Tag Archives: portsmouth naval medical center

Oh the Pain…Padre Steve’s Kidney Stone Naming Contest

Getting set to pass the stone

Well I spent a good part of the last night and early this morning with the Abbess visiting my friends in the Naval Medical Center Portsmouth Emergency Room.  I had been in pretty bad pain most of the day and even went with the Abbess to visit a retired chaplain friend and his wife as he has been a patient at our medic al center for the past week.  As we visited I continued to be in pain and when we went home I had the Abbess drop me off at home while she went to Gordon Biersch.  Anyone who knows me knows that I have to be feeling really bad not to go out and have a beer with the Abbess and or Stein Club friends on Saturday night.  The Abbess was convinced when we left the hospital that I would be back but being that I have a rather high threshold for pain compared to most people as well as a typical career military man view of pain and illness I thought that I would feel better and ride it out.  I did not expect a kidney stone and thinking it was something gastric went hope to vegetate and hope that with some chicken soup and some anti-gas meds that it would go away.  Wrong answer padre…

As I sat on the couch trying to get comfortable with pain waxing and waning and Molly doing her best to “will” me into feeling better I continued to feel worse.  The Abbess came home and pronounced that if I was still feeling this way at midnight we were going to the hospital whether I wanted to or not.  At about 11 PM I cried uncle and she drove me to the hospital.  Every freaking bump on the road was misery and when we got to the ER I got out of the car and limped into the ER. I could barely walk and was doubled over in pain, which when the triage nurse asked what level on a scale of 1 to 10 I said 5 to 6 because though it hurt it was not the worst pain that I have ever had which can only be reserved for the “undead tooth of terror.” (See Killing off the Undead Tooth of Terror)

One of the good things about playing on the home field is that people recognize you, of course for some this can be good or bad but thankfully for me it was good as I like the folks down in ER and the only thing that could make my affection for them be greater was if we were a trauma center.  What can I say? I did my residency at Parkland Memorial Hospital as the Trauma and Surgery Department Chaplain and served as an ER Department Chaplain at another regional trauma center.  None the less I know a good number of the staff, especially the ER residents as well as the surgery, internal medicine, psychiatry and other residents who see patients in the ER.  Last night was only different in the fact that I was not making rounds or being called to the ER but was a patient, something that I have little patience at being.

After a relatively short but uncomfortable wait in the waiting room I was taken back to a bay with a curtain as a partition given a gown and put on a monitor which as I observed that my vital signs, despite my pain were very good. My conditioning program is paying off.  I knew the ER attending, the RN and the Hospital Corpsmen that attended to me and other staff members who know me took time to visit.  Dr Ventura told me that he thought that it was likely a kidney stone and both he and the RN asked me about the color of my urine which I compared to a cloudy Keller Beer or Hefe-Weizen. How else can you describe urine when it does not have the clarity or effervescence of a Pilsner? I was sent to get a CT scan which was pretty cool. CT’s have come a long way since my residency, what used to be a 20-30 minute procedure only took about 2-3 minutes and I didn’t even have to take my San Francisco Giants baseball hat off.

So anyway, after being discharged from the ER and saying good bye to all my friends we went up to get the myriad of drugs from our pharmacy including pain meds like Vicodin as well as meds to help the stone pass and other meds.  I think the bag of meds weighed a couple of pounds.  So since the Abbess was really worn out I drove us home which meant that I did not hit the rough spots in the road beacus I know where they are.  After dropping her off and getting a sweet greeting from Molly I went over to our 24 hour super Wal-Mart and picked my way around the stockers to pick up a few things including the Minute Maid Lemonade that the staff told me would help me pass the stone.

Now kidney stones can take anywhere from 3 to 30 days to pass and if they don’t they may have to be removed. Approximately 80 percent of these stones contain calcium, as either calcium oxalate, calcium phosphate or a combination. Another 10 to 15 percent are composed of magnesium ammonium phosphate, s0metimes  known as struvite, while only 5 to 10 percent are uric acid stones. Fewer than 1 percent of stones are cystine.  Now for people like me this is interesting I don’t know too many people who laying on an ER bed think all the technical details of their illness.

Finally home I got to bed just before 0600 and got up just before noon.  Since getting up I have eaten light and drank a lot of fluids, like tons of fluids and since I need to try to capture the stone have a wire mesh coffee filter with a little handle which makes it like a bucket to piss into.  This will of course be consigned to oblivion once the stone is passed as there is no way, even with high tech sterilization gear available that anything that has had urine pass through it will ever be used to filter something that will pass through my lips.  If you remember the Seinfeld where Jerry’s girlfriend’s toothbrush fell in the toilet you will understand completely.

So now I wait.  I have been doing everything that I have been told to do but it seems that the stone has gone into hiding.  I haven’t passed it but it is still in me.  The choice for it is to come out on its own or be blasted into kidney stone oblivion or should either of those measures fail be surgically removed.  I guess with choices like that I would prefer the natural birth even though it stands to be painful.  I do hope and pray that that if this is the case that the stone will come out on the 4mm side and not the 7mm side, otherwise I will be like Kramer in the Seinfeld episode where he passes a kidney stone. I just hope when this happens I am nowhere near anyone whose life is depending on something.   http://www.strimoo.com/video/13214541/kramer-gets-a-kidney-stone-Dailymotion.html

So my challenge now is to figure out what to name this.  My friend Greg who is a Priest and Navy Chaplain says that I need to capture and keep it in case I am ever considered for canonization as a Saint.  However I wonder who the hell would want that kind of relic but realize after visiting various diocesan museums in Europe I know that anything can wind up as a relic.  So my question to my readers is what to name this stone.  I am leading to Adolf since he was a pain to remove during the Second World War.  Friends on Facebook have suggested other names and it will be interesting to see if any consensus builds as to what to name this bad boy.  So feel free to comment here or on my Facebook page as what you think this stone should be named.  Like the undead tooth of terror I will keep you apprised of this health issue as well as try to keep a humorous perspective on this.  Again thanks to all my friends in the ER and blessings to all. Pray for me a sinner.

