Monday, July 21, 2008
Domestic Violence?
And then there's that whole "infidel" thing...
"The problems in Afghanistan for the most part, do not stem from within its borders, but from Pakistan. This is another bizarre example of the alliances that the United States forges. Pakistan and Saudi Arabia are dangerous places with almost no equity for the treatment of women. Iran on the other hand is at peace and has a large number of women in professional roles, in college, and holding political office."
Please feel free to leave comments...
Adaptation
Sunday, July 20, 2008
Brain Rangers: Finding the Core of it...
The team I replaced is now gone—on their way to the States to their great relief. Getting them out was significant, not only because I can now fully own COSC here, but also because their presence reminded me that I just got here!!! I can now make my own legacy and wait for my replacement (poor bastard). My Staff Sergeant showed up at 6am. He had been traveling all night, getting to the BAF air terminal at 8pm the night before. Such is the nature of travel here. The "air bridge" that connects these bases is tenuous and unpredictable, forcing long waits that stretch from hours to days to weeks.
Things are suddenly rolling at the combat operational stress control hut. My four days of aggressive marketing is paying off with multiple referrals from the Army medics, self referrals, and a meeting with the commander. Our clinic was busy with walk-ins from 1030am through 6pm. In three days I have seen mostly combat and operational stress clients with a handful of people with pre-existing issues like chronic insomnia and anxiety.
The commander is fully supportive of "brain rangers" and our services, acknowledging that we have an important part of the mission, and he wants us to play an active role.
He paused when we were talking and said that the first thing he wanted to do was "Pantherize" us before we forward deploy: make us less obvious as USAF personnel (our uniforms are a rough approximation of the Army's, but theirs are much cooler and fireproof). After the meeting, per his instruction, I made a quick trip to the logistics area and got two new Army Aircrew Combat Uniforms… made out of Nomex! The sergeant stuck Airborne patches on the sleeves and the Sergeant Major gave me an ACU hat (took it to the Afghan tailor to sew on rank). With a slung M16 I'll fit right in.
This leads to what will be my first mission away from our FOB: a unit behavioral health needs assessment in one of the far-flung companies. I guess I'm talking the talk, so I need to get ready to walk the walk. Making a trip forward, circulating with the guys on the front line and meeting some of the company commanders should garner a few inches of acceptance here in the battalion, which in the long run will make my job both easier and more fulfilling.
As the days progress I'm moving towards a rapprochement with my deployment and the anxiety it generates. I'm going to work hard to make it the kind of experience that, when I look back six months from now, I will be glad it is over but proud that I have served in this capacity. Proud that I dug deep to do the right thing for these people who go into harm's way at the behest of our elected officials. That right there, that's at the core of it for me.
Like I told my family, if I am going to go to the trouble of being 7000 miles away from my heart and soul, I am going to make sure that the journey is worthwhile and make sure that my accomplishments represent something that my family and friends can be proud of.
Saturday, July 19, 2008
Long night
Friday, July 18, 2008
More photos...
View to the south across the LZ. Those walled compounds are everywhere here...
Mud walled compound inside the FOB. Not sure how old it is, but it looks old.
Wall of Heroes...
Afghan graveyard inside the perimeter of the FOB. Some of the graves look hundred of years old. I'm not sure of the significance of flags in the foreground. The base comm tower is in the background.
Thursday, July 17, 2008
Anysoldier.com
My New Small, Small Town...
I made it to the FOB after another long day of travel. The only way to travel around here is by helicopter, so I rode a Chinook out of BAF, touching down at the LZs in a network of firebases and combat outposts spread throughout the mountains. I felt pretty safe because the Chinook bristles with guns: two door gunners and a tail gunner. I would not want to risk shooting at one of these from the ground if I were Taliban—you would be sure to get a face full of 7.62mm from at least one door gunner and the tail gunner as they flew by. Sorry, but yes I had that thought. The helocopter flies through high passes only a few hundred feet above the forest, I suppose due to elevation. It is a little unnerving.
In flight on Chinook:
The trip was long and cramped but I can now say that I’ve been in Kabul and have been right on the Pakistan border (it looks just like Afghanistan, which looks just like southern Nevada, so really, if you’ve been to southern Nevada, you’ve pretty much seen what central Afghanistan and western Pakistan look like.
Upon arrival, one other passenger (a USAF personellist) and I madly dragged three or four hundred pounds of gear off the bird while the Chinook idled on the ground. The rotor wash and the heat of the exhaust is impressive, blasting you with superheated gas every time you get into the rear of the aircraft. We got a few hundred feet from the two Chinooks and they left—on the ground for no more than three or four minutes. The helo LZ is just a big open area covered with fist sized stones and weeds.
