Tuesday, February 23, 2010

Patterns

Arghandab, Afghanistan


Written: 19 December 2009
Published: 15 February 2010


This is a story of warfighting and technology, and what life is like on the ground for our troops, as they do their best in war.


Last night a soldier from the 82nd Airborne Division was killed.  The attack occurred just hours before the 82nd was to relieve 1-17th Infantry from duties in portions of the Arghandab River Valley near Kandahar.

Earlier that morning, soldiers from 1st Platoon, B-company (1-17th) had taken me on a short, easy mission out to a micro-base called “Brick 1.”  The Platoon leader was 1st Lieutenant Ryan Fadden, while SFC Dimico was the platoon sergeant.  The platoon was ready.  Despite the filthy environment, weapons were clean, the gear was sorted and the men were in good spirits and a business-like frame of mind.  They seemed confident.  It looked like Lieutenant Fadden and SFC Dimico were on their jobs.  The battalion had lost 21 men KIA during the first several months of combat—the Brigade lost 31.  An article was about to be published in the Army Times which might lead one to believe that the 1-17th is not combat-ready.  The author, Sean Naylor, is as highly respected as he is experienced, and so his words are taken seriously.  Yet during my first week, despite serious stresses in some places, the men seemed ready.


And so 1st Platoon drove in their Strykers from COP Jelawur, stopping a couple kilometers away from a small ANA (Afghan National Army) base just on the edge of the Green Zone of the Arghandab River near Kandahar.  The heavy Stryker ramps hissed and dropped with a dull thump.  The soldiers piled from the backs of the four machines.  Two white dogs with wagging tails greeted the men, and the men greeted the dogs as if they were old buddies.

Chaplain Gary Lewis said a prayer, then 1st Platoon left the Gate heading to ‘Brick 1’.

Chaplain Gary Lewis said a prayer, then 1st Platoon left the Gate heading to ‘Brick 1’.


The soldiers checked weapons yet again and adjusted gear, and we walked out the gate, keeping intervals so that a single bomb couldn’t get many of us at once.  Sometimes enemies “daisy chain” bombs together like a trotline, killing or wounding many soldiers simultaneously.


The morning was cool, bright and dry, and so the fine dust left perfect boot prints.  This was to be the final mission for 1st Platoon in the area before the 82nd Airborne would take over responsibilities at around midnight.

As we walked out the gate, the older female dog which, by her looks, apparently had nursed dozens of suckling puppies in her years, decided to stay behind.  The younger white dog trotted out the gate with us.


We walked on the road for a short distance under the direct view of a machine gunner on the perimeter.  The roads, trails, and any places that are easy to walk are dangerous.  Some bombs have been planted for months and the rains and winds have erased visible signs.  The enemy will fire rifles or machine guns, trying to use American aggressiveness against our troops by luring young leaders into traps.  The enemy has frequently succeeded in planting bombs very close to American and British bases, and so the minute you step out that gate, watch out.  Some of the most dangerous places are closest to the bases where movements are most predictable.  In Sangin, a guy tried to plant a bomb in clear view of a British guard tower, so close that the sentry could have killed him with a bow and arrow.  Some people believe the Taliban are cowards, but in fact they are audacious and brave.

We moved off the road and patrolled across a freshly ploughed field of rich brown soil, soft as cotton.  A shovel lay in the field.  The brown boots of soldiers ahead raised dust puffs that caught in the gentle breeze.  To attempt to mimic steps of the soldier ahead would glue eyes to ground, away from potential firing points.  And besides, the bombs often kill someone far back in the patrol, even in places where others clearly have stepped.  British and American soldiers have seen men killed after others had walked directly on a bomb maybe twenty times, until finally a friend disappears on what seemed safe ground.  The enemy plants bombs at obvious choke points, but also in random places such as the middle of fields.  Planting bombs in covered places drives us into the open, making it easier to ambush with rifles and machine guns.  In war, this is fair play.


No matter how hard soldiers try to vary their routes, patterns are set that transcend particular units.  The 5/2 SBCT is using an interesting method to avoid making patterns called the “Honesty Trace."

Our vehicles carry various tracking gear, one of which is the “BFT,” or Blue Forces Tracker.  We are the Blue Forces.  A “blue on blue” incident usually means we accidentally attacked our own people or allies, which we try hard to avoid.  The BFT has many functions, but the prime function is to track the friendly vehicles, representing each with a circular blue icon on the screens.


Soldiers in 5/2 also use something called “Land Warrior,” which includes a small backpack with GPS, radio and soldier-worn computer, similar to a BlackBerry but not as sophisticated.  The entire system with batteries weighs about nine pounds.  The Land Warrior (LW) is potentially an incredible system, but it “breaks a lot,” according to one soldier.  Major Doug Copeland, the Assistant Product Manager for Land Warrior, said we have over 800 LW systems in the field, which have experienced a 3% component failure rate during about seven months of combat.  Soldiers report the systems are not yet fully waterproofed, and they're too heavy for comfort.  (Infantrymen think in terms of bullets, and nine pounds equals about 270 bullets.)  As the system matures, it should greatly increase our effectiveness.


An eyepiece fits on the helmet with a tiny computer screen that replicates a 17” monitor.  The soldier uses the display when he needs to view friendly and enemy forces, which can be populated by the user, HQ, or other units. In other words, a Predator or helicopter could spot and report enemy forces and those enemy forces would appear on the “common operating picture.”  The user can navigate, send/receive digital orders and messages.  Importantly, the user can send/receive graphics and images.  Images are important.  I recall a case in Mosul, Iraq in which a key figure was detained and released even though a soldier thought he recognized the man.  Had the soldier been able to quickly send an image to HQ, the terrorist would have been arrested.  Instead, he was released.


