This topic was brought up in the debates last night along with jobs. This topic needs the attention it is receiving.
By Rick Maze - Staff writer
Posted : Thursday Apr 22, 2010 14:56:43 EDT
Troubling new data show there are an average of 950 suicide attempts each month by veterans who are receiving some type of treatment from the Veterans Affairs Department.
Seven percent of the attempts are successful, and 11 percent of those who don’t succeed on the first attempt try again within nine months.
The numbers, which come at a time when VA is strengthening its suicide prevention programs, show about 18 veteran suicides a day, about five by veterans who are receiving VA care.
Access to care appears to be a key factor, officials said, noting that once a veteran is inside the VA care program, screening programs are in place to identify those with problems, and special efforts are made to track those considered at high risk, such as monitoring whether they are keeping appointments.
A key part of the new data shows the suicide rate is lower for veterans aged 18 to 29 who are using VA health care services than those who are not. That leads VA officials to believe that about 250 lives have been saved each year as a result of VA treatment.
VA’s suicide hotline has been receiving about 10,000 calls a month from current and former service members. The number is 1-800-273-8255. Service members and veterans should push 1 for veterans’ services.
Dr. Janet Kemp, VA’s national suicide prevention coordinator, credits the hotline with rescuing 7,000 veterans who were in the act of suicide — in addition to referrals, counseling and other help.
Suicide attempts by Iraq and Afghanistan veterans remains a key area of concern. In fiscal 2009, which ended Sept. 30, there were 1,621 suicide attempts by men and 247 by women who served in Iraq or Afghanistan, with 94 men and four women dying.
In general, VA officials said, women attempt suicide more often, but men are more likely to succeed in the attempt, mainly because women use less lethal and less violent means while men are more likely to use firearms.
Suicide attempts among veterans appear to follow those trends, officials said.
Friday, January 20, 2012
Thursday, January 19, 2012
Army suicide rates decline for first time in 4 years
This is a topic that always needs to be discussed and should never fall out of the spotlight. The most important thing service members and veterans need to remember is there are people who can help and by making the step to talk to someone is the bravest thing anyone can do.
Army suicide rates decline for first time in 4 years
By Gregg Zoroya, USA TODAY
Army suicide rates decline for first time in 4 years
By Gregg Zoroya, USA TODAY
Army suicide rates declined for the first time in four
years in 2011, the result of a complex effort to identify soldiers engaged in
risky or self-destructive behavior, according to the outgoing vice chief of
staff, Gen. Peter
Chiarelli.
"I think we've at least arrested this problem and hopefully
will start to push it down," Chiarelli said Thursday, citing additional numbers
showing an increase in hospitalizations for soldiers who talk of suicide. "For
all practical purposes … it has leveled off."
But he said there also remain second- and third-order
effects from a decade of war and multiple deployments, including a sharp rise in
sexual assaults and child and domestic abuse in the Army.
"We see these problems, we see where we've had successes.
And we're attacking those areas where we've got problems," Chiarelli said.
"After 10 years of war … we had problems that no one could have forecast."
Suicides among active duty soldiers and those in the National
Guard and Reserve who are not on active duty fell by 9% last year from from
305 deaths in 2010 to 278 in 2011.
It is the first good news on suicide for the Army since
those deaths began a steady increase among active-duty soldiers in 2004.
Still, the suicide rate in the Army, estimated at 24 per
100,000 last year, remains far higher than a similar demographic among
civilians, estimated at 19 per 100,000. The rate among soldiers who have served
in Iraq and Afghanistan ranges even higher, up to 38 per 100,000, the Army says.
As the increase continued, Chiarelli was appointed in 2009
to look at underlying causes and began a campaign of targeting risky behavior
across the service, demanding more accountability from commanders.
He said Thursday that the efforts have been successful.
According to a trend analysis released Thursday, the number
of soldiers kicked out of the service for misconduct increased by 57% since
2006, and the Army did away with accepting convicted felons on special
waivers.
