Wednesday, November 26, 2014

It's Time


I feel like since leaving Afghanistan I’ve had what I can only describe as writers block towards putting a proverbial pen to paper on my experiences being gone for a year.  I have scribbled notes and half written blog posts from along the way... but nothing worthy of posting just yet.  Many moments couldn’t be written about at the time due to operational security risks.  But now I’m home.  And it's time.
 
It's time to give voice to the crazy memories made over a year.  Many were wonderful, some were terrible, others were life changing.
 
It's time to put in words the vast sacrifices we all made.
 
It's time to validate the time I took away from my family... to list reasons (if only for me now and maybe someday for my children) why I had to be there... why I made a difference.
 
It's time to at least slightly crack open the vault on moments I never, ever want to forget.
 
So here it goes... mostly in letter form as before... some in poetry.  Starting from where I left off (which was months ago).  Wish me luck, it may be a bumpy ride...
 
 

Friday, April 25, 2014

Boots On Ground

 
 
 
 
 
Boots On Ground...literally
 
Mom,
 
I know it's been a while since I've updated you on life here...but unfortunately now that I'm "in country" there is so much that can only be shared in retrospect.  So I may be quiet for a long while, but know that eventually you'll hear about my life and adventures in this crazy place.  For now I'll share a bit of what I can about my new world and daily life here...
 
I've been here for about two months now (I think)...time is a funny thing here...you never really know what day it is or what time zone you are on when you initially get here, but also, everyday seems to blend into the next and each day is roughly the same.  It's like a perpetual groundhog day, same faces, same food, same job...and yet the time just flies...
 
Starting right away on the night shift really helped me adjust to the time difference as I essentially stayed on the same time zone as home.  I have since continued on that shift since our move to teams.  It's been quite a transition though.  When we first arrived we came in every night for orientation and then came to meetings in the afternoon...so I had about 10 hours of sleep in about a 72 hour period at one point.  Needless to say I was a total zombie and wasn't very communicative with anyone! 
 
Things have continued on that busy trend and there are some days where I'm mostly awake for over 24 hours.  You know I'm a huge fan of sleep...so this has been quite a lesson for me, but a helpful one (learning how to be less of a brat on less sleep).  I'm so lucky to have a team of people with me daily who tolerate my tired antics, lack of a filter, and hangry (tired and hungry) tendencies and know how to support me when I'm down.  I think this is one huge benefit of living/eating/training/breathing with the same group of people since day one.  Although there is room for lots of drama...there is also room for understanding, support, and tolerance.  We know each other...sometimes too well.  The best example is my roommate and I...not only do we live together but we work on the same team.  We live,eat, sleep, and work the same schedule...and usually spend a significant amount of our down time together.  This could be a really bad deal if we didn't get along, thankfully we do and I am so blessed to have her.

Bis, me, and the roomie Smo
 
 
As for daily life...the base is actually quite nice...for Afghan standards.  We have beautiful barracks (I'm not being sarcastic here) that are rocket proof.  The hospital is also rocket proof...which is a huge blessing.  The strangest thing I miss however in terms of my surroundings is color...any color other than brown or grey.  I miss trees...and flowers.  The only scent blowing on the breeze is the one that comes from the pooh pond.  I miss the ocean terribly...any body of none pooh infested water actually.  It's easy to get lost here because every conex looks like the next...the cement walls that protect the buildings from rockets all look alike, except for the occasional graffiti that differentiates one from the other.
 
The food isn't awful..well it is...but I've become accustomed to it I think (I constantly say that my standards have dropped significantly in all areas of my life).  We currently have 4 DFACs (dining facilities) to choose from...all serving roughly the same menu, with a slight difference between the Bristish one (the Cambridge, and my current favorite) and the Asian one (the Far East).  There are lots of selections, but some I can't even pronounce, let alone recognize...breakfast is by far the best of all 3 meals here and I religiously attempt to make it to a DFAC in time for the full meal...otherwise I am stuck with midrats, which are a pared down version with only fake, powdered eggs and all the meals leftovers.  We don't have a DFAC at the hospital so I've stocked up some food I had sent from home or friends have sent in my cubby to eat during my night shifts...that and candy sustain me!

The NATO gym is beautiful and close to our home.  It's usually pretty busy but there are plenty of machines and I haven't yet had a problem getting onto a machine I want.  I also found the spin classes there, you have so sign up super early (or have a good friend do it) because they are really popular...but it's allowed me to attempt to keep my bike fitness thousands of miles away from my beautiful bike and winding San Diego roads. Honestly though, my heart has gone the way of Crossfit and I've been a regular there since we arrived. I love the workouts and getting stronger, but I keep coming back for the people...an international group of friends here for many different reasons and jobs all coming together to suffer for an hour.  Lately the number of Navy yellow has been increasing...they say we multiply like flies, I think they are correct.

