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PTSD, Madness; to Perchance to Dream and Yet Live: Iraq Twelve Years Later

Friends of Padre Steve’s World,

Guy Sajer wrote in his book The Forgotten Soldier these words:

“Only happy people have nightmares, from overeating. For those who live a nightmare reality, sleep is a black hole, lost in time, like death.” 

I am exhausted tonight and I will be going to bed early for me. Hopefully I will get some restful sleep. I will be posting this article to post shortly after midnight by which time I hope not only to be in bed but asleep.

I have suffered a week of violent nightmares taking me back to my worst fears when I was serving in the badlands of Iraq’s Al Anbar Province in 2007 and 2008 supporting U.S. Advisors to Iraqi Army, Border Forces, Police, Highway Patrol, and Provincial Reconstruction teams. I rolled out of bed in a nightmare and cut my arm, and I woke up screaming and reaching for the pistol of an Iraqi insurgent who was about to shoot me, scaring the absolute shit out of our oldest Papillon dog Minnie, whose terrified Yelp woke me up.

I do not often write about it because I have been doing better, but I suffer from severe and chronic PTSD related to my experiences at war. The images are seared into my brain and sometimes the memories, and my deepest fears from my time there as an unarmed Chaplain working for the most part with very small groups of Americans and our Iraqis far away from the help of the big battalions if we got into serious trouble. I have written about those experiences and my struggles after my return many times on this blog. Likewise, I have had my story told on the front pages of the Jacksonville Daily News and the Washington Times. A video of my story is on the Department of Defense Real Warriors Campaign website, and is a large part of a chapter of Pulitzer Prize winning War Correspondent David Wood’s book  What Have We Done: The Moral Injury of America’s Longest Wars.  

Since Iraq, my nightmares are very vivid and often involve much physical acting out. The physical acting out is unusual and I have actually injured myself badly enough to require trips to the emergency room after crashing hard throwing myself out of bed combatting imaginary enemies. Likewise, other have been violent and physical enough to wake Judy up.

This is nothing new. In another nightmare a year or so ago I was being attacked by an Iraqi insurgent. Our advisor team had been attacked as we were stopped in the dark to determine if an Improvised Explosive Device had been laid in the road in front of us. This was just a few miles from the Iraq-Syrian border between Al Qaim and COP South, the base of the advisor team which was working with the 3rd Battalion of the 3rd Brigade of the Iraqi 7th Division.

The part about being stopped in the desert in the dark while examining a potential IED actually happened. The attack did not happen but at the time I fully expected something like it to happen. We were sitting ducks on a two lane highway in the middle of the desert. But the attack never happened and we continued to COP South, which would become a part of many of my future missions.

But in my nightmare it happened and as the fighting devolved into close quarters hand to hand combat I found myself grappling an insurgent who was attacking me with a large knife. I managed to roll on top of him and knock the knife from his hand when I was awakened. I was on top of Judy and she was afraid that I was going to strangle her. My hands had not gotten to her throat but she woke me and told me what had happen. I dropped back to my side of the bed in a cold sweat. I could not believe what had happened and that terrifies me. I have set up an appointment prior to my regularly scheduled one with my shrink to talk about this.

Since I my day had been quite good and I have been much more relaxed at work since putting in my retirement papers the event came as a huge surprise. In trying to figure out what triggered it I was at loss until I remembered that I had had dinner last night with a retired Navy EOD Captain who had been my Chief Staff Officer at EOD Group Two and running partner before I went to Iraq. He was sent there not long after me and we met at Camp Victory in Baghdad not long before I left Iraq on the way to Kuwait and home in 2008. We enjoyed a wonderful dinner last night and we did talk about all manner of things including our time in Iraq and those men that we had served alongside.

I saw my sleep doctor yesterday regarding my latest sleep study. Without my sleep Medical Tinos I did not enter in to REM sleep, or dream sleep. In addition to prescribing me a different CPAP machine and increasing the pressure , he referring me to a neurologist colleague of his in the sleep clinic. Honestly, I don’t know what god it will do, but I hope that he can find some kind of answer.

But trying to explain my trying to explain nightmares and night terrors is is not really helpful, they are now part of who I am. I think that Stephen King said it best:

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

Yes,  I can still try to logically deduce my nightmares and night terrors, but the poetry of fear as Stephen King so rightly calls it cannot be fully explained. For those of us who deal with the memories of combat, of having been shot at and have seen the human cost of war, the dead, the wounded, the destruction, and the aftermath of war, they are all too real and they never completely leave us.