The result was to bar from enlistment or muster out about
40,000 potential people in that time, according to the report. Overall crime is
down. The number of soldiers committing multiple felonies has dropped.
But with alcohol abuse in the Army at record levels, sexual
assault and domestic violence have increased.
The percentage of soldiers committing sex crimes has
increased 32% since 1006.
The number of domestic abusers in the Army grew by 50% from
4,827 in 2008 to 7,228 last year. During that same, the number of child-abuse
offenders is up 62% from 3,172 to 5,149, according to the report released
Thursday.
Other findings:
— Years of combat, along with more aggressive efforts to
screen for mental illness and brain injury, have had an impact. More than 15,000
concussion cases were identified in the Army in 2010, five times as many as
diagnosed in 2000. The nearly 11,000 PTSD
cases in 2010 were 15 times higher than in 2003.
— The Army estimates that the total number of
servicemembers from all branches of service afflicted with PTSD may be nearing a
half million, half of them soldiers.
— More complex wounds have led to longer periods of
rehabilitation before soldiers return to duty or leave the Army. Nearly 7,000
have been convalescing for one to two years, and nearly 1,300 for two to three
years.
You think they would have learned this earlier...
ISAF limits details of troops killed by Afghans
By Tom Vanden Brook - USA Today
Posted : Tuesday Jan 17, 2012 21:38:47 EST
Posted : Tuesday Jan 17, 2012 21:38:47 EST
Military commanders in Afghanistan have stopped making public the number of allied troops killed by Afghan soldiers and police, a measure of the trustworthiness of a force that is to take over security from U.S.-led forces.
The change in policy comes after at least three allied troops have been killed by the Afghan troops they trained in the past month and follows what appears to be the deadliest year of the war for NATO trainers at the hands of their Afghan counterparts.
The International Security Assistance Force in Kabul had responded to previous requests for details on cases where Afghan troops — screened and trained by ISAF and Afghan officials — have turned their weapons on NATO troops.
Navy Lt. Cdr. Brian Badura said ISAF has a new policy to release only limited information about casualties, leaving the responsibility for detail to the troops’ home countries. The policy went into effect in the latter half of 2011, he said.
Since 2005, more than 50 troops had been killed and 48 wounded by Afghan troops, according to data released before the policy changed and USA Today research. In 2011, Afghan troops killed at least 13 ISAF troops.
Anthony Cordesman, a military analyst at the Center for Strategic and International Studies, said information about the killing of U.S. troops by Afghan troops or police is important because it shows whether the U.S. withdrawal plan is realistic.
“It’s not just a matter of the number of ISAF or U.S. troops getting attacked. The real question is will this force be loyal to the government?” he said. “The constant question has to be, ‘Did you rush out to set impossible levels of quantity without addressing the quality of Afghan security forces?’“
President Obama has said he intends to hand off security responsibility to the Afghan government in 2014. NATO forces train Afghans to fill the ranks of the country’s military and police forces to keep the Taliban insurgency from regaining power.
There are about 306,000 Afghan soldiers and police, and the force is scheduled to grow to 352,000 by October. The United States has spent $11 billion to train and equip those forces in the past year.
In 2012, Afghan security forces have killed at least one ISAF member. In the latest incident, a man wearing an Afghan army uniform killed a coalition soldier, ISAF said Jan. 8. Two days later, the Pentagon said Pfc. Dustin P. Napier, 20, of London, Ky., had died from small-arms fire on Jan. 8 but released no further details.
More than a third of the attacks stemmed from combat stress as opposed to Taliban infiltration, an ISAF review of incidents found last year. About one-fifth of the attacks were caused by insurgents goading or coercing Afghan troops.
Infiltration of local forces is a common tactic among insurgents anywhere, said Seth Jones, an expert on Afghanistan at the RAND Corp.
“In general, they are part of a broader insurgent effort that involves assassination, intimidation and infiltration,” Jones said. “Insurgents have been doing it for decades — actually centuries — in Afghanistan and other wars.”