 

There isn't much to do here on a regular basis...you could hang out at the USO, the MWR, or the liberty center...or you can simply walk the boardwalk, and watch the people.  The motly crew of contractors and troops from every corner of the globe is a feast for the eyes and ears.  In one sentence you can hear French, Dutch, German, Afrikanns and Pashtu...or english with any flavor of accent you could dream of.

Overall things are going well and time is flying.  When we aren't working we are on call...so it's a constant thing here...we are tied to our pagers and you internally (or externally) curse whenever they go off...because unfortunately it's never good news.  Everyone here also rotates through the duties of charge nurse and OOD (officer of the day...the civilian equivalent is the house supervisor).  After this deployment I'll have plenty to add to a resume!  I'm also going to be working in the trauma department starting in May.  They added a fourth team and needed another nurse...and I'm so blessed to have the opportunity.  I'm even more blessed to be able to be working with Warner again.  We haven't been able to see each other much with our vastly different schedules, but now we will and it will be awesome.  Our doc is Aussie so deciphering what he's saying will be a challenge, but a hilariously welcome one.

I'm excited about being here...though I really miss home, it's a strange mixed emotion.  But we are truly doing great work...creating miracles in the midst of chaos.  I'm blessed to have a hand in it...especially during this pivotal time in the history of this country.  I never knew what this would feel like and I believe that even I will struggle to put this experience into words as I go...but I'll try.  For my own sake...so I don't forget the lessons I'm learning.  Lessons more in humanity than medicine...in compassion and empathy.  This place will change me, I know that now, in subtle and not so subtle ways...but all for the better I hope.  I know if that isn't the case I'll have you to whip me back into shape when I return.  Until then know I love you and miss you all so much...you all are always in my heart.

Afghan sunsets are still beautiful

 
Love,
 
Me

Where all the magic happens
 

Wednesday, February 12, 2014

Tracking?




Cold and hungry


Mom,

As we near the end of our pre deployment training and look towards our long months in the desert I can't help but reflect on the crazy experience this has been thus far.  I don't think there is any way to truly capture it all in words, but I'm going to do my best with some help from my battle buddies!

When we arrived at Camp McCrady (a small sub camp of Fort Jackson Army post) it was late at night.  We were hungry, tired, and freaking cold.  We had waited for hours at the airport in CA to catch the flight to SC.  Needless to say we were all slightly crabby.  We filed into a classroom where they thankfully had a hot meal waiting.  Normally I would have been not too happy about the soggy veggies, powdered potatoes, and greasy meat... but on that night it honestly looked gourmet to me.  We filled out paperwork and awaited our room assignments.  We then had to drag our seabags to our hooches (one of the many interesting words that is used around here.... this one describes our barracks).  In contrast to NEMTI where we had just come from this place was a huge upgrade.  NEMTI was cots in a wooden sea hut, these were bunk beds in a normal building.  Complete with lockers to store our gear and an attached bathroom that didn't require walking outside (I'm realizing on deployment it's the small things that make you happy).  We proceeded to pass out and sleep quite well on our 2 thread count sheets and wooly green Army blankets.



The first week was plenty of classroom time.  Most of us medical types started to get a little cabin fever... little did we know we should have appreciated the time spent sitting and relaxing, because things got a lot rougher!  We were fitted for our vests and Kevlar helmets and given 2 huge seabags along with a large rucksack of gear.  We had already been given one seabag in San Diego so now we had a total of 4-5 depending on how much personal gear you brought.  We were told that we were only allowed to bring 3 seabags, the rucksack, and a carry on with us into country... yeah, you do that math, packing will be interesting considering moderation is not my strong suit.


We were then issued our weapons.  For the nurses we will always have a sidearm, but for the benefit of total weapons immersion and familiarization we were also given a rifle to carry.  And by carry I mean never have more than arms length away from you.  It reminded me of the flour baby I had to carry in middle school... you had to have it at all times and care for it like a child.  Now my "child" was capable of deadly force... minor difference I guess.  We also had to clear both weapons before entering any building.  And clearing is not a one man job, you always had to have a battle buddy with you.  Need to use the head (bathroom)?  Bring your buddy cause you can't take your weapons in there... so your buddy stands outside like a husband holding his wives's purse.  Want to go to chow?  You better hope someone else is hungry cause those bad boys must come with you and be cleared prior to entering the DFAC (Army cafeteria). 




Week two ushered in our new normal...hours upon hours spent at the range.  Wake up before dawn, put over 40 pounds of gear on (along with layers upon layers of clothes to combat the inevitable cold), file onto a bus with your platoon, drive to the range, sit in the bleachers watching the sun come up and get ready to shoot your weapons all day.  Sounds like fun until you know that a few lucky ones have been at the range since 0430 loading ammo for the day.  Or that almost every range day happened to be cold and rainy (30-40 degrees usually).  Lunch every day was an MRE (and I may never eat Skittles again).  Firing positions normally would be fine... but pile all that gear on and the kneeling fighting position turns into me looking like an arthritic grandma trying to hobble my way to the ground.  And don't you dare drop anything because a gaggle of Narmy sailders (Navy sailors trying to be Army) will just stare at it helplessly hoping someone else picks it up because bending over is a lesson in balance and strength with all that gear making you entirely too top heavy. 

