Author Topic: Blog from surgeon in Afghanistan. Damn - this is tough to get through. Brutal  (Read 508 times)

Soul Crusher

  • Competitors
  • Getbig V
  • *****
  • Posts: 41760
  • Doesnt lie about lifting.
http://warbirddoctor.blogspot.com



Damn.   I got teary eyed reading this.  

Soul Crusher

  • Competitors
  • Getbig V
  • *****
  • Posts: 41760
  • Doesnt lie about lifting.
Incomprehensibly stupid Army regulation killing Americans in Afghanistan
By James Simpson, DC Independent Examiner





The U.S. military has developed the best system in the world for dealing with combat casualties. As medical technology has advanced over the last century, new methods of treatment have been developed, and the speed and efficiency of transport from the battlefield to essential medical services has greatly increased chances for combat wounded to survive. So it is particularly galling that with all these improvements, the U.S. Army has not similarly adjusted its regulations regarding deployment of medical evacuation (medevac) helicopters in combat zones to compensate for the realities of modern warfare. It is bad enough that the Obama administration has imposed deadly rules of engagement to reflect its leftist worldview. The U.S. Army has been racking up its own body count due to nothing more than bureaucratic intransigence.

A new article in Soldier of Fortune magazine, (yes that Soldier of Fortune, still kicking after 35 years), by Dalton Fury, former Delta Force Commander and best-selling author of Kill Bin Laden, has explained the problem. Army regulations require that medevac helicopters follow the Geneva Convention, which specifies that they must be unarmed and display prominent Red Cross markings. Furthermore, Army regulation forbids medevac choppers from entering a combat zone without armed helicopter escort. If armed escort is not immediately available, medevac helicopters remain grounded, regardless the emergency. Once they do go in, they become a conspicuous target for enemy forces, most of whom have never read the Geneva Convention, and would laugh it out of existence if they had.

Advertisement
 
A recent tragedy in Afghanistan highlights the high cost of these restrictions. As reported by veteran combat reporter, Michael Yon, Army Specialist Chazray Clark was severely wounded on a night mission after stepping on an IED:

“Chazray was facedown. One arm and both his legs were gone, and yet this man had the strength and presence to call out from the dust and darkness. Chazray answered, ‘I’m okay’… Although Chazray had answered that he was okay, everyone here knows that when someone calls out ‘I’m okay,’ the sound of their voice only means they are still alive. Fellow Soldiers located Chazray in the dark, and quickly put on tourniquets and unfolded a stretcher.

“The medevac was very late. It took us about 20 minutes to get back to the Landing Zone (LZ). Based on my significant experience down here in southern Afghanistan, I know that the helicopter could and should have already been on orbit waiting for us. Chazray was dying but fully conscious and talking the entire time. We waited, and waited. Finally a radio call came that the medevac was ‘wheels up’ from KAF. It was unbelievable to us that the medevac was just taking off from Kandahar Airfield, twenty-five miles away.”

The helicopter could not leave the ground until escorted, and since no Apache helicopter gunships were immediately available, it sat on the tarmac while Chazray bled out. Even more outrageous, there were Air Force helicopters at that same airbase that could have come immediately. These choppers are heavily armed and need no escort, or could have served as escort. But Army regulations forbid their use.

All these protocols must be followed. According to Army field commanders, they have zero discretion. They have been complaining about it for years, to no effect.

In the Soldier of Fortune article, Fury (a pseudonym) traces the development of Army protocols regarding medevacs in the field. The US Army manual on medical evacuation quotes Geneva Convention regulations regarding Medical Aircraft (emphases mine):

MEDICAL AIRCRAFT

A-6. Medical aircraft exclusively employed for the removal of wounded and sick and for the transport of medical personnel and equipment shall not be attacked, but shall be respected by the belligerents, while flying at heights, times, and on routes specifically agreed upon between the belligerents concerned.

