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September 17, 2005

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Med 1

By Greyhawk

It started off as a great local human interest story; would-be heroes deploy in the wake of Katrina:

Med 1 is the Carolinas Medical Center's prototype mobile hospital. It is the only facility of its kind in the world and will bring help to those who are so desperate. The tractor trailer that houses Med-1 opens to a 120 bed hospital.

The 75 doctors and nurses who will staff it are expecting to be sent to the outskirts of New Orleans, but they don?t know that for sure.

The staff has been trained for this kind of emergency for two years. CMC, medics, doctors and nurses from other hospitals in North Carolina have volunteered for this mission.
<...>
A contingent of S.W.A.T. officers from the Charlotte-Mecklenburg Police Department are also going down to protect them.

Sounds like they thought through all the possibilities... except one.

Because Med 1 immediately became one of those early stories of "failure" from a hyperventilating media seeking the dark clouds even after the storm was gone:

Volunteer physicians are pouring in to care for the sick, but red tape is keeping hundreds of others from caring for Hurricane Katrina survivors while health problems rise.

Among the doctors stymied from helping out are 100 surgeons and paramedics in a state-of-the-art mobile hospital, developed with millions of tax dollars for just such emergencies, marooned in rural Mississippi.

"The bell was rung, the e-mails were sent off. ...We all got off work and deployed," said one of the frustrated surgeons, Dr. Preston "Chip" Rich of the University of North Carolina at Chapel Hill.

"We have tried so hard to do the right thing. It took us 30 hours to get here," he said. That government officials can't straighten out the mess and get them assigned to a relief effort now that they're just a few miles away "is just mind-boggling," he said.
<...>
The North Carolina mobile hospital stranded in Mississippi was developed through the Office of Homeland Security after the September 11, 2001, terrorist attacks. With capacity for 113 beds, it is designed to handle disasters and mass casualties.

Equipment includes ultrasound, digital radiology, satellite Internet, and a full pharmacy, enabling doctors to do most types of surgery in the field, including open-chest and abdominal operations.

It travels in a convoy that includes two 53-foot trailers, which as of Sunday afternoon was parked on a gravel lot 70 miles north of New Orleans because Louisiana officials for several days would not let them deploy to the flooded city, Rich said.

Of course, in order to be fully outraged by this "failure" we must ignore the fact that where they were "stranded" was actually ground zero for Katrina. And there the team found their calling, as Dr Stanley Tillinghast, M.D. tells us (along with some other crucial details CNN missed) here:
The Med-1 team was ready to go just after the storm; an agreement between the governor of North Carolina and Governor Blanco of Louisiana was prepared and faxed to Governor Blanco. 24 hours elapsed and the agreement was not signed. The team was ready to leave on Friday, September 2, and the agreement was not signed. The team was then federalized by FEMA and ordered to deploy. They made it as far as Mississippi?still no agreement. So instead of heading for Louisiana, Med-1 came to Bay St. Louis, where it serves as a temporary replacement for Hancock Memorial while the latter is out of commission.
And here is one result of that "failure":
He was 12 years old and he had been riding around this destroyed town on a four-wheeler. He flipped it Tuesday night and hurt his neck bad.

The ambulance got him to the mobile hospital that Carolinas Medical Center had set up two days before.

His throat was blocked. He wasn't breathing.

The medical team got him up on a table. Dr. Tom Blackwell got a breathing tube through the gunk in the boy's throat.

They got his lungs going again and they brought in a helicopter and had him airlifted to the hospital in Jackson. The boy survived.

"If we were not here?" Blackwell said Wednesday. "Dead kid. No question about it."

Doctor Tillinghast's post (indeed, his entire blog) is a must-read. He's a physician from California who took it upon himself to go to the hurricane zone and help in whatever way he could, and he's photoblogging his mission. But there's one aspect of his story on Med 1 that should catch the attention of people everywhere - doctors, politicians, emergency officials, or anyone concerned with surviving a natural or man-made catastrophe.
How did this marvel come to be? Dr. Tom Blackwell of Carolinas Medical Center had it already designed after prolonged research and analysis, when FEMA expressed an interest. According to Mr. Taylor, FEMA was expecting a very long process to acquire such capability, when Dr. Blackwell offered to fax the complete proposal. This during a conference call; and apparently Dr. Blackwell?s offer was met first with stunned silence, then with an astonished ?What did you say??
What he'd said was $1.5 million - and the reason it stunned the federales was because they aren't used to dealing with numbers that small. So while CNN bemoans the fact that the "taxpayer funded" field hospital didn't make it to New Orleans where their reporters were, ponder this: how many such facilities are available in your state? And given the modest price tag, why so few?