Peace,

Steve+

Post Script: While in the ER it came to me that the doctor who called me to the ER back in December to administer the last rites to a dying retired military doctor was Eric Inge.  He was a key part of my Christmas miracle and I will not forget him, see

Doubt and Faith: My Crisis in Faith and Why I am Still a Christian an Advent Meditation

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Too Young…Naval Medical Center Portsmouth loses another one of Its Own

 

Lieutenant Eric W Inge, Medical Corps, United States Navy 20 August 1979-13 February 2010

Creator, Father who first breathed

In us the life that we received

By thy power of thy breath restore

The ill, and men with wounds of war

Bless those who give their healing care,

That life and laughter all may share

 From the Navy Hymn, Eternal Father Strong to Save

Today the Staff of Naval Medical Center remembered the life and work of a shipmate, colleague and friend.  LT Eric Inge passed away last week from apparently natural causes. Eric was a junior resident our Psychiatry residency program and I had the pleasure of working with him and spending time in class as well as doing some PT with him. Back in December we took a PT test together.  Though he was quiet we often talked to each other and he had a good heart, sharp wit and obviously cared for people and wanted to do his best to serve our Sailors, Marines, Soldiers, Airmen and their family members that he saw in clinic or on the floor. 

 He was quiet, unassuming and did not draw attention to himself. He was remembered today as a friend, a committed physician who could always be found working with his patients and who was a very good psychiatrist even though he was still early in his residency. 

 He was born at Fitzsimmons Army Medical Center in Denver on August 20th 1979. He graduated with distinction from Duke University earning a degree in Biomedical Engineering. He worked in that field and then attended medical school at the University of South Florida where he graduated with his MD in 2005.  He completed an internship in Internal Medicine at The Ohio State University in 2006 and entered a Neurology program that he withdrew from realizing that his passion in medicine lay in Psychiatry.  Passing up numerous civilian residency programs he entered the Navy and was accepted into the Psychiatry internship program from which he matriculated in June of 2009 and then began his residency at Naval Medical Center Portsmouth.  He served his patients, his shipmates and his country well.  He is typical of so many of our young Naval Physicians and other professionals in Navy Medicine.  Eric will be missed by his friends, colleagues and the patients that he served so well.  Please remember his mother and father, Elsa and Kenneth Inge and sister Tina in your prayers. 

 His death came as another blow to a department that has lost two other staff members in the past 7 months and to a medical center that has said goodbye to far too many shipmates in the past year.  Additionally we have hundreds of our staff deployed in harms way in Afghanistan where they are actively treating US and NATO soldiers and Afghan civilians in places like Khadahar, Camp Bastion and Bagram as well as many places too small to register in this country. Others serve in Iraq, the broader Middle East and the Horn of Africa.  Many were shipped out with only hours notice to deploy on the USNS Comfort to care for victims of the cataclysmic destruction in Haiti, which many veteran and even senior staff who have served in Iraq and Afghanistan find more horrifying than anything that they experienced in combat.  While all of these professionals deploy the staff here picks up the load.  Unlike units that rotate in and out of combat to be rested and refreshed these proud and selfless men and women of Navy Medicine go into the fight or into places of cataclysmic devastation and then return to carry on with the mission of caring for our Navy and broader military family at home. 

 Please keep all of these professionals, caregivers all in your prayers as they serve with dedication and distinction all over the world and even now mourn the death of one of their own.  I do not pretent to understand why young people like Eric die, I trust God yes, but I wonder sometimes and ask the question which has no answer “why?” I will miss Eric and trust that his soul and the souls of all the departed will rest in peace.

 Peace,

Padre Steve+

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Yet another Unexpected Death of a Shipmate and Probable Rough Seas Ahead

SCPO3DIn Memorium Senior Chief Hospital Corpsman D’Juana Hayes-Jones

This has been another difficult week at Portsmouth Naval Medical Center.  Once again we experienced the unexpected and unsettling death of a beloved Shipmate. HMCS D’juna Hayes-Jones, the Senior Enlisted Advisor for the Director of Nursing Services passed away early Wednesday morning of a massive Heart attack or another sudden catastrophic event.

I was just coming off of duty and conducting the duty turnover when the pager went off.  The chaplain relieving me took the page and came back saying that he had just been informed that we had lost yet another Shipmate and said that he had to go get more information.  I looked at our Deputy Department director and said: “I pray someone that I don’t know; I’m really tired of losing people that I know.”  A few minutes later my friend came back and gave us Senior Chief’s name.  I was pretty tired having come off a night with little sleep.  Initially I looked at him and the deputy and said; “I’m sure I know her but am trying to picture her face.”  We finished the turnover and I started to walk back up to the ICU when I clearly saw and remembered her face, which always had a friendly and caring expression.  I had just seen her and said hello the day before in one of the main hallways.  When this registered I simply said “shit, not another one, damn.”  This was the 5th active duty death that we have had since December.  I had met all five and had a decent number of interactions with three of the five.  Senior Chief was one that I had met a lot in the hallways, had frequent small conversations with and was involved quite heavily with when Senior Chief Pam Branum passed away on June 2nd of this year.  Additionally we had a civilian RN pass away and several civilians in our clinics.  The active duty deaths were all unexpected and tragic.  We have come close to losing a number of other shipmates who were very close to death but have since recovered.  With all the deployments added in we are all showing some strain with the loss of our friends and shipmates, so it is important to take care of each other because we don’t know what tomorrow brings.  With more deployments coming, a flu season that never ended and H1N1 looming on the horizon I fear that this will not be the last shipmate we lose this year.  I pray that I am wrong but my intuition tells me something different.  In the midst of this I am reminded that we must live to the fullest and not waste the life that God has given us. As Marcus Aurelius said “Execute every act of thy life as though it were thy last.”

Losing good people, who care for others, strive for excellence and serve faithfully who are younger than me, is getting old.  Senior Chief from what I had seen and heard was a great leader who really cared for her corpsmen and the nursing Staff.  She could always be found out among her corpsmen on the nursing units and clinics.  She was kind, fair and a caring teacher, coach and mentor to many corpsmen and nurses.  Her loss was met with stunned disbelief by those who knew her and who really have not yet fully recovered from the loss of Chief Branum.  Her death has shaken all of us who knew her, from the most senior officers and Chiefs, to the most junior corpsmen as well civilian staff.  I and most of our other chaplains have spent significant time with our shipmates since this happened.

Senior Chief Hayes-Jones would have had her retirement ceremony on August 28th.  She leaves behind two children, her husband and her shipmates.  We will have a memorial service for her next week; the date is still to be announced as of this post.

God bless you all and take care of each other as we once again walk through the valley of the shadow of death.

