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Command Post What is this?
Posted on Aug 13, 2019
Nichole Ayres
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PO3 Paul Lowrey
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I'm a Combat Veteran of the Vietnam war and without going into a lot of detail I was diagnosed with PTSD. Back then it was just the ethos of the time to not want to talk about it. It was just something that you didn't do or did back then. It's probably the same way now.
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Nichole Ayres
Nichole Ayres
6 y
There are definitely similarities now. One of the major differences is that my field knew relatively little about PTSD during Vietnam compared to what we do know. It is actually due to the courageous contributions of Vietnam Veterans, from participating in research to sharing there experiences, that we have effective treatments today. Thank you for sharing your insights.
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Linda Samanns
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I cannot find a purpose since my husband died from agent orange related cancer. I also lost my job, which almost exactly coincided with his passing.
How do I get help? I am not the veteran, I went to therapy and they told me to do what makes me happy. Well I’m not quite sure what that is, and I have a grown daughter who lives with me and an elderly aunt I promised him I would take care of. I am so unhappy
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Cohen Veterans Network
Cohen Veterans Network
6 y
Hi Linda, where are you located? We will see if there are any resources near you that may be able to support you during this time.
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Linda Samanns
Linda Samanns
6 y
Cohen Veterans Network Hi I don’t know if you got this the first time. I have course him the spouse of a Vietnam vet, who got agent orange related lung cancer and passed away. Six months after that I lost my job of 30 years where I made $100,000, so thank God I get a little monetary support from the VA or I would have absolutely nothing. I was fired unfairly but it is difficult to prove and probably not even worth it unless I could get a class action. But anyway I did go to therapy and they told me to do what makes me Happy, But I have no money, we can’t really move because my daughter runs a daycare here, I love to travel but that is probably done now that I lost my job, and even the grandkids are in their teens mostly so they are busy. Not sure what to do, I live in Pottstown Pennsylvania
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Cohen Veterans Network
Cohen Veterans Network
6 y
Hi, We have a Cohen Clinic in Philadelphia that is able to provide therapy and counseling as well as possibly provide additional resources in your local area. If you would like to contact them, their number is [login to see] . Please let me know if we can help in any other way.
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Linda Samanns
Linda Samanns
>1 y
Hi this is Linda, Well maybe some sort of divine intervention helped but since I had to get a lawyer because I was denied Social Security disability (I have scoliosis and a host of other issues), he is requiring me to go to a Psychiatrist because I take medication for depression and he wants a psychiatrist to evaluate me instead of just the family doctor. So I’m getting a referral tomorrow, if that doesn’t work I will definitely use your resources. My life has gotten somewhat worse because of being denied disability, but I can barely walk so I can’t work. We are living on Very little money and it is scary. I think I am depressed and my daughter worries all the time. But I am going to try to talk to somebody and see what happens. Thank you for your effort and your nice comments. It means a lot, I feel a bit deserted somehow, even though there are family around. Mostly they have seemed to get over it and move on. It’s very different when it’s your spouse
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Sgt Field Radio Operator
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Nichole Ayres Excellent post. Thank you!
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SSgt Carroll Straus
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Half hour appointment with a therapist? Useless.
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SPC James Brooks
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Tried getting help from the VA for over fifth-teen years. I was made to feel like I was begging for scraps. I'm not made that way. I filed out application after application because I was encouraged by my fellow vets not to give up. The last time I applied for help, I received a response saying that I wasn't in the area that I said I was in and they don't have any proof that anything ever happened. They said that I never served in the DMZ. That is the biggest insult that one can receive. I sent along with my application my DD214, letters of accommodation proving the incidence and more.
It seems like no one ever read anything or cared to. I am through. I just stopped begging and I feel that my friends/brothers gave their lives for a good reason but didn't know that they would not get the support that was promised had they survived. Now I know why we didn't get a welcome home party. Just venting because I read my turn down again this morning.
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Nichole Ayres
Nichole Ayres
5 y
First thank you for sharing your experience. That's tough enough on top of the challenges you have already experienced. I agree, it should not be that difficult to get care nor should you have you service invalidated. It sounds like to have a bit of support system among your fellow vets despite the larger system not living up to their end. If you are in the area of one of our clinics, they may be able to provide some assistance if you are interested.
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SGT Keith Smith
SGT Keith Smith
5 y
I know how ate up the VA is. Find CFR 38. CFR 38 is the regulations governing the percentages of disability. Read the ones that apply to your conditions. Then look through your medical records for everything that supports the conditions. Find a VA benefit office. DVA comes to mind. They will help you file your claim and all the supporting documents. You can also get a lawyer but they will want 25 percent of your first payment or 6000 whichever is the lowest.
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Debbie Gray
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I went to my husbands superiors..to no avail...Was devastating & horrific the way “suicide” was addressed in the 90’s. I have been literally fighting for Surviving Spouse Benefits...aka...Military ID Card,
VA Loan Benefits, my husbands Retirement/Pension for 21 years!!!! We got nothing except a military funeral. Just this year, I went to an Army Base..2 amazing civilian employees in the deers dept...listened...I’m told that I need to go to an AFB to get my ID & that I do qualify for VA LOAN BENEFITS, but since he committed suicide at age 42 & would now be 63, he could draw his retirement, but unfortunately, I can’t?????? This is so wrong...all these yrs as a surviving widow, no help...no offers of grief counseling...nothing...& I pleaded with his departure base, DOD & Feds...I will never stop fighting! This is just wrong! So many years passed , & now I learn we should have got some benefits??? I am thankful to get my ID card...I will truly believe it when I get to the USAF BASE! Military families lives are forever effected & changed forever, a paper technicality does not validate our Government..with holding his retirement pay ! He didn’t know he was gonna shot himself!!! Omg!
A journey...thank y’all for sharing my story & assistances thereof! God Bless!
Surviving Spouse
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LCDR Mike Morrissey
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Edited >1 y ago
In 1975, my wife of 2 yrs told me I was not sleeping in the same bad that night unless I went to see a psychologist friend of ours. The nightmares were just getting too frequent and accompanied by unholy screams. I saw him. I took the MMPI and would get the results in a few days. He called that night and got an emergency appt. with his psychiatrist colleague who prescribed a med. I slept for over 36 hrs straight. As a shore establishment C.O. I figured I would just go over to the medical side. The appt. and med were expensive. My HMC stopped me cold. If I had gone, I would be boarded out. Funny, alcoholics were sent to rehab. Mental cases...out. I was actually suffering from PTSD from my riverine combat tour before I met my wife. I thought nightmares were just things we had now and then. My wife saw it was happening more often than I knew.