Tuesday, January 17, 2012
Idea to take the 'D' out of PTSD being studied
The biggest problem the Army and service members face is the stigma that is associated with a PTSD diagnosis. If we can beat this we will get those who need help the help they need. In being true to my preaching I have decided to speak with a counselor even if it just for a wellness check and to ensure that there is something I am not seeing. Do the same.....
"A study published in the Archives of General Psychiatry in October found that soldiers were two to four times more willing to report PTSD, depression, and suicidal thoughts if they were allowed to answer a survey anonymously, rather than put their names on a routine post-deployment screening form."
"A study published in the Archives of General Psychiatry in October found that soldiers were two to four times more willing to report PTSD, depression, and suicidal thoughts if they were allowed to answer a survey anonymously, rather than put their names on a routine post-deployment screening form."
Idea to take the 'D' out of PTSD being studied
By Lindsay Wise
Houston Chronicle
Published: January 16, 2012
The president of the American Psychiatric Association says he is "very open" to a request from the Army to come up with an alternative name for post-traumatic stress disorder so that troops returning from combat will feel less stigmatized and more encouraged to seek treatment.
Dr. John Oldham, who serves as senior vice president and chief of staff at the Houston-based Menninger Clinic, said he is looking into the possibility of updating the association's diagnostic manual with a new subcategory for PTSD. The subcategory could be "combat post-traumatic stress injury," or a similar term, he said.
"It would link it clearly to the impact and the injury of the combat situation and the deployment experience, rather than what people somewhat inaccurately but often assume, which is that you got it because you weren't strong enough," Oldham said.
The potential change was prompted by a request from Gen. Peter Chiarelli, the Army's vice chief of staff, who wrote to Oldham last year, suggesting APA drop the world "disorder" from PTSD.
"Calling it a disorder contributes to the stigma and makes it so some folks -- not all, but some folks -- don't get the help they need," Chiarelli said.
The general doesn't like to use the word disorder. "It's not a dirty word, but I think it's misused here," he said. "I don't think that the post-traumatic stress that soldiers experience is a disorder. It's not something that happens just to weak people or people that are somehow inclined to be affected by horrible things that they see or are required to do. I think it causes an actual injury to the brain and how the brain works."
Early discussions
After receiving Chiarelli's letter, Oldham wrote back to say he appreciated his concern, but dropping the word disorder might not be the best way to go. He said he was eager to work with Chiarelli to see what APA could do.
The general invited Oldham to the Pentagon to discuss the situation. They met for about an hour and a half on Dec. 9. Oldham agreed to bring the general's suggestion to the APA work group tasked with reviewing PTSD for the next version of the association's Diagnostic and Statistical Manual of Mental Disorders, the classification book used by psychiatrists in America. APA is finalizing the fifth edition of the manual, due in May 2013.
Oldham cautioned the discussion is very preliminary but speculated that a new subcategory like "combat post-traumatic stress injury" might work.
Although Chiarelli still would prefer to lose "disorder" entirely, he said a new subcategory would be a start. "I'm frustrated with how long this is taking to be honest," he said.
The general pointed out that PTSD has had many names over the years, from shell shock to battle fatigue. "It's been called all kinds of different things and somehow we decided to go with PTSD and I think that's just wrong," he said.
Chiarelli's campaign to change the name of PTSD is part of the Army's effort to reduce alarming suicide rates among soldiers. Statistics released last month identified 260 potential suicides in 2011. Of that total, 154 were active-duty soldiers, 73 were National Guard troops and 33 were reservists.
Silence over stigma
Stigma is a major problem. A study published in the Archives of General Psychiatry in October found that soldiers were two to four times more willing to report PTSD, depression, and suicidal thoughts if they were allowed to answer a survey anonymously, rather than put their names on a routine post-deployment screening form.
Of the soldiers who screened positive for PTSD or depression, 20 percent said they weren't comfortable answering honestly on the routine form. The study concluded that the Army's screening process misses most soldiers with significant mental health problems.