A-7. The medical aircraft shall bear, clearly marked, the distinctive emblem together with their national colors on their lower, upper, and lateral surfaces.

A-8. Unless agreed otherwise, flights over enemy or enemy-occupied territory are prohibited.

A-9. Medical aircraft shall obey every summons to land. In the event that a landing is thus imposed, the aircraft with its occupants may continue its flight after examination, if any.

A-10. In the event of involuntary landing in enemy or enemy-occupied territory, the wounded and sick, as well as the crew of the aircraft, shall be prisoners of war; medical personnel will be treated as prescribed in these Conventions.

SELF-DEFENSE AND DEFENSE OF PATIENTS

A-11. When engaging in medical evacuation operations, medical personnel are entitled to defend themselves and their patients. They are only permitted to use individual small arms.

A-12. The mounting or use of offensive weapons on dedicated medical evacuation vehicles and aircraft jeopardizes the protections afforded by the Geneva Conventions. These offensive weapons may include, but are not limited to machine guns, grenade launchers, hand grenades, and light antitank weapons.

A-13.  Medical personnel are only permitted to fire in their personal defense and for the protection of the wounded and sick in their charge against marauders and other persons violating the Law of War.

This is simply stunning. With al Qaeda and the Taliban, we are fighting an enemy who mass-murders school children, beheads people with medieval lust, engages in real torture and every imaginable form of barbarity, while camouflaged as civilians to capitalize on our restrictive rules of engagement designed to minimize civilian casualties.

Yet, sections A-6 through A-10 assume that the enemy will not attack properly marked medical aircraft, dictate that our forces coordinate all aspects of medevac flights with the enemy, avoid enemy airspace and even obey their orders to land! Finally, aircraft must be emblazoned with the distinctive “shoot here” Red Cross that turns medevac helicopters into clay pigeons.

Section A-12 makes the heroic assumption that the Geneva Convention affords protections for unarmed medevac helicopters. The message seems to be “Arm your chopper at your own risk!” Here we see the consequences of mindless PC philosophies worked out to deadly effect in the real world where stupidity kills people!

Furthermore, none of this is necessary. It may surprise you to know that the Geneva Convention applies only to organized militaries of identifiable governments who have signed the Convention or have otherwise formally agreed to follow its tenets.

To think that al Qaeda, the Taliban, Hezbollah or any of the other terrorist groups throughout the world would ever respect the Convention is absurd, and while many of these groups are proxy armies for recognized states, none of those states would ever admit it. Guerilla groups have no standing. Legally speaking they are non-people. Our legal, political and media class have chosen to ignore this fact for reasons of perception rather than law.

There is no requirement for a signatory nation to follow the Convention when opposing forces do not respect it. To do so is suicide, yet to placate the denizens of PC, the Army goes right ahead. Perhaps the bureaucrats and politicians who design these policies should first be required to personally oversee their employment in the field. One suspects the regulations would change overnight. But safely ensconced flying a desk in the Pentagon, they are much more fearful of a Congressional hearing or a derogatory editorial in the Washington Post.

U.S. troops are paying for that cowardice with their lives.

The US Army is the only branch that follows this unnecessary protocol. Air Force, Navy and Marine rescue choppers have dispensed with the Red Cross and come armed to the teeth, usually with multiple miniguns. Enemy forces vanish at their approach rather than risk a murderous fusillade of return fire if they reveal their position by taking a shot. The result: fewer casualties on both sides, just what the PC clowns claim to want.

Finally, since the Army requires that unarmed medevac helicopters be escorted by helicopter gunships, the Army is really just wasting assets while putting medevac passengers and aircrews in unnecessary danger.

This one is the best:

PERCEPTION OF IMPROPRIETY

A-18. Because even the perception of impropriety can be detrimental to the mission and US interests, HSS commanders [HSS = Health Service Support, ed.] must ensure they do not give the impression of impropriety in the conduct of medical evacuation operations.

