Combat Medic Quotes

She hated that she cried when she was angry. It was another weakness, another reason why she wasn't cut out to be a combat medic, another reason she was suspended.

You my door gunner?” Dempsey said. “Door gunner, aircrew, combat medic, and ass kicker, sir.” “PJ?

The murder rate is being held down by medical technology,

Tatiana fretted over him before he left as if he were a five-year-old on his first day of school. Shura, don't forget to wear your helmet wherever you go, even if it's just down the trail to the river. Don't forget to bring extra magazines. Look at this combat vest. You can fit more than five hundred rounds. It's unbelievable. Load yourself up with ammo. Bring a few extra cartridges. You don't want to run out. Don't forget to clean your M-16 every day. You don't want your rifle to jam." Tatia, this is the third generation of the M-16. It doesn't jam anymore. The gunpowder doesn't burn as much. The rifle is self-cleaning." When you attach the rocket bandolier, don't tighten it too close to your belt, the friction from bending will chafe you, and then irritation follows, and then infection... ...Bring at least two warning flares for the helicopters. Maybe a smoke bomb, too?" Gee, I hadn't thought of that." Bring your Colt - that's your lucky weapon - bring it, as well as the standard -issue Ruger. Oh, and I have personally organized your medical supplies: lots of bandages, four complete emergency kits, two QuickClots - no I decided three. They're light. I got Helena at PMH to write a prescription for morphine, for penicillin, for -" Alexander put his hand over her mouth. "Tania," he said, "do you want to just go yourself?" When he took the hand away, she said, "Yes." He kissed her. She said, "Spam. Three cans. And keep your canteen always filled with water, in case you can't get to the plasma. It'll help." Yes, Tania" And this cross, right around your neck. Do you remember the prayer of the heart?" Lord Jesus Christ, Son of God, have mercy on me, a sinner." Good. And the wedding band. Right around your finger. Do you remember the wedding prayer?" Gloria in Excelsis, please just a little more." Very good. Never take off the steel helmet, ever. Promise?" You said that already. But yes, Tania." Do you remember what the most important thing is?" To always wear a condom." She smacked his chest. To stop the bleeding," he said, hugging her. Yes. To stop the bleeding. Everything else they can fix." Yes, Tania.

Now, we shall be able to judge the extent of the spiritual undernourishment if we look at all these movements from another angle: not as errors but rather as attempts to find healing. I use this comparison: For a long time medical men combated fever as if it itself constituted the illness. Medicine today inclines rather to respect it, not only as a symptom of the disease but of the struggle of the organism against the disease. True, it is this struggle which makes it ill, and yet this very struggle is also the proof of its vitality and is the necessary way to healing.

I thought we stopped using grunts as guinea pigs decades ago. Even the Nazis didn't run medical experiments on their own troops in combat. This book explodes like a grenade in the Pentagon's privy. Red it and weep; better yet, get mad." Col. David H. Hackworth (U.S. Army, ret.)

Billy tries to imagine the vast systems that support these athletes. They are among the best-cared for creatures in the history of the planet, beneficiaries of the best nutrition, the latest technologies, the finest medical care, they live at the very pinnacle of American innovation and abundance, which inspires an extraordinary thought - send them to fight the war! Send them just as they are this moment, well rested, suited up, psyched for brutal combat, send the entire NFL! Attack with all our bears and raiders, our ferocious redskins, our jets, eagles, falcons, chiefs, patriots, cowboys - how could a bunch of skinny hajjis in man-skits and sandals stand a chance against these all-Americans? Resistance is futile, oh Arab foes. Surrender now and save yourself a world of hurt, for our mighty football players cannot be stopped, they are so huge, so strong, so fearsomely ripped that mere bombs and bullets bounce off their bones of steel. Submit, lest our awesome NFL show you straight to the flaming gates of hell!

Today, more than 23 million veterans walk among us. Nearly 3 million receive disability compensation, and many more owe their lives to an anonymous corpsman or medic. Millions of Americans and their families are profoundly grateful.

In war it is not just the weak soldiers, or the sensitive ones, or the highly imaginative or cowardly ones, who will break down. Inevitably, all will break down if in combat long enough […] As medical observers have reported, “There is no such thing as ‘getting used to combat’ … Each moment of combat imposes a strain so great that men will break down in direct relation to the intensity and duration of their experience.” Thus – and this is unequivocal: ‘Psychiatric casualties are as inevitable as gunshot and shrapnel wounds in warfare.

While the Lord has blessed us with medical advancements to combat death, their efficacy depends on his mercy. He does not need our help, nor does he call us to pursue futile interventions to give him time.

This is the story of one deployment of one medical officer—a mother and the wife of a Marine—who also happened to be a Navy psychologist. She was deployed to Iraq to care for the Marines and the medical personnel.

Studies also show that doctors may view ME/CFS patients as hostile or combative when they challenge the incumbent biopsychosocial model of ME or CFS. Yet rather than feeling threatened or worse still, viewing the patient as uncooperative, there is an opportunity to discuss the limitations of medical knowledge. Here, we believe there is an ethical duty for candour and honesty: indeed, where there are clear gaps in medical knowledge the patient voice should have even more standing.

SEALs are warriors in every sense of the word: men who actually go into combat on missions that bring them eye to eye with their enemy, up close and personal. Even their methods of insertion are extremely dangerous; parachute jumps, submarine launches, and ocean swims in treacherous seas are very serious business. I guess that's why I find it hard to accept how our society tosses around the word "warrior" when describing an athlete, businessman, or even a politician. To me the term "warrior" is a sacred one characterizing a lifestyle of personal sacrifice. A warrior's training is continuous in order to maintain a constant state of readiness, often taking him away from the ones he loves and those he's sworn to protect. A warrior does this not for reward but for a chance to join his brothers on a high-risk mission. It doesn't sound like any civilian occupation I know of.

1) Levophed—a common blood pressure medication. Used to be called “leave ’em dead” because people used it for the sickest of the sick in sepsis and those patients still frequently died, but it has now come back into favor. We were maxed. 2) Vasopressin—another BP med. Not titratable. Left on normal dose. 3) Phenylephrine, aka Neo, from its brand name, Neosynephrine—another BP med—maxed. Pharmacy was mixing higher concentrations of this for us, so that we could give it in less fluid volume for the patient’s sake. 4) Sodium Bicarb—also high-concentrated dose for fluid reasons—given to attempt to combat patient’s acidosis. 5) Fentanyl—pain control—not maxed. 6) Versed—an amnesiac—hopefully makes you “less aware” of WTF is happening to you. Also not maxed, because they were also on…. 7) Nimbex—a paralytic we give to patients to make them “ride the vent” so that they don’t fight it and can save energy, as the vent does the work of breathing for them. 8) Heparin—blood thinner, to reduce the clotting that covid can cause. 9) Amiodarone—heart med, stops arrhythmias. 10) Insulin—which requires hourly insulin checks to titrate effectively. Unfortunately, many covid patients are also on steroids, which means their blood sugars fluctuate all over the place.

months. Sometimes it becomes so severe that it gets a medical name: hyperemesis gravidarum. In such cases, it may require hospitalization. The most common theory for why women suffer morning sickness is that it encourages them to eat cautiously during the early stages of pregnancy, though that fails to explain why morning sickness then usually stops after a few weeks, when women should still probably be conservative in their food choices, or why women who eat a safe and bland diet get sick anyway. A big part of the reason that there are no cures for morning sickness is that the tragic experience in the 1960s of thalidomide, which was designed to combat morning sickness, left pharmaceutical companies permanently reluctant to try to make drugs of any type for pregnant women.

