Join Me for LIVE Firedoglake Blogging


Would love to catch up with everyone here, as well as invite you over (for just a very brief smidgen of an interlude :o) to Firedoglake.com at 5 pm ET.

The second half of today's Sunday Book Salon double-header is set to begin (Laura Flanders was a guest earlier this afternoon). For my interview with Taylor Marsh, we'll be talking about how our troops and military families are doing -- and what more the rest of us can do to help them.

Pics of this weekend's NYC Moving a Nation to Care signing at Flickr.

You may remember Taylor from last summer's Save 1-800-SUICIDE effort [ diaries 1 | 2 | 3 ].

She is an incredible force, and one of so many who have taken me under their wings and boosted the issue that I've been working on -- the reintegration of our troops dealing issues such as PTSD. The FDL invitation is just the very latest of a long line of kindnesses that have flowed my way from this lovely lady.

From TaylorMarsh.com:

[Moving a Nation to Care] is an amazing journey through stories of veterans and what the cost of war does to their lives and the lives of their families. I'm proud to host this event on Sunday. Please make some time in your schedule to spend time with Ilona. It will be an extraordinary discussion on PTSD, which I've talked about many times before.

It used to be called "battle fatigue." In fact, my uncle, who flew planes in WWII, ended up in a hospital a broken man. Flying mission after mission simply destroyed him. I'll never forget seeing him there with my mother when I was a very little girl. The once vibrant dandy of a man was no longer anywhere to be seen.

Ilona Meagher has captured the story of "battle fatigue," now called PTSD in her new book. Thanks to Jane Hamsher for having us in so we all could talk about Ilona's book and the important issues of PTSD, which some of us know so well.

It's long past time that we brought this soldier's disease out into the light. It could help save some lives and the heartbreak of family members who are blindsided by what the Iraq war, with its continual redeployments, as well as the lack of planning and even equipment, has wrought.

Join us at FDL after 5 pm ET.

The Rumsfeld Revolution in Military Affairs


backpages_051007_4Last year Ig Publishing approached me to write a book on the issue of combat PTSD in our returning OEF/OIF troops. I'd been blogging for a few years, but had never written a book before.

As any writer I suppose I'd wanted to write a book eventually. Someday. When I had more time. When I knew what to say. And how to say it. I thought I'd write of my father, who fought on the streets in Budapest during the Hungarian Revolution of 1956. I'd call it, "Revolutionary Daughter" or something lofty like that.

I'd even started interviewing my parents and buying books on the topic to begin my research. But did I think I'd ever really write a book in my life? Really?

Well, it's real. I've written a book. Just not that book.

No, my book is called Moving a Nation to Care: Post-Traumatic Stress Disorder and America's Returning Troops. Nothing lofty in that there title, eh?

For the scoop on Thursday night's signing, read the full write-up.

Or listen to a 15-minute interview I gave to Charlotte Crockford, 91.5 FM WUML.

Heading out to Philadelphia tomorrow for my second book event [Facebook invite]. On Friday, May 18, I'm at the Barnes & Noble in Greenwich Village [Facebook invite].

Philadelphia

What

Book Signing/Community Gathering with Ilona Meagher, author of Moving a Nation to Care: Post Traumatic Stress Disorder and America’s Returning Troops (Ig Publishing)

*Where*

Robin's Bookstore

108 S. 13th Street

Philadelphia, PA 19107

*When*

Wednesday, May 16, 2007

*Time*

6:00 p.m.

*Phone store for more information*

215-735-9600

New York City

What

Book Signing/Community Gathering with Ilona Meagher, author of Moving a Nation to Care: Post Traumatic Stress Disorder and America’s Returning Troops (Ig Publishing)

*Where*

Barnes & Noble – Greenwich Village

396 Ave of the Americas at 8th Street

New York, NY 10011

*When*

Friday, May 18, 2007

*Time*

7:30 p.m.

*Phone store for more information*

212-674-8780

*Special Guests*

Author Penny Coleman, Flashback: Posttraumatic Stress Disorder, Suicide, and the Lessons of War

IAVA member, Outreach Director Rob Timmins

Ig Publishing, publishers of Moving a Nation to Care

But what does all of this have to do with The Rumsfeld Revolution in Military Affairs? Download Moving a Nation to Care's sample chapter on the Rumsfeld Revolution to find out.

P.S. Did you participate in the Buy One, Get a Signed Copy Free promotion? Your books were sent out via First Class mail today. I may even beat Amazon.com! :o)

Marine Overdose at Los Angeles VAMC, Latest in Long Line


No end in sight.

An overdose of a California Iraq vet who sought VA help:

Iraq war veteran Justin Bailey checked himself in to the West Los Angeles VA Medical Center just after Thanksgiving.

Among the first wave of Marines sent into battle, the young rifleman had been diagnosed since his return with posttraumatic stress disorder and a groin injury. Now, Bailey acknowledged to his family and a friend, he needed immediate treatment for his addiction to prescription and street drugs. "We were so happy," said his stepmother, Mary Kaye Bailey, 41. "We were putting all of our faith into those doctors."

On Jan. 25, Justin Bailey got prescriptions filled for five medications, including a two-week supply of the potent painkiller methadone, according to his medical records. A day later, he was found dead of an apparent overdose in his room at a VA rehabilitation center on the hospital grounds. He was 27.

Another to add to the PTSD Timeline. There are others...

Eight days ago, a suicide in Montana:

It took several months of pushing, but finally, Chris Dana was ready. The 23-year-old veteran of the Iraq war, who served with the 163rd Infantry Battalion, Montana National Guard, agreed to see a counselor for post-combat stress. Members of his family, concerned for months about his change in behavior, believed they were starting to get through to him. Their son and brother promised to seek the help they all knew he so desperately needed.

Then Dana canceled the appointment. He began screening his calls. He stopped showing up at drill with the National Guard. He quit his job at Target, cleaned his car and the trailer he shared with a friend. And then, on March 4, he shut himself into his bedroom, put a blanket over his head, and shot himself.

Dana was remembered Friday morning at the Cathedral of St. Helena as a gentle man, a kind soul, and a reflective individual whose brave and selfless service to his country set him apart.

One year ago, a suicide in Wisconsin:

"About 50 times a day we hear from some practitioners that a veteran is thinking about killing themselves," Richard Gibson, manager of the mental health division at Milwaukee's Zablocki VA Medical Center, said Thursday. ... The VA is trying to come to grips with the problem, especially after several highly publicized suicides involving returning veterans. In March 2006, a Milwaukee police officer and Iraq war veteran used his police gun to commit suicide in the basement of his home.

The officer's death prompted the local VA to establish a suicide prevention committee headed by Michelle Cornette. A suicide coordinator will soon be hired, and an electronic suicide reporting system is expected to be implemented, Cornette said.

A bit over a year ago, a suicide in Illinois:

A year ago on Thanksgiving morning, in the corrugated metal pole barn that housed his family's electrical business, Timothy Bowman put a handgun to his head and pulled the trigger. The bullet only grazed his forehead. So he put the gun in his mouth and pulled the trigger again.

He had been home from the Iraq war for only eight months. Once a fun-loving, life-of-the-party type, Bowman had slipped into an abyss, tormented by things he'd been ordered to do in war. "I'm OK. I can deal with it," he would say whenever his father, Mike, urged him to get counseling.

A suicide last year in Minnesota:

After David Fickel had been honorably discharged from the Marine Corps, friends and relatives noticed he changed from a fun-loving guy to an anxious, angry man. They urged him to get help. "We tried," said his stepfather, Mitch Aanden. "He said, 'No, I'm tough. I am a Marine."'