When viewing the display, the soldier wearing Land Warrior looks like a cyborg.  The eyepiece displays his exact location, and that of other Land Warrior equipped soldiers and vehicles, including Strykers.  Lieutenant Ryan Fadden, leading the patrol, keeps all the previous IED strikes programmed into his Land Warrior, and so he can see the exact location on the screen, and HQ can see the precise location of each Land Warrior-equipped soldier, as can our A-10C and F-16B30 pilots, though most aircraft cannot see the Land Warrior or BFT.


The Land Warrior and BFT can be coupled with current, already-installed communications systems.  This is largely the baby of Captain Jared Cox, who as a lieutenant made a connection that aircraft should be able to track the BFT and Land Warrior.  Captain Cox had been the unfortunate victim of a U.S. airstrike during a training mission at home.  An American jet destroyed the car that he and an NCO were driving in.  It’s a wonder they survived with only scratches.  Captain Cox and some A-10C pilots answered my questions about this new system.  I wondered how Captain Cox, as a young lieutenant, got enough leash to run with such a wild idea without the Pentagon first spending millions on a feasibility study.  His answer was simple: Colonel Harry Tunnell, the Brigade Commander at 5/2 SBCT, thought he was on to something, and so let him try, but with specified goals and conditions.  Result: we are using it in combat right here, right now.


Why is this important?  Many reasons.  We frequently use airpower to help level the extreme terrain advantages the enemy enjoys.  In addition to trying to avoid civilian casualties, we try to avoid blue on blue, which, despite precautions, still occur.  For instance, a British unit that I was with in Helmand was aggressively pursuing the enemy during a firefight.  They British soldiers had located the enemy and pinned them, and were assaulting in.  Meanwhile, an Apache helicopter strike was called.  During the interim minutes, the ground forces had closed on the enemy, and they had gotten so close so quickly that the pilot thought they were the enemy.  The British Apache wounded British soldiers while the enemy got away.


Below are the first unclassified images, released to me by the Air Force and Army, of this system at work in combat.

American A-10C spots British vehicles that were not seen by naked eye.  In fact, the British probably do not realize that our A-10Cs have spotted them using the British BFT.  Result: the British ground commander can bring our A-10C aircraft to bear with less delay.

Again, through the haze and difficulty, British vehicles can be spotted, allowing for faster, safer airstrikes when British call in American aircraft.  It’s important to note that the British don’t have to invest a dime.  Most British and American forces don’t know about this emerging capability—just make sure to keep your BFT on and the A-10C and F-16B30 can see you.  Apaches and other aircraft cannot as of this writing.  When soldiers are dismounted and using the Land Warrior (LW) system, the LW can relay through the vehicles to the A-10C/F-16B30, so the pilots can also see our dismounts, and the vehicles, on their HUDs (Head’s Up Displays).

In Afghanistan, we continue to have “DUSTWUN” calls.  DUSTWUN means Duty Status Whereabouts Unknown.  These have happened especially near rivers, and in the mountains.  We lose soldiers, especially after bombings.  If the soldier was wearing a LW, we would either know his location, or his last known location.  The LW also has a “call for medic” feature.  The soldier can push a button that reports location and need for a medic.  If he or she is good to type or talk, details can be transmitted.

American A-10Cs and F-16B30s can now track many vehicles from Australia, Canada, Czech Republic, Italy, New Zealand, Poland, Romania, Spain, United Kingdom and the United States.

American A-10Cs and F-16B30s can now track many vehicles from Australia, Canada, Czech Republic, Italy, New Zealand, Poland, Romania, Spain, United Kingdom and the United States.


An A-10C commander told me about an instance where American forces had called him in.  The man on the ground insisted they were at point “A,” but the A-10C had picked up his LW, and said, “No, that’s not where you are,” and they quickly figured it out and kept working.


Between data from BFT and LW, headquarters can track just about every step soldiers take, and they can see stigmergic “ant patterns” develop.  And so the Army hired a civilian expert who creates a pattern analysis to work at 5/2 HQ, and his reports warn unit leaders when they are setting patterns.  This applies over time. 
Just because 1st Platoon didn’t repeat a certain route doesn’t mean 2nd Platoon or 4th Platoon didn’t already set that same route.  A unit that was there two years ago will have already created a pattern, and if the enemy paid attention—this enemy pays very close attention—they don’t need to wait until we draw a map with our boots.  The enemy will predict how we move based on previous units.  (Emergent patterns transcend particular persons or units.)

Explosives for sale in market in Sangin, Helmand.  Ammonium nitrate is used as fertilizer but was recently outlawed in Afghanistan.  Ammonium nitrate was used in the Oklahoma City bombing that killed 168 people.

Explosives for sale in market in Sangin, Helmand. Ammonium nitrate is used as fertilizer but was recently outlawed in Afghanistan. Ammonium nitrate was used in the Oklahoma City bombing that killed 168 people.

The enemy sets patterns.  The primary indicator that an IED is present is that an IED was there before.  In this war, lightning strikes the same places repeatedly.  Explosives are cheap.  To avoid bombs, instead of going through doors, soldiers blast holes.  They avoid paths, avoid bridges that are not observed, avoid the obvious.  Some choke points are unavoidable, and so often the best course of action is to spend extra effort on nearby families, trying to develop relationships so they will give tips.  By far, the number one counter-IED strategy is cultivating local people.  If the local people don’t want you to get blown up, there is a strong chance you won’t get blown up, so long as they feel safe in passing the information.  We saw this landslide of support occur in Anbar Province, Iraq, in late 2006, then spread through much of Iraq during 2007.  As we pushed more troops into neighborhoods and lived with the people, the people flooded us with information.