Army studies indicate that if a wounded soldier arrives alive at a combat support hospital where surgeons and nurses can treat him, the chances of his surviving are extremely high—greater than 90 percent. “Surviving,” of course, doesn’t necessarily entail keeping arms or legs or retaining the ability to function independently back home. The leading cause of preventable death on the battlefield is bleeding. Having a leg blown off by an IED, for instance, can be fatal if quick steps are not taken to control the blood loss. Even deadlier is internal bleeding, a problem for which medics generally don’t have a good answer. A soldier who is bleeding internally needs to be evacuated and delivered to a surgeon immediately if he is to have any hope of survival. The second-leading cause of preventable death is something called tension pneumothorax. If a bullet punctures a soldier’s lung, air can leak from that hole into the “pleural space,” or cavity outside the lungs. That air can build up and eventually interfere with the functioning of the heart. This can be a relatively simple problem to correct: a medic can simply stick a big needle in the soldier’s chest to relieve the pressure in the pleural space.

With one final flip the quarter flew high into the air and came down on the mattress with a light bounce. It jumped several inches off the bed, high enough for the instructor to catch it in his hand. Swinging around to face me, the instructor looked me in the eye and nodded. He never said a word. Making my bed correctly was not going to be an opportunity for praise. It was expected of me. It was my first task of the day, and doing it right was important. It demonstrated my discipline. It showed my attention to detail, and at the end of the day it would be a reminder that I had done something well, something to be proud of, no matter how small the task. Throughout my life in the Navy, making my bed was the one constant that I could count on every day. As a young SEAL ensign aboard the USS Grayback, a special operation submarine, I was berthed in sick bay, where the beds were stacked four high. The salty old doctor who ran sick bay insisted that I make my rack every morning. He often remarked that if the beds were not made and the room was not clean, how could the sailors expect the best medical care? As I later found out, this sentiment of cleanliness and order applied to every aspect of military life. Thirty years later, the Twin Towers came down in New York City. The Pentagon was struck, and brave Americans died in an airplane over Pennsylvania. At the time of the attacks, I was recuperating in my home from a serious parachute accident. A hospital bed had been wheeled into my government quarters, and I spent most of the day lying on my back, trying to recover. I wanted out of that bed more than anything else. Like every SEAL I longed to be with my fellow warriors in the fight. When I was finally well enough to lift myself unaided from the bed, the first thing I did was pull the sheets up tight, adjust the pillow, and make sure the hospital bed looked presentable to all those who entered my home. It was my way of showing that I had conquered the injury and was moving forward with my life. Within four weeks of 9/11, I was transferred to the White House, where I spent the next two years in the newly formed Office of Combatting Terrorism. By October 2003, I was in Iraq at our makeshift headquarters on the Baghdad airfield. For the first few months we slept on Army cots. Nevertheless, I would wake every morning, roll up my sleeping bag, place the pillow at the head of the cot, and get ready for the day.

There are two months left to the deployment and the men devise all kinds of ways to quantify that: number of patrols, number of KOP rotations, number of mefloquine Mondays. It’s starting to dawn on them that they’ll probably never walk to the top of Honcho Hill again or get dropped onto the Abas Ghar. When they’re down at the KOP they use the communal laptops to try to arrange girlfriends for themselves when they get back. The men who already have girlfriends arrange to have them stock up on beer, steak, whatever they’ve been craving for the past year. The men will fly into Aviano Air Base, take a two-hour bus ride to Vicenza, turn in their weapons, and then form up on a parade ground called Hoekstra Field. As soon as they’re discharged they can do whatever they want. The drinking starts immediately and continues until unconsciousness and then resumes whenever and wherever the men wake up. They find themselves at train stations and on sidewalks and in police stations and occasionally at the medical facilities. In past years one drunken paratrooper was struck by a train and killed and another died of an overdose. They’d made it through the dangers of combat and died within sight of their barracks in Vicenza. “Y’all will only be remembered for the last thing you ever did,” Caldwell warned them one warm spring night.

The psychological impact of trauma in both the military and civilian arenas has been documented for well over 100 years [1], but the validity of the traumatic neuroses and their key symptoms have been continuously questioned. This is particularly true for posttraumatic amnesia and therapeutically recovered traumatic memories. Freud’s [2] abandonment of his seduction theory was followed by decades of denial of sexual trauma in the psychoanalytic and broader sociocultural realms [3]. Concomitant negation of posttraumatic symptomatology was noted in regard to the war neuroses, emanating equally from military, medical and social spheres [4]. Thus, Karon and Widener [5] drew attention to professional abandonment of the literature on posttraumatic amnesia in World War II combatants. They considered this to be due to a collective forgetting, comparable to the repression of soldiers, but instead occurring on account of social prejudices. He further noted that the validity of memories was never challenged at the time since there was ample corroborating evidence. Recent research confirms the findings of earlier investigators such as Janet [6], validating posttraumatic amnesia of both civilian and military origin. Van der Hart and Nijenhuis [7] cited clinical studies reporting total amnesia for combat trauma, experiences in Nazi concentration camps, torture and robbery. There is also increasing evidence for the existence of amnesia for child sexual abuse. Thus, Scheflen and Brown [8] concluded from their analysis of 25 empirical studies that such amnesia is a robust finding. Since then, new studies, for example those of Elliott [9], have appeared supporting their conclusion. This paper examines posttraumatic amnesia in World War I (WWI) combatants. The findings are offered as an historical cross-validation of posttraumatic amnesia in all populations, including those subjected to childhood sexual abuse.