Of course, your state and its neighbors might be immune to natural disaster or terrorist attack, but were I some bright young politician trying to establish myself in this post-Katrina world, I think I'd have my team contacting the folks who might know about how to get the ball rolling on such a project for my home district. If I'm not such a person, I'd probably be on the phone to my local representative early Monday morning - or emailing even sooner. And if you want to find local experts, you might want to see if there aren't a few veterans of the Iraq war in your local Guard unit who also might happen to be doctors, nurses, or other medical personnel who've deployed to combat zones over the past couple years - there's a good chance there are some, and they'd recognize Med 1 at a glance. I did; it's a slightly modified version of what we had in just about every camp in Iraq. The folks who staffed those facilities will have a lot of expertise to offer for the development of such a "tactical trauma center" - there's nothing like a combat zone for advancing emergency medical knowledge and experience.

Or you could wait until after the next disaster, and maybe you'll get mentioned on CNN.


Posted by Greyhawk / September 17, 2005 9:58 PM | Permalink

2 Comments

CNN screwed the pooch again?

Say it ain't so ! ! !

Great piece Greyhawk. You can bet I am going to contact my representative. We already have Al-Qaeda cells in my state. We also have some things of interest to them.

As for CNN, so what's new? You'd think they'd get the hint sooner or later. They must be slow learners!

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November 26, 2010


America@war
[Greyhawk]
I think anyone who's ever pondered the "comment" option - once only available on blogs and bulletin boards, now ubiquitous on almost any web site - will appreciate this:
The so-called faculty of writing is not so much a faculty of writing as it is a faculty of thinking. When a man says, "I have an idea but I can't express it"; that man hasn't an idea but merely a vague feeling. If a man has a feeling of that kind, and will sit down for a half an hour and persistently try to put into writing what he feels, the probabilities are at least 90 percent that he will either be able to record it, or else realize that he has no idea at all. In either case, he will do himself a benefit.

That's wisdom from the past, captured for posterity at the US Naval Institute, shared via the web on the institute's 137th anniversary.

From their about page:

The Naval Institute shall remain

INDEPENDENT - A non-profit member association, with no government support, that does not lobby for special interests;

NON-PARTISAN - An independent, professional military association with a mission, goals and objectives that transcend political affiliations; and shall encourage

IDEAS - Through its respected journals Proceedings and Naval History, its conferences, its books and its online content, in support of those who serve.

"The Naval Institute has three core activities," among them, History and Preservation:

The Naval Institute also has recently introduced Americans at War, a living history of Americans at war in their own words and from their own experiences. These 90-second vignettes convey powerful stories of inspiration, pride, and patriotism.

Take a look at the collection, and you'll see it's not limited to accounts from those who served on ships at sea, members of the other branches are well-represented.

I'm fortunate to have met USNI's Mary Ripley, she's responsible for the institute's oral history program (and she's the daughter of the late John Ripley, whose story is told here). She also deserves much credit for their blog. ("We're not the Navy nor any government agency. Blog and comment freely.") We met at a milblog conference - Mary knew (and I would come to realize) that milbloggers are the 21st-century version of exactly what the US Naval Institute is all about. Once that light bulb came on in my head, I mentioned a vague idea for a project to her - milblogs as the 21st century oral history that they are.

"Put that in writing," she said (of course - see first paragraph above!) - and here's part of the result.

Shortly after the first tent was pitched by the American military in Iraq a wire was connected to a computer therein, and the internet was available to a generation of Americans at war - many of whom had grown up online. From that point on, at any given moment, somewhere in Iraq a Soldier, Sailor, Airman or Marine was at a keyboard sharing the events of his or her day with the folks back home. While most would simply fire off an email, others took advantage of the (then) relatively new online blogging platforms to post their thoughts and experiences for the entire world to see. The milblog was born - and from that moment to this stories detailing everything from the most mundane aspects of camp life to intense combat action (often described within hours of the event) have been available on the web...

