It is the VETERAN, not the preacher, who has given us freedom of religion.
It is the VETERAN, not the reporter, who has given us freedom of the press.
It is the VETERAN, not the poet, who has given us freedom of speech.
It is the VETERAN, not the campus organizer, who has given us freedom to assemble.
It is the VETERAN, not the lawyer, who has given us the right to a fair trial.
It is the VETERAN, not the politician, Who has given us the right to vote.
It is the VETERAN, who salutes the Flag,
It is the veteran,who serves under the Flag,
ETERNAL REST GRANT THEM O LORD,AND LET PERPETUAL LIGHT SHINE UPON THEM.
I don't know if you saw this in the news but it really impressed me.
Funny, our US Senate/House took 2 days off as they couldn't work because of the expected storm.
On the ABC evening news, it was reported that, because of the dangers from a Hurricane approaching Washington DC, the military members assigned the duty of guarding the Tomb of the Unknown Soldier were given permission to suspend the assignment.
They respectfully declined the offer, "No way, Sir!"Soaked to the skin, marching in the pelting rain of a tropical storm, they said that guarding the Tomb was not just an assignment, it was the highest honor that can be afforded to a serviceperson.
The tomb has been patrolled continuously, 24/7, since 1930.
We can be very proud of our young men and women in the service no matter where they serve.
God Bless them.
Thursday, July 28, 2005
Soldier's Funeral (Texas Style)
There's something to be said for being raised in a small town.
What follows is a message from Vicki Pierce about her nephew James' funeral (he was serving our country in Iraq):
"I'm back, it was certainly a quick trip, but I have to also say it was one of the most amazing experiences of my life. There is a lot to be said for growing up in a small town in Texas. The service itself was impressive with wonderful flowers and sprays, a portrait of James, his uniform and boots, his awards and ribbons. There was lots of military brass and an eloquent (though inappropriately longwinded) Baptist preacher. There were easily 1000 people at the service, filling the church sanctuary as well as the fellowship hall and spilling out into the parking lot.
However, the most incredible thing was what happened following the service on the way to the cemetery. We went to our cars and drove to the cemetery escorted by at least 10 police cars with lights flashing and some other emergency vehicles, with Texas Rangers handling traffic.
Everyone on the road who was not in the procession, pulled over, got out of their cars, and stood silently and respectfully, some put their hands over their hearts.
When we turned off the highway suddenly there were teenage boys along both sides of the street about every 20 feet or so, all holding large American flags on long flag poles, and again with their hands on their hearts. We thought at first it was the Boy Scouts or 4H club or something, but it continued .... for two and a half miles. Hundreds of young people, standing silently on the side of the road with flags. At one point we passed an elementary school, and all the children were outside, shoulder to shoulder holding flags . kindergartners, handicapped, teachers, staff, everyone. Some held signs of love and support. Then came teenage girls and younger boys, all holding flags. Then adults. Then families. All standing silently on the side of the road. No one spoke, not even the very young children.
The military presence..at least two generals, a fist full of colonels, and representatives from every branch of the service, plus the color guard which attended James, and some who served with him ... was very impressive and respectful, but the love and pride from this community who had lost one of their own was the most amazing thing I've ever been privileged to witness.
I've attached some pictures, some are blurry (we were moving), but you can get a small idea of what this was like. Thanks so much for all the prayers and support."
What follows is a message from Vicki Pierce about her nephew James' funeral (he was serving our country in Iraq):
"I'm back, it was certainly a quick trip, but I have to also say it was one of the most amazing experiences of my life. There is a lot to be said for growing up in a small town in Texas. The service itself was impressive with wonderful flowers and sprays, a portrait of James, his uniform and boots, his awards and ribbons. There was lots of military brass and an eloquent (though inappropriately longwinded) Baptist preacher. There were easily 1000 people at the service, filling the church sanctuary as well as the fellowship hall and spilling out into the parking lot.
However, the most incredible thing was what happened following the service on the way to the cemetery. We went to our cars and drove to the cemetery escorted by at least 10 police cars with lights flashing and some other emergency vehicles, with Texas Rangers handling traffic.
Everyone on the road who was not in the procession, pulled over, got out of their cars, and stood silently and respectfully, some put their hands over their hearts.
When we turned off the highway suddenly there were teenage boys along both sides of the street about every 20 feet or so, all holding large American flags on long flag poles, and again with their hands on their hearts. We thought at first it was the Boy Scouts or 4H club or something, but it continued .... for two and a half miles. Hundreds of young people, standing silently on the side of the road with flags. At one point we passed an elementary school, and all the children were outside, shoulder to shoulder holding flags . kindergartners, handicapped, teachers, staff, everyone. Some held signs of love and support. Then came teenage girls and younger boys, all holding flags. Then adults. Then families. All standing silently on the side of the road. No one spoke, not even the very young children.
The military presence..at least two generals, a fist full of colonels, and representatives from every branch of the service, plus the color guard which attended James, and some who served with him ... was very impressive and respectful, but the love and pride from this community who had lost one of their own was the most amazing thing I've ever been privileged to witness.
I've attached some pictures, some are blurry (we were moving), but you can get a small idea of what this was like. Thanks so much for all the prayers and support."
Thursday, July 21, 2005
Wednesday, July 20, 2005
What you don't hear from the media!
Neat little website that demonstrates what you hear in the media versus what is really going on over in Iraq.
