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Survival on the Home Front: Dealing with Other People’s Reactions to My PTSD

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Being in Iraq  was in Many Ways Less Frightening than Being in the USA

I find it interesting and sometimes painful to see how institutions and some people within the institution will label those of us who have gone to war and came back as gooned up with PTSD.  The biggest tension and issue, and I admit it as my own is that we get stereotyped and sometimes viewed as “broken.”  I admit that I have issues, in fact a lot of frickin’ issues and I have a pretty good awareness of them.  I see Elmer the Shrink to help me through the rough spots but there are times when I bump across those that appear to use my condition as a weapon against me.  Whether it is intentional or not, it is not fun to deal with.  I’ve had it happen a few times since I have started getting help last year and every one of the people involved were people who have not been to combat to use a pejorative term from Vietnam they are REMFs .

I know several others who have experienced this mentality.  We all feel really vulnerable because all of us have opened up to people, or to use the Star Trek analogy to “drop our deflector shields.”  Pulling down shields makes you vulnerable, if you do it because you think you are in a safe area.  When you take “friendly fire” is really sucks. It is actually easier in theater.  If I was sent to Iraq or Afghanistan today I would be back in my element and probably suffer little from PTSD symptoms.  Sometimes I wonder if the Navy would be better off to ship me over again.  Admittedly with the health of my parents and a position at my medical center that is important for me to remain in for the time being, there is something that says at some point I need to go back, maybe not now but later.  See out there the PTSD defensive reactions fit.  There are bad guys and good guys, friend and foe and the body and brains’ reaction to real or perceived danger are natural.  I am wary of people until I figure out if they are friend or foe. When I make a mistake in my IFF it usually bodes ill for me.

When you come back out of that environment you find that even though you are “home” that you have changed and nothing is the same as it was before.  Your body and brain have divided the world into two camps, friend and foe or safe or unsafe or maybe even secure versus dangerous.  In my life I notice this with people as well as situations such as being on the road in our nutty Hampton Roads traffic which by the way even if you don’t have PTSD is quite the adventure I have become a very offensively minded defensive driver with faster reflexes and reaction time than I had before I went to Iraq.  I have to say that I am now a very aware person to perceived threats and actually that is not a bad thing of itself.  In Iraq I was probably operating at a 9 or 10 of ten on my perceptions of and reactions to real and perceived danger.  Since I have returned and gotten some therapy I probably operate at a 3.5 to 4 most of the time and depending on the situation move up higher sometimes being very aware of possible danger and hyper-vigilant .  Before I went to Iraq I probably operated at about a 1-2 on the scale of 10, pretty oblivious to danger and not too worried about it either.  Truthfully I am happy at an increased level of the 3.5-4 and maybe on occasion 5.  I don’t like getting up above 7-8 because it really makes a mess of my nerves and general requires that I take my docile pills.  Recently I’ve had a few of those days.  Trust me it is no fun to have a nervous tremor.  When that happens I feel like Gene Wilder’s character in Blazing Saddle’s Jim the Waco Kid response when Sherriff Bart (Cleavon Little) questions him:

Jim: Look at my hand.
[raises hand and holds it level]
Bart: Steady as a rock.
Jim: [raises his other hand, which is violently trembling] Yeah, but I shoot with this one.

Although I can occasionally find some morbid humor in what is going on with me I can’t say that it is any fun.

There is a perception by some, which I think is often systemic in parts of the military that people with PTSD are “broken.” Some in the system as well as others who have been granted the privilege of knowing your vulnerability consciously or unconsciously sometimes use it against you, I personally think it is intentional when this happens but I try to give the benefit of the doubt to the offender.  Like I said before this has happened to my on a number of occasions and in every instance I have felt attacked, devalued and re-traumatized and I don’t like that feeling and it takes me a while to get back through all the crap.  When it happens to me I get angry, defensive and now as opposed to my pre-Iraq life will shoot back.  I’ve stopped rolling over and letting people get away with this behavior and when I see it happen to others I get equally pissed.  Unfortunately I have a number of friends who have had similar experiences and as we share our stories we realize that some people or even the system in general will write you off as damaged goods.  What is the bad thing is that the worst comes from people who have not been in harm’s way.  Likewise, if they went to a combat zone never left one of the big FOBs and never had to deal with the danger of being outside the wire. Nor have they experienced what many medical personnel who remained on the big FOBs experienced in dealing with never ending trauma of dealing with the death, wounding and suffering of young Marines, Sailors, Soldiers and Airmen.  Another group are the men and women who perform the tasks of getting the fallen back home.  One of my Chaplain friends had this job in Kuwait and had to meet every aircraft with the bodies of the dead leaving theater performing memorials and conducting honors all the time caring for those who cared for the bodies of these Americans and came back in pretty bad shape.

What saddens me is that this still attitude of men and women dealing with PTSD being “broken” or as one called me a “shipwreck” happens even though we have been making the conscious effort since Vietnam to treat people traumatized by war.  The end result is that those who are traumatized are again and again re-traumatized by the system as well as individuals in it.  I have seen enough of this to make me throw up. Thankfully the Navy as a whole does better in this than the Army, Marines or Air Force but there is a lot to be done.   When I have a REMF screw with me or my friends it does get to me and I can say that I get angry and the person moves out of my “circle of trust.”

Likewise I get discouraged and when I see my countrymen from both of the major political parties, elected officials and regular party members tearing themselves and the country apart because of the hatred that they have for each other and each other’s positions on the issues that face our nation.   I came home at the beginning of the 2008 primary season and within a short time became quite disheartened by what I saw on both sides of the line.  There is no civility in the land and no peace at home for those of us coming home from war.  We come back and see our brothers and sisters, fellow Americans all saying and doing things doing things that can only in the long run further divide and destroy the nation.  I can understand the anger that the returning German soldiers and sailors of the First World War came home to in 1918-1919.  It seems that the only thing that we lack to be like Weimar Germany is for right and left wing militias begin fighting in the streets, killing each other and trying to take over power by force.  As it is these are fighting at political rallies and raising the invective to frightening levels.  In the case of one protest men brought semi-automatic assault weapons to protest outside of a venue the President was speaking at.  They said it was a Second Amendment rights protest but all that is needed is for one deranged individual to act on a homicidal urge to blow the whole damned place up.  I have seen the results of such folly in both the Middle East and the Balkans and I just don’t get it, it is frightening to me and the extremists on both sides of the political spectrum seem like they are doing their damnedest to destroy the country that I love so much and went to war to serve. Regardless of what extreme they are on I just say a pox on them all.

I have been asked a number of times why I would open myself up and show my vulnerability on this website.  It is certainly not for fun when I deal with this subject because I am really wound up in it.  When I write I often have to live the experience again. While many times this is emotionally draining it is something is something that I know that I have to do.  I know so many vets from the current wars and Vietnam who struggle with some of the very things that I do and often a lot more but do not have the ability to really share their stories.  The Marines who fought at Hue City are a group that I still have contact with as are people from my last base chapel job, the Vietnam Veterans of America men who man the beer stand at the Church of Baseball Harbor Park Parish, Wayne the Army Chaplain and decorated Vietnam infantry scout who dealt with his own PTSD and helped me in my discernment process to become a Chaplain.  Likewise I have this connection with my brothers and sisters who have served in Iraq and or Afghanistan.  In a sense what I want to do in my articles about PTSD as well as those about my tour in Iraq is to help people who have not been or not experienced this to get some understanding of what happened to me and to many others.  I don’t want guys to fall through the crack like in Vietnam and I think that educating the public is the best way of raising the issue and helping people care for us.  So I guess this is my “cause” and maybe even a crusade.  I hope and pray that those who love and care for our combat veterans who read this will take the time to learn, take the time to care and take the time to be with us as we walk through the often dark places that we walk.

Today was not a good day for me it was very painful but at least I was able in this post to use it to help explain what we who deal with our return from war go through.  I guess that the Deity Herself knew what she was doing today.  Pray for all of us who live in the surreal world of PTSD as we pray for you and our nation.  Pray for me a sinner.

not a happy camper

Peace,

Steve+

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Filed under iraq,afghanistan, Military, PTSD

The most dangerous assignment: 4 More Advisers Die In Afghanistan

training team baseIsolated Embedded Training Team Base

Once know and relatively unglamorous group of American military men have suffered multiple casualties in a single engagement.  These men belong to are small units that do not have a lot of organic firepower.  They usually operate in remote areas far from immediate assistance if they get in trouble.  When one of these units suffers casualties, especially where they lose 3-5 men in one engagement they might have lost 20-25% of their unit.

On September 8th a team of these men was ambushed while on foot going to an Afghan with Afghan soldiers to meet tribal leaders with the intent of establishing a government presence in a hostile area.  In the ambush four were killed, three U.S. Marines and one U.S. Navy Hospital Corpsman attached to them.  On Tuesday the 8th Gunnery Sgt. Edwin W. Johnson Jr., 31, of Columbus, Ga., 1st Lt. Michael E. Johnson, 25, of Virginia Beach, Va., Staff Sgt. Aaron M. Kenefick, 30, of Roswell, Ga. and Petty Officer 3rd Class James R. Layton, 22, of Riverbank, Calif., were while working as trainers to Afghan soldiers on a mission to search for weapons and then meet village elders under an agreement to establish government authority there.  They were killed in “a complex attack according to a U.S. Military spokesman.  According to McClatchy news service who had a reporter that accompanied the mission, insurgents had set up positions in the village and in the mountains on both sides and apparently attacked as the men neared the village. 1st LT Johnson was wounded and while being attended Navy Hospital Corpsman Third Class James R. Layton when they both came under attack.  Both were killed.  Another Marine told the McClatchy reporter that they’d found the wrappings of bandages and other medical gear strewn around Layton and Johnson.  Eight Afghan troops and police and the Marine commander’s Afghan interpreter also died in the ambush and the subsequent battle that raged from dawn until 2 p.m. around the remote hamlet of Ganjgal in eastern Kunar province, close to the Pakistan border.

traiining team with afghan armyUSMC Advisers with Afghan Counterparts

The McClatchy reporter said: “We walked into a trap, a killing zone of relentless gunfire and rocket barrages from Afghan insurgents hidden in the mountainsides and in a fortress-like village where women and children were replenishing their ammunition.”  The reporter said that “U.S. commanders, citing new rules to avoid civilian casualties, rejected repeated calls to unleash artillery rounds at attackers dug into the slopes and tree lines — despite being told repeatedly that they weren’t near the village.”

The battle must have been intense.  I have been on foot patrols in areas crowded with Iraqis far away from significant support where if an insurgent group had attacked us we would have easily been overwhelmed. This is part of the world of the U.S. Military in the embedded training teams which work closely with Afghan and Iraqi soldiers.  I spent a lot of time with the advisers to Iraqi Army. Border and Port of Entry troops, Police and Highway Patrol spread across the entirety of Al Anbar Province.  These men and women are seldom thought of or mentioned by the press or even the military. . They come from all branches of the military and serve as advisers, trainers and mentors to these nations’ security forces.  The duty is dangerous.  The advisers, be they to the military, police, or civil administrations often work in the most isolated places in these countries and are stationed in small teams with the Iraqis and Afghans that they advise.  They are often far from the “big battalions” that have lots of firepower available and often operate out of larger and more secure bases with air support close at hand. Earlier in the year there were a number of incidents where advisers were killed by renegade soldiers or police, or by infiltrators posing as security personnel.  Two soldiers were working with an Iraqi unit in doing humanitarian work in a village when attacked and killed by someone who had infiltrated the Iraqi security forces.  . On March 27th Navy LT Florence Choe and LTJG Francis Toner IV were killed by an Afghan insurgent posing as an Afghan Army soldier. All of these events triggered anxiety in me as I remembered how many times I was incredibly exposed to danger conducting similar operations.