But perhaps the best and most memorable way to explain the conflict that arose between honoring traditional honor, and honoring one’s individual psyche, can be conveyed in a story from World War II. In 1943, coming off his dazzling victories in the Sicily campaign, George S. Patton stopped by a medical tent to visit with the wounded. He enjoyed these visits, and so did the soldiers and staff. He would hand out Purple Hearts, pump the men full of encouragement, and offer rousing speeches to the nurses, interns, and their patients that were so touching in nature they sometimes brought tears to many of the eyes in the room. On this particular occasion, as Patton entered the tent all the men jumped to attention except for one, Private Charles H. Kuhl, who sat slouched on a stool. Kuhl, who showed no outward injuries, was asked by Patton how he was wounded, to which the private replied, “I guess I just can’t take it.” Patton did not believe “battle fatigue” or “shell-shock” was a real condition nor an excuse to be given medical treatment, and had recently been told by one of the commanders of Kuhl’s division that, “The front lines seem to be thinning out. There seems to be a very large number of ‘malingerers’ at the hospitals, feigning illness in order to avoid combat duty.” He became livid. Patton slapped Kuhl across the face with his gloves, grabbed him by his collar, and led him outside the tent. Kicking him in the backside, Patton demanded that this “gutless bastard” not be admitted and instead be sent back to the front to fight. A week later, Patton slapped another soldier at a hospital, who, in tears, told the general he was there because of “his nerves,” and that he simply couldn’t “stand the shelling anymore.” Enraged, Patton brandished his white-handled, single-action Colt revolver and bellowed: Your nerves, Hell, you are just a goddamned coward, you yellow son of a bitch. Shut up that goddamned crying. I won’t have these brave men here who have been shot seeing a yellow bastard sitting here crying…You’re a disgrace to the Army and you’re going back to the front lines and you may get shot and killed, but you’re going to fight. If you don’t I’ll stand you up against a wall and have a firing squad kill you on purpose. In fact I ought to shoot you myself, you God-damned whimpering coward.

PATTERNS OF THE “SHY” What else is common among people who identify themselves as “shy?” Below are the results of a survey that was administered to 150 of my program’s participants. The results of this informal survey reveal certain facts and attitudes common among the socially anxious. Let me point out that these are the subjective answers of the clients themselves—not the professional opinions of the therapists. The average length of time in the program for all who responded was eight months. The average age was twenty-eight. (Some of the answers are based on a scale of 1 to 5, 1 being the lowest.) -Most clients considered shyness to be a serious problem at some point in their lives. Almost everyone rated the seriousness of their problem at level 5, which makes sense, considering that all who responded were seeking help for their problem. -60 percent of the respondents said that “shyness” first became enough of a problem that it held them back from things they wanted during adolescence; 35 percent reported the problem began in childhood; and 5 percent said not until adulthood. This answer reveals when clients were first aware of social anxiety as an inhibiting force. -The respondents perceived the average degree of “sociability” of their parents was a 2.7, which translates to “fair”; 60 percent of the respondents reported that no other member of the family had a problem with “shyness”; and 40 percent said there was at least one other family member who had a problem with “shyness.” -50 percent were aware of rejection by their peers during childhood. -66 percent had physical symptoms of discomfort during social interaction that they believed were related to social anxiety. -55 percent reported that they had experienced panic attacks. -85 percent do not use any medication for anxiety; 15 percent do. -90 percent said they avoid opportunities to meet new people; 75 percent acknowledged that they often stay home because of social fears, rather than going out. -80 percent identified feelings of depression that they connected to social fears. -70 percent said they had difficulty with social skills. -75 percent felt that before they started the program it was impossible to control their social fears; 80 percent said they now believed it was possible to control their fears. -50 percent said they believed they might have a learning disability. -70 percent felt that they were “too dependent on their parents”; 75 percent felt their parents were overprotective; 50 percent reported that they would not have sought professional help if not for their parents’ urging. -10 percent of respondents were the only child in their families; 40 percent had one sibling; 30 percent had two siblings; 10 percent had three; and 10 percent had four or more. Experts can play many games with statistics. Of importance here are the general attitudes and patterns of a population of socially anxious individuals who were in a therapy program designed to combat their problem. Of primary significance is the high percentage of people who first thought that “shyness” was uncontrollable, but then later changed their minds, once they realized that anxiety is a habit that can be broken—without medication. Also significant is that 50 percent of the participants recognized that their parents were the catalyst for their seeking help. Consider these statistics and think about where you fit into them. Do you identify with this profile? Look back on it in the coming months and examine the ways in which your sociability changes. Give yourself credit for successful breakthroughs, and keep in mind that you are not alone!

Doctors at War was a joint project of NBC, the American Medical Association, and the Armed Forces. Its purpose was to give the public an idea of what the nation’s physicians were contributing to the war effort. Topics covered included combat training programs, dealing with plasma under desert wartime conditions, the mortality rate for the wounded, and the work of Navy doctors and Army nurses.

Drugs do not always have the function of freeing people from dependency and maternal constraints. Sometimes legal drugs (alcohol, nicotine, prescribed medications) are used in an attempt to fill the void left by the mother. The child was not given the nourishment needed from her and has found no substitute for this in later life. Without drugs, this gap can literally express itself as a feeling of physical hunger, gnawing away at the stomach, which contracts in response. Probably the foundations for addiction are laid at the very beginning of life, as is the case with bulimia and other eating disorders. The body makes it clear that in the past it urgently needed something, something withheld from it when it was a tiny baby. But this message is misunderstood as long as the emotions are ignored. Accordingly, the distress of the small child is erroneously registered as present distress, and all attempts to combat that distress in the present are doomed to failure. As adults we have different needs, and we can satisfy them only if they are no longer coupled with the old needs in our unconscious minds.

le vocabulaire présent certaines obligations bloque ma perception une autre dimension une vision sans altération sans mur d'illusion bloquant ma perception oublier les présentations aucune prescription ni medication en phase création j'y mais toutes mes émotions aucune intention de vous parler de mes erreurs passer je représente le vocabulaire présent soyez indulgent ne regarder pas devant ne regarder pas derrière regarder sur place ne soyer pas vorace fait vous une place as la chaleur de votre sueur apprenez de vos erreurs de votre malheur et oblitérer votre peur soyer indulgent guarder ce qui est amené à se dissiper est impossible si tu ne veux pas couler tu dois apprendre à nager et prenez de la force car se monde et devenu bien trop féroce je n'ai aucunement l'intention d'être pour toi une recréation attention a toute division de la concentration comme une vision d'illusion l'exclusion de toutes perceptions des émotions sans aucune compréhension des bonnes et des mauvaises intentions mode concentration, attention à la reverberation, de mauvaise réaction, un pion tu veux de l'action, retourne faire ta preparation sans aucune interaction aucun besoin d'explication pas besoin de présentations aucune prescription ni medication en phase création j'y mais toutes mes émotions toutes ces voix un endroit empreint au désarroi au milieu de toutes ces voix les combats sont sans foi, ni loi au milieu de toutes ces voix aucun cote pour s'échapper se coucher et auctanperer tu peux oublier mon esprit et là pour cree prisonnier jamais je suis là pour te montrer avec les penser des moments passer et le vocabulaire de l'instant présent pour un futur décent absent non écrivant insistant sur des jours bien plus clement pour mon présent et l'esprit rempli d'écrit il n'est pas abruti par de la technologie Élaborer de ma penser souvent plein de mots entreposer pas le temps de me reposer je ne vais pas abandonner où me dérober aucune prescription ni medication en phase création j'y mais toutes mes émotions enfermer entre deux dimensions aucun besoin de présentation ou de te parler de mes intentions des erreurs sont passé et maintenant je représente le vocabulaire présent.