So I continued to pay out of pocket. Then I deployed as the third senior officer of a large ship in 1980. Midway through the deployment I was an absolute mess not having had more than an hours straight sleep for weeks at a time. I asked for help and was returned as a burnout to the Oakland Naval Hospital for 6 months. I quickly learned that the effort was not to keep me but discharge. I learned the ropes very quickly and got through the gauntlet. I was one of 2 out of 242 officers to return to duty. My career was burned, but at least I’d reach 20.

3 yrs later I was assigned as president of an Admin Discharge Board. A 1st Class P.O. (A stellar 4.0 Sailor) was on the chopping block as a psych misfit—for decking the idiot who insulted his Hispanic wife in a parking lot. One haymaker punch. At the hearing, the psychologist who recommended his discharge was present. I asked him which tests he administered, how many sessions he had with the sailor, what was the total time he took with the sailor. It turns out—zero tests and one 15 minute session. I asked him given the sailor had 7 yrs of 4.0 with no other (not even an awol) infractions how he figured 15 minutes was sufficient to ruin a career and a family’s future?

The sailor was returned to full duty, the issue expunged, with a unanimous vote.

A day later, I got a call from the psych’s boss, a Navy Captain (O-6) who proceeded to ream me out. Well, he tried. I told him I was the President of the Board, and he had absolutely no standing to address me in such a matter. He then called my boss..a salty O-6 ...big mistake.

All this to say, my experience with military medicine is greatly influence by a consistent miscarriage of justice. There is no physician patient confidentiality. Physicians work for DOD.

