Thursday, September 30, 2010

Thursday Writing Post: Your High School English Teacher Didn't Know Best

My favorite film about writers and writing.
The Wonder Boys, now playing on Hulu.


It was a hot summer night, the temperature hovered at 100 degrees. My daughter quietly pushed a piece of paper onto my desk. It had been a long day of editing a manuscript, my eyes were tired, yet I understood the significance of her offering. This took courage. Every child of a writer knows writers are a persnickety lot. Our weapon of choice is a red pen. Experience, literature and a fondness for playing with words forms our reservoir. I've tossed books across the room after reading the first page when confronted with sloppy sentence structure (Anita Shreve is guilty of this). Inclusion of too many thats or I's are proof of a writer's inattention. Yet, this single page was an indication of trust. What my daughter presented was her three-hundred word analysis of James Thurber's The Secret Life of Walter Mitty.

She, like many young students, have written plenty but stand on the precipice of beginning to understand craftsmanship. I suggested minor edits, being careful to suggest ways to make her writing more clear. Daughter turned it in. The teacher gave her a B-. His edits were fine, especially since he was grading 150 of these. I didn't make a big deal out of it, and encouraged her to read through his comments and remember them for next time.

But I was reminded me of the times I've gotten emails from soldiers telling me that they've always wanted to write, but hadn't done well in high school.

So, this is for every person who has always wanted to write, but was discouraged by a middle school or worse --a high school English teacher.

When I took university level creative writing courses through the Writers' Program at UCLA, the most annoying individuals were High School English teachers. They thought because they had 1. Read many books; and 2. Graded student's papers, they knew everything about writing. Incidentally, the second most annoying group were out-of-work screenwriters. The third, unhappy lawyers. The fourth, librarians.

Each week, we'd read one another's work. The more obnoxious high school english teachers would "tsk tsk" over grammatical errors, shake their heads whilst writing snarky things on the bottom of the page, and constantly engage in a game of one-upsmanship with the university professor.. It was, after all, the only way they knew how to behave given their day-to-day grind. But when it came time for the group to read their work, that's when their own vulnerability was served to them on a plate.

The truth is, they were no better or no worse than anyone else. What usually made their writing "not work" were the usual pitfalls every single one of us writers experience. They couldn't see the scene, tried to describe too much, didn't describe enough, their character was moving around in murky air. Many failed because they tried to emulate their favorite author. There were plenty of people who wanted to write like Isabel Allende, Barbara Kingsolver, John LeCarré, Hunter S. Thompson and even F. Scott Fitzgerald. But what they lacked was their own voice, the one that gives the reader a reason to want to read their work.

So I'm telling you to forget that B-. Push aside memories of marked up papers. Just because you got an F in high school English, forget about them. This is not to say high school teachers shouldn't be lauded for bringing teenagers up to par for the exit exam. In addition, many do have a rich and diverse reading list. Some are even passionate about literature. But, they are not where you are at this point in your life. What they thought about your writing then, doesn't matter now. Forget about them.

The hardest thing you will ever do is shake loose the scene swirling around in your head and putting it onto the page. You will write, and you will rewrite until it's just right. Most of the time, you'll be alone. There will be fear, uncertainty, boredom, humiliation, disgust, anger, happiness and elation. No writer escapes this combination of emotions.

If you can put aside what others think, you will learn to love playing with words. The writer who does this becomes passionate about reading broadly (all kinds of stuff). Craftsmanship isn't seen as a chore, but as a duty and even a very fun game. Finally, if you don't mind failing, then you will have succeeded. So get to it. Get that scene that's been running around in your head onto the page. Commit to it, get it down on the page. Along the way you will find your voice.

Wednesday, September 29, 2010

The Wedding That Was Not To Be

British Surgeon, Dr. Karen Woo, one of ten volunteer health workers killed by the Taliban, was to have been married to Paddy Smith upon her return from a medical mission. Mark "Paddy" Smith, her fiance talks to the Daily Mail.

So many other service members fiancées have met the same fate. I'm sure they all feel spiritually wedded he does. There's more than one way to be wed.

The Karen Woo Foundation has been set up to raise funds that will provide healthcare in Afghanistan.

"Karen’s father Tehaun, 67, said: ‘It’s still too soon for us to understand. I still can’t look at photographs of her. We are keeping our fingers crossed that the Foundation will help keep her spirit alive. It is a tribute to her.’

Her mother Lynn said: ‘She’s not here with us, but she’s here in my heart and mind. We hope the Foundation will complete Karen’s work."




Monday, September 27, 2010

A Comparison: Military Kids Try Harder

Military Kids at an Operation Purple Camp, 2009

This weekend I had the opportunity to do my volunteer stint at a local suburban pool where we are members. There's a marvelous group of parents who keep up with their kids, and expend every dime for opportunities for their children. However, I witnessed something that bothered me. It's endemic with families who think they owe their kids everything.