Peace, Steve+

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Killing off the Undead Tooth of Terror

stooges dentist 2Yesterday I Might have taken these Guy’s Offer

The battle was brutal.  Yesterday the Undead Tooth of Terror held me in its grip more tightly than any time in the past several days.  Judy drove us home from West Virginia and last night as soon as we got back I was met by the on-call dentist and oral surgeon.  They bought me some relief for the night but I still didn’t sleep much having been tanked up on caffeine just to make it through the trip, the whole yin and yang of uppers and downers together.  This morning I got up and went in to work, my tooth and mouth in a bit of pain but not the 10.5 to 12.9 on the scale of 10 that I had yesterday.  The Undead Tooth of Terror may have been down but he was not yet out.

I met the dentist from last night as well as the Oral Surgeon who is the department head.  The people at the desk had no clue that I was coming in and were trying to figure things out by calling to the back when the dentist from last night came out, told them exactly what the plan was and had them check me in.  I was sent to wait and waiting 5 minutes a nurse came out the get me and ushered me into the oral surgery pavilion. Now you might wonder what difference there is in this and a normal dentist chair and treatment room.  So let me tell you.  I work at a large teaching hospital and this includes the Dental Department.  In fact the dentist who worked on me last night was a first year resident by you would not have known by how well he did and how considerate he was of any possible pain or discomfort that I might experience.  Anyway, back to the pavilion.  It is large with a number of oral surgery suites.  In the suite sits a dental chair. Not just any chair but one that looks like a first class airline seat and much more comfortable than a standard dental chair. The arms were a bit different as they had straps to hold down your arms as well as an IV line for the times they put someone to sleep when doing the surgery.  It looked like it could have been like a set up for prison lethal injection room.  I guess if we move to a Soylent Green end of life deal these would be in your neighborhood.  Since I had no need of lethal injection or for that matter being put to sleep for the procedure these meant nothing to me.  However when I have my implant they will do this.  The rest of the room has a good amount of equipment not seen in a normal dentist treatment room.

I got in the chair and they went through the checklist to make sure that I was me and want procedure was being done.  I was read the consent form which asked of potential complications of the surgery.  These were interesting, thankfully I did not expect complications although because the tooth was so weak there was a strong possibility that it could shatter and would have to be cut out.  Preliminaries completed I was given a topical anesthetic followed by about four or five shots into the right side of my mouth, which because of the local I did not feel.  Then they went to work.  I couldn’t see anything but could hear and feel, albeit without pain what they were doing.  Things didn’t take too long, maybe 20 minutes to remove the tooth if that.  It had come out in several pieces as they suspected, but thankfully the roots were straight and they didn’t have to do any real gymnastics to get it out.  I looked at the damned thing which was in several pieces on the small instrument table in front of me.  It was like looking at Dracula after you had staked him and before he turned to dust.  I amazement I asked if I could take it home with me and was told that I could not because it was now “hazardous waste.”  Hell I thought it was hazardous before it was waste.  I told the dentist and nurse that I was hoping to take it home so I could put it under the pillow for the tooth fairy.  The dentist said that he didn’t think that she would give very much for it but I said I thought that it was worth a try.  When all was said and done I was given an SIQ chit for two days.  SIQ means “sick in quarters” and is basically the Navy’s way of saying “Go home dummy.  Follow the doctor’s directions and take care of yourself.” I really only expected one day, but as I started hurting again some tonight I realized that I could not do my 24 hour on call shift tomorrow without making things much worse for me.   Following the surgery the site of the now really dead Undead Tooth of Terror was packed with gauze to soak up the blood.  I ended up changing the gauze three times before the site stopped bleeding.

When I got home I realized that I had forgotten to drop off a prescription for more Vicodin so I had to drive back and drop it off at our pharmacy. Thankfully traffic was light and I got there and back pretty quick and will get the prescription tomorrow as the line was huge and I was in no condition to wait an hour to get it as I had a couple left.  Once I was home I fell asleep for about 3 hours. I got up, had a light dinner and took it easy.  The pain started back up about 9 PM and so I took my meds and am getting ready to go to bed.  I expect that I should sleep well for the first time tonight.  The Undead Tooth of Terror is no more but I still bear the scars of my encounter with the beast from the pit of hell.  Patently the Deity Herself was with me through this and will take care of me tonight even if I don’t get a visit from the tooth fairy.

Thank you for your prayers encouragement and support.  Thanks especially to Judy who threw herself on the proverbial grenade yesterday to drive me home even though she was extremely tired and not feeling that well herself. I have a follow up next week for this procedure and my initial visit for the implant in six weeks.

Peace, Steve+

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Going to War: Wills, Living Wills, Immunizations Gone Bad and Christmas in July

This is part three in my “Going to War” series. Previous parts are noted here:

Part One:Going to War: Reflections on My Journey to Iraq and Back- Part One

Past Two: Going to War: Interlude July 4th 2007

One of the sobering things as you get ready to go to war is issues that deal with your possible dismemberment, disability or yes even your death.  In the month or so before going to Iraq Judy had me take out an additional life insurance policy that doubled what the military would provide in the event of my demise.  Part of our processing to go to combat was a will and power of attorney update.  We had not updated our wills since well before coming to the Hampton Roads area so I took advantage of this time to get it done.  The will itself was pretty easy since we have no children and have not been married to anyone else.  That was the easy part. The next part was dealing with power of attorney.  We did a couple of them, a General for most stuff and a couple of specific POAs for various things.  I also had to do a medical power of attorney.  The medical power of attorney is something that I routinely deal with at the hospital.  I have dealt with them before in other places.  At the same time they become somewhat disconcerting when you are getting to go into a combat zone where there is heavy fighting going on and that you know that you will be in places that the enemy likes to attack and by the way, you are as a chaplain unarmed.

When doing a Medical Power of Attorney I am always reminded of the episode of Seinfeld where Kramer sees part of a movie called The Other Side of Darkness which supposedly is about a lady who ends up in a coma.  Since Kramer doesn’t want to be in a coma he makes his own Power of Attorney for Jerry to be his representative.  Jerry refuses and Kramer gets Elaine to go to a lawyer played by Ben Stein to get his “living will” done.  Without going into too much detail the interview with the Ben Stein is funny as hell as in his monotone voice he asks Kramer what he would want to do if….and Kramer turns to Elaine and asks “what should I do?”  Of course after Kramer makes this out he sees the rest of the movie only to find out that the lady in the coma comes out of it.