There were farmers and kids in the immediate area.

There were farmers and kids in the immediate area.


This morning, we crossed the first field, and an irrigation canal. "White Dog” stepped daintily stepped across the stones.  Our soldiers have been killed at canal crossings.  When there are bridges, the explosives often are just off the bridge, apparently because the enemy doesn’t want to blow up the bridge.

Farmers worked close by—and so we kept going through a hole in a wall, but only because there were farmers right there beside it, who smiled as we stepped through.


The next fields were vineyards, but unlike American vineyards where vines often are trained on wires, these vines are trained on low mud walls that would easily stop cannon fire from an Apache or A-10.

When the Soviets attacked in this same area, Mujahedeen recounted hiding under garlands of grapevines.  They waited until soldiers got close and shot them.  A 5/2 soldier was shot from up close in the area.  The bullet nailed his front plate and knocked him flat but he was okay.  Later, an IED took him out of the fight, though comrades say he is doing fine.  During winter, the vines are dormant and so there is little cover.

Moving through the vineyards, we walked single file on a hump between rows.  The soil was hard as cinderblock.  A few hundred meters later we came to Brick 1, the patrol base that had been set up in an abandoned farm compound.


At Brick 1, soldiers had cut down the pomegranate trees inside the compound walls, saying the owner was living in Kandahar and he knew we had occupied his compound and that he would be compensated.  Nobody knew the price per tree.  During 2008, when I was with British 2 Para in Helmand, a farmer was shooting at us nearly every day.  SIGINT (voice intercept) was clear that he was shooting because the British cut down his trees but offered meager compensation.  Shortly after I left, a soldier was shot in the head but I do not know if the death stemmed from the trees.


The Stryker soldiers said they typically stay at Brick 1 for about two weeks with no showers, though there is a foreign-built well.  They didn’t have a Stryker, just an MRAP, and all their supplies get humped in by foot.  They tried to drive in resupply but got blown up, they said.  They eat MREs, and there is little going on other than attacks and missions.  Inside the compound were bullet holes and marks where RPGs had come in.

Soldiers had collected the expended white casings from mortar illumination; the enemy uses the cases for bombs. 


Soldiers can be seen in the field moving closer to the IED.

Soldiers can be seen in the field moving closer to the IED.


At Brick 1, everything seemed fine; soldiers were cutting up, saying Perez the sniper couldn’t hit the broad side of a barn.


We walked to the roof of Brick 1 where Perez had his calculator out, doing the math for a long shot, and I wondered who he was going to shoot.  Turns out he was only preparing to fire at an IED that had recently been placed within direct sight of patrol base.  A patrol had moved out to get a closer look at the bomb.

Though December is dry and brown, the micro-terrain in the valley is like a Harry Potter invisibility cloak.  The enemy can still sneak around.  And so the area immediately outside the perimeter is likely to have a bomb that wasn’t there the day before.


A couple of helicopters could be seen in the far distance, doing who knows what.

A fat puppy slept on the roof near one of the machine guns, while a brown sheep was running around in the courtyard below.  Keeping dogs on base has been against regs since at least World War II, yet I have never been to a single base in Afghanistan or Iraq that doesn’t have at least one.  It’s highly doubtful that Secretary Gates or Admiral Mullen really care about the dogs.  At these isolated, small posts, dogs have probably saved a lot of American lives, but mostly they just make good pals.  Families send puppy chow through the mail and it’s common to see soldiers with bags of dog food and puppy chow.


On the roof were two interpreters.  One “terp” wore the nametag “Tarzan,” saying an American captain had given him the name and he liked it.  Afghan men tend to be fanatics for professional wrestling, so there was little doubt he tried to live up to his appellation.  He seemed very proud to be called Tarzan.


The soldiers and terps were joking, despite the new bomb nearby which indicated that someone in the neighborhood wanted to kill them.  Only the lone sheep seemed unhappy in his loneliness.  There was an explosion in the far distance.  There were no birds in the air, other than helicopters in the distance.  The day before, the Dutch had come in with a giant helicopter to FOB Frontenac and picked up one of their helicopters that had come back from a mission with bullet holes.  The Dutch took off the rotors, drained fluids, and flew it away.

Roof of Brick 1: Kandahar Airfield, and Pizza Hut is only about 10 minutes away by helicopter, though these soldiers go weeks eating MREs.  Everyone’s war is a snowflake; no two wars are the same.  One of Mullah Omar’s wives came from just a few minutes away.

Roof of Brick 1: Kandahar Airfield, and Pizza Hut is only about 10 minutes away by helicopter, though these soldiers go weeks eating MREs. Everyone’s war is a snowflake; no two wars are the same. One of Mullah Omar’s wives came from just a few minutes away.

Soldiers at Brick 1 said a mortar strike made this hole in their roof but that fight happened before they arrived. There is the saying that war consists of long periods of sheer boredom punctuated by moments of sheer terror.  Here there’s something pretty much always going on, though often we don’t know what it is.  You can hear explosions or firing, or see the helicopters or jets up to something, but you don’t know what.

1st Platoon prepared to depart Brick 1, leaving the current inhabitants nearby.

We moved through fields and four men were searched but mostly the soldiers just smiled and kept moving.

