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Beyond the Yellow Ribbon: Hope for Returning Veterans

by: Bill Scheurer, t r u t h o u t | Perspective

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    Maj. Tammy Duckworth hobbled to the podium on her own power - aided by prosthetic devices in both her legs and one arm. An Iraq war veteran, who was severely injured in battle and now serves as assistant secretary of veterans affairs, she spoke of one of her comrades, who arrived first on the scene after the helicopter she was piloting had been shot down with a rocket-propelled grenade.

    She described how he and others had struggled to lift her body to safety because she had no legs and only one arm for them to hold on to, their hands slippery with her blood and tissue. Then, she told of this soldier's troubles adjusting to civilian life: a serious traffic violation; another tour in Iraq; a second traffic violation, causing the army to discharge him; another stint as a military contractor in Iraq with a private security firm - a fairly typical story for those of us who know Iraq/Afghanistan veterans.

    One day, she received a call from him. "Tammy, I think I'm in trouble and may need your help. Please don't be ashamed of me." This man had saved her life! And now he felt fear of shame when he needed to turn to her for help. She told him she would never be ashamed of him, that she was proud of him. As a committed peace activist whose own son served in Iraq and is on 60 percent disability with the VA, this story gives me hope - hope that those among us who paid the highest price will find room to heal.

    I heard this story at a full-day symposium aptly named "Beyond the Yellow Ribbon: Diagnosing and Treating Anxiety, Depression, and PTSD in Returning Veterans," sponsored by a local hospital network. The goal of this program was to help primary care physicians and other health care professionals to better understand what combat veterans have experienced and its effect on their families.

    Extensive information in the popular and scientific press shows that veterans are "falling through the cracks" of our medical system. In a strange new twist of "don't ask, don't tell" military culture, many veterans do not tell physicians about their military service and health care practitioners do not ask.

    Therefore, a veteran may have stomach pains, headaches, insomnia, or some other seemingly minor complaint that actually masks a much more serious condition. Key topics included suicide and the other "invisible wounds" of war - PTSD (post-traumatic stress disorder) and mild TBI (traumatic brain injury).

    This program gave me hope that these epidemics are finally coming out of the shadows. Reliable sources estimate that more than 300,000 Iraq veterans will be returning to us with PTSD and TBI. These injuries are as real as a missing limb or flesh wound from a bullet or IED, the consequences just as serious.

    The event included high ranking officials from state and federal veteran administrations, military personnel, combat simulations, MREs (meals ready to eat), full armor field gear, Humvees and medical and psychological professionals, who were there to help guide their colleagues in incorporating these experiences and the latest research and clinical findings into their practices in the community.

    Suicide was a key topic of discussion. People suffering from PTSD have 15 times the normal rate of suicide attempts compared with the general population, and people with TBI have three to four times. These are enormous statistics, confirming what we in the peace community have been saying for a long time. Every military family, community and health care practitioner needs to register these facts.

    Depression is another big problem. Adjustment to civilian life can be very hard for soldiers returning from war, especially when a down economy severely constricts the job market. As one psychologist told us, one of his patients said he went overnight from saving lives to working in a 7-11 convenience store.

    Survivor guilt was another main theme. Some veterans come back unharmed while the person standing or sitting literally next to them was killed. They wonder why it was their friend and not them.

    What made this program and others like it so wonderful, so important, so necessary - was to see current military personnel (both ranking and enlisted), fellow veterans and health care professionals acknowledging that it is O.K. to hurt, that the psychological wounds of war are as real and significant and respected as the physical. That is a major breakthrough for our armed forces and our society.

    Imagine if we had more programs like this, in every major city in the country. How much that would help our veterans, our communities and our nation to begin to heal from the wounds of war.

  

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Bill Scheurer is Coordinator of the Peace Garden Project, and author of "us & them: bridging the chasm of faith," a small book of interfaith inquiry.

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WOW. Great article and a

WOW. Great article and a great program - it certainly needs to be replicated across the US. Did you know that there are now over 2,000 homeless Iraq / Afghanistan war vets? Something must be done to stop this. If you haven't seen it yet, check out this documentary called WHEN I CAME HOME - its all about homeless Iraq vets in NY City. www.whenicamehome.com Support our Vets!

Also see "More Female

Also see "More Female Veterans Becoming Homeless" from The Boston Globe currently on page 5 of Truthout News. We allow bankers to collect obscene bonuses but we can't take care of people who served our country with honor. I have written to all my congress people about taking care of our veterans. Please everybody do the same.