This incident was especially chilling as I read the reporter’s account of the ambush.  “Dashing from boulder to boulder, diving into trenches and ducking behind stone walls as the insurgents maneuvered to outflank us, we waited more than an hour for U.S. helicopters to arrive, despite earlier assurances that air cover would be five minutes away.”  According to the reporter Marine Maj. Kevin Williams” the commander of the team said: “We are pinned down. We are running low on ammo. We have no air. We’ve lost today, through his translator to his Afghan counterpart, responding to the latter’s repeated demands for helicopters.”  When I read this my mind flashed back to being in the middle of a massive crowd at the border crossing of Waleed on the Iraqi-Jordanian border.  There were about nine of us, of which only 8 were armed as I am not allowed by the U.S. interpretation of the law of war to carry a weapon.  There were thousands of Iraqis and others around us, very few border troops or port-of-entry police anywhere near us.  The port of entry had been the scene of numerous attempts to smuggle weapons, materials, and other supplies, drugs and to Iraq insurgents and Al Qaida.  Very few US troops were stationed there and many of these were dispatched off of the base at any given time.

The advisers are drawn from all services.  They are all Individual Augments that come from both the Active and Reserve components.  They do not deploy with their own units, which means that they go to war with people that they might have trained alongside getting ready for the mission, but otherwise have not served with.  When they come home they go back to their old assignments or new orders and are separated from the men and women that they served alongside for 7 to 15 months.  In other words they are isolated when they return home and go back to places where the majority of personnel, even those who have been “in country” have no earthly idea or appreciation of the conditions that they served in and dangers that they faced.  This happened to me when I returned and I went through an emotional collapse as the PTSD that I did not know I had kicked my ass.  Sights, smells, noises, crowds, airports and in fact almost everything but baseball diamonds caused me to melt down as they all brought the danger back to me. Don’t get me wrong, my tour in Iraq was the highlight of 27 plus years in the military, the part of which I am the most proud.

I have a special place for these men and women.  I served with them in Iraq’s Al Anbar Province as the first Navy Chaplain, and one of the first chaplains of any service to be assigned to cover these teams since Vietnam.  My assistant, RP2 Nelson Lebron and I deployed together from out unit.  I had prepared well.  I had been on the bubble to deploy for months.  My background in military history and past service with both the Army and Marines helped me. Likewise my military and civilian education helped me.  Shortly before we were notified of the deployment I went to the Jordanian Army Peace Operations Training Center course on Iraqi culture, religion and society.  I had served as a chaplain in the trauma department of one of the largest trauma centers in the country.  RP2 Lebron had deployed multiple times to Iraq, Beirut and Afghanistan where he was awarded the Defense Meritorious Service Medal (no small feat for an E-5).  He is also an incredibly gifted boxer, kick boxer and martial artist who has fought on Team USA and holds more title belts than I can count.  He most recently won the Arnold Schwarzenegger Classic. I had served with him before and he knew that his mission was to keep me safe.  I don’t want to sound arrogant, but the Chief of Staff of the Iraq Assistance Group said that we were “the best ministry team he had seen in 28 years in the Army.”

When we went to Al Anbar we were sent out with the Marines and Soldiers advising the 1st and 7th Iraqi Army Divisions, The Iraqi Police, Highway Patrol, the 2nd Border Forces Brigade and Port of Entry Police.  We operated in a area the size of the state of Oregon.  In some cases it would take us 2 days by air and convoy to reach isolated teams on the Syrian border.  When you travel by air in Iraq you are always at the mercy of the weather and aircraft availability. I had the rare privilege as a Lieutenant Commander to be able to arrange all of my own air transportation.  Most people, including people higher ranking than me had to depend on others to do this for them.  We worked with our advisers to get out to them.  We would be out 5-12 days at a time with anywhere from 4 to 7 days between missions.  In our 7 months we traveled over 4500 air miles and 1500 ground miles.  Almost all of our air travel was rotor wing. We flew in CH-46, CH-47 and MH-53s and the MV-22 Osprey.  Our convoys were usually not larger than 3 American HUMMVs and sometimes a few Iraqi vehicles.  Our biggest guns were .50 cal or M240B machine guns.

Dinner with Geneal SabahDinner with General Sabah in Ramadi

Many places we served were in places that had no large forces in position to help us if we got in trouble.  Even on the bases we were isolated.  Our teams were with the Iraqis in almost all cases.  We often ate in Iraqi chow halls and used Iraqi shower trailers.  Our advisers had us meeting their Iraqi counterparts.  We met and dined with Iraqi Generals, had ch’ai (tea) with small groups of Americans and Iraqis and got out with the Bedouins. We were in a number of particularly sensitive and dangerous situations with our advisers; one which I cannot go into great detail involved a senior advisor having to inform a new Iraqi Brigade Commander that a member of his staff was engaged in illegal activities and who had put out contracts to kill the American officer.  The bad Iraqi officer was confronted and relieved in a tense meeting where both Nelson and I were with that Colonel and two other advisors as they made the confrontation in the Iraq C.O.’s office, a confrontation that got quite heated until the Iraqi C.O. shut him up. At one point the cashiered officer appealed to the American “Imam” that he was a faithful Moslem, to whit the American Colonel and I asked him how a person who was living a good Moslem life could steal from his own countrymen and supply his county’s enemies with what they needed.

Waleed trip 006Team at Waleed on the “secure” side of the Port of Entry

It was an incredible, once in a lifetime tour serving with some of the greatest Americans and Iraqis around. Iraqi soldiers in with our convoys would ask me to bless their trucks with Holy Water like I was doing with the American trucks.  I came to admire many of the professional Iraqi officers that I came to know and pray for the people of Iraq, that God would grant them peace. They are wonderfully hospitable and gracious.  We were often treated to food and tea by Iraqi soldiers, and civilians.  After nearly 30 years of nearly continuous war, dictatorship and terrorism, they deserve peace and security.

Me BTT CO and Iraqi LeadersAdvisers and Iraqi Border Troops near Syria

I had one Iraqi operations officer, a Sunni Muslim tell me that he wished that his Army had Christian priests because they would take care of his soldiers and had no political axe to grind. He said that the Army did not trust most Imams or Mullahs because they had compromised themselves during the civil war.  Another officer, a Shia Muslim came to me to thank me for being there to take care of our Marines.  He said that he, an Iraqi Shia Arab, hoped that if they had any problems from the Persians (Iranians), that we would help them.  These is little truth to what is floated that Iraqi and Iranian Shia like each other.  The memories of the past die hard in the Middle East.  When Persia ruled Iraq they treated the Arabs like dirt. Likewise the memories of the Iran-Iraq war are still alive.  Iraqi Arabs, Sunni, Shia and even Christian have little love for the “Persians.”  General Sabah of the 7th Division had us to his quarters for dinner. We had a wonderful and friendly discussion about similarities and differences in Christianity and Islam. We departed friends. The last time I saw him ws in the Ramadi heliport.  He saw me, ran up to me in from of his staff and Americans in the little terminal and gave me a bear hug, telling all that I was his friend. Another Iraqi General told me just before we left to come back as a tourist in 5 years because everything would be better.  I honestly think that he is right.  I hope to go back someday.  It would be a privilege to see my Iraqi friends again.

Me and BTT with Bedouin KidsWith a Bedouin Family

At the same time Afghanistan is a different animal. Iraq was not as easy of place for Al Qaida to work in and the Iraqis have a much more developed national identity which they trace back to the Babylonians and Chaldeans.  They also have adopted a lot of western ways.  Insurgents there once they had lost the confidence of the Iraqis lost traction.  In Afghanistan there is no real collective national identity and the form of Islam is much more severe than almost all Iraqi variants.  The Afghans insurgents have also due to the terrain; climate and inability of invaders to gain the confidence of the population have used the inability of invaders against them as they bring the population back under their control, sometimes quite peacefully.  The Taliban have secure bases on the Pakistani side of the border as did the North Vietnamese and they have the support of much of the population due to the unpopularity and corruption of the Afghan government.  The Taliban have begun to operate in larger better organized units and last year a battalion sized element attempted to overrun a small NATO base.  They did this with the Russians as well.  One troubling comment was reported about something overhead on the Taliban radio: “We will do to you what we did to the Russians,” the insurgent’s leader boasted over the radio, referring to the failure of Soviet troops to capture Ganjgal during the 1979-89 Soviet occupation.”  They also have outlasted or defeated a host of powerful empires.  The war in Afghanistan has much more in common with Vietnam than it does with Iraq. Counter Insurgency techniques learned in Iraq will be helpful but because of the terrain, climate and nature of the opposition will be tougher to execute and in order to have any chance of getting out of Afghanistan having accomplished the mission we will end of taking more casualties, especially in the teams of advisers.  Iraq was different, despite the problems and having to be rebuilt the Iraqi Army has a long history and tradition dating back to the Ottoman Empire, they led the way to westernizing Iraq and helping build an Iraqi identity, this is not the case in Afghanistan.  What happened to this team could easily happen to others and it looks to me like someone set them up to be hit, probably a Taliban sympathizer in the Afghan security forces or government. Afghanistan is much more treacherous than Iraq and in my view will be much more difficult.

What happened at Ganjgal is being investigated and in our area it is front page news as 1st Lt Johnson was from Virginia Beach.  The Taliban want to use events like this to break down the American home front and 8 years after the attacks of 9-11 2001 with that a fading memory they may well do this.  If they do Afghanistan will become Vietnam in the mountains.  We will be forced to withdraw and and the NATO alliance will be severely tested.  A defeat would have wide ranging consequences beginning in Afghanistan as it would fall back into the medieval world of Taliban rule, and would likely spread to Pakistan which which is already under severe strain.  This could threaten the Pakistani nuclear weapons.

Our advisers build bridges between peoples of different history and culture.  They are the unsung heroes of these wars and will likely never get credit for all that they have done.  Operating in isolation they are exposed to more danger that the average unit. They have my highest admiration and I hope that if you know one of these men or women that you will thank them.  I pray that they will all come home safe and be blessed with success.  I would certainly serve with them again at any time and in any place.

Please keep the families of the most recent casualties in your prayers. Peace, Steve+

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Filed under iraq,afghanistan, Tour in Iraq

Star Trek the Next Generation: Captain Jean-Luc Picard Deals with PTSD

Counselor Deanna Troi: Interesting.
Captain Jean-Luc Picard: Counselor…
Counselor Deanna Troi: I just find it interesting. Captain Jean-Luc Picard, the man who couldn’t be pried out of his seat for a vacation for three years!
Captain Jean-Luc Picard: It’s Earth. It’s home. Do I need another reason?
Counselor Deanna Troi: I don’t know, what do you think?
Captain Jean-Luc Picard: Your help has been invaluable during my recovery, but…look, I’m, uh…I’m better! The injuries are healing.
Counselor Deanna Troi: Those you can see in the mirror.
Captain Jean-Luc Picard: The nightmares have ended. All I need now is a little time to myself.
Counselor Deanna Troi: I agree. In fact, I’m delighted you’re going. It’s just that…the choice of where you’re going could stand some scrutiny.
Captain Jean-Luc Picard: If you wish to believe my going home is a direct result of being held captive by the Borg, be my guest.
Counselor Deanna Troi: Is that what you believe?
Captain Jean-Luc Picard: I hate it when you do that.
Counselor Deanna Troi: Captain, you do need time. You cannot achieve complete recovery so quickly. And it’s perfectly normal after what you’ve been through, to spend a great deal of time trying to find yourself again.
Captain Jean-Luc Picard: And what better place to find oneself than on the streets of one’s home village.
Counselor Deanna Troi: Interesting.