We moved through fields and four men were searched but mostly the soldiers just smiled and kept moving.

We didn't see girls or women during this part of the walk.

We didn't see girls or women during this part of the walk.

This soldier noticed that the wall on the left had been patched since the last time he was there.  The enemy often plants bombs in walls.

This soldier noticed that the wall on the left had been patched since the last time he was there. The enemy often plants bombs in walls.


We walked for maybe another half-mile through a small village that Lieutenant Fadden said previously had been abandoned, but after soldiers had moved into Brick 1 and began regular patrols, families starting coming back.  This is a good effect of our work.  Creating safety for the local population is the basis of an effective counterinsurgency strategy.  LT Fadden’s statements are consistent with observations I’ve made elsewhere in Afghanistan, and also what we saw in Iraq in 2007.  Despite much grim news from Afghanistan, there is clear progress in some areas.


This same confusion was evident nearly every step of the way in Iraq between 2004 and mid 2007: clear progress in some respects with clear backsliding in others.  This is the nature of progress in face of opposition.  It’s like a ship whose engines are pushing one way, while the currents are flowing another, while the changing winds are blowing yet another, and it’s all happening at night, and there is no GPS.  You just have to wait for clear nights to check the stars, and, as it has been said, smooth seas never made a successful sailor.  This military has weathered ferocious storms over the past eight years, more than even they can remember, often enduring setbacks and tragedies, sometimes blown off course.  Over that time, there has been movement toward our goals, but not enough, and the enemy is strengthening.

Along the way, young boys wanted their photos taken, but girls were nowhere to be seen.

Along the way, young boys wanted their photos taken, but girls were nowhere to be seen.

This village had water wells similar in form to what can be seen in many villages in Afghanistan.

The base of this water well indicates the Danish installed it back in 2003, when the world seemed to know that the Taliban were whipped and we decided to attack Iraq.

The base of this water well indicates the Danish installed it back in 2003, when the world seemed to know that the Taliban were whipped and we decided to attack Iraq.

Elsewhere in Arghandab are plentiful signs, apparently erected by us, which today mock our ‘progress.’  People say that Americans, British and others are losing patience with our progress here.  It's reasonable that citizens at home expect demonstrable progress in 2010, after 8 full years. People at home have a right to know how we are spending the lives of our people, and our money.

Elsewhere in Arghandab are plentiful signs, apparently erected by us, which today mock our ‘progress.’ People say that Americans, British and others are losing patience with our progress here. It's reasonable that citizens at home expect demonstrable progress in 2010, after 8 full years. People at home have a right to know how we are spending the lives of our people, and our money.

We walked back to the ANA base without incident.  Some 82nd Airborne soldiers were preparing for a mission.  They had no way of knowing that an earthquake was brewing in Haiti and other 82nd soldiers would soon be swooping in there to save lives.


Tonight, 18 December 2009, their unit would take command of the area, and the 1-17th would go out to FOB Frontenac to take a different area.  Stryker soldiers from the 1-17th talked quietly about the Humvees, sadly predicting the loss of 82nd brethren, and then changed the subject to more lighthearted matters.

A few minutes later, I joined a different Stryker convoy for the several-hour journey back to FOB Frontenac.  We would travel through the area where five Canadians --four soldiers and a journalist -- would soon be killed.  This was shortly before the suicide bombing at a base that attacked CIA officers, killing eight people.  The CIA is out here working hard but they don’t get much credit.  That’s the way it must be.


As we crossed dangerous terrain, a helicopter from some unknown country swooped over the convoy a couple times.  The Strykers are bad about getting stuck in the desert, but are better than the heavy humvees, and so we crossed some wadis at 90 degrees.  Over my headset, soldiers talked about the high danger of this area.  Later that night, we got back to FOB Frontenac and learned that an 82nd Airborne Convoy had been hit in a wadi that we had crossed.  The humvees cannot cross wadis like Strykers can.  A ranking soldier explained that the humvee had driven in the wadi and been hit.  Two soldiers were wounded.  Sergeant Albert Ware, an 82nd Airborne soldier from Chicago, had been killed.  Albert was originally from Liberia and on his second tour in Afghanistan.  A story in Chicago would say the following:

“Tragically, the war monument in the Pullman neighborhood will soon bear another name, after a 27-year-old father of three was killed this week by a roadside bomb in Afghanistan.

Sgt. Albert Ware died after his Humvee was blown up while he was on a secret mission…When Ware told his parents he'd joined the military after the Sept 11 terror attacks, they were angry that he voluntarily chose to go to war.

"I was afraid," said his father, Thomas Ware."

Sergeant Albert Ware died in service to the United States.  He is an American hero.  Since this mission, the Coalition has lost about a hundred more.  The war goes on.


The War in Afghanistan has truly begun. This will be a long, difficult fight that is set to eclipse anything we’ve seen in Iraq. As 2010 unfolds, my 6th year of war coverage will unfold with it. There is relatively little interest in Afghanistan by comparison to previous interest in Iraq, and so reader interest is low. Afghanistan is serious, very deadly business. Like Iraq, however, it gets pushed around as a political brawling pit while the people fighting the war are mostly forgotten. The arguments at home seem more likely to revolve around a few words from the President than the ground realities of combat here. I can bring the ground realities, but can sustain the coverage only by the graciousness of readers. Please keep that in mind. Please click…

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As always, this dispatch has been reprinted with permission from the author, Michael Yon.

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Whispers

Flight Medics prepare the aircraft to receive patients.

Flight Medics prepare the aircraft to receive patients.