I only had to serve 1 year in a combat environment and could not be sent back without volunteering. I can’t understand how our service members are expected to return so many times to real combat environs and not expect major mental injuries. The true unseen killers and destroyer of relationships.

A civilian friend of mine who is a very skilled and experienced PhD psychiatrist who practices in the Pacific Northwest continues to see the results of soldiers who sought help and ended up put out. We are systematically destroying a fighting force. A former Supreme Commander of Nato Forces has written that we need the draft in order to drive home to the public what we are doing to our young. 18 yr olds are being sent to fight a war that started before they were born.
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SSG Elyzabeth Cromer
SSG Elyzabeth Cromer
>1 y
LCDR, There is so much truth in what you are saying, there is also the opposite problem of keeping service members who should be released. Particularly in the National Guard between deployments, because funding is based on number of soldiers. I was the medical board coordinator for the ARNG in my state and during the last full Brigade deployment when the units had to produce every soldier they had on the books for the Medical Readiness Process, it blew my mind. I can understand hiding a soldier so they can "get their twenty", it isn't exactly legal but I can understand it. (It isn't legal at all; but if a soldier has deployed multiple times, the CO and 1SG at the unit try and take care of them.) Examples: I had a soldier come before the Board with such a severe case of PTSD that he literally could not touch a HMMWV, he was a mechanic. He had his twenty, off the top of my head I think he had thirty. The guy wanted to retire but they kept re enlisting him. He was a good number on the USR report, showed up for drill, never flunked a urine test, he passed his PT test, and he wasn't agitating to go to schools. Another guy had an invisible dog. He wasn't faking, he had the invisible dog with him the last time he deployed. Showed up, clean urinalysis, passed his PT test, so he was a good soldier. Female soldiers with MST, that's a different story. Those are bad soldiers, discipline issues and "nut jobs", unless they were assaulted by foreign nationals in which case they were crime victims. (As an aside the female soldiers assaulted by foreign nationals were in much better shape emotionally than the rest of the soldiers with MST. It seems to be considered a "legitimate" issue and they are treated better by higher ups and their peers. Overall they seemed to have less stress issues, fewer health problems and I rarely had them in front of the Board for mental health issues.)
I just thought this was an interesting contrast to your experiences.
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LCDR Mike Morrissey
LCDR Mike Morrissey
>1 y
I was the PRP certifying Officer for a ship which obviously (by virtue of PRP) was nuclear capable, and I kept my psychiatric record completely under wraps. Oddly, my PRP certification was signed off with nary a question. I was also the Nuclear Weapons Security and Top Secret Control Officer. A topper to this part?? I was taking over from an officer who had attempted suicide. The lyrics “those were the days my friend, we thought they’d never end” plays here but with a different intent.

If I had been a recovering alcoholic..no problem. That I was taking anti depressants (although in control) would have cost me my position. Later my BI was being routinely refreshed and I knew better than to not check certain boxes as dismissal from the service (officer equivalent of dishonorable) could follow at anytime if discovered. Fortunately I worked for an Admiral who was also a combat vet and I retained my TS clearance.
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Jennifer Lee (Doerflinger) Hill
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By just going to see the base psychiatrist/counselor, I lost my security clearance. How does that encourage people to care for their mental health?
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Nichole Ayres
Nichole Ayres
>1 y
It absolutely is one of many barriers people faced. It also speaks to some of the changes we need to make so that careers are not impacted just for attending mental health. Often I think this speaks back to stigma and a lack of understanding of mental health among leaders. Thank you for sharing on this post!
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1LT Vernon Bagley
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I am 75 yrs. young and am so grateful for the assistance provided to me by the VA. When I first began treatment I considered myself weak having to ask for help, if only I knew that my constant, emotional turmoil was treatable, not curable but treatable. Today my life is spent thinking more about my tomorrow's and less about my tour of duty. Learning how to cope with PTSD is one of the most important accomplishments in my life. Thank You VA
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SFC James Gillespie
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For me it was the fear that it would destroy my career in the Army. Which it did. As soon as my chain of command found out that I had PTSD they flagged me for promotion and just started handling me with kid gloves. No weapons quals, no schools, no promotions.