I could tell immediately that he was a typical Army Rear Echelon puke unfit-for-duty-asshole junior officer with delusions of grandeur.

You're not going to get patients to take medications unless they trust you. Everyone may have the best of intentions, but if you drag someone to a place, then hand them a bunch of pills, they may get agitated and combative and end up being injected. And then the damage is done.

through any structure without detection by his prey. He was a flawless assassin. It was just before five local time when Steven settled into the plush leather seating of the first-class compartment. The Deutsche Bahn Intercity Express, or ICE, was a high-speed train connecting major cities across Germany with other major European destinations. The trip to Frankfurt would take about four hours, giving him time to spend some rare personal time with his team. Slash was the first to find him. The men shook hands and sat down. Typically, these two longtime friends would chest bump in a hearty bro-mance sort of way, but it would be out of place for Europe. “Hey, buddy,” said Steven. “Switzerland is our new home away from home.” “It appears so, although the terrain isn’t that different from our place in Tennessee,” said Slash. “I see lots of fishin’ and huntin’ opportunities out there.” Slash grew up on his parents’ farm atop the Cumberland Plateau of Tennessee about halfway between Nashville and Knoxville. His parents were retired and spent their days farming while raising ducks, rabbits and some livestock. While other kids spent their free time on PlayStation, Slash grew up in the woods, learning survival skills. During his time with the SEAL Teams, he earned a reputation as an expert in close-quarters combat, especially using a variety of knives—hence the nickname Slash. “Beats the heck out of the desert, doesn’t it?” asked Steven. After his service ended, Slash tried a few different security outfits like Blackwater, protecting the Saudi royal family or standing guard outside some safe house in Oman. “I’m not saying the desert won’t call us back someday, but I’ll take the Swiss cheese and German chocolate over shawarma and falafel every friggin’ day!” “Hell yeah,” said Slash. “When are you comin’ down for some ham and beans, along with some butter-soaked cornbread? My folks really wanna meet you.” “I need to, buddy,” replied Steven. “This summer will be nuts for me. Hey, when does deer hunting season open?” “Late September for crossbow and around Thanksgiving otherwise,” replied Slash. Before the guys could set a date, their partners Paul Hittle and Raymond Bower approached their seats. Hittle, code name Bugs, was a former medic with Army Special Forces who left the Green Berets for a well-paying job with DynCorp. DynCorp was a private

Once Charles Young became America’s first black general, there would be no way to avoid assigning him to command white officers. For this reason, Secretary Newton decided that the lieutenant colonel would not see combat in the Great War. Instead, the army declared Young medically unfit for active duty and forcibly retired him.

researchers like Dr. Eva Sapi have shown Lyme is like some other spirochetes—it has biofilms. These are very tough biofilms to defeat unless caught in the “acute stage.” A tough, “mature biofilm” allows organisms to “laugh at” many antibiotics. Some medical professionals interested in Lyme often ignore the immune suppressing Bartonella bacterium, which is more common than Lyme. Ignoring coinfections may increase the risk of fatality with Babesia and possibly FL1953. These healers also may not realize that the highly genetically complex Lyme spirochete appears to have a troublesome biofilm. Performing a simple direct test at laboratory companies whose testing kits have reduced sensitivity will probably result in more negatives for tick-borne diseases. The ultimate result is anti-science and anti-truth. Searching for tick infections with one test is like writing in “Lincoln” at the next presidential election.

But when the American south started to go down, as the unsecured southern border with Mexico became a raging and unmanageable vector for the virus… and as the military bases became beleaguered outposts in a rising sea of the dead… and then when well-meaning combat medics poked a hole in the dike by bringing infected men inside…

No need for psychiatric contortions; no shock waves; no need to conjure up deep-seated anxieties and conflicts. It is combat exhaustion—instead of something ominous and mysterious. It is, quite simply, just having had too much. Of course, in more technical terms, combat exhaustion can be thought of as an abnormal reaction to the stress of combat, its manifestation being unique to the person who develops it, channeled into a specific form by the person’s own individual personality and background experience. But it is only one of many abnormal reactions. A soldier who has had too much might choose to surrender or convulsively go forward. He might panic and get killed; he could get himself wounded or wound himself; he might even go to the chaplain or decide on the relative safety of a stockade. He might—if he’s so disposed—develop psychosomatic complaints, get angry, or, in some cases, become totally unreasonable. He can become neurotic, begin to shake, refuse to move, or go completely hysterical. He might even become grossly psychotic—hold imaginary rifles, hear voices, or see his grandmother in every chopper that flies by. “You will be treating these men, and the treatment is simple. For most it will just be rest. In more severe cases, those soldiers whose functioning is beginning to be impaired, who can’t rest, you will medically put to sleep. They are given enough thorazine to put them out and left alone for a day or two. They too, though, like the troopers who are merely resting, stay near the aid station. The more disturbed patients, those troopers who for the moment may be truly disoriented, who have completely stopped functioning, who for any number of reasons appear to need more than a short rest, are sent to an evacuation hospital. But they are never lost to their units. Their group identity is never tampered with, and they know they will be going back. And they do go back. And they are accepted by their units. Believe me, the casual, yet efficient way it is all handled, the official emphasis on health rather than disease, and the lack of mumbo-jumbo have taken the stigma out of having had too much. To the men, it is just something that happens; and more important, it is something they realize can happen to anyone. It is handled that way and it is presented that way. “Gentlemen, it works.

In Nam the psychiatric patients go back to duty. One hundred percent of the combat exhaustion, 90 percent of the character-behavior disorders, 98 percent of the alcoholic and drug problems, 56 percent of the psychosis, 85 percent of the psychoneurosis, 90 percent of the acute situation reaction—they all go back with an operation diagnosis on their record of acute situation reaction. No ominous-sounding names to disturb the patients or their units. It works. The men are not lost to the fight, and the terrifying stupidity of war is not allowed to go on crippling forever. At least, that’s the official belief. But there is no medical or psychiatric follow-up on the boys after they’ve returned to duty. No one knows if they are the ones who die in the very next fire fight, who miss the wire stretched out across the tract, or gun down unarmed civilians. Apparently, the Army doesn’t seem to want to find out.

God doesn't give us tests that we can't pass, and he must have figured I could handle whatever was going to happen.