This is the catch-all excuse when the others are found wanting. Even if we know we don’t have to follow the Convention in this case; even if we know it is moronic and potentially fatal to do so, this regulation argues we should still risk the lives of combat troops and aircrews so that people too stupid or careless to know the facts do not become alarmed when we create the “perception of impropriety” by properly arming medevac helicopters against almost certain attack! Such conspicuously self-conscious, gutless attitudes have no place in military policy. The military exists to protect our country at the least cost in U.S. blood and treasure possible. Period.

Soldier of Fortune magazine has a long-established record of bringing these kinds of issues to light. Their storied history in doing so is recorded in a three-part history here, here and here. Most who read this series will be surprised to learn the many things this magazine has done behind the scenes to assist our military efforts across the globe. And like anyone who stands up for America, they have been vilified in the press for doing so.

Thanks to Soldier of Fortune and Michael Yon, the tragic consequences of this policy have seen the light of day. With enough publicity, perhaps the Army will finally be persuaded to change its irresponsible and stupid policy. If so, the death of Chazray Clark may not have been entirely in vain. Please spread this message far and wide, and hold your representative and senators to account for the result. It goes without saying that this President and his criminal gang of leftist agitators need to be shown the door in November, for if past is precedent, one suspects that the Army may be prevented by this pointedly anti-American, anti-military administration from making necessary changes.

Ed Note: This article was originally posted at American Thinker. Comments universally condemned the Army for pursuing this policy. A number included commenters who, as active duty Army, had to abide by these regulations. One of these is reproduced below:

As a former Flight Engineer for the 507th Med Co. (AA) during Desert Storm, I made the same conclusion before leaving, that when asked what I would like for my aircraft, what would it be? My response was a set of free 60's on my doors, and to remove the Red Cross from my bird. I stated Iraq was not a signatory of the Geneva Convention, nor would they honor the agreement; next I was brutally attacked by the Officer's as an idiot. When in country, Saddam stated that any and all aircraft will be shot down regardless of a red cross or crescent moon on its sides. Afterward those same Officers scrambled to find guns to affix to our aircraft only to find it to late. People ask who will operate the guns, well for starters, the Flight Engineer, and or a stable wounded soldier on board fighting for survival while leaving the LZ. The Red Cross on the side means only one thing to the crew, aim here to shoot us down. War is mobility, and those who can maneuver faster wins.  As stated in the Articles, the Medivac's  cannot follow determined flight paths, because a war is always on the move, therefore by the Articles, the US is in violation of the stated article. This is solely my personal experience and opinion for the US Army, drop the cross and gun up!! GOD bless our Troops for enduring the call to service, and God bless the crew of "341" 507th Med Co. (AA) February 27th, 1991 of Desert Storm, your loss and sacrifice is not forgotten my Brothers.
 
.0 0  0 -Submit0redditPrintEmail

Soul Crusher

  • Competitors
  • Getbig V
  • *****
  • Posts: 41760
  • Doesnt lie about lifting.
"SPEECHLESS..."


I really don’t know what to say anymore.  Finding the words to write into a blog about my experience here in Afghanistan has turned into an event of endless frustration and torture. Motivation has dried up in my personal drought.  Being here is a mental and emotional daily beat down. Experiencing war first hand (from a surgeons perspective) is nothing like I thought it would be and something I was ill prepared for no matter how much effort I put in prior to this deployment. Trauma has continued to flow in a bloody river of sorts. Yes, I have made a difference in soldiers’ lives but I’m at my emotional whit’s end managing war ravaged amputations of our soldier’s limbs and death.  When I’m overwhelmed with trauma my mind has a mental block to the situation I’m surviving in but when periods of monotony compose my days between the traumatic ones I find the only way to escape is sleeping. At least I can dream of my life back home; my wife, my kids and everything I love.  There is no romanticizing the job I do nor the life I’m forced to live here in Afghanistan and the same could be said for the endless ravaged heroes I care for on a daily basis, their efforts far outweigh any I could bring to this table; that’s why we call them heroes.