A family was having a birthday party for a a pre-teen. It was a beautiful event, for 23 kids and adults. This was in addition to other members and guests who were also using the facilities. The club was packed. There's a shallow wading pool, available for 7 year olds and under. Truthfully, most kids over the age of 6 would prefer not to be in the "baby pool." But on this day, there was a mix of little kids around 4 or 5, and some noticeably larger and taller girls splashing and screaming with them. They were all with the birthday girl. With 2 lifeguards and myself charged with the safety and well being of everyone, enforcing the rules was not out of line.

So I told the girls that anyone over the age of 7 should go use the big pool. Invariably, the big girls said they were 7, but it was obvious they were older. They complained and whined and refused to get out. I found the mother. She was apologetic and took care of the situation, but not without the same disrespect leveled at her. Later, deja vu. We've done this before, girls, right? One of them responded by jumping in the pool before going out.

A few hours later, one of the board members says, "Well, I always use a bit of discretion. Sometimes I just let it go." Discretion, yes. At times needed in general terms. But at the swim club, unless they see rules applied consistently, they'll think rules don't apply to them if they can whine and complain. This makes for one hot mess twenty years down the line.

When it came time for the party to leave, the mother and father were stuck cleaning the whole mess up. None of kids were helping because they weren't asked. Given that it was a public place, guiding the group toward teamwork wouldn't have been unreasonable. But given the daughter's and some of her friends' attitudes, it wasn't a surprise.

Contrast to what the local Boys & Girls Teens Club did on Sunday. The teens met and got in a van at the awful hour of 7AM to clean up the local aboretum for a few hours. Their parents are just as caring, just as concerned, but aren't above letting their kids be in the hands of the local Boys & Girls club. The B&G offers them guided opportunities to help make them more independent and think about their future.

While one can't talk too much in generalities, I find the Boys and Girls Club Teens have a lot in common with military families. I think because of their constant moves, and the uncertainty of their lives, military kids try harder than the garden variety swim club kids. Furthermore, if you ask a military kid to do things, usually, they comply. I figure this is in part to great parents --who are used to giving orders (ahem, creating teamwork) be they spouse or active duty.

This isn't to say that military kids don't have their rough patches, or that there aren't some hot messes who grew up in the system. There are little shits and also unreasonably stupid adults everywhere, even here. But I'd have to say, military kids are an amazing lot.

A few years ago, our daughter attended an Operation Purple summer camp. At the end of the week, all of the camp counselors agreed: Of all the kids who went through the YMCA facility, the military kids were the finest all season. And this came at the tail end of August after thousands had already been through. The camp counselors loved them.

I'm sure the birthday girl will someday be independent. I just hope her parents understand that there is much to be said for teaching kids to pick up their own garbage.

Sunday, September 26, 2010

Gold Star Mothers & Families Day

Today is Gold Star Mother's & Families Day. Yes, if your flag isn't up already, it should be now.
"I'm still trying to give him a hug now and then," she said.
-Mrs. Gay Nacca, Gold Star Mother whose son Carl Nacca Jr.
was shot down in Vietnam in 1971
Read the proclamation here.


Saturday, September 25, 2010

Naked Lady! Naked Lady in the hooch! Tim Hetherington's "INFIDEL"

There's a wee bit of a stir over on the Restrepo Facebook Page. A mother of a soldier is telling people not to buy Tim Hetherington's book Infidel because of photographs of the centerfolds that the men of the 2/503 Battle Company had hanging on their walls while they fought in the Korengal Valley.

Centerfolds. Naked Ladies. Well, she called it "porn."
Oh my.
19 and 20 year old men.
My, my.
15 months taking fire, sometimes 4 times a day. Not a female in sight. Except for the ones sent in by troop supporters in the form of centerfolds.

Her justification for calling for a ban is because she's the mother of a soldier, so her point of view matters more than others. Never mind that the Facebook page has scores of mothers, fathers, grandfathers, wives, girlfriends, grandmothers, and veterans who have been through the same thing.
Vargas girl: old school titillation
I responded to her repeated attempts to call for a book banning that great grandfathers who served in WWII, grandfathers who served in Vietnam, fathers who served in Desert Storm more than likely had a few centerfolds passed through the barracks. Vargas girls, Playboy centerfolds.

One of the photos in Infidel is funny. It's a busty lady. One of "the lads" has perhaps haphazardly stuck a piece of fly paper on top of her. It looks like she's wearing dead flies. I laughed when I saw it. Another photos is of the naked ladies pasted on top of the table. The guys are playing cards. It's almost as if the naked ladies had become so passe, they were serving as place mats.

Her complaint is she can't show this to her family. Frankly, I can't imagine buying a book on war and showing it to kids, or even taking kids to see Restrepo. This is about war, it's about life and death. It's loud, violent, and one must be willing to take in the whole picture. Not some sanitized version. Their sexuality is part and parcel of who they are as human beings.