Around Afghanistan
22 February 2010



“Johnny Boy” Captain John Holland was walking out to the aircraft just as I arrived at the flight line.

Captain Holland asked, “Are you ready?”

“Yes Sir.”


The Marjah offensive—billed as the biggest US/NATO/Afghan assault on the Taliban ever—had begun.  With it, the attention of nearly all the reporters covering Afghanistan is focused on Marjah.  Yet fighting continues across the country, in provinces with names unfamiliar to most people.  Men and women are wounded.  Some die.  Some are saved by dedicated medical crews, and by the pilots who fly into combat to ferry wounded to some of the best trauma facilities in the world, right here in Afghanistan.  This story is about the people who care for our troops, wounded correspondents, and many other people, day in, day out.

Pre-flight preparations before loading wounded troops.

Pre-flight preparations before loading wounded troops.


The C-130J can be outfitted to perform many sorts of missions, one of which is medical evacuation, which they call “aerovac.”  The flight medics say that starting from scratch and not rushing things, they can outfit the aircraft for aerovac in about 45-60 minutes.

Inside the cockpit is a hatch to the roof of the C-130J

Inside the cockpit is a hatch to the roof of the C-130J


This particular C-130J crew had already taken me on a “Special Delivery” mission: a night parachute resupply near the Turkmenistan border.


Pre-flight preparations and checks are exhaustive.  SSGT Gabe Campbell took me to the roof of the aircraft to explain a few procedures.


Gabe cautioned that when walking on top, one should make sure to stay within the black lines.  The airplane is big, and the flight line is made of concrete.  People have fallen off the aircraft (and continue to do so), though today was sunny, dry and not windy.  But imagine doing these checks on a dark, freezing, windy night, on the icy fuselage of a giant C-17.

Stay between the black lines and don't step on anything that says 'no step.'

Stay between the black lines and don't step on anything that says 'no step.'


I had never been atop a C-130 and the sun was in full cooperation for good photographs.  “People at home will like this,” I said to Gabe.

The runway at Kandahar Airfield was busy.

The runway at Kandahar Airfield was busy.

Gabe Campbell shows important hidden chambers.

Gabe Campbell shows important hidden chambers.

The 14mm lens stretches the wing.

The 14mm lens stretches the wing.

Gabe explains the de-icing mechanism on the tailfin, which the lens distorts to look like a shark fin.  ('Fish-eye' effect.)

Gabe explains the de-icing mechanism on the tailfin, which the lens distorts to look like a shark fin. ('Fish-eye' effect.)

Gabe smacked the rear section, saying that birds often nest in this area and when you smack it they fly out.  He said nesting birds aren’t a big problem in Afghanistan, but can be in some places.

Gabe smacked the rear section, saying that birds often nest in this area and when you smack it they fly out. He said nesting birds aren’t a big problem in Afghanistan, but can be in some places.

Back to the front.  The sun has moved and is no longer perfect.

Back to the front. The sun has moved and is no longer perfect.

That little membrane tears off and reveals a handle for the life raft, which pops out of the wing just behind Gabe's left arm.

That little membrane tears off and reveals a handle for the life raft, which pops out of the wing just behind Gabe's left arm.

Pilot Captain John Holland pops out from the cockpit.  Maybe he was wondering why we were playing on the roof.

Pilot Captain John Holland pops out from the cockpit. Maybe he was wondering why we were playing on the roof.

Around back, more preparations were underway.

Around back, more preparations were underway.


We crawled back down into the cockpit.  Specialists of various sorts were loading all kinds of gear, most of which was so foreign to me that it might as well have been space gear.  TSGT Matt Blonde said the gear weighs about 800 pounds and has the capabilities of a hospital intensive care unit.

An ambulatory patient strapped on his seatbelt and a sedated Canadian soldier was loaded.

An ambulatory patient strapped on his seatbelt and a sedated Canadian soldier was loaded.


After detailed preparations, checks and rechecks, they were ready to receive a critical care patient.  Medical staff explained that this Canadian soldier had been wounded during training by a Claymore mine.  In total, four Canadians were wounded when another Canadian soldier, Corporal Joshua Caleb Bake, was killed near Kandahar.

Doctor Chris Ryan works with the wounded Canadian soldier.  During flight from Kandahar to Bastion to Bagram, the team was at his side constantly checking this or that.

Doctor Chris Ryan works with the wounded Canadian soldier. During flight from Kandahar to Bastion to Bagram, the team was at his side constantly checking this or that.


The CCATT (Critical Care Air Transport Team) consisted of Tech Sergeant Matt Blonde (respiratory therapist); Major Debbie Lehker (nurse); and Lieutenant Colonel Chris Ryan (doctor).  I asked Doctor Ryan what precautions troops should take to reduce the wounds he is seeing.  Some of the advice was obvious. NCOs push soldiers to wear their ballistic glasses, for instance.  Burns were a constant, serious problem in Iraq, but less so in Afghanistan, due to the nature of the bombs.


Dr. Ryan mentioned that Special Operations folks often take the worst injuries because their body armor offers less coverage, and so they often take from 1-3 amputations.  He gave considerable credit to special operations medics.  “They are studs,” he said. High praise indeed, coming from someone with his experience.

Strykers are great vehicles, but none of our vehicles is ideally suited for combat here.  Stryker vehicles typically have about three soldiers standing up in hatches, sometimes on MRE boxes.  Dr. Ryan said that when the bombs detonate under the vehicles, soldiers often suffer 5-7 fractures in each leg.  Other fractures include feet, pelvis, back, ribs, arms, and neck.


