Friday, November 6, 2020

My Dad was a Veteran

From the 11/6/2020 newsletter


Editor’s Corner

 

 

My Dad was a Veteran

 

 

Bruce H. Campbell, MD FACS – Editor-in-Chief of the Transformational Times

 

 

In this Veteran’s Day issue of the Transformational Times, you will meet several people who have offered their time and talents in service of country. Some, in the earliest stages of their careers, share their motivations; others, who have retired, offer their reflections. All have taken the oath, just as my father once did, to “support and defend the Constitution of the United States against all enemies, foreign and domestic.” Like our newsletter contributors today, my father inspired me.

 

 

My dad was a veteran. He spent over three years on a light cruiser, the USS Santa Fe CL-60, during World War II. His ship earned thirteen battle stars, seeing action from the Aleutians to the Philippines. I have no idea what that experience was like.

 

Similar to many other citizen-soldiers of his era, Dad never planned to be in the military. He grew up on a Missouri farm during and after the Depression, knowing only that he wanted a different kind of life. He worked his way through college and graduate school by scraping together enough money to, as he said, “keep body and soul together.” Like everyone else, his life was upended on December 7, 1941. 

 

He enlisted in the Navy shortly after the attack on Pearl Harbor. His mother, back on the farm, bemoaned his choice. “Why didn’t you join the Army like your brother?” she cried. “Navy boys all drown like rats!” 

 

After ninety days of Officer’s Candidate School, newly commissioned Ensign Ray W. Campbell, USNR was on his way to the Pacific. He served in many capacities on the ship from gunnery officer to officer of the deck. He occasionally assisted the ship’s doctor (who had trained as a gynecologist) in surgery. He helped direct rescuers after the attack on the USS Franklin, and was nearly killed when a kamikaze plane barely missed the gun turret where he was standing. He played the ship’s small portable organ to accompany Catholic, Protestant, and Jewish services. He wrote letters to parents of sailors who died. His ship became part of the occupation fleet after the attacks on Hiroshima and Nagasaki ended the war. He returned home to a different world.

 

My dad was twenty-three when he enlisted and twenty-seven when the war ended in 1945. For perspective, I never lived more than a hundred miles from where I was born until I was thirty. Between twenty-three and twenty-seven, I was finishing medical school, starting residency, and trying to figure out what I wanted to do with my life. At the age when he was fulfilling his service as part of the Greatest Generation, I was exploring the depths of imposter syndrome. 

 

My dad spoke very little about his experiences. At home, we looked occasionally at a book he had helped compile about his ship’s campaigns. There were a few mementos around the house. He called a shipmate once in a while. He didn’t march in parades or join the VFW. I wish I had asked him why but, now, it is too late. 

 

Because my dad spent little time talking about his Navy service, I am encouraged that there are VA-based programs that help veterans to tell their stories. I count myself fortunate to have met many veterans throughout my career at the Zablocki VAMC. 

 

I have the utmost respect and admiration for the veterans for whom I have cared and for this week’s Transformational Times contributors. I hope you will pause and sit for a while with each of the essays. Please listen to their stories and then take time to honor the veterans in your life. 

 

 

 

Bruce H. Campbell, MD FACS is a Professor in the Department of Otolaryngology and Communication Sciences at MCW. He is on the Faculty Pillar of the Robert D. and Patricia E. Kern Institute for the Transformation of Medical Education. 

 

 

 

 

Take 3: In the Service of Fellow Veterans

 From the 11/6/2020 newsletter


Take 3: In the Service of Fellow Veterans


Dr. Jeffrey Jackson shares his insights about being a retired Army officer and serving veterans at the Clement J Zablocki VA Medical Center in Milwaukee.
 
Jeffry L. Jackson, MD MPH 

 

 

1. Some people have observed that there is an esprit de corps within the VA, especially between the patients.  How do you explain that?