Perhaps we need to touch base on what's not normal. What isn't normal is being shot at day after day, what isn't normal is seeing your friends killed, in a nutshell: war isn't normal. In the midst of the fighting, of being blown up, of weapons that cost $80,000 to shoot, the thing that might have turned out to be a reminder of normalcy were the photos of naked ladies taken from the centerfold of Playboy.

Infidel is a photography journey of the the reality these guys lived with. It's as one facebook fan said, "an unvarnished look."
The naked ladies stay in the book, and in the collective memory of these men.

Friday, September 24, 2010

Friday's Gratitude Post: The Best Parts

Dr. Ferd Crotte runs a nifty blog celebrating "the best parts" that life has to give. In a blatant knock off, I'm doing the same for Friday. Here are the best things this week.

1. Winn Army Community Hospital Psychiatric Nurse Practitioner Major Sabon Shelton, along with the three hospital staff members (soldiers) taken hostage, have all been put up for major awards following the crisis two weeks ago. I don't have the name of the three staffers, but a horrible and dangerous event ended without the loss of any lives. They are all heroes. Not only is the military community grateful and proud of your courage, skill, and determination, the nation is as well.

2. Richelle Martinez, of MEDDAC FRSA, has revitalized the Winn Army Hospital FRG. There isn't a week that goes by where she doesn't send out information via email to keep everyone up to date. Though there are others who like me, have geo-bachelor spouses, we appreciate feeling in the loop.

3. Thank you to Matt Burden of Blackfive, for linking to my article, The War I Know, on PBS' Regarding War. Matt works quietly with great diligence. I appreciate all that he does for veterans, families, and humanity in general. And thanks to the many people who have responded.

4. Chuck Ziegenfuss is now iChuck. In his words, he's half man, half machine, all smart ass. Yes, thanks to the technology of Medtronic of Minneapolis MN, Chuck is now hardwired with a pain medication pump. I'm very glad he found the right doctor who suggested this device. I'm also thankful Chuck read all the materials and decided to give it a go. I'm hoping his wife has discovered the settings that makes him automatically pick up wet towels from the floor.

5. Apparently, I have a legion of followers on the Labor and Delivery Department at Winn Army Hospital who read my blog. Hello! Thank you for reading. I appreciate the hard work that you do to make the lives of patience more comfortable, less scary, and feel more assured during and after their stay. Keep up the good work.

6. I had a great lunch with 2LT James Pahng, while he was here visiting his parents. He graduated from USMA in the spring, and is on his way to his new post on Monday. Good luck, be safe, and stay focused. And if you can't stay focused, then at least be safe and remember your mother's advice.

7. Thank you to Katy Gunderson of The Yellow Bowl Bakery for traveling to Brooke Army Medical Center in San Antonio to bake for the celebration at Fisher House this week.

8. As usual, I'm grateful for my husband, who saves lives and makes people comfortable. For my daughter, and my son. For the cat, the dog, Greg the dogwalker, for my friend Debbie Hall (who went with me to a hilarious Korean Day Spa where we proceeded to get soaked, scrubbed, slapped and baked), to Callie Oettinger, who talked to me about writing for over an hour and reminded me what a swell thing wordsmithing can be and to Leta, for doing the right things at work even when it is hard.

There's so much to be grateful for. Go ahead and leave a list of things on here or on facebook and tell us yours.

Thursday, September 23, 2010

Thursday Writing Post: Badabing Badaboom ..find a rhythm

Rhythm is the most important element in writing good prose.

I finished editing a piece written by a young writer. Their imagery was great, and the train of thought was consistent and moved. It just needed trimming. What they'll work on next is finding the beat of the piece through wordsmithing. Short sentences mixed with long ones, fragments, not repeating words, are some of the things that can help a writer find and hold a certain beat. Like a symphony or a riff, rhythm drives the piece and carries a reader to its end.

Every writer, and every piece has its own rhythm. Good music has it, as does prose. Poetry is full of it. Dylan Thomas' "Do Not Go Gentle Into That Good Night" or TS Eliot's "Prufrock" have rhythm. Try writing 300 words to Miles Davis' "If I Had A Bell." Then, go through, sharpen your writing by editing the prose. Here are some tips:
The Short List On Cleaning Up Your Prose
1. Vary your sentence lengths. Run-on sentences are examples of stream of consciousness thinking. But even a run-on sentence has a distinct path. Think of a rivulet of water making its way to a final point. You're less a babbling brook than you are a writer trying to convey a coherent thought.

2. Don't use the same word over and over again. Go through each paragraph and look for repetitions. Try cutting one out. Then two. Avoid the trap of overusing "to be" by using more active verbs. In addition, when every paragraph starts with "I," this means the writer isn't paying attention to the words on the page. It starts to look like a writer's tic.

3. Scrub your work for overused words and phrases: but, and, that, began to, next, and then, we did, started to, at this point. "That" should be used with care. Most of the time it isn't needed.