It seems these past few weeks have dealt the worse hand to the E.O.D. soldiers.  The volume of IED’s that insurgents are placing has increased and their wicked tactics have worsened.  Not only are the primary IED’s being placed to damage  passing coalition vehicles but secondary devices are put nearby to maim or kill E.O.D. personal whose mission is to disarm them.  One such incident our FST had to deal with is rather noteworthy.

 Four E.O.D. soldiers were on a mission to disarm a suspected IED.  Prior to getting to the suspect position they encountered an unknown large IED that blasted the MRAP they were traveling in. The force was so intense it picked up the vehicle and flipped it end to end. When the rescue crew arrived it was determined the area was unsafe due to multiple secondary IED’s in the immediate area. The extraction plan was then changed. A medevac Blackhawk was used to hoist the injured soldiers to safety and they were then transferred to our forward surgical unit for treatment. When they arrived all four were brought into our facility. Only one of the four soldiers was able to drag himself in under his own power; the others were carried in on stretchers.  It was apparent that the injuries were to the lower extremities.  One of the soldier’s legs was covered in his own blood and he was withering in pain.  It was not obvious what the injuries were to this soldier on my initial views. This soldier’s multicam uniform was quickly removed and one of our general surgeons began his trauma resuscitation while I focused on the effected extremity.  Once his pant leg was removed there was an obvious open tibia fracture staring at me. I continued to use trauma shears to cut of his leather boot and was taken back at what I saw; his foot was amputated in the middle of its length. What amazed me was his boot was completely intact with no obvious signs of trauma. The force of the blast was of such a magnitude that it caused this level of injury. I later learned the haul of the MRAP was intact so it was the shock wave that propagated through the floor that caused this injury. I immediately had our radiology technician take x-rays to further assess the damage. The injury was worse than I could have imagined. Nearly every bone in the soldiers’ foot was severely fractures into pieces no bigger than an inch or less, and the end of the tibia was unrecognizable.  This was among the worst lower extremity injuries I had ever seen.  There was no chance of reconstructing his lower extremity, thus, I was forced to take the soldier to the operating room where I amputated his leg; one of many I have been faced with here in Afghanistan.

Two days following the E.O.D. soldiers leg amputation lightning struck again; this time my emotions had a hard time controlling themselves. 

A young 19 year old U.S. female Specialist was on a mission in the rugged terrain north of Jalalabad with her fellow unit soldiers when they hit an IED. An extreme blast was encountered similar to the last group of soldiers we dealt with days earlier.  A medevac Blackhawk was dispatched to their position and they were transferred to out FST. When the Blackhawk landed they were quickly transferred to our trauma bays for evaluation. Of the four soldiers sent to us for medical care a young female specialist and an American born translator fared the worst.  My attention focused on the 19 year old Specialist. She was screaming from pain; tears drenched her face.  Her leg was covered in blood and the bottom of her boot, which was ripped open, was slowly pouring out blood. A tourniquet which was ineffectively applied to her leg was failing.  One of our general surgeons started the resuscitation while I focused on her leg. Her injury was severe to her lower leg and even though I had not seen x-rays or removed her boot I knew what was likely from the soldier I dealt with days earlier.   Our anesthesia provider was trying to calm her down with sedation with minimal success. I was able to finally remove her boot on the injured leg; everyone in the immediate vicinity was taken aback by the extent of injury. I knew without a doubt reconstruction of this soldiers leg would be unacceptable based on the severity of the injury. Amputation of this young woman’s leg was the only option.

My heart kind of dropped with this realization. This would be the first female amputation for our team and me personally from a traumatic cause.  Time stopped within myself while my mind tried to comprehend the ramifications for this soldier that are about to take place.  This soldier was young and just starting her life. She was a college student, not married and without children. Her life plans will now sail a different course that she or her family never anticipated. 