 

 
 

There were also days spent learning other important combat skills such as rollover drills for the vehicles, convoy tactics, base security, individual movement techniques... too many to tell... but I will say one of the most valuable lessons is my new vocabulary... I'll give you a quick lesson...

First, there are many, many ways to say OK in the Army.  They include but are not limited to hooah, er, yut, tracking, good to go, and ra.  For example, "Place your weapon on safe and holster it before you leave, tracking?"   The correct response to this... simply a return "tracking", said with motivation!  So a conversation between us all sometimes is like cavemen communicating with sound... it's entertaining and entirely normal.  Next there are the subtle differences between Army and Navy lingo.  A bathroom is a latrine, not a head.  We are living on post, not on base.  And we shop at the PX, not the NEX.  Then there are just the plain old interesting terms and phrases we've picked up:

Police up the brass - pick up the shell casings on the range after shooting all day.
Battle rattle - the full set of gear we must wear at all times including the vest, helmet, kneepads, elbow pads, goggles or ballistic sunglasses, and gloves.
If you're walking you're wrong! - refers to the sense of urgency required when going anywhere.
Treat everyone with respect but have a plan in mind to kill them - enough said.
Shootas, sailas, killas - said before every time we would shoot on the range to get our attention.
Brain bucket - helmet.

There are so many more, but now you might be able to slightly understand what I'm saying.  In all seriousness though these past few weeks have been some of the hardest I've ever experienced.  There have been moments where I honestly questioned my place here... exhaustion will do that to a person and I didn't know tired until I could easily fall asleep on the cold rocky ground without a problem while others are shooting their weapons yards away.  There were some nights that a shower was far too much effort (my hygiene gets relegated to baby wipes sometimes!).  The food is definitely questionable, but by dinner you just appreciate a hot meal.  The togetherness gets overwhelming at times, but you realize you have all your battle buddies suffering with you and it makes you feel slightly better.  The drill sergeants are unrelenting in their quest for everything we do to be perfect, but they are some of the most motivating and inspiring people I've met in my life. 

 





In the end, however, it's all been worth it.  Sitting on the other side, looking back, it's one of the best experiences of my life.  I'll never forget the lessons... some may save my life or the lives of my battle buddies.  I'm more than ready to move on but so thankful I had this time to learn more about myself and my tolerance for embracing the suck that combat training can really be.  I've gotten tougher, stronger, and live the motto of Semper Gumby (always flexible) everyday.  I'm ready for what's ahead and thankful for what's behind. 

Hooah!

Love,

Me

Sunday, January 19, 2014

One Day Closer



Mama,

Well yesterday was the day...the beginning of the deployment.  It's kind of like ripping off a band aid, it hurts so much in the moment, but then...once the initial sting wears off...you realize you will actually survive.  And we will...all of us.

Now we can countdown instead of counting up.

Just so you understand the way this all works...there is quite a bit of training that has to be completed before we can step a boot on the Afghan sand.  So I'll be playing Narmi (Navy personnel doing Army training) for a while until I actually arrive in theater.  But honestly, it already has proven to be some of the best trauma training I've ever experienced.  And after the theater specific medical component of our training we'll switch gears to combat training and become as familiar as possible with daily life in a war zone.

I'm sure the thought of me in full "battle rattle" (all the combat gear we have to wear) isn't pleasant for you... but I will say I'm very blessed to have the opportunity to learn these possibly life saving skills.

I also have to say a bit about the team I'm with.  Here, at our first training stop, I live in a hut with 12 women.  Some are mothers, some are wives... but we are all nurses.  In this we have already formed a bond.  We take the teamwork and "having each other's back" adage to heart and look out for one another, even this early in the game.  We are all well aware that it's going to be a long, stressful deployment and we must watch out for our shipmates... always.

The other nurses, doctors, and corpsman here with us are also wonderful.  The biggest lesson through all the training is the stress on teamwork.  We are to live and breath this daily.  Through our teamwork, lives will be saved...a lack of it could cause deadly gaps in care.  The instructors started this lesson off early with a drill on team building yesterday... let me tell you, a bunch of military members doing PT in a team environment is especially hilarious (all I'll say is 4 count everything).

We have been warned that the next few weeks will be difficult physically...but our time in theater will be even harder, mentally and emotionally.  Although I'm apprehensive, I'm excited.  I'm ready for the challenge and entirely looking forward to the training ahead.  I promise to keep you as updated as I possibly can despite the crazy training schedule.

I love and miss you guys already.

XOXO

Me