4. Exclamation points can be extraneous!! Don't use them as a crutch!!! Beware of sounding like an out of breath teen age girl! Exclamation points should be used judiciously. If someone is being shot at, the reader doesn't need the exclamation point for emphasis. They're already engrossed. Keep the prose flowing.

5. Not everything needs to be told. Let the reader fill in the gaps.

6. Watch for weird punctuation. Semicolons should be used sparingly, as should ellipses and dashes. Try commas instead. But don't over use them.

7. Beware of purple prose. Long descriptive passages that don't move the characters or plot along are like being stuck on a bus going nowhere.

8. Metaphors and similes are hard things to get right. They halt the rhythm and make a good reader go back and think...huh?
  • Tom was as mad as the festering boil of pus on Agatha's Rubenesque derriere.
  • The car teetered on the cliff like Venus on a half shell.
  • Titus was the eagle soaring in the sky as he made love to Donna in their little tent in the forest.
Advice: don't use them unless you're REALLY good.

9. Get rid of thoughts and events that have been mentioned before.

10. Avoid clichés. Go through your piece. When you see a phrase you've heard oft, get rid of it.

11. Its. Not its'. And while we're at it. It's means it is. Its means pertaining to itself.

12. Don't forget --a strong voice trumps all rules of everything. But still, the only way to master wordsmithing is to do it, fail, clean it up, and try it again.

Wednesday, September 22, 2010

SSG Robert James Miller: Medal Of Honor

I get so tired of yappy small dogs in local politics. Shut up. Here's someone worth my attention. Read about bravery, honor and integrity.

White House to present Medal of Honor to family of Green Beret for heroism in Afghanistan

By U.S. Army Special Operations Command

Staff Sgt. Robert James Miller

Photo credit Staff Sgt. Corey Dennis

U.S. Army Staff Sgt. Robert James Miller was killed by Taliban insurgents Jan. 25, 2008, while protecting his Operational Detachment Alpha teammates during combat operations near the village of Barikowt, Nari District, Konar Province, Afghanistan.

President Obama will honor the extraordinary courage and selfless sacrifice of Staff Sgt. Robert Miller by presenting his family with our nation's highest award, the Medal of Honor. This will be the third time the Medal of Honor has been presented by President Obama.

Only 24 years old, Miller impressed everyone on his team. Although the youngest member of A Company, 3rd Battalion, 3rd Special Forces Group (Airborne), Fort Bragg, N.C., he quickly earned a reputation for taking on difficult challenges and leading from the front according to numerous interview with other Operational Detachment-Alpha (ODA) Team Members.

An avid athlete and a student of human nature, he was often called on because of his expertise in weapons and languages. His teammates recalled how quickly he picked up Pashto (one of Afghanistan's native languages) and how the local villagers loved to spend time with him and teach him their language and culture. According to one team member's recollections, the villagers developed a bond with him over evening meals while drinking chai tea; they respected and trusted him. In all things, "Robbie," as he was called, was a natural to Special Forces, a true embodiment of a Green Beret.

Read the rest here: Army News.

Tuesday, September 21, 2010

R. Lee Ermey Wants To Invade Your GPS

Imagine driving around with your trusty Garmin or Tom Tom and having the voice of R. Lee Ermey ordering you to turn left, or say, "Might be a good idea to make a u-turn numbnuts."
If you want to be called a maggot as you drive, go here: Gunny's Digital PX. The G-rated version is if you have kids in the car. I'm sure Gunny would not like it if you exposed your young 'uns to the R-rated version. So order accordingly, or he will find out.

Sunday, September 19, 2010

The Elusive High Click Appeal: Brownies for Troops, and Afghanistan

I'm thinking about clicks today. Once a month, I write a post for PBS' Regarding War website. Writing for one of the big dogs (or maybe PBS is a medium size dog trying to get bigger) is always interesting. I've had titles changed for "clickability." Yes, that's a word an unknown editor filtered down to us. We know it as 'headlines' but we try not to steer the reader toward a conclusion in the title alone.
But, I guess it's natural that we writers should start thinking of our titles in terms of whether or not it has High Click Appeal (HCA). It's nothing new. Titles are always the beast one wrestles with, sometimes changing it a few times during or after the writing process. I'm sure somewhere is a list of stats on clickworthiness of words.

I think the name "Afghanistan" should probably go in the title regardless of what it's about. It could be a recipe for Brownies, and if we turn them into Brownies for Troops in Afghanistan, this not only has HCA but good karma if you follow through, bake them, and send them off to a platoon in a lonely outpost. (As you can see, I've added Afghanistan to the title of this post).

In terms of personal clickability, George Clooney is clickable, but does he have HCA? Katy Perry has high HCA right now. But step back and ask yourself, do they both have more HCA than say... General Petraeus? I guess it could be said that the HCA of General McChystal was his misfortune. Right now though, I think the person with the most deserved HCA is Medal Of Honor Recipient SSG Sal Giunta. You can read about him in an excerpt of WAR in Stars and Stripes.