I digress, but anyway sometimes when you fill one of these out you pray that you get it right so no one offs you before your time, but also so you don’t end up like Karen Anne Quinlan or Terri Shaivo.  All I could think of when doing this was me being so badly wounded that people were telling Judy that there was only a fifty- fifty chance of me living but only a ten percent chance of that and did she want to pull the plug.  While this is going on I could just see me unable to respond trying to say “give me one more at bat skip, just one more chance…please.”  This may not seem like the most spiritual thing for a Priest to be saying but I don’t want to be with Jesus or in Purgatory before my time.

Legal matters finished we had matters of health and preventive medicine to accomplish.  As always when you deploy the military ensures that you are vaccinated against about everything imaginable including typhoid, anthrax, smallpox, malaria, yellow fever, certain regional diseases and probably some that I have forgotten.  Many I had received at different times, including my first Anthrax vaccine which I  injection was done into my muscle. This time the corpsmen given the shot did it sub-cutaneous which means just below the skin.  Well something happened and the little reaction area became a big one that night.  My bicep felt like someone had shoved a baseball in it and the sucker hurt like hell.   By the next morning I knew that my reaction was not “normal” being that the first one I had did not do this. I thought back to the Anthrax scare right after September 11th 2001 and I didn’t want to take any chances regarding something that the media said could be dangerous.  Who knows, what if they had messed up and given me a bad batch or even a weaponized form of the vaccine.  Hell, just because I’m paranoid doesn’t mean that they are not out to get me.  If I was going to die for my country I didn’t want it to be from a reaction to a vaccine and not something heroic that would actually matter to someone and maybe even get a ship named after me.  So I went back to the immunization section, excusing my way past the queue of sailors waiting to get PPD’s read I went to the desk.  I figured that I wasn’t going to wait in line behind people with routine stuff when things looked like they were getting sporty for me. It’s called triage. The Corpsman at the desk was polite and asked what he could do.  I told him that “I think I’m having a reaction to the Anthrax vaccine.”  He gave me a funny look and asked whoch one in the series this shot was.  It was the second and I said.  “This didn’t happen the first time.”  He told e to show him my arm and then with a look of surprise on his face said: “Obviously sir the first time you had no antibodies to Anthrax so it had nothing to react to….”  I was thinking “no shit Sherlock” when the young man went to get his Chief.  The Chief came in, looked at my arm and said: “Gee sir it looks like you are having a reaction to the shot.” Wow, he could have floored me with that bit of news.  So he took me back to his office and started having me checked to make sure that I didn’t have a fever or a number of other things, like if I was dizzy or was having trouble breathing.   No I was neither dizzy nor experiencing breathing difficulties but was simply in pain, a bit scared and a lot pissed.   After his battery of questions and the phone calls asked me “do you think that you are safe to drive?”   At that point I would have said anything to get the hell out of there and get on with what I needed to do to make sure that I wasn’t going to die.  So I said “of course I am.”  He asked if I was sure and I reaffirmed this to him in a convincing enough manner for him to send me over to Portsmouth.  Now Portsmouth Naval Medical has a small office manned by a couple of nurses whose job it is to report bad vaccine reactions up to the FDA and God only knows who else.  These ladies were very pleasant and when they got a look at my arm they were impressed.  Once again I heard Yes sir you are having a reaction.”  Once and I got another battery of questions and they took a couple of pictures of the baseball sized knot on my left bicep.  Another couple of phone calls later I was told that I would be okay.  I was told by the ladies that he next shot of the series would have to go into the muscle as this batch had encapsulated itself in my arm instead of going to the rest of my body.  I was then told to take some Motrin for the pain and swelling and do a lot of push-ups, pull-ups and massage to help the area dissipate faster. My fears eased and I left the hospital and reported back to the processing site where all of my fellow sailors had already left for the day.

Another tense and sleepless night was spent with Judy and I with the emotional distance still there.  We talked about various things but nothing serious as I don’t think that either of us was able to vocalize well what we were feeling.  Even Molly seemed differed, I’m sure that she sensed that something was going on as I had continued to pack and re-pack my gear from EOD.  Molly does not like it when either of us pack as it usually means that one or both of us is leaving her employee for a time, we being the well treated and loved hired help.  So the next morning I repeated my “Groundhog Day” trek back to Norfolk Naval Station fighting the idiots driving to work on the I-264, I-64 and I-564 battle zone where matching wits with the witless I safely picked my way through traffic while drinking my black coffee.

Arriving for our next to last day of processing we checked and re-checked paperwork, received our signed wills, living wills and powers of attorney.  That morning I met with Father Pat Finn a mobilized reservist and Episcopal Priest from South Carolina and we had a nice chat where we were joined by Fr Steve Powers retired Navy Chaplain and Rector of St. Brides Episcopal Church in Chesapeake.   Following that I was asked to assist with a sailor who was having some personal difficulties getting ready for the deployment.  These tasks completed I went back to muster with the others and sat down next to Nelson my ever faithful assistant and body guard extraordinaire.  We were then told that we would collect the gear that we were being issued.  We gathered outside where we lined up and were given a sea bag in which to put our issue.  There were boxes of stuff everywhere and a couple of civilians and sailors stood by to ensure that we got what we were going to get.  Uniforms with all of our name tapes rank insignia and qualification pins sewn on as well as more socks, t-shirts and other assorted gear.  Our stash was a bit lighter than the others as we already had much of what was being issued and did not need the issue boots having already been issued non-issue boots courtesy of EOD.  When this was done and we were released I told Nelson to go home as his family was coming into town from New York.  Taking the newly issued gear home I again went to packing and repacking and took Judy out to dinner after which we spent our time alone together pondering the future.

Peace, Steve+

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Duty, Death, Dads, Day Games and Details

I seem to be getting ever more creative in my tiredness.  Today has been and still continues to be pretty busy.  I swapped duty with another Chaplain and have spent the day here at the Medical Center.  It has been busy and at times sporty.  It has also been a day where I have had my own struggles.  This is the first Father’s Day that I have not been able to talk to my dad whose condition  continues to slowly worsen from end stage Alzheimer’s disease at a nursing facility. I have been going strong most of the day with a lull during the afternoon which I was able to take advantage of for some self care.  Tonight between rounds as well as patient and staff care I have not stopped.  It is getting close to midnight, I know we have another coming to the ICU, so I decided to sit down, and write.