And et cetera - but since you're reading this on a milblog, you probably knew that. And you know that milblogs aren't just blogs written by troops at war, that many friends, family members, and supporters likewise documented their story of America at war online in near-real time, as those stories developed.

The diversity in membership of that group is broad, the one thing we all have in common is the impulse to make sense of the seemingly senseless, and communicate the tale - for each of us that impulse was strong enough to overcome whatever barriers prevent the vast majority of people from doing the same. Everyone at some point has some vague idea they believe should be shared - we were the people who, from some combination of internal and external urging, found and spent those many half hours persistently trying to write it down.

*****

But where will all that be in another 137 years? Or five or ten, for that matter. That's something I've asked myself since at least 2004 - when I wrote this:

Closing Blogs is nothing new. So many site's owners just give up on their own. They come and go, you know, these MilBloggers do. Like any other sort of blogger. Many post in the lonely down hours far from home, spill their guts for the world, then abandon their spots when the tour of duty is up. They have lives again somewhere in the world, and no need to share the details. So it goes.

Many are truly gone - no site left at all. "The page cannot be found." Other blogs remain, like abandoned defensive positions in shifting desert sands.

Membership in the ghost battalion has grown in the years since, and an ever growing majority of those abandoned-but-still-standing sites are vanishing. Have you checked out Lt Smash's site lately? How about Sgt Hook's? If you're a long-time milblog reader you know the first widely-read milblog from Operation Iraq Freedom and the first widely-read milblog from Afghanistan are both gone from the web. If you're a relative newcomer to this world you may never even have heard of them - or the dozens upon dozens of others who carried forth the standard they set down.

If you have a vague notion that something should be done about that, (a notion I've heard expressed more than once...) then you and I and the good folks at the US Naval Institute are in agreement. Preserving the history documented by the milbloggers is just one of the goals of the milblog project, the once-vague idea that we're now making real.

And it's a big idea, if I say so myself - too big to explain in one simple blog post, so stand by for more. Likewise, it's too big a task to be accomplished by just one person. So if you're a milblogger (and exactly what is a milblogger? is a topic for much further discussion on its own) I'm asking for your help. All I'll really need is just a little bit (maybe just one or two of those half hours...) of your time, and your willingness to tell the tale.

We've already made history, it's time to save it.

(More to follow...)




Posted 4:02 PM | Permalink | Comments (0) |

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The Mudville Gazette is the on-line voice of an American warrior and his wife who stands by him. They prefer to see peaceful change render force of arms unnecessary. Until that day they stand fast with those who struggle for freedom, strike for reason, and pray for a better tomorrow.
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  • devildog6771: Great piece Greyhawk. You can bet I am going to read more
  • SSG_K: CNN screwed the pooch again? Say it ain't so ! read more

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The Mudville Gazette is written and produced by Greyhawk, who recently retired from 24 years of active duty in the US military, but will maintain this disclaimer: Unless otherwise credited, the opinions expressed are those of the author, and nothing here is to be taken as representing the official position of or endorsement by the United States Department of Defense or any of its subordinate components.

Furthermore, I will occasionally use satire or parody herein. The bottom line: it's my house.

I like having visitors to my house. I hope you are entertained. I fight for your right to free speech, and am thrilled when you exercise said rights here. Comments and e-mails are welcome, but all such communication is to be assumed to be 1)the original work of any who initiate said communication and 2)the property of the Mudville Gazette, with free use granted thereto for publication in electronic or written form. If you do NOT wish to have your message posted, write "CONFIDENTIAL" in the subject line of your email.

Original content copyright © 2003 - 2011 by Greyhawk. Fair, not-for-profit use of said material by others is encouraged, as long as acknowledgement and credit is given, to include the url of the original source post. Other arrangements can be made as needed.

Contact: greyhawk at mudvillegazette dot com

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*****

Tending Distant
Fires


Far from hearth and home, watching
Cold alone but not alone
On distant shore and only wanting
Safe return and little more

What tales we'll tell
When that time comes
When tales can be told

When things grim
Seem far away
When other fires go cold

Some distant sunset, vision fading
Memories remain
And tired eyes gaze 'pon folded flags
While distant drums beat their refrain

Saluting fallen friends whose names
And youth will never fade
Here's to those on other shores,
for them live well, the price is paid

- Greyhawk,
Baghdad,
December 2004