Tuesday, July 19, 2005
These people deserve our utmost respect!
SLEEP LAST NIGHT? Bed a little lumpy...Toss and turn any...Wish the heat was higher...Maybe the a/c wasn't on...Had to go to the john...
Need a drink of water...???Scroll down on two previous postings
Yes... It is like that!Count your blessings, pray for them,
Talk to your Creator and the next time when... the other car cuts you off and you must hit the brakes, or you have to park a little further from Walmart than you want to be,or you're served slightly warm food at the restaurant,or you're sitting and cursing the traffic in front of you,or the shower runs out of hot water, Think of them... Protecting your freedom!
Message from Iraq - The proud warriors of Baker Company wanted to do something to pay tribute To our fallen comrades. So since we are part of the only Marine Infantry Battalion left in Iraq the one way that we could think of doing that is By taking a picture of Baker Company saying the way we feel. It would be awesome if you could find a way to share this with our fellow countrymen. Iwas wondering if there was any way to get this into your papers to let the world know that "WE HAVE NOT FORGOTTEN" and are proud to serve our country." Semper Fi1stSgt Dave Jobe (see picture below :-)
Need a drink of water...???Scroll down on two previous postings
Yes... It is like that!Count your blessings, pray for them,
Talk to your Creator and the next time when... the other car cuts you off and you must hit the brakes, or you have to park a little further from Walmart than you want to be,or you're served slightly warm food at the restaurant,or you're sitting and cursing the traffic in front of you,or the shower runs out of hot water, Think of them... Protecting your freedom!
Message from Iraq - The proud warriors of Baker Company wanted to do something to pay tribute To our fallen comrades. So since we are part of the only Marine Infantry Battalion left in Iraq the one way that we could think of doing that is By taking a picture of Baker Company saying the way we feel. It would be awesome if you could find a way to share this with our fellow countrymen. Iwas wondering if there was any way to get this into your papers to let the world know that "WE HAVE NOT FORGOTTEN" and are proud to serve our country." Semper Fi1stSgt Dave Jobe (see picture below :-)
Saturday, July 16, 2005
Maybe World Opinion is Turning.
In the July 15th San Antonio Express-News there were two articles that caught my attention that I thought I would pass on.
The first, titled "Terrorism losing appeal" talks about the loss of support the extremists seem to be receiving from Isalamic countries around the world. The subtitle said "Muslims down on bin Laden, suicide bombs, Islamic Extremists".
It goes on to say "Osama bin Laden's standing has dropped significantly in some key Muslim countries, while support for suicide bombings and other acts of violence has 'declined dramatically' according to a new survey released Thursday. In a striking finding, predominantly Muslim populations in six North African, Middle East and Asian countries are as alarmed as Western nations about Islamic extremism, which now is seen as a threat in their own nations, too, the poll found. 'Most Muslim publics are expressing less support for terrorism than in the past. Confidence in Osama bin Laden has declined markedly in some countries, and fewer believe suicide bombings that target civilians are justified in the defense of Islam,' concluded the Pew Global Attitudes Project."
In an article on the same page titled "U.S Muslims blast Terrorists" it gives somewhat the same message. The subtitle says "Organization condemns hijacking of religion by extremists". In the article it says "A U.S. Muslim group launched a public service announcement Thursday that condemns the hijacking of Islam by terrorists. The ad, to be distributed by satellite to television stations in the United States and abroad, is designed to fight the public perception that mainstream Muslims have been silent on terrorism, said Parvez Ahmed, board chairman of the Council on American-Islamic Relations, a Muslim civil liberties group. 'Any effort by terrorists to hide their criminal activities under the mask of religious peity is being categorically and unequivocally rejected by mainstream Muslims,' Ahmed told a news conference. The 30-second spot, which features American Muslim men and women, states that people who commit acts of terrorism in the name of Islam are betraying the teachings of the Koran and the Prophet Muhammed. The ad also will be available with arabic subtitles. ' We reject anyone - of any faith - who commits such brutal acts and will not allow our faith to be hijacked by criminals. Islam is not about hatred and violence. It's about peace and justice,' the announcement states."
May God bless America and our war on Terrorism.
The first, titled "Terrorism losing appeal" talks about the loss of support the extremists seem to be receiving from Isalamic countries around the world. The subtitle said "Muslims down on bin Laden, suicide bombs, Islamic Extremists".
It goes on to say "Osama bin Laden's standing has dropped significantly in some key Muslim countries, while support for suicide bombings and other acts of violence has 'declined dramatically' according to a new survey released Thursday. In a striking finding, predominantly Muslim populations in six North African, Middle East and Asian countries are as alarmed as Western nations about Islamic extremism, which now is seen as a threat in their own nations, too, the poll found. 'Most Muslim publics are expressing less support for terrorism than in the past. Confidence in Osama bin Laden has declined markedly in some countries, and fewer believe suicide bombings that target civilians are justified in the defense of Islam,' concluded the Pew Global Attitudes Project."