Now your probably asking why I would seek help knowing all this. Well for me it was the 40 cal. Sig that i had in my mouth pointed towards my brain, loaded with hydroshocks so that I could do the job right. The final thought that stopped me from dropping the hammer was the thought that my 2 year old daughter would be calling someone else daddy when she got older.

After crying in self pity for about an hour, I went to my nearest military base, and talked to the shrink, who immediately called my wife, had her lock up my guns and knives, and started my 3 year road to recovery.

This started in 2009, I'm much better today, but like everyone else, I still have good days and bad days. I keep in contact with a few of my battle buddies and we check on each other to make sure everything's alright.




still did it
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Nichole Ayres
Nichole Ayres
6 y
First, I truly appreciate you sharing your experience. It is not easy. I also think you really hit home to one of the core issues. Often military leadership make decisions based on myth and not fact. It is a myth that individuals with PTSD are dangerous or violent. Can people with that diagnosis act in that way? Of course. So can the rest of the world's population. It is people who are uneducated about mental health that make that judgement. That have the ability change someone's entire life because they have bad information. I truly believe that if anything is every going to change, it has to start as high was we can go and educate leaders about mental health. And make talking to a therapist as routine as doing to dental because your "amber" or getting a physical or even taking a PT test to assess your fitness. Thank you for your contribution to this post.
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SFC James Gillespie
SFC James Gillespie
6 y
To my family and friends, I usually explain it as being like a broken arm.
Some really bad things happened over multiple deployments, and something just broke, just like your arm can when enough pressure is applied. And like an arm, it can heal, but your always going to have scar tissue and days that the old injury starts to hurt again.
just like a broken arm when it rains.
I tell them to think about PTSD as more of a mental injury than a mental illness.
This tends to remove some of the stigma and fear that all the sensationalized news stories have caused.
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PFC Richard Hughes
PFC Richard Hughes
>1 y
SFC James Gillespie thank you for sharing. I have too say that I like your description much better. Mental injury in a lot of cases is more realistic.
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CPO Nate S.
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Nichole Ayres what SGT Ben Keen and PFC Donnie Harold Harris said regarding "...fearful(ness) of being labeled..." that it is "... the quick descent into hell..." from an ole Corpsman perspective cannot be MORE TRUE!

Additionally, what cpt-ken-landgren says about PTSD care "...fall(ing) into two camps: 1. Treat them like they have no problem, 2. or focus on their treatment..." is about increasing the "military cultural competency" of providers. Folks like SPC Nancy Greene are rare. Trained to heal and having the "street cred" to talk straight, especially with veterans. Additionally, cpt-ken-landgren mentions that "...Standards are often a concept we espouse. However, with PTSD the care is not standardized...." some people might 'misinterpret his statement as 'once size fits all", but we know what works for one veteran does not work for another veteran. Yet, he is correct in terms of the standards for desired outcomes across a wider community-forum. To this point it is about strategy alignment.

Think of "strategy alignment" as "battle planning". Here is a link to a community in Colorado (Weld County). They are using a tool called InsightVision designed to increase community transparency about various healthy community goals. This link is to their Health Mind & Spirit approach:

http://thrivingweld.com/healthy-mind-spirit/

It amazes me how communities like Weld, CO also don't have more of a veteran (aka warrior) centric approach embedded into to initiatives like their Healthy Mind & Spirit community-base strategy. Leveraging "Best Practices" as an objective in their strategy should recognize those best practices specific to veterans as part of more wholistic process. I believe, this is more inline with what cpt-ken-landgren is trying to say. But, I could be misunderstanding his commentary.

Regardless, 1SG (Join to see) mentions is perhaps the biggest impact on current or future job related issues: e.g. security clearances, etc. Highly trained veterans with special skills often don't seek care, because this means locking them out of current or future opportunities they are otherwise highly technically qualified for. Pure 'fear' of not being able to provide for themselves or their families by doing what they are trained for or love to do, but for which this kind of access or engagement requires. When 1SG (Join to see) says regarding mental health this statement "...Anyone who says that there isn't a 'stigma' for seeking help - or even needing it - is a damn liar. Yes there is...." is a statement that is 10 million% on target! When the pressure point between being able to support your family or "burying yourself in your work to maintain" is the defense you attain vs risking "stigma" is a behavior forced on people because of how seeking "mental health" is all too often "weaponized". When that weaponizing behavior is also witnessed in the media and politics and the rhetoric that goes along with it more often than not intensified, their is little wonder that many veterans choose not to risk being stigmatized in favor of "getting by".