Dr. Harry Croft, a psychiatrist in San Antonio, said the findings jibe with what he hears from veterans he treats for PTSD.
"Even though the rules, as I understand them, say you don't get kicked out if you get diagnosed with PTSD, depression or any other issues, a lot of veterans say, 'I knew damn well if I answered the questions right my chance to get promoted was gone,' " Croft said.
Croft has mixed feelings about changing the name of PTSD. He understands the concern about stigmatizing troops but thinks whether the condition is called PTSD or something else will have little effect on the suicide rate.
"Rather than concentrate on what we call it, we need to concentrate more on how to help warriors coming back from the combat zone, because I don't think the name we give it will have much of an impact on the 18 suicides a day and all the other problems that we see," Croft said. "That's putting a Band-Aid on a much bigger wound."
Chiarelli says his main concern is getting soldiers into treatment, so if calling post-traumatic stress a disorder keeps them from seeking help, then the wording needs to change, the sooner the better.
"You can have the very, very best treatments in the world, but if you can't get people take advantage of them, they don't do any good," he said.
Dr. John Oldham, who serves as senior vice president and chief of staff at the Houston-based Menninger Clinic, said he is looking into the possibility of updating the association's diagnostic manual with a new subcategory for PTSD. The subcategory could be "combat post-traumatic stress injury," or a similar term, he said.
"It would link it clearly to the impact and the injury of the combat situation and the deployment experience, rather than what people somewhat inaccurately but often assume, which is that you got it because you weren't strong enough," Oldham said.
The potential change was prompted by a request from Gen. Peter Chiarelli, the Army's vice chief of staff, who wrote to Oldham last year, suggesting APA drop the world "disorder" from PTSD.
"Calling it a disorder contributes to the stigma and makes it so some folks -- not all, but some folks -- don't get the help they need," Chiarelli said.
The general doesn't like to use the word disorder. "It's not a dirty word, but I think it's misused here," he said. "I don't think that the post-traumatic stress that soldiers experience is a disorder. It's not something that happens just to weak people or people that are somehow inclined to be affected by horrible things that they see or are required to do. I think it causes an actual injury to the brain and how the brain works."
Early discussions
After receiving Chiarelli's letter, Oldham wrote back to say he appreciated his concern, but dropping the word disorder might not be the best way to go. He said he was eager to work with Chiarelli to see what APA could do.
The general invited Oldham to the Pentagon to discuss the situation. They met for about an hour and a half on Dec. 9. Oldham agreed to bring the general's suggestion to the APA work group tasked with reviewing PTSD for the next version of the association's Diagnostic and Statistical Manual of Mental Disorders, the classification book used by psychiatrists in America. APA is finalizing the fifth edition of the manual, due in May 2013.
Oldham cautioned the discussion is very preliminary but speculated that a new subcategory like "combat post-traumatic stress injury" might work.
Although Chiarelli still would prefer to lose "disorder" entirely, he said a new subcategory would be a start. "I'm frustrated with how long this is taking to be honest," he said.
The general pointed out that PTSD has had many names over the years, from shell shock to battle fatigue. "It's been called all kinds of different things and somehow we decided to go with PTSD and I think that's just wrong," he said.
Chiarelli's campaign to change the name of PTSD is part of the Army's effort to reduce alarming suicide rates among soldiers. Statistics released last month identified 260 potential suicides in 2011. Of that total, 154 were active-duty soldiers, 73 were National Guard troops and 33 were reservists.
Silence over stigma
Stigma is a major problem. A study published in the Archives of General Psychiatry in October found that soldiers were two to four times more willing to report PTSD, depression, and suicidal thoughts if they were allowed to answer a survey anonymously, rather than put their names on a routine post-deployment screening form.
Of the soldiers who screened positive for PTSD or depression, 20 percent said they weren't comfortable answering honestly on the routine form. The study concluded that the Army's screening process misses most soldiers with significant mental health problems.
Dr. Harry Croft, a psychiatrist in San Antonio, said the findings jibe with what he hears from veterans he treats for PTSD.