I have always found the Star Trek TNG episode Family quite compelling.  The episode (Season 4 Episode 2) deals with Captain Jean Luc Picard’s return home following his capture and assimilation by the race known as the Borg during The Best of Both World’s Part 1 and II (Season 3 Episode 26 and Season 4 episode 1.)

The story is interesting because it deals with some of the issues that people traumatized in combat deal with as they try to find themselves again.  In the story Captain Picard, in a very typical manner of someone traumatized by combat believes that his injuries are healing.  His counselor, Deanna Troi who serves as the Ship’s “Counselor” challenges him on his belief that he has recovered and his choice of where he wants to go to find himself again.

I saw the episode when I was in Seminary not long after completing the Chaplain Officer Basic Course and then saw it again when I was going through my Clinical Pastoral Education Residency.  It was during that process, one in which I was trying to find and define what “home” was, that it really caught me.  I was Captain Picard, the brother who left home to explore and travel while serving in the military.   My brother Jeff was Picard’s brother Robert.  He is the one who stayed home and minded family business.  The parallels then got me and even more so now.  My Residency Supervisor used this to good effect during that time in dealing with the issues of home, but the post combat and PTSD part was yet to come.

Back in the days of my residency I struggled with another of issues related to being a military brat and having begun a career in the Army.  In a sense I was a nomad.  I had lived a lot of places but none were really home, even where I had spent all of junior and senior high school.  Like Picard my eyes were set on far horizons of exploration and adventure of military life.  My brother Jeff on the other hand like Picard’s brother was content at staying at home, being near our parents, getting established in the school district and taking care of his family.   We both chose our own paths and both were right for us.  I still long for adventure and exploration but have begun to settle down.

When it came to the placement of the PTSD in this picture it was after Iraq that I had a crisis in a number of areas in my life and every time I thought that I was doing better and maybe even “getting well” that there was always something that could trigger the memories, bring back the dreams and keep me from sleep.  I can say that a year and a half after my return from Iraq I am doing better in a lot of ways but still having struggles with anxiety insomnia and hyper-vigilance.  I did find out that there is one thing that does not evoke a startle reflex is a foul ball that comes back against the screen in from of me in Section 102 at the Church of Baseball Harbor Park Parish.  Last night while taking pictures right up against the screen I had several balls that hit within a couple of feet of me, one of which hit my camera and knocked it out of my hand.  Anywhere else loud noise, unexpected crashes, things flying past me sends me into a hyper-alert status.

picard familyPicard Meets His Family after Many Years and Wounds Away

When Picard goes home it is not the confident Starship Captain who returns, but a man unsure of himself and where he fits in life.  His encounter with the Borg has changed him and he contrary to assurances to Counselor Troi is still wounded.  When I returned from Iraq I wondered where I fit, I felt like I had abandoned my advisers in Al Anbar when I returned because my relief had to be sent elsewhere do to circumstances beyond my control.  I did not feel a part of my own unit as nothing was the same when I came back.  I felt weak, useless and at the end of my rope after having completed incredible tour in combat of my then 26 years in the military.  Physically I was falling apart; I had several nagging injuries from Iraq that caused chronic pain.  I was flashing back with every moment, fires burning in the Great Dismal Swamp had turned our air the color of an Iraq sand storm while the smell was like that of the ever present burn pits, both military and Iraqi.  Walking out the door one morning with my neighborhood shrouded in smoke I began to melt down.  That day we had a seminar done by a nationally known speaker dealing with trauma and combat with the associated feelings and emotions.  At the end of the day I was a wreck.  My Unit Doctor, Chris Rogan looked at me and said “Chaplain you don’t look good, are you okay?”  I said “no I’m not, I’m losing it and I’m scared.”  That was the place where I finally began to get help.  It has been about 14 months since I started and it is still a process.  We made a trip home that summer and I did not do well.  It was painful and I had great difficulty both in the travel as well as the visit.  When I hear fellow vets talking about the surreal and often painful times that they experience I can understand.  The fact is that you can be with a hundred friends and family members and be totally alone when you return home because it is something that you cannot really share and that they usually don’t understand.  Once again I have been fortunate.  My little brother actually listens to me and lets me vent when I need to.  Of course dealing with our family’s stuff this is a two way street.

not a happy camperVisiting Home and not Doing Well

In the story Picard is offered a chance to leave Starfleet and go to work on a project under the ocean on Earth.  He is sorely tempted to take it but before he can he has an encounter with his brother who challenges his decision.  They exchange words and Captain Picard feeling picked on starts a fight.  During the fight he breaks down about his experiences sobbing in his brother’s arms.  “His brother then said: So – my brother is a human being after all. This is going to be with you a long time, Jean-Luc. A long time. You’ll have to learn to live with it. You have a simple choice now. Live with it below the sea with Louis, or above the clouds with the Enterprise.”

In a sense that is something that all of us who serve after having been traumatized by the experience of wart have to deal with, the physical as well as the psychological and spiritual wounds.  For me it was the realization that I was human after all and the slow realization that this will be with me a long time.  The choice is how I choose to live my life and where I do so.

In the series and subsequent Star Trek: The Next Generation films Picard is forced to deal with his psychological wounds from the encounter with the Borg culminating in the second of those films Star Trek: First Contact. In it Starfleet Command leave Picard and the Enterprise out of the battle leading to this exchange between Picard and his First Officer which deals with the stigma associated with such an injury.

Cmdr. William Riker: Captain, why we are we out here chasing comets?
Captain Jean-Luc Picard: Let’s just say Starfleet has every confidence in the Enterprise and her crew – they’re just not sure about her Captain. They believe that a man who was once captured and assimilated by the Borg should not be put in a situation where he would face them again. To do so would introduce “an unstable element to a critical situation.”
Cmdr. William Riker: That’s ridiculous. Your experience with the Borg makes you the perfect man to lead this fight.
Captain Jean-Luc Picard: Admiral Hayes disagrees.

The stigma associated with psychological injuries is far greater than that of physical injuries.  The unseen injuries are not as well understood and those who suffer them often are broken down by the system as they try to get help and many simply go underground and self medicate.  Last year two Army Generals opened up about their struggles with PTSD. I was fortunate to have people come alongside of me when I went down hard.  People who did not give up on me and kept faith by caring about me when I was and still get down.

See the article at: http://edition.cnn.com/2009/HEALTH/03/06/generals.ptsd/

Despite this and the efforts of many in the Military to help those with PTSD and other “unseen” injuries, to include medical conditions brought on by exposure to toxins in the combat zone, there is still the stigma.  As the young officer suffering from a rare and eventually fatal pulmonary condition acquired in Iraq as well as yet untreated PTSD “I squarely wish I had lost my legs then than the lung function that I have lost!”

Captain Picard’s story of course is fictional, but it demonstrates to some degree what those who experience the psychological and spiritual wounds of war face when they “come home.”  This stuff doesn’t go away.  Here are some of the comments that I have had from readers who deal with their own or a family members PTSD.

Australian Vietnam Veteran who wrote me said:  “As an Australian Vietnam Veteran with PTSD, I find these articles fascinating. I long wondered why the world had to be such a hostile mongrel place. Then 30 years later I was diagnosed with PTSD and I can now relate to why I have the condition but the world has not changed and medication is of limited use. There are many of us who are still very isolated and have to limit our social contacts. I recently started a Vietnam Veterans group, for members of our small unit, on the web and I found men who were relieved to be part of something and someone they could relate to as they had all but withdrawn from society. Sadly a few of them refuse to take any medication for their medical conditions as they see that as prolonging their miserable existence.”

A family member of a WWII veteran said: “thank you. It’s really needed for women to read articles/memoirs like that. It’s easy to say someone has PTSD, but another to live with and love who has it. I come from a family with rich military history and this is an everyday issue. Never goes away, even after 40 – 60 years.”

A USMC Vietnam Vet that I know wrote: “It’s a bitch at times, and the sleep, or lack of will eventually come, although it will never be a fully restful sleep. The Hyper vigilance seems never to go away. Yes it could be good, but eventually it can be bad…. well do I know both.”

An Army Chaplain from Iraq noted: “I too am a chaplain who felt that he and his assistant were the best equipped to handle the horrors of war – just to find out after being home for about a year just how much I had changed. I was sitting with my daughter in my lap one weekend afternoon when she asked, “Daddy, why don’t you play and laugh with us like you use to before you went to Iraq?” It was the key event that brought everything to a point where I could get help. In the months since there have been good days and definitely bad days – however, my faith remains strong….”

I run into people like this every day in the course at work who deal with this and sometimes it spills over into my stuff.  However I am glad to know that I am not alone.  To those who have helped me since I have be back, Chris, Two Feathers, Limey, Greg, Jesse, Jeff, Elmer, my longsuffering wife the Abbess of the Abbey Normal Judy and my brother Jeff, Colonel P and Janet, the folks I work with, the people at Harbor Park, especially Ray, Charlie and the Vietnam Veterans of America who man the beer stand on the concourse behind home plate and all the others who have come alongside I am grateful.  It is my sincere wish and prayer that all veterans will have such fine people there for them when they hit the wall.

Peace, Steve+

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Going to War: A Reflection so Far, Memories, PTSD and hopes and fears Past and Present

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As I have been writing of my experience in Iraq it is amazing to me the amount of emotions that I have experienced.  It is strange to feel like I am back there as I write.  I know that this is necessary but at times it is unnerving especially as I talk to friends who are going through much the same experience that I had coming home and sometimes worse.  I have been in e-mail contact with a friend from a NATO ally who has done a couple of tours in Afghanistan.  I can really feel for him as he is in a smaller military with a lot few resources that the Americans to deal with PTSD and other maladies from this war which seems to drag on without end.  Another friend on the West Coast has been dealing with the ravages of both PTSD and TBI and another Army Chaplain friend who has 2 Bronze Stars to his credit deals with PTSD as well as a very rare and eventually fatal lung and brachia condition.  Friends from my medical center are being deployed, I’ve been told that I am too valuable and needed where I am to deploy.  I do understand that at the same time deep in my heart I want to be with my friends from my ICU as they go to war.

The emotions took a big turn as I actually started writing about being in Iraq, beginning with the C-17 ride in to Baghdad.  In some sense the mirrored what I was going through two years ago.  It kind of came to a head the other night when I wrote about the rocket that went over my head at Camp Victory while waiting for my ride to head to the Camp Liberty heliport.  Then there was the flight to Fallujah and I can remember that flight.  I have never really liked flying in general and ancient helicopters in particular. Thinking that many of the CH-46s that I flew in while in Iraq had been in service in the Vietnam era was none too comforting.  They were almost as old as me.  Marine Helicopters are notorious for hydraulic fluid leaks.  The old joke goes” “How do you know when a Marine helicopter is low on hydraulic fluid?”  “When it stops leaking” is not entirely in jest.  I guess you can say that most of my career flying rotary wing aircraft in the Army and Navy has been just this side of terrifying.  I manage to survive every time but it takes forever to come back down from the anxiety of the preparation for and actual flights themselves it is no wonder that I still have problems sleeping and going on alert any time I hear a helicopter overhead.

Faith at times is an ongoing struggle. While I believe I question God more, especially when I see little kids suffering or read about young men and women killed in action or maimed by combat.  I find that I am less compassionate toward those who have not deployed who make suicide gestures and screw with their friends and families and then blow off help.  It angers me that their narcissism takes time and resources away from people who have been in the shit who need help and have to wait to get help.  I also find that religious people who have trite answers for everything really annoy me, especially those that are constantly talking about “spiritual warfare” when they have no clue about war, suffering and death. They are what Luther called the “theologians of glory” and they have no real answers, just platitudes that work fine until a real crisis comes.  Despite this I believe somehow in the God who is willing to be with me in the middle of the Valley of the Shadow of Death and at the foot of the Cross.

