 |
|
|
|
|
December 1st, 2009
09:32 PM ET
The ravages of warBy Dr. Sanjay Gupta This week we will be talking a lot about Afghanistan and the impact of the President’s speech. Having spent a fair amount of time there, including a trip just a couple of months ago, I am always reminded of the human impact of any conflict. I am reminded there are consequences to all those booms and explosions we see on television. I am reminded of the horrific injuries I saw due to IED explosions where young men and women are robbed of their legs, and their lives. I am also reminded of the remarkable sacrifice the doctors, nurses, medics and all the medical personnel make every single day out there. They truly risk their lives to save the lives of others. Medicine and the military are embraced in an awkward dance and no where is that more true than in Afghanistan. Because of the terrain, most of the med evac missions are carried out by chopper. They typically have 20 minutes to fly to the patients, 20 minutes to stabilize and treat, and 20 minutes to get the patients to more medical care. It is one golden hour. Right now, even as I write this, these medics are sleeping in forward operating bases just behind the front line troops - with their boots on, and eyes half open in dusty desert tents waiting to get the call. Waiting for a chance to save their fellow soldiers who got the call before them. Truth of the matter, nearly three-fourths of the time, the call they get is to take care of an Afghan local or soldier. In fact, if you look at the breakdown of operations performed at the coalition force run Kandahar Role III, the largest trauma hospital in the country, most are performed on Afghan patients. The local medical system in Afghanistan lacks the infrastructure to take care of most of these sorts of injuries. There is only one vascular surgeon in the country, two neurosurgeons and really no ability to perform cardiac surgery. It made me wonder what will happen to patients with trauma a year from now or in five or ten years. If you look at pure numbers, for every 10,000 troops, 127 will be wounded in action. A tenth of those wounded will have traumatic brain injuries and several others will need amputations. Still others will have serious burns. It costs close to $20,000 per soldier to provide field care, and if you add in an air evacuation, the cost is closer to $50,000. At the Kandahar hospital, doctors are performing close to 300 operations a month, and that number is expected to increase over the next few months. Of course, these numbers are meaningless to the tens of thousands of troops in Afghanistan right now and the tens of thousands about to head there. As you watch the speech tonight and the analysis over the next few days, try and remember the medical staff there as well. They are the ones embraced in that awkward medicine and military dance – they are the ones trying to repair the ravages of war. Editor's Note: Medical news is a popular but sensitive subject rooted in science. We receive many comments on this blog each day; not all are posted. Our hope is that much will be learned from the sharing of useful information and personal experiences based on the medical and health topics of the blog. We encourage you to focus your comments on those medical and health topics and we appreciate your input. Thank you for your participation. |
  About this blog
Get a behind-the-scenes look at the latest stories from CNN Chief Medical Correspondent, Dr. Sanjay Gupta, Senior Medical Correspondent Elizabeth Cohen and the CNN Medical Unit producers. They'll share news and views on health and medical trends - info that will help you take better care of yourself and the people you love.
 |
|
|
|
Sad it is, War. The president does good reminding us of the brave few who are at risk at this moment. I;ve been around long enough to say this president is up in the ranks with the great leaders before him. He is aware of the living plight of this land of the brave. Easy it is to critic when no-one is aiming an AK47 at you or planting an IED in your path. Some decisions are not easy to make and the president has made one. I'm sure alone I am not feeling proud of MY country and its leader today
outstanding on the medical end and susan is correct the people really want us to teach their kids and to be there for them....the medical help enhances it...the hearts and minds enforces it
I would ask if Pakistan has a infrasture that could support aid in Afganistan and if Pakistan would ally in stabilizing the region. India has become significant in training medical doctors and I wonder if Pakistan is anywhere close in ability?
There is no doubt in my mind that the lingering effects of any life-threating experiences, can change the future of not just the individual, but they're familys, friends of family and strangers alike. Navigating a complex exsistance with a damaged celerbrum, can become far to difficult without consistant assitance. The family then becomes part of the experience, and so on.. Changing the dreams of so many, your bound top encounter growing resentment. Just this morning I awoke to find the new landscape plants ripped from there holes and cast about the apt complex. My first thought was, At least they did'nt set the place on fire. and was it the solider or his child who... I know the feelings of hate.. hit a critical peak last night.. even among the uninjured. Nobody wants to go to war, but It is the duty of any citizen of any country to stand. When they refuse to do so on the grounds that it's not there responsiblity, then it's not just the braindamaged that act irrationally, it's everyone who's loyal enough to pay attention to what the govt. is doing. But not disiplined enough to see past they're own prejudices. I try to tread lightly because of this, and it's like walking on eggshells . Thanks to all the ones who see the whole picture, thats a trauma in it's self. But I see a dangerous world growing more dangerous with last nights decision. Our soliders on the ground, need to go in with the right attitude, win the respect, and compassion of your enemies neighbors, share they're pain and ask them to help stop the IED attacks. Use logic not gold,.
