The other day, I was surfing around and found this over at SignatureInjury:
It is this ethos that has been drilled into (soldiers) from the moment (they) step off the bus; it is this ethos that is the underpinning of (their) survival in combat.
What signatureinjury intends to do is answer the question of how this ethos obstructs many service men and women from seeking help for their traumatic brain injury. …
Mission First; Self Last
This is essential to the safety and success of any military operation. It compels the soldier to regard his unit and its mission as greater than him or herself. Many of the soldiers in the combat arms not only agree with this superficially but live it instinctively. It has become an integral part of who they are to the extent that even casual decisions are influenced by this principle. The problem with this type of mentality is that it prevents many from seeking help because the mission or unit will suffer from a potential loss in manpower. “Isn’t this subversive treatment; dangerous indoctrination?” Yes and no. On the one hand battles cannot be won with everyone looking out for their own welfare, yet on the other, it can cause those who strongly embraced the concept to unwittingly shrug off the symptoms of TBI in order to fulfill his or her mission.
How true this is.
Even beyond the combat arms, a lot of us live by this. I know I certainly do. Maybe it’s just how I was raised, but in my own world, the measure of my worth is based on how much I contribute to others — how much I give, not how much I get. That being said, the times when I have gotten hurt, I did not seek help for my injuries because I placed my own welfare secondary to the welfare of others, and I believed with all my heart that stepping away from the game or stopping what I was doing to take care of myself would have harmed others who were depending on me.
Defeat is not an Option
This tenant is not only central to the armed forces but is a trait characteristic of most men in particular. Defeat shows weakness and speaks against what men think men should be. We see this readily in sports. No one likes to win or admit defeat because it somehow means that we were inadequate in our performance. In the novel The Old Man and the Sea, Ernest Hemingway spoke of defeat this way, “But man is not made for defeat. A man can be destroyed but not defeated.” This is a common view that enables warriors to endure the hardships of combat and continue fighting; however, it is this trait that prevents many from seeking help because it can feel as if you’re accepting defeat. What compounds the issue is the fact that many with TBI have no visible marks of their injury. It is one thing to go to the medic for a gunshot wound and totally another to seek help for problems that make you look mentally unstable.
No, defeat is NOT an option
Even if it means I get bruised and battered and get the crap kicked out of me, I will keep going. I will not relent. For the record, I know both men and women who live like this. Maybe it’s because I was raised in a rural environment, where people just put the welfare of the community ahead of their own personal successes and failures. They just kept going. We just kept going. And no, defeat was not an option.
One of the things that makes seeking TBI treatment tricky, is that it can be very hard to understand and articulate what you’re experiencing after your injury, so when you do go to the doctor, all your thoughts can be jumbled up, and you can end up sounding — and feeling — crazy. Plus, with so many genuinely ignorant doctors out there, some of whom just want to give you a pill and send you away, you can end up dealing with someone who makes matters worse. This is where it’s important to seek out expertise, especially from an advocacy organization like the Brain Injury Association. They can sometimes point you towards people who can help.
I Never Quit
To quit is to lower your standards and expectations for success. This is one principle that is physically implanted in the soldier through various exercises and drills that are usually painful in nature and the option to quit even more so. Quitting becomes unacceptable. When I was in basic training it was winter and I was training in temps of around 10 degrees. I soon developed pneumonia and even though I struggled to breathe on our four-mile runs and ten-mile ruck-marches, I refused to quit. I had the choice to but it wasn’t an option. It is the same for many with TBI because to risk being pulled from your duties because of an “invisible” injury feels too much like quitting. It may also appear to your peers that you are too weak to endure and so you find an excuse to quit.
Never quitting can be rewarding
The people running the show will never punish you for doing your part. And your comrades and co-workers will always appreciate you following through. This is a hard thing to overcome – the loss of that reinforcement. And when others around you don’t understand the nature of TBI, it can be pretty rough going. You go from hero to villain in one fell swoop. Plus, many other people sustain TBIs/concussions/head injuries, don’t report them, and keep going. So, they expect you to do the same. I have a theory that a lot of people who are the hardest on TBI survivors who are taking care of their recovery have sustained head injuries, themselves, and they take it out on others, expecting them to do the same thing they did — keep going and not “quit” — and keep running the risk of getting worse. A lot worse.
Never Leave a Fallen Comrade
As far as TBI goes, this state of mind is not a barrier to treatment but a consequence for those who wind up leaving their unit for lighter duty or medical discharge. Before being removed from my unit, I had a particular soldier in my squad that was good at heart but gave me grief for the decisions he made. I spent countless days working with him to make him a better more disciplined soldier. A year later, my unit deployed back to Iraq for the third time, a deployment I should have been on. I received word from a friend that Zapasnik, my soldier, died in combat along with three others from my platoon. It was at that moment that I truly felt I left a fallen comrade because I should have been there with him.
Leaving is always a loss
Anytime we step away from something, we lose a bit of ourselves. When we step away from our company of peers, we lose our part in that group, and we lose the chance to contribute. And we lose the opportunity to be of service to others. This is probably one of the most challenging aspects — the loss of community that’s based on you going above and beyond. That loss of identity, that loss of purpose. Dealing with this loss can be tremendously difficult.
Traumatic brain injury is a complex issue, one that affects multiple areas of life and is influenced by many factors. It is an injury that lies in stark contrast to the way the military is trained because the majority of cases lack substantial visible evidence of injury. Many, if not all, of the points I have made may happen on a latent level that those with TBI may not realize. Understanding these points will enable those in the related health fields to develop better programs to educate a treat those that may be apprehensive in seeking treatment.
The warrior life necessarily involves prevailing in the face of injury, defeat, potential destruction
And when we commit our lives to pursuing goals, no matter what, when we step outside of that, we go into uncharted territory that goes directly against the grain of our being.
For me, I had to realize that taking care of myself was an integral part of me being able to be a quality member of a tight-knit group who worked together. Realizing that brain injury had compromised my ability to handle things the way I once had, made it imperative for me to seek help. Only when I realized that the best way I could help my community, my team, my co-workers, my company, was by learning to recognize my challenges and get myself back on track, was I able to seek help.
It’s made an immense difference, too. Getting help was one of the best things I’ve ever done. It’s not just good for me, either — it’s good for everyone in my life, family, friends, co-workers — all of us.