One of the things that tears at me now is the deep division in the United States as the obviously enlightened zealots of the extreme right and left push their agendas so hard that it seems impossible to find and amicable solution.  I wonder if we have entered “Weimar America.”  I guess I can understand how the moderates of the conservatives and socialists in Germany were ground to dust beneath the anvil of the Communists and hammer of the National Socialists in the later years of the Weimar Republic.  I really understand the military men who found both alternatives distasteful and tried in vain to seek the middle ground and maybe restore some sanity to the country.  That article is yet to be written.  I think I will call it “Weimar America?”  What really gets me is that both the right and left have dropped all pretense of civility and are now engaging in physical altercations at political meetings or “town hall” meetings and some have even be brandishing automatic weapons near venues where the President is speaking.  I have seen the results of this type of no-quarter politics in the Balkans and in Iraq.  I wonder what the hell all these demigods on both sides are thinking and if they in their devotion to their alleged “principles” would attempt “to destroy the country in order to save it.”   I have become ashamed of the leadership of both political parties as well as the special interest groups that drive the agendas of both extremes, especially as in the case of some who use the Christian faith to justify their actions.  When I see these people in action my anxiety level often returns to what it was in Iraq and on my return.  I can honestly say that the people on the extremes make me fear for my country.  I feel that they are pushing us to the abyss and that I can’t do a damned thing to stop it.  I’ve matured enough to know it is not simply the fault of one side or the other; as both are at fault and it seems that the most extreme on both sides have actually been wanting this to happen, at least from my viewpoint as a passionate moderate.

I have come to realize that my true countrymen are those that I have served with to defend this country and protect others abroad, especially as the insanity continues to spread.  Though I struggle and have to deal with emotions as if they were brand new every day just as I think that I am getting better I know that I have to keep going.  I owe it to my brothers and sisters from the current war and wars such as Vietnam.  Sometimes I wonder if all of us PTSD afflicted vets are the only sane people in the country. We are a brotherhood.  “We we happy few, we band of brothers.”

brothers

I’m glad that I have friends, especially vets from Iraq, Afghanistan, the Gulf and Vietnam.  Limey and Barney with the Hue City Vets, Ray and Charlie the Vietnam Veteran of America brothers who man the beer stand on the concourse behind home plate, and so many others like my trusty assistant Nelson Lebron who helped keep me safe and sane in Iraq.

In the middle of all of this I grieve for my Vietnam Vet and retired Navy Chief dad who wastes away in a nursing home with end stage Alzheimer’s which according to his doctor should have killed him months ago.

I’d better stop while I’m ahead.  I need to catch myself, maybe have a beer and focus on some baseball for a while before I get ready for work.  I have duty tomorrow and I expect that I will be busy the next couple of days.  I hope when I get off Wednesday afternoon that I will be able to see the Tides play.  I can use the view of the diamond at Harbor Park that helps calm my soul about now. Maybe between no and then I can get in with my buddy Elmer the Shrink.

pub2

Pray for me a sinner,

Peace, Steve+

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Going to War: Baghdad, Briefings, Coordination and Connections

This is the 10th installment of my “Going to War” series which Chronicles my deployment with RP2 Nelson Lebron to Iraq in 2007-2008.  This installment deals with our time at Camp Victory in Baghdad as were prepared to go west. For other segments go to the “Tour in Iraq” link on the sidebar.

051Sitting on Saddam’s Throne

Following our arrival at Camp Victory Nelson and I continued to get our bearings. We went to the Iraq assistance Group where we checked in and began to meet the people who were going to be assisting us as we got ready to do our mission where we met with the Chaplain, Major Peter Dissmore, the Chief of staff, Colonel David Abramowitz and the Commanding General.  We received briefing and coordinating assistance from a number of the G-Shops in the IAG, the Chaplain and the Multi-National Corps Iraq Chaplain Office.

The visits with all were cordial and my long Army career as a Medical Service Corps Officer and Chaplain allowed me to have a edge in working with the Army because I knew the system, the language and the culture.  Now the IAG was run by the Army but was a joint command with Navy, Air Force and Marine staff in addition to the Army.  The IAG at least then was the coordinating office for the teams of Advisors and trainers working with the Iraqi Army, Border Forces and National Police.  Another command worked with the Provincial Police and other security forces throughout the country.

While we had an idea where we would be working before we deployed that we would work with the Marine and Army advisors in Multi-National Force West, we received the word that we would be going there.  MNF-West operates in Al Anbar Province which at that time was still a very dangerous place, although there were signs that things might be beginning to turn around.  It was funny as during our pre-deployment preparation and training took place almost everyone who heard that Nelson and I were going to Anbar expressed concern as the battle there had been very difficult since the U.S. led invasion.

The actual briefings and preparations did not take long, but the important part was building relationships that would assist us in our mission as it developed.  The two key people at IAG for our mission were Chaplain Dissmore and Colonel Abramowitz.  Chaplain Dissmore a chaplain of the Assemblies of God denomination, graduate of Princeton and ethics instructor at the Army Engineer school had been deployed like us as an individual augment as had Colonel Abramowitz.  We got along with both very well as we got details of the mission.  Colonel Abramowitz took a liking to us, especially Nelson, a fellow New Yorker.  Abramowitz is an Army Aviator and the son of an Army Infantry Colonel.  He is a big man, about 6′ 6′ or maybe taller and reminds me of a Jewish version of Patton.  When he found out that Nelson was a fighter and had multiple championship belts he had to “Google” him.  Nelson told him to “Google Nelson Lebron, kick boxer.”  When Colonel Abramowitz did he was amazed that Nelson was the real deal.  He became one of our strongest advocates in Baghdad.  We talked baseball of course the good Colonel being a Yankees fan. Another group of men who were invaluable to us were two former Iraqi Army and Air Force Generals who had fled the country during the reign of Saddaam after the the Gulf war.  Both helped us considerably as we gt to know more about the make up of the new Iraqi Army which after a couple of years had been purged of many of the opportunists and political hacks who had come in after it was re-established.  Many of the officers replacing the problem children were career military men, secular in outlook who had served since the Iran-Iraq war of the 1980s are well as in the First Gulf War.  These men wanted the chance to get the Iraqi Army back in shape as a fighting force, but faced opposition from certain political and religious groups in the country not to mention the insurgents who desired to undermine the effectiveness of this force from the beginning.

Almost immediately after meeting with the IAG staff we were on the phone with Navy Captain Mike Langston the Chaplain for MNF-W and II Marine Expeditionary Force Forward and his deputy Commander J. Hedges.  They were excited to have us coming to their area.  When Chaplain Dissmore informed them that they had the choice of a Navy team or an Army team they of course picked us.  This was also the intent of the IAG who realized that a Navy team would understand the more Marine oriented advisors and chain of command out west.  When Chaplain Langston heard that the team was composed of Nelson and me he expressed great pleasure as Nelson had served with him in Afghanistan and I had served with him at Second Marine Division.  As a result we had a great amount of trust placed in us because of prior service together as we were both known quantities.  Relationships matter in the military and this time they were a great help to us.

Dundas and FallahMeeting with General Falah

One of the things pointed out to us was that we were the first Navy team assigned to doing this type of mission since Vietnam.  Most of the Army teams doing the mission were reservists and according to the information that we were given were struggling.  A team that had been dispatched out west prior to us had been sent back early because of their ineffectiveness.  I had already known that we were the first Navy team to do this mission since Vietnam and had taken the time to read the histories of the chaplains who served in this “niche” role in that war.  Likewise being a history major and working on a second Masters in Military History I had been doing a lot of study on counter-insurgency and revolutionary warfare.  Not long prior to our deployment the Army and Marine Corps had issued a new manual on the subject.  When I read it I was surprised to find that I had already read many of the primary sources used in its compilation.  These are things that while not directly related o being a chaplain are things that help give a chaplain “street cred” and an ability to adapt to the culture and understand the language of the men that he serves with.  I did not stop being a Priest in this, but I knew where we fit and understood what the advisers on the MiTT  Military Transition teams, mission was and challenges that they faced.  This again put us ahead of the power curve going into the mission.  I do not think that any Religious Ministry or Army Unit Ministry Team has been as well prepared for this kind of mission than we were.

While at Camp Victory I met several old friends and acquaintances from Army and Navy service, as well as a Marine Corps Officer with who I had attended Command and Staff College.  One, LCDR Andy Wade who I had served with at 2nd MARDIV was completing a tour with the MNC-I Chaplain Office. Two of the Army Chaplains had been in my officer basic course and one, an Orthodox Priest was a friend from the Army Chaplain Officer basic course at Fort Monmouth NJ in 1990.  Peter Batkis was a newly commissioned 1LT when I went to the basic course and was the room mate of my good friend Fr Jim Bowman.  He was  now a Lieutenant Colonel and Chaplain for the 18th MP Brigade.  The other former classmate had been with an advisory team elsewhere in country and not had a good experience.  I was shocked to see how he had aged and how badly he wanted to get out of country.

While at Camp Victory we continued to get ourselves ready to go.  Our flight to Fallujah was arranged by the IAG staff and we began the process of waiting.  While waiting we were able to get some PT in and on the morning of the 8th of August (7 August in the States) while at breakfast I saw Barry Bonds hit home run #756 to break the record of Hank Aaron.  What I saw at Camp Victory amazed me.  The place was a veritable “little America” complete with the largest military exchange in country, about the size of a small Wal-Mart with a separate market for Iraqi vendors and, American fast food outlets housed in white trailers outside the exchange and a host of other exchange services found anywhere in the world, except to much of Al Anbar where we were heading.  It was kind of surreal, all of this Americana plunked down in there heart of Iraq, surrounded by blast walls and guarded with multiple check points. Parking lots were filled with a  mixture of tactical and non-tactical vehicles and every military person was armed. Helicopters overflew the area regularly, both transport aircraft and gunships, the gunships which flew what would have at one time been called a “Combat Air Patrol.” Additionally there was the ever present noise of small arms fire, distant explosions and sirens of various emergency and police vehicles.  The weather while 6-8 degrees cooler than Kuwait was still very hot and we were constantly picking up liter bottles of fresh water to stay hydrated.

Additionally we received the tour of the Al Faw Palace which was one of Saddaam Hussein’s major residences which had been taken over as the headquarters of Multi-National Force Iraq.  The palace was abuzz with the activity of the MNF-I staff.  In the lobby of the palace there is a throne given to Saddaam by Yasser Arafat in which almost everyone going through Camp Victory gets their photo taken in.

On our 4th day in country we got word that we would fly that night.  Nelson and I got ourselves packed, made final preparations and coordination with the IAG staff and waited.

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Going to War: Flying Into Baghdad and a Blast from the Past

050Outside the Al Faw Palace, Camp Victory the HQ of US Forces and Former Haunt of Saddam Hussein, the Palace was Named after the Victory of the Iraqis over the Iranians on the Al Faw Peninsula toward the end of the Iran-Iraq War.  The Palace sits in the middle of a lake

We made the trip from Camp Virginia to the Ali Al Salim airbase to catch our flight to Baghdad.  As usual there was the seabag drag to the waiting baggage trucks, an accountability formation in the blazing sun and the shuffle, this time in full protective gear to our buses.  Riding in a foreign tour bus in full “battle rattle” is even more uncomfortable than the regular ride.  Packed tightly into the buses the air conditioning of which did little to help after coming in out of the heat, we took our places jammed into the bus and once again with armed personnel in the bus and convoy escorts as we pulled out of the high security entry control point at Camp Virginia and drove to Ali Al Salim.  The trip was uneventful and rather boring as there is not much to see between the two bases except sand and occasional nondescript buildings.