Christmas on the Syrian border

Over eleven years after I returned from Iraq I still find that much of me is still there. In fact, deep down I miss Iraq and the Iraqis that I was honored to know and to serve alongside and I still pray for them and for their future. Maybe someday I will get back. I would love that.

For all that remains with me about Iraq, I left a good part of me there, with my advisors and Iraqis. It was the best of times, and the worst of times, but it is a major part of who I am now, and why I want to continue to live.

So until tomorrow, Inshallah, إن شاء الله

Peace

Padre Steve+

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Filed under History, iraq, middle east, Military, ministry, News and current events, to iraq and back, Tour in Iraq, us army, US Marine Corps, US Navy

Not the Cover of the Rolling Stone but the Front Page: Padre Steve Featured in Washington Times article on PTSD

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“We were all at once terribly alone; and alone we must see it through.” Erich Maria Remarque in All Quiet on the Western Front

Well my friends it has been an interesting week. Last week I was contacted by a Public Affairs Officer at the Pentagon who had been a student in our Winter Class because he had been asked by a reporter if he knew someone who could talk about PTSD. I was then contacted by the reporter, Maggie Ybarra of the Washington Times. I was interviewed and the paper sent a wonderful photographer Eva Russo to take pictures of me at Norfolk’s Harbor Park.

Now the Times is not my paper of choice. However the chance to talk about PTSD and the effect on veterans including senior officers in such a high profile forum is important. One does not have to agree with the political slant of news organization if they present the particular topic with sensitivity and balance. The reporter, editor and photographer involved all treated me and those who suffer with respect. I cannot ask for more. Since I was interviewed and quoted by David Wood of the Huffington Post last month for an article on “Moral Injury” shows a sense of balance, I will talk to anyone willing to fairly present the struggles faced by currently serving military members and veterans suffering from PTSD. My brothers and sisters mean more to me than my political leanings. This week I have been contacted by a producer from the BBC about a documentary on that subject but that is waiting on PAO to do something with it.

What matters to me is that veterans suffering from PTSD, TBI and Moral Injury are not forgotten. That happens far too often often after every war. The public forgets, the military forgets and the government forgets. Major General Smedley Butler wrote in his classic War is a Racket:

“I have visited eighteen government hospitals for veterans. In them are about 50,000 destroyed men- men who were the pick of the nation eighteen years ago. The very able chief surgeon at the government hospital in Milwaukee, where there are 3,800 of the living dead, told me that mortality among veterans is three times as great as among those who stayed home.”

Likewise I understand the stigma of PTSD. Many senior personnel both officers and enlisted, the career men and women effected by it PTSD, TBI or Moral Injury don’t want to identify themselves or seek help. I can’t blame them in some ways even though it is killing them. My choice back in 2009 was to decide try tell my story as honestly and transparently. When my shrink asked me what I was going to do with this I thought about it hard. I am very much an introvert and it was scary to “come out.” It was even harder then because though a chaplain I was for all practical purposes an agnostic hoping that there was a God and I was afraid of everything. But I knew that I had to start speaking out because very few senior leaders affected by this scourge had the freedom to do so. That is one of the reasons that I started this website.

It was risky to speak out. Despite efforts by some senior leaders to change the military culture the fact is that there still is a great stigma attached to “coming out” and seeking help for PTSD and other mental illnesses. In fact I know of numerous senior leaders, officer and enlisted whose careers have cratered due to the effects of PTSD and even some who have lost their families or even taken their lives. So for me this is very personal and serious.

The first time I spoke out being interviewed in the Jacksonville (North Carolina) Daily News back in April 2011 there were trolls who made some incredibly hateful and vicious comments about me in the comments of the online edition. Some were even threatening. The paper took the abusive comments down but the wounds remain, some people are simply assholes and I pity them. No wonder people don’t want to talk about the subject and would rather resort to silence, substance abuse and suicide than talk about it.

The fact is that despite the fact that some senior leaders are doing what they can to try to change the culture of the military from one that penalizes, marginalizes and trivializes the suffering of those that serve the stigma remains, and many feel it. One senior enlisted leader in an elite branch of the Navy told me that “leaders could seek help that they would never get any more career enhancing or important assignments.” That was only a few months ago after the suicide of a retired Navy Captain who suffered from PTSD and TBI, a man who meant much to both of us.