I took the duty and no sooner had the chaplain that I relieved left my office the pager went off.  It was a call to go to our Neo-Natal Intensive Care Unit or NICU.  There was a 6 day old baby dying.  I had met mom and grandmother the day after the child was delivered.  She was a beautiful child but had genetic abnormalities that most expected that she would die from shortly after birth.  She was a tough little kid, but finally gave up the ghost today.  I was there and mom asked if I would baptize her, which I did and then commended her to the Lord as she passed away in her mother’s arms. While there I was told about another very sick baby who might not live long.

Sunday duty also entails doing the Protestant worship service if you are not a Roman Catholic Chaplain.   Chaplains do the service from their faith tradition.  Since my church is more on the catholic side of Anglican I use the rite out of the 1979 Book of Common Prayer as we have these on hand at our chaplain and the rite is our provisional liturgy.  I have come to like it over the years.  Our congregation is primarily military retirees and sailors or civilian workers who are on Sunday duty as well as patients who come down.  The service is broadcasted on the closed circuit television system to patient rooms.  Today we had a decent crowd and it was a good service, expect for the time my pager went off in the middle of my homily and I had to dig it out from underneath my Alb, Stole and Chasuble.  My organist took it to the duty RP (Religious Programs Specialist) who contacted the caller while I finished the homily and the Eucharist.

The caller happened to be our Labor and Delivery Unit who needed me to come up and pray with a young mother to be and her parents as she got ready for a C-section.  This went well and I found out later as I rounded this evening that everything went very smooth and that mother and baby are doing fine.  After checking around the hospital I was able to go over to Harbor Park as it is within the 30 minute response time required of our chaplain duty on weekends.  Weekdays we spend the night, weekends staying in house is optional if you live under 30 minutes away.  I live on the cusp of this and on the wrong side of a bridge tunnel so I remain in house during the weekend.

Since I ave my season ticket I went to the ballpark in my cargo shorts and replica Tides orange jersey and black cap which sport’s the Tides away logo.  The Tides as I noted yesterday have been in the “June Swoon.”  Thankfully their closest competitor, the Durham Bulls have been doing even worse.  Today against the Lehigh Valley Iron Pigs, the AAA affiliate of the Philadelphia Phillies.  Lehigh Valley had taken the first two games of the series.  Today though was different, the Tides got a lead and held it.  The players seemed both more relaxed and focused than they have been lately.  Troy Patton, Chris Ray, Bob McCrory and Jim Miller combined for the victory, Patton getting the win and Miller getting the save.  Jeff Fiorentino hit his 5th home run as well as a ground rule double and a single scoring all four Tides runs.  Most of the game I spend talking life and baseball with Elliott the usher.

As soon as the game was over I raced back to the hospital changed back into uniform and began rounds.  These were long and extended as there were still a number of staff who needed to discuss the events that have shaken us here the past couple of weeks as well as a number of calls to either take care of staff members or patients.  Most of these have not been simple “will you pray for me” kind of stuff but major life and death, emotional or spiritual crisis involving staff, family and patients.  Thus I am pretty tired but please that I can be around.  We’ll see how the rest of the night goes.  I do hope to catch a bit of sleep.

This was also Father’s Day.  As I said it is the first that I have not been able to talk with my dad since 2002 when deployed to the Persian Gulf and off Pakistan.  I have mentioned my Dad’s Alzheimer’s disease before and he does continue to worsen, but keep hanging in there.  Dealing with the family of a retired Navy Chief in the ICU brought back memories of dad tonight.

And now to details.  I was told that the Navy Times scandal sheet had published an article on Admiral Baker not getting his second star, something that I wrote about in the last section of last night’s post.  The article gives details from the Inspector General report.  The link to the article is here:

http://www.navytimes.com/news/2009/06/navy_chaplain_061909w/

This is a sad time for the Navy Chaplain Corps and for Admiral Baker and his family.  His long and distinguished career has been tainted by what was discovered in the report. Please pray for him and the Chaplain Corps as we navigate these difficult times.

Peace, Steve+

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A Healing Community Grieves-Portsmouth Naval Medical Center Experiences Yet another Tragic Death

This week has culminated two months of tragedy at our medical center.  This was another death, and this one was totally senseless.  It followed the unexpected death of Senior Chief Pam Branum while she was deployed on the USNS Comfort doing a humanitarian mission in the Caribbean Sea.  The Comfort was in Panama when she died.  Her death shook our community.  She was loved and respected and her death was unsettling.  Back in April we had lost Ensign Chris Gallagher in a motorcycle crash in Oceanview.  Chris was a fourth year medical student and would have graduated about three weeks after he died.  He was a incredibly sharp and dedicated medical student and would have made a fine physician.  As with Senior Chief he was well liked and respected.  I knew both of them.  I had seen Chris the day before his death in ICU rounds.

This week we lost Hospitalman Third Class Christopher Bailey.  Today in a chapel crowed well beyond it’s maximum capacity we remembered Chris.  It was a moving and emotional service in which his shipmates, friends and even his mother spoke,  I was especially touched by her words about Chris and our healing community.  Chris was a passionate young sailor and dedicated Christian.  He and a friend were looking at his car and discussing their faith when three men came to rob them.  As the men left following the robbery one fired a shot into Chris’s car.  He was hit in the back of the head and died yesterday at Norfolk General.  He donated his organs and seven were used in transplants.  In death he gave live to seven people.  Chris was a Psychiatric Technician.  He worked on our inpatient Psychiatry wards and occasionally in the clinic.  He was loved by those who worked with him.  I work on our SPRINT team which is an interdisciplinary team which goes out to assist in traumatic situations.  As part of that team I work with a lot of really great Psychiatrists, Psychologists, Psychiatric Nurses and Technicians, military and civilian.  Unlike Chris Gallagher and Pam Branum I had only met Chris in passing on duty one evening. So I didn’t know him like the other two, thus this was different than the others for me.

The death of Pan Branum and Chris Gallagher saddened me because I knew them and liked them.  Chris Bailey’s death angered me because it was so senseless.  Chris was killed for 5 dollars and truthfully, and this may seem un-Christian and anti-life I hope the bloody sonofabitch who did this is hunted down and killed.  That asshole snuffed out the life of a good kid and it really pisses me off.  I’m sure this reaction goes back to my youth because back in 1979 I was held up a gunpoint by two men with Judy, who was and her parents in the parking lot of Arroyo’s Café in Stockton California, the original home of the drive-by-shooting.  This was back in the days that Arroyo’s was on South center Street.  Having a gun to your head when you have no place to run sitting in the back seat of a car puts your life in perspective real quick.  When I heard about Chris and what happened to him I imagined what would have happened to me had the robber pulled the trigger on me.  Anyway I am upset about this because I am sick and tired of seeing young people die senseless and needless deaths. Additionally it angers me because it has hurt my friends on my team.  They are hurting; they are grieving and still trying to care for a nearly full inpatient psychiatric unit.  I hate to see my friends hurting.  I try to be there for them but that will not take away the hurt, pain and loss that they have experienced.  They walk tonight in the valley of the shadow of death.