Finally, I also find [~508389-sfc-casey-o-mally]'s comments interesting:

"...If I have a broken leg, long before I go to the doctor, I put a splint on it myself. If I have a toothache, I grin and bear it. If I have depression, I put on a happy face so that no one else has to deal with my sh...uhhh... stuff. I was raised - both as a child, and in the Army - to always be the helper, never the helpee...."

Yes, if the helper's broken leg is splinted and that person is hiking in the back country getting to advanced help can be delayed. The broken leg, depending on the type of break, could become infected and the blood poisoning could see in and if not treated could also kill you. If you have tooth pain from an abscess and the infection from that abscess migrates to the brain then grinning and bearing it could kill you with a smile on your face. You'd die happily in pain. If you have depression, you can put on a happy face and for a while others may not know you are dealing with "stuff". Or, those who can see past your defenses are forced to be "politically correct" and thus render neutered when all they want to do is help you life put down your overload. There are those times that in order to be able to help others, you have to 1st help yourself. This is so much easier said and done! But, it has to be - done! As a Navy Corpsman, as I often said in other posts I have seen more than my share of those entering sickbay in pain not resulting from physical wounds. Some, I was able to help and some not.

Without going into great detail, there was an incident on active that cause me great pain. Others could see it. I could not. But, I was offered and I took a chance. At the end of the program, I still had the experience which remains with me today. The difference is - I have to tools to deal with it and recognize the experience for what it is. Those with whom I was surrounded at the time helped me, as I know I was able to help some of them.

In closing, let me leave the RP family with this:

"We can never refuse to grasp the hand that is reaching up out of the thick ground fog of life to lead the way to clearer vision, because someday the hand reaching up from the fog of life may be - my own!"