Fickel, 25, took his own life with a shotgun last Memorial Day. He is one of 13 active-duty or discharged servicemen younger than 30 who committed suicide in Minnesota between Jan. 1, 2003, and last October, according to death records. Star Tribune interviews with relatives of 10 of those veterans said their loved ones hadn't sought counseling. Experts say many suicide victims don't seek treatment, and surveys show six of 10 servicemen who need mental health counseling don't seek it.

Suicide by war veterans gained attention after Jonathan Schulze, a Marine veteran who fought in Iraq, took his life Jan. 16. His family says the St. Cloud VA Medical Center turned him away when he talked of suicide. Veterans Affairs officials won't comment, and officials are investigating.

But his death raised concerns about the needs of 1.4 million troops whose duties in Iraq and Afghanistan can involve intense combat. Recent research found that nearly one in six recent combat veterans reported experiencing depression, general anxiety or post-traumatic stress.

In Iraq and Kuwait, 22 U.S. soldiers killed themselves in 2005, nearly double the national rate, an Army study found.

A 2005 suicide in Iowa:

Terri Jones lost her son Jason Cooper just over a year ago. He was an Army Reservist in the Iraq War. On July 14, 2005, four months after returning home to Iowa, he hanged himself. He was 23.

Since then, Jones flies her American flag upside down, though someone came on her property once and turned it right side up, and another person stole it. Jones says Jason wasn’t the same when he got back from Iraq.

“He was a really upbeat, happy, funny kid” before he left, she says. “You could tell his smile was gone when he came home.” He also had a hard time paying attention. “We did notice right away that he’d space off while you were trying to talk to him,” she says. “His thoughts were floating off somewhere else.”

And the reaction of some of his friends caught him by surprise. “He was excited to see them,” she says, “and he thought they would be, ‘Hey, Coop, good to see you.’ But instead, the first thing that would come out was, ‘Jas, you shoot anybody?’ He was so taken aback he didn’t know how to answer. He’d just say, ‘I don’t want to talk about it.’ ”

Two months ago in North Carolina:

The first time that Michael J. Bramer died, he was serving in Iraq, his sister said, and he felt a tranquillity that was elusive in the months after he was brought back to life. "What he talked about in the beginning was the feeling he felt when his heart stopped," said Barbara Bramer of Boston. "He said it was just very peaceful for him, and that was his expectation of what he would have had if they didn't revive him."

Then a sergeant first class in special forces with the Army's 82d Airborne Division, Mr. Bramer suffered severe head injuries in October 2003, when part of an unstable structure collapsed as he was helping string barbed wire outside Baghdad, his sister said. The impact blinded him in one eye. During surgery, plates were placed in his head. Soon, a series of migraines, each more acute, disturbed his days and nights.

Discharged from the Army in June, Mr. Bramer had been living in a Fayetteville, N.C., apartment. At 23, he had set aside his hopes of attending MIT, where he had taken summer courses during high school in Boston. On Jan. 17, while his roommate and a friend were downstairs, he turned up the surround sound on his television and took his life in his bedroom, his sister said. ...

Friends told Mr. Bramer's mother and sister that he had been suffering anxiety attacks and had a mild heart attack last month. "He was also experiencing the migraines in a greater intensity," his mother said. "And the doctors told him that they weren't going to get better, they were going to get worse."

After being injured in Iraq, "possibly he had convinced himself that he should not have gone on longer after the accident, especially with the pain all the time," his sister said. Meanwhile, the memory lingered of the peace he had felt when his heart stopped. "I think in terms of how his mind was perceiving, it was a comparison," his sister said. "He could have that if he died."

Suicidal in 2005, violence and rage last month in Pennsylvania:

A Fayette County man is accused of setting a mobile home on fire while a young child and two women were inside, then attacking a firefighter who responded.

Salvatore "Sam" Ross Jr., 24, of 382 Hardy Hill Road, Dunbar Township, was charged Tuesday by state police at Uniontown with three counts of attempted homicide, four counts of aggravated assault, three counts of recklessly endangering another person, two counts of arson and one count each of terroristic threats, simple assault and resisting arrest.

Police said Ross was angry yesterday morning because Monica Cherie Kuhns, 23, of 178 Brick Road, Dunbar Township, had left his house the previous night because Ross was using drugs. Ross allegedly called Kuhns several times, threatening to shut off her utilities and burn down her home. ...

Ross allegedly knocked Thomas E. Bierer, one of the firefighters who responded, to the ground and choked him. Bierer, 42, assistant chief of the Dunbar Volunteer Fire Department, suffered facial swelling and bleeding, according to police.

State troopers took Ross into custody at the scene. While at the Uniontown state police barracks, Ross, who lost his left leg while serving in the U.S. Army in Iraq, allegedly threatened to use his prosthetic leg to harm a trooper. According to the affidavit, he had to be restrained by several troopers. ...

Ross was blinded and lost his left leg when an unexploded bomblet he was disposing of in Iraq in 2003 detonated. Ross' hometown held a homecoming parade in his honor and a nonprofit group raised enough donations to build him a new house. But he was once the subject of a daylong search after he disappeared from his residence, and he was placed on probation after a series of run-ins with law enforcement officials.

In May 2005, Ross called a mental-health hot line and threatened to harm himself. He then went missing, prompting a daylong search by police, firefighters and volunteers. He was found, unharmed, on the Yough River Trail.

Last year, again in Illinois:

A 24-year-old man described by Riverside police as a former Marine and Iraq War veteran is recovering in Hines V.A. Hospital in Maywood after an incident first believed to be a barricade situation but later determined to be a suicide attempt.

Police first received a 911 call from a man at 10:22 p.m. on April 7, saying that his friend had just cut his arm badly and needed a paramedic. Minutes later, as police arrived at the apartment building in the first block of Pine Avenue, the man said he heard a gunshot fired from his friend’s apartment.

The man told police that he was in his friend’s apartment with two other people that evening, and that the 24-year-old former Marine had been drinking heavily and wanted to call his wife, from whom he was recently separated. When his friends told him that wouldn’t be a good idea, the man reportedly drew a knife and slashed his forearm and then began stabbing the floor of the apartment. ...

Moments later, a man who was inside the apartment at the time of the incident came out of the apartment building. He was covered in blood, but said he wasn’t injured; he had been trying to help his friend staunch the profuse bleeding from his self-inflicted knife wound.

Three officers entered the building and encountered a woman, crying and also blood-soaked, on the apartment building’s third-floor landing. As officers assisted her downstairs, the injured man came out of his apartment and started down the stairs before collapsing.

Last year in California:

A 22-year-old Marine who returned from duty in Iraq on Saturday was killed Thursday morning when a minivan hit him while he was standing in the middle of Interstate 15 in Temecula, authorities said.

The Camp Pendleton-based lance corporal, whose name was not released Thursday afternoon, served seven months in Iraq and returned April 1, according to Officer Ron Thatcher with the California Highway Patrol. On Thursday, he was out with friends and had been drinking, Thatcher said.

The Marine was sitting in a friend's vehicle as it pulled onto southbound I-15 when he opened the door around 3 a.m., according to Thatcher. The driver pulled over and the Marine jumped out, then ran against traffic along the shoulder of the southbound highway in the Temecula area, Thatcher said.

The Marine's friends saw him run along the freeway shoulder, then lost sight of him, according to Thatcher's news release. They drove to the next off-ramp, turned around and went looking for him near the Denny's Restaurant south of Rancho California Road, Thatcher said.

Motorists reported seeing a man jumping into freeway lanes at that point, according to the CHP.

A suicide last month in Colorado:

A woman killed late Thursday while driving south in the northbound lanes of Interstate 25 was a former soldier who had served in Iraq and was troubled with symptoms of post-traumatic stress disorder.

