Thursday, May 21, 2009
Day 373: A little extra never hurt anyone
Thursday, April 9, 2009
Day 331: Kuchi Village medical assistance mission



Air Force Maj. Paul J. C. Valdez provides extra security during the mission to Kuchi Village. (Photo by G. A. Volb)
Kuchi villagers welcome camp's medical assistance team
Five miles northeast of camp lays Kuchi Village, a rural community of nearly 1,000 who, in much need of medical attention, welcomed a coalition medical assistance visit April 5.
Arriving at the village, visitors are met with an atmosphere similar to that of a county fair --- makeshift accommodations, animals living in close proximity to the villagers, and the smell that comes when no waste disposal system is in place.
The villagers, however, seemed good hearted and open.
“I’m happy about this mission,” said Kuchi Village Malik Nungless as he looked out over the crowd of villagers who had gathered. “I’m happy because it was the coalition and Afghan national army that came to help us.”
The 72 year old sporting a thick, white beard appreciated the opportunity to receive free check ups and medicine. And it wasn’t the first time he welcomed these guests.
“We’ve visited the people of Kuchi Village on numerous occasions and they told us they had some medical issues,” said Sgt. 1st Class Aaron Christianson, a medical embedded training team NCO in charge assigned to Camp Alamo, originally from Effingham, Ill.
Christianson said during one of their previous visits they agreed to return and perform an on-site medical evaluation and treatment of the villagers. Afghan doctors and medics, both army and civilian, along with their U.S. counterparts, ensured 80 villagers were seen – to include women and children.
“We dispensed approximately 300 prescriptions, while referring nine patients to the local Cure Medical Hospital,” said Christianson. “Much of it was similar to what we’ve seen at other villages – muscular pain and various infectious diseases requiring antibiotic treatment.” The issues were, in many cases, due to their poor living conditions and lack of clean drinking water. In one particular case a 35-year-old man, who looked to be in his upper 40s, came into the makeshift medical tent wanting doctors to look at his lab and ultrasound results.
“There was nothing to indicate what preceded the ordering of the tests,” said Dr. (Air Force Lt. Col.) Scott Caulkins, a family practice physician normally assigned to Hurlburt Field, Fla. “He gave a history of edema and body aches. Labs showed signs of kidney disease with proteinuria and mildly elevated liver function studies, and negative hepatitis tests. Ultrasounds of the liver, gall bladder, pancreas, kidneys, and bladder only showed stones up in the kidney.
“As long as the stones stay in the kidney, he has a greater risk of being harmed in the process of getting them removed, but the proteinuria suggests other medical kidney disease,” said Caulkins, from Niceville, Fla. “We gave him a referral for an internal medicine evaluation at the Cure hospital downtown, and recommended increased hydration in general.”
Then there was 6-year-old Neamatullah who, only days earlier, had a run in with one of the many large dogs loitering throughout the village, leaving him with a sizeable chunk of his backside missing.
“The dog bit him four days ago,” said his father Ghundal. “Yet this was the second time the ANA and U.S. doctors have treated him.”
“It’s always a pleasure to get out and perform our real mission, helping the local Afghan people that are so desperately in need of medical care, making new friends, and exchanging cultural knowledge,” said Christianson. Camp Alamo’s commander agreed on the importance of such missions.
“Humanitarian assistance visits, such as this, are a key component of counter-insurgency operations,” said Army Lt. Col. Brian Redmon, Camp Alamo Mentor Group commander.
“The importance of this is demonstrated by the multi-national cooperation between the Afghan, U.K. and U.S. personnel to make this assistance mission a reality,” added the 44-year-old Redmon, a native of Springfield, Ill.
Thursday, February 26, 2009
Day 288: Itchy trigger fingers