Tim's book Infidel is coming out. You can order it on Amazon. It's a selection of photographs of the 2/503 Battle Company, 173rd ABN. The same guys in the film.
You can order it now through Amazon. This book, like WAR and RESTREPO, definitely has HCA.

FYI, if you came here thinking there'd be brownies, here's a link to Alton Brown's recipe.
Good karma...send them to the troops.

Thursday, September 16, 2010

Thursday Writing Post: Yeah, I Write Other Stuff Too

Yes, there was a time I dabbled in podcasting. The link follows.
Before I started milblogging, I was permanently ensconced in the literature and poetry world. I was part of a robust group of writers here in L.A. We met several times a month going over each others work, interviewing authors, and reading books.

I also helped several new authors launch their books. You have to remember that "Blog Buzz" for books was just starting up in earnest only three years ago. The Writerly Pause was instrumental in introducing several authors who have since become award-winning best sellers to the blogosphers.

There was also a really fun group of writers in Scotland. They started a super podcasting site called The Storyteller's blog. I learned podcasting, which really --was a total pain. There's nothing worse for a writer than having to take even more time to learn the technology. Anyway, I'd forgotten about it until I was clearing out old bookmarks.

Here, you can listen to me read a chapter from a novel I've been working on.
Listen to Wren as she spends the day painting her ramshackle house (Connor Hill), with Patrick Parker, a childhood friend.
Click: On Saturday and Sunday

Note: Writing literature and poetry is like taking a cool bath on a hot summer day. You can find some of what I've written over here on a poetry site.

Wednesday, September 15, 2010

Soldier, Medic, Friend To Many: Sgt Ray Alcaraz, A Remembrance

Army OT Guy has written a moving tribute to his friend, SGT Ray Alcaraz. Alcaraz was part of a Forward Surgical Team in Afghanistan. The FST was attached to the 173rd Brigade Support Batallion, 173rd Airborne Brigade Combat Team.

This charismatic, fun loving, conscientious young man with the teeth whiter than white, was killed by an IED on August 31, 2010 in Logar Province. He was twenty years old.

He was brought back to Redlands on 11 September. The Redlands Fire Department and the Police brought together an honor guard to line the route as the late SGT Alcaraz and his family passed by.

"On the morning of September 15, the Redlands Fire Department will accompany Sgt. Alcaraz’s body from the chapel to The Rock Church, 2345 S. Waterman, San Bernardino, for memorial services, then to Hillside Memorial Chapel where he will be laid to rest. Fire Department honor guards will again line the route from the chapel to the church and from the church to the cemetery. Fire Department apparatus will also display the American flag at the church and the cemetery."


Tuesday, September 14, 2010

It's not like... a dress. On Koran Burnings and Mosque Building

Last week, I read an idiot who comments anonymously as Thomas Jefferson write while he didn't approve of the Koran burnings, he felt compelled to uphold the right to do it. He was veering toward a scenario that if we were going to stop Koran burnings, pretty soon cops would be firing water pistols instead of guns.
So what is this? Someone feels the need to fling the Constitution at us? Well, the right to do stupid things was never the question.

Okay, so it's like this.
All of these people who are claiming they'll burn a Koran are attention seekers. They can burn the bible, the Koran, any flag of their choice, their mother's pictures, their birth certificate, their first pair of baby shoes, and their grade-school report cards. I don't care. But I'm pulling a no brainer here and am just saying don't. This isn't like trying to find the right gown for the Oscars, and a pair of shoes to match. No, this is just common decency. The same goes for building a mosque at ground zero.

Drama Drama Drama Drama

Monday, September 13, 2010

The Humility of SSG Sal Giunta, Medal of Honor Recipient

COP Restrepo, Korengal Valley, Afghanistan
Photo by Tim Hetherington


This summer, while we were traveling with the film RESTREPO, MSG La Monta Caldwell and filmmaker Tim Hetherington discussed SSG Giunta's possibility of receiving the Medal of Honor. If awarded, we hoped it would happen soon. We were pleased to learn President Obama called SSG Giunta last week, telling him he had earned the honor. I believe MSG Caldwell will be in attendance. I hope others from Battle Company will too.

Since Vietnam, the Medal of Honor has been awarded posthumously to the Marine, airman, soldier or sailor's parents. Former President George W. Bush commented that he wished he could give one to a living recipient some day. While I know President Obama will do an honorable job, I do hope Dubya will be on hand too.

By the way, a lot of civilians are making the innocent mistake by using the word win. Combat isn't an athletic or a debate contest. The men and women who serve don't win medals, they earn them. Often there have mixed emotions when they receive them. Each medal was earned through with blood, sweat, brotherhood, danger, tears --and more often than not, the loss of friends. With the humility of someone who has earned something, SSG Giunta said in an interview in the NY Times:

“I entered the Army when I was 18, and I’m 25 now. I became a man in the Army,” he said. “That night I learned a lot — and after that night I learned even more. This respect that people are giving to me? This was one moment. In my battalion, I am mediocre at best. This shows how great the rest of them are.”