Jessica Rich, 24, who served in the Army Reserve, was killed at 10:25 p.m. Thursday when her 1996 Volkswagen Jetta smashed head-on into a 2003 Chevy Suburban. Four people in the Suburban were taken to Colorado Springs hospitals, although none of their injuries was life-threatening. They were on their way from Hobbs, N.M., to Denver.

Rich, a heavy-equipment operator in the 52nd Engineering Battalion, was featured in a December 2004 story in The Denver Post about soldiers who had spent months in the medical hold unit at Fort Carson. Rich was medically evacuated from Iraq in January 2004 after serving nine months. Doctors diagnosed lower-back pain and PTSD.

No end in sight.

What's Reporting Got to Do With It? Everything.


The news just keeps on coming. This time, Newsweek reported that between 500 and 1,000 OEF/OIF veterans are homeless and that "[military] families [are] sliding into debt as VA case managers study disability claims over many months, and the seriously wounded [require] help from outside experts just to understand the VA's arcane system..."

Last week it was the Washington Post. In December it was NPR. And at various times last year it was the Hartford Courant, the San Diego Union Tribune, The Oregonian or the Colorado Springs Independent...

Each delivered exceptional news coverage. Here's some of their best, along with an invitation to be the first to read the opening installment of a new series on combat PTSD appearing on General Wesley Clark's Clark Community Network blog, Society and the Soldier.

----

As many of you know, I've been covering the story of troop reintegration and combat PTSD for a while now. I've noticed (as I'm sure many of you have) that some stories rise above the others, taking the issue to the next level. Some reporting, like that done by Dana Priest and Anne Hull for the Washington Post last week, is literally life-changing for troops who have been neglected at Walter Reed.

This kind of reporting leaves an impression and makes an impact -- and it gets the powers-that-be to stir from their usual institutional sluggishness.

Sure, there's a lot of lousy reporting. Sure, some of the complaints we lob at the media are valid and appropriate. But, every once-in-a-while some reporters and news organizations get it right. They set the bar higher, and their work acts like a marker in time. We can glance back on and guage our progress -- or realize how far we have yet to go.

January 3, 2006

'Marlboro Marine': Home Front Woes

CBS

This first entry isn't necessarily focused on courageous reporting; its focused on a courageous veteran.

After achieving legendary status as the 'Marlboro Man,' 'The Face of Fallujah,' or even Dan Rather's label of the 'Face of War,' Marine James Blake Miller came forward to speak about his PTSD following his tour of Iraq (he took part in the re-taking of Fallujah in November 2004 as well as serving down in New Orleans following Hurricane Katrina).

Miller became the first returning vet to use his war experience and fame to try to educate the American people and shed light on their plight. From CBS:

In November 2004, a photo of a U.S. Marine made the front page of newspapers across the country. The picture is still one of the best-known images of the war. But the man himself has moved on, and is having trouble adjusting to civilian life.

Lance Cpl. Blake Miller of Jonancy, Ky., came to be known as the "Marlboro Marine" when his picture was splashed across the nation. The attention didn't get him any special privileges, and he served his entire combat tour before he and his unit were ordered home. ...

Miller knows he's not alone [in coping with PTSD since coming home].

"A lot of guys have had way worse incidents from being in Iraq," he said. "And I guess it just — it troubled me due to the fact that their incidents may have been more severe, and they weren't suffering from the same things I was. I just didn't understand how it could affect me so dramatically and not affect some of these guys. But a lot of them deal with different ways.

"The more and more I talk to (other guys), the more I found out there were a lot of Marines that are going through same or similar emotions. It's tough to deal with. Being in Iraq is something no one wants to talk about."

The first installment of CCN's Troops & Vets PTSD series has more on Miller's experience and conflict with the war that he fought in.

March 1, 2006

Veterans Report Mental Distress

Washington Post

Running on Page One in the weeks before the third anniversary of the start of the Iraq War, Shankar Vedantam (the same reporter who wrote of the VA's desire to review 75,000 PTSD cases because costs were going through the roof; the public backlash put an end to the idea right quick) shook things up a bit by reporting that 1/3 of our troops might come home with psychological injuries. It seems almost tepid this news by today's standards.

But, after following the combat PTSD story since the summer of 2005, this piece was the first to signal a shift. It became a bellweather of things to come. This was a clear attempt to report seriously on the effects of the war by one of the big media guns -- a war that had gotten a lot of passes, admittedly, up until that time:

More than one in three soldiers and Marines who have served in Iraq later sought help for mental health problems, according to a comprehensive snapshot by Army experts of the psyches of men and women returning from the wars in Iraq, Afghanistan and other places. ...

In questionnaires filled out after their deployment, more than half of all soldiers and Marines returning from Iraq reported that they had "felt in great danger of being killed" there, and 2,411 reported having thoughts of killing themselves, the report said. It did not have comparable data from earlier conflicts.

Earlier research has suggested that 12 to 20 percent of combat veterans develop post-traumatic stress disorder (PTSD), which produces flashbacks, nightmares, and intrusive thoughts that disrupt work and home life. The new study found that Iraq veterans are being diagnosed with mental disorders at the rate of 12 percent per year.

February 28, 2006

Zogby International press release

Although Zogby released the results of a first-ever opinion poll of our combat troops serving in Iraq the day before Vedantam's piece, it made the news the same day as the WaPo's front page story, delivering a one-two punch. The results were absolutely stunning:

- Le Moyne College/Zogby Poll shows just one in five troops want to heed Bush call to stay “as long as they are needed”

- While 58% say mission is clear, 42% say U.S. role is hazy

- Plurality believes Iraqi insurgents are mostly homegrown

- Almost 90% think war is retaliation for Saddam’s role in 9/11, most don’t blame Iraqi public for insurgent attacks

- Majority of troops oppose use of harsh prisoner interrogation

March 19, 2006

Wounded Lives

The Oregonian

But it would be a 'smaller' newspaper that would deliver a massive 12-page investigative piece on PTSD on the third anniversary of the launch of the Iraq War. Written by Julie Sullivan (assisted by Torsten Kjellstrand), we learned of the experiences of the Stout family, gaining a detailed view of the struggle some of our veterans -- and their families -- had to face as they coped with the post-traumatic stress disorder that now invaded their lives:

The 2-162 returned to Fort Lewis on March 17, 2005, to thundering cheers, flags and a Rogue "Sunset Ale" specially brewed for the homecoming of a unit that traces its history back to Oregon's famed "Sunset Division." Six months earlier, Bill [Stout] had arrived at Portland International Airport alone. On Sept. 20, 2004, Wendy and the girls waited at the gate holding signs: "I love you Dad!" They threw themselves into his arms. Bill's absence had transformed their lives.

He spiralled downward in the months that followed, writing in a notebook that his family had found:

"I used to feel normal. Since I've been to Iraq, and seen and done the things I did, PTSD has taken control of me. I can't be happy anymore. I can't stop the nightmares of losing Ken. It drives me crazy, thinking about it. I haven't slept for months, my stomach is always upset. No matter how hard I've tried, nothing goes right with my family. I can't put it together. I am always angry. I have to force myself to be social in any way. I hate myself and life now. No matter how hard I try, I just can't get it together. The calm ways of this life are making me crazy. I feel like I always have to be going 120 mph. I feel like I should constantly be in a firefight. Even with medication the doctor has given me, I feel like I can't control myself anymore."

It was more detailed than any other account at the time and made a big stir.

March 19, 2006

Some troops headed back to Iraq are mentally ill

San Diego Union-Tribune

Another third anniversary offering to come out of the west coast was Rick Rogers' piece on the practice of sending troops back to the combat zone with their own supply of antidepressant and anti-anxiety medicine; service members who had been having mental health issues were routinely sent into combat for a second, third or fourth tour. This was the precursor to the in-depth Hartford Courant investigation that was coming on strong on this report's heels.