Doctor Ryan stressed repeatedly the value of wearing seatbelts.  The bombs smash you into the vehicle. Dr. Ryan served with Dustoffs during the worst times in Iraq. He’s seen many more wounds than most soldiers will ever see.  So I listened to him. But often when soldiers see me putting on a seatbelt in a Stryker, they warn me to take it off.  “Wear it if you like,” they say, but they warn that if we get launched and are upside down, I’ll be stuck in a possibly burning vehicle.  This has happened plenty of times.  So we all carry seatbelt cutters that can also be used to strip off boots and uniforms of wounded soldiers.  But the soldiers are adamant that wearing seatbelts worsens your odds.  I do not know who is correct.  You get thrown hard without them, and stuck with them.


So, I asked Command Sergeant Major Jeff Mellinger, who served almost three straight years in Iraq.  We drove thousands of miles around the country, visiting units everywhere.  CSM Mellinger also visited Combat Support Hospitals twice per week.  He read every single casualty report—thousands—and was the CSM for General Casey then General Petraeus.  In short, CSM Mellinger knows the combat side, and the statistical side.  Today he is the CSM for AMC—Army Materiel Command—with responsibility for every bean, bullet, bandage, helicopter, tank and seatbelt in the Army inventory.  He talks bluntly and I take his word as the final statement.  CSM Mellinger emailed about the seatbelt question with the Bottom Line Up Front (BLUF):

"BLUF - only a fool would ride without seatbelts.  The feeling of not needing seatbelts started in MRAPs started as troops got to feeling invincible because they were riding in the beasts.  Fact is there are lots of casualties that survived the blast, but did not escape unscathed by being thrown around during the blast or rollover.  The first two soldiers killed in MRAPS were thrown free and rolled over by the vehicle.


I have high speed video showing 250 pound dummies being slammed to the floor, then the roof, then the floor again in blast simulation after blast simulation.  Many of these crash-test dummies sustain breaks of arms, legs, necks and backs.


Far more likely than being trapped in a seatbelt is being upside down in your belt due to rollover.  To prevent that being a problem, each troop was issued a webbing cutter.  I am the guy who demanded cutters (2005) that everyone would be issued and keep on their body armor in order to cut themselves or anyone else out should the highly improbable happen.  But if you are riding without seatbelts and rollover, you will surely have injuries.

Not long ago at Walter Reed, I visited most of the crew of a vehicle that had rolled over, and none were wearing seatbelts.  Every single member of the crew had injuries, from open fractures to missing teeth.  The squad leader told me that he was solely responsible for their injuries, as he had told them they didn't need seatbelts, and he knew that they would likely have escaped unhurt had seatbelts been worn.


Please look at the NHTSA link on seatbelts 


http://www.nhtsa.dot.gov/people/injury/airbags/buasbteens03/index.htm.  Also see the Snopes link http://www.snopes.com/autos/techno/seatbelt.asp.


Use your belts, and try to get those who do not to see the error of their thinking.  You will save lives!"

Jeff emailed another important missive just before this dispatch went to press:

“From my personal notes gleaned from reading every casualty report during my MNF-I CSM time (1 August 2004 - 6 May 2007):


We had 56 killed and 190 injured in rollovers -- thrown free from the gun turret or out the doors.  Rollovers, Michael, not IEDs, not enemy action, rollovers.  Add to that another 39 killed and 186 injured in vehicle accidents, I think one can safely say there would be more alive today were all wearing belts!”

That matter is settled: I’m wearing the seatbelt.

Co-pilot Captain Tanner Bergsrud spots fighter jets coming out of the sun.

Co-pilot Captain Tanner Bergsrud spots fighter jets coming out of the sun.


We took off from Kandahar and headed west toward Camp Bastion in Helmand.  The sun was blindingly bright at times and there was much air traffic, and so the pilots were on sharp lookout.  We could hear radio traffic from all sorts of aircraft, and air traffic control alerted our pilots about some fighter jets that happened to be coming out of the sun at approximately our altitude.  Despite the bright sun, co-pilot Captain Tanner Bergsrug somehow managed to spot the aircraft.

Lieutenant Colonel Ash Salter is the Commander of the 772 Expeditionary Airlift Squadron and he came along for the mission.  He answered all one hundred questions I threw at him, while keeping watch for undeclared aircraft.  Like all the other pilots and crew, LT. COL. Salter gives high marks to the C-130 platforms; it’s conceivable that C-130s will eventually have been in the American inventory for over a century.

We landed at Camp Bastion, and another C-130 pulled up behind us, and then came this ambulance.  Two Apaches flew over to land and LT. COL. Salter noticed that their Hellfire rails were empty.  Aircraft were coming and going as if this were the Atlanta airport.

We picked up two wounded Afghan soldiers.  This one didn’t speak English but he was happy when I stopped a couple times to say hello and give a thumbs up.

Another C-17 comes in.  By now, we must have seen every C-17 in the American inventory.  Many of the wounded are first picked up by helicopters such as “Pedros, ” and then transported via C-130J, and then to these C-17s or KC-135s.  I once flew Under Distant Stars from Iraq with Jeff Mellinger on a C-17 to Landstuhl.  Patient treatment was attentive and top-notch.  The wounded also say Landstuhl treatment is great, but when they get back to the United States the treatment can be shamefully poor.

We fly ammunition into Afghanistan on C-17s.  Senior Airman Joe Hawkins, closer to the C-17, is the silent crew member.  Joe is quick with a smile but doesn’t say much.

