WEBVTT 00:00.280 --> 00:04.130 with the 86 Combat Support hospital uh 00:04.140 --> 00:06.390 even seen a hospital within the 00:06.390 --> 00:08.750 international zone in Baghdad . Okay . 00:08.750 --> 00:11.340 And is this a reserve cash or 00:11.340 --> 00:15.190 what ? This is an activity cash that 00:15.200 --> 00:17.311 comes out of fort Campbell Kentucky . 00:17.311 --> 00:20.580 Okay , super . Are you a reservist or 00:20.580 --> 00:23.900 you active duty professor ? I'm active 00:23.900 --> 00:26.011 duty professor . Okay . How long have 00:26.011 --> 00:29.680 you been in theater ? About five months . 00:29.690 --> 00:32.600 Okay . Uh you're the D . C . P . S at 00:32.610 --> 00:35.390 the 86 you had a chance to observe your 00:35.390 --> 00:37.668 folks , your medics , your admin folks , 00:37.668 --> 00:39.530 nurses and doctors . What's your 00:39.530 --> 00:43.050 assessment of how they're doing so far ? 00:43.060 --> 00:46.980 Well , they're extremely 00:46.980 --> 00:50.720 motivated , dedicated and uh 00:50.730 --> 00:52.952 despite the fact that they've been here 00:52.952 --> 00:55.730 close to a year , uh their their morale 00:55.730 --> 00:59.180 is outstanding and their focus on 00:59.180 --> 01:01.550 patient care has continued throughout 01:01.550 --> 01:04.420 their entire course of their deployment 01:04.430 --> 01:08.370 and care is continued 01:08.370 --> 01:12.120 to improve as a team work has developed 01:12.120 --> 01:14.009 over the course of the deployment 01:14.009 --> 01:16.510 between medics , nurses and physicians 01:16.520 --> 01:18.687 all the way through from the emergency 01:18.687 --> 01:21.470 treatment area into the operating room 01:21.470 --> 01:22.580 and then into the 01:23.190 --> 01:26.780 how 01:26.780 --> 01:29.260 is combat medicine and surgery 01:29.270 --> 01:31.437 different in the cash environment that 01:31.437 --> 01:33.120 it is in the environment ? 01:33.990 --> 01:36.310 Well , one of the main differences 01:36.310 --> 01:39.350 between combat casualty care and care 01:39.350 --> 01:41.410 and the environment is the length of 01:41.410 --> 01:44.040 stay that soldiers have in the hospital . 01:44.050 --> 01:47.230 Primary mission is surgical acute 01:47.230 --> 01:50.130 surgical care resuscitation and then 01:50.150 --> 01:54.000 evacuation up through the evac 01:54.000 --> 01:57.900 chain back to colonists eventually for 01:57.910 --> 02:00.180 more definitive care and then 02:00.330 --> 02:04.320 restorative care and and continuing on 02:04.320 --> 02:07.800 into their mps that are located nearby 02:07.800 --> 02:10.900 where their families are . So primarily 02:10.900 --> 02:14.090 were responsible for acute care 02:14.090 --> 02:18.070 and resuscitation followed by 02:18.080 --> 02:21.100 a course of multiple surgeries here to 02:21.110 --> 02:23.810 ensure that wounds are properly cared 02:23.810 --> 02:27.580 for and then continuing surgery 02:27.590 --> 02:30.670 beyond the cash at launch school 02:30.670 --> 02:32.980 followed by walter reed or fancy or 02:32.980 --> 02:36.490 Madigan wherever patients . And uh 02:36.500 --> 02:39.470 secondarily we primarily have acute 02:39.470 --> 02:43.150 injuries as opposed to chronic care and 02:43.150 --> 02:45.600 most of our care is surgical and 02:45.600 --> 02:48.290 impatient as opposed to primary care 02:48.290 --> 02:52.290 and outpatient . Okay . Is this 02:52.290 --> 02:54.640 your first experience as a D . C . CS 02:54.640 --> 02:57.580 in a combat environment ? Yes , sir , 02:57.580 --> 03:01.030 it is . Okay . You mentioned the number 03:01.030 --> 03:03.197 of casualties that you had to evacuate 03:03.197 --> 03:05.200 um back to opponents or to launch 03:05.200 --> 03:07.900 school . We would think that would be a 03:07.900 --> 03:10.122 logistical problem getting paid . How's 03:10.122 --> 03:13.530 it been for you ? The 03:13.540 --> 03:17.430 process of patients care at the cash 03:17.430 --> 03:19.590 followed by . Air evacuation is 03:19.600 --> 03:22.460 incredibly smooth . We have 03:22.460 --> 03:26.380 a well coordinated team of individuals 03:26.390 --> 03:28.390 all the way from the physicians and 03:28.390 --> 03:30.560 nurses who to ensure that patients are 03:30.570 --> 03:32.590 clinically ready to go and stable 03:32.590 --> 03:34.920 enough for transport that their 03:34.920 --> 03:36.620 discharge summary and medical 03:36.620 --> 03:39.270 information is clearly articulated in 03:39.280 --> 03:42.420 in the notes and transferred up through 03:42.420 --> 03:44.760 the chain and 03:44.770 --> 03:47.910 our air back colleagues and 03:47.920 --> 03:51.490 balad uh coordinate care all the way 03:51.490 --> 03:54.290 through to Ramstein Air base in Germany 03:54.300 --> 03:57.880 in a uh phenomenal manner . We also 03:57.880 --> 03:59.547 have the ability to transport 03:59.547 --> 04:01.602 critically ill patients so that even 04:01.602 --> 04:03.640 those patients may not be terribly 04:03.640 --> 04:06.100 stable . They are transported by 04:06.100 --> 04:08.570 critical care teams that can take care 04:08.570 --> 04:11.180 of their ICU needs all the way through 04:11.190 --> 04:13.650 from air evacuation from our hospital 04:13.650 --> 04:14.706 up to launch . The 04:17.970 --> 04:21.170 heat is a senior army officer and uh , 04:21.180 --> 04:23.180 what would you give a young medical 04:23.180 --> 04:25.370 students considering the army as a 04:25.710 --> 04:27.821 career option . In other words , they 04:27.821 --> 04:30.670 prepare themselves in harm's way when 04:30.670 --> 04:32.850 they could just as easily join a 04:33.220 --> 04:35.280 medical practice a 04:36.540 --> 04:40.370 well , I must say that the kind of care 04:40.370 --> 04:42.900 that you provide and in the army , not 04:42.900 --> 04:44.956 just in garrison , but then when you 04:44.956 --> 04:47.950 come to deployment setting is much more 04:47.950 --> 04:50.061 pure medicine than it is in any other 04:50.061 --> 04:51.728 setting that you might find , 04:51.728 --> 04:53.783 especially in civilian practice . In 04:53.783 --> 04:56.310 addition , the sense that you're 04:56.320 --> 04:58.990 performing a vital mission and without 04:58.990 --> 05:02.280 you soldiers would surely perish , 05:02.790 --> 05:05.840 drives individuals not only to work are 05:05.850 --> 05:08.120 harder themselves but work together as 05:08.120 --> 05:11.910 a team and you develop a great 05:11.910 --> 05:14.230 sense of camaraderie with your other 05:14.230 --> 05:16.600 colleagues as well as individuals who 05:16.610 --> 05:18.777 may not be in your direct profession . 05:18.777 --> 05:22.330 Uh Finally , the deployment setting 05:22.340 --> 05:25.640 uh outside of Conus 05:26.520 --> 05:28.740 finds those individuals together even 05:28.740 --> 05:31.890 more . But I must say that even in 05:31.890 --> 05:34.800 Conus and at the fixed facilities , the 05:34.800 --> 05:37.400 degree of camaraderie and sense of 05:37.410 --> 05:40.830 mission greater than yourself is far 05:40.840 --> 05:44.750 more than is far stronger than it is in 05:44.750 --> 05:47.880 any civilian practice . Having done a 05:47.880 --> 05:49.991 fellowship in the civilian hospital , 05:49.991 --> 05:52.047 like , I have a sense of what that's 05:52.047 --> 05:54.450 like and one of the most common 05:54.620 --> 05:56.730 comments that I hear from people who 05:56.730 --> 05:58.550 have either retired or left the 05:58.550 --> 06:00.890 military after their obligation is that 06:00.900 --> 06:03.470 they never quite understood the sense 06:03.470 --> 06:06.500 of camaraderie that was available to 06:06.500 --> 06:08.556 them and developed in the military . 06:08.556 --> 06:10.556 And they never seem to develop that 06:10.556 --> 06:12.556 same sense of camaraderie when they 06:12.556 --> 06:16.200 leave . Okay , great . Anything 06:16.200 --> 06:20.020 else ? So I 06:20.020 --> 06:23.510 think that the uh benefits from 06:23.520 --> 06:26.030 the extensive clinical experience that 06:26.030 --> 06:28.141 you can generate and that you can get 06:28.141 --> 06:30.600 from from patients that are coming to 06:30.600 --> 06:33.360 you for care in the military uh , from 06:33.360 --> 06:35.471 the perspective of residency training 06:35.471 --> 06:38.040 and all perspectives and then follow on 06:38.050 --> 06:41.760 amongst the MTs that we uh 06:41.770 --> 06:44.180 cover and all throughout the world , 06:44.190 --> 06:46.301 provide you with outstanding clinical 06:46.301 --> 06:49.210 experience in many ways , much more 06:49.210 --> 06:52.040 broad and much more and much deeper 06:52.050 --> 06:53.939 than you might be able to develop 06:53.939 --> 06:56.106 either in a civilian residency or more 06:56.106 --> 06:58.675 importantly , after after residency , 06:58.675 --> 07:01.625 when you're having two cases for board 07:01.625 --> 07:03.403 examinations , especially those 07:03.403 --> 07:05.236 individuals who are in procedure 07:05.236 --> 07:07.745 related specialties , uh , different 07:07.745 --> 07:10.465 types of uh , surgical specialties and 07:10.465 --> 07:12.400 sub specialties .