Ali Al Salim is a large Kuwaiti and American air base and logistics hub for air movement operations in the Arabian Gulf.  We arrived there and once again formed up, went through a staging area where were we were able to pick up some water from one of the ubiquitous pallets of bottled water and waited inside the terminal.  Some folks grounded their packs and used them as pillows or recliners, others found seats in the waiting area and others looked around to see how the Air Force lived.  A couple of TVs set to AFN played as we chatted, wandered or dozed.  It was not long before we were moved to yet another staging area and began to get our aircraft briefing and manifested for the flight.  Our group that had began the trip at Fort Jackson was a lot smaller now as the sailors who had gone on to the Horn of Africa, Afghanistan and those assigned to Kuwait were no longer with us.  As we trundled down the tarmac we were guided into position directly behind the aircraft.  We filed into a waiting C-17 Globemaster and sat down in airline style passenger seats which can be added or subtracted by in 10 passenger pallets as needed for the particular mission.  Additional permanent seats lined the bulkhead.  Our gear was loaded at the aft end of the aircraft as we took our seats.  We pretty much filled the seating which at maximum load is 134 passengers and we waited for the aircraft to load.  A loadmaster came through to check that we all were wearing our personal protective gear and had our seat belt fastened.  The C-17 unlike many military aircraft has at least an asthmatic air conditioning capability once the cargo door is closed.   Unfortunately when the door is open it is pretty much like whatever conditions are outside, in our case 130 degree heat with the exception that the sun was not beating down on our heads and that there was no air movement.  It was just a tad hot inside the aircraft.  Eventually the cargo ramp and door were closed and the aircraft prepared for takeoff.  With the door closed we began to feel a little bit of relief from the air conditioning.

For a large cargo aircraft the C-17 has a pretty smooth take off, the four Pratt and Whitney PW2040 engines producing 40,400 pounds of thrust each pushing the hug aircraft which is capable of transporting an M1A2 Abrams Main Battle Tank or 3 Bradley Fighting vehicles into the blue Kuwaiti sky.  In a few minutes the pilot announced that we had crossed into Iraqi Airspace and that it would take us about 45 minutes to arrive in Baghdad.  When the announcement was made there was an almost collective deep breath knowing that we were now going into the war, this was no longer in our future we were there.  I could feel the adrenalin being released into my body and can remember how quickly I became instantly aware of every noise or movement on the aircraft.

Arriving in the skies above Baghdad International Airport our aircraft circled and received permission to land.  Due to the possibility of enemy fire the approach to airports in Iraq is not like you would experience at a commercial airport in the United States, Europe or most other parts of the world.  Unlike most airports where there is a long and slow approach to the runway the descent is a steep spiral as the aircraft comes down from altitude to land.  If the airfield is under fire the aircraft will not land.  Once we were down we had been briefed to be able to move at a brisk pace in case the airfield came under fire, something that was happening on a relatively frequent basis in 2007.

The tail ramp and door opened as if they were a gigantic rearward facing mouth, or maybe like one of those weird fish that have teeth in their ass.  I think I remember some weird science show that talked about such a creature, if there isn’t one there should be.  As soon as the ass-backward maw opened a rush of hot air killed any semblance of what had been an almost bearable air conditioned compartment. Gear in hand we filed out of the aircraft heading for the ramp. Just for your information, it is easy to slip on these ramps; I came close to such an event but caught myself just in time so I didn’t go ass over tip down the ramp.  Nelson certainly would have made me pay for such a breach of protocol.  As we left the aircraft a ground crewman directed us out of the jet blast area and another led us to the terminal.  At the terminal we were greeted by Staff Sergeant Assi, the Chaplain assistant for the Iraq Assistance Group and an RP assigned to the Multi-National Corps Iraq Chaplain Office.  Sergeant Assi was a mobilized reservist  originally from Nigeria.  At least here our gear was palletized and was brought to a gear staging area.  Once it arrived we gathered a total of 4 EOD Issue super-seabags, two regular seabags, our packs, Nelson’s rifle case and my computer bag.  We were assisted by Sergeant Assi and the RP who helped load our stuff into the back of the white Chevy SUV that they were driving.  One thing about military vehicles in Iraq that are not tactical vehicles  is that there is a strong chance that they are the color white. The white paint contractor at GM must be making a killing on vehicles destined for the Middle East.  Once we were checked off the manifest as having a ride were able to depart walking out through rows of Califonia and Jersey barriers.

The ride was interesting as we wove our way around the ever present California and Jersey Barriers as well as “HESCO’s,” which are large wire and canvas containers standing anywhere from5 to 8 feet tall filled with dirt, rock and sand.  All of these are designed to minimze the effects of incoming ordnace by preventing the explosive force of them and teh associated shrapnel from spreading outward. We transitioned through a number of checkpoints where armed soldiers kept a wary eye out on our way to Camp Victory.  Victory which is the home of Multi-National Force and Multi-National Corps Iraq lies next to  Camp Liberty.  They are on the north side of Baghdad International Airport.  As we looked across the runway the only aircraft visible were military transports and contracted cargo carriers.  Unlike a major airport its size anywhere else in the world Baghdad did not have regularly scheduled airline service from any major carrier yet.   We wound our way around the compounds which blended together almost as one, much like the suburbs of the San Fernando Valley in Los Angeles.  Passing palaces and villas that ringed a lake in the center of the compound we continued on.  In the center of the lake connected by a causeway sat the massive Al Faw Palace, built by Saddam Hussein to commemorate Iraq’s victory in retaking the Al Faw Peninsula at the close of the Iran-Iraq War, a victory that resulted in Iran deciding to cut a peace deal with the Iraqis.  Despite a Shi’te majority in Iraq there is no love lost between Iraqis and Iranians.  Iraqi Arabs refer to the Iranians almost contemptuously as the Persians. This goes back centuries to the times when Persian occupied parts of Iraq and treated the Arabs badly.

We turned down an asphalt road which quickly became a packed clay and gravel road over which a tanker truck sprayed water to keep the dust down.  into a pulled up to a wooden building near a tent city where personnel coming in and out of theater were billeted at Camp Victory.  Row upon row of tents, each surrounded by a HESCO barriers were to our right. The ground was a mixture of hardened clay and rock which when driven over or walked upon emitted a cloud of dust which Sergeant Assi told us turned to a sticky goo which is almost impossible to get off of boot when it rains. Overhead helicopter gunships patrolled the skies occasionally flying quickly to the sounds of gunfire just off the base not far from where we were. In the background we could hear the sound of heavy machine guns and automatic weapons.  Not far from our billeting area sat a Navy Manned CWIS, or as we call tehm Sea Whiz.  This is a 20mm gatling gun which directed by radar is designed to shoot down incoming missiles or rockets. Nelson and I looked at each other and almost on cue he said, “Chaps I think there might be a war going on out there.”  I looked back and said, “Don’t you know it partner.”   The area to the east of the tent city was bordered by a line or shower trailers and heads, all protected by the large 15 foot high California barriers.  To the north of the tents lay a large Dining facility or as the Army calls them, a DFAC.  After getting signed in we drew an odd mixture of linen for our beds. I ended up with a couple of sheets, pillow cases and a multi-colored comforter. If I recall Nelson got some superhero on his blanket, which suits him fine as he is a big comic fan and can tell you more than you can imagine about all the different super-heroes. Instead of being together Nelson was assigned to a tent for NCOs and I ended up further away in a tent for field grade officers.

Once we had secured our stuff we met back together and walked to the DFAC for dinner.  This DFAC was not as large as it appeared as it had a large protective roof designed to keep mortar shells and rockets from impacting the building itself.  Two Ugandan soldiers working for security on the base checked our ID’s after which we washed our hands as we entered the building.

Upon entry we were almost overwhelmed by the amount of food present.  These DFAC’s were definitely feeders and the number of soldiers that should have been wearing wide-load signs across their asses was amazing.  But then who could blame them, many were on a second or third trip to Iraq of 12-15 months each. Maybe for the first time they were not in some isolated FOB with a poor quality of life, in a place which all things considered safe except for the occasional incoming rockets and mortars.  The quality of the food was better than in Kuwait as was the dinning area.

As I was finishing stuffing my gear underneath my bed a young Army Major came into the tent.  He looked at me and I looked at him as if we had met before and we greeted on another politely.  I saw his shoulder patch which identified him as a member of the Maryland Army National Guard.  We struck up a conversation and I asked to what unit he was assigned.  He replied  that he worked at the National Guard Bureau and had been attached to the Maryland unit as an operations officer for the deployment.  He remarked that I looked somewhat familiar and I asked if he had ever served in the Virginia National Guard.  He replied that he had and I asked what unit.  His response about floored me “1st Battalion 170th Infantry” located at Fort Belvoir, Virginia just south of D.C.  I told him that I too had been in the battalion and then he figured out where he knew me from.  With a look of near amazement on his face he replied “You were our Chaplain back in 1995!”   I patently acknowledged this fact  while he continued saying that he had been the TOW Anti-Tank Missile  Platoon Leader in our Headquarters Company. Our conversation meandered through old times at AP. Hill Virginia, talking about our careers, people that we knew and life in general.  After a couple of hours we both realized that we needed to take care of a few personal things to settle in for the night.  Eventually my old lieutenant fell asleep and I began what was to become a persistent pattern of insomnia which plagues me to this day.  Since I couldn’t get to sleep I walked through the darkness to the DFAC which had a late meal.  I was standing  in line amid a few Americans, some British soldiers and contractors when Nelson appeared beside me. He said “Hey boss, can’t you sleep?”  I said “nope” he said “me too, so I thought I would get some chow in this place.”  We had our meal together and when we were done picked our way through the darkness over the rough ground to our tents aided by our red lens flashlights.  After looking for about 5 minutes we found Nelson’s place and I headed off to my hooch only becoming disoriented once. Patently the Deity Herself must have kept me from tripping on a tent rope or some hole in the ground and I arrived back in my place at about 0145 and finally got to sleep.

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Going to War: Planes, Pit Stops, Patriots and Pubs… the Flight to Kuwait

cape san juanWWII Troopship USS Cape San Juan 1943

Going to war now days is certainly different than it was a generation or two back.  Back in World War II and Korea the primary manner in which troops deployed to and returned from war was on a troopship.  Troopships in the Second World War ranged in size from the great British Ocean Liners the Queen Elizabeth and Queen Mary down to small and often ancient passenger ships.  As the war went on the United States adapted a number of ship designs to serve as troop transports as well as built ships specifically designed to transport troops to combat.  There was one thing that all of these ships from the might Queen’s to the lowliest tramp steamer had in common was that they were really crowded.  Every in of space that could be made to fit a bunk was used.  The Queens, which in peacetime might carry 1500-2000 passengers routinely carried up to 15,000 troops.  Talk about cramped quarters, these ships made the steerage passengers on the Titanic look like executive class travelers.  The smaller the ship the worse the ride and many times soldiers would spend their entire voyage seasick.

qeen mary troopsTroops on RMS Queen Mary

Well times have changed.  We still have ships that carry troops, amphibious ships that can hit from both sides of the plate which carry the Marine Corps Expeditionary Units on their deployments.  However, it is seldom that much more than a MEU is ever carried to a war zone.  In the Gulf War and Build up from OIF a good number of Marines were brought over that way, however many of these in the Gulf War never went ashore and were kept at sea to keep the Iraqis thinking that they would be used in an amphibious operation.  The bulk of the troops who have deployed since Vietnam have done so by air, either military aircraft operated by the Air Force such as C-130s, C-141’s, C-5A Galaxy’s and C-17 Globemaster’s or alternatively civilian contract aircraft mostly run by non-scheduled airlines which specialize in just this sort of thing.  Airlines such as World Airways, North American Airlines, Miami Air, and the now defunct ATA have been the primary carriers of troops dating back to Vietnam while other commercial airlines also do charter work.  When large numbers of aircraft the DOD activates the CRAF, the Civilian Reserve Air Fleet, which is composed of aircraft from the major airlines used on an emergency basis.

world airways dc10World Airways DC-10

The military and chartered aircraft are the closest things now in the world of transportation to the old troopships.  On military aircraft troops often fly with cargo in large cavern like fuselages on seats that can be reconfigured to about any way imaginable.  The -17 is the luxury bird of the military air fleet, but certainly not a paragon of comfort when fully load with troops and gear.  Of course the military aircraft were designed for utility and maximum use of passenger and cargo space.  The charter aircraft are a different matter.  Most of the aircraft used regularly by the charter carriers for deployments are older DC-10s, B-757s and occasionally a B-767 or L-1011.  With rare exception these aircraft are configured to get the most passengers on the aircraft, comfort is not terribly important.  There is no such thing in these aircraft as a true “First Class or Business Class section, merely front of the aircraft or back.  The seats are the same and as far as leg room there is no such thing as “Economy Plus.”  Simply put we are in steerage almost any time we get on one of these aircraft.