Just saying..........from a Corpsman's perspective!
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SPC Zam Iel
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When I realized I needed help I tried to figure out how to juggle work with what the VA offered. This ended with me literally begging the VA for almost a year to help me. The "crisis hotline" only cares if you are suicidal... if not they message your local VAMH facility. The local MH facility calls you to check your name off a list, they bring you in.. talk to you for 5 minutes and throw pills at you without actually taking the time to know what you need...then you get thrown into "no available appointment" merry-go-round. Seven more months of fighting I get community care... which leads to a whole new set of problems. Two years after seeking help all I have is more questions and more problems... worse off than when I started.
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AN Steve Matin
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When seeking help the doctors I feel just stop helping you. Constant pain and I'm kept waiting for treatment. And once it starts I feel like they stop wanting to help.
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CPL Wheeled Vehicle Mechanic
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I lived in denial for the better part of 40 years, never really understanding why my life was a wreck, divorce, prison, anger, o friends. Finally DAV helped me out. I am not proud of the fact that I am 100% disabled as a result of my inability to function normally, but I know why and that has helped me to cope
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SPC Richard Zacke
SPC Richard Zacke
>1 y
CPL (Join to see) you have nothing to be ashame of sounds like your a viet nam vet... well the atrocities that went on over there are right out of a sci-fi movie. I wish you the very best.
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SPC Mark Mattson
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I have fought my battles privately for 40 years. I never shared my tramatic event, not even with my wife. Even though, I met here while on medical leave. After months in the hospital, recovering in a burn unit for three more months I was given 45 days medical leave. I met her on day 4. Obviously she knew I was in the Army and recovering, yet the subject was off the table. I had nightmares nights. At times they get violent. We had to sleep in separate bedrooms. My children had to endure boot camp when they miss behaved. The military and a fraction of a second has been a heavy burden to carry. I have been homeless a couple times, and at the top of my game. I have worked through every morning minor and major injury. I'm stuck in a wheelchair, and still fight my mental and physical injuries. Seven months ago a visit to a VA emergancy room and the deep depression that had me in a dark place got me refered to mental health. I got discharged after my discharge date; discharged from the hospital. I have been in this fight and running away from it my entire life. I reached my limit, so I joined PTSD groups. I'm still in my fight, but now I am armed better. I don't deal well with athority, so I just made sure I was in charge. I never left the military. Thanks to VA mental health, I'm now on meds and finally getting treated. It's not gone, and I doubt anyone other than a veteran of war will ever understand the price we pay. One flash of hot burning flames, witnessing your best friends tragic event, as well as your own...wow. it was and remains bad. But getting into mental health, has helped so much.
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SPC Richard Zacke
SPC Richard Zacke
>1 y
SPC Mark Mattson Your story sounds so much like [~1627491:CPL Richard P You two should meet up.
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SP5 Dennis Mccauley
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MY HUSBAND DENNIS C. MCCAULEY IS 100% SERVICE CONNECTED AND I AM HIS WIFE ALSO DISABLED AND I TAKE TOTAL CARE IF MY SPOUSE BUT CANNOT LIFT HIM. HE IS IN DIRE NEED OF A LIFT CHAIR BUT THE TAMPA VA SAYS THEY DO NOT GIVE THESE. HE HAS FALLEN SEVERAL TIMES TRYING TO GET OUT OF THE RECLINER HE USES. CAN ANYTHING BE DONETO GET HIM A RECLINING LIFT CHAIR? THANK YOU, ROBERTA D. MCCAULEY, SPOUSE
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SPC Richard Zacke
SPC Richard Zacke
>1 y
You can try bringing it up to his primary care...I don't know what city your in but if were close I'd help you. I live in Palm Bay, FL I too am 100% TDIU but if we are close I will help all I can. God bless you SP5 Dennis Mccauley
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LCDR Civil Engineer Corps (i.e. Seabee) Officer
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For me, I don’t because the help isn’t available. I’m in the chronic pain clinic at Walter Reed, but they’re always backed up 2-3 months. For example, my last appointment was on January 3 and I took the next available, on February 20. Add to that the fact that the 3 hour round trip on the Metro also causes stress and pain, and there’s not much to do. When I went to patient advocacy, they just shrugged and said the hospital is underresourced.
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SFC Don Vance
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I didn't get the help I needed until it was almost too late. I got the help I needed, got sober, and was fine for several years. Then my life started falling apart again and no one around me could see it because my wife's attitude had pushed them away. I realized that I needed help and that the only way to get better was to leave my wife because she was doing everything that my counselors had told her not to do. Today I'm living in a hotel in a different city, haven't talked to her in four months and I'm truly beginning to heal. Counseling and talking with other veterans is the best way to begin healing.
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SPC Richard Zacke
SPC Richard Zacke
>1 y
SFC Don Vance God bless ya, you found the problem now cut it out like a malignat tumor.
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SFC Don Vance
SFC Don Vance
>1 y
SPC Richard Zacke I did and I'm getting better every day.
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SPC Richard Zacke
SPC Richard Zacke
>1 y
It's great to hear that you took YOUR life back...congradulations!
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SGT Philip Dunckel
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I ETS in 1988. I have never had insurance and never filed with the VA. Did not want to be a leach. I tried to register and was told I made "just abut too much. " I could not even get a VA card to get a 10 percent discount at Lowes. The hell with the VA.
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Lt Col Leslie Bryant
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That question sounds so simple. But imagine you have served 28 yrs as LGBQT under Don’t Ask , Don’t Tell Military Policy and don’t Come Out until several years after retirement because you still think you have to follow military regs. It’s taken 37 yrs for me to Come Out. I struggle with Depression daily as a result of a policy that should never have been. I spend 25% of my pension on mental health because being Gay and how we were treated doesn’t count. Did I not think my mental health a priority, I would be dead. I have contemplated suicide twice in the past year and still do. Finding a LGBQT Community Center and a LGQBT Psychologist has helped but it never escapes me that I’m a veteran having to seek civilian community resources and would be dead were it left to the Veterans Administration.
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