Guidelines for ROE 1. When on post, mobile, or foot patrol, keep loaded magazine in weapon, bolt closed, weapon on safe, no round in the chamber. 2. Do not chamber a round unless told to do so by a commissioned officer unless you must act in immediate self-defense where deadly force is authorized. 3. Keep ammo for crew-served weapons readily available but not loaded. Weapon is on safe. 4. Call local forces to assist in self-defense effort. Notify headquarters. 5. Use only minimum degree of force to accomplish any mission. 6. Stop the use of force when it is no longer needed to accomplish the mission. 7. If you receive effective hostile fire, direct your fire at the source. If possible, use friendly snipers. 8. Respect civilian property; do not attack it unless absolutely necessary to protect friendly forces. 9. Protect innocent civilians from harm. 10. Respect and protect recognized medical agencies such as Red Cross, Red Crescent, etc. Col. Jim Mead’s 32nd MAU was relieved by Col. Tom Stokes’s 24th MAU on October 30, 1982. The transition was seamless, morale was high, and all hands assumed their responsibilities enthusiastically. Colonel Stokes also honored the Ministry of Defense’s request to help train the LAF. The government of Lebanon (GOL) introduced conscription, and young men from all over Lebanon answered the call to colors. The various religious groups—the Christians, Druze, Sunnis, and Shiites—were being trained and integrated into the Lebanese Army. Although the U.S. Army already had an ongoing training mission in effect, it was viewed that the Marines’ additional training would quickly improve the LAF’s combat capabilities. The results of the training courses led to their expansion, particularly among the noncommissioned officers (NCOs). The religious integration of the LAF was a major goal of its commander, Gen. Ibrahim Tannous, who wanted to produce a true national army. The Marine training was contributing to that end.

Guylaine Lanctot offers us wise words to contemplate. In The Medical Mafia she reveals how victory over a powerful adversary is achieved. Using the metaphor of the combat between David and Goliath, Lanctot states that the young hero had to do four things before securing his victory. He had to identify his enemy, overcome his fear, find a weak spot, and use a simple weapon. So must each person do in the fight against the monstrous predators who stalk our world.

Author’s Note Writing about a suicidal character is one of the most challenging things I’ve ever done, but also one of the most important. Suicide is always tragic, but it has become an epidemic among American active-duty service members and veterans alike. The statistics are staggering and heart-wrenching. In the U.S. Army, which has the highest suicide rate among the branches (48.7 percent of all military suicides in 2012), the suicide rate in 2012 was thirty per hundred thousand, compared with fourteen per hundred thousand among civilians and eighteen per hundred thousand in 2008. In 2012, 841 active-duty service members attempted or committed suicide. Among veterans, as of November 2013, twenty-two committed suicide every day. Every. Day. A frightening 30 percent of veterans say they’ve considered suicide, and 45 percent say they know an Iraq or Afghanistan veteran who has attempted or committed suicide. In a study of veterans, combat-related guilt was the most significant predictor of suicide attempts and of preoccupation with suicide after discharge. Veterans’ suicidal thoughts are also related to feelings that one does not belong with other people or has become a burden. Couple these sad realities with the fact that veterans are less likely to seek care than active-duty military or civilians, and you begin to understand why statistics like these exist. Suicide is a process that begins with ideas and thoughts, followed by planning, and finally followed by a suicidal act. If you or someone you love is experiencing these thoughts, please seek immediate medical help or call the Suicide Prevention Hotline at 1-800-273-8255 (TALK). This service works with civilians of all ages, active-duty military, and veterans. I hope Easy’s story raises awareness of the problems these brave men and women—and our country as a whole—face. But awareness is not enough. Therefore, I will be donating all of my proceeds from the first two weeks’ sales of this book (8/19/14 – 9/1/14) to a national non-profit that assists wounded veterans. Because I don’t want anyone else’s Edward “Easy” Cantrell to be one of the twenty-two, either.

In its first ten months of operation, the Eighth lost 188 heavy bombers and some 1,900 crewmen; those numbers would skyrocket over the next year and a half. By the end of the conflict, the U.S. air operations in Europe would suffer more fatalities—26,000—than the entire Marine Corps in its protracted bloody campaigns in the Pacific. “To fly in the Eighth Air Force in those days,” recalled Harrison Salisbury, “was to hold a ticket to a funeral. Your own.” The savagery of the air war was not due solely to the ferocity of German defenses. Early in the war, when the Air Force brass in Washington were touting the advantages of high-altitude flying, they failed to realize that the extreme atmospheric conditions experienced by the crews could kill as effectively as a Messerschmitt or Focke-Wulf. “There are apparently little things that one doesn’t think about prior to getting into operations,” commented Dr. Malcolm Grow, the Eighth’s chief medical officer. Little things like oxygen deprivation, which could cause unconsciousness and death in a matter of minutes, or extensive frostbite, caused by several hours of exposure to temperatures of 50 to 60 degrees below zero. Until early 1944, more airmen were hospitalized for frostbite than for combat injuries. As

In light of all this, it seems fitting that one of God’s great covenants with the Jewish people was a medical procedure that helped combat infection: circumcision (Genesis 17:9–14). In 2012, a task force on circumcision organized by the American Academy of Pediatrics published a review of the costs and benefits of male circumcision. In their estimation the primary benefits are a reduction in urinary tract infections among infants; lower transmission of some STDs, such as HIV and HPV; and fewer cases of penile cancer (often caused by HPV infections). To be sure, circumcision does not appear to reduce transmission of all kinds of STDs; the surgical procedure itself carries a small, non-negligible risk of complications; and some people have raised ethical issues with removing a sensitive part of an infant male’s penis. However, in an era when infectious disease was the number one cause of mortality and incurable STDs could easily cause sterility, male circumcision was probably a wise decision.

I’m trained in weapons, demolition, and unarmed combat. I’m a sniper, and I’m the platoon medic. But most of all, I’m an American.

pitch off his feet like a tree falling. In one year, he had four ambulance rides to the emergency room. The doctors stopped his Parkinson’s medication, thinking that might be the culprit. But that only worsened his tremors and made him yet more unsteady on his feet. Eventually, he was diagnosed with postural hypotension—a condition of old age in which the body loses its ability to maintain adequate blood pressure for brain function during changes in position like standing up from sitting. The only thing the doctors could do was to tell Shelley to be more careful with him. At night, she discovered, Lou had night terrors. He dreamt of war. He’d never been in hand-to-hand combat, but in his dreams an enemy would be attacking him with a sword, stabbing him or chopping his arm off. They were vivid and terrifying. He’d thrash and shout and hit the

The combat during the war was only a part of the horror. When soldiers came home, they were faced with new challenges, new fights to be won. When the anti-war public sentiment was strong, as it was during the Vietnam war, our brave soldiers came home to expressions of disdain and revulsion instead of the respect and honor they deserved. But perhaps the ultimate betrayal for veterans, who willingly risked their lives when their government asked, was making them fight to prove their sicknesses and disabilities were caused by the war in order to receive the free medical treatment they needed, or to be compensated. These were the worst indignities of war.