In an article on the same page titled "U.S Muslims blast Terrorists" it gives somewhat the same message. The subtitle says "Organization condemns hijacking of religion by extremists". In the article it says "A U.S. Muslim group launched a public service announcement Thursday that condemns the hijacking of Islam by terrorists. The ad, to be distributed by satellite to television stations in the United States and abroad, is designed to fight the public perception that mainstream Muslims have been silent on terrorism, said Parvez Ahmed, board chairman of the Council on American-Islamic Relations, a Muslim civil liberties group. 'Any effort by terrorists to hide their criminal activities under the mask of religious peity is being categorically and unequivocally rejected by mainstream Muslims,' Ahmed told a news conference. The 30-second spot, which features American Muslim men and women, states that people who commit acts of terrorism in the name of Islam are betraying the teachings of the Koran and the Prophet Muhammed. The ad also will be available with arabic subtitles. ' We reject anyone - of any faith - who commits such brutal acts and will not allow our faith to be hijacked by criminals. Islam is not about hatred and violence. It's about peace and justice,' the announcement states."
May God bless America and our war on Terrorism.
Wednesday, July 13, 2005
Tuesday, July 12, 2005
Experience a little bit of life in Iraq.
The Last Full Measure by Col. Brett Wyrick, USAF BALAD, Iraq -
The first rule of war is that young men and women die. The second rule of war is that surgeons cannot change the first rule. We had already done around a dozen surgical cases in the morning and the early afternoon.
The entire medical staff had a professional meeting to discuss the business of the hospital and the care and treatment of burns. It is not boastful or arrogant when I tell you that some of the best surgeons in the world were present - I have been to many institutions, and I have been all around the world, and at this point in time, with this level of experience, the best in the world are assembled here at Balad. LTC Dave S., the Trauma Czar, and a real American hero is present. He has saved more people out here than anyone can imagine. The cast of characters includes two Air Force Academy graduates, Col (s) Joe W. and Maj. Max L. When you watch ER on television, the guys on the show are trying to be like Max - cool, methodical and professional.
Max never misses anything on a trauma case because he sees everything on a patient and notes it the same way the great NFL running backs see the entire playing field when they are carrying the ball. Joe is an ENT surgeon who is tenacious, bright, and technically correct every single time - I mean every single time. The guy has a lower tolerance for variance than NASA. LTC (s) Chris C. was the Surgeon of the Day (SOD), and I was the back-up SOD. Everyone else was there and available - as I said the best in the world.
As the meeting was breaking up, the call came in. An American soldier had been injured in an IED blast north of here, and he was in a bad way with head trauma. The specifics were fuzzy, but after three months here, what would need to be done was perfectly clear - the 332nd Expeditionary Medical Group readied for battle.
All the surgeons started to gravitate toward the PLX which is the surgeons' ready room and centrally located midway to the ER, OR and radiology. The lab personnel checked precious units of blood, and the pharmacy made ready all the medications and drugs we would need for the upcoming fight. An operating room was cleared, and surgical instruments were laid out, the anesthesia circuits were switched over, and the gasses were checked and rechecked. An anesthesiologist and two nurse anesthetists went over the plan of action as the OR supervisor made the personnel assignments.
In the ER, bags of IV fluids were carefully hung, battery packs were checked, and the ER nursing supervisor looked over the equipment to make sure all was in working order and the back-ups were ready just in case the primaries failed. The radiology techs moved forward in their lead gowns bringing their portable machines like artillery men of old wheeling their cannon into place. Respiratory therapy set the mechanical ventilator, and double-checked the oxygen. Gowns, gloves, boots, and masks were donned by those who would be directly in the battle. All of the resources - medical, mechanical and technological that America can bring to the war - were in place and ready along with the best skill and talent from techs to surgeons.
The two neurosurgeons gathered by themselves to plan. LTC A. is a neurosurgeon who still wears his pilot wings proudly. He used to be a T-38 instructor pilot, and some of the guys he trained to fly are now flying F-16s right here at Balad. He is good with his hands and calm under pressure. The other neurosurgeon is Maj. W., a gem of a surgeon who could play the guitar professionally if he was not dedicated to saving lives. A long time ago, at a place on the other side of the world called Oklahoma, I operated on his little brother after a car accident and helped to save his life.
The two neurosurgeons, Chris, and I joined for the briefing. Although I was the ranking officer of the group, Chris was the SOD and would be the flight lead. If this was a fighter sweep, all three of those guys would be Weapons School Patch wearers. The plan was for me and the ER folks to assess treat and stabilize the patient as rapidly as possible to get the guy into the hands of the neurosurgeons.
The intel was that this was an IED blast, and those rarely come with a single, isolated injury. It makes no sense to save the guy's brain if you have not saved the heart pump that brings the oxygenated blood to the brain. With this kind of trauma, you must be deliberate and methodical, and you must be deliberate and methodical in a pretty damn big hurry.
All was ready, and we did not have to wait very long. The approaching rotors of a Blackhawk were heard, and Chris and I moved forward to the ER followed by several sets of surgeons' eyes as we went. We have also learned not to clog up the ER with surgeons giving orders. One guy runs the code, and the rest follow his instructions or stay out the way until they are needed. They wheeled the soldier into the ER on a NATO gurney shortly after the chopper touched down. One look at the PJs' faces told me that the situation was grim.
Their young faces were drawn and tight, and they moved with a sense of directed urgency. They did not even need to speak because the look in their eyes was pleading with us - hurry. And hurry we did. In a flurry of activity that would seem like chaos to the uninitiated, many things happened simultaneously. Max and I received the patient as Chris watched over the shoulder to pick out anything that might be missed. An initial survey indicated a young soldier with a wound to the head, and several other obvious lacerations on the extremities. Max called out the injuries as they were found, and one of the techs wrote them down. The C-collar was checked, the chest was auscultated as the ET tube was switched to the ventilator. Chris took the history from the PJs because the patient was not conscious. All the wounds were examined and the dressings were removed except for the one on the head. The patient was rolled on to his side while his neck was stabilized by my hands, and Max examined the backside from the toes to the head. When we rolled the patient back over, it was onto an X-ray plate that would allow us to take the chest X-Ray immediately.