We loaded our gear onto waiting trucks at Fort Jackson and boarded military operated “Blue Bird” buses like you send your kids to school on.   Unlike your kid’s bus these are white and driven by soldiers that are in some kind of transient status or Army civilians.  The air conditioning on a hot and humid southern day is asthmatic at best, especially when the busses are full of troops who are much bigger than the kids these buses are designed to carry.  I guess it could be worse; we could be traveling in the old un-air conditioned cattle cars.  When we got to the airport we did not go to the commercial side, but rather to the private side.  Our aircraft, a white World Airways DC-10 sat on the strip in front of the tiny and woefully undersized terminal where most of us ended up waiting in the open and un air conditioned hanger, our Desert Uniforms sticking to our bodies in the sultry South Carolina summer.  We formed up, the baggage trucks arrived with our sea bags and we were organized into teams to load the aircraft.  You guessed it, no airline staff to do this, just us.  Now since there were a couple of hundred of us finding enough people to do the work was not much of a problem.  Nelson and I both volunteered and with the others we stripped off our tops and in our brown t-shirts we organized for the task.  The small guys like me and Nelson got to go up into the belly of the aircraft where we waited for guys on the ground to send the bags up the conveyor.  Bag after bag they came, most were the tradition sea bag or duffel bag, but others like Nelson and my bags were oddly shaped and some were even large cases issued by individual’s units.  Weapons cases were also loaded, each weapon locked inside a lowest bidder plastic case that certainly would not last more than a few trips across the pond.  As we loaded the aircraft a rain shower passed by, the humidity was atrocious and the heat did not subside very much.  Eventually Nelson looked at me and asked, “Boss you alright?”  I assured him that I was and we kept loading the aircraft until there were no more bags to load, shoving bags and stacking them so that nearly every inch of space was taken in the baggage compartment.

One done loading we mustered again.  The pilots arrived and began their inspection of the aircraft.  At this point we were informed that there was a mechanical problem and that we would have to wait.  A couple of more hours waiting around the terminal we finally began to board the aircraft.  Finally we got underway and found that we had to make another stop.  We had to land at Pope Air Force Base in order to pick up an Army Transportation unit heading into theater.  The flight up was short and we expected that after a short delay we would again be in the air.  We were wrong.  We de-boarded the plane to allow it to be fueled.  As we waited in the terminal, once again a rather Spartan affair we found that the crew had exceeded their allowed flight or work hours and that we would have to remain overnight.  Unfortunately the contracting staff at the Air Mobility Command had not anticipated this situation and we were stuck.  We had already been up most of the day and there were no sleep facilities in this terminal except wooden benches and concrete floors.  With our gear loaded aboard the plane and unavailable it looked like things would not go well.  Vending machines were quickly emptied and like any sailors marooned anywhere we made the best of things.  Sailors broke out decks of cards, DVD video players, made phone calls home or found places to try to sleep on the benches or against terminal walls.

At first it didn’t look like we would be getting any assistance from the Air Force.  However, we were fortunate to have as our senior officer and Officer in Charge a Navy Captain who was a jet fighter pilot and wasn’t going to let “his” sailors let overnight in such conditions while still in the United States.  After a while our Captain secured box lunches and pillows.  He then continued to push and eventually some contracting weenie was rustled out of his waterbed and got us rooms at a Hampton Inn somewhere in Fayetteville.  As the hands on the dial of my watch worked their way past midnight the ubiquitous Blue Bird buses pulled up to the terminal.  A few people elected to stay behind and for some unknown reason the Air force required some of our sailors to watch the aircraft.  Mind you they could only watch it.  Our weapons were stowed in the belly of the aircraft.  The irony was that the airfield a Pope is secured by USAF Air Police and probably one of the most secure places in the area.  The Captain lost that argument and a number of sailors volunteered to remain along with sailors who had somehow made themselves comfortable and didn’t want to move.  In my younger days I would have been with them, but I had tried to sleep on those same benches when I went to Jordan earlier in the year I knew that I couldn’t hang with them.

The rest of us mustered again, accountability checks were made and we loaded ourselves on the buses.  T rip took about 15 minutes and we were deposited at the hotel.  It was about 0130 by this time.  The hotel staff was great.  Since like our toiletries like most everything else we owned were safely secured in the belly of our aircraft we were now tired, hungry again and pretty stinky. The hotel night manager opened up his stocks and gave us toothpaste, tooth brushes and shavers. He also gave away snacks.  I think I got a muffin out the deal. We stood in line and since there were a lot more of us than rooms we were assigned 4 to a room and at 0200.  My roommates were four youngish junior officers.  There were two beds and a cot in the room, and since none of us wanted to share a full size bed, something I think was a good idea not to do, two got the beds, one got the cot and the third grabbed all the extra linen and a comforter and lay down on the floor.  The young guys deferred to my age when I volunteered for the floor, they told me that “because you are a lot older than us sir you get a bed.”  I felt like applying for the AARP at that moment but I took a bed which felt really good as I sunk into it and passed out.

We had to be up early to head back to the airfield, the time in bed was too short but better than I had hoped and the shower was great.  I felt almost human and was glad that I had packed a clean undershirt socks and briefs in my backpack.  We got back to the terminal and box lunch breakfasts were on hand. We still had about 4 hours before the flight and it was Sunday morning so Chaplain Fauntleroy and Chaplain Rodriquez and I arranged to conduct two services.  Kyle and Dave did a more Evangelical style service while I celebrated a short field Eucharist.  We did this outside the terminal, the weather was not too bad, and probably half of the sailors as well as a good number of the soldiers who had joined us participated.  Since there was no Catholic Priest my service was better attended than I thought it would be as in such times I usually pick up a few Episcopalians, Anglicans and Lutherans and maybe a stray Catholic.  In these settings I do not interrogate the people that show up as to their background, I do ask that if they are not baptized Christians not to partake of the Eucharist, but figure that God and His grace in the Sacrament will do what needs to be done.  I learned this from a Missouri Synod Lutheran Chaplain in Germany supporting the Bosnia operation. Since the Missouri Synod practices “closed communion” meaning that you have to be Missouri Synod to take communion in their church I asked what he did in field settings or chapels where it was not a denominational service.  He told me, with great wisdom “Steve, you have to trust that God’s grace in the Sacrament will do His work.”  That was an epiphany and I have never forgotten it.

The services concluded we again mustered and finally were able to board the aircraft.  We had a stop at Portland Maine to refuel the aircraft in preparation for the trans-Atlantic flight.  Now this is a highlight for any serviceman or women being deployed or returning home.  The folks in Portland, veterans groups like the VFW, American Legion, Fleet Reserve and Marine Corps League have banded together to meet flights as they come in.  They have been given a space in the terminal in which they have computers, cell phones, land line phones and calling cards for troops.  They also hand out small “goodie” bags with snacks and home baked cookies.  These folks and their counterparts at the former Pease Air Force Base are amazing.  It is an example of small town America at its best.  Some are World War II vets, others from Korea, Vietnam and Desert Storm.  They are still others who have never served but feel an obligation to help.  They span the political, religious and ethnic spectrum of the country.  After they personally greeted each of us as we entered the terminal, they had a small ceremony and thanked us for our service.  Many engaged us in conversation and their hospitality was simply amazing.  The Maine Troop Greeters have greeted over 800,000 troops from over 4000 flights in the past six years.  They are Patriots in their own right and what they did for us was amazing.  I felt a wave of emotion go across my and my eyes get a bit moist as these wonderful people, young and old greeted us, shook our hands and blessed us.  It is something that until you experience it you cannot comprehend and I wish that the  men and women who served in Vietnam had been greeted like this.  It makes you feel that you are not completely alone.

maine troop greeters 1

maine troop greeters 3Maine Troop Greeters

Eventually I decided to wander the terminal to see what was available.  I saw a small pub which featured the local micro-brew ale which our good Captain permitted us to have since we were still in the Continental United States.  I had a sandwich and chips as well as two pints of this local Amber Ale which would be my last drink until the Marine Corps Birthday in Ramadi.  The brew was quite good and if I saw it again I would probably buy some.  We were then called back to the aircraft.  Our flight to Germany was uneventful and we landed deep in the night in Leipzig where a small area had been set up for refreshments, souvenirs, television, games and internet access.  We were not allowed any alcohol at this stop as we were now under an 8 hour flight to Kuwait.  Our stop completed we got back on the aircraft for the flight to Kuwait which awaited us with temperatures of 120-135 degrees.  Something that I wonder how the Deity Herself allows unless it is to give us a chance to preview hell.

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My Brotherhood of War

Dynamic DuoRP2 Nelson Lebron and Me- The RST-2 “Desert Rats”

Back in the mid 80s shortly after I was commissioned as an Army Officer there was a series of historical novels by W.E.B. Griffin called the Brotherhood of War. The series traced the paths of several Army officers as well as family and friends beginning in World War II. I am not much of a reader of fiction, but this series, as well as Anton Meyer’s Once an Eagle well captured the unique culture of the career professional soldier through both war and peace.  They treated their subject respectfully while also dealing with the effect of this lifestyle on families as well as the soldiers, reading Once and Eagle I feel that connection with the fictional Sam Damon, the hero of the story and revulsion for the character of the self serving careerist Courtney Massengale.

I’ve been a military officer in both the Army and Navy now for almost 26 years with nearly 28 years total service. It is part of my heart, soul and being.  I was born for this, just as Babe Ruth, Willie Mays and Ted Williams were born to be baseball players.  I grew up in a Navy family as a Navy “Brat” living up and down the West Coast and the Philippines and all I can remember from the earliest age wanted to be in the Navy Officer and later Navy Chaplain.  My dreams came true.  The first 17 ½ years of my service was in the Army, something that that initially my retired Navy Chief Dad had problems with, however he made his peace with it and was proud that I served and proud of the fact that I had made Major.  However, in 1999 in order to return to active duty I resigned my Army Reserve commission as a Major and entered the Navy Chaplain Corps as a Lieutenant with no time in grade.  Outside of marrying my wife Judy, who somehow did not kill me when I did this, going in the Navy was the best thing that ever happened to me.