The young soldier was brought back to the operating room for her unexpected meeting with fate; and in the end mine as well.  Our anesthesia team gently put her to sleep and then my work began. Once I finished she was extubated and transferred to the post-surgical area to recover. While I was completing my surgical records the young specialist asked for me, so I went over to her side to see what she wanted.  Once by her side she looked me in the eyes and asked how everything went. My heart dropped with emotional discomfort and personal turmoil at that moment. I was taken off guard that she was not only so lucid this soon after surgery but the simple question she asked at a moment for me like this. Most times I have only good news to tell my patients; your knee replacement went wonderful, your shoulder is going to do excellent, but this soldier’s reality is different. I put my hand on her shoulder and told her what was done; her tired eye’s swelled and tears flowed and she grabbed my hand on her soldier. I immediately went into “positive mode” as I usually do in hard timed with patients. I explained the technological advancements in prosthesis design and that she will walk again. For men it’s an easier sell but for a female it’s not as there is nothing feminine about prostheses. The social ramifications seem much more negative for a female in these circumstances. I spent about 20 minutes compassionately discussing the soldiers’ situation with her and then she blindsided me with another request; can you tell my mom? Uneasily, I agreed.

When injured soldiers come to our FST and they are stable we have a dedicated cell phone for them to call their families to let them know what happened and that they are ok. Soldiers and their families are always appreciative and it gives a noticeable relief to the injured soldiers. 

The young Specialist dialed her family and after one bad connection I could hear the phone ringing in the background, then “hello” from a woman’s voice. She slowly led her mom into the situation without any specific detail of the injury. After about five minutes of patiently waiting she handed the phone to me. The soldiers’ mom really did not understand the extent of the injury and now the stressful discussion lay on my shoulders. It was as hard to tell her mother the situation as it was telling someone their family member had died back in my surgical internship.  Her mother did not take it well as would be expected; she and her husband nearby were sobbing profusely.  She had a hard time excepting the reality of the situation and must have asked me the same questions 5 times over about a 10 minute conversation. I tried to be as insightful and positive as I could. Once I was finished with the discussion I handed the phone back to her daughter. Their following conversation was laced with crying, and words of love.
My time here has been nothing short of an emotional and mental roller coaster; parts born from my Afghanistan experience and others from the stress of being separated from my wife and children.  I’ve shed more tears in the last 5 ½ months than the last 15 years of my life, some related to the injured soldiers I’ve treated but most from the heroes our FST has lost.  I was anticipating this experience would strengthen my personal fortitude but in reality it has taken my positive points of view and skewed them into jadedness.  My days have been filled with unexpected emotional forecasts and over time this lack of control becomes overwhelming. The stress of family from a distance, the constant threat of attack, soldier’s injuries and demise, and the lack of an outlet to relax deteriorates your strength as a person over months on end.  I’m not here to judge the grand reasons we are still within this theater of war. The only valid perspective I can give is my own, and can tell you on a personal level this environment is not for me.  I feel like I’ve been locked in a cage of moral negativity and pushed to live a life not of my choosing.  The army I signed up for in December of 2000 is not the army of present day. I don’t know how I will look back at this experience in 10 years and I hope I can gleam some positivity from it, but today I feel that is unlikely. 

I have a little over 3 more weeks here in Afghanistan before I start the long journey back to Kentucky. I may be leaving this war here in Afghanistan but I’ll be confronted with a different unfamiliar post war family reconstruction when I arrive home. My young boys are at war with me for being gone and don’t communicate with me at this point; although, they asked Santa for their daddy to come home from the army for Christmas. The newborn daughter I left 2 weeks after her birth does not know her father and my wife has learned to live without her husband in her daily life.  I have learned to live without the responsibilities of a father and have become a self-centered personally indulgent individual. I have a lot of social reintegration myself waiting and it’s not going to be without a sizable amount of stress. Fortunately for me I have been able to maintain communication with my family. The soldiers who are isolated living on the Afghan mountainside are not so blessed. I can’t even begin to imagine the turmoil they will face with home reintegration. 