Two days after slapping Kuhl, he writes a memo to each of his commanders, ordering them not to allow men suffering from combat fatigue to receive medical care. “Such men are cowards and bring disgrace to their comrades,” he writes, “whom they heartlessly leave to endure the danger of battle while they themselves use the hospital as a means of escape. You will see that such cases are not sent to the hospital.” On

But despite the fact that this boy was clearly suicidal and required hospitalization, he was not included among the patients listed as having developed serious adverse effects in the published 2001 Paxil study. Other patients were similarly miscoded. One was a fifteen-year-old girl who had been withdrawn from the Brown study site in 1995 after becoming combative with her mother. According to internal university documents that Howard gave me, Brown researchers knew that this girl had become suicidal after taking Paxil. In a memo to the Institutional Review Board dated October 30, 1995, Martin Keller wrote that this teenager, who had been enrolled in the study in June 1995, “was hospitalized on 9/15/95 due to becoming very combative with her mother and threatening suicide.” Yet instead of coding her behavior as an adverse effect related to Paxil, Keller in his memo says she was “terminated from the study for non-compliance.” The Brown investigators may have coded her as noncompliant because she had stopped taking Paxil before having her meltdown. But they shouldn’t have, according to several clinicians familiar with the study. The Brown researchers should have included all adverse effects experienced by their patients, regardless of what may have caused the problems. As a Harvard Medical School biostatistician later told me, “You shouldn’t try to make these subjective attributions and exclude patients who don’t fit into your thesis.” As research has shown, the SSRI antidepressants can cause serious side effects, including suicidal behaviors and hostility, weeks after people stop taking them.

COL Nicholas Young Retires from the United States Army after More than Thirty -Six Years of Distinguished Service to our Nation 2 September 2020 The United States Army War College is pleased to announce the retirement of United States Army War College on September 1, 2020. COL Young’s recent officer evaluation calls him “one of the finest Colonel’s in the United States Army who should be promoted to Brigadier General. COL Young has had a long and distinguished career in the United States Army, culminating in a final assignment as a faculty member at the United States Army War College since 2015. COL Young served until his mandatory retirement date set by federal statue. His long career encompassed just shy of seven years enlisted time before serving for thirty years as a commissioned officer.He first joined the military in 1984, serving as an enlisted soldier in the New Hampshire National Guard before completing a tour of active duty in the U.S, Army Infantry as a non-commissioned officer with the 101st Airborne (Air Assault). He graduated from Officer Candidate School in 1990, was commissioned in the Infantry, and then served as a platoon leader and executive officer in the Massachusetts Army National Guard before assuming as assignment as the executive officer of HHD, 3/18th Infantry in the U.S. Army Reserves. He made a branch transfer to the Medical Service Corps in 1996. COL Young has since served as a health services officer, company executive officer, hospital medical operations officer, hospital adjutant, Commander of the 287th Medical Company (DS), Commander of the 455th Area Support Dental, Chief of Staff of the 804th Medical Brigade, Hospital Commander of the 405th Combat Support Hospital and Hospital Commander of the 399th Combat Support Hospital. He was activated to the 94th Regional Support Command in support of the New York City terrorist attacks in 2001. COL Young is currently a faculty instructor at the U.S. Army War College. He is a graduate of basic training, advanced individual infantry training, Air Assault School, the primary leadership development course, the infantry officer basic course, the medical officer basic course, the advanced medical officer course, the joint medical officer planning course, the company commander leadership course, the battalion/brigade commander leadership course, the U.S. Air War College (with academic honors), the U.S. Army War College and the U.S. Naval War College (with academic distinction).

The various branches of the US military have special operations forces. These are made up of units of soldiers who have been specially trained to tackle the most risky and dangerous military operations in the world—most of which are never heard about by the general public. Special-ops forces such as the Navy SEALs, Army Green Berets, Marine RECONs, and Air Force Special Tactics are comprised of the most elite soldiers in the world. Their training is beyond rigorous, and the qualifications to join such exclusive groups of warriors are extremely high. These elite soldiers make up a small percentage of the total military, but they are the tip of the spear when it comes to critical combat operations. These units usually operate in small numbers, drop behind enemy lines, practice tactics repetitively before executing a given operation, and train for every combat condition they might encounter. But even with an exceptional level of training and expertise, there is one critical component that is absolutely necessary for them to successfully reach their objective: communication. These elite special-ops fighters are part of a larger overarching entity with which they must stay in communication—SOCOM. This acronym stands for Special Operations Command.1 Key to their success from the elite soldier on the field all the way to the commander-in-chief is communication through SOCOM. A unit or soldier on mission in the theater of battle can have the latest weapons and technology, but they cannot access the fuller power and might of the military without the critical link—communications. If a satellite phone goes down or can’t access a signal, this life-or-death communication is broken. Without the ability to call in for air support when being overrun, medical evacuation when someone is injured, or passing on key intelligence information to SOCOM, an operation can be compromised. When communication is absent, things can go south in a hurry. In the realm of special military operations, communication is life.

Anxiety and depression also have a shared basis in a feeling of a lack of self-esteem or self-efficacy. (Feeling like you have no control over your life is a common route to both anxiety and depression.) Moreover, reams of studies show that stress—ranging from job worries to divorce to bereavement to combat trauma—is a huge contributor to rates of both anxiety disorders and depression, as well as to hypertension, diabetes, and other medical conditions.

Afghanistan is the ‘graveyard of empires’.

Without a steady flow of foods like melons, coconut water, fresh orange juice, and dates in the diet, it’s far too likely that burnout will occur of multiple body functions that are working overtime to combat the Unforgiving Four.

In one study on adults with ADHD, published in the British Journal of Psychiatry in April 2014, after only eight weeks, twice as many responded in the high-dose multinutrient group compared to the placebo group; twice as many went into remission in their depression; hyperactivity and impulsivity dropped into the normal range; and ADHD symptoms were less intrusive. Even better, at the one-year follow-up, those who stayed on micronutrients maintained their improvements or showed fewer symptoms compared to those who stopped or switched to medications and saw their symptoms get worse. They were also more likely to go into remission at follow-up on the nutrients. And these short- and long-term findings have recently been replicated in a study conducted with children with ADHD.

been designed to research the spread of the Spanish flu. Comparing that disease with YARS was a fascinating exercise, as was comparing the world it devastated to the one that existed today. The very name “Spanish flu” was just another lie foisted on the world by America. The truth was that the disease had first taken hold in Kansas City military outposts. It killed more U.S. troops during World War I than combat, spreading easily in the cramped conditions that prevailed on ships, battlegrounds, and bases. The initial reaction of the medical community had been slowed by its focus on the war, but when the scope of the threat was recognized, the country had pulled together. Surgical masks were worn in public to slow the spread of the disease. Stores were prohibited from having sales to prevent the congregation of people in confined spaces. Some cities demanded that passengers’ health be certified before they boarded trains. There was no denying that the United States and its citizens had been strong in the early twentieth century—accustomed to death and hardship, led by competent politicians, and informed by an honest press. So much had changed in the last century. The American people were now inexplicably suspicious of modern medicine and susceptible to nonsensical conspiracy theories. They were selfish and self-absorbed, willing to prioritize their own trivial desires over the lives of their countrymen. Their medical system, designed less to heal people than to generate profits, would quickly collapse as it was flooded by desperate patients and abandoned by personnel fearful of being infected. And during all this, America’s politicians and media would use the burgeoning epidemic to augment their own power and wealth. That is, until the magnitude of the crisis became clear. Then they would flee. The sound of a truck engine pulled him from his contemplation and he turned. His people, disinfected and wearing clean clothing, climbed into the vehicle and set off into the darkness. Halabi bowed respectfully in their direction, acknowledging their sacrifice and the enormity of the journey ahead of them. After the long drive to Mogadishu, they would board a private jet that would take them to Mexico. From there they would be smuggled across the northern border.

