‘If Iraq don’t kill you, Walter Reed will’

Following up on the last post, the WaPo’s Anne Hull and Dana Priest added the second of their two-part series today on the outrageous way in which wounded veterans are treated as outpatients at the Walter Reed Army Medical Center. Alas, the second was as disheartening as the first.

Dell McLeod’s injury was utterly banal. He was in his 10th month of deployment with the 178th Field Artillery Regiment of the South Carolina National Guard near the Iraqi border when he was smashed in the head by a steel cargo door of an 18-wheeler. The hinges of the door had been tied together with a plastic hamburger-bun bag. Dell was knocked out cold and cracked several vertebrae.

When Annette learned that he was being shipped to Walter Reed, she took a leave from her job on the assembly line at Stanley Tools and packed the car. The Army would pay her $64 a day to help care for her husband and would let her live with him at Mologne House until he recovered.

A year later, they are still camped out in the twilight zone. Dogs are periodically brought in by the Army to search the rooms for contraband or weapons. When the fire alarm goes off, the amputees who live on the upper floors are scooped up and carried down the stairwell, while a brigade of mothers passes down the wheelchairs. One morning Annette opens her door and is told to stay in the room because a soldier down the hall has overdosed.

In between, there are picnics at the home of the chairman of the Joint Chiefs of Staff and a charity-funded dinner cruise on the Potomac for “Today’s troops, tomorrow’s veterans, always heroes.”

One gets the sense that the veterans their families don’t much care about nicely-worded platitudes, and would trade it all for quality care. Some are forced to live in squalor, others have tolerable accommodations, but all are asked to navigate a ridiculous system where they are lost and forgotten.

And some have to suffer more direct indignities.

Sgt. David Thomas, a gunner with the Tennessee National Guard, spent his first three months at Walter Reed with no decent clothes; medics in Samarra had cut off his uniform. Heavily drugged, missing one leg and suffering from traumatic brain injury, David, 42, was finally told by a physical therapist to go to the Red Cross office, where he was given a T-shirt and sweat pants. He was awarded a Purple Heart but had no underwear.

David tangled with Walter Reed’s image machine when he wanted to attend a ceremony for a fellow amputee, a Mexican national who was being granted U.S. citizenship by President Bush. A case worker quizzed him about what he would wear. It was summer, so David said shorts. The case manager said the media would be there and shorts were not advisable because the amputees would be seated in the front row.

” ‘Are you telling me that I can’t go to the ceremony ’cause I’m an amputee?’ ” David recalled asking. “She said, ‘No, I’m saying you need to wear pants.’ ”

David told the case worker, “I’m not ashamed of what I did, and y’all shouldn’t be neither.” When the guest list came out for the ceremony, his name was not on it.

And there was this painful anecdote.

After receiving a history degree from Mercyhurst College, Steve was motivated by the attacks of Sept. 11, 2001, to join the National Guard. He landed in Iraq in 2003 with the First Battalion, 107th Field Artillery, helping the Marines in Fallujah.

“It was just the normal stuff,” Steve says, describing the violence he witnessed in Iraq. His voice is oddly flat as he recalls the day his friend died in a Humvee accident. The friend was driving with another soldier when they flipped off the road into a swamp. They were trapped upside down and submerged. Steve helped pull them out and gave CPR, but it was too late. The swamp water kept pushing back into his own mouth. He rode in the helicopter with the wet bodies.

After he finished his tour, everything was fine back home in Pennsylvania for about 10 months, and then a strange bout of insomnia started. After four days without sleep, he burst into full-out mania and was hospitalized in restraints.

Did anything trigger the insomnia? “Not really,” Steve says calmly, sitting in his chair.

His mother overhears this from the kitchen and comes into the living room. “His sergeant had called saying that the unit was looking for volunteers to go back to Iraq,” Cindy Justi says. “This is what triggered his snap.”

Steve woke up in the psychiatric unit at Walter Reed and spent the next six months going back and forth between there and a room at Mologne House. He was diagnosed with bipolar disorder. He denied to doctors that he was suffering from PTSD, yet he called home once from Ward 54 and shouted into the phone, “Mom, can’t you hear all the shooting in the background?”

He was on the ward for the sixth time when he was notified that he was being discharged from the Army, with only a few days to clear out and a disability rating of zero percent.

On some level, Steve expected the zero rating. During his senior year of college, he suffered a nervous breakdown and for several months was treated with antidepressants. He disclosed this to the National Guard recruiter, who said it was a nonissue. It became an issue when he told doctors at Walter Reed. The Army decided that his condition was not aggravated by his time in Iraq. The only help he would get would come from Veterans Affairs.

“We have no idea if what he endured over there had a worsening effect on him,” says his mother.

His father gets home from the office. Ron Justi sits on the couch across from his son. “He was okay to sacrifice his body, but now that it’s time he needs some help, they are not here,” Ron says.

Unforgivable.

At what point does the anger we feel reading this explode? What does it explode into?