The redeployments are legal, and the service members are often eager to go. But veterans groups, lawmakers and mental-health professionals fear that the practice lacks adequate civilian oversight. They also worry that such redeployments are becoming more frequent as multiple combat tours become the norm and traumatized service members are retained out of loyalty or wartime pressures to maintain troop numbers.

Sen. Barbara Boxer hopes to address the controversy through the Department of Defense Task Force on Mental Health, which is expected to start work next month. The California Democrat wrote the legislation that created the panel. She wants the task force to examine deployment policies and the quality and availability of mental-health care for the military.

“We've also heard reports that doctors are being encouraged not to identify mental-health illness in our troops. I am asking for a lot of answers,” Boxer said during a March 8 telephone interview. “If people are suffering from mental-health problems, they should not be sent on the battlefield.”

May 14, 2006

Mentally Unfit, Forced To Fight

Hartford Courant

The Hartford Courant completed an exhaustive investigation based on Freedom of Information Act requests which concluded that "U.S. military troops with severe psychological problems have been sent to Iraq or kept in combat, even when superiors have been aware of signs of mental illness." After this initial investigation, reporters Lisa Chedekel and Matthew Kauffman continue cranking out one important report after another, delivering the best reporting on this issue:

The U.S. military is sending troops with serious psychological problems into Iraq and is keeping soldiers in combat even after superiors have been alerted to suicide warnings and other signs of mental illness, a Courant investigation has found.

Despite a congressional order that the military assess the mental health of all deploying troops, fewer than 1 in 300 service members see a mental health professional before shipping out. Once at war, some unstable troops are kept on the front lines while on potent antidepressants and anti-anxiety drugs, with little or no counseling or medical monitoring. And some troops who developed post-traumatic stress disorder after serving in Iraq are being sent back to the war zone, increasing the risk to their mental health.

These practices, which have received little public scrutiny and in some cases violate the military's own policies, have helped to fuel an increase in the suicide rate among troops serving in Iraq, which reached an all-time high in 2005 when 22 soldiers killed themselves - accounting for nearly one in five of all Army non-combat deaths.

The Courant's investigation found that at least 11 service members who committed suicide in Iraq in 2004 and 2005 were kept on duty despite exhibiting signs of significant psychological distress. In at least seven of the cases, superiors were aware of the problems, military investigative records and interviews with families indicate.

July 12, 2006

Stressed-Out Soldiers

CBS Evening News/Colorado Springs Independent

Michael de Yoanna for CSIndy and CBS' Armen Keteyian teamed together for the rumble in what would later be an earthquake of a December NPR investigation into the abusive treatment of soldiers at Fort Carson, Colo. They found that soldiers with PTSD and other psychological injuries were "saying members of the Army Command [were] simply paying lip service, at best, to PTSD — hindering their treatment and upending their careers:"

In the face of what some are calling an epidemic of PTSD in the military, nearly a dozen soldiers at Fort Carson told CBS News that their cries for mental health either went unanswered or they found themselves subject to unrelenting abuse and ridicule.

Kaye Baron is a clinical psychologist in private practice in Colorado Springs, Colo. Each week, she counsels up to 25 soldiers and their families who are either unwilling or unable to face their problems while on base. "I think it's a very big problem," says Baron. "They could potentially lose their promotion potential, or just feeling like they're not able to advance in their career. That it's kinda over for them."

Lt. Col. Eric Kruger, Commanding Officer of the 2nd Brigade Combat Team at Fort Carson, says he's concerned that soldiers aren't seeking help due to fears of fearing ridicule or reprisal. "It's a tremendous concern," he says. "You don't want a soldier not to seek help for anything. They're our No. 1 asset. Leaders have to engage that every day — and in my experience here, we do.

August 8, 2006

Center for war-related brain injuries faces budget cut

USA Today

OK. So, psychological injuries are one thing. They are harder to 'see' than physical wounds received on a battlefield. But what happens when reporter Gregg Zoroya files an article which reported that the House and Senate Appropriation Committees were poised to slash by half TBI funding used for research and treatment of war-related brain injuries in its 2007 Defense appropriation bill? Outrage. Traumatic brain injury is the signature wound of our nation's current wars. As of January 2006, 20% of those injured in Iraq had TBI. Cutting funding when it is most needed is reckless and immoral, and after this explosive piece hit the stands it wasn't long before the public backlash was sure and swift. Funding restored.

Congress appears ready to slash funding for the research and treatment of brain injuries caused by bomb blasts, an injury that military scientists describe as a signature wound of the Iraq war. House and Senate versions of the 2007 Defense appropriation bill contain $7 million for the Defense and Veterans Brain Injury Center — half of what the center received last fiscal year.

Proponents of increased funding say they are shocked to see cuts in the treatment of bomb blast injuries in the midst of a war. "I find it basically unpardonable that Congress is not going to provide funds to take care of our soldiers and sailors who put their lives on the line for their country," says Martin Foil, a member of the center's board of directors. "It blows my imagination."

The Brain Injury Center, devoted to treating and understanding war-related brain injuries, has received more money each year of the war — from $6.5 million in fiscal 2001 to $14 million last year. Spokespersons for the appropriations committees in both chambers say cuts were due to a tight budget this year. "Honestly, they would have loved to have funded it, but there were just so many priorities," says Jenny Manley, spokeswoman for the Senate Appropriations Committee. "They didn't have any flexibility in such a tight fiscal year."

December 4, 2006

Soldiers Say Army Ignores, Punishes Mental Anguish

NPR

Prior to last week's Washington Post/Walter Reed shockwave, NPR held the title for creating the most significant tremors in the military reporting landscape. Daniel Zwerdling reported on conditions at Fort Carson, Colo., where officers were said to stand in the way of soldiers desperate to get help for psychological problems or PTSD; some had even been kicked out of the Army rather than given the help they needed. The story created such public outcry that Senators Barbara Boxer (D-CA), Christopher Bond (R-MO) and Barack Obama (D-IL) immediately asked the Pentagon to open an investigation into the allegations.

[Some] soldiers who've returned to Ft. Carson from Iraq say they feel betrayed by the way officials have treated them. Army files show that these were soldiers in good standing before they went to Iraq, and that they started spinning out of control upon their return.

Since the war in Vietnam, military leaders have said that soldiers who are wounded emotionally need help, just like soldiers missing limbs. "The goal, first and foremost, is to identify who's having a problem," says William Winkenwerder, assistant secretary of defense for health affairs. "Secondly, it's to provide immediate support. And finally, our goal is to restore good mental health."

The Army boasts of having great programs to care for soldiers. The Pentagon has sent therapists to Iraq to work with soldiers in the field. And at Army bases in the United States, mental-health units offer individual and group therapy, and counseling for substance abuse. But soldiers say that in practice, the mental-health programs at Ft. Carson don’t work the way they should.

And from these big news stories, we arrive back at the Washington Post and Newsweek pieces of the past two weeks. Both are making significant changes possible like good reporting should. Three cheers for the reporters whose work I've tried to briefly highlight here; they certainly deserve a ^5 from us.

Keep it coming...

ePluribus Media Book Review |The Stories They Tell: Iraq War Vets Bear Witness


"Veterans Day" 11 November 2006What was asked of us A review by Cho and Ilona Meagher

What Was Asked of Us by Trish Wood

(New York: Little Brown and Company, 2006)

"There is also a heroism in telling the unvarnished truth about war" (p. xx).