134LtCol David Kuehn and Me

Part of my time in the Army and Navy has been my time in the Chaplain Corps of each service.  I have been a chaplain for 17 years come September.  My best friends in the military are other chaplains, some from my own church and some from other communions.  The ones that I have the most connectedness to are those who have served in combat, especially those who served in Iraq, or ships in the war zone conducting various combat and maritime operations even when we were in different places.  In Iraq I was blessed to have Fr Jose Bautista-Rojas and Chaplain Pat McLaughlin supporting me at my base of operations.  There were others besides these men and many who were not chaplains. In Baghdad I had the staff of the Iraq Assistance Group Chief of Staff Colonel David Abramowitz and Chaplain Peter Dissmore and Captain Mike Langston at II MEF Forward.  Likewise I had Colonel Scott Cottrell and Colonel John Broadmeadow at 7th Iraqi Division Military Training Team, my friend LtCol David Kuehn at 3rd Brigade 1st Iraqi Division Military Training Team, LtCol Stephen Bien with the 2nd Border Brigade and a host of others about Al Anbar Province. As important if not more was my assistant RP2 Nelson Lebron, a true hero and friend.

chaplains and rp2 lebron at TQNelson, Fr Jose Bautista-Rojas, CDR Pat MCLaughlin and Me at TQ

Back in March of this year I was with a number of chaplains from my church gathered for our annual conference.  Some of these men I have now known for at least 10 years, some more.  I’ve seen the young guys start to age and others retired from the service.  We have grown together; we at least in most cases have come to love each other as brothers and friends.   What has made this conference different from past gatherings is that all of us have had one or more combat deployments or are getting ready to go for the first time or back for another tour.

nelson and me flight homeNelson and Me in the Air Everywhere

We have shared our stories but now they are the stories of men who have all seen war.  In our careers we have all experienced success, as well as heartache.  Due to our duty we have been often isolated from the church and each other.  We all came back from the war changed in some way.   Some of this is due to health related issues stemming from our service and for others things that we have seen or experienced.  Of course each of us has had different types of experience in country, but nonetheless our experienced changed all of us in some way or another.  For me the events have been trying to make sense of the torrent of emotional, physical and spiritual distress that I have had to deal with.  While I have made a lot of progress in some areas, there are a lot of places where I’m still sorting through things as are a number of my friends.  I can say that I often feel alienated from my own church.  When I read things that some of our bishops write or say I know that I do not belong.   Based on my service in combat and to my country for almost 28 years  and 13 years as a faithful priest I have tried.  The fact that with the exception of some of my fellow military priests I have no relationships with anyone in my church,   I was at one time banned from publishing by a former bishop.  I was forbidden to have contact with the priests of a my old diocese when I was stationed in it by the same man.  The civilian diocese that I transferred  to has had nothing to do with me for the most part since I was transferred to Virginia and since I moved here no one has bothered to say a thing to me.   None of this was because I didn’t try and the thing is I don’t care anymore.  I just plan on caring for God’s people where I’m at and building relationships with people who bother to invest in my life here. I haven’t the spiritual or emotional energy to keep trying to make something happen with people who obviously don’t care about me and haven’t for years.

This year our gathering was marked by a lot less light heartedness.  There was a lot less bravado than years past, more reflection, less intense discussion of the theological issues that have divided the Christian Church for centuries.  I know for myself I don’t have the energy to spend battling people over things that the rest of Christendom hasn’t been able to settle on.  For me I’m okay with the Canon of Scripture, the Creeds and the first 7 Ecumenical Councils, though I have a great love of the Second Vatican Council.  If people want to fight the other fights they can go ahead without me how many pins you can stick in the head of an Angel.

As far as health concerns I know that at least two of us have confirmed real live PTSD, and one with a case of TBI.  Based on the way others act I’m sure that almost all have at least a combat stress injury, and maybe a couple more have PTSD.  One young Army Chaplain has an Iraq acquired constrictive bronchiolitis, or bronchiolitis obliterans which has no cure. This young man has won two Bronze Stars and now has the lung capacity of a 70 year old man.  At best he can hope that his lungs will not worsen and only age at a normal pace, which means in 10 years he has 80 year old lungs.  This young man is a Priest who I have mentored, coached and been a friend and colleague of since before he was ordained.  He is looking at something that will kill him; it is just a matter of when.  He is going through all of his medical boards now at Fort Hood and expects that in six to eight months that he will be medically retired.  It seems to me that a hero is being kicked to the curb by the Green Machine after laying himself on the line for his country.  He was treated by many people in the Army Medical system with suspicion and made to prove that he was sick at almost every point until a high ranking medical officer found out about his case and sent him to civilian specialist for evaluation.

While I was at our conference I had a major PTSD meltdown where I basically hid in my room of a day and a half, sneaking out at night to gather with just a couple of my friends by the pool for beer and Krispy Kreme Doughnuts.  Unfortunately we could only get the store bought ones because the hot and fresh glazed go great with a good pilsner or lager.

We have several Chaplains who have won Bronze Stars for their service in combat. I was awarded the Defense Meritorious Service Medal for what I did in Iraq.  I treasure that award because it cost me something to get, I still have a lot of Iraq with me and I always will.  Some day when all is said and done I want to see some of my Iraq military friends again and visit the country as part of a journey of discovering the ancient.

Some of my friends and I have experienced the indifference of the medical and administrative parts of the DOD and VA systems, including sometimes people in our own military service.  When I returned I found my personal and professional belongings crammed into a trailer with those of my assistant because the office space was needed and we were deployed.  There are things which I considered important that are still missing and likely never to be found.  I know that it was not intended to hurt because the space was needed because of major unit re-stationing. If I was the Commanding Officer I would have probably done the same thing and since I have had command I know that mission comes first. You try to take care of people but some things fall through the crack. That is simply part of life.

On the other hand some of my friends have had experiences where they felt the cold indifference of bureaucratic systems often staffed by personnel, military, DOD Civilians or contractors who act if the returning or injured vet is there so they can have a job. To be sure there are a lot of very caring people in our organizations, but these coldly indifferent people seem to show up all too frequently. This unlike what happened at my unit is intolerable.

What touched me about my unit was once it became clear that I was a PTSD casualty they did everything to try to get me help.  My first Commodore, now Rear Admiral Frank Morneau pulled me into his office to make sure that I was alright and that I was getting the help that I needed.  The man who replaced him Commodore Tom Sitsch asked me a question that was totally legitimate.  “Where does a Chaplain go for help?”  When I went to Portsmouth Naval Medical Center I was strongly supported by both my department head and his deputy.  I wish that everyone who came back like I did had the support of both line officers and Chaplains in their immediate chain of command.  It makes all the difference in the world.

The chaplains that I have served with in Iraq are part of my brotherhood, be they from my church or not. I believe that most of us who have gone to war have by and large matured. We saw death and destruction and were exposed to danger from enemies that could strike in the most unexpected moments in the most unexpected ways.  We have experienced sometimes difficult adjustments to life back home, a knowledge that we are different and that we are even more cognizant of our own obligation to care for God’s people.  Our brotherhood has deepened as a result of war, of that I am sure.  We are truly brothers.

Peace, Steve+

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Filed under healthcare, iraq,afghanistan, Military, PTSD, Religion, Tour in Iraq

Revisiting the Demons of PTSD: Returning to Iraq in Virginia a Year and a Half Later

Today I am attending a conference on Caregiver Operational Stress Control.  This brought out my “demons” as I was faced with the stories of others who had been to the same places that I have been in Iraq, and experienced similar things that I experienced on my return.  This is a re-posting of something that I wrote in March at the very beginning of this blog.  At that time I had very few readers.

I am glad to be at this training today.  I needed to take a Xanax when I arrived because I don’t do well with these kind of events anymore.  The intial session and a video of Dr Heidi Kraft talking about her expereinces at Al Taqaduum where I was based out of.  I was scheduled for another meeting but I knew that I needed to be here.  So I asked my Department Head who was going to the meeting if I could stay and he allowed me to do so. God bless him.

I received a note from a new friend in another country’s military, a physician with multiple tours in Afghanistan.  He is dealing with many of the things that I discuss in this essay and had a bad day that took him back to Afghanistan.  I am sure that he is not alone as I deal with many people in my Medical Center who have similar experiences.  Yesterday I was walking down a hallway near our Operating Room and I saw a pretty good sized blood spill on the floor. I was surprised at my reaction as I kept seeing it in my mind the rest of the day and flashbacks to Iraq and the TQ Shock Surgery Trauma platoon where I was pulled into a couple of the last major mass casualty events where 10-15 Marines or soldiers came in at a time. I began to see those wounder Marines on the tables and can visibly see those Marines, their wounds, even tattoos… I hope this helps break the code of silence.  I wrote this on a particularly rough day and will repost some of those early essays as they are still very relevant.  Peace, Steve+

964Trying not to Show my Stress and Exhaustion after 2 weeks out while in between flights at Al Asad

The feeling of abandonment and aloneness, separation and disconnection run deep for those returning from unpopular wars in which the majority of the citizens take no part.  The effects are devastating.  It is estimated that at least 100,000 Vietnam veterans have taken their lives in the years after that war.  Last year the Army had its highest number of active duty suicides ever recorded, January and February of 2009 have been banner months for Army suicides.  Of course as I noted in my previous post these numbers don’t include reservists and Guardsmen who have left active duty or veterans dischaged from the service.  Neither do they include the host of service men and women who died from causes undetermined.

Many veterans attempted to return to “normal life” and family following the war. Many only to have marriages fall apart, continue or leave untreated alcohol and drug addictions acquired in country which often follow them back destroying lives, families and careers.  Most felt cast aside and abandoned by the goverment and society. Many got through and return to life with few visible effects, but the scars live on.  My dad would never talk about his experience in the city of An Loc in 1972 where he as a Navy Chief Petty Officer was among a small group of Americans operating an emergency airstrip in the city which was besieged by the North Vietnamese and Viet Cong for 80 days.  I do know that it affected him, he wasn’t the same when he returned, he was a lot more tense and had some problems initially with alcohol.  He never talked about his time there.

I have seen the effects of this in so many lives,  I remember a Vietnam vet who attempted to kill himself with a shotgun blast to the chin in Dallas during my hospital residency.  He forgot to factor in recoil and blew off his face without hitting his brain or any major arteries.  He survived…talk about having something to be depressed about later.  I have seen the tears as veterans rejected by the country during and after than war begin to seek community with their wartime brothers, men who had experienced the same trauma followed by rejection and abandonment by the people that sent them to Southeast Asia.  One only has to talk to veterans of the Ia Drang, Khe Sahn, Hue City, the Central Highlands and Mekong Delta or read their stories to know what they have gone through.  LTG Hal Moore and Joseph Galloway in We Were Soldiers Once..and Young and We are Soldiers Still have deeply penatrating and soul searching views of Vietnam as does Bing West in The Village. Bernard Fall does the same from a French perspective in Hell in a Very Small Place and Street Without Joy. Alistair Horne’s book A Savage War of Peace discusses and tells the story of many French soldiers in Algeria, who fought a war, won it militarily and had their government abandon them, bringing out a mutiny and coup atempt by French Soldiers who had fought in Indochina, were almost immediately back in action in Algeria with little thanks or notice from thier countrymen.  Abandonment is an ever present reality and “demon” for many of us who have served regardless of our nationality, French, Canadien or American who have fought in wars that have not engaged the bulk of our fellow citizens. Go to the Vietnam Veterans Memorial in Washington DC and tocuh it, trace the outline of a name, look upon the makeshift memorials and tokens of remembrance left by comrades who came home and understand the sorrow and the sacrifice.