"Even though the rules, as I understand them, say you don't get kicked out if you get diagnosed with PTSD, depression or any other issues, a lot of veterans say, 'I knew damn well if I answered the questions right my chance to get promoted was gone,' " Croft said.
Croft has mixed feelings about changing the name of PTSD. He understands the concern about stigmatizing troops but thinks whether the condition is called PTSD or something else will have little effect on the suicide rate.
"Rather than concentrate on what we call it, we need to concentrate more on how to help warriors coming back from the combat zone, because I don't think the name we give it will have much of an impact on the 18 suicides a day and all the other problems that we see," Croft said. "That's putting a Band-Aid on a much bigger wound."
Chiarelli says his main concern is getting soldiers into treatment, so if calling post-traumatic stress a disorder keeps them from seeking help, then the wording needs to change, the sooner the better.
"You can have the very, very best treatments in the world, but if you can't get people take advantage of them, they don't do any good," he said.
Monday, January 16, 2012
"Letter from a Birmingham Jail [King, Jr.]"
"In any nonviolent campaign there are four basic steps: collection of the facts
to determine whether injustices exist; negotiation; self purification; and
direct action." If you believe in something you have to take action and get your word out. This is just not a day off this is a day of reflection and a day of action.
Saturday, January 14, 2012
Returning Veterans Needed for PTSD Study: New Medical Technique for PTSD
I have done some reseach on fMRI and it is pretty amazing what this can do as far as allowing a person to see biological changes in the brain in response to stimuli. If you are in this area I would encourage you to check it out and help further the study of PTSD and its treatment.
HOUSTON – Many Veterans return to civilian life having experienced traumatic events. Researchers recently discovered these experiences actually produce changes in the brain. A new medical study currently being conducted at the Michael E. DeBakey VA Medical Center (MEDVAMC) in cooperation with Baylor College of Medicine uses functional Magnetic Resonance Imaging (fMRI) to learn how deployment affects the brain and to improve treatment of Post Traumatic Stress Disorder (PSTD). FMRI is a technique for measuring brain activity.
It works by detecting changes in blood oxygenation and flow that occur in response to neural activity. When a brain is more active, it consumes more oxygen. To meet this increased demand, blood flow increases to the active area. FMRI can be used to produce activation maps showing which parts of the brain are involved in a particular mental process. This is a relatively new medical technique. “There is limited information regarding the brain-related changes during psychotherapy,” said Matthew Estey, a research coordinator for MEDVAMC.
“We are interested in learning how psychotherapy changes neural functioning in Veterans with PTSD and anxiety disorders.” “Ultimately, we hope what we learn in our study will assist future combat Veterans who may experience PSTD and anxiety symptoms due to combat trauma,” said Wright Williams, Ph.D., the principal investigator and a psychologist. The study is funded by a pilot merit review grant sponsored by the VA Rehabilitation Research and Development Program. As part of the research, eligible Veterans will use various computer applications while inside the fMRI machine.
Participating Veterans will also participate in interviews regarding their past and present difficulties. They will be compensated for their time at a rate of $10 per hour for interviews and $20 per hour for fMRI scans. Participants will also receive a free high-resolution image of their brain. For Veterans who decide to enroll in the study, the entire process takes approximately 14 weeks. “Week one includes an interview and fMRI scan,” said Estey. “Weeks two through 13 involve an hour and a half group treatment meeting. Week 14 is another interview and fMRI scan.
The study includes male and female treatment groups, and will potentially run through the beginning of 2013.” Eligible Veterans should be between 18 and 65 years old, free from current serious medical conditions, free of metal in their bodies, not claustrophobic, able to see a computer screen clearly with or without glasses, and diagnosed with PTSD. All participating Veterans receive on-going assessments by MEDVAMC mental health professionals. “Unlike most medical studies, this one involves treatment specifically for Veterans,” said Estey. “I think providing the best possible care for our nation’s Veterans is extremely important.” For more information about the study or how to enroll, call 713-794-7629.
