Posts Tagged ‘Afghanistan’

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My dad, a retired Air Force officer, used to tell me as a kid that “If you don’t have anything smart to say, keep your mouth shut.”  Now I don’t always follow this advice, but I do think that society would be better served if we kept disingenuous chatter to a minimum.  Sadly, it would seem that our leaders – both civilian and in the military – are unable to keep their mouths shut when they have little to contribute to intelligent debate.  The TV show that comes to mind is “Lie to Me.”

In a stupefying assertion that is either delusional or simply a lie, Gen. David M. Rodriguez the commanding general of U.S. Army Forces Command, reportedly said that “he’s confident in the Army’s ability to screen and treat these signature medical conditions (“PTSD” and “TBI”) from the last decade of war in Iraq and Afghanistan – ‘we’re not perfect,’  but getting better.”

Gen. Rodriguez also stated that “Lewis-McChord is similar to other U.S. military bases in the proportion of soldiers who have seen heavy combat, served on multiple deployments and suffered conditions such as post-traumatic stress disorder and traumatic brain injury. Nevertheless, he failed to have comparative numbers readily available.  As the video clip below suggests, he asserts that those on the base should not be concerned about their safety.

Now I have no idea if Lewis-McChord has a higher incidence of “problems” than other bases in the US, but apparently neither does Gen. Rodriguez.  Why engage in meaningless “happy talk” when most everyone realizes we have a problem of  epidemic proportions of young men and women suffering from the debilitating effects of PTSD?

The tragedy is not that 1 in 5 brave warriors suffers from PTSD, but the silly assertion by Gen. Rodriguez that he’s “confident in the Army’s ability to screen and treat these signature medical conditions (“PTSD” and “TBI”).”   I am sorry Gen. Rodriguez, but you must have been one of the mindless sycophants standing on the sideline applauding a naked Emperor if you believe that spin text.

Stand for the Troops (“SFTT”) knows of no competent authority that believes that we are anywhere close to being able to effectively treat PTSD on a large scale.  As long as our military leaders remain in denial, our brave service members will not receive the treatment they deserve.  Effective leadership is saying, “Houston, we have a problem!”

The tragic massacre in Afghanistan is a wake-up call to take action.  Let’s not sweep it under the rug and let thousands of brave warriors continue to deal with the debilitating effects of PTSD on their own.   The choice is rather simple:  Deal with causes now or deal with the tragic effects later.   It’s a huge task, but it should start with a small child along the parade route saying in a loud voice, “The Emperor has no clothes.”

Richard W. May

As military service members deployed in Iraq begin come home, the alarm bells are beginning to sound as the Veterans Administration (“VA”)  now seems over-stretched to deal with alarming number of cases of service members with PTSD.

According to a recently published Rand study, excerpts of which are reported  by Health Affairs, “There is a large and growing population of veterans with severe and complex general medical, mental, and substance use disorders including schizophrenia, bipolar I disorder, PTSD, and major depression. Substance use disorders may occur alone or in combination with any of these other diagnoses. Over the five-year study period, the population of veterans with mental and substance use disorders grew by 38.5 percent, with the largest growth occurring in veterans receiving care for PTSD. Half of the veterans with mental and substance use disorders also had a serious medical disorder. Study veterans also accounted for a much larger proportion of health care use and costs than their representation among all veterans receiving VA health care. ”

The sad reality is that this report is based on statistics compiled by Rand for 2007 and, as such, the severity of the problem is likely to be far greater for veterans with additional deployments past 2007.

As Jason Ukman of the Washington Post reports, “the cost of medical care for veterans is expected to skyrocket in coming years.”   According to sources referred to by Mr. Ukman, “The number of veterans seeking mental health services has increased sharply. Last year, more than 1.2 million veterans were treated by the VA for mental health problems. In fiscal year 2004, the figure was roughly 654,000. The largest increase has been among veterans diagnosed with PTSD.”

The severity of this problem is already taxing over-stretched VA resources and is likely to increase as  troops in combat zones return home.  How we deal with these troubled warriors will say much about our military and political leadership.

Almost daily, we receive reports of the devastating impact of PTSD (Post Traumatic Stress Disorder) on our men and women in uniform and the terrible side-effects on their families and friends.   The US Army is aware of the terrible cost of PTSD as evidenced by the 2010 US Army Report on Health Promotion, Risk Reduction and Suicide Prevention.

Many publications suggest that the origins of PTSD are unknown as evidenced by this recent commentary from a government organization: 

“The cause of PTSD is unknown, but psychological, genetic, physical, and social factors are involved. PTSD changes the body’s response to stress. It affects the stress hormones and chemicals that carry information between the nerves (neurotransmitters). Having been exposed to trauma in the past may increase the risk of PTSD.”

While this may be true, there does appears to be a clear linkage between PTSD and the effects of increasing IED (improvised explosive devices) attacks on US and Allied military forces serving in Afghanistan.   While many believe that PTSD is a psychosomatic discorder, it is becoming increasingly clear that concussion-like head injuries are contributing to PTSD and its debilitating physical and mental consequences.    The US Department of Veteran Affairs estimates that between 11% and 20% of veterans who have served in Iraq and Afghanistan may have PTSD.   If so, this is an alarming number – almost of epidemic proportions.

SFTT has long argued that ill-fitting military combat helmets afforded little protection to our men and women in uniform.  The US Army has been painfully aware of this problem for sometime as evidenced by their decision some years ago to implant sensors in helmets to track trauma related injuries.    Recently, we have been told that a “simple tweak” in the amount of padding in combat helmets would reduce head trauma injuries by 24%.    Why did it take so long to realize we had a serious problem?  More importantly, how long will it take our procurement process to get better protective gear to our troops in the field.

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