We fly ammunition into Afghanistan on C-17s. Senior Airman Joe Hawkins, closer to the C-17, is the silent crew member. Joe is quick with a smile but doesn’t say much.

After a patient is loaded, Tom Parsons gives the signal that they’re ready for the next.

After a patient is loaded, Tom Parsons gives the signal that they’re ready for the next.


In addition to the doctor, nurse and respiratory specialist, there were five other medical specialists on the flight: TSGT Kat Hamblin (flight medic); TSGT Mark Russak (flight medic); MSGT Garry Sheets (flight medic); 1st LT Tom Parsons (flight nurse); and Major Marsha Schuman (flight nurse).


All are reservists and some have considerable other military experience.  Tom Parsons said he spent 20 years as a reserve SEABEE and was in Ramadi, Iraq from June 2004 to April 2005.  That was a period of serious danger.  He’s also spent three years in the Air Force reserve, and mentioned that he works in the Butler VA hospital north of Pittsburgh, and that he will take care of these troops when he goes home.


Marsha Schuman did a tour in Iraq and this is her second in Afghanistan.  Marsha was so busy we didn’t get to talk much.  Marsha’s colleagues said she has been in the Air Force 24 years and is a wealth of knowledge, having worked with all the aircraft.


Kat Hamblin is the baby on the trip. She had been a cheerleader at Sacramento State and is now studying online.  Kat said she did a back handspring on an A-10 wing and I asked what she would have thought if she broke off the wing.  (A-10s are mighty sturdy and Kat looks light as a gnat.)


Gary Sheets was in the Marines for nine years and is on his first deployment to Afghanistan.  Gary said that being a flight medic is “the best job in the Air Force.”


Mark Russak was in the Army for eight years and did 364 days in Al Anbar Province, Iraq, from June 2005 to June 2006.  Mark said he was at places like Habbaniya, so I asked if he had been to nearby Coolie Village.  Mark said his group lost four soldiers in Coolie, and I told him that I went there in 2007 with Marines after it was flattened by a truck bomb, described in “Ghosts of Anbar.”


This is Mark’s second Afghanistan tour in the last year.  His personal motto: “It’s all about the man in the litter.”

TSGT Matt Blonde did three deployments to Iraq at the trauma center in Baghdad and up at Balad, one tour in Oman, and this is his first in Afghanistan.  “Iraq in ’07 is the most memorable part of my career.  Trauma non-stop.  I worked every day.  We saw at least four or five really significant mass casualties where we were nearly overwhelmed.  Up to fifteen patients at once.  There was not an injury type that I did not experience.  If there is a worse injury to be seen, I never want to see it.”

Tom gives the okay to load another patient.

Tom gives the okay to load another patient.


Hand and arm signals are used on the flight line.  The engines are running and there is another C-130 behind us, also with engines running, while jets and helicopters swoop in and out.


Afghan National Army soldier.

Afghan National Army soldier.


Two wounded ANA were loaded.   The crew didn’t know how or where they were wounded.  Maybe they had come from the Marjah fight just nearby.  When I spoke English to them, neither seemed to understand, but this one seemed very happy and broke out in a grin every time I said “Okay?” and gave a thumbs up.

This ANA soldier responded with anger in his eyes.  His face radiated hatred.

This ANA soldier responded with anger in his eyes. His face radiated hatred.

The two ANA are loaded on the left (we are facing the cockpit), with two U.S. Marines loaded on the left behind them.  The Marines are in the foreground.  The feet on the right belong to the wounded Canadian soldier, so now we have five litter patients, one ambulatory, and eight medical staff.  Care was close and constant as we flew from Camp Bastion to Bagram.  From Bagram, those who were going home would get on a C-17 and probably stop in Landstuhl, Germany, before making the cross-Atlantic journey.

The Marine on the top was not wounded.  Something went wrong with his leg.  The malady remained undiagnosed.  We talked for a few minutes and he seemed to be in good spirits.

Kat Hamblin came up to administer medicine and suddenly it was like the Marine had five cups of coffee.

Kat Hamblin came up to administer medicine and suddenly it was like the Marine had five cups of coffee.

He sat right up.

He sat right up.

Kat started helping other patients, which seemed to pull out his power pack.

Kat started helping other patients, which seemed to pull out his power pack.


In the bunk below was Corporal Tommy Michael, U.S. Marines, from St. Louis, Missouri.  Tommy had a thick bandage on his right hand and a nasty nose wound.  I asked what happened and Tommy said his platoon had been fighting near Marjah, in a firefight that had been going on for about ten minutes.  Tommy said he was in a 4x4 MRAP, in the hatch putting down suppressive fire with his .50 cal when he heard a whistle and BANG!  Some kind of round, maybe a mortar, struck the MRAP and fragged his right hand and nearly blew off his nose.  I asked if all his buddies inside were okay and he said they didn’t get a scratch. I asked if that sort of MRAP is any good, and Tommy thought they were.  I asked if his hand is bad and he said there is some nerve damage. As for his nose, he said it was like a horror movie where the guy gets his arm cut off and it’s squirting blood across the room.  It took 200 stitches to close or sew back on.  I said to Tommy that his nose didn’t look so hot and he was going to have a cool scar, to which Tommy laughed and grinned and said, “Yeah.”  He seemed sad for just a moment, because he wants to go back to his platoon. We both knew it wasn’t going to happen with that hand or nose.  Tommy had done a light tour in Iraq in 2008-2009, but this was his first in Afghanistan.  He said he is now with the 2nd Combat Engineer Battalion with Route Clearance Platoon 4.  Though he just got wounded, Tommy already missed his buddies.  “Are you married?” I asked.  “No Sir.”  “Did you call your mom and dad?”  “Yes, I called them.”  “Good,” I said, “because if you don’t they will go crazy.  Make sure to call them again from Bagram.”  Tommy said he would.