As Hippocrates would have predicted, scores of other studies on the effects of physical activity on morbidity and mortality yield similar results.61 That doesn’t mean, however, that physical activity is a surefire Fountain of Youth, and remember it doesn’t delay mortality by preventing aging per se. Instead, physical activity triggers a suite of mechanisms that increase the chances of staying healthy with age by retarding senescence and preventing many chronic diseases that contribute over time to mortality. This logic raises three vitally important insights that help explain the Donald Trumps of the world who don’t die young in spite of being sedentary and overweight. First, and most fundamentally, the mortality and morbidity statistics I have been citing are probabilities. Eating sensibly and exercising don’t guarantee long life and good health; they just decrease the risk of getting sick. By the same token, smokers have a higher risk of getting lung cancer, and individuals who are unfit or obese are more likely to get heart disease or become diabetic, but plenty don’t. Second, advances in medical care are shifting the relationship between morbidity and mortality.62 Conditions like diabetes, heart disease, and some cancers are no longer imminent death sentences but instead can be treated or held at bay for years with drugs that maintain blood sugar levels, decrease harmful cholesterol levels, lower blood pressure, and combat mutant cells. In Donald Trump’s case, for example, his reportedly normal blood pressure and cholesterol levels likely reflect the medications he takes to lower these risk factors.63

The medical equipment, the surgeons and nurses, the fearsome saws used for cutting off limbs, the canisters of salve for blinded eyes, the leeches, the healing herbs, would all be placed at the rear of the column. No soldier going to war wanted to see such things. It was necessary for them to feel immortal, or, at least, to persuade themselves that crippling injury, agonizing wounds, and death were things that happened to other people. It was important that each individual foot soldier and cavalryman was allowed to believe that they personally would emerge from combat unscathed.

As obesity rates climbed, medical equipment companies devised new operations using new products to help combat the condition, and bariatric surgery was a boom field. Companies, hospitals, and doctors’ groups lobbied successfully to have insurers pay for it all. Being overweight was rebranded as a disease.

But when the character traits of innovation and creativity collide with established ideas, it doesn’t always work out well. A few years after Deep Blue, I was selected to a fourth star and headed to US Southern Command with a particular vision for the command that had evolved from a series of conversations I had had with then secretary of defense Don Rumsfeld and former Speaker of the House Newt Gingrich. Both felt that the old paradigm for a combatant command—a massive, cumbersome organization organized strictly to conduct combat operations—was lacking in relevance in the twenty-first century. Both believed that for both Latin America and Africa, it was highly unlikely that we would be engaged in state-on-state combat operations. So the idea was to push the two combatant commands responsible for those regions to try to adapt with a vision that included combat readiness but with a very heavy dose of “soft power” capability—humanitarian operations, medical diplomacy, rule of law, personnel exchanges, counternarcotics, strategic communications, interagency cooperation, and so forth. Given this mandate, I plunged in with enthusiasm—perhaps too much enthusiasm. I underestimated the strong desire of many within the massive command to continue on its current, traditional war-fighting trajectory. When I completely reorganized the staff, getting rid of the Napoleonic traditional military staff system, it created real confusion and resentment. While most of the team went along, cooperation was grudging and halfhearted in many cases. While I continue to believe we had outlined the right mission for the command, I pushed too hard, creating antibodies, and the project crumbled after my departure—effectively negating three years of demanding work. The lesson I took away is that innovation matters deeply, but even if you have the right answer, you must be capable of bringing along the nonbelievers.

Just one example of this is the proliferation of the U.S. Black maternal health crisis. According to the CDC, Black women in the United States are three to four times more likely to die from pregnancy-related causes than their white counterparts.21 When Black women are seen as stronger and less worthy than their white counterparts, it is no wonder that this translates into the medical field. As Harris-Perry writes in Sister Citizen, “Therapists are less likely to perceive a black woman as sad; instead they see her as angry or anxious.”22

Yet only one highly trained black combat force landed on Omaha and Utah Beaches. They would struggle to stay alive and get their balloons aloft, under withering German fire. The 320th medics would see glory, credited with saving scores of men wounded in the early hours of the invasion. One of them, a college student twice hit by shrapnel named Waverly Woodson, was recommended for the Medal of Honor, the United States’ highest decoration for valor. It was an award he would never receive, and I wanted to know why.

Brad Wenstrup, a little-known third-term Ohio lawmaker who had served as a combat medic in Afghanistan. Wenstrup tied a perfect tourniquet. It would later be credited with saving Scalise’s life. “When I got to the hospital, they said I was within a minute of death,” Scalise said.

decade after decade and war after war, American combat deaths have generally dropped while disability claims have risen. Most disability claims are for medical issues and should decline with casualty rates and combat intensity, but they don’t.