The air terminal is a small wooden building on the edge of the field, and I stood in line to sign in my arrival behind a few Afghan men who had just come in on a Jingle Air helo—they fly cargo and locals in big Russian helicopters (unarmed) from place to place, and make easy targets for Taliban or Al Qaeda with RPGs, as they fly low and slow through the mountain passes.
The base is very small in terms of both size and population and is structured around two small forts, complete with towers, six foot thick walls, and small outbuildings that hug the inner walls. It’s very rough and tumble, nothing fancy. One of the forts was built and used by the British in the 1800’s and was subsequently used by US Army Special Forces during Operation Anaconda. For a good read on the recent military history of the area, pick up “Not a Good Day to Die” by Sean Naylor. It gives a good overview of our initial involvement in this province and details the drama of Anaconda, which played out in the mountains that I look out on to the south.
The mission here is diverse in that the Provincial Reconstruction Team (PRT) is based here for this province. They build schools, improve roads, mentor locals in agriculture, construction, medicine. They funnel money into local infrastructure. It is run by the military but only because the security situation is too poor for civilian organizations to come here alone. Civilian aid workers would be kidnapped, beheaded, or just shot and blown up. The military provides these services under the relative safety of military accoutrements such as body armor, armored vehicles, and heavy weapons. I feel for these guys because they go out to help the locals but constantly worry about IEDs, ambushes, or getting assassinated during meetings.
The place has the feel of a small town, with a nice mixture of civilians, Army, and Air Force. I think it would be rough with just Army, as they are generally an uncivilized lot, but that’s as it should be. There are a lot of Afghans who work on the base, mostly as laborers, but there are also interpreters, ANA soldiers, and a few small shops run out of cargo containers, selling local rugs and jewelry and a lot of other crap that is probably from sweat shops in Pakistan. While walking around the base perimeter yesterday I was invited for tea in one of their hooch’s, but I declined (at least I think that’s what he wanted). I need some time to get comfortable here before I break bread with the locals. I’m still at the point that I have a vague but controllable anxiety when I am near the Entry Control Point (ECP). Just need some time…
New OIC of Combat Stress Clinic:
The views are pretty good, with mountains on all sides, and I can see the ruins of an old fortress on a hill top, supposedly built or conquered by Alexander the Great when he attempted to conquer this area.
Combat Stress Clinic:
I’ve met a nice mixture of people so far and it has everything I need—so I think I’ll be okay. I think I can make this feel like home for six months.
Wednesday, July 16, 2008
What Lies Underneath
They asked what I did, and I said that I was a combat stress control psychologist being forward deployed-- that I would travel around to several FOBs in the eastern part of the country. They laughed and pretended to get up, saying “why are we talking to you!?” They said they had been schooled from early on to avoid speaking with mental health personnel.
I eventually asked them to give me some advice—what I could do that would be helpful or useful when I go visit the FOBs and COPs---
Soldier Number One: “Don’t go. We don’t need you there. Maybe we need you back at home but not out there.”
Me: “But I have to go, that’s my job, so what should I do when I go?”
Soldier Number Two: “Sir, you should bring cigarettes and Copenhagen, they would love you.”
Soldier Number One: “Sir, when I get back from a mission the last thing I want to do is talk to some combat stress guy. I just want to take a shower, jerk off, and go to sleep. If I have to listen to some guy talk about combat stress I won’t be listening.”
The second soldier suddenly started to relate a story about coming home from his last deployment, how he lost friends in Afghanistan and when he came back he was paranoid and short-tempered, got divorced, drank too much. His somber confession seemed to catch his friend off guard as he moved the conversation into what sounded like a pretty dark time in his life. He said, “I don’t think it was PTSD but it was a weird time.” He knew that those experiences were related to his combat tour but he didn’t know what to make of it. He paused and seemed thoughtful, and I imagined that he was wondering what it would be like to go back after this tour, if the anxiety and anger was still inside him, dormant.
I just listened, and suddenly the spell was broken, the voices and the noise in the dining facility intruded, and we were done. I wished them both “good luck”, and wished them a good trip home, not without a twinge of jealousy.
Monday, July 14, 2008
Standby
A French Renault APC. Yes the French have a compound here, and this group had just come back from sort of mission.
This is what we drink here—thousands of bottles of water. It is stacked on pallets all over base and is bottled in the town of Bagram. If you like to drink bottled water, then this is the place for you. You just walk up and grab a bottle. It’s free and plentiful. They incinerate all of the bottles, along with the rest of the trash that BAF generates.
Looks just like Vegas. The pink bus is shuttling local workers to some location on base.
Typical early morning scene on Disney Drive—the main drag on BAF.