Theologically and personally I wrestle with this.  I have a hard time finding any redeeming purpose or meaning in such a death.  Chris was killed by a criminal gang of thugs for no reason.  I have a hard time saying “well it’s God’s will” or “God works everything for the good.”  God may have a plan and somehow some way there may be something good that comes from this, but I cannot see it right now.  I’m sure that I am not alone in the way that I feel.  I can only imagine the sense of loss, grief and anger of the people that I work with who knew and loved Chris.  My stuff I can put a finger on, being held up at gunpoint thirty years ago, dealing with huge amounts traumatic death in ERs and ICUs as a chaplain and most of all the PTSD that I came home with as a gift from Iraq.

I stayed in the background of this event helping a bit with seating people, hanging out in back to make sure people were okay and after the service looking after my friends Andy and Casey from the SPRINT team.  Casey and I had done a mission at Camp LeJeune a few months back during a particularly gruesome suicide which came into the hospital ER.  Casey transfers soon but in the mean time we have to get together for a beer some evening or take in a ball game.

The only thing that I can say that may be halfway pastoral at this point is to echo German theologian and martyr Dietrich Bonheoffer who said:

“Nothing can make up for the absence of someone we love. And it would be wrong to try to find a substitute. We must simply hold out and see it through. That sounds very hard at first, but at the same time, it is a great consolation, for the gap — as long as it remains unfilled — preserves the bond between us. It is nonsense to say that God fills the gap: God does not fill it, but on the contrary, keeps it empty, and so helps us to keep alive our former communion with each other, even at the cost of pain.”

I know that all of Chris’s friends, as well as those of Chris Gallagher and Pan Branum will understand this.  There is nothing that can replace them and it is foolish to try to substitute another person, relationship or activity for them.  There is a hole in our hearts and in the collective soul of Portsmouth Naval Medical Center.  This place of healing is hurting and I pray that somehow these things will stop happening.

May God give rest to the soul of Christopher Bailey and all those who sleep in Christ; may his soul, the souls of Chris Gallagher and Pam Branum and all the departed rest in peace and all who grieve for them know the peace of God.

Pray for me a sinner, Steve+

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Filed under healthcare, Loose thoughts and musings, philosophy, PTSD, Religion, things I don't get

Saying Goodbye to a Shipmate…Fair Winds and Following Seas Senior Chief Branum

HMCS Pam Branum’s Rules:

Rule 1: Take care of your sailors

Rule 2: Accomplish the mission

Rule 3: See Rule One

chief branum

Today we said goodbye to our fallen shipmate Senior Chief Hospital Corpsman Pamela Branum.  The ceremony took place in our main auditorium at Naval Medical Center Portsmouth.  Needless to say because of the kind of person that she was and the influence that she had in people’s lives was very well attended with sailors coming in from all over the country.  Likewise it was filled with Naval tradition in fitting tribute to this child of east Tennessee who left home to serve her country and died in the line of duty.  It was a memorial service a celebration of life, a promotion ceremony and retirement all rolled into one.  And Senior Chief Branum deserved all of it.  A woman of faith she embodied the reality of her faith in the care of people and her witness to God in thought, word and deed.

The service was interesting.  I have planned, conducted or participated in more or these that I can count. On this one I was deep into the planning until Friday when after a wild and wearying month I finally began to crash.  What finally did me in was forgetting to save the bulletin which I had been working on with Commander Judy for like two hours before I closed the stupid thing out.  I had deleted the thing and both the document and I were done.  It was last nail in the camel. Thank God for Commander Judy and Chaplain Franklin who took over when I hit tilt.

Anyway what was cool about this was seeing all those who loved Pam and the stories that they shared.  Captain Bonnema our acting commander had served with Senior Chief as his Leading Chief Petty Officer at Naval Hospital Pensacola.  His words, filled with emotion were touching and inspiring as he talked about how Senior Chief was what every Chief should be.  The heartfelt genuineness of Captain Bonnema set the tone for the memorial. Others spoke; Master Chief McNulty talked about having Pam as an instructor at Field Medical Service School at Camp LeJeune.  Pam’s best friend Lisa, spoke of Pam’s friendship and example in her life while also talking about Pam as a leader of Sailors.  Another friend, also named Pamela, a retired Chief who has served with her in Kuwait and Iraq during Operation Iraqi Freedom shared some touching and humorous sea stories about Senior Chief.  The two became known as the Ella’s.  They were big “E” and little “e” Ella.  Senior was the Capital “E” Ella.  I guess little Ella hated the Bee Gees and while in Iraq some Marines or Sailors were playing the progenitors of the Disco era at a fairly loud decibel range.  Little Ella complained and sent Senor Chief to quiet them down.  Later, little “e” Ella was invited by senior into a tent before chow.  Little Ella notice that there were too many people in the tent and about that time Big Ella had someone start the Bee Gees.  One of the last things that Little Ella was given from Big Ella, which she got shortly after Pam died, was a CD of the Bee Gees.  Somehow I think that the Deity Herself used Pam to get little Ella one last time.  I guess in heaven that little Ella will get her back.

Chaplain Cynthia Kane from San Diego who will be doing Pam’s memorial in Tennessee tomorrow and her burial in Arlington National Cemetery in August delivered the homily.  Cynthia traveled her at her own expense. Our last couple of memorial services for active duty Sailors at the Medical Center I have done.  Each has been emotionally draining and since I knew Pam better than I knew the others I was relieved when I found out from Lisa that Pam wanted Cynthia to do this.  Pam and Cynthia were deployed to the Medical Facility for the Guantanamo Bay Cuba prison back in 2005-2006.  Pam was the Senior Enlisted Leader and Cynthia, being a Chaplain was naturally the Chaplain.  They also became good friends and as Cynthia said, Pam made her a better officer and chaplain.  Later, when Cynthia was about to lose her unborn baby, it was Pam that she turned to for advice, counsel and comfort.   From personal experience I can say that there are certain Chiefs or Marine Corps Sergeant Majors that I would go to in a crisis of such proportions.  Command Master Chief Gerry Pierce and Sergeant Major Kim Davis would be my “go to” guys. It is truly a remarkable Chief who cares for their chaplain in the chaplain’s time of need.  As a chaplain I can say that this is remarkable.  In our business it is often the case that we have no one to go to when we are not doing well.  I’m fortunate in my current assignment, but this has not always been the case.