Read about him in an excerpt of Sebastian Junger's book WAR.
And listen to Tim Hetherington talk about the fight in the Korengal on NPR.

Saturday, September 11, 2010

Thank You: We Still Believe


Decorative tile on chainlink fence, a memorial to 9/11.
Greenwich Village, NY. 2009

You give us strength.
To friends who lost loved ones on 9/11, we think of you often.
To those who have served, thank you for your service.
For the men and women who have died, whether soldier or civilian,
we salute and keep them in our prayers.
Good tidings to families and loved ones who stay behind to keep hearths warm.
To every person who has supported the troops,
and made your corner of the world better,
thank you for all that you do.
As the work continues: each day we take stock, look skyward, and smile.

Listen to John Legend sing "Coming Home"
The Colbert ReportMon - Thurs 11:30pm / 10:30c
John Legend - Coming Home
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Wednesday, September 8, 2010

Winn Army Hospital Hostage Update: Amazing Grace

Note: At present, I'm only writing about security. I'll get to the issue of mental health treatment soon enough.

The definition of grace under pressure:
“I didn’t want to go initially,” said Shelton. “I wanted to run like a bunch of other people. But I knew what I was trained to do. I knew I had to stay calm, that’s what calmed him down. I asked him ‘Do I look afraid?’ He said ‘No.’ I told him ‘I’m here because I wanted to be here. I’m here for you.’ I was calm and that kept him calm.”
-Psychiatric nurse Major Sabon Shelton, talking about the hostage situation at Winn Army Hospital at Fort Stewart this weekend. Shelton successfully calmed and talked veteran and gunman Robert Anthony Quinones into surrendering and giving up his four weapons.

Details are coming out that are extraordinarily disturbing. The event was scarier and more intense than it first appeared. Needless to say, the hero of the day was Major Sabon Shelton, who has been recommended for a medal for saving many lives. Read the story here by Chris Wasson in the Selma Times-Journal.

Do MPs and increased security measures need to be implemented at hospitals? Perhaps Medcom might find the Joint Commission Report on Preventing Violence In the Health Care Setting issued on June 3, 2010 of interest. There's also the International Association for Healthcare Security article issued on 18 August 2010:
"The total number of crimes reported by 212 healthcare facilities in the 10 categories of crime for 2009 was 14,986 (70.7 per hospital) compared to the 7,764 crimes (40.4 per hospital) reported in 2004 by 192 facilities. On a per hospital basis, this represents a 75% increase over the five-year period, returning to the crime levels reported between 1995 and 1998. An 11th category, kidnapping, was not reported in 2004. Five incidents in this category were reported in 2009."
Navy Medicine and the VA should read the stats too.
Looking through this list, I reflect back on our own experiences with civilian hospitals. I can confirm that all of these were issues when there were security breaches. Read about the trap of failure (found in the Joint Commission report):

"Of the information in the Sentinel Event Database regarding criminal events, the following contributing causal factors were identified most frequently over the last five years:

  • Leadership, noted in 62 percent of the events, most notably problems in the areas of policy and procedure development and implementation.
  • Human resources-related factors, noted in 60 percent of the events, such as the increased need for staff education and competency assessment processes.
  • Assessment, noted in 58 percent of the events, particularly in the areas of flawed patient observation protocols, inadequate assessment tools, and lack of psychiatric assessment.
  • Communication failures, noted in 53 percent of the events, both among staff and with patients and family.
  • Physical environment, noted in 36 percent of the events, in terms of deficiencies in general safety of the environment and security procedures and practices.
  • Problems in care planning, information management and patient education were other causal factors identified less frequently."
The problem stems from this:
Medcom has been under fire for not providing enough services or indifferent ones to military personnel and their families. The result is that they have tried to make the hospitals and clinics more approachable and friendly to the point of absurdity and danger. The problem is when the institutions forget they are part of the world at large and ignore standards of safety and security.

Damn lucky to have had Major Shelton on duty that evening. Medcom would be smart not to tempt fate a second time.

Note to the military brass who may be reading this. I'm a surgeon's wife of 23 years, I've run a clinic, and have been around the hospital system in a major metropolitan area, waged battle with insurance companies, hospital CEO's and CFO's. If I seem unwilling to mince words, it's because we've watched violence rise for over 2 decades. I'm not saying this for me. I'm saying it for the military community, the people you care for. Work with the experts on this issue. You will not regret it.

Monday, September 6, 2010

No Hospital Is An Island: 3 Taken Hostage At Winn Army Hospital

Coming from the civilian medical sector after 23 years, we have firsthand experience with violence in Emergency Rooms and Hospitals and clinics in communities large and small. In a report released by the Joint Commission Sentinel Event Alert released this year:
"Once considered safe havens, health care institutions today are confronting steadily increasing rates of crime, including violent crimes such as assault, rape and homicide."