Awarded re-designation for Magnet Recognition for Excellence in Nursing Services in 2008, the Michael E. DeBakey VA Medical Center serves as the primary health care provider for more than 130,000 veterans in southeast Texas. Veterans from around the country are referred to the MEDVAMC for specialized diagnostic care, radiation therapy, surgery, and medical treatment including cardiovascular surgery, gastrointestinal endoscopy, nuclear medicine, ophthalmology, and treatment of spinal cord injury and diseases.
The MEDVAMC is home to a Post Traumatic Stress Disorder Clinic; Network Polytrauma Center; an award-winning Cardiac and General Surgery Program; Liver Transplant Center; VA Epilepsy and Cancer Centers of Excellence; VA Substance Abuse Disorder Quality Enhancement Research Initiative; Health Services Research & Development Center of Excellence; VA Rehabilitation Research of Excellence focusing on mild to moderate traumatic brain injury; Mental Illness Research, Education and Clinical Center; and one of the VA’s six Parkinson’s Disease Research, Education, and Clinical Centers. Including the outpatient clinics in Beaumont, Conroe, Galveston, Houston, Lufkin, Richmond, and Texas City, MEDVAMC outpatient clinics logged almost 1.3 million outpatient visits in fiscal year 2011. For the latest news releases and information about the MEDVAMC, visit www.houston.va.gov.
Thursday, January 12th, 2012
Returning Veterans Needed for PTSD Study: New Medical Technique for PTSD
HOUSTON – Many Veterans return to civilian life having experienced traumatic events. Researchers recently discovered these experiences actually produce changes in the brain. A new medical study currently being conducted at the Michael E. DeBakey VA Medical Center (MEDVAMC) in cooperation with Baylor College of Medicine uses functional Magnetic Resonance Imaging (fMRI) to learn how deployment affects the brain and to improve treatment of Post Traumatic Stress Disorder (PSTD). FMRI is a technique for measuring brain activity.
It works by detecting changes in blood oxygenation and flow that occur in response to neural activity. When a brain is more active, it consumes more oxygen. To meet this increased demand, blood flow increases to the active area. FMRI can be used to produce activation maps showing which parts of the brain are involved in a particular mental process. This is a relatively new medical technique. “There is limited information regarding the brain-related changes during psychotherapy,” said Matthew Estey, a research coordinator for MEDVAMC.
“We are interested in learning how psychotherapy changes neural functioning in Veterans with PTSD and anxiety disorders.” “Ultimately, we hope what we learn in our study will assist future combat Veterans who may experience PSTD and anxiety symptoms due to combat trauma,” said Wright Williams, Ph.D., the principal investigator and a psychologist. The study is funded by a pilot merit review grant sponsored by the VA Rehabilitation Research and Development Program. As part of the research, eligible Veterans will use various computer applications while inside the fMRI machine.
Participating Veterans will also participate in interviews regarding their past and present difficulties. They will be compensated for their time at a rate of $10 per hour for interviews and $20 per hour for fMRI scans. Participants will also receive a free high-resolution image of their brain. For Veterans who decide to enroll in the study, the entire process takes approximately 14 weeks. “Week one includes an interview and fMRI scan,” said Estey. “Weeks two through 13 involve an hour and a half group treatment meeting. Week 14 is another interview and fMRI scan.
The study includes male and female treatment groups, and will potentially run through the beginning of 2013.” Eligible Veterans should be between 18 and 65 years old, free from current serious medical conditions, free of metal in their bodies, not claustrophobic, able to see a computer screen clearly with or without glasses, and diagnosed with PTSD. All participating Veterans receive on-going assessments by MEDVAMC mental health professionals. “Unlike most medical studies, this one involves treatment specifically for Veterans,” said Estey. “I think providing the best possible care for our nation’s Veterans is extremely important.” For more information about the study or how to enroll, call 713-794-7629.