Pam was promoted the Senior Chief on the day that she passed away.  She had been selected by the board which had not yet be released and because of the unusual situation the Navy decided to honor posthumously her with the promotion while the command awarded her the Meritorious Service Medal in the same manner.  Both the promotion and the award were read today.  An article about the promotion in the Virginia Pilot online can be found here: http://hamptonroads.com/2009/06/portsmouth-corpsman-died-day-her-promotion

The most touching moment for me was when Lisa read a letter from a Corpsman currently deployed in the Middle East.  The Corpsman had a rough time early in his career. Senior Chief Branum helped not only to save his career but to teach him lessons that made him a better Petty Officer and Corpsman.  The Hospital Corpsman  Luis E. Fonseca Jr. had been in trouble and it was Pam that helped him out.  In 2003 at the Battle of Al Nasaryah during Operation Iraqi Freedom this young man was a hero.  He saved 5 other Marines wounded when their vehicle was hit.  Under enemy fire the young Corpsman organized their recovery under fire and despite taking fire treated them and got them evacuated to safety. Hospital Corpsman Fonseca was awarded the Navy Cross for his actions.  This is the Navy’s highest award apart from the Congressional Medal of Honor.  Now Petty Officer Fonseca’s wife delivered a letter from him to Lisa during the viewing last night.  He credited her with not only saving his career but also credited her with teaching him to be a better “Doc.”  He gave his Navy Cross to Pam.  For a understanding of what the young man did in Iraq please look at this article:

http://www.news.navy.mil/search/display.asp?story_id=14707

The ceremony was concluded by the reading of “I am the Flag” and passing the National Colors from person to person in an honor guard.  In an unusual twist the honor guard was composed of Junior Enlisted Sailors, Petty Officers, Chief’s and even two Nurse Corps Officers.  The flag was presented to Lisa. A similar flag will be presented to Pam’s parents.  After this the benediction was said by yours truly, and I have to admit that I had a difficult time in spite of using the Book of Common Prayer.  I have done a lot of these services and this was the most difficult time doing a benediction that I have ever had.   As I ended the benediction I posted the “Side Boys’ which is a Naval Tradition done in conjunction with “piping over the side.”  This is a rite where a sailor departs his or her ship or command for the final time. The Boatswain piped Senior Chief over the side and I am sure that her spirit made the trip down the aisle smiling and probably joking with her fellow Chiefs, Sailors and Officers who filled the auditorium.  This completed the mournful tones of Taps played by a Naval Bugler ended the ceremony.

As the crowd of friends mingled with each other, shared memories, hugs, tears and laughs, a slideshow of Senior Chief Branum’s life played on the large screen.  It was a fitting tribute to a wonderful person, shipmate, confidant and friend to so many people.   I consider it an honor to have served with Senior Chief Branum even for the 5 and a half months before she deployed on USNS Comfort on which she passed from this life into the next.  I will never forget her cheerful smile and professional manner; even as she helped her sailors conduct field days and work around the ICU.   Her loss will be mourned by many even as with joy people whose lives that she touched share their stories and memories.

SCPO3D

O God of grace and glory, we remember before you this day our sister Senior Chief Hospital Corpsman Pamela Branum.  We thank you for giving her to us, her shipmates and friends, to know and to love as a companion on our earthly pilgrimage. In your boundless compassion, console us who mourn.  Give us faith to see in death the gate of eternal life, so that in quiet confidence we may continue our course on earth, until, by your call, we are reunited with those who have gone before; through Jesus Christ our Lord. Amen.

Peace, Steve+

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Memorial Day 2009- Thoughts and Musings

I am again at the Medical Center on duty, but this not a bad thing.   Before I begin my post I want to direct you to the post of the Abbess of the Abbey Normal and her thoughts on this Memorial Day.  Her post is linked here: http://abbeynormalabbess.wordpress.com/2009/05/25/memorial-day-musings/

I Have also posted several links in this article. Peace, Steve+

ports hosp cemetary 2Conaway Cemetery Portsmouth Naval Medical Center

I have been thinking a lot about the significance of Memorial Day the past week.  I think about it more now than I used to.  Now I have always thought a lot of it and observed it the best that I could.  Yet having now been “boots on the ground” in Iraq travelling about the battlefield to take care of the spiritual needs of American Marines and Soldiers serving as advisers with the Iraqi Army, Police and Border forces it has more meaning.  I am now a combat veteran.  Last year I joined the VFW.  I came back from the war different, PTSD kind of goons you up sometimes.  I spent most of the past 15 months dealing with this, not sleeping and being in chronic pain.  I’m now doing much better.  In part this is due to the support I have at home and a work and the fact that I am no longer isolated.  Being on staff at our Naval Medical Center has been good for me and I do not resent being the Duty Chaplain on this Memorial Day.  I have far too many wonderful people I work with here to think anything like that.  It is an honor to serve here with such fine people, Physicians, Nurses, Chaplains and other medical and support staff.

ports hospt cemetary 1Another View Conaway Cemetery

Today has been really good no matter how the night goes.  I participated in the annual Memorial Day observance at the historic Naval Cemetery on our grounds.  It is but a mere two acres of land and dates to 1838 when it was established to allow the remains of those who died far from their homes repose. It has Navy Sailors, Marines and their families.  It also holds the remains of Sailors from Great Britain, Russia, Germany, Japan and Brazil who died in the Norfolk area.  Additionally the remains of Sailors of the Confederate States Navy are buried here.  The service was organized by the Local Chapters of the Fleet Reserve Association, supported by the local Boy Scout troops and attended by veterans, active duty members and dignitaries from the City of Portsmouth City Council and a State Senator.   It was a simple yet moving ceremony which involved a wreath-laying as well as Amazing Grace played on the Bagpipes and Taps.  Our Color Guard presented the colors and our Commanding Officer, Rear Admiral Kiser was the guest speaker.  Local news services were on hand to televise it, just as they televised others services throughout the region.  One of these was on the Battleship USS Wisconsin which is the centerpiece of the local maritime museum at Norfolk’s Nauticus venue.