"The Joint Commission’s Sentinel Event Database includes a category of assault, rape and homicide (combined) with 256 reports since 1995 – numbers that are believed to be significantly below the actual number of incidents due to the belief that there is significant under-reporting of violent crimes in health care institutions.
"
Hence, it doesn't surprise me that an unidentified gunman came into the Winn Army Hospital on post, and held 3 employees hostage earlier today. He had 4 weapons. Fortunately, a mental health nurse practitioner had the right combination of skills and fortitude to calm and talk the gunman into surrendering. In all the staff did everything right. The mental health nurse practitioner should get a medal, he's a bonafide hero.

It could have ended differently. Most do. In Tennessee earlier this year, a man took a cab to the hospital and opened fire before killing himself. Several decades ago, a gunman killed an ER doc and injured several staff at L.A. County-USC Hospital (aka "Big County"). There was also a shooting in the hospital parking lot at Big County in December 2009 just before Christmas. These incidences aren't exclusive to civilian hospitals.

Here's what other (the smart ones) hospitals have done:
  1. Get rid of stupid computer bays in the lobby. Less attention spent looking at a computer screen and more at the action coming through the doors. Less time sitting, more standing.
  2. Each visitor gets ID checked, and an ID sticker that changes everyday.
  3. Limit the number of visitors allowed upstairs in the wards. Stick to it. No exceptions.
  4. If there are clinics inside the hospitals, guards make the rounds. Guards do not chat up the nurses or other staff: they chat up the patients to see if they need assistance. Plus, no one gets beyond the clinic check-in without having an appointment.
  5. Limit the number of people who may accompany the patient to see the doctor. There is no reason for an entire family of six to crowd into a small examining room while the doctor tells the patient he or she has a life threatening disease. Believe me, this causes more confusion than you can imagine. There is no reason an entire family of fourteen has to stay with a patient while he or she receives treatment. This is not a circus. Hospitals are where skilled workers treat the sick. There are other ways to include family in on the recovery that are not within the confines of the hospital walls.
  6. More security inside and outside the ER.
  7. Limit the number of people who may accompany the patient beyond the ER door to see the doctor. (See above).
  8. At night, close unused parking lots.
I think part of the problem is the mindset found even in the civilian sector. A small hospital feels that it's part of a cozy community. They ignore the statistics of violence in hospitals on the rise for the last ten years. Then the most extreme thing happens, and they are forced to confront the reality: their community is part of the larger world. Winn is no different.

Sunday, September 5, 2010

A Memorial In Tarin Kot, and A Poem

We fight as one, together. Regardless of nationality, each loss is felt deeply.

From the Australian Government Department of Defence

"Lance Corporal MacKinney began the start of his journey home through a two-kilometre long guard of honour made up of members of the Australian, American, Dutch, Singaporean, French and Afghanistan armies."

August 28, 2010
Memorial Service and Ramp Ceremony for Lance Corporal Jared MacKinney
at the Multi National Base Tarin Kot.
(Video below)

To families everywhere, who have lost a loved one. Our condolences.

Let Evening Come
by Jane Kenyon

Let the light of late afternoon
shine through chinks in the barn, moving
up the bales as the sun moves down.

Let the cricket take up chafing
as a woman takes up her needles
and her yarn. Let evening come.

Let dew collect on the hoe abandoned
in long grass. Let the stars appear
and the moon disclose her silver horn.

Let the fox go back to its sandy den.
Let the wind die down. Let the shed
go black inside. Let evening come.

To the bottle in the ditch, to the scoop
in the oats, to air in the lung
let evening come.

Let it come, as it will, and don't
be afraid. God does not leave us
comfortless, so let evening come.


Saturday, September 4, 2010

Simba, The Special Forces Cat, and A Wedding

We are all not war, politics, yoga, war books, or drippy weepy posts. No, we are also about the absurdities of cats (or really, their owners). Here is Simba, The Special Forces Cat. (Remember last year, I shared Tripod, the Forward Surgical Team cat?).



Also, want to say congratulations to Mothax of The Burn Pit and Caro of USO Girls. A love found through the blogosphere, and they're getting married today! Here's the music to which the groom and his men will be walking up the aisle. We can only hope they're wearing kilts. Ten milbloggers will be drunk-blogging the event.



Tomorrow, we'll pause and remember those lost the past few months. The losses have been high, and all of us here have felt the weight of sorrow.

