Tag Archives: Disabled American Veterans

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

Friends of Padre Steve’s World,

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

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

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

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

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

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

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

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

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

The Minstrel Boy (Thomas Moore)

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

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

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

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

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

Peace

Padre Steve+

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

Veterans Day 2010: Counting the Cost of War

“It is well that war is so terrible, or we should get too fond of it.” General Robert E. Lee

Veterans Day had become a rather somber occasion for me over the past decade and since returning from Iraq in 2008 has taken on added personal significance.  I have noticed that I have become much more reflective about the sacrifices made by our military and the terrible coasts of war on our Soldiers, Marines, Sailors, Airmen and their families in this age of the all volunteer military.  The military which has about 2,225,000 members including the Reserves and National Guard is just 0.7% of the total population, the lowest percentage of military personnel compared to total population during any war in our history.  As a result this force has borne the brunt of a war that no politicians or bureaucrats figured would last half as long as it has.  As a result the “few” have been asked to do more for longer than and military that this nation has ever fielded during a war.

Thus for me Veterans Day has become a rather somber and reflective occasion as I ponder all the sacrifices made by our military and their families. In Afghanistan the U.S. Military has lost 1378 killed and our allies another 825.  In Iraq 4427 U.S. Military personnel have died along with 318 allied soldiers, not including the Iraqi military losses.  For each of the killed there are about 8 more wounded a total of over 38,000 wounded.  Of course the wounded numbers do not include 170,000+ cases of hearing damage; 130,000+ cases of mild traumatic brain injuries; and 200,000+ cases of serious mental health problems, over 30,000 serious disease cases, including a disfiguring, parasitic disease called Leishmaniasis, which results from bites of sand flies; thousands of cases of respiratory disease linked to exposure to toxic burn pit smoke and hundreds of suicides.  Then there are the injuries related to road and aviation accidents not in direct combat.  In my recent assignments in Iraq and Naval Medical facilities I have seen the human cost of the war.  I have friends who suffer as the result of Traumatic Brain Injury, PTSD and Pulmonary diseases as well as those that have been wounded as the result enemy action.  I have a dear friend with a rare and irreversible pulmonary condition from two tours in Iraq. He is 41 his lungs are those of a 70 year old man.  My best friend, a senior Naval Officer is still suffering from the effects of TBI and PTSD incurred while serving with the Marines in Al Anbar Province.

My Dad Aviation Storekeeper Chief Carl Dundas aboard USS Hancock CVA-19 off Vietnam circa 1971-72

A year ago on Veterans Day I was at with my parents in Stockton California to visit my mom and my dad who was then in a nursing facility due to the ravages of Alzheimer’s disease.  It was a terrible visit conflict with my mother due to witches’ brew of my PTSD and grief for my dad and my mother’s struggles with my dad’s condition and her own physical condition.  I visited my dad every day when in two and unfortunately he did not know who I was, Alzheimer’s had robbed him of everything that made him my dad.  He died on June 23rd of this year a day after I found out that I had been selected for promotion to Commander.  My dad was a retired Navy Chief Petty Officer who served in Vietnam on a beach detachment manning an emergency airfield in the besieged city of An Loc in 1972.  He never talked about that tour or what happened there except to tell me that he saw the Communists executing civilians in the city from his observation point.  He came home a changed man.  Thankfully he is now out of his suffering and our family is beginning to find its way back from the abyss of his illness.

I have served for over 29 years in the Army and the Navy and have witnessed many things and been blessed to have my life enriched by many veterans.  Unfortunately many of these brave men have since passed away, some having lived many years and others that have died far too young as a result of service connected injuries.

With advisors to the 3rd Bn, 3rd Brigade 7th Iraq Division COP South 2008

In my current work I see many young men that wear the Purple Heart for being wounded in combat. I see those that need assistance to walk, amputees, men with obvious scars from burns and others suffering blindness from their injuries. Our hospital’s Medical Board sees 40-60 Marines and Sailors a day, quite a few of whom that will be medically retired due to their injuries.  There are also those that have died by their own hand suffering from psychological and spiritual injuries too deep to fathom, we had one of our own Corpsman suicide last week.

The cost of war is terrible, as General William Tecumseh Sherman so eloquently put it: “War is Hell.”

Despite this our brave men and women that serve in all branches of the military as well as those that have gone before us in the 235 year history of our military have shouldered the load, for most of that history depending on volunteers who often served in obscurity often derided by their fellow Americans who believed that the military was a place to go if you could not be successful in the civilian world. The pay was low, the duty arduous and benefits few. In the Civil War, the World Wars and up until 1974 the professionals were augmented by draftees who outnumbered the professionals by a huge margin.  Since 1974 the force has been an all volunteer force.