It seems many back in the U.S. individuals support the troops in various degrees.  Some offer gratitude, nods and handshakes, and others are active in supporting our troops through their time sending care packages, writing letters, knitting hats, and making a difference in a soldiers world both in theater and back in the United States.  I don’t want to rain on someone’s proverbial parade but if you aren’t going to take an active part in making a difference in our troops lives don’t bother with the handshakes, nods and superficial forms of gratitude; we know your happy in your comfortable world where you don’t have to risk everything for a nation that we as soldiers care so much for. The last thing freedom needs is to be cheapened by superficiality. Everyone has the opportunity to make a difference. You can shy away into your protected corner or spread your wings and let freedom ring loud and clear. The choice is yours. God bless America, and all individuals who seek freedom.
Thanks for coming along for the ride.

I’ll be home very soon Melissa, Turin, Talon and baby Myla. I love you more than you will ever know.


M

Bindare_Dundat

  • Getbig V
  • *****
  • Posts: 12227
  • KILL CENTRAL BANKS, BUY BITCOIN.
Bring em home.

Vince G, CSN MFT

  • Competitors II
  • Getbig V
  • *****
  • Posts: 25843
  • GETBIG3.COM!
Thats what being a soldier is about.  We all knew the risk when we took the oath.

Next time number boy think before you complain about pay increases for soldiers asswipe
A

George Whorewell

  • Getbig V
  • *****
  • Posts: 7362
  • TND
Thats what being a soldier is about.  We all knew the risk when we took the oath.

Next time number boy think before you complain about pay increases for soldiers asswipe

Hey Vince, I hope you die of aids.


Other than that, friends of mine have died in Afghanistan. Ive been to my fair share of funerals, and I blame our government-- not the enemy.

This isn't even an Osama issue, because under Bush-- the same fucked up nonsense was taking place.

We send our friends and relatives into a hell hole and instead of letting them fight to win, we force them to fight like faggs trying to save money on anal lube instead of warriors trying to destroy the enemy. If we had gone in there with the attitude of fighting to win, this fucking war wouldve ended 5 years ago.

Instead we let an inbred camel fucking piece of trash with a heroin addiction steal our money while our soldiers are trained to tip toe around vicious murderers instead of turning them into fertilizer.

Vince G, CSN MFT

  • Competitors II
  • Getbig V
  • *****
  • Posts: 25843
  • GETBIG3.COM!
Hey Vince, I hope you die of aids.


Other than that, friends of mine have died in Afghanistan. Ive been to my fair share of funerals, and I blame our government-- not the enemy.

This isn't even an Osama issue, because under Bush-- the same fucked up nonsense was taking place.

We send our friends and relatives into a hell hole and instead of letting them fight to win, we force them to fight like faggs trying to save money on anal lube instead of warriors trying to destroy the enemy. If we had gone in there with the attitude of fighting to win, this fucking war wouldve ended 5 years ago.

Instead we let an inbred camel fucking piece of trash with a heroin addiction steal our money while our soldiers are trained to tip toe around vicious murderers instead of turning them into fertilizer.


So what if you went to a few funerals??  American soldiers have been fighting and dying since the founding of this country and plenty more are going to die.  There's never going to be enough of anything to keep that from happening.   

When you take the oath to defend this country, there's no telling what will happen to you as I learned...as my brother learned...as my sister learned.  And yes, war is never fair....people do shitty things, we get the shit end of the shit...politicians ride on our backs for political gain..whatever.....


But that's just life.  George.  I'm not making light of the surgeon's blog but you shouldn't be surprised one bit because that's just the tip of the iceberg

A