Listening is a good place to start any dialogue, especially one as controversial and grave as war. "Invite veterans to speak about their experiences in serving the country," said President Bush in a speech at Maryland's Thomas Wootton High School. "[They] show us the meaning of sacrifice and citizenship, and we should learn from them."

In What Was Asked of Us, author and award-winning investigative reporter Trish Wood lets 29 young men and women who fought in and returned from the Iraq War speak without anyone spinning, packaging, cherry-picking, or pre-digesting their words. Some of the voices are convinced of America's rightness to be in Iraq; others are less sure. Some are angry; some feel guilt. And chillingly, others admit to missing the adrenaline rush of the fire fights, the "fun" of posing dead bodies for photographs--and even the killing.

As with the University of Arizona's Border Film Project that handed out cameras to 'Minutemen' and 'Crossers' alike at the Mexican-American border, a more dimensional, more honest picture emerges from the multiple snapshots provided by those actually living within a narrative. And so too, in Wood's What Was Asked of Us, the 'ground truth' rises from the stories these Iraq veterans tell. From their voices, a composite emerges of them, of us, the war, the planners, and of the post traumatic stress disorder (PTSD) waiting for a growing many.

The Soldiers

There's Ken Davis -- a fundamentalist who personifies core Christian values, who remembers repeatedly telling his troops: "We only have one shot at making an impression, at showing them we are not like Saddam. We are not these infidels; we're not these rapists; we are not murderers. We are American soldiers, and we have integrity and honor." (p. 90).

Styled the "preacher," Davis is the one to whom Charles Graner, a guard eventually convicted of prisoner abuse, asks, "They're making me do things that I feel are morally and ethically wrong. What should I do?" (p. 91). Davis relates how he reported the Abu Ghraib outrages to his superior, significantly a few weeks before whistleblower Joseph Darby handed investigators the photo CD of Abu Ghraib prisoner abuse on January 13, 2004.

Davis concludes:

What makes us always right? That's what I always ask myself: America, what makes us always right? In the Christian tradition, it is very clear that if you've sinned, acknowledge your sin. And even if that's not enough, you go to your brothers and your sisters, and they help lift you up. But if you will not admit your sin, God will shine his light on it and show you. Someone's got to stand up and take the blame for this war and say. . . we're sorry (p. 99).

Like Davis, some of the other soldiers are beacons of hope and honor.

Alan King reflects: "I don't think I've ever lost hope, even to this day. . . .The fact that these guys still line up at police stations, even though they are getting blown up by suicide bombers, tells you they want it to work" (p. 64). Joseph Powers, desperate to make a positive contribution, tells of his work with the orphanages -- that is, until work in Iraq had to stop because of the danger the presence of the Americans drew to the children. Undeterred, Powers now works with Iraqi orphans through the War Kids Relief foundation stateside (p. 258).

These are the leaders, those whom any community would look up to and revere. Others are average guys caught up in doing the best possible in the nightmare world of insurgency. And still other voices are disturbing and remind us that all kinds of soldiers fight our wars, even the psychologically needy and the berserkers.

Sometimes if we captured one of them that had been shooting at us, if we caught him with an AK and he surrendered, we'd bring him back to the combat outpost. Sometimes they didn't make it that far, you know? (p. 158)

US

As readers, we may recoil from such admissions of battlefield executions, but who are we, from the cushy realities of our civilian lives, to judge these men and women? For, as the composite emerges, it becomes clear that we too are complicit.

According to a poll reported by CNN, only 37 percent of 18 -24 year old Americans polled could even find Iraq on a map. Only 12 percent could find Afghanistan. Troop reaction to this ignorance is swift and unflinching:

"It really pisses me off when people don't have an understanding of Jalal Talabani. Who's the prime minister of Iraq? Who's the president of Iraq? When did we assault Falluja? A lot of people died during those times." -- Benjamin Flanders, New Hampshire Army National Guard (p. 238).

Most of the soldiers presented in What Was Asked of Us express feeling estranged from 'normal' life. "Supporting the war is not hip right now," says one. "It's not the thing to do right now to support the troops" (p. 152). But unlike the post-Vietnam era, when returning vets felt alienated from those questioning the war, most of today's Iraq War veterans interviewed by Wood speak with wry distaste for those "supporters" who mindlessly regurgitate war slogans. "They don't invest themselves in the real issues of the war," says Flanders. " Why did we get over there? When are we going to return? What is happening? How many soldiers have died?" He challenges us: "If I were to ask you, ballpark -- how many soldiers have died in Iraq . . . well, do you actually know?" (p. 296)

Dominick King, a Marine who served in Falluja during the second taking of the city, provides another example of the impatience some troops have for our simplistic slogans on war and freedom:

"When we got back from Iraq, me and my friend Tabor were in the car driving to Dunkin Donuts or something in the morning, and we were at the stop sign with a car in front of us saying, 'Freedom Is Not Free,' and he just looks at me. He goes, 'Can you believe this? Freedom's not free, what has he paid?' " (pp. 230-231)

How society thinks about the war -- or doesn't -- impacts the way its participants ultimately deal with their involvement. Ambiguous wars like Iraq complicate this process.

The War

In What Was Asked of Us, Wood hands a figurative microphone over to the men and women on 'the street,' so we get their view, unruly and unfiltered [view the book's video intro]. There is no news anchor pre-digesting the war for us into a tidy, uniform, consistent message. Instead, we, the readers, must do our own chewing. We hear from the individuals -- from each and every one of 29 soldiers interviewed for the book -- what they saw, what images riveted their attention, the harsh sounds they cannot forget, the chilling refrains.

  • The splattered brain and bits of skull on the inside of a friend's helmet;
  • The small girl's foot, still clad in its pink sandal, alone in the street after a suicide blast;
  • The body parts, large, small, microscopic;
  • The rescue of the upper torso of a blast survivor, a corpsman following behind, separately carrying the legs;
  • The smell of burning flesh;
  • The pink explosion of dust, colored from the blood of those caught in a Falluja firefight;
  • The pounding of drowning men on the door of the submerged tank.

These men and women do not make their memories pretty for our consumption, and in their halting words and repetition, we can sense the depth of the horror that even now their subconscious won't let go:

  • "You don't want to look at your friend who's just been shot. You know, it's sort of a hard thing to digest ... I didn't want to look at him ... You know, you just ... but once you see it, I mean ... I mean, it's not a good expression on their face." (pp. 226-227).
  • "I pulled the poncho liner off him, and his head was missing. He just had half -- he just had a quarter of it where the hair was and that's what was showing" (p. 167).
  • "By that time, you know -- everyone -- everyone in the crew except for two died, drowned. ... I heard the pounding. ... They were pounding on the side of the tank. You could hear them pounding on the doors" (p. 245).
  • "There was one little kid that was -- his whole family, mother and father, sister -- they were all killed, and he was all by himself. I kind of ... That takes a toll too. Seeing stuff like that, especially little kids, kind of ... It bothers you. It takes a toll" (p. 12).
Unlike the 63% of Americans polled who couldn't find Iraq on a map, those who finish this book will be intimate with the names of Iraq towns, provinces and the horrific battles that took place in them: Tall Afar, Kirkuk, Nasiriya, Baquba, Samarra, Karbala. Falluja. Readers will experience firefights at ground level, through the soldiers' eyes: hand-to-hand combat in cemeteries, in suburban streets, on the banks of the Tigris, the Euphrates and in the scorching desert.

From their stories, it's clear that there are two parts to this war: The successful invasion followed by the disastrous FUBAR (F*** Up Beyond All Recognition) aftermath. The soldiers' perception of the war and their role in it is colored by when they served. And those who served multiple tours provide a perspective on how the US's presence and the Iraqi's reception of it disintegrated over the 3 and a half years our forces have occupied Iraq.

