The Thing They Will Always Carry
VA Shrink: Were you in Vietnam?
Vietnam Vet: Yes.
VA Shrink: When were you there?
Vietnam vet: Last night.
Iím kneeling. Tears streak my face, drip down, fall to earth. Itís only my second
time in combat. Soon Iíll be different. Soon revenge for our dead and wounded will
meld with fear and I will help with the killing and the killing will help me. Weíre
just regular grunts: We make too much noise, we have no special skills, weíre not
elite. But after a time we get the hang of this war, the rhythm of it. Wait. Engage.
Disengage. We call it contact or movement. We psych ourselves up. ďTime to kick ass
and take names,Ē we say. And between contact and kicking ass or having our asses
kicked there is tension that starts small, then builds and builds until we secretly
pray it will happen. That we walk into them or them into us, or we mortar them or they
rocket us, then the tension explodes like perfect sex, and afterwards...weíre spent. There are days, weeks nothing happens, then terror, instant and deep, then relief, like paradise, since the killing is done and we have buried away the wounded and dead. Until it starts all over again.
That was thirty-seven years ago. Or was it last night? A day, a year, twenty years home from war you may begin to act strange. The shrinks, social workers, group therapists, clinical researchers, each has a different take on what causes PTSD. ďItís neurolingustic. Itís cognitive. Itís biochemical,Ē they chime and chatter. Who cares? Just stop the pain. Just stop it. But where does that pain come from? Whatís going down? Here is what I know: What you learn in combat you do not easily forget. You drop at the first hint of an ambush falling so fast your helmet still spins in the air. You shoot first and ask questions later. The enemy is an unfeeling slippery bug to be stomped out. You live like an animal. You learn to like killing. Learn to fear and hate the enemy. Hate civilians. Canít trust the bastards. You hate taking prisoners. Youíd rather kill them. Why? Because the enemy wants to fuck you up. Kill you, your pals, some new guy doesnít know jack shit, wants to waste your Lieutenant, the whole damn platoon.
After a time you learn what war is: the fish-like iridescent gleam inside a brainless head; the sleek white caterpillar of pulsing human gut; the grotesque tableau of charred bodies frozen stiff; the impossible music made by voices howling beyond human form; pure white bones piercing ruby ripped flesh; the strange oily feel of blood; the sudden slump of the man next to you. The business of flies on the mouths of the dead.
After a time, to a supernatural degree you learn to live with terror, rage, struck down sorrow, blocked out guilt or dumb struck grief. Yes, the supernatural threat of catastrophe and the ways to survive it become preternaturally normal, second nature, a fully formed part of you.
Then one day you get shot, or if you are lucky, complete the tour, return home intact. But for those who have seen their share the equation might go like this: Johnny got his gun + Johnny marches home = HEEEREEíS JOHNNNNY!!!!
And the good soldier John or the good troop Jane, who under fire never once thought of your civil rights, your silly flag, your doofus politics, Good Johnny or Jane, I say, feel and act a tad differently when the locked down feelings, bottled up memories, instinctive behaviors of Post Traumatic Stress Disorder fervently, unexpectedly kick in. The symptoms of PTSD, in plain bloody English, are as follows:
Flashbacks: seeing and feeling a combat event as if it were happening right now.
Hyper-vigilance: being always on guard, always looking for where the next shot, next grenade, next rocket, ambush or IED will come next.
Survivor guilt: feeling bad, feeling real shitty for having survived, where others in the platoon or squad didnít.
Moral Guilt: wrestling with actions one did or did not take on one or more than one occasions.
Startle Reflex: dropping, flinching, turning fast at a sudden noise or unexpected touch.
Suicidal Ideation: thinking of killing oneís self.
Homicidal Ideation: thinking of killing people. Friends or complete strangers.
Homicidal Rage: anger way out of proportion to an everyday event. It comes quick, down and dirty.
Sadness: depression, anxiety, crying spells. Staring into space, saying nothing.
Nightmares: violent dreams related to combat. Sometimes itís the same dream. Some vets make strange noises. Thrash in bed. Wake up scared, or sweaty.
Ritual Behavior: at night, checking the lights, locking the doors, maybe keeping a weapon at hand.
Alienation: a vet feels as if no one understands him, doesnít fit in, feels as if he or she should have never returned.
Panic Attacks: For a short time the combat vet becomes suddenly and intensely
afraid. He or she sweats, breathes hard, has a pounding heart, might get dizzy, choke.
Social Isolation: staying alone for long periods of time. Or in public saying very little. To the point of being noticeably very quiet.
Drug and alcohol abuse: whatever works to dull the pain glowing inside oneís head.
Fear of Emotional Intimacy: combats often wonít let anyone get close to them. If someone gets too close, the vet backs off or will push them away.
Employment: A lot of vets canít keep a job. Every couple of months quit or get fired.
Psychic Numbing: Not have the ability to feel emotions. Vets talk about feeling hollow, blank, empty.
Denial: Problems? What problem? I donít have a fuckiní problem.
High Risk Behavior: Doing daredevil stuff to re-live the rush of combat.
These symptoms are normal responses to extraordinary events outside the range of normal human experience. Most civilians are clueless about combat and its aftermath.
Some types of treatment: The talking cure: a vet talks to a therapist
who is skilled in treating war stress and is not a paid bullshitter. Group therapy: seven to ten vets meet once a week for an hour or two. A good group leader is essential. That person knows when to talk, when to listen, how to keep the vets focused. Otherwise group therapy can get lame fast. EMDR: a form of hypnosis in which the vet is fully awake. Exercise. Meditation. Meds. A friend who will just listen. An artistic endeavor. One other thing. This is real important: A lot of vets fear talking about war. They fear losing control. Breaking down. Crying. My advice to those who have seen combat: face yourself. Chances are good you will learn to live less in the past, more in the present, but you will never be the same. WWII, Korea, Panama, Vietnam, Iraq, Afghanistan, Central America, wherever you were, whatever you did in war will always be with you. Always.
©2007 by Marc Levy