The first set of vitals revealed a low blood pressure; fluid would need to be given, and it appeared as though the peripheral vascular system was on the verge of collapse. I called the move as experienced hands rolled him again for the final survey of the back and flanks and the X-Ray plate was removed and sent for development. As we positioned him for the next part of the trauma examination, I noted that the hands that were laid on this young man were Black, White, Hispanic, Asian, American Indian, Australian, Army, Air Force, Marine, Man, Woman, Young and Older: a true cross-section of our effort here in Iraq, but there was not much time to reflect.
The patient needed fluid resuscitation fast, and there were other things yet to be done. Chris watched the initial survey and the secondary survey with a situational awareness that comes from competence and experience. Chris is never flustered, never out of ideas, and his pulse is never above fifty. With a steady, calm, and re-assuring voice, he directed the next steps to be taken. I moved down to the chest to start a central line, Max began an ultrasonic evaluation of the abdomen and pelvis. The X-rays and ultrasound examination were reviewed as I sewed the line in place, and it was clear to Chris that the young soldier's head was the only apparent life-threatening injury.
The two neurosurgeons came forward, and removed the gauze covering the soldier's wounded head, and everyone's heart sank as we saw the blossom of red blood spreading out from shredded white and grey matter of the brain. Experience told all the surgeons present that there was no way to survive the injury, and this was one battle the Medical Group was going to lose. But he was American, and it was not time to quit, yet.
Gentle pressure was applied over the wound, and the patient went directly to the CT scanner as drugs and fluids were pumped into the line to keep his heart and lungs functioning in a fading hope to restore the brain. The time elapsed from his arrival in the ER to the time he was in the CT scanner was five minutes. The CT scan confirmed what we had feared. The wounds to the brain were horrific and mortal, and there was no way on earth to replace the volume of tissue that had been blasted away by the explosion. The neurosurgeons looked at the scan, they looked at the scan a second time, and then they re-examined the patient to confirm once again. The OR crew waited anxiously outside the doors of radiology in the hope they would be utilized, but Chris, LTCs A and S., and Maj W. all agreed. There was no brain activity whatsoever.
The chaplain came to pray, and reluctantly, the vent was turned from full mechanical ventilation to flow by. He had no hint of respiratory activity; his heart that had beat so strongly early in the day ceased to beat forever, and he was pronounced dead.
The pumps were turned off; the machines were stopped, and the IVs were discontinued. Respectful quiet remained, and it was time to get ready for the next round of casualties. The techs and nurses gently moved the body over to the back of the ER to await mortuary services. And everyone agreed there was nothing more we could have done.
When it was quiet, there was time to really look at the young soldier and see him as he was; young, probably in his late teens, with not an ounce of fat anywhere. His muscles were powerful and well defined, and in death, his face was pleasant and calm.
I am always surprised that anyone still has tears to shed here at Balad, but thank God they still do. The nurses and techs continued to care for him and do what they could. Not all the tubes and catheters can be removed because there is always a forensic investigation to be done at Dover AFB, but the nurses took out the lines they could. Fresh bandages were placed over the wounds, and the blood clots were washed from his hair as his wound was covered once more. His hands and feet were washed with care. A broken toenail was trimmed, and he was silently placed in the body bag when mortuary services arrived as gently as if they were tucking him into bed.
Later that night was Patriot Detail - our last goodbye for an American hero. All the volunteers gathered at Base Ops after midnight under a three-quarter moon that was partially hidden by high, thin clouds. There was only silence as the chief master sergeant gave the Detail its instructions. Soldiers, Airmen, and Marines, colonels, privates and sergeants, pilots, gunners, mechanics, surgeons and clerks all marched out side-by-side to the back of the waiting transport, and presently, the flag-draped coffin was carried through the cordon as military salutes were rendered. The Detail marched back from the flight line, and slowly the doors of the big transport were secured. The chaplain offered prayers for anyone who wanted to participate, and then the group broke up as the people started to move away into the darkness.
The big engines on the transport fired up, and the ground rumbled for miles as they took the runway. His duty was done - he had given the last full measure, and he was on his way home.
The first rule of war is that young men and women die. The second rule of war is that surgeons cannot change the first rule. I think the third rule of war should be that those who have given their all for our freedom are never forgotten, and they are always honored.
I wish there was not a war, and I wish our young people did not have to fight and die. But I cannot wish away evil men like Bin Laden and al-Zarqawi. These men are not wayward children who have gone astray; they are not great men who are simply misunderstood. These are cold-blooded killers and they will kill you, me, and everyone we love and hold dear if we do not kill them first. You cannot reason with these people, you cannot negotiate with these people, and this war will not be over until they are dead.That is the ugly, awful, and brutal truth.
I wish the situation was different, but it is not. Americans have two choices. They can run from the threat, deny it exists, candy-coat it, debate it, and hope it goes away. And then, Americans will be fair game around the world and slaughtered by the thousands for the sheep they have become.