These are those hell tents I mentioned in an earlier post, right by a fuel depot. Trust me, they are disgusting inside.
The vehicle in the front is an MRAP; a V-bottomed vehicle that is resistant to all but the largest IEDs. There are quite a few around here. This is what I would hope to ride in if I had to convoy somewhere.
The Pat Tillman USO. You gotta respect Pat Tillman for what he did. It’s a shame the Army covered up the circumstances of his death but it doesn’t detract from the meaning of his life’s story.
The Left Captain
I believe that NATO is justified in ousting the Taliban and has a responsibility to begin to rebuild the country, support a new government, and help keep the Taliban out (by training Afghan security forces). I think this is part of being good world citizens. The US has a special part in this, as we ignited the hottest part of the Soviet-Afghan war and then walked away, sowing the seeds of our current harvest here in Afghanistan.
Our biggest failure since 2002 has been alienating our allies. Bush is politically toxic for everyone, making it hard for nations to give blood and treasure to support what has been branded as Bush’s “War on Terror”. I get angry when I think that our leaders will not do more to develop a true coalition, using diplomacy and compromise to bring in additional reconstruction and military support from other countries. Instead they are willing to lay the burden upon the shoulders of America’s sons and daughters.
This war should be fought by international soldiers, shoulder to shoulder. It is, to a degree, but we carry the heaviest load. I don’t really blame any one person (!) and I don’t blame Europe. I’m hopeful that a leadership change in the US will lead to changes in foreign policy strategy and tactics.
But to come full circle with this, I know for sure that the vast majority of our soldiers, airmen and sailors are here meaning to do good things—leaving their homes and families and friends, risking their lives, but doing so because they believe they are doing something positive, whether it be hunting down suicide bombers, vaccinating kids, building schools and footbridges, or training Afghan doctors in Kabul.
It’s important to remember that our people are here with the intention to do something good and from what I hear, a lot of good things happen. The politics of war seem very distant and irrelevant to me, sitting over here. This is about people.
Now the contractors, they’re just here to make money, but that’s a different story.
Sunday, July 13, 2008
Bagram (BAF) Part 3
The ride out to the facility was interesting, going along the perimeter road, seeing old Soviet defensive positions and mine lines, which are corridors where the Soviets put down antipersonnel mines around the base perimeter. A bit of irony talking about defeating insurgents while sitting in a Soviet base (that was abandoned by the Soviets) getting attacked by the same guys who we trained and armed to defeat the Soviets. Anyway...
I am now confirmed on a flight manifest and scheduled to leave for my FOB this week. This is good for two reasons: (1) I leave Bagram Air Field and (2) I am not going by convoy. You can read the news and deduce for yourself why I have the second sentiment.
Related to this, I found out today that not only is Afghanistan geographically larger than Iraq, but it also has a larger population, several million more than Iraq. At the same time, the coalition forces number at less than half the numbers in Iraq. I think the ISAF (International Security Assistance Force) numbers at about 50k.
I have to admit some measure of fear now-- it's like it will get real as soon as I leave the relative safety of BAF. I've heard good things about my FOB (read: secure) and the place is not in the news, which is good. My fear is not just mortal fear but it's also fear of the unknown, fear of the distance and the time, fear of not being able to do a good job at what I am supposed to do. Like most fears, mine are exaggerated and disproportionate therefore I am confident that once I face them, they will shrink down in size... and no, by "shrink" I'm not referring to the "pucker factor".
Saturday, July 12, 2008
Bagram Part 2
I have newcomers orientation training all day today and then some combat stress control orientation tomorrow. The earliest I may get out of here (get to the FOB) is Tuesday, but I've been told that I could wait as long as a week.
Apart from training I'm trying to get last minute shopping done-- get the things that are unavailable at the FOB, like razors, a flash drive, a pillow, DVDs. Here in the market on base you can get pirated copies of recently released movies for like 2 dollars-- the new Batman movie (in theaters next week I think), Hellboy 2, The Hulk. I watched “Walk Hard: The Dewey Cox Story” last night (very funny I must say)-- the guy I borrowed it from paid $2 and it was a flawless copy. I'll try to score a copy of “Kung Fu Panda” to send to the kids. If anyone wants cheap movies, let me know (that's probably illegal, so I was just joking). I'm also considering getting a prepaid Afghan Wireless cellphone-- I think incoming calls from the US might be free and people swear that most of the country has good coverage, although I have heard that the Taliban blows up cell towers on a regular basis. We'll see...
Friday, July 11, 2008
Made it to Bagram
Capt America: Jet lagged in Frankfurt
I have a few days of briefings and in-processing but they have already submitted my request for transportation to my FOB, so it's on, just a matter of time. It's going to take me some time to adjust to this...