Awarded re-designation for Magnet Recognition for Excellence in Nursing Services in 2008, the Michael E. DeBakey VA Medical Center serves as the primary health care provider for more than 130,000 veterans in southeast Texas. Veterans from around the country are referred to the MEDVAMC for specialized diagnostic care, radiation therapy, surgery, and medical treatment including cardiovascular surgery, gastrointestinal endoscopy, nuclear medicine, ophthalmology, and treatment of spinal cord injury and diseases.
The MEDVAMC is home to a Post Traumatic Stress Disorder Clinic; Network Polytrauma Center; an award-winning Cardiac and General Surgery Program; Liver Transplant Center; VA Epilepsy and Cancer Centers of Excellence; VA Substance Abuse Disorder Quality Enhancement Research Initiative; Health Services Research & Development Center of Excellence; VA Rehabilitation Research of Excellence focusing on mild to moderate traumatic brain injury; Mental Illness Research, Education and Clinical Center; and one of the VA’s six Parkinson’s Disease Research, Education, and Clinical Centers. Including the outpatient clinics in Beaumont, Conroe, Galveston, Houston, Lufkin, Richmond, and Texas City, MEDVAMC outpatient clinics logged almost 1.3 million outpatient visits in fiscal year 2011. For the latest news releases and information about the MEDVAMC, visit www.houston.va.gov.
Friday, January 13, 2012
Afghanistan Battle Shows War Rarely Fought to Plan
Another article by our imbedded AP reporter Chris Torchia in Helmand.
CPT Kovalsky and me in Helmand 2010 |
A Co 1-17th INF from left CPT Michael Kovalsky (CO), 1SG Gene Hicks and LT Brian Zangenberger (XO) |
Afghanistan Battle
Shows War Rarely Fought to Plan
NATO, Afghan troops plot their assaults each night but
day brings the messy reality of war
By CHRISTOPHER TORCHIA
The Associated Press
BADULA QULP,
Afghanistan
The
intelligence said a Taliban commander planned to dispatch a suicide bomber
against an American patrol base. But where? Would more than one attacker
strike? What day and time? On foot, or in a vehicle that would pack more
explosives?
The attack
didn't happen as predicted last week in a farming area where Army units are
supporting a U.S. Marine offensive against insurgents in Marjah in southern
Afghanistan.
Could it happen
later? Uncertainty is a certainty of war. As generals over the centuries have
noted, no matter how much soldiers plan and try to impose order on the
battlefield, reality rarely matches.
Over the past
week, men belonging to the 5th Stryker Brigade and Afghan forces have swept
through villages and compounds once held by Taliban fighters, advancing with
painstaking caution to avoid casualties from booby traps and harassing fire.
In the
military's innocuous-sounding jargon, the soldiers have cleared
"objectives" and had "contact," which really means vicious
firefights. They "engaged the enemy" and "possibly
destroyed" snipers. The Taliban rarely leave their dead, if they are, in
fact, dead.
At night, U.S.
and Afghan commanders, with Canadian advisers, pore over maps based on
satellite imagery as they plot the next day's assault. The mission has a start
time and an estimated end. There are questions, comments. It has the feel of a
classroom exercise, removed from the shouting, the diving and hugging of cover,
the cacophony of battlefield bullets and machinery.
It's
intellectual, with nothing of the fear, fury and exhilaration of men firing and
taking fire.
A detachment
from Alpha Company of the 1st Battalion, 17th Infantry Regiment got another
taste of these contradictory currents when they moved through fields,
irrigation ditches and mud-walled homes on Friday.
An Afghan
villager told them the Taliban appeared the previous night with picks and
shovels, possibly to hide homemade bombs and other booby traps. A soldier with
a metal detector checked a wall where dirt had been freshly dug. Unfazed, the
platoon bypassed it, following the point man like a trail of ants to avoid
untested terrain.
All quiet,
except for a barking dog.
"What's up
dog? Want to fight?" a soldier said. Another joked about the suicide
bomber report — the attacker could be anywhere, he said, maybe on the Pakistani
border.