Our second choice is to crush these evil men where they live and for us to have the political will and courage to finish what we came over here to do. The last thing we need here in Iraq is an exit strategy or some damn timetable for withdrawal. Thank God there was no timetable for withdrawal after the Battle of the Bulge or Iwo Jima. Thank God there was no exit strategy at Valley Forge. Freedom is not easy, and it comes with a terrible price - I saw the bill here yesterday.
The third rule of war should be that we never forget the sacrifices made by our young men and women, and we always honor them. We honor them by finishing what they came to accomplish. We remember them by never quitting and having the backbone and the guts to never bend to the yoke of oppression. We honor them and remember them by having the courage to live free.
[Col. Brett Wyrick is commander of the 154th Medical Group, Hawaii Air National Guard, and is serving as a surgeon in Balad with the 332nd Expeditionary Medical Group. This column is part of a series of email reports from Iraq that Wyrick has been sending to his father, a Vietnam-era fighter pilot, who in turn distributes them to a circle of friends and acquaintances.]
The first rule of war is that young men and women die. The second rule of war is that surgeons cannot change the first rule. We had already done around a dozen surgical cases in the morning and the early afternoon.
The entire medical staff had a professional meeting to discuss the business of the hospital and the care and treatment of burns. It is not boastful or arrogant when I tell you that some of the best surgeons in the world were present - I have been to many institutions, and I have been all around the world, and at this point in time, with this level of experience, the best in the world are assembled here at Balad. LTC Dave S., the Trauma Czar, and a real American hero is present. He has saved more people out here than anyone can imagine. The cast of characters includes two Air Force Academy graduates, Col (s) Joe W. and Maj. Max L. When you watch ER on television, the guys on the show are trying to be like Max - cool, methodical and professional.
Max never misses anything on a trauma case because he sees everything on a patient and notes it the same way the great NFL running backs see the entire playing field when they are carrying the ball. Joe is an ENT surgeon who is tenacious, bright, and technically correct every single time - I mean every single time. The guy has a lower tolerance for variance than NASA. LTC (s) Chris C. was the Surgeon of the Day (SOD), and I was the back-up SOD. Everyone else was there and available - as I said the best in the world.
As the meeting was breaking up, the call came in. An American soldier had been injured in an IED blast north of here, and he was in a bad way with head trauma. The specifics were fuzzy, but after three months here, what would need to be done was perfectly clear - the 332nd Expeditionary Medical Group readied for battle.
All the surgeons started to gravitate toward the PLX which is the surgeons' ready room and centrally located midway to the ER, OR and radiology. The lab personnel checked precious units of blood, and the pharmacy made ready all the medications and drugs we would need for the upcoming fight. An operating room was cleared, and surgical instruments were laid out, the anesthesia circuits were switched over, and the gasses were checked and rechecked. An anesthesiologist and two nurse anesthetists went over the plan of action as the OR supervisor made the personnel assignments.
In the ER, bags of IV fluids were carefully hung, battery packs were checked, and the ER nursing supervisor looked over the equipment to make sure all was in working order and the back-ups were ready just in case the primaries failed. The radiology techs moved forward in their lead gowns bringing their portable machines like artillery men of old wheeling their cannon into place. Respiratory therapy set the mechanical ventilator, and double-checked the oxygen. Gowns, gloves, boots, and masks were donned by those who would be directly in the battle. All of the resources - medical, mechanical and technological that America can bring to the war - were in place and ready along with the best skill and talent from techs to surgeons.
The two neurosurgeons gathered by themselves to plan. LTC A. is a neurosurgeon who still wears his pilot wings proudly. He used to be a T-38 instructor pilot, and some of the guys he trained to fly are now flying F-16s right here at Balad. He is good with his hands and calm under pressure. The other neurosurgeon is Maj. W., a gem of a surgeon who could play the guitar professionally if he was not dedicated to saving lives. A long time ago, at a place on the other side of the world called Oklahoma, I operated on his little brother after a car accident and helped to save his life.
The two neurosurgeons, Chris, and I joined for the briefing. Although I was the ranking officer of the group, Chris was the SOD and would be the flight lead. If this was a fighter sweep, all three of those guys would be Weapons School Patch wearers. The plan was for me and the ER folks to assess treat and stabilize the patient as rapidly as possible to get the guy into the hands of the neurosurgeons.
The intel was that this was an IED blast, and those rarely come with a single, isolated injury. It makes no sense to save the guy's brain if you have not saved the heart pump that brings the oxygenated blood to the brain. With this kind of trauma, you must be deliberate and methodical, and you must be deliberate and methodical in a pretty damn big hurry.
All was ready, and we did not have to wait very long. The approaching rotors of a Blackhawk were heard, and Chris and I moved forward to the ER followed by several sets of surgeons' eyes as we went. We have also learned not to clog up the ER with surgeons giving orders. One guy runs the code, and the rest follow his instructions or stay out the way until they are needed. They wheeled the soldier into the ER on a NATO gurney shortly after the chopper touched down. One look at the PJs' faces told me that the situation was grim.