Itchy trigger fingers not allowed:
Alamo mentor stresses the basics with ANA soldiers
By G. A. Volb
KMTC Public Affairs
CAMP ALAMO, Afghanistan – “Kilke-ta-Az-masha Durku,” the 45-year-old Sergeant First Class from Lawton, Okla., told Afghan National Army soldiers on Kabul Military Training Center’s tactics range.
The words he spoke, in Dari, reminded the young Afghan troops to keep their fingers off the trigger when not needed. It was the type of exchange that had onlookers wondering if the seasoned noncommissioned officer was fluent in the language.
“Actually, that’s all I know,” said Army SFC Ralph Parsons, with a slight grin on a cold, wet day atop the rolling hills of KMTC’s ranges.
Parsons, a mentor with the Basic Warrior Training branch here, focuses on the ANA’s command staff instructor section, evaluating training, and helping them develop new tactics and techniques for instruction.
“The typical ANA soldier wants to learn,” he said. “I think they want to be challenged and want to belong to an organized group with a unified effort.”
On this day, there were about 600 soldiers from a training Kandak practicing their reaction tactics to an “ambush.”
“ANA soldiers excel at anything they can actually physically practice,” he emphasized. “They do extremely well at hands-on practicum -- like assembling and disassembling weapons, first aid and such.”
He said the biggest challenge is the obvious language barrier and having to use interpreters for everything. There’s also a certain level of trust that has to be developed between the soldiers and mentors.
“They know that with each new mentor comes change, and they expect that,” he said. “But sometimes they’re not sure who the expert is or who’s ideas and suggestions they should accept – yours or the previous mentor’s.”
Such things are important since the training methods push a lot of information at the soldiers in a small amount of time.
“When I conduct a check on their progress, sometimes they get eight out of 10 questions correct, and sometimes just one or two,” he said. “So those are the types of issues my team is trying to identify. They grasp the overall concept of the instruction, but not the details as to why something is.”
In the mud and rain on the tactics range, the training scenario tested their ability to discovering an enemy lying in wait and reacting to an ambush. “The concepts of laying down a base of fire, assaulting and flanking through the ambush site are also taught,” said Parsons. “To help them survive they must work together in fire teams, to communicate, put down a large base of fire and immediately react to contact, to assault through the objectives, and to be aggressive.”
The ANA, if nothing else, is aggressive according to those closest to the training. Parsons attributed that to their belief that one day they see Afghanistan being the country their grandparents told them about, a free and prosperous nation. Many too said the Taliban had terrorized their villages and families and that they are here for revenge. But first things first – and that’s the training.
This six-week course is broken into three major categories: First aid, tactics, and basic rifle marksmanship with AK-47s, plus Soviet weapons familiarization.
“These privates come from all over Afghanistan – all provinces and villages – but here at KMTC they are unified for the first time as one Kandak (battalion) and one Tolli (company). It’s my hope that, following the course, they realize they have the ability to learn a wide variety of tasks that it takes to be a soldier and a warrior. That they’ll continue to build on what they’ve learned here at their corps.”
Thursday, January 22, 2009
Day 252: Training in the mud


Tuesday, December 9, 2008
Day 207: The whistle and the bang!
Thursday, August 14, 2008
Day 91: Boom!

As his comrades secure his back, one ANA peaks out from his cover to check on things. (Photo by G. A. Volb)
On Monday an IED (Improvised Explosive Device) went off just down the road from the "cubicle" I call home. As soon as I scraped myself off the roof of my kingdom, I ran outside to see what had happened.
Friday, June 13, 2008
Day 27: Sacrifices made
At 44, I couldn't help but think I was somehow cheating. That I was circumventing the rules so to speak; shouldn't I take on the hardship so the younger generation could enjoy their lives for a while longer? The reality is, at 44 I've lived a pretty good life ... I've seen a lot of the world, enjoyed happy times on several continents. I'm single with no immediate family to worry about me. To watch the youngest members of the U.S. effort in the Middle East step up to the plate ate at me enough that finally, well, here I am.
And I continue to be impressed with their strength of will and character. For those of you who look on at the evening news with indifference, take the time to study the faces, forget the politics. Then ask yourself, "How would I stand up to a similar challenge. Could I show the fortitude to step up like these young soldiers do daily? Could I handle the pressure?"
New topic: There's an old saying that goes something along the lines of, "Stick six economists in a room and an hour later they'll emerge with seven different theories as to where the economy is headed."
And we've all heard the saying, "It's the economy stupid." Especially during campaign time. Here in Afghanistan it takes on a whole new level of importance. The economy is, in my mind, the key to success here, but to ensure a viable infrastructure is in place for such progress to take root takes a reasonable amount of national security. Hence the coalition's challenge, to provide enough training and support to the Afghan government so that they can make it happen. Security will be the beginning of a domino effect.
National security equals economic growth; economic growth equals individual prosperity; individual prosperity equals regional stability; and regional stability leads to global security. It's a small world people.