We need to stop going to war, plain and simple! (If it were only that plain and simple)
Yes Sanjay
We need to improve the ratio of Medical is to Military personnel in the Afgan War Zone.We have more medical pesonnel than the military but this side of need is not much hghlighted.
Concise and mindblowing.I knew about the lack of doctors from a neighbor who moved here in the 90's but seeing it stated that way-just ............
Thank you, Dr. Gupta, for your keen insight, and excellent reporting. I have great hope in our President, and his Administration, to where he has the data that you present here- data that you have risked your own safety in order to obtain, and therefore share with all of us. You too, are a hero, by keeping us informed, while in risky conditions-thank you.
I am not a Genera,l nor a Company Commander. It's seems at times our troops are put into "Harms Way" in a most careless way. When 9 of our troops were killed, they were in an area where they didn't control the high ground, and the enemy did. That situation was totally uncalled for. Why would commanders even think of putting their troops in a situation such as that. Even as children and playing cowboys and indians we had better sense than to get in that position.
I'm a minister and I hate war. I just can't bear the thought of taking another life or being responsible for the injury of civilians... Especially children. But I voted for this president because I believe he's smart enough and careful enough to get us out of this mess.
May God bless us all as we try to do the right thing.
You raise some excellent points here Sanjay. Is anyone factoring in the longterm cost of these injuries and rehabilitation? Will there be resources for all of the injured, both US troops and Afghan citizens? War has long term consequences on all who are affected. The financial cost is much more than portrayed, not even mentioning the emotional and psychological trauma.
It would be interesting to determine if those Afghan citizens educated in our medical system have an interest in returning to help their people.? This would be a critical network of support that may be overlooked. What about medical supplies? What efforts have been undertaken to secure the medical needs of this country? This infrastructure is critical to the long term stability of this nation.
Thanks Sanjay for that compelling description of life and death in Afghanistan. I have great respect for what you do and what you stand for as a caring human being. I pray for our troops in Iraq and Afghanistan everyday!
Well, it is indeed shocking to know the ground reality. The Medics out there are doing a great job during the golden hour and after that also. But how is it that the government of Afghanistan going to address the problem of Medic patient ratio ? Only one Vascular Surgeon, 2 Neuro Surgeons ?? Do they get rest at all ?
I think it is important to highlight the sacrifices of all military personnel – those who don't make it back from the war zone alive, those who are injured, the dedicated health professionals....but lets not forget the unmeasurable effect on the mental wellbeing of all those exposed to the conflict.
We need to ensure our military personnel have access to the best medical care immediately following their injury . We need to recognise the fantastic work of medics in the field and we need to ensure all those exposed to war have access to ongoing support. An IED can leave devastating injuries that are immediately visible to the eye but the impact on mental health will not be visible immediatley or for some time...do we understand the impact this conflict will have on individuals, families, communities and society in the years to come?
Having watched your program and the extensive injuries in the Afghani war, I would like to say that I had the opportunity this summer to work in a proactive relationship by mentoring an Afghani medical clinic director to improve services in Kabul. I trained Frozan with whole food supplements and holistic medicine and sent her back with information and skills to improve the wellness in her clinic and family. Could we add more to the prevention in the clinics? As an anecdotal suggestion for your father and his heart there are wonderful whole food products to restore his health.