Their young faces were drawn and tight, and they moved with a sense of directed urgency. They did not even need to speak because the look in their eyes was pleading with us - hurry. And hurry we did. In a flurry of activity that would seem like chaos to the uninitiated, many things happened simultaneously. Max and I received the patient as Chris watched over the shoulder to pick out anything that might be missed. An initial survey indicated a young soldier with a wound to the head, and several other obvious lacerations on the extremities. Max called out the injuries as they were found, and one of the techs wrote them down. The C-collar was checked, the chest was auscultated as the ET tube was switched to the ventilator. Chris took the history from the PJs because the patient was not conscious. All the wounds were examined and the dressings were removed except for the one on the head. The patient was rolled on to his side while his neck was stabilized by my hands, and Max examined the backside from the toes to the head. When we rolled the patient back over, it was onto an X-ray plate that would allow us to take the chest X-Ray immediately.
The first set of vitals revealed a low blood pressure; fluid would need to be given, and it appeared as though the peripheral vascular system was on the verge of collapse. I called the move as experienced hands rolled him again for the final survey of the back and flanks and the X-Ray plate was removed and sent for development. As we positioned him for the next part of the trauma examination, I noted that the hands that were laid on this young man were Black, White, Hispanic, Asian, American Indian, Australian, Army, Air Force, Marine, Man, Woman, Young and Older: a true cross-section of our effort here in Iraq, but there was not much time to reflect.
The patient needed fluid resuscitation fast, and there were other things yet to be done. Chris watched the initial survey and the secondary survey with a situational awareness that comes from competence and experience. Chris is never flustered, never out of ideas, and his pulse is never above fifty. With a steady, calm, and re-assuring voice, he directed the next steps to be taken. I moved down to the chest to start a central line, Max began an ultrasonic evaluation of the abdomen and pelvis. The X-rays and ultrasound examination were reviewed as I sewed the line in place, and it was clear to Chris that the young soldier's head was the only apparent life-threatening injury.
The two neurosurgeons came forward, and removed the gauze covering the soldier's wounded head, and everyone's heart sank as we saw the blossom of red blood spreading out from shredded white and grey matter of the brain. Experience told all the surgeons present that there was no way to survive the injury, and this was one battle the Medical Group was going to lose. But he was American, and it was not time to quit, yet.
Gentle pressure was applied over the wound, and the patient went directly to the CT scanner as drugs and fluids were pumped into the line to keep his heart and lungs functioning in a fading hope to restore the brain. The time elapsed from his arrival in the ER to the time he was in the CT scanner was five minutes. The CT scan confirmed what we had feared. The wounds to the brain were horrific and mortal, and there was no way on earth to replace the volume of tissue that had been blasted away by the explosion. The neurosurgeons looked at the scan, they looked at the scan a second time, and then they re-examined the patient to confirm once again. The OR crew waited anxiously outside the doors of radiology in the hope they would be utilized, but Chris, LTCs A and S., and Maj W. all agreed. There was no brain activity whatsoever.
The chaplain came to pray, and reluctantly, the vent was turned from full mechanical ventilation to flow by. He had no hint of respiratory activity; his heart that had beat so strongly early in the day ceased to beat forever, and he was pronounced dead.
The pumps were turned off; the machines were stopped, and the IVs were discontinued. Respectful quiet remained, and it was time to get ready for the next round of casualties. The techs and nurses gently moved the body over to the back of the ER to await mortuary services. And everyone agreed there was nothing more we could have done.
When it was quiet, there was time to really look at the young soldier and see him as he was; young, probably in his late teens, with not an ounce of fat anywhere. His muscles were powerful and well defined, and in death, his face was pleasant and calm.
I am always surprised that anyone still has tears to shed here at Balad, but thank God they still do. The nurses and techs continued to care for him and do what they could. Not all the tubes and catheters can be removed because there is always a forensic investigation to be done at Dover AFB, but the nurses took out the lines they could. Fresh bandages were placed over the wounds, and the blood clots were washed from his hair as his wound was covered once more. His hands and feet were washed with care. A broken toenail was trimmed, and he was silently placed in the body bag when mortuary services arrived as gently as if they were tucking him into bed.
Later that night was Patriot Detail - our last goodbye for an American hero. All the volunteers gathered at Base Ops after midnight under a three-quarter moon that was partially hidden by high, thin clouds. There was only silence as the chief master sergeant gave the Detail its instructions. Soldiers, Airmen, and Marines, colonels, privates and sergeants, pilots, gunners, mechanics, surgeons and clerks all marched out side-by-side to the back of the waiting transport, and presently, the flag-draped coffin was carried through the cordon as military salutes were rendered. The Detail marched back from the flight line, and slowly the doors of the big transport were secured. The chaplain offered prayers for anyone who wanted to participate, and then the group broke up as the people started to move away into the darkness.
The big engines on the transport fired up, and the ground rumbled for miles as they took the runway. His duty was done - he had given the last full measure, and he was on his way home.
The first rule of war is that young men and women die. The second rule of war is that surgeons cannot change the first rule. I think the third rule of war should be that those who have given their all for our freedom are never forgotten, and they are always honored.
I wish there was not a war, and I wish our young people did not have to fight and die. But I cannot wish away evil men like Bin Laden and al-Zarqawi. These men are not wayward children who have gone astray; they are not great men who are simply misunderstood. These are cold-blooded killers and they will kill you, me, and everyone we love and hold dear if we do not kill them first. You cannot reason with these people, you cannot negotiate with these people, and this war will not be over until they are dead.That is the ugly, awful, and brutal truth.
I wish the situation was different, but it is not. Americans have two choices. They can run from the threat, deny it exists, candy-coat it, debate it, and hope it goes away. And then, Americans will be fair game around the world and slaughtered by the thousands for the sheep they have become.