Health and Comfort Board Team USS Hue City, Northern Arabian Gulf May 2002

Regardless of whether our Veterans were draftees or volunteers they have served this country well and on the whole to use the current Navy description are “A Global Force for Good.” The countries liberated from oppressors and helped in humanitarian operations by American Soldiers, Sailors, Marines and Airmen are many and varied.  They have represented the spectrum of our society and represent the best the country has to offer.  Unfortunately they have not always been honored by some of their our countrymen and women and sometimes the children and grandchildren of the peoples that they liberated from Nazi, Fascist or Communist oppressors who often use the wrongdoing of a few military personnel or the decisions or actions of American politicians or businessmen to label American military personnel as criminals.

Unfortunately since the military is such a small part of our population and concentrated in a few large bases it is invisible to most Americans as they live their daily lives. Often in isolated from the bulk of America such as Killeen Texas home of the U.S. III Corps and Jacksonville North Carolina the home of the 2nd Marine Expeditionary Force and Second Marine Division are quintessential military towns but neither are near major population centers and thus the sacrifice of these Soldiers, Marines and Sailors goes unnoticed by most of the nation.  In a sense the human cost of the war falls inordinately upon these military communities where there are few strangers.

In spite of this the current men and women of the American Military train, deploy, fight and return every day as they have since the 9-11-2001 attacks, many if not most have made multiple combat tours.  I have been pleased to see more support of the military in the media, especially sports media and leagues.  Many businesses are taking time to offer things of value to servicemen and women and those businesses should be commended and patronized.  I was touched by many stories that I saw about our veterans on ESPN over the past few days.  http://www.espnmediazone3.com/us/2010/11/espn%E2%80%99s-weeklong-salute-to-veterans-day/

Many of our Reserve component personnel give up civilian employment and chances for promotion to serve in the military, particularly when they are mobilized for service. When they return home most return to towns and cities that have little of the support afforded to active duty members when they return.  I pray that our political leaders in the future will exercise discernment and wisdom before committing us to another war. Otto Von Bismarck said: “Anyone who has ever looked into the glazed eyes of a soldier dying on the battlefield will think hard before starting a war.” Unfortunately the current members of the House, Senate and Executive branch have little connection to the military as very few have served and I wonder if any really comprehend this maxim.  In the 111th Congress 120 members had some form of military service.  The number of veterans in the 111th Congress reflects the trend of a steady decline in the number of Members who have served in the military. For example, there were 298 veterans (240 Representatives, 58 Senators) in the 96th Congress (1979-1981); and 398 veterans (329Representatives, 69 Senators) in the 91st Congress (1969-1971).  Those who have served a full military career are far fewer; the number of congressmen with military careers will remain relatively constant for the 112th Congress. In the Senate there will be one (as compared with two in 2006 and one in 2008) and in the House there will be eight (as compared with four in 2006 and six in 2008).  Some of these Congressional Veterans have been vilified by some broadcasters and pundits of the extreme right wing media most of whom who have never served in the military.  On the positive side nine members of the new Congress will have served in the current wars which hopefully will help promote the sacrifice of our current Veterans and help with programs that will help returning Veterans.

I have seen the cost of war up close and personal in Iraq and back here in the States. I suffer some the afflictions described as a result of my service and see the young men and women many of whom were not yet born when I enlisted in the Army, or when I was commissioned as an Army Officer, when I was a Company Commander or when I was a senior Captain in the Army. These young men and women are heroes.

Please take a moment to thank a Veteran.  If you have time volunteers are always welcome at organizations such as the USO and American Red Cross working with our troops, join or support organizations which promote the causes of Veterans including the Iraq Afghanistan Veteran’s Association www.iava.org the Veterans of Foreign Wars http://www.vfw.org/, American Legion http://www.legion.org/ , Marine Corps League http://www.mcleague.org/, the Fleet Reserve Association http://www.fra.org/, the Association of the U.S. Army http://www.ausa.org and the Disabled American Veterans http://www.dav.org/. There are also many charitable organizations that provide assistance to Veterans and their families’ one of the best being the Fisher House Foundation http://www.fisherhouse.org/ which provides comfortable and free lodging to the families of wounded, injured or sick military personnel on bases adjacent to military hospitals. I found these ten ways that you can help on Yahoo.com:

1. At 11 a.m., observe a moment of silence for those who’ve fought and died while in service to the country

2. Display an American flag

3. Attend a Veterans Day parade

4. Thank a vet for his/her service

5. Send a letter to troops through the U.S. Department of Defense Website

6. Work in a homeless shelter or soup kitchen

7. Visit a veteran’s grave or pick up trash at a veterans cemetery

8. Visit with the family of a veteran who’s serving overseas

9. Visit with a wounded vet at a local VA facility

10. Donate to the USO, the American Legion, Veterans of Foreign Wars USA or other organizations that honor and assist vets

Keep us all in your prayers and please when Veterans Day is past do not forget those of us that serve and our families, especially those men and women serving in harm’s way.  To my friends and comrades I echo the words of the German commander to his troops in captivity at the end of the Band of Brother’s mini-series:

“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.”

Peace

Padre Steve+

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Filed under iraq,afghanistan, Military, PTSD, shipmates and veterans