Wednesday, July 9, 2008
Delayed!
In the meantime I’ve run my laptop battery down (I didn’t bring a Euro adapter) and I tried to nap on a hard bench. I can’t seem to focus enough to read… The Ramstein AB passenger terminal is nice though—very modern with exposed beams—all stainless steel and glass—even though it is a bit crowded with at least 200 people in transit. I feel really bad for the families with small children. I've seen a few little guys who are just trashed.
I’m still waiting, not much hurrying up. Maybe I’ll get a good night’s rest and my jet lag won’t be as bad as it would have been!
Tuesday, July 8, 2008
Baltimore
Monday, July 7, 2008
Broken Hearts
By 12:00 I was eating lunch at a concourse Mexican restaurant in Phoenix, waiting for my delayed flight to start boarding. I was sitting with the Staff Sergeant who is deploying with me and another young female Airman (Airperson?) from Nellis who is deploying to Kandahar for 179 days. We had just ordered lunch and a few beers, speculating about how long our delay would be. The waitress came by smiling, and told us that our tab was being picked up by a table by the window. I looked over and saw an older man and woman wave at us. They were getting ready to leave, so I walked over to them to say "thank you". I shook their hands and expressed my appreciation. They said they had a son who was currently in the military and the gentleman said that he served 4 years during Vietnam. They asked where we were going and they wished us "Godspeed" before leaving. I was slightly embarassed, but it felt good.
Since I have worn a uniform I have always felt slightly uncomfortable when people thank me "for my service." I have felt uncomfortable because I feel like my "service" to our country is an obligation, and I also feel that it is no more deserving of thanks and praise than any of a number of other jobs. Somebody's gotta do this job, yes, but it's not like I'm a martyr. I am no infantryman either, that's for sure. Thank a teacher (they get shot at too) or a social worker, or someone who works some other unglamorous underpaid job serving others.
Nevertheless, today I was on the receiving end of many well wishes and kind gestures that ranged from simple words of comfort, offers for prayer, and people buying me tacos and beer. It made me shake off some of my typical cynicism about human nature, made me talk a little more(I typically avoid talking to strangers as if everyone were diseased), and made me smile a little more. But maybe I'm just more receptive with the raw emotional nerves of saying goodbye.
The departure makes me more open to accepting those words and actions from people who just want to express thanks, patriotism, caring, or maybe they have friends and family who have deployed. I'm not normally one to take comfort in the words of strangers, but today it felt okay. It seemed to add a little color to an emotionally bleak day.
I'm definitely going to pass those gestures on to someone down the road...
Cap'n America
Sunday, July 6, 2008
Leaving Las Vegas
We had a great weekend here, spent doing what we usually do on weekends. I tried to soak up every last little bit, paying attention to each moment, knowing that in only 24 hours I will keenly miss even the most mundane and annoying aspects of my domestic life. I think the lesson for me is that there is really no such thing as a throw-away moment. Wouldn't it be nice if we knew that from the start?
In the early morning I have to meet some USAF people at the airport to pick up my weapons and then I'm off. Coll and the kids will drive me there and drop me off at the curb. Some people I spoke with about leaving suggested I arrange to leave the kids with someone, to avoid a scene at the airport. I laughed at the idea, because I would never do it and the kids wouldn't stand for it. I want them to know that I am leaving on an airplane, in my uniform, with big bags of stuff that they helped pack. I want them to know that I am going on a long trip because people come back home from trips-- to ride my bike, wear my clothes in the closet, play monster on the living room floor. There won't be a dry eye... I just hope that I can shake Luke off my leg.
I still haven't done a dry run on the bag drag (whether or not my full load is movable) and I've been pretty lax on the physical conditioning over the past month, so if I get to Afghanistan without a ruptured disc or pulled muscles it will be a miracle.
If friends and family are reading this (I don't know who else would be...) all I ask is that you keep an eye out for my family, give them a call or plan a visit.
I don't leave the country until Tuesday night so I'll still be taking and making phone calls through that night. I'll post on the blog through Tuesday but will probably go silent until Thursday or Friday, depending on when I next get access to a network connection.
Take care and I love you all!
Friday, July 4, 2008
Independence Day, Wieners, etc.
Nia saw Chewbacca and asked Colleen: "that big hairy guy have a wiener?"
Later on, after Nia's nap, we indulged in our luxurious portable pool experience to beat the afternoon heat...
Thursday, July 3, 2008
The Left Captain wearing non-permethrin treated uniform
My personal preparation has involved some precision packing. I have two 45 pound duffels, a 30 pound weapons case, and a 30 pound carry-on bag.