Our second choice is to crush these evil men where they live and for us to have the political will and courage to finish what we came over here to do. The last thing we need here in Iraq is an exit strategy or some damn timetable for withdrawal. Thank God there was no timetable for withdrawal after the Battle of the Bulge or Iwo Jima. Thank God there was no exit strategy at Valley Forge. Freedom is not easy, and it comes with a terrible price - I saw the bill here yesterday.
The third rule of war should be that we never forget the sacrifices made by our young men and women, and we always honor them. We honor them by finishing what they came to accomplish. We remember them by never quitting and having the backbone and the guts to never bend to the yoke of oppression. We honor them and remember them by having the courage to live free.
[Col. Brett Wyrick is commander of the 154th Medical Group, Hawaii Air National Guard, and is serving as a surgeon in Balad with the 332nd Expeditionary Medical Group. This column is part of a series of email reports from Iraq that Wyrick has been sending to his father, a Vietnam-era fighter pilot, who in turn distributes them to a circle of friends and acquaintances.]
Who are the Terrorists?
Does poverty and bias produce terrorists or are they well educated, well funded religious killers? I think you will find the attached article insightful. May God bless America.
Monday, July 04, 2005
Some others do recognize what is at Stake.
If a German citizen and journalist can speak the truth and clearly understand the situation, what's the matter with our liberal media, Members of Congress, and anti Bush peacenicks? Those Americans and others who are so quick to criticize GWB and our military do not understand or appreciate that we can not afford to lose the war on terrorists. They apparently do not believe that the USA can lose this war.
They are wrong, and they have no concept of the agony that would blanket the west if the Islamic fanatics should rule. Americans can not afford the luxury of giving aid and comfort to the enemy by criticizing our leadership or the military coalition fighting to preserve our freedoms. A unified USA is essential.
****************************************
Matthias Dapfner, Chief Executive of the huge German publisher Axel Springer AG, has written a blistering attack in DIE WELT, Germany's largest daily newspaper, against the timid reaction of Europe in the face of the radical Islamic threat.
EUROPE - THY NAME IS COWARDICE
A few days ago Henry Broder wrote in Welt am Sonntag, "Europe - your family name is appeasement." It's a phrase you can't get out of your head because it's so terribly true.
Appeasement cost millions of Jews and non-Jews their lives as England and France, allies at the time, negotiated and hesitated too long before they noticed that Hitler had to be fought, not bound to toothless agreements.
Appeasement legitimized and stabilized Communism in the Soviet Union, then East Germany, then all the rest of Eastern Europe where for decades, inhuman, suppressive, murderous governments were glorified as the ideologically correct alternative to all other possibilities.
Appeasement crippled Europe when genocide ran rampant in Kosovo, and even though we had absolute proof of ongoing mass-murder, we Europeans debated and debated and debated, and were still debating when finally the Americans had to come from halfway around the world, into Europe yet again, and do our work for us.
Rather than protecting democracy in the Middle East, European appeasement, camouflaged behind the fuzzy word "equidistance," now bombings in Israel by fundamentalist Palestinians.
Appeasement generates a mentality that allows Europe to ignore nearly 500,000 victims of Saddam's torture and murder machinery and, motivated by the self-righteousness of the peace-movement, has the gall to issue bad grades to George Bush...even as it is uncovered that the loudest critics of the American action in Iraq made illicit billions, no, TENS of billions, in the corrupt U.N. Oil-for-Food program.
And now we are faced with a particularly grotesque form of appeasement. How is Germany reacting to the escalating violence by Islamic fundamentalists in Holland and elsewhere? By suggesting that we really should have a "Muslim Holiday" in Germany.
I wish I were joking, but I am not. A substantial fraction of our (German) Government, and if the polls are to be believed, the German people, actually believe that creating an Official State "Muslim Holiday" will somehow spare us from the wrath of the fanatical Islamists.
One cannot help but recall Britain's Neville Chamberlain waving the laughable treaty signed by Adolf Hitler, and declaring European "Peace in our time".
What else has to happen before the European public and its Political leadership get it? There is a sort of crusade underway, an especially perfidious crusade consisting of systematic attacks by fanatic Muslims, focused on civilians, directed against our free, open Western societies, and intent upon Western Civilization's utter destruction.
It is a conflict that will most likely last longer than any of the great military conflicts of the last century - a conflict conducted by an enemy that cannot be tamed by "tolerance" and "accommodation" but is actually spurred on by such gestures, which have proven to be, and will always be taken by the Islamists for signs of weakness.
Only two recent American Presidents had the courage needed for anti-appeasement: Reagan and Bush.
His American critics may quibble over the details, but we Europeans know the truth. We saw it first hand: Ronald Reagan ended the Cold War, freeing half of the German people from nearly 50 years of terror and virtual slavery. And Bush, supported only by the Social Democrat Blair, acting on moral conviction, recognized the danger in the Islamic War against democracy. His place in history will have to be evaluated after a number of years have passed.
In the meantime, Europe sits back with charismatic self-confidence in the multicultural corner, instead of defending liberal society's values and being an attractive center of power on the same playing field as the true great powers, America and China.
On the contrary - we Europeans present ourselves, in contrast to those "arrogant Americans", as the World Champions of "tolerance", which even (Germany's Interior Minister) Otto Schily justifiably criticizes. Why? Because we're so moral? I fear it's more because we're so materialistic, so devoid of a moral compass.