That progression surfaces slowly as we read through the oral histories organized in a rough chronology. Thomas Smith who served in the initial invasion from March to July 2003 and fought through to Baghdad says "I don't think it's for no reason. I think we did a good thing" (p. 14). Adrian Cavazos who served roughly the same time period, from March to August 2003, concludes " if I'm going to die, let me do it serving my country or doing something heroic, something where they can say, He died doing something for someone else, not something selfish or not in some freak accident" (p. 36).

But those who served later often had a different view.

"How many insurgents were killed in Falluja? I don't know," says Garett Reppenhagen, who served as a sniper in Baquba, Iraq, beginning in February 2004. "The people that we were killing were farmers from the local area. If they had a thousand dollars for a plane ticket to come to America, they wouldn't come here and terrorize anybody. They'd feed their children." (p.181) or in Jonathan Powers' question, "Are these kids we've been ignoring the next generation of insurgents? There's 3.5 million kids out of school right now in Iraq and there's nothing to engage them" (p. 257).

" Any war is hell, but, I mean, a meaningless one is worse." -- Joseph Hatcher, served in Iraq with the 4th Cavalry Regiment, 1st Infantry Division (p. 135)

The War Planners

In reading the words of these men and women [hear their voices at Wood's highly interactive website], the disconnect between their ground truth and the war the Pentagon thought it was fighting is bruisingly clear. As Jonathon Powers puts it, "It's not Iraq necessarily that drives the younger officers like me out. It's the way this war has been handled within the Pentagon" (p. 102).

But to the officers among those Wood interviewed, it was clear that the war's main 'planners' were out of touch with the war reality on the ground. Much has been written about the civilians in charge, those back in Washington who knew nothing of fire fights, hand-to-hand combats or counter insurgency operations. [With news of the resignation of Secretary of Defense Donald Rumsfeld in the wake of the 2006 Midterm Elections, it's unclear what direction the Pentagon's war planning will now take.]


Although many of these voices compel our respect, Alan King stands out as what an American military man, in the tradition of the greatest generation's troops who fought in World War II, should be. No nonsense. Fair. Fearless. Thorough. A leader who understood the intricacies of counter insurgency. "We started getting a lot more respect because I was willing to take the same risks that the Iraqis had to take" (p. 56). But Alan King also relates:

On April 8, 2003, "[Colonel] Jack Sterling came up and said "I just got off the phone with headquarters, and they don't have a security or reconstruction plan to implement."

....snip...

"In my personal pre-war planning for my unit, when I asked for this phase of reconstruction plan, I was told that there was one and I would get it when I needed it".

...snip...

"I learned later a plan had been drawn up by the State Department, sort of a government-in-a-box. Never was any of it implemented. & There was a plan. Tom Warwick out of the State Department had the Future of Iraq Project, but we never got it" (p. 57).

In April 2006, George Packer's article for The New Yorker, Letter from Iraq: The Lesson of Tal Afar details Col McMaster's successful counterinsurgency operation, the same operation that Combat and Operational Stress Control Officer in Charge, Maria Kimble, describes in the closing pages of Wood's book.

Early in The New Yorker article, Packer suggests that "the story of Tal Afar is not so simple. The effort came after numerous failures, and very late in the war -- perhaps too late. And the operation succeeded despite an absence of guidance from senior civilian and military leaders in Washington. The soldiers who worked to secure Tal Afar, were, in a sense, rebels against an incoherent strategy that has brought the American project in Iraq to the brink of defeat." (p. 50). The New Yorker, April 10, 2006)

Although Packer goes on to describe the difficulties of counterinsurgency work, Bradley gunner Jason Neely puts it most succinctly in What Was Asked of Us: "you don't send a fucking outfit that is supposed to dehumanize others and turn them into targets and kill them, and then fucking ask them to shake hands and stuff with the people they've been killing" (p. 46).

PTSD

So, as the reader soon learns reading through these necessary accounts of our returning troops, war alters the course of everything it touches. As successful as the Tall Afar operation may have been, psych specialist Maria Kimble reveals for us its raw emotion by remembering the trauma reaction she and one unit had after losing a mate to an enemy sniper:

"The soldiers who carried the soldier into camp were all distraught, very emotional," she said. "They were crying, bawling, wailing, and asking things like, 'Why, why him?' Immediately I just felt helpless, seeing all these male soldiers just breaking down" (p. 286).

As 2004 turned into 2005, troops found their duties increasingly included having to clean up remains of suicide-bombed areas, some containing as many as 30 dead bodies. "It's extremely traumatic," Kimble says.

In addition to the nearly 3,000 killed in action in Iraq, 20,000+ have returned home with polytraumatic injuries, altering bodies and lives and dreams forever. [The 'signature injury' of the Iraq War is traumatic brain injury (TBI) as a result of this war's Molotov cocktail: the improvised explosive device (IED)] At least 38,000 are being treated for psychological injuries by the Veterans Administration. All told, a full 86,000+ Operation Enduring Freedom (OEF) and Operation Iraqi Freedom (OIF) vets have been granted VA disability, with another 30,000+ claims pending review.

Although most of our troops will return home and successfully process their war experience, all will find they have changed in one way or another. Some will have more difficulty and may find their combat stress evolving into post-traumatic stress disorder. Known over the years as nostalgia, soldier's heart, shell shock, or post-Vietnam syndrome, war trauma is as old as war itself. Returning warriors of all eras have had to find ways to live with what was seen and done during conflict. They need to make peace with those who sent them to war. They also have to find their rhythm and place again among community, employers and family.

As war voyeurs on the sidelines, war even changes us.

"America might have to change before I can change," says Garett Reppenhagen, a cavalry scout and sniper. (p. 293) He tells of how the military and the Iraq War tested him -- and disgusted him. The black humor and cruelty -- sometimes even his own -- the troops directed at the Iraqis they were sent to liberate weighed heavy on him.

Reppenhagen tells us: "I could have been a conscientious objector and bowed out. I could have gone to prison. I could have run away," he said. "You could take the harder road. But I was a coward" (p. 293).

He served in Iraq during an explosive period, arriving just two months before one of the bloodiest months of the war, April 2004. He was there during the kidnapping and brutal public execution of four contractors in Falluja. He was in Iraq during the second taking of the city in November of 2004. And he was in-country during the Abu Ghraib scandal, which he says hurt their collective effort:

In the first Gulf War, hundreds of Iraqi soldiers just laid down their arms and joined the American side. They surrendered. That's not happening anymore. They're fighting to the death. No Iraqi, no insurgent, wants to be captured by American forces now because they envision themselves in Abu Ghraib (p. 192).

And on and on these accounts and stories go: swirls of oral history rising up from a crackling fire expertly built by Wood.

Iraq War vet and founder of Iraq and Afghanistan Veterans of America (IAVA), Paul Rieckhoff, when asked at a panel discussion on war and veterans' issues what Americans can do to support the troops, answered, "Seek out the experience of Iraq." Author Trish Wood provides just the text to make that possible.

The Stories They Tell Us

What Was Asked of Us hearkens back to two Vietnam era classics.

The lesser-known of the two (though now a standard college literature-course text), The Things that They Carried, Tim O'Brian's novella of Private Cacciato going in-country, offers a glimpse into the world of the Vietnam conflict through O'Brian's catalogue of what Cacaccio carried on his back, in his head, and in his arms. Trish Wood, in her 'Acknowledgements,' points to the other war classic: Everything We Had: An Oral History of the Vietnam War by Thirty Three American Soldiers Who Fought, compiled by Al Santoli.

