Saturday, September 27, 2008

The Longest Day

   While hardly worthy of this title by many people's standards, it certainly felt like it truly was a never-ending day. I previously mentioned that it started as our wheels left the tarmac at Lawson Army Airfield, but in reality, that was already almost twelve hours into it. It all actually began at about 0700 on Friday, 29 August, 2008. I awoke in Room 18, building 4001B at Harmony Church, Ft. Benning, GA. Harmony Church is the part of the Ft. Benning reservation that now houses the CRC. This hallowed ground used to be the training site for the US Army's elite Rangers. It was now a training site for a much less elite group.
   After waking, I gathered up all of the things which would make the trip to Iraq with me. I had previously sent a foot locker ahead that was full of things which I figured I would either NEVER need, or at least not need for a few months. I dragged three full-to-bursting duffels out to "the shed" and lined them up for loading onto a truck. On my person I kept a backpack and - of course - my trusty M-9.
   After depositing my belongings, the waiting began. We sat around CRC for another several hours while our bags were whisked away, and we finally formed up to load our busses at around 1030. We then made the bus trip to Freedom Hall (Waiting Terminal pictured at right) where commenced the hours of waiting to board the plane. During this time, there are a myriad ways of occupying oneself. There are 11 large television screens, a local church group has free books available, and there is Wi-Fi internet available for $10/day. In addition to that, we were fed twice and moved into a briefing room to learn that we should not attempt to hijack the aircraft.
   They tell us that operational security will not allow them to disclose the actual time of departure. Should this information fall into the wrong hands, the outcome could be disastrous. I presume this is also the reason that we sat in Freedom Hall all day; the actual hour of departure was thus well-protected. During this time, we also went through security screening to make sure that we weren't carrying anything more dangerous than an M-9 pistol or an M-16 assault rifle.
   Finally, it was time to board the aircraft. We returned to the briefing room we had previously been in and were called by name to board the aircraft. Upon reaching my seat and stowing my backpack in the overhead bin, I sat down and suddenly realized that this aircraft was insanely hot (Freedom Flight at right). After baking for about fifteen minutes, the plane was finally fully loaded, the doors were closed, and the engines spun up providing some degree of air conditioning. And, finally, it was time to leave Ft. Benning.
   The first leg of our trip took us to Maine where we landed at around 2230. We were greeted by a host of retired military and other supporters and went through their receiving line. It was certainly nice of these folks to be out there at that hour. We hung out in Maine for about an hour and a half before it was again time to board the plane. This time, when we went wheels up, I knew that I was leaving American soil and wouldn't return for quite some time. While the gravity of this realization may have spurred some profound contemplation earlier in the day, I was quite tuckered out by now. I crossed the Atlantic in my sleep.
   We arrived in Leipzig, Germany in the afternoon on Saturday, 30 August. Again, we were allowed to deplane for about an hour and a half. I walked around the airport a bit, but there wasn't much to see or do. My first trip to Germany was a bust. We again boarded the plane, this time bound for Kuwait City. This was a relatively short leg - about four hours. As we made our approach into Kuwait City, I remember thinking that it looked just like any other city from that vantage point. Downtown was brightly lighted, the red brake lights of thousands of cars dotted the highways. We may as well have been flying into Minneapolis for all I knew. That all changed after we landed.
   Stepping out of the cabin door of that DC-10, I drew my first breath of Kuwaiti air, and the most profound utterance I could conjure was, "Holy shit." Not a particularly forceful expletive, it was more a measured understatement - an attempt to relay my own inability to yet assimilate the day's events. It was 1930 on 30 August, and exiting that plane and breathing the air of the sovereign Kingdom of Kuwait was, I thought, the beginning of the end of this epic journey which began over eighteen hours and 8000 miles ago.
   Of course, more busses were in our future. We were taken to Ali Al Salem airbase and unloaded. Here, we were officially "scanned in" to theater. This was Day 1 of deployment. 
Unfortunately, we arrived at Ali Al Salem at 2330 and didn't get scanned until one hour later. My official arrival date, therefore, was 31 August. After listening to a few briefings about not drinking in theater, we went out to gather our belongings off of the baggage truck (Kuwaiti Baggage Claim above). A lucky few of us were heading to Camp Buehring prior to continuing on to our final destinations. We set our bags aside for yet another bus ride.
   Bus rides in Kuwait are not much fun. We are required to keep the curtains closed and are not allowed to look outside. I'm not sure what the reasoning behind this is. Perhaps they are protecting us - if no one knows who is in the bus, it won't be a target. I'm sure that a caravan of large white busses leaving from a military installation on a regular basis wouldn't raise the least suspicion in the mind of anyone bent on wrongdoing. On the other hand, there isn't much to see, anyway. Sand is sand is sand. My travels finally ended at Camp Buehring, Kuwait at approximately 0230 on 31 August, 2008. We settled into our large tent and bedded down prior to beginning our training about twelve hours later.