Unfortunately we would like to think that this is something out of history that we have learned from and applied the lessons and in doing so no longer have an issue.  Unfortunately this is not the case.  There are many, depending on the study anywhere from8-20 percent of returning Iraq and Afghanistan veterans who suffer from some type of PTSD, Combat Stress reaction or other psychological malady incurred during their tour. Similar numbers are reported by the Israeli Armed Forces in from the 1973 War forward.   The British are seeing the same now as their veterans return from war.  Canadian Forces assigned to the UN command during the Rwanda genocide suffer horribly from PTSD. The mission commander, LTG Romeo Dalliare now a Senator in the Canadian Parliament is a leading spokesman for those who suffer from PTSD. His book Shake Hands with the Devil is a study of how military professionals were exposed to atrocities that they either were forbidden to stop or lacked the combat power to do so even if they wanted to.  These men and women tell their story in a video put out by Canadian Armed Forces.

105Convoy along Route Uranium

I am not going to rehash stories that I have recounted in my other posts dealing with PTSD here, but both I and many men and women that I know are scarred by the unseen wounds of this war.  We gladly recognize, and rightfully so, those who suffer physical wounds.  At the same time those who are dying inside are often ignored by their commands or if they come out are shunted into programs designed to “fix” them.  In other words make them ready for the next deployment.  I am not saying here that there is an intentional neglect of our service men and women who suffer from PTSD and other issues.  I do not think that is the case, but it is a fact of life. The military is shorthanded and stretched to the breaking point. Many Army Soldiers and US Marines have made 3-5 deployments since 2003. The Navy has sent over 50,000 sailors, not including those assigned with the Marines into “Individual Augmentation” billets in support of operations in Iraq, Afghanistan, the Horn of Africa and other fronts in this war.  The Navy personnel, as well as Air Force personnel who perform similar missions often do not have the luxury of going to war and coming home with a particular unit.  We serve often in isolation and incredibly disconnected from our commands, our service is often misunderstood.  Now there are efforts by the services and some commands to do things better to support our sailors, some of these at my own hospital.  However as an institution the military has not fully made the adjustment yet.

Many sailors feel abandoned by the country and sometimes, especially when deployed by the Navy itself.  I have debriefed hundreds of these men and women.  Almost all report anger and use terms such as being abandon, cut off and thrown away by the service and the country.  Those from all services who work in unusual joint billets such as advisers to local military and police forces in Afghanistan and Iraq feel a sense of kinship with each other, often feel a connection to the Iraqis and Afghans but are often not promoted or advanced at the same rate as others who have served in conventional forces in traditional jobs.  There was a film called Go tell the Spartans staring Burt Lancaster about Army advisers in the early stages of Vietnam.  If you see it and have been to Iraq with our advisers you can see some of the same dynamics at work.

At this point we are still engaged in Iraq and Afghanistan.  These wars divided the nation and the veterans, though better treated and appreciated by society than most of thier Vietnam counterparts have no memorial.  Words of thanks uttered by politicans and punits abound, our Vietnam era and other fellow veterans in their latter years come to the airports that we fly in and out of to say thank you, but our numbers are rising, the war rages on both in country and in our minds and lives are being lost long after soldiers have left the battlefield.

not a happy camperNot Doing Well on Leave about 5 months After my Return from Iraq

We have to do a better job of ensuring that those who sacrifice so much do not feel that they have been cut off and abandoned while they are in theater and especially when they return. When it is time we need a memorial on the Capitol Mall for those who served in these wars.  I don’t know when that will be, but I do hope to see it in my day.  Sure it’s only symbolic, but symbols can be healing too, just look at the black granite wall rising up from the ground and going back down into it, filled with the names of those who gave their lives and made the supreme sacrifice in Southeast Asia.  Simply known by most as “the Wall” it has become a place of healing and rememberance.  A place to say thank you, goodbye and amen.

Peace and blessings, Steve+

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Filed under healthcare, iraq,afghanistan, Military, PTSD, Tour in Iraq, vietnam

Brothers to the End…the Bond between those Who Serve Together in Unpopular Wars

This story shall the good man teach his son;
And Crispin Crispian shall ne’er go by,
From this day to the ending of the world,
But we in it shall be remembered-
We few, we happy few, we band of brothers;
For he to-day that sheds his blood with me
Shall be my brother; be he ne’er so vile,
This day shall gentle his condition;
And gentlemen in England now-a-bed
Shall think themselves accurs’d they were not here,
And hold their manhoods cheap whiles any speaks
That fought with us upon Saint Crispin’s day.

From the Speech of King Henry V at Agincourt in Shakespeare’s “Henry V” 1599

We have a new Greatest Generation whose accomplishments will likely go unheralded by history and unlike the “Greatest Generation” of World War Two not receive the full honors and accolades due them.  The brothers, and for that matter sisters as well who have served in the current War on Terror, Iraq and Afghanistan campaigns have now been serving in a war that is now twice as long as the American involvement in World War Two.  Many, like me have been in this since the beginning and many have made multiple deployments to the combat zones.  And many of us, if not most of us would go again; I know that I would because part of me is still in Iraq; for me this war is still un-won and un-finished.

With MTT near SyriaAdvisers out on the Badlands of Al Anbar

With no disrespect to the Greatest Generation of World War Two, all of the current Soldiers, Sailors, Marines, Airmen and Coast Guardsmen are volunteers, as are the members of the Reserves and National Guard.  Likewise this generation has for the most part fought the war alone as the vast bulk of the country has lived in peace untouched by any inconvenience to daily life such as gas and food rationing, requirements to work in war industries and the draft as were citizens in World War Two.  In the Second World War there was a sharing of the burden which in large part has not occurred in this war.  While many have pitched in to help and volunteered to help veterans and their families the vast majority of people in this country are untouched by the war, not that there is anything wrong with that.  This is simply a comparison of the situation that those who served in World War Two and the present conflicts faced.  So I have to say that our “Greatest Generation” is only a small part of the generation, as the line in Henry V “we few, we happy few who fought together….”

Dynamic DuoBrothers

These Soldiers, Sailors, Marines and Airmen from the United States as well as our Allies who serve alongside of us are my brothers and sisters.  I am friends with military personnel from the UK, Canada and Germany who have served in the various combat zones or at sea and met quite a few others from France, the Netherlands and Australia. Of course my Iraqi friends who I served with while with our advisers in Al Anbar province who are not only trying to bring peace and stability back to their country but have to worry about their families being targeted by terrorists.

There are a number of things that unite us in this relatively small brotherhood.  However, I think that this brotherhood could also be extended to our brothers who fought in Vietnam, French, Vietnamese, Australian, South Korean and American, the French who served in Algeria and the Americans and others that served in Korea.  All of these wars were unpopular, had little support on the home front and often left returning veterans found themselves isolated and their sacrifices either ignored or disrespected.  For those Americans who serve in the current wars I can say that at least to this point the public has been much more supportive than they were to our Vietnam brothers, many of who were even disrespected by World War Two vets who had fought in “a real war.”  I cannot count the Gulf War in this list as it was hugely successful and the returning vets were hailed as conquering heroes with ticker tape parades.

advisers convoy prepGetting Ready for A Mission

Our shared brotherhood includes our scars, physical, psychological, neurological and spiritual.  Those who served on the ground in Iraq and Afghanistan as well as those who served in Vietnam, French Indo-China and Algeria have the common shared experience of fighting people who don’t necessarily like foreigners no matter how noble our intentions and who have a long history of outlasting people that they believe to be invaders or occupiers.  We have had to fight wars with no front lines, no major units arrayed against us, but rather asymmetrical threats propagated by creatively devious foes who use low tech easily available technology and a willingness to sacrifice themselves and others to force attempt to kill us.  Thus we have cleverly designed and often quite powerful IEDs or Improvised Explosive Devices which can obliterate a HUMMV.

374Prayer Before a Mission

These threats create a situation where there is no front line and thus where every excursion outside of a FOB (Forward Operating Base) or COP (Coalition Outpost) is automatically a trip into a potential danger zone.  Enemies can infiltrate bases posing as local nationals in either military uniform or as workers, rockets and mortars can be lobbed onto even the largest and most secure bases at any time and any vehicle driving by you on the road could be loaded with explosives and just waiting to blow you up while insurgents with automatic weapons and Anti-Tank Rocket Propelled Grenades (RPGs) have taken down helicopters.  When you have taken fire on the road, in the air and had rockets whiz by you this becomes a reality that you never forget.

helos at nightA Familiar Sight to Me, Flying at Night AP Photo/David Guttenfelder

As a result we do not only have men and women with physical wounds, but wounds that have damaged the psyche or the soul.  PTSD is very common either from a direct encounter or the continual wear and tear of being in a danger zone wondering if you were to get hit that day every day of a tour.  I have lost count now of people that I know who have mild to severe symptoms of PTSD.  Traumatic Brain injury is another condition men and women attacked by IEDs, mortars and rockets experience. Likewise there are the injuries that shatter the soul.  These are the images of ruined buildings, burned out vehicles, wounded bodies, injured children, refugees and wars desolation that can leave a person’s faith in God, or ideals that he or she believes in weakened or even destroyed.  There are many idealistic and patriotic military personnel who because of what they have seen question God, their National Leadership and even themselves.  I cannot get the image of a refugee camp on the Iraqi Syrian border full of Palestinian refugees who have nowhere to go; they had been invited to Iraq under Sadaam and have been sitting on the border trying to get home for years now.  The Palestinian authority wants nothing to do with them.

237Iraqi Kids in War Torn Village on the Euphrates

These men and women are my brothers and sisters.   I have seen quite a few of my ICU staff deployed this year with more getting ready to go.  These are my friends and I do get concerned for them and pray earnestly for their safe return.  I wish that I could go with them because I know them and have already walked with them through the dark valley of the shadow of death in our ICU.  We already have a bond that will not be broken.

It is now two years since I was in the process of leaving for Iraq and a year since my PTSD crash.  However, I still would do it again in a heartbeat.  There is something about doing the job that you were both trained to do and called to do that makes it so.  Likewise the bonds of friendship and brotherhood with those who you serve are greater than almost any known in the human experience.  Shared danger, suffering and trauma bind soldiers together, even soldiers of different countries and sometimes with enemies.  I remember the conversation that I had with an Iraqi Merchant Marine Captain on a ship that we had apprehended for smuggling oil violating the United Nations sanctions.  The man was a bit older than me, in his early 60s.  He had been educated in Britain and traveled to the US in the 1960s and 1970s. He had the same concerns as any husband and father for his family and had lost his livelihood after Sadaam invaded Kuwait in 1990.   He was a gentleman who provided for his crew and went out of his way to cooperate with us.  In our last meeting he said to me: “Someday I hope that like the Americans, British and the German soldiers at the end of the Second World War can meet after the war is over, share a meal and a drink in a bar and be friends.”  That is my hope as well.

In the final episode of the series Band of Brothers there is a scene where one of the American soldiers, Joseph Liebgott who came from a German Jewish family interprets the words of a German General to his men in the prisoner compound.  The words sum up what the Americans had felt about themselves and likewise the bond that all soldiers who serve together in war have in common, if you have seen the episode you know how powerful it is, I ended up crying when I heard it the first time and cannot help but do so now that I have been to the badlands of Al Anbar Province.

“Men, it’s been a long war, it’s been a tough war. You’ve fought bravely, proudly for your country. You’re a special group. You’ve found in one another a bond that exists only in combat, among brothers. You’ve shared foxholes, held each other in dire moments. You’ve seen death and suffered together. I’m proud to have served with each and every one of you. You all deserve long and happy lives in peace.”

136A Chance Meeting with our EOD Mobile Uniit 2 Brothers

May God bless all of especially my brothers who served in with me in Iraq or have served or are serving in Afghanistan; as well as my brothers who fought in Vietnam, Indochina and Algeria.  We may never get a victory parade, but we have each other.

Peace, Steve+

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Filed under History, iraq,afghanistan, Military, PTSD, vietnam