America will suffer for many

America will suffer for many decades from returning Veterans who live in pain and inflict pain on the family members and community around them. While it may help a little bit to admit that it's "okay to hurt"; the truth is every returning soldier's brain chemistry and structure is forever changed in negative ways from the trauma they inflicted on others and had inflicted on them. The V.A. will gladly dope you up to the gills with Psych Meds but that will not help your psyche and spirit to heal, it will only cause further harm. America is dysfunctional to the core, a sickness in our core values as displayed in our socio-economic systems, and until we force change on ourselves in those ways to become a "kinder, gentler, nation"; then we'll keep sending young people to die and suffer to support our racist, ethnocentric lifestyles that demand we control other people's markets and resources. America is sick!! Just look around you, the signs are everywhere!!

I'm deeply concerned about

I'm deeply concerned about this problem of returning vets. Some years ago, if memory serves me, here in California at San Quentin we executed a Vietnam vet who killed an elderly landlady in the night while he was suffering what--from all indications--was a kind of three-dimensional flashback to his combat experiences. This seemed unconscionable to me; and I fear we may act as ignorantly this time around. I wonder, too, about the consequences of our use of depleted uranium in Iraq. Marion Fulk, a bio-chemist formerly employed at Lawrence Livermore Lab, has spoken passionately about the dangers of depleted uranium as a catalyst for facilitating cellular transformations in the body of an unpredictable and damaging sort. He speculates that the common report heard from some ex-combat troops (regularly now diagnosed as suffering from PTSD): "I just don't feel right all over," may be an effort on the part of an ex-soldier to articulate these transformations. Whether it's that, or simply terrible psychic burdens and physical wounds, it seems already clear that we are going to have among us many returning veterans who are going to test our sense of responsibility and our compassion.

The GI Bill Benefits and the

The GI Bill Benefits and the Yellow Ribbon Program were good starting points for those who were not too severely traumatized by the war, but I agree that more substantial mental and physical assistance should be given to our Vets who desperately need it.

Don't let anyone fool you.

Don't let anyone fool you. Any of this can be cut out at any time. My son is in Iraq now on a second tour. He had no choice in that assignment even though his original enlistment was up. He was supposed to get a re-enlistment bonus but found out right before he shipped out that neither he nor anyone else was going to receive those bonuses. As far as medical goes, it seems adequate but I rememer other wars where the VA was content to prescribe a pill and send the veteran home. It took more than 40 years before they would acknowledge that radiation from the A-Bomb tests on Bikini Island and in the Southwest caused degenerative bone and blood diseases and cancers. It took 30 years before they would treat casualties of Agent Orange as legitimate war time victims. I've known personally 6 men who killed themselves (5 with a handgun and one with a shotgun to the chest) after Vietnam and another who came home and murdered his wife after he tied her to a chair with lamp cord and beat her with his belt for 3 days. He had been in and out of the VA and they gave him pain pills and never addressed the severe psychiatric problems. The brass talks a good game in theory, but I'm afraid my son, like others from other wars, will be sidelined to fend for themselves. The powers that be would rather spend the money on implements of more horrendous ways to kill than take care of past collateral damage.

American Contractors in Iraq

American Contractors in Iraq has been working diligently to bring these "Invisible Wounds" of the war out of the shadows as well. Civilian contractors from the war zones often are not screened going into or out of the theatre. When the symptoms are finally recognized by themselves or family member a contractor must first litigate (we're talking for years) with AIG or CNA and provide them with medical evidence that they have PTSD or TBI before they MIGHT receive help. Approximately half of PTSD claims that go in front of the Department of Labor Administrative Law Judges are denied based on lies and bias against PTSD itself. See the X Files at ACII. CNA even refused TBI testing for my husband who was blown up by an HE bomblet and spent three weeks at Walter Reed because he doesn't have medical evidence of TBI. Walter Reed Army Medical Center admitted to intentionally not screening for TBI in order to prevent another "Gulf War Syndrome" scenario. Whether you like the contractor, the majority of which are veterans, or not, you have already paid lavishly for their Defense Base Act insurance and should not allow AIG and CNA to profit while PTSD and TBI go undiagnosed and untreated in contractors. The burden to our society will come forth in the form of suicides, broken families, destitute children, domestic violence, and other crimes. Thanks Truthout and Bill Scheurer for this enlightening article.

Certainly concerned about

Certainly concerned about the vets and all the people as to health care and more. "Don't ask. Don't tell." applied to medical care is not limited to the veterans administration hospitals. It is di rigrur for how the private health care system works in this country. It is called market driven consumer choice. Health care providers no longer ask probing questions nor attend to conditions that consumers don't actively complain about. Diagnosis of many serious ailments is delayed or never happens. There is some writing on the topic but one has to look. There was a fairly good article in JAMA about 3 months ago.