For his policies, Bush risks the fall of the dollar, huge amounts of additional national debt, and a massive and persistent burden on the American economy - because unlike almost all of Europe, Bush realizes what is at stake - literally everything.
While we criticize the "capitalistic robber barons" of America because they seem too sure of their priorities, we timidly defend our Social Welfare systems. Stay out of it! It could get expensive! We'd rather discuss reducing our 35-hour workweek...or our dental coverage...or our 4 weeks of paid vacation...or listen to TV pastors preach about the need to "...reach out to terrorists...to understand and forgive".
These days, Europe reminds me of an old woman who, with shaking hands, frantically hides her last pieces of jewelry when she notices a robber breaking into a neighbor's house.
Europe, thy name is Cowardice.
They are wrong, and they have no concept of the agony that would blanket the west if the Islamic fanatics should rule. Americans can not afford the luxury of giving aid and comfort to the enemy by criticizing our leadership or the military coalition fighting to preserve our freedoms. A unified USA is essential.
****************************************
Matthias Dapfner, Chief Executive of the huge German publisher Axel Springer AG, has written a blistering attack in DIE WELT, Germany's largest daily newspaper, against the timid reaction of Europe in the face of the radical Islamic threat.
EUROPE - THY NAME IS COWARDICE
A few days ago Henry Broder wrote in Welt am Sonntag, "Europe - your family name is appeasement." It's a phrase you can't get out of your head because it's so terribly true.
Appeasement cost millions of Jews and non-Jews their lives as England and France, allies at the time, negotiated and hesitated too long before they noticed that Hitler had to be fought, not bound to toothless agreements.
Appeasement legitimized and stabilized Communism in the Soviet Union, then East Germany, then all the rest of Eastern Europe where for decades, inhuman, suppressive, murderous governments were glorified as the ideologically correct alternative to all other possibilities.
Appeasement crippled Europe when genocide ran rampant in Kosovo, and even though we had absolute proof of ongoing mass-murder, we Europeans debated and debated and debated, and were still debating when finally the Americans had to come from halfway around the world, into Europe yet again, and do our work for us.
Rather than protecting democracy in the Middle East, European appeasement, camouflaged behind the fuzzy word "equidistance," now bombings in Israel by fundamentalist Palestinians.
Appeasement generates a mentality that allows Europe to ignore nearly 500,000 victims of Saddam's torture and murder machinery and, motivated by the self-righteousness of the peace-movement, has the gall to issue bad grades to George Bush...even as it is uncovered that the loudest critics of the American action in Iraq made illicit billions, no, TENS of billions, in the corrupt U.N. Oil-for-Food program.
And now we are faced with a particularly grotesque form of appeasement. How is Germany reacting to the escalating violence by Islamic fundamentalists in Holland and elsewhere? By suggesting that we really should have a "Muslim Holiday" in Germany.
I wish I were joking, but I am not. A substantial fraction of our (German) Government, and if the polls are to be believed, the German people, actually believe that creating an Official State "Muslim Holiday" will somehow spare us from the wrath of the fanatical Islamists.
One cannot help but recall Britain's Neville Chamberlain waving the laughable treaty signed by Adolf Hitler, and declaring European "Peace in our time".
What else has to happen before the European public and its Political leadership get it? There is a sort of crusade underway, an especially perfidious crusade consisting of systematic attacks by fanatic Muslims, focused on civilians, directed against our free, open Western societies, and intent upon Western Civilization's utter destruction.
It is a conflict that will most likely last longer than any of the great military conflicts of the last century - a conflict conducted by an enemy that cannot be tamed by "tolerance" and "accommodation" but is actually spurred on by such gestures, which have proven to be, and will always be taken by the Islamists for signs of weakness.
Only two recent American Presidents had the courage needed for anti-appeasement: Reagan and Bush.
His American critics may quibble over the details, but we Europeans know the truth. We saw it first hand: Ronald Reagan ended the Cold War, freeing half of the German people from nearly 50 years of terror and virtual slavery. And Bush, supported only by the Social Democrat Blair, acting on moral conviction, recognized the danger in the Islamic War against democracy. His place in history will have to be evaluated after a number of years have passed.
In the meantime, Europe sits back with charismatic self-confidence in the multicultural corner, instead of defending liberal society's values and being an attractive center of power on the same playing field as the true great powers, America and China.
On the contrary - we Europeans present ourselves, in contrast to those "arrogant Americans", as the World Champions of "tolerance", which even (Germany's Interior Minister) Otto Schily justifiably criticizes. Why? Because we're so moral? I fear it's more because we're so materialistic, so devoid of a moral compass.
For his policies, Bush risks the fall of the dollar, huge amounts of additional national debt, and a massive and persistent burden on the American economy - because unlike almost all of Europe, Bush realizes what is at stake - literally everything.
While we criticize the "capitalistic robber barons" of America because they seem too sure of their priorities, we timidly defend our Social Welfare systems. Stay out of it! It could get expensive! We'd rather discuss reducing our 35-hour workweek...or our dental coverage...or our 4 weeks of paid vacation...or listen to TV pastors preach about the need to "...reach out to terrorists...to understand and forgive".
These days, Europe reminds me of an old woman who, with shaking hands, frantically hides her last pieces of jewelry when she notices a robber breaking into a neighbor's house.
Europe, thy name is Cowardice.
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