Our hospital is interesting.  It dates to 1826 and is the first Naval and for that matter military hospital in our country.  The motto here is First and Finest. Building One is the original hospital.  It has a glass dome which at one time lighted the operating theater.   It now is our command building with other administrative offices.  The hospital has served in peace and war and was instrumental in the 1850s in caring for the victims of the Yellow Fever epidemic.  It is now a teaching hospital and multi-faceted medical center with a national reputation.

The time at the service was neat as I mixed with our veterans of World War Two, Korea, Vietnam, Desert Storm and the current wars.  Many proudly displayed their medals, ribbons and badges.  When the National Anthem was played these men and women saluted as smartly as when they were on active duty.  Many are involved with local veterans groups and some are volunteers at our hospital taking time to care for the needs of our patients and families.  Among the dignitaries was Councilman Charles Whitehurst who is a member of the small historically black Episcopal Church where I worship.  Mr. Whitehurst enlisted in the Marines in 1955 and rose through the enlisted ranks to Sergeant, was appointed as a Warrant Officer and the Commissioned as an Officer.  He retired as a Major after Vietnam.   Afterward Admiral Kiser was the Grand Marshal of the Portsmouth Memorial Day Parade, which is the oldest and longest running in the nation.   A link to a local station’s coverage of this event is here: http://www.wvec.com/video/index.html?nvid=364992&shu=1

I was able to catch a glimpse of President Obama’s wreath laying at Arlington National Cemetery where in in short and solemn remarks he noted: “Why in an age when so many have acted only in pursuit of narrowest self-interest have the soldiers, sailors, airmen and Marines of this generation volunteered all that they have on behalf of others,” he said. “Why have they been willing to bear the heaviest burden?”

“Whatever it is, they felt some tug. They answered a call. They said ‘I’ll go.’ That is why they are the best of America,” Obama said. “That is what separates them from those who have not served in uniform, their extraordinary willingness to risk their lives for people they never met.”

I think that his remarks were perfect and honored those who serve now and those have gone before us.

The last service of this type that I attended was at the US Cemetery at Belleau Wood, France. It is the site of the battle in which the Marines in their first battle of World War One turned back the assault of the German Army which was advancing on Paris and launched a counter-attack.  I was with Marines of the Marine Security Forces who were conducting a joint memorial service with French Marines.  The next day I visited Normandy with the Marines and taught classes to them on the battle, looking at it from the German perspective.  The day prior to the service I taught parts of the “staff-ride” of the battlefield discussing various aspects of World War one tactics, weaponry and equipment.

me at normandyWith Marines at Normandy

This is also most likely the last Memorial Day that my father will be alive.  He served as a Navy Chief Petty Officer and retired in 1974.  In 1972 he served “boots on the ground” at the city of An Loc which was surrounded for 80 days by the North Vietnamese Army.  He was my inspiration to serve in the military.  There are many veterans of World War Two, Korea and Vietnam who like him are in the twilight of their lives.  I do pray that all will be remembered this Memorial Day.  I was able to be with him the week before last.  I expect it will be the last time that I see him.

McCains Special BaseballTed Williams as USMC Aviator

One interesting thing that I want to mention before I close was the effort that many professional ball players made back in World Wars One, Two and Korea.  Some of the top players of all time gave up some of their prime playing years to serve.  Christy Matthewson served in the Army in France during World War One. He was gassed and developed Tuberculosis and died at the age of 45 in 1925 never playing again.  Yogi Berra served as a Navy Gunners Mate at D-Day.  Ted Williams served in both WWII and Korea as a Marine Corps fighter pilot.  He lost nearly 5 seasons to his service. One who studies statistics in baseball might want to extrapolate the numbers that Williams might have had if he had played on instead of serving.  Hank Greenberg the first Jewish Major League superstar was drafted in 1940 and released just before Pearl Harbor when Congress voted to send men over 28 home. He then re-enlisted, was commissioned and served in the China-Burma-India Theater.  Joe Dimaggio enlisted in the Army Air Force and served 2 ½ years from 1943-1945. Bob Feller volunteered for the Navy on December 8th 1941 and spent 4 seasons on the USS Alabama as a gun captain. Pee Wee Reese served in the Navy in the Pacific while Jackie Robinson served as an Army Officer and Larry Doby served in the Navy before breaking the color barrier to play Major League baseball.  Whitey Ford, Willie Mays, Eddie Matthews and Ernie Banks were all called up for Korea along with Williams.  Roy Gleason of the Dodgers was the last player to earn the Purple Heart as an Army Sergeant in Vietnam. Of course the world has changed.  We have an all volunteer military no current Major League players, or for that matter NBA, NFL or NHL players serve in the military but many donate time and money to support military members and their families including Giant’s pitcher Barry Zito and Orioles pitcher Jamie Walker.  Working with USAA these men have founded a non-profit group called “Strikeouts for Troops.  A link to that organization is here:  http://video.yahoo.com/watch/3462236/9644105

Pat Tillman a defensive back for the Arizona Cardinals enlisted after 9-11 and was killed during a “friendly fire” incident while serving as an Army Ranger in Afghanistan.  He has been the only NFL, MLB, NHL or NBA player to volunteer for active duty in the current war.

Here are a few links to some baseball and veteran stories:

Link to video of Baseball Hall of Fame Player Monte Irvin talking about his service in World War Two: http://www.youtube.com/watch?v=OKERxyAbg1w and link to Indians and A’s player Lou Brissie’s WWII experience: http://www.youtube.com/watch?v=SFwAXNR9q-k Jerry Coleman on his Marine Corps time as a dive bomber pilot: http://www.youtube.com/watch?v=wUlBgBxaWoY

Bob Feller’s, Buck O’Neal and Phil Rizzuto’s WWII memories:  http://video.search.yahoo.com/video/play?p=bob+feller+american+veterans+&n=21&ei=utf-8&js=1&fr=yfp-t-105&tnr=20&vid=0001463818096 and here: http://www.youtube.com/watch?v=CRyILkx_c2U

Link to Rick Monday’s saving the flag at Dodger Stadium in April 1976:  http://www.youtube.com/watch?v=IrV8QPQAhxo&feature=related

goldstar

Let us remember our veterans, especially those who gave the last full measure to serve our country. Support the Honor and Remember flag campaign as well as the “Blue Star” and “Gold Star” families whose loved ones currently serve or have died on active duty in this time of war.

Peace, Steve+

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