Up ahead, an
American Stryker infantry carrier crossed a cord or string, a classic device
used by insurgents for bombs known as Improvised Explosive Devices, or IEDs. A
vehicle or person yanks the line unsuspectingly, and the hidden bomb detonates.
In this case, nothing happened. Soldiers pulled the cord to see where it led.
And pulled and pulled. Hundreds of meters of it, leading nowhere.
Sometimes, said
1st Sgt. Gene Hicks of Tacoma, Wash., insurgents put down line as a decoy to
lure the Americans into another trap, or just to gauge the soldiers' patterns
of behavior.
"Don't get
blown up, PLEEAASE!!" Capt. Michael Kovalsky of Fords, N.J. said in a text
message to Hicks, who was coordinating the operation from a communications
truck in the front line.
"I won't,"
Hicks wrote. A 20-year military veteran, he's sparing with words.
The next set of
compounds looked like trouble. Civilians, including two women in powder-blue,
all-enveloping burqas, hurried from the looming shootout. Another intelligence
report: Insurgents had concealed an anti-aircraft gun in one of the buildings,
and would either use it on the "dismounts" — soldiers on foot — or on
the vehicles as they rolled closer.
Troops on the
ground tried to get a reconnaissance aircraft to take a look, but they couldn't
immediately get through to the controllers. In the end, a false alarm.
Afghan soldiers
approached, with half a dozen Strykers providing cover on their flank.
Coordination between the two militaries slowed movement.
"There's
not a job in the world that could be so exciting at one moment, so boring the
next," drawled Hicks' fair-haired gunner, Staff Sgt. Van Forbes of
Decatur, Ala. He ate sunflower seeds from a bag. Hicks chewed tobacco, spat
into a plastic bottle.
Inevitably,
gunfire began. Bullets bounced off at least one Stryker. Forbes fired bursts on
his 50-caliber machine gun at a wall where two men in black were spotted. He
wore safety glasses and cursed because his gun wasn't working properly. It was
difficult to pinpoint the shooters.
"I can't
see where it's coming from," Forbes said. The Afghan soldiers fired more
freely, but the Americans couldn't identify their target. Then the Afghans,
their Canadian mentors not far behind, moved into the Americans' line of fire.
"Want to
make sure I'm not lighting up the Canucks," Forbes said.
"Frustrating,"
Hicks said.
More waiting.
But sure enough, gunfire started up as scheduled.
The military
vehicles rolled forward in a field, staying off trails in case IEDs were
planted there. Hicks saw what looked like moist earth, a favored place for
hiding bombs because it's easy to dig up the earth. Insurgents also pour water
to break up the soil.
"See those
two soft areas directly in front of us? Let's not run into those," Hicks
said to his driver, Staff Sgt. Jorge Banuelos of Mission, Texas.
Surveillance
from the air and ground, the high-tech and human kinds, yielded more
circumstantial evidence of Taliban movements. A motorcycle moving in the area.
Two vans heading away. A dark spot on the thermal imaging camera of a Stryker.
Was it a person kneeling? Or maybe a flag blowing in the wind? In the bright
sun, Hicks saw something: Is that an insurgent or a tree branch?
"Now look
across the pasture here at those buildings. ... OK, now we're taking fire. ...
Stand by to suppress those buildings," he said, headphones wrapped around
his helmet, a microphone millimeters from his lips.
A plan and a
schedule was made. At 1309 and 30 seconds, the Strykers would fire intensively
to kill or force the insurgents to pull back. At 1310, Afghan troops would
advance. The guns thudded, and Kovalsky gave the go-ahead to fire a light
anti-tank missile at a building. The soldiers were delighted, as though getting
to play with a new toy.
The missile
made a loud noise, but didn't score a direct impact. Later, soldiers found a
blood trail that suggested an insurgent sniper had been injured or killed. Was
he even a sniper? He had a lot of targets, but didn't hit anyone.
"It could
be just a guy who didn't have a Kalashnikov. It could have been an
Enfield," Forbes said. "It could be a guy with a scoped rifle who
doesn't know how to zero it."
Still,
objective cleared.
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