  • The only thought that will dull the pain reading this story is the fact that our bombs maimed and killed thousands of men, women, boys & girls in just 2003.

    The soldiers described above at least volunteered to fight and have their names recorded in history. The same cannot be said of the Iraqis we killed, raped and tortured.

    That does not say we should not treat our soldiers with dignity. That’s only to say that in war, we should keep our perspective balanced towards all humanity, not just those in Walter Reed.

  • Walter Reed is slated to close, if I recall correctly, and the campus itself has not been maintained as it should have been. And while the medical care received there is excellent, even the outpatient care, it is the bureaucracy that makes it all go to hell.

    There are a lot of excellent medical centers located in urban areas – Johns Hopkins for example, where the care is world-class, and the University of MD Medical Center, where the first Shock Trauma center was established, are both located in some of the worst areas of Baltimore; the emergency rooms there in the middle of the night there are a horror show. So, location is not the issue. And the fact that it is D.C is not the issue, either, as the District is not responsible for the operation or staffing.

    The problem is funding for military medical centers, for infrastructure and veterans’ care, things which the Republican administration seems to think it can cut with no consequences. If you’re going to undertake a war, for God’s sake, you have to have the equipment and training and personnel on the one end, and you have to have the services for them when they return; this administration went into war with neither. They need to be held accountable for that, and if they won’t do it “voluntarily,” we need to force them.

  • An addendum to your last observation – Just think what these fine men and women in uniform, along with their immediate loved ones and their other family and friends, would be doing now to help their communities (as many a disabled vet is from national guard units), had their, (and presumedly our) commander-in-chief not led our nation into a war premised on false intelligence, ginnied up by hysterical rhetoric (mushroom clouds), and served to us all wrapped in forced patriotism. No, this president and his WH has brought us more than something unforgivable, he has brought us a legacy of unforgivable misery! -Kevo

  • sarabeth: At what point does the anger we feel reading this explode? What does it explode into?

    mass interminable demos in the streets, especially outside the whitehouse. no paying of income or sales taxes. ‘we’re all in this together’ (from Brazil by Terry Gilliam).

    listen to Chrissie Hynde’s Revolution.

  • As noted above, war — any war — is cruel, and its consequences affect more than uniformed soldiers. This war has not only devastated Iraq, innocents, and American families, but advanced the instability of the Middle Easy to the possibility of an all-out regional civil war and has become a boon to terrorists.

    Here and elsewhere, I’ve repeatedly maintained that starting a war is letting an evil genie out of a bottle. Once begun, war cannot be controlled — no matter how rational its origin.

    That fact, proven again and again by centuries of war, is what our government should have very seriously considered. There were enough clear contradictory facts available to demand much more consideration and restraint. The “I was betrayed/fooled” excuse is crap. When a president says he has not made a decision to invade — but a Hollywood set designer has built an expensive set for press briefings at Central Command — there should be some doubt of his sincerity.

    We weren’t privy to classified information at that time, but even informed laymen knew of factual contradictions that called for closer examination. Congress had virtually NO debate on the issue. Cynical cowards! There are 26,000 reasons for them to have done their jobs.

  • I have heard Republican Congressman and right wing commentators frequently remark that the reason Democrats, such as Jack Murtha, are so “unhinged” about the war is because they make trips to soldier’s funerals and visits the wounded at places like Walter Reed. It’s so much easier to stomach this conflict and have the firm will if you just ignore the dead and the wounded altogether.

    My outrage is directed at how these soldiers get swept under the rug and treated as an embarassment by war proponents. The pro war types love to say crap like “freedom isn’t free,” yet when war literally costs a young soldier an arm and leg they become a PR disaster. I’m horrified that those pressed into service in this awful, stupid conflict are again and again shoved into the meatgrinder for the political expediency of those whose egos desire a “victory” that they themselves never had to suffer any inconvenience for, like the Bill Kristols of this world.

  • Billy Kristol needs to shut up for six to nine months. Maybe he can learn some things, like not making things up and being, generally, full of shit.

    Walter Reed may be closing, but the military does maintain several first-rate hospitals. Portsmouth Naval is excellent (and has been replaced with a brand new facility), but the military would have to establish a campus for recovering vets, perhaps using the old building, which is located next door. Bethesda can be another choice.

    Point is, these veterans deserve better. The bureaucracy needs to be fixed so that it works for the vets and not political agendas or to keep deadbeats employed in their cushy government jobs. Many of the problems can and ought to be fixed. There’s no excuse for lack of clothing and poor facilities.

    I will be writing to my senators about these problems (Warner and Webb).

  • This is ridiculous – the only silver lining is that the door is open now for the media to continue
    to unravel this huge ball of red tape that veterans are battling when they return home.

    With 400,000 veterans waiting for their disability compensation, is it any wonder that there are now over 1000 HOMELESS Iraq War Veterans?

    If you havent seen it yet, watch this one-minute trailer for a new doc about homeless iraq war vets:

    http://www.whenicamehome.com

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