Cordially,
Dr. Donna Skerry
https://bit.ly/3ldqkpE
https://tinyurl.com/yz6pxhvj
https://bit.ly/3vrVVsy
https://bit.ly/3vHx6ca
https://bit.ly/30HJ5Ip
https://bit.ly/3cAiB17
https://bit.ly/3qHjzxr
https://bit.ly/3coP3TJ
https://tinyurl.com/ycvctff2
https://cutt.ly/DxrxUil
160357436
704203120
43474698
1299196745
249878542
1271736555
549473579
518326335
90592542
6423263
HSfSdeU
tRBFszq
LCzMzOa
HkSCowq
sczIASY
OmWoXIH
gzfzMWL
hdpcFpT
IEBGiAk
WbgZFjH
https://tinyurl.com/yfepzv76
https://tinyurl.com/y8hbwlrw
https://tinyurl.com/y8bxflq3
https://tinyurl.com/yah6jhjs
https://tinyurl.com/yfds2ab5
https://bit.ly/3qGDMTY
https://bit.ly/3tmArvj
https://bit.ly/3eMVRNV
https://tinyurl.com/ygwbzgda
https://tinyurl.com/yh2gx9ua
1015857755
1331429769
1331887552
173304927
658067036
225405120
828510445
527942246
916701967
903651863
UdqrQpp
AjZXtYS
BKqkqPP
WkQMdqP
uXSHKaa
dYIqiPK
TlWAtVg
sbPPove
vaeOTMF
aUccKSl
https://tinyurl.com/yek99yfg
https://bit.ly/3esTGz6
https://tinyurl.com/yanywu8c
https://tinyurl.com/yzdu6oxp
https://tinyurl.com/yed7ya8v
https://bit.ly/3qQeov6
https://bit.ly/3eLGfKz
https://bit.ly/3vuvBOg
https://tinyurl.com/ygb44z5q
https://bit.ly/38LgwOK
754071198
999738097
985081310
1285374540
1120292518
1189929758
599665255
859058711
265239965
673835085
qtYCMsg
zTTLTuW
awDBooH
YEefvTz
PCHujiR
AtqjrCS
trdVSXo
AbRTfiw
slkHLlC
sLNmekC
https://bit.ly/38FjFPX
https://bit.ly/3l3QGKu
https://bit.ly/3rKRNBj
https://tinyurl.com/yc4gpqp8
https://tinyurl.com/yfgbp4uf
https://cutt.ly/lcpKaRW
https://tinyurl.com/ycwo42xa
https://tinyurl.com/yg6ylajb
https://bit.ly/3vqnRg3
https://tinyurl.com/yay6eglg
233716344
1140427573
838378991
589340316
1130959945
264684168
152415419
555954176
658988133
1263958330
kUsNzpO
SMhWCfl
lPHzJuJ
RsPHczx
JqltKkA
iMsukYc
RpHyKFD
iLEqwqK
akWMvMZ
cJFDlXf
https://cutt.ly/ZxS6XLI
https://tinyurl.com/yhoxtwa4
https://bit.ly/2N2TtqP
https://tinyurl.com/ygvaqvfj
https://tinyurl.com/yz9c3nxj
https://tinyurl.com/yfnx6owg
https://tinyurl.com/yz5mzj6s
https://tinyurl.com/ye9qp75u
https://bit.ly/3lb3BKN
https://tinyurl.com/yjtxzcmg
1252415530
818527118
323596197
539792634
1132256681
1345535824
625804319
851826631
924102433
71851814
OUTDbCy
fXXTLwb
oPoOJmo
ltuIIEL
wQjjVjK
nxmglgg
aHiIZob
lFxGHjT
XlruruJ
lULFARw
https://bit.ly/3rD4RsK
https://bit.ly/3qsait2
https://tinyurl.com/yg6lhjcp
https://tinyurl.com/yjbw36a3
https://bit.ly/3lskIrO
https://tinyurl.com/y9cknxh3
https://tinyurl.com/yha376bu
https://bit.ly/3bK46bR
https://tinyurl.com/ydgc9uzz
https://bit.ly/3leIp6A
1315199560
1260524778
872441324
931295381
1287372008
31862550
836471413
1295921034
1386466210
1305334281
RsaqSHA
ZcpvHKR
RWkniGm
OPdVTQD
PyMrDHX
HKOymno
rdUhJey
gkIhnLG
BPVjrcD
qXISetr
Thẳng Soccer Hôm Nay, Liên Kết Xem Trực Tuyến Video Tình Huốngvtv3hdTrên băng ghế huấn luyện, Lebanon đã bổ nhiệm Ramiro Lopez cách đây 3 tuần. Nhà cầm quân nhân viên Tây Ban Nha chủ yếu thực hiện việc trên Ý và từng có thời hạn thực hiện việc trên Kuwait.|Và NHM bóng đá Việt Nam đang hóng Minh Trí cùng đồng đội hóa giải đối thủ để tạo lợi thế cho trận lượt về tại đây hai ngày. Chelsea đã nên trải qua 8 phút bù giờ nghẹt thở bảo vệ chiến thắng.
https://murraystivoli.com/detail/vaoroi-tv-93995.html