Thursday, September 2, 2010

Soldiers Used To Make Smoke Cloud For Nada

Yesterday, soldiers were used again as political fodder in a hit piece by Liberal OC blogger Dan Chmielewski. He accused Orange County Supervisor Shawn Nelson of promoting the killing of heroes by sending cigars to the front lines. Chmielewski cut and paste some stats on the rate of smoking amongst soldiers, and then suggested that next Nelson would be pimping cigarettes for children. While Chmielewski tried to make it appear he gave a hoot for the troops, it was just a smoke shield to air his disgust and contempt for the conservative Nelson. Needless to say, the combat theater is not the place to start a smoking cessation program. This can be done once they get home, and it is encouraged. There are programs for this. In addition, there are many more things that can kill a soldier: small arms fire, mortar attacks and IEDs.

There were the usual Liberal OC comments. Most interesting was the assertion by Gabriel San Roman that "intelligence reports place the number of AQ operatives in Afghanistan somewhere between 50 - 100."

Really? I suppose they wear convention name tags that say:

"Hello! My Name Is Akbar. My company is al Qaeda."

Gabriel was going by the stats uttered by Leon Panetta on the TV. Anyone who knows the war, knew it was punditry pulled out of his ass. I guess he didn't read Bill Rogio and Daveed Gartenstein- Ross in The Weekly Standard.

“About half of the insurgents in Kunar are foreign fighters, and given that most of the foreign fighters are loyal to al Qaeda, that would easily put the group’s numbers at approximately 1,000 in Kunar alone.” The military’s intelligence agencies do not concur with the figures Panetta cited. -Counting alQaeda

Regardless, Chmielewski's opinion is "We’re out of Afghanistan in July 2011." That's the way Obama has it planned. Yes, sir. We'll pull that car right up. Just see the valet.

This is the marvel about The Liberal OC and its readers. They think of everything. If Afghanistan can be made into a convention, they'll organize it using power point and Google Docs. They'll develop iPhones with a deadly texting beam that kills the viewer instantly upon reading. Soldiers will distribute iPhones at designated convention tables and text: "You muthafucka yellow snotted bacha bazi sicko," or "Yo mama so fat, her burqa stretches two time zones." Hit send, and watch the insurgent die neatly in a heap. It'll be killing...the green way.

In response to the article, the writers of the most heavily trafficked blog in Orange County, Fullerton's Future, asked me to address the smoking issue. A bit of phone calling around, and I found that the cigars were added to the packages filled with snacks and other items. Of course, Chmielewski wasn't interested in getting the facts, opting to write a dumb hit piece instead. What's revealed in the comments is Chmielewski's daddy smoked Winstons. Go figure. Maybe he's working through his childhood memories, and using Nelson as his daddy-voodoo doll. Dan Chmielewski was proven wrong and biased.

But that's his prerogative. You can be dumb, and be called out for it too. Now... for that iPhone with the deadly texting beam...

How To Track Your Stolen Laptop

I thought this was very instructive. I'll have to give it a try.

Wednesday, September 1, 2010

Freshly blended Lemonade

I've been stepping back from war this week, trying to do other things. For the last few days, I've been pruning citrus trees using a pole trimmer, lopping and pruning shears.
It got me thinking about freshly blended lemonade. I really dislike most store bought drinks --including soda. Most are high in corn syrup and they're too sweet. So I blend our own lemonade --often just a cup at a time for a refreshing and not too sweet drink. The lemon zest gives it a zing.
I use my Breville blender. Look at the blade (to the left). It's better than any other blender I've had.
Tools Needed: Hand juicer, zester, blender and cup strainer
Makes 1 glass
1 Lemon
4 Ice Cubes
1 Cup of Water
1 teaspoon powdered sugar
Zest from the lemon

Throw ice cubes into the Blender. Add the zest of 1/2 lemon. Slice lemon and squeeze the juice into the blender. Add the water and sugar. Using the "Crush ice" function on the blender, let it whirl until the ice is pulverized. The lemonade will have a frothy head, and will be soft opaque white in color.
Strain into a cup. Garnish with a sprig of mint. Enjoy! You can use an electric juicer if you want. But for one cup, I don't bother to set it up. Lemons are easier to juice when they are at room temperature.

Me on PBS, and Some Worthwhile Documentaries To Watch (Free!)

My article is up on the PBS Regarding War website. A few of us have been asked to express our experiences.

Regarding War is an adjunct to their award winning TV series of the same name.
"You know, I'm supposed to set certain things straight with you. I'm not supposed to leave anything unsaid," he said."
Read the rest at: Gratitude In Time Of War
For my Q&A, click on the link in the right hand column under "About Me."

Also, PBS has embedded several good documentaries. I've watched the following three:
  1. Melba Williams' A Thousand Words is about her and her brother's discovery about their father's experiences in Vietnam via photographs and films --after he has suffered a debilitating stroke.
  2. Academy Award Nominee for Best Documentary, Regret To Inform, chronicles Barbara Sonnenfield's trip to Vietnam to see where her husband died 30 years ago.
  3. The Way We Get By is about The Maine Greeters, their lives and differing perspectives on the war, and how regardless of how they personally feel about it, they never fail to greet the troops as they pass through Maine.
Here's the trailer. After, then click on the link above to see the entire film on PBS.