Friday, September 26, 2008

Going to the Desert - Part II

   In the month between learning about my deployment, and actually going there, I had a few things to take care of. One of them was the American Board of Surgery Qualifying exam. This is a torturous 300 question computer based exam that is the gatekeeper to the oral Certifying Exam. They've promised to send a detailed score report to my home, but as far as I'm concerned, this is a pass/fail exam. I passed.
   In addition, I had the pleasure of touring all of Ft. Huachuca in an effort to get all of my administrative paperwork in order. Most of this was wasted time, gas, and effort to get someone to initial a piece of paper. In the end, this was all for naught, as no one really cared what I had accomplished in Arizona. Everything that would need to get done would get done at the CONUS (Continental United States) Replacement Center (CRC) at Ft. Benning, GA.
   The CRC (photo at right is "Main Street" CRC) was initially conceived as a method of ensuring that civilians in the employ of the Department of the Army as well as civilian contractors who would be working within a theater of operations in the Middle East were prepared for the situation in which they would soon find themselves. It was in indoctrination into not only the harsh geographical climate, but also into the political and social climate of working with and within the US Military in a deployed environment. As it matured, the CRC also took on the responsibility for pre-deployment spin-up of Reservists, National Guard, and Active Duty soldiers who were deploying as individual replacements or in small groups. Represented among those 450 people present that week were a motley crew of civilians mixing with professional soldiers much as oil mixes with water.
   CRC turned out to be a solid week of equipment issue and briefings. We received more gear than we could possibly use. Uniforms, boots, cold weather gear, a folding shovel (entrenching tool for those who know the lingo), chemical suit, full body armor (That's me at left in full "Battle Rattle"), and a Beretta 9mm to mention just a few things. Altogether, this would more than fill 3 standard issue Army duffel bags. So far, much of it remains unpacked and unused. In addition, we were herded through the clinic to make sure our immunizations were up to date and that we were medically fit to deploy. The primary objective of CRC is to make sure that as many people as possible load the plane at the end of the week to go to Kuwait. To that end, they will nearly bend over backwards in an effort to make sure that you have everything you need. Plus some. This monumental task is repeated weekly by the folks down there in Ft. Benning. For all of the inconvenience that was experienced during that week, this was, hands down, the most helpful and efficient process the Army has ever subjected me to. The week culminates with a trip to Freedom Hall at Lawson Army Airfield and hours of waiting prior to boarding the Freedom Flight. As I sat in that DC-10, pistol strapped to my side, I peered out the window to see the CRC staff lined up on the flight line, at attention, saluting our aircraft.
  We taxied to the runway and the three General Electric engines roared to life. Our heavily laden aircraft lumbered down the strip for what seemed like an eternity before I felt that familiar shift of our weight from the undercarriage to the wings. We were airborne. It was 6:40pm on Friday, August 29,2008. Thus would begin what would feel like the longest day of my life.

Thursday, September 25, 2008

Going to the Desert - Part I

After finishing 6yrs of General Surgery residency at Walter Reed, I was ready for my first assignment as an Attending Surgeon. For those of you who don't know, this is a time to spread one's wings for the first time and see what happens when you flap them really hard. If everything has gone right, then you should fly. Otherwise, you end up in a heap of blood and feathers.
It's also nice to have an "adult" bird around to help you out when things get a little tougher than you thought. Someone to help guide you through that tough crosswind that just took you by surprise. In the Army, there are a few such places with Neophyte surgeons just out of residency paired with a more senior, established surgeon to provide the necessary guidance when the hatchling bites off more than he can chew.
Ft. Huachuca, AZ is NOT one of those places. Raymond W. Bliss Army Health Center is a clinic. It is not a hospital. There is no ICU; there's not even a ward to admit patients to post-op (or pre-op for that matter). And so, my illustrious career as an Army surgeon was off to less than stellar beginnings. My one salvation in this situation was that I was set to deploy overseas in December. I didn't know where I was going. I didn't know what to expect, only that I'd finally have the chance to go "over there" and help out our boys at the point of injury.

July 11, 2008
I am awakened at my Sister's house in LA at 7:30am on a Saturday. I chose not to answer the phone because it was not a phone number that I immediately recognized. When it finally hit me that I should recognize it, I realized that it was my now-former Program Director. This call could not be good news. I discovered via voicemail the my deployment had moved up to August - one month away. I was now to deploy with the 115th Combat Support Hospital (CSH) to Camp Bucca, Iraq - one of two Theater Interment Facilities (TIFs) in theater. Think prison camp. I was tasked with performing elective surgery on Iraqi detainees (suspected insurgents). Thank you, Uncle Sam. I would look forward to this opportunity, except that it's not far enough in the future to look FORWARD.

More to Follow . . . .