 

The VA purposefully instills a strong sense of mission.  Ask nearly any VA employee and they can recite the mission statement, “to care for those who shall have borne the battle,” initially uttered by Abraham Lincoln.  From the initial orientation to daily meetings, VA employees are constantly reminded of their duty to serve veterans.  
 
This esprit de corps is also present among veterans.  The purpose of boot camp in the military is to indoctrinate a sense of belonging, that the person standing beside you is responsible for keeping you alive in combat, an obligation that is mutual.  A significant portion of veterans have seen combat in WWII, Korea, Vietnam and now in the Middle East.  Nothing creates a sense of comradeship like going into harm’s way. Unfortunately, nearly everyone who deployed into a combat theatre saw a friend die or be severely injured.  This strong sense of purpose and sacrifice leaves an indelible mark.

 

 

2. What is the best advice you could give to students and residents who provide care for veterans?  What key insights could make their care for veterans better?

 

Veterans are no different than nonveterans in what they want from their providers.  If the patient believes you have their welfare at heart, if they trust that you are motivated to do your best for them, they will respond to you. Communication is at the heart.  Be open and honest and human. Admit when you don’t know something. Seek out their underlying motivation for the visit, and as best you can, honestly deal with it.  Do not judge veterans, many have physical and psychological scars, and some have made bad choices.  Listen to their stories.
 
 
3. Tell us about a moment during your service in the Army that you are most proud of (or that contributed to your development as a caring physician)?

 

I spent most of my military career at Walter Reed Army Medical Center.  I was a senior resident and was working in the ER when we gathered around the television to hear George Bush announce that the United States was going to repel Iraq’s invasion of Kuwait.  The United States he said, but he really meant the United States’ military forces - young men and women.  Nearly all the military casualties made their way back to Walter Reed. I witnessed the impact of combat on soldiers and their families; a family at the bedside of a soldier with a horrific brain injury, clinging desperately to hope and misinterpreting every minimal sign of responsiveness.  I avoided elevator bank 4 because that’s where the amputees would gather in their wheelchairs, coming back from our amputee center.  It broke my heart to see so many being pushed by their mothers or their 18-year-old girlfriends.  They barely looked old enough to shave. 

Old men make the decision to go to war, young men and women pay the price.  

I once made the trip out to Dover to watch the dead being returned home.  Each flag-draped coffin was moved from the plane to the mortuary, solemnly accompanied by an honor detail.  On my visit, family members and several high-ranking officials were in attendance.  I only made the trip once and cannot imagine the resilience it must take to be assigned this duty.  I attended several funerals at Arlington Cemetery.   On one occasion, President Bush was in attendance.  I was proud to serve a Commander in Chief who was openly weeping. 

I spent 21 years in the Army.  What I am most proud of was the sense of purpose, honor and sacrifice that I witnessed.
 
 
Jeffrey Jackson, MD MPH is a Professor in the Department of Medicine at MCW. His practice is at the Zablocki VA Medical Center. 

 

Editor: Kathleen Fletcher, MD MA

 

Veteran’s Day Reflection

 From the 11/6/2020 newsletter

Perspective 
 
Veteran’s Day Reflection
 
 
Kenneth Lee, MD – Department of Physical Medicine and Rehabilitation
 
 
Dr. Lee, a retired Army Colonel, shares his perspective on how we all learn to serve our military veterans …
 
 




“Thank you for taking care of my patients.”  These words meant something to me when I addressed nurses, therapists, dieticians, pharmacists, and many other disciplines at the Zablocki Veterans Affairs Medical Center (VAMC), especially when Veteran’s Day came around. 
 
 But now, I no longer say these words.  Why?  Let’s see……
 
I have been a physician in the VA system since 1997 and my whole medical career has been at the VAMC. I retired from the military after twenty-seven years of service in 2013.  I spent 27 years in the National Guard with one active duty deployment. Now, I am a retired military veteran. I have seen leaderships change, colleagues move around, and viewpoints challenged and accepted over the years.  The one thing that has stayed consistent in my life: The veterans.  
 