One duffel is completely filled with my Army issue of combat and load-bearing gear. I have two different types of backpacks, a ridiculous number of ammo and grenade pouches, a first aid kit, Kevlar helmet, two pairs of boots, two pairs of gloves, dust goggles and ballistic sunglasses, gun cleaning kits, a sleeping bag with Gore-Tex bivy sack, Leatherman, folding knife, strap cutter, drop leg holster, 100oz Camelbak, and some other random stuff.
The other duffel is all clothing and uniforms and my carry-on is mostly personal electronics, books and a few survival toiletries. In Kyrgyzstan I'll get even more stuff before I fly into Bagram: body armor, chem suit, and a second set of Gore-Tex jacket and pants (?)
Chocolate and Chile
In that spirit, Luke and Nia and I made "Chocolate Chile Cream Pots" from the cookbook "With a Measure of Grace: The Story and Recipes of a Small Town Restaurant". We had it at the Hell's Backbone Grill in Utah, garnished with whipped cream and some kind of edible flower petals. The kids loved it, even though they knew it had red chile in it. It's pretty amazing stuff:
Wednesday, July 2, 2008
"Military see presidential race through own lens"
It seems to me like it's in military voter's best interest to NOT have a long war to fight, so wouldn't that mean that the military voter would be likely to vote for anti-war candidates? Unless you like to deploy a lot... which I know is not true for most military members.
In what may be one sign of the trend, individuals who identified themselves as members of the uniformed services have donated 38 percent of their dollars to Democratic candidates, party committees and leadership PACs so far this election cycle, compared with 22 percent during the 2000 campaign overall, according to the Center for Responsive Politics, a Washington-based group that tracks political campaign money
Monday, June 30, 2008
HOT!
The first year we lived here one of my kid's plastic cars actually melted on the back porch (it was a black car)-- the little roof caved in on itself and the windows bubbled out. I was impressed.


Saturday, June 28, 2008
Afghanistan News
The region I will be operating in borders the Pakistani region known as Waziristan. This region is very much the wild west of Pakistan and it is also a major base of operations for the Taliban and Al-Qaeda.
Vacation
Tuesday, June 24, 2008
Calm #2
Today we attempted the Calf Creek Falls hike but aborted when the kids were on the verge of a 10am meltdown. We recovered gracefully with a short hike downstream on the Escalante River Canyon... found a small beach tucked in a riverine corridor of russian olive, tamarisk and cottonwood. Played in the clear water for hours. We chased minnows and snakes and forgot about the world beyond the canyon.
Not much of a hike, but we managed to lose ourselves.
Monday, June 23, 2008
Calm
This moment has me sitting on a porch in remote Boulder, Utah looking south as early summer light fades over the Grand Staircase Escalante National Monument. I have my dog sleeping at my feet, a small glass of 2005 Beaujolais Villages at my elbow, and the sound of robins and wind in the cottonwoods. I'm waiting for the stars but it's a partly cloudy evening (moving slowly eastward across the sky) so I’m not hopeful. The war and the future and the Air Force and Las Vegas seem a million miles away. Tomorrow I’ll take my five year old and three year old children walking down these mysterious canyons that drain the western edge of the Colorado Plateau. We’ll be looking for smooth sand, cool water, coyote tracks and pictographs and I will be savoring every moment…
Friday, June 20, 2008
Wednesday, June 18, 2008
News!
I sent out an email requesting more information about living conditions, what the work is like, what I need to bring… Hopefully I’ll get a more fleshed out picture in my mind. The next round of questions will be related to amount of travel outside of the wire, and frequency of rocket/mortar attacks at the location—my other two major concerns.
At the very least this gives me something to focus on. It will probably mean that I will be my own boss, and I like that. Should be interesting. I’ll keep you posted.
Thursday, June 12, 2008
Update
I should find out my actual assignment within the next 5-6 days. Although I won't be able to publish where I will be assigned, I will at least be able to share whether or not I will be dodging mortars at a small FOB (which is what I am hoping to AVOID).
I am brave enough to publicly admit that I am a big coward. More on that later…
Wednesday, June 4, 2008
A week of contemplating combat stress...
At the COSC course this week I have seen a wide variety of presenters from all three service branches. I've learned some useful things and I've learned that I already know a lot, which is comforting. At the very least, after having gone through this course, I won't go to Afghanistan wondering if there are things I don't know that the Army expects me to know. One of the take home messages is: wait until you get there because it is different everywhere. This is comforting on the one hand but disturbing on the other. It essentially underlines a major difficulty that the DoD has right now in dealing with behavioral health problems; that they are overstretched and don't have a coherent and integrated policy. Sound familiar?