Some troops don’t call their parents or loved ones when they get hit.  Then the loved ones get the word from the Department of Defense that “your son got shot,” and it freaks them out.  When you get hit, it’s important to call home ASAP to avoid stressing out your family.

The medical staff never stopped working.  I didn’t even get a chance to talk with Major Lucy Lehker because she was so focused on the Canadian soldier, who was the only truly critical patient.  When the Canadian soldier began to wake up, Lucy caressed his head, and whispered to him where he was, how he got there, who she is, and what his injuries were.

Lucy kept whispering.

Lucy kept whispering.

She kept talking until the soldier relaxed.

She kept talking until the soldier relaxed.


Later, it was revealed that “Lucy’s” real name is Deborah, but her Air Force friends call her Lucy, as in “I Love Lucy.”  They say she is lovable and naïve, just like Lucy.  This is Lucy’s 4th activation (she is AF Reserve) since 9/11, and her third overseas tour, having served in Kuwait and Iraq.  Her time in Iraq was at Balad from September 2006 to February 2007.  Those who know something about the war will recognize that Lucy was at a four-way intersection of trauma during some horrible times.  Despite all that, she is the one whispering into a soldier’s ear.


We landed at Bagram and Tommy gave me a thumbs-up and a smile as they hauled him out.  Boy his nose looked bad, but he’s going to have bragging rights with that scar.


The crew grabbed dinner and we actually picked up a patient to fly from Bagram to Kandahar.  The patient was Australian.  An Australian nurse was by his side.  I asked what happened to his eye and he said it got blown out by an IED.  He had been wearing ballistic glasses, and suffering no other wounds, but the eye was gone.  He seemed in good spirits.  The Australians have an excellent reputation here.


During the flights the pilots had adjusted the temperature to keep the patients comfortable, but something was wrong with the system and the cockpit was very cold.  The pilots’ feet were freezing.  When the Australian’s eye started hurting because of the altitude, the pilot adjusted the cabin pressure to mimic 5,000 feet above sea level.  There are quirks to aerospace physiology requiring specialized training, and the airplanes complicate matters.  Cabin temperatures can swing dramatically which can have particularly detrimental effects on burn patients.  

Pressure changes and gas laws must be considered, while vibrations and noise are big stressors.  Matt Blonde said that during CCATT flights using KC-135s, which typically are refuelers, his feet might be freezing while his forehead is sweating.  So, in addition to knowing their medicine, air medical technicians must understand the nuance of various aircraft, and the impact on patients’ injuries or illnesses.


During the flight back to Kandahar, alerts kept coming in about new RAZs (restricted air zones) as jets and an AC-130 went “hot” on different targets along the way.  We diverted at least once.  Closer to Kandahar we could see the eerie orange glow from artillery illumination rounds, floating down under parachutes in several areas, far below us and distant.


And then a radio call came in.  The mission was “refragged,” meaning it had been extended.  The crew was to drop off the Australian patient in Kandahar, pick up four more patients and fly them to Bagram and then return to Kandahar.

Four wounded US Army soldiers are carried into the C-130J.

Four wounded US Army soldiers are carried into the C-130J.


We landed in Kandahar and the first critical care team disembarked.  The Canadian had been their 70th patient.

The new patients were all U.S. soldiers from the same unit.  Two were critical and came with a new CCATT.  The two soldiers with lighter wounds were loaded first, and the one on the bottom litter kept turning around, straining to see when the two critical patients would be loaded.  He obviously was their superior.  I’d seen that look of deep concern many times.  A leader was looking out for his boys.


The soldier in the top bunk was named Steve, and he was from 1-12 Infantry of 4/4.  Steve said they had been hit by a suicide bomber earlier in the day on Highway 1 in nearby Zhari District.  The bomber was on a three-wheeled motorcycle and when he detonated it killed three buddies, and wounded the four on this airplane.  Two kids, about five years old, apparently also were wounded.  Steve wanted to talk but he could hardly keep his eyes open so I left him alone.


The lightly wounded soldier who was concerned about the two behind him was Staff Sergeant Joshua Danison, the acting platoon sergeant.  Josh said the attack had occurred at about 10:15 in the morning. The bomber approached on the 3-wheeled motorcycle, with the bomb hidden under bags of the colorful homemade chips that are sold in markets.


Josh said his wounds weren’t bad—he got a frag behind a knee—and he was still able to treat wounded.  While that was going on, at least two other enemy tried to plant another bomb about 50 meters away and our guys caught them. Luckily the medevac birds were very fast, landing in about 25 minutes.

Tom Parsons on paperwork.

Tom Parsons on paperwork.


And that’s really about it.  This crew and medical personnel say this is a normal day for them.



 


The War in Afghanistan has truly begun. This will be a long, difficult fight that is set to eclipse anything we’ve seen in Iraq. As 2010 unfolds, my 6th year of war coverage will unfold with it. There is relatively little interest in Afghanistan by comparison to previous interest in Iraq, and so reader interest is low. Afghanistan is serious, very deadly business. Like Iraq, however, it gets pushed around as a political brawling pit while the people fighting the war are mostly forgotten. The arguments at home seem more likely to revolve around a few words from the President than the ground realities of combat here. I can bring the ground realities, but can sustain the coverage only by the graciousness of readers. Please keep that in mind. Please click…

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