I interact with different generations of veterans on a daily basis.  Some are sick.  Some are healthy. Some are disabled.  Some are athletes.  And, some are just friends.  They are all serviced by the VA.  So how are we doing on that front?
 
Some time ago, a second-year medical student approached me to help create an introductory curriculum on veteran care to be taken BEFORE medical students start their rotations at the VA.  Without much thought, I agreed to be her mentor.  Three years later, this is a fully formed, elective inter-professional educational curriculum created in partnership between MCW’s schools of medicine and pharmacy. This curriculum covers the life of military service member during peacetime and war, the structures of the DOD and VA systems, the development of interviewing skills with veterans, and much more.  You can see the eagerness of the students in the classroom as they absorb the information the teachers and veterans share with them.
 
During this COVID-19 pandemic, there have been countless gestures by the community, despite the suffering, to provide comfort needed by the veterans. Boxed lunches for VA staff during the height of COVID -19 surge, generous donation of PPEs so we can continue to be safe during the care of the veterans, and many words and notes of encouragement.  
 
 It seems that during the worst of times, the veterans are never forgotten. 
 
What else? You can tell your stories.  You have them.
 
So, why do I no longer say the words, “Thank you for taking care of my patients”?  I always thought of the veterans as my brothers and sisters. I never had second thoughts. But it was just one of those things that was part of the military/veteran culture.  Just accepted it.  But recently, I find myself truly belonging to this family.  So, I now say….
 
“Thank you for taking care of my fellow veterans.”
 
 

Kenneth Lee, MD is an Associate Professor of Physical Medicine and Rehabilitation at MCW who works and teaches at the Zablocki VA Medical Center in Milwaukee. He served as the Commander of the Army’s Company B, 118th Area Support Medical Battalion in Iraq. 
 
You can read more of his personal story and motivation for caring for veterans here
.

Tuesday, November 3, 2020

Opinion: Trump's baseless claim that doctors are profiting from coronavirus has consequences

From the 11/2/2020 Milwaukee Journal Sentinel 


Faculty Op/Ed essay 


Opinion: Trump's baseless claim that doctors are profiting from coronavirus has consequences



Jayshil (Jay) Patel, MD - Pulmonary and Critical Care physician



As the COVID-19 pandemic rages in Wisconsin, doctors stand on the front lines, caring for critically ill patients infected by the coronavirus.

But, according to President Donald Trump, doctors are inflating the death toll for financial gain.

Just like veterans shouldn’t have to defend serving their country, I never thought I’d have to defend doctors caring for sick patients, especially after hundreds have died fighting the battle. But here I am.

Doctors must provide clear documentation when billing for their care. Misreporting medical conditions is a crime and violates ethical principles our profession considers sacrosanct. No financial incentive replaces lost family time and the compounded threat to our well-being.

The truth is, health care workers have taken pay cuts while continuing to care for the sick. Hospitals and outpatient clinics have closed, resulting in the loss of an estimated $200 billion and communities losing access to care.

When the president points his finger, there are consequences.

Last March, he pointed to the calendar and said the virus would go away by Easter. It didn’t, and 230,000 have died.

Then, he turned his criticism toward our nation's leading infectious disease expert, Anthony Fauci. Chants to "Fire Fauci" echoed across his rallies as if he were a contestant on "The Apprentice," the reality TV show Trump once hosted.

Now, while doctors stand on the front lines, a line the president has never walked let alone seen, his hot finger points at us. Despite the scorching light cast on us, we will continue to do our job, even if the president doesn't do his.




Jayshil (Jay) Patel, MD, is an Associate Professor of Medicine (Pulmonary & Critical Care Medicine) at MCW. He is a member of the Curriculum Pillar of the Robert D. and Patricia E. Kern Institute for the Transformation of Medical Education.



Link to the essay: 
https://www.jsonline.com/story/news/solutions/2020/11/02/trump-claim-doctors-profit-coronavirus-baseless-hurtful/6131051002/