There's been a ton of information presented this week on combat stress, PTSD, sexual assault in Iraq and Afghanistan, marital problems, drug and alcohol problems, suicide and homicide, but the overall message has been a metaphoric pat on the back for us, the wink, wink, good luck, goodbye, hang on for the ride, we are making this up as we go...
I know what I am expected to do, which is more than most people can say, I just don't know what the conditions will be. I have gathered that we go outside the wire a lot, visiting the Soldiers who are most at risk at their FOBs and COBs and radio relay stations. The scientist in me crunches the numbers, and is reassured. The chances of me getting blown up are pretty darn slim. Just to put this to bed, I hold on to thoughts of something like the Butterfly Effect, and imagine that my efforts in that theater and my words and deeds back at home will have triggered something meaningful, regardless of the trajectory of my life. That seems maudlin and dramatic, but that's okay. I suppose I'm forgiven for thinking a few dramatic thoughts about my own mortality in the context of shipping myself off to some foreign war, even though I'm more likely to die in an MVA on my way to the grocery store. What gets me is that somehow if you die on the way to the grocery store it is just dumb-tragic-luck, but if you volunteer to fight in a foreign land you have to take responsibility for the potential consequences of that extraordinary choice.
Tuesday, June 3, 2008
Monday, June 2, 2008
Reconstitution
The research presented was from the most recent MHAT (Mental Health Advisory Team). This is an annual Army survey-based study of mental health issues in Iraq and Afghanistan, mostly sampling "trigger pullers" or people who are putting rounds downrange, kicking in doors, getting shot at, and getting blown up on the roads. Essentially they found what you would expect: that combat deployments cause a ton of mental health problems for Soldiers, longer deployments are more difficult, repeated deployments cause more problems, and somewhere between 20% and 30% of Soldiers are coming home from OIF and OEF with problematic psychiatric symptoms.
One of the key findings from Afghanistan was that Soldiers reported difficulty accessing behavioral health assets in theater (psychologists and other MH personnel). A major recommendation that the Army has acted upon in 2007 and 2008 is to forward deploy doctors as much as possible to the FOBS in Afghanistan, so that they are more accessible to troops who are spread across the generally remote and mountainous battlespace.
The presenter was good-- made the data interesting. During the presentation the guy next to me tapped me on the shoulder and whispered to me:
"I guess now we know who to blame if we end up getting deployed to a 100 man FOB at 8000 ft in the Hindu Kush."
I said, "At least you won't get sweaty sleeping in your body armor."
Saturday, May 31, 2008
ESCAPE!
This is really why I'm going
Surpisingly (or not) suicide is a major issue in military mental health. Not a major issue in the sense that we just worry about it a lot, but a major issue in that suicidal active duty military members walk through our clinic doors all the time.
It's related to this (and I need to note that I did not know that 2007 had the heaviest US military casualties):
More U.S. troops also died overall in hostilities in 2007 than in any of the previous years in Iraq and Afghanistan. Overall violence increased in Afghanistan with a Taliban resurgence and overall deaths increased in Iraq, even as violence there declined in the second half of the year.
and this:
Records show roughly 40,000 troops have been diagnosed with the illness, also known as PTSD, since 2003. Officials believe that many more are likely keeping their illness a secret...
More troops also were serving their second, third or fourth tours of duty — a factor mental health experts say dramatically increases stress. And in order to supply enough forces for the buildup, officials also extended tour lengths to 15 months from 12, another factor that caused extra emotional strain.
PTSD in the news
There has been a lot of PTSD press lately, and naturally I find this interesting. I guess that increased visibility is the first step towards validation for these men and women. I've noticed that discussion of PTSD is more accepted here among the Army Guard than it is in the Air Force, but it's still grossly misunderstood and no one really has any sense that there is a treatment (other than drugs) for PTSD. Even in the military medical world I have been stunned that no one really knows much about it, other than it's something you don't want, and if you get a patient who says they have it, you must immediately refer...
This weekend I'm traveling to San Antonio for a 1 week US Army course/conference on Combat Operational Stress Control. Ostensibly it will provide me with the Army doctrine for prevention and treatment of combat/ operational stress. It isn't a training for PTSD treatment (that's what I do at home), but it is the template for front-line psychological interventions for troops. I'll provide updates.
Friday, May 30, 2008
The Angry American ("we'll put a boot in your ass, it's the American way")
Hopefully I'll get some sleep tonight, but I'm not hopeful. As I write, most of the enlisted from my barracks are at the Fort McCoy sports bar guzzling Budweiser and hitting on the 10 or 11 lucky female Airmen who decided to hang out and drink with the boys after our graduation barbecue. This doesn't bode well for a peaceful night. The 11pm "light's out" discipline has been slipping this week anyway: last night the Airmen were ordering delivery at 11:00pm, throwing down Little Caesar's Meat Lover pizza at midnight in their bunks (each guy had his very own 2 liter bottle of Coke). Then they play dice and yell obscenities at each other.