What these Vietnam-era books provide is the answer to that age-old question: "What was the war really like?" Truth surfaces not from a single point of view, but multiple voices providing a thousand different details that allow us a glimpse, from the safety of our reading chairs, of war chaos on the ground and in the confusing thick. Wood continues that tradition and lets these courageous voices tell us what we asked them to endure for country and flag.

About the Authors:
Cho is a writer, editor and board member of ePluribus Media.


Ilona Meagher is an activist and citizen journalist with ePluribus Media, as well as editor of PTSD Combat:

Winning the War Within. Her collaboration with ePluribus Media has resulted in the PTSD Timeline -- a

database of reported OEF/OIF PTSD incidents -- as well as the 3-part series

Blaming the

Veteran: The Politics of Post Traumatic Stress Disorder and The

Corroding Effect. A journalism student at Northern Illinois University,

Ilona is currently putting the finishing touches on her upcoming book,

Moving a Nation to Care: Post-Traumatic Stress Disorder and America's

Returning Troops.


Photo Credits: Photograph of Lieutenant Colonel Alan King by staff Sergeant Kevin Bell; Photograph of Doc Paul Rodriguez courtesy of Paul Rodriguez


ePluribus Contributors: avahome, aaron barlow, roxy

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Scientists Racing to Ease Painful PTSD Memories


Scientists are using their growing knowledge of brain chemicals -- and the role they play in saving and accessing memories -- to find ways to help people coping with one symptom of PTSD: the painful replay of traumatic memories. We'll review today's Chicago Tribune article, Drug Eases Pain of Bad Memories, to get an update on progress in this somewhat controversial area; and we'll take a look at results of studies conducted by the National Institute of Mental Health on the role the brain plays in PTSD.

 
From the Chicago Tribune:

There is no definitive treatment for PTSD and no cure, and the number of cases is only expected to grow as a result of U.S. military action overseas. This week, published research found that 12 percent of soldiers returning from Iraq were diagnosed with post-traumatic stress disorder, depression or another serious mental illness. Brain scientists think they have found a way to help by using a drug called propranolol to alter traumatic thoughts. It appears that the drug, a beta blocker used to treat high blood pressure, interferes with stress hormones in the brain to defuse the impact of horrific memories.
While use of the drug for this purpose has not been approved, some psychiatrists already have begun to prescribe it to patients with PTSD. (Other beta blockers do not seem to affect the brain the same way.) Researchers emphasize that the drug can lower the intensity of a bad memory--but not erase it. "It's not that people will no longer remember the trauma, but the memory will be less painful," said Alain Brunet, a psychologist at McGill University in Montreal, where experiments on human subjects are under way.
An interesting part of the new research and findings is that it's been a century's old scientific view that memories are fluid only for a matter of a few hours (the article says 6), and then following that period of time become fixed. They're stored in the fixed state, and can't be changed in any way in the future.
But Karim Nader, a pioneering McGill psychologist, was able to show that long-term memories aren't nearly as hardwired as scientists had thought. When we retrieve a memory, Nader found, it again enters a vulnerable state where it could be manipulated or even lost. "It was formerly thought that once a memory is fixed you can't mess around with it," said Nader. "That was scientific dogma for 100 years." The brain's wiring changes each time something goes into long-term memory, but not all memories are equal, he said. "You remember the day of your wedding better than three Tuesdays ago when there was nothing important going on."
Emotional memories, Nader explained, activate a second process that ups their intensity. This is called a "gain switch" and can be thought of as the volume control on a radio. Studies have shown that emotionally arousing events cause stress-related hormones such as adrenaline to be released by the brain's amygdala, which is involved in emotional learning and memory. PTSD may develop when the event is so emotionally powerful, and so much adrenaline is released, that the "gain switch" is set too high.
As the National Institute for Mental Health (NIMH) explains:
NIMH and the VA sponsor a wide range of basic, clinical, and genetic studies of PTSD. … Studies in animals and humans have focused on pinpointing the specific brain areas and circuits involved in anxiety and fear, which are important for understanding anxiety disorders such as PTSD. Fear, an emotion that evolved to deal with danger, causes an automatic, rapid protective response in many systems of the body.
It has been found that the body's fear response is coordinated by a small structure deep inside the brain, called the amygdala. The amygdala, although relatively small, is a very complicated structure, and recent research suggests that different anxiety disorders may be associated with abnormal activation of the amygdala.

What appears to happen each time a memory is retrieved by the brain is that the amygdala releases more hormones, the painful memories being all the more intensified with each recall. This is where the drug propranolol comes to the rescue; it has been shown in lab experiments to desensitize the subject of expected fear-producing memories.

Trials are now underway on men and women and seem to reflect the results of lab research showing that those taking the blood pressure pill propranolol have a milder reaction to traumatic memories than those taking a placebo. Additionally, propranolol may help to ease the painful memories immediately after a traumatic incident, the Chicago Tribune explains:

Dr. Roger Pitman, a professor of psychiatry at Harvard Medical School, wondered if giving propranolol as soon as possible after a traumatic event could prevent indelible, terrifying memories from taking hold. He tested the idea on 41 people who had experienced car accidents, assaults and other events that brought them to a Massachusetts emergency room. They received the drug within six hours of their mishaps. The results were dramatic.
Three months later, 22 of the victims listened to audiotapes on which they had described their traumas. None of those who took propranolol showed strong responses to the tapes, but eight of the placebo patients were obviously shaken by reliving their experiences. Their heart rates increased, their palms sweated, their muscles twitched--all signs of PTSD. Now Pitman's group is pursuing a study in which patients with chronic PTSD are treated repeatedly with propanolol. "If we get positive results, there are many potential applications for people with PTSD from a variety of sources, including Hurricane Katrina and the Iraq War," Pitman said.
These treatments are not without controversy as some ethicists are concerned that by trying to numb the pain we may be setting ourselves up to be less capable of handling psychological pain in the future. But the brain researchers counter back:
"Many people have thought of these as amnesia drugs: `I would like to get rid of the memory of a horrible experience I had with another person; I'll just take propranolol and get rid of it,'" said James McGaugh, a neurobiologist at the University of California at Irvine whose work on learning and memory paved the way for research by Pitman and others. "Well, propranolol does not remove memories."
The day after Nader's first study was published, a woman called and asked whether she could have the memories of her abusive first husband erased. "The idea of erasing memory is just silly," Nader said. "We can't do it; nor do we want to. But if we can turn down the intensity of the memory sufficiently that these patients can respond to traditional treatments, that's the goal, I think."
Be sure to read the whole Chicago Tribune piece, and visit the NIMH website if you'd like to learn more on this issue -- and PTSD in general. And visit PTSD Combat for the latest PTSD resources, news, research, and veterans events.

15 and 3: The Gulf War Years in Numbers


Related Note: Zogby International, in conjunction with Le Moyne College, has just completed a first-ever opinion poll of our combat troops serving in Iraq. The results are absolutely stunning.

This past Thursday, February 23rd was the 15th anniversary of the start of the first Gulf War ground war: Desert Storm. It lasted, incredibly, from start to finish 100 hours. We celebrate the end of that war this week.

March 19th will be the 3rd anniversary of the start of the second Gulf War: Operation Iraqi Freedom. Although it was said that we destroyed 80% of the Iraqi army in 1991, OIF has now run 25,800+ hours and counting. We don’t know when we’ll be able to celebrate the end of this war. As we pay our respects to those who served, those who died, those who suffered – and suffer still – a review of the two wars is in order.