Blast at close range. Ugh! Autumn flipped and turned through the air as she was pushed away by the powerful force. “OH! I think this fight is over, folks! No one can withstand such a powerful attack at close range!” yelled Rex. The gladiator landed in the dirt and rolled for several more blocks before coming to a stop. Rex ran over to Autumn’s body and started counting down. “10… 9… 8…” Jasmine stood far away as she watched her rival’s motionless body. “7… 6… 5…” Finally, Autumn lifted her head. She looked up at Rex, who was counting loudly in her ear. “4… 3…” The gladiator got up to her hands and knees. “2… 1…” She got up to a one knee kneeling position, but it wasn’t enough. “0!” yelled Rex. “That’s it, folks! This fight is over! And what a fight it was!” “I told you it was over…” said the fierce monk. Autumn fell back and sat on the dirt. “Jasmine has won the match! Wowee! That was intense!” announced Rex. The audience cheered and clapped for the both of them. “Whoa… that match was insane,” I said to Bob. “Yeah, I know… but it’s kind of weird to watch them fight so hard just for the glory of it,” Bob said. I nodded. “They’re both really competitive, I guess.” With that said, we both continued watching as Rex ran over to Jasmine and asked, “So, how does it feel to be the winner?” “Great…” she replied simply. “And Autumn, how do you feel?” Rex asked. “Ugh… how do you think I feel?” the gladiator replied. “Okay, then!” Rex continued making announcements about the fight. Meanwhile, Jasmine looked over at Autumn and said, “Hey… good fight.” “Yeah… good fight...” Then Jasmine walked over to the sitting gladiator, and they both bumped fists. Rex returned to Jasmine, grabbed her hand and raised it up in the air. “The winner of today’s last match! Let’s give it up for Jasmine the monk!” “Autumn! Are you okay?!” yelled Arthur as everyone around him cheered and clapped. “Also, please give it up for Autumn for putting up an amazing fight!” yelled Rex. The audience cheered just as loudly as before. Bob and I clapped as we watched medical personnel rush in to take care of the two combatants. “Man, I’m not sure that was worth it,” I said. “For some, it might be,” said Bob. “Yeah, I guess there are people who love glory more than their own wellbeing.” Bob nodded. “Come on, let’s go in and check up on the two of them.” “Are we allowed in there?” “Well, we’re basically in the fighting area already.” “Yeah, we got some front row seats, huh?” I nodded, and then we went in toward the center. “How are you feeling, Autumn?” I asked as I rolled up to the medics working on the gladiator. “I’m alright… but I can’t believe I lost…” Autumn said softly. “It’s okay, it was quite a fight,” I said, trying to comfort her. “I’m sorry that I let you down, Steve…” “Huh? What? You didn’t let me down.” “By losing, I let down gladiators everywhere.” I shook my head. “Nah, don’t be too hard on yourself, Autumn.” She just looked down at the ground. “Plus, I’m sure you’ve won if you had taken that Blood Lust potion earlier, instead of saving it for later.” “You think so?” Autumn said as she looked up. “Yeah, you took quite a beating in the beginning. If you were Blood Lusted from the get-go, you could’ve avoided most of that damage,” I explained. “Ah, yeah, huh?” “Speaking of the potion, how did you get one, anyway?” “I put in a special order at Paul’s Potions Shop. It took like a month to get made.” Bob nodded. “Yeah, they’re super busy over there.” “Ah, so Cindy brewed it for you, huh?” I said. “I guess she’s the only one who would know the recipe. Anyway, you really surprised me with that Blood Lust potion.” “Heh… my secret weapon…” Autumn said. “And I thought that I wouldn’t even need it.” “Who knew monks were such fierce fighters,” Bob said.

Quote Dethroning Mammon by Justin Welby Those who, in the late 1940s and in subsequent governments, sought to ensure that every sick person would have free medical treatment (though they paid tax for it - my words), that every child would have an education (ditto on the tax), that every person in poverty would be given a sufficiency with which to combat the extremes of poverty and hunger, were enthroning Christ over mammon. … seen not merely as acceptable but as right in society.

A Last Night with My Wife I, of course, had nothing to do with those sorts of decisions; as a T-4 and then a T-3—“Technician 4” and “Technician 3,” ranks roughly equivalent to and usually called sergeant—I worried about my job and my unit, and little else. At the same time, there were plenty of rumors about which way we were heading. Mostly, they predicted that we’d ship out to Great Britain. We kept training. I wangled my way into special rifle training, qualifying as a marksman and earning a badge. Ordinarily, medics didn’t carry weapons, not even pistols; our job in combat was to help the wounded, and according to the Geneva Conventions we were not supposed to fight or be fired upon. In combat, our helmets would have large red crosses; we would have armbands with the same very visible insignia. I took the course anyway. It’s possible I was the only medic who did that, at least in the 16th. Since I’d hunted from the time I was a boy, the course wasn’t all that difficult; I imagine a lot of guys who’d grown up in farm country found it a breeze, especially when it came to firing the M1

we have more than opiates for pain, and we have more than anti-anxiety medication to combat fear and distress. We have the “who” and “what” we see before we die, which is perhaps the greatest comfort to the dying.

Just as they jettisoned provisions, so too the French commanders opted not to transport medical, sanitary, or surgical supplies into Russia. This decision was ironic given that the French surgeon-in-chief, Baron Dominique Jean Larrey, was famous for having devised measures to save lives by evacuating the wounded from the battlefield speedily and placing forward hospitals near combat zones.

American dead in Vietnam were often handled in the field by medics who were valued and socially integrated members of the dead man's unit. But very soon the dead passed into the hands of strangers, helicopter crews who had no personal connection to the surviving men of the combat unit and whose first priorities may have been other tasks, such as medical evacuation of the wounded, or resupply...Medevac often came very soon after a call for it, so from the point of view of those left behind, a dead man sometimes virtually vanished. Sometimes he was gone before his closest friend-in-arms even knew he had been hit.

I have described the total and terrifying dependence of the modern combat soldier on the competence and trustworthiness of others in the army. This all-inclusive dependence not only means relying on the army to provide ammunition, intelligence, food, water, and medical evacuation, but also relying on your own not to kill you with weapons intended for the enemy. The soldier's vulnerability is never more dramatically apparent than when artillery, bombs, or napalm intended to support troops in a fight with the enemy kill the very men they are meant to protect.

What kind of misinformation were you combating? Where do you want me to begin? Medical? Scientific? Military? Spiritual? Psychological? The psychological aspect I found the most maddening. People wanted so badly to anthropomorphize the walking blight.

Between June 1 and August 1, 200,825 British soldiers in France, out of two million, were hit hard enough that they could not report for duty even in the midst of desperate combat. Then the disease was gone. On August 10, the British command declared the epidemic over. In Britain itself on August 20, a medical journal stated that the influenza epidemic “has completely disappeared.

External repairs during interstellar transit was on the list. So were exposure to local flora and fauna, necessary medical experiments, combat against any hostiles we might encounter, and on and on for so long that I finally tuned out. The plain fact was that it didn’t matter what they were going to do to me. I didn’t have a choice if I wanted a berth. I wasn’t a pilot. I wasn’t a medico. I wasn’t a geneticist or botanist or xenobiologist. I wasn’t even a spear-carrier. I had no practical skills of any sort—but I really, really needed to get the hell off of Midgard, and I needed to do it quickly.

A cavalry scout is generally thought to function as the eyes and ears of a commander during battle. But in fact, a scout’s role extends quite a bit further. We refer to ourselves as “jacks-of-all-trades, masters of none,” and we are trained to have a working familiarity with—quite literally—every job in the army. We are experts in reconnaissance, countersurveillance, and navigation, but we’re also extremely comfortable with all aspects of radio and satellite communications. We know how to assemble and deploy three-man hunter/killer teams. We’re pretty good at blowing things up using mines and high explosives. We can function as medics, vehicle mechanics, and combat engineers. And we have a thorough understanding of every single weapons system, from a 9-mm handgun to a 120-mm howitzer.