Saturday morning will be fun for those guys. Almost every day our Chief Master Sergeant wakes up at 5am and blasts his music over his cheap iPod docking station-- the late night pizza guys hate it... because they hate country music and they want to sleep off the soporific effects of synthetic mozzarella and a Coke hangover. Chief's favorite song is "Courtesy of the Red, White, and Blue (The Angry American)" by Toby Keith and on any given morning we will hear it at least three to four times. He also plays "Have you Forgotten?" by Darryl Worley at least once a morning. The Chief finds it very inspiring and contemplative and he can't see how anyone would not be moved... actually he would conclude that if you don't like it, then you must be a gay communist.
It's in this context that I've asked the guy in the bunk next to me to "please shoot me now" at least three or four times this month.
I've included the lyrics below. Amusing, depressing, or inspiring? I'll let you decide.
Next stop San Antonio, TX.
"Have you Forgotten?"
I hear people sayin'. We Don't need this war.
I say there's some things worth fightin' for.
What about our freedom, and this piece of ground?
We didn't get to keep 'em by backin' down.
They say we don't realize the mess we're gettin' in
Before you start preachin' let me ask you this my friend.
Have you forgotten, how it felt that day?
To see your homeland under fire
And her people blown away
Have you forgotten, when those towers fell
We had neighbors still inside goin through a livin hell
And you say we shouldn't worry bout Bin Laden
Have you forgotten?
You took all the footage off my T.V.
Said it's too disturbin for you and me
It'll just breed anger is what the experts say
If it was up to me I'd show it everyday
Some say this country just out lookin' for a fight
Well after 9/11 man I'd have to say right.
Have you forgotten, how it felt that day?To see your homeland under fire
And her people blown away
Have you forgotten when those towers fell
We had neighbors still inside goin' through a livin' hell
And we vow to get the ones behind Bin LadenHave you forgotten?
I've been there with the soldiers who've gone away to war
you can bet they remember just what they're fightin' for
Have you forgotten
All the people killed
Yes some went down like heroes
In that Pennsylvania field
Have you forgotten
About our Pentagon
All the loved ones that we lost
And those left to carry on
Don't you tell me not to worry 'bout Bin Laden
Have you forgotten?
Have you forgotten?
Have you forgotten?!
"Courtesy of the Red, White, and Blue (The Angry American)"
American Girls and American Guys
We’ll always stand up and salute
We’ll always recognize when we see Old Glory Flying
There’s a lot of men dead so we can sleep in peace at night when we lay down our head
My daddy served in the army where he lost his right eye
But he flew a flag out in our yard until the day that he died
He wanted my mother, my brother, my sister and me
To grow up and live happy in the land of the free.
Now this nation that I love has fallen under attack
A mighty sucker punch came flying in from somewhere in the back
Soon as we could see clearly through our big black eye
Man, we lit up your world like the 4th of July
Hey Uncle Sam put your name at the top of his list
And the Statue of Liberty Started shaking her fist
And the eagle will fly
Man, it’s gonna be hell
When you hear Mother Freedom start ringing her bell
And it feels like the whole wide world is raining down on you
Brought to you Courtesy of the Red White and Blue
Justice will be served and the battle will rage
This big dog will fight when you rattle his cage
And you’ll be sorry that you messed with The U.S. of A.
'Cause we'll put a boot in your ass it's the American way
Hey Uncle Sam put your name at the top of his list
And the Statue of Liberty started shaking her fist
And the eagle will fly man, it’s gonna be hell
When you hear Mother Freedom Start ringing her bell
And it feels like the whole wide world is raining down on you
Brought to you Courtesy of the Red White and Blue
Thursday, May 29, 2008
Walking in other people's shoes
I’ve worked with military families for almost three years now, mostly the moms and dads, married couples, a few teenagers here and there. I’ve heard horrible stories of overburdened spouses, the financial problems, the infidelity, the worry, the stress, the fear, the loss. For a long time now I’ve known that the life of the OEF/OIF military spouse is no party. The longer I work in military mental health the more I realize that the family that is left behind by the soldier is frequently overlooked and under-serviced, even though they may be just as stressed (albeit in different ways) as the deployed member. I’ve known this, but haven’t felt it.
I think a lot about my family and I’ve recently felt guilty about putting my kids through this deployment. They didn’t agree to it, they don’t want it, and they don’t understand it. When I leave, all the parenting and household responsibilities fall upon Colleen, and she has to take care of herself in the middle of all that… when all I have to take care of is myself and my job. All I’m saying is that the families need as much support, attention and accolades as the deployer…
Colleen is down sick this week and yet the demands of the day don’t stop. I may as well be a million miles away. I feel helpless… I’m starting to personally feel it and understand it.