 
Though facts and figures and numbers and stats are sterile and dry for some, they no less have a tale to tell… ::

DS = Desert Storm (February 23, 1991 – February 27, 1991) OIF = Operation Iraqi Freedom (March 19, 2003 – ?)
  • DS: # of coalition member countries: 34
  • OIF: # of coalition member countries: 48 (at least 16 no longer participating)

  • DS: # of US Troops at start of war: 500,000+
  • OIF:  # of US Troops at start of war: 240,000 (125,000 of that on the ground)
  • OIF:  # of US Troops currently deployed: 157,000

  • DS: # of non-US coalition forces at start of war: 160,000+
  • OIF:# of non-US coalition forces at start of war: 49,4000+ (of this 26,000 were British ground forces)

  • DS: Total # of US Troops who served: 696,661
  • OIF: Total # of US Troops who served: 360,000 (ground), 1,000,000 total [see note]

From Merriam Webster dictionary:
"Casualty: a military person lost through death, wounds, injury, sickness, internment, or capture or through being missing in action."

From Sourcewatch.org: Both the Pentagon and many media reports exclude wounded from their "casualty statistics". They may refer to some wounded soldiers, but then don't have a tally for them. In addition, soldiers injured in "non-hostile" circumstances aren't tallied either. Non-DOD US Government employees, e.g., State Department, aren't tallied either.


  • DS: # of US killed in action casualties: 148 combat, 145 nonbattle
  • OIF: # of US killed in action casualties: 2290+ [98% male. 89% non-officers; 76% active duty, 15% National Guard; 74% white, 10% African-American, 11% Latino. 22% killed by non-hostile causes. 52% of US casualties were under 25 years old. 69% were from the US Army.]

  • DS: # of US wounded in action: 467 WIA
  • OIF: # of US wounded in action: 16,742+ [20% of which are serious brain or spinal injuries (total excludes psychological injuries); 30% of US troops develop serious mental health problems within 3 to 4 months of returning home]

In the Persian Gulf War, about three troops were wounded in action for every fatality. In Iraq, about seven are being wounded for every one killed. - Alan Bavley in New technology and medical practices save lives in Iraq. Knight Ridder Newspapers, 17 Dec 2003.


  • DS: # of US missing in action: 37 MIA
  • OIF: # of US missing in action: 8 (all rescued)


  • DS: # of French casualties: 2
  • OIF: # of French casualties: 0
  • OIF: # of Non-US/Non-British casualties: 103

  • DS: # of Allied Arab casualties: 39
  • OIF: # of Allied Arab casualties: 0


  • DS: # of Iraqi  POWs held by coalition: 80,000
  • OIF: # of Iraqi  POWs held by coalition: 13,000+ (as of 9/2005)

"Iraq went from the fourth-largest army in the world to the second-largest army in Iraq in 100 hours." - Lieutenant General Tom Kelly on Desert Storm

  • DS: # of Allied combat air sorties flown: 116,000+
  • OIF: # of combat air sorties flown (using 1,801 aircraft): 20,753 (initial invasion using 18,467 smart bombs and missiles; 9,251 dumb bombs; 153 air launched cruise missiles; 98 gps/laser-guided bombs; 408 anti-radar missiles; 908 guided cluster bombs; and other missiles)

  • DS: # coalition aircraft losses: 75 (63 US/12 Allied)
  • OIF: # coalition aircraft losses: 105

The oil revenues of that country could bring between $50 and $100 billion over the course of the next two or three years. Now, there are a lot of claims on that money, but...we are dealing with a country that can really finance its own reconstruction, and relatively soon. -- Former Deputy Secretary of Defense, Paul Wolfowitz, testimony to the US House Appropriations Committee, March 27, 2003


  • DS: Portion of war cost financed by non-US sources: $53 billion (DOD)
  • OIF: Portion of war cost financed by non-US sources: (looking for figure)

  • DS: Total cost of war financed by Gulf States: $36 billion
  • OIF: Total cost of war financed by Gulf States: (looking for figure...is this 0?)

  • DS: Total cost of war financed by Germany and Japan: $16 billion
  • OIF: Total cost of war financed by Germany and Japan: (looking for figure)

According to the Department of Defense, by 1999, the military revealed of the Gulf War:
  • As many as 100,000 U.S. troops were exposed to repeated low-levels of chemical warfare agents, including sarin, cyclosarin, and mustard gases;
  • More than 250,000 received the investigational new drug pyridostigmine bromide (PB pills) the Pentagon "cannot rule out" as linked to Gulf War illnesses;
  • 8,000 received the investigational new botulinum toxoid (Bot Tox) vaccine;
  • 150,000 received the hotly debated anthrax vaccine;
  • 436,000 entered into or lived for months within areas contaminated by more than 315 tons of depleted uranium radioactive toxic waste possibly laced with trace amounts of highly radioactive Plutonium and Neptunium, almost all without any awareness, training, protective equipment, or medical evaluations; and
  • Hundreds of thousands lived outdoors for months near more than 700 burning oil well fires belching fumes and particulate matter without any protective equipment.
  • Each of these exposures took place while troops were either engaged in combat, serving in a war zone, or stationed in the volatile region for a number of months.

  • DS: # Separated from service, eligible for VA benefits:504,047 (as of 3/01)
  • OIF: # Separated from service, eligible for VA benefits: 166,334 (OEF figures included, as of 4/2005)

  • DS: # Sought medical care at the VA:263,000 (as of 3/01)
  • OIF: # Sought medical care at the VA: 120,000

  • DS: % Filed claims against the VA for service-related medical disabilities:36% (as of 3/01)
  • OIF: % Filed claims against the VA for service-related medical disabilities: 16% (as of 4/2005)

  • DS: # Filed claims who are considered disabled:149,094 (as of 3/01, with 13,902 still pending at the time)
  • OIF: # Listed as WIA/not RTD (Wounded in Action/Not Returned to Duty): 7,529
  • OIF: # of Seriously wounded who require amputations: 6%

  • DS: # Who've died following combat:9,600 (as of 3/01)
  • OIF: # Who've died following combat: (undetermined)

  • DS: # of Potential `reproductive toxicants' soldiers were exposed to:21 (GAO)
  • OIF: # Returned from combat showing symptoms of mental health disorder: 40,000

  • DS: # of Veteran children born with serious congenital defects or serious illness:67% (Dept. of Veterans Affairs)
  • OIF: # of Vets already homeless: 500

Bringing Back the Shaft: Bush's Vet Budget


Let's take a look at the War President's budget through the veteran lens. Does Bush put his money where his mouth is? Does his budget support our troops when they're done fighting his wars?

Let's get right down to it.

First off some good news for our troops: if the President has his way, they'll be getting a 2.2% raise. That translates to $1,188 per year for an Army captain. It doesn't quiet keep up with inflation, but an increase is an increase. I applaud the raise. Increase it, and I'll throw in a free cheer, too.

Although the President's $2.77 trillion budget (VA portion: $80.6 billion) would add about $3 billion in real appropriations for veterans health care over that of last year's, it "relies on $1.1 billion in cost-saving 'efficiencies' -- the subject of a Government Accountability Office report released last week that criticized past VA health-care projections from the president's Office of Management and Budget."

With projections of 109,000 new VA patients entering the system (from the Iraq and Afghanistan theaters), the American Legion says the current budget is more realistic than that seen in 2005:

"The under-estimated number of VA patients from the ongoing war contributed mightily to the $1.5 billion budget shortfall for VA health care in 2005," [National Commander Thomas L.] Bock said. "This appears to address that." He also applauded a requested increase in mental-health-care funding, from $2.8 billion to $3.2 billion.

So, the news within the budget's 2,400 pages isn't entirely bad.

But with veterans returning suffering with post-traumatic stress disorder [PTSD], an increase in mental health funding is required and is better than what we find in the rest of Bush's budget plans.

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The President wishes to:

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And never fear, the President's budget plans include expanding special operations and psychological operations forces by 33%. Doesn't that make you feel safer already?

ilona

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