The fact is that as a Chaplain I feel pretty much “radioactive” to other chaplains, at senior chaplains. I can count on one hand the number of senior chaplains who have bothered to contact me or ask how I was doing. But that being said I have been contacted by others, chaplains line officers and enlisted personnel who tell me that I am one of the few people who “gets it” and that they feel safe confiding in. Personally I would rather have that be my legacy than anything else.

The fact is it will take a generation of leaders to change the military culture to give the men and women who put it all on the line and suffer for their efforts to get help.

But enough of that for now, I’m getting upset and I already have a terrible time sleeping, I don’t need to spin myself up any more than I am. If you want to read the Times article the link is here: http://www.washingtontimes.com/news/2014/apr/22/less-silent-suffering-veterans-post-traumatic-stre/

On a different note, I did something today that in more than 32 years in the military I have never done. I received a maximum score on my physical fitness test. The past few years I have come close but never maxed it. The sad thing is what I need to do now to get a maximum score is more than I needed to do as a young Army officer in the 1980s.

Anyway, until tomorrow when I will have another Gettysburg article for you, have a great night and remember to care for the veterans and families who suffer the effects of PTSD, TBI and Moral Injury.

Peace

Padre Steve+

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Filed under Military, PTSD

Easter Sunday, Baseball and Interviews

meharborpark“I believe in the Church of Baseball…the only church that truly feeds the soul, day in, day out, is the Church of Baseball.” Annie Savoy Bull Durham

For those that didn’t notice today was Easter Sunday. It is the Sunday where Christians remember and celebrate the Resurrection of Jesus and others go into diabetic comas because of the amount of candy they ingested even if they don’t believe.

For me it was a simple celebration of Eucharist at my Staff College Chapel with some of our students and their families. Following that a nice breakfast with Judy and then a trip to the ballpark to see the Norfolk Tides play the Durham Bulls.

It has been a busy and eventful week. First it was Holy Week and it was the first week of teaching my Ethics Elective for our current class, finalizing my Gettysburg Staff Ride “Tome” for this class and taking care of the ever bothersome military health and physical fitness requirements. In addition to everything else I made  four trips to medical and dental to get routine exams and paperwork accomplished so I can do my physical fitness test this week. As for a frame of reference even about 10 years ago guys my age didn’t need to do this. However the physical requirements I have to meet at age 54 in the Navy are little different from the ones I had to meet at age 22 in the Army. Of course I still had to do my taxes and other things around the house as contractors were back in on Friday doing the painting in the house. Hopefully by the end of this week most if not all of that is done, but I digress…

The Easter celebration of the Eucharist was really nice, several of our students and family members attending, which for my chapel is like “mega-church” numbers.

Following breakfast, or maybe it was really brunch I went over to Harbor Park where I met a photographer from the Washington Times. A reporter from that newspaper asked a former student of mine who serves as a Public Affairs Officer at the Pentagon if he knew anyone who knew something about PTSD and he referred her to me. The article will run tomorrow from what I am told. They liked the interview and wanted to get some photos of me in my natural environment, Harbor Park in Norfolk, a place which is a refuge to me and has been since I returned from Iraq. There is something healing to me about going to the ballpark. To me baseball is more than a game, it is an important part of my spirituality and my mental health.

The photographer stayed with me about 6 innings before having to return to Washington. It was a nice day. After the game, which the Tides won by a score of 6-3 with Kevin Gausman pitching well against a strong Durham team. The photographer and I had some nice conversations as she shot the story and followed me around the ballpark. What was nice is that I know the people there well enough after so many years of going there that I could just be me, I didn’t have to alter much, just have someone follow me around. Since I do a lot of baseball photography we were able to compare notes and I was able to talk to her about better equipment than I have for sports photography. That being said she did like some of the pictures I showed from past events. Who knows maybe I can do this after I retire from the Navy whenever that is?

Anyway. Tonight has been spent watching the movies Bull Durhamand Kelly’s Heroes. I go back to work tomorrow, yet have one more medical appointment Tuesday and then my Physical Readiness Test on Wednesday. The last won’t be hard.

In the coming couple of weeks you can look forward to more articles about Gettysburg as well as some other topics that I am doing some reading, reflection and research on.

Again, Happy Easter,

Peace

Padre Steve+

 

 

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Filed under Baseball, christian life, faith, PTSD