Wednesday, May 28, 2008
Admin note
Getting what I wished for
This has been a fast change for our military, as we have to quickly re-engineer our forces to be able to support two separate hostile occupations in addition to our other big foreign commitment in Korea. I find it ironic that back in 2004 I spent so much time and thought considering clinical residencies in each of the services, carefully weighed the pros and cons of each, chose the Air Force, and yet here I am at Fort McCoy, getting ready to deploy with the Army.
I’m not bitter, honest. I have always said that the real work for psychologists is with the Army. They have a huge population of people who are under immense stressors. I used to say that the work I really wanted to do was with the Army, but I didn’t join specifically because I didn’t want to be deployed for 12 months or more, so it’s kind of funny that I am getting what I asked for… is my mouth writing checks that I can’t cash? I think I’ll be okay… this is the Army after all… the same organization where it is necessary to specifically teach soldiers NOT to apply tourniquets to an injured person’s neck.
But seriously, a friend made a valid point yesterday, insinuating that my sanity may be questionable for putting myself in a position to go off to support a war that I don’t believe in at the behest of a president whom I didn’t vote for. So this is my thumbnail explanation: it’s as simple as service to fellow Americans. I believe that it’s important to provide some sort of national service. This can be accomplished in many different ways of course, but for better or worse I have chosen to provide four years of service to those who fight the wars. War causes a lot of damage under the best of circumstances, and these convoluted, non-lethal wound generating, danger-is-everywhere conflicts have a steep price for those involved. I don’t see myself as a force multiplier, but I mitigate damage as it is being done and help clean up after the damage has been done (no one in the military comes to see me for preventative services anyway). When all is said and done, I know I will be proud to have walked down that road with these service members and their families, and hopefully I will have made a difference in many of their lives.
Tuesday, May 27, 2008
Upcoming movie: "The Road"
Monday, May 26, 2008
Memorial Day (Monday)
Sunday, May 25, 2008
Backdoor draft
I was recently reading a blog about an Army Capt's deployment to Iraq. I feel bad for him. He had separated from active duty but was called up from individual ready reserve (IRR) status two years after he got out. This is known as the "backdoor draft", which includes the Army "stop-loss" program. These are manpower tools that the DoD uses to make up for the fact that someone, somewhere, didn't plan so well for manpower needs in Iraq and Afghanistan, and an actual draft is a political nightmare. It's easier and cheaper to make a soldier stay beyond his committment or bring him back from the reserves than it is to recruit and train a new soldier. The IRR is supposed to be the bottom of the barrel, but the US Army has scraped it several times in the last few years. The Marines have also done it, and the USAF to a lesser extent. Lucky for me there are lots of psychologists in the USAF reserves who will be called up before they find me hiding down at the bottom of the barrel from 2009 through 2013.
Anyway, the Army Captain: he's safe at home now, but many of comments and descriptions are consistent with my own experience of spinning up for deployment and the Army in general. He discloses a bit more than I would, but his comments are funny:
"Pursuant to Presidential Executive order of 14 Sep 2001, you are relieved (haha!) from your present reserve status and ordered to report for a period of Active Duty . . . . not to exceed 545 days, unless extended or terminated by proper authority". Those words turned an ordinary day upside down and threw my quasi-normal life out the window.It was about a week before Thanksgiving, and at the time I was still working night shift. I typically slept during the day when I worked nights, and when Rache came home with Chester, he'd sprint upstairs to lick my face and wake me up, and Rache would give me a kiss hello. Today though, Rachael sat on the edge of the bed and started to cry (Chester, unaware anything was wrong, continued to lick my face). She handed me a large yellow envelope marked overnight priority from the Department of Defense. Now I was worried, because the Army never actually pays to send you anything. Inside was a folder with some info, and a one page sheet that looked very familiar - official DA orders. I read the 1st line (quoted above) and my heart sank, and I felt a strange pain like someone had just kicked me in the balls. After about 10 minutes where Rachael sobbed on my shoulder and I yelled disbelieving profanities, we settled down enough to call our parents and break the news. Poor Chester didnt know what the hell was going on, so he kept a timid distance for a while. That was a tough night, and I knew there were going to be many more. I called my boss and told him I wouldnt be in the rest of the week, and being an ex-82nd Airborne guy and a friend, he understood. So Rache and I got drunk, cried with our parents (yes, I cried for the 1st time in about 10 years), and went to sleep hoping we'd wake up and this would be a bad dream. Unfortunately, it wasn't.
