he play on his harp in peace, In a world such as heaven intended, For all the bitterness of man must cease, And ev’ry battle must be ended.

It is a breakthrough, a new war is averted, a former enemy warned of that future activities would be watched, and the possibility of peace and understanding between old enemies. Honestly, that is what I want to see in life. I have written about that many times.

I have meandered too much tonight, so I wish you a good night and a happy Labor Day Weekend.

Peace

Padre Steve+

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Filed under ethics, iraq, mental health, Military, PTSD