As a baby boomer (I was born

As a baby boomer (I was born less than a year after my father returned from service during the Korean conflict), I well remember what it was like when the Viet Nam veterans began coming home in boxes, then alive but blown apart, & finally, seemingly whole, but psychologically splintered into thousands of psychic pieces. As a college student, & after, in the 70's, I remember how often I would hear, from a woman who was looking for a mate, or even just someone to date, the following, almost always verbatim: "All the good ones are either already taken, gay, or so messed up from Viet Nam that they change from one minute to the next." I was hoping we had learned that lesson because the vets returning from Viet Nam were so poorly treated, mostly because no one wanted that war so the vets got the back end of everyone's hatred. But, it looks like the vets returning from Iraq, Afghanistan, & now Pakistan, & who knows when Iran, are suffering just as badly, but from different "in theatre" types of wounds, as was with Viet Nam. PTSD is still the same, no matter what. TBI wasn't even defined in Viet Nam, but there sure were plenty of cases of it. When will we learn, as a nation, that our returning vets are some of our most sacred possessions as a nation. If they aren't acting right, it isn't them we need to blame. We need to do more to HELP them find themselves again, if at all possible. I hate the thought of a veteran committing crimes in the midst of combat-flashbacks, then being treated like just another criminal, & not taking into account what he has been through. -sigh- Sorry to go on & on . . . this has bothered me for a very long time, ever since losing a good friend to a suicide overdose after Nam. The man was a marine who served with distinction, then came home addicted to Darvon & Budweiser, having seizures so often he often lost entire weeks of his memory. Please, keep finding ways to help the vets!

When will we, the people,

When will we, the people, refuse to permit the next war some politician or oil tycoon wants to start in the hopes it will increase his political power or his industry's bottom line? We are deeply engaged in two wars now that began with lies. They and the previous many "small" wars were not really in "our national interest". Patriotism does not mean bombing some other country. Our returning vets are part of the price we all pay for these stupid military "solutions" to complicated diplomatic problems.

Belleruth Naperstek and

Belleruth Naperstek and others are having success with therapies that work with the parts of the brain where the trauma loops occur. Traumatic memories are not lodged in the mathematics parts of the brain and do not respond well to therapies that seek to work there. Attempting to cover anxiety with drugs that interfere with memory and cognition is seldom if ever effective, though it is a widespread practice. The side effects can be devastating, and abrupt withdrawal for any reason can lead to life-threatening seizures. A TBI kept one of my sons from being recruited, and I have suffered one myself and worked with others affected. Finding the right help is tricky, but it can be done. Many places now have abandoned real estate. Establishing skill-share, stuff-share, and community-improvement centers would seem a thing that some places could do. Defining these issues as purely medical isn't looking at the whole picture. Some who struggle may resist that kind of a definition. For some people, finding good work and community is more necessary than food. Self-care may not happen until an appropriate environment is found, preferably of peers. Too much and too little responsibility are not right. A thin line of balance and support of colleagues will be needed. Unstuck is a book by a psychiatrist who has roamed the world looking to help people affected by trauma. This book also recommends trying everything else before considering medications. Many docs now counsel medications only as temporary, though these docs may be hard to find.

The Senate Armed Services

The Senate Armed Services Committee just put $1.75 billion dollars into the Defense Appropriation Bill to buy 7 additional F-22s. The pentagon, President Obama, Defense Secretary Gates, and senior military officials say they do NOT want these expensive toys. Couldn't this money be used instead to pay for the cost of war borne by returning, damaged, wounded, vets (and their families)? Contact your Senator right away as they expect the full Senate to vote on this early next week. Tell them to shift the money from the pork barrel to somewhere it can really help our hurting vets.

I am so glad that programs

I am so glad that programs are beginning to address the terrible condition of combat veterans. There are medical aspects...social aspects...and spiritual aspects. The following is not meant to be judgmental and some will find the religious overtones appalling...but God should be brought out of the closet, for God heals when brought into the equation with truth. The consequence of hating one's enemy is war. The consequence of war and hatred is PTSD and TBI's, wounds at every level, and abuse of all kinds. The consequence of not listening to the Messiah's teachings is suffering mixed with profound sadness and gut-wrenching guilt. (The teachings are really about shema...loving God before nation or family or tribe or tribal prejudice). How hard of heart and stiff-necked we all are. Jesus gave His life over...never lifting a hand against his enemies.. and proved that it is Love (God) that is resurrected and is eternal, but hatred is not. It is never too late to repent, to find the love and forgiveness of God as close as air; to live...move...and have being with Him in a new birth...a new way of thinking and living. The testimony of those who formerly engaged in war and persecution is powerful...see the letters of Paul, formerly Saul...who breathed fire and force against his enemies, whose worldly sense of righteousness was completely blindsided by the Messiah's voice...calling...."Saul, Saul..why do you persecute Me." Listen... the Voice is always calling. It is never too late to find God..and God is the only Way to survive the consequences of evil...our own and our enemies. Listen to His Son...the Messiah. His teachings hold the key to life and healing for soul sickness. They shine a light into the darkness, and growth begins anew.