WarDocs - The Military Medicine Podcast

Celebrating Military Medical Spouses and Families: Strength, Resilience, and Support Systems

    There's no doubt that military spouses and families are the unsung heroes of our nation's military community. As Host Doug Soderdahl and Guest Host Kim Causey sat down with Sue Clark and Melinda Stackle, their strength and resilience became evident. These incredible women, married to retired Major General Jeff Clark and Colonel Mark Stackle, respectively, share their unique experiences and challenges in navigating the demanding lifestyle of being a military medical spouse. In our conversation, we explore the unique challenges, sacrifices, and strength of the families of military medical providers, as they navigate the demanding lifestyle of traveling away from relatives and adapting to new military customs and traditions.
    We were fascinated to hear how Sue and Melinda managed their households and coped with the uncertainties of their spouses' deployments which can be particularly challenging for all military spouses and families. Their stories emphasized the importance of having strong support systems and learning from senior military spouses. They also shared strategies for coping with deployments and reintegration, offering a rare glimpse into the realities of military family life.
   In this heartfelt discussion, we also explore ways to better support military spouses and families, such as intentionally educating them on resources and strengthening their buy-in to military life. We were inspired by the Oak Leaf Club at Walter Reed, which serves as an excellent example of how auxiliaries and organizations can provide similar programs. Ultimately, this episode is a celebration of military medical spouses and their immense significance in caring for our nation's warriors and supporting the cause of freedom.
 
Chapters:
(0:00:00) - Military Medical Spouses
(0:16:23) - Challenges of Military Spouses During Deployments
(0:22:01) - Coping With Deployments and Reintegration
(0:28:31) - Supporting Military Spouses and Families
(0:42:55) - Challenges and Opportunities for Military Spouses
 
Chapter Summaries:
(0:00:00) - Military Medical Spouses (16 Minutes)
We honor military medical spouses by learning about the unique challenges, sacrifices, and indomitable strength of those married to military medical providers. We hear from Sue Clark and Melinda Stackle, both military medical spouses of many years, who share their personal stories of how they and their spouses met and the most difficult assignments they had. We explore how the transition from clinical practice to operational command can be a significant challenge, creating a demanding lifestyle of traveling away from family and making it difficult to identify with the military side of life.
 
(0:16:23) - Challenges of Military Spouses During Deployments (6 Minutes)
We hear directly from military medical spouses on the unique challenges and sacrifices they face when their spouse is deployed. We learn how they must manage the house and family while the spouse is away, and how communication has changed over the years. We also discuss the need to put systems in place to prepare for the deployment and how to cope with the unknowns of the situation.
 
(0:22:01) - Coping With Deployments and Reintegration (6 Minutes)
We understand the unique challenges that come with deployments, including reintegration when a spouse returns home. We explore strategies for coping, and the importance of finding a good support group. We hear directly from service members and spouses on how to best manage the challenges of deployments, and how to reintegrate when a spouse returns home. We discuss the difficulties faced when communicating with family while deployed, and the importance of talking to each other and taking things slowly as part of the reintegration process.
 
(0:28:31) - Supporting Military Spouses and Families (14 Minutes)
We discuss how military spouses can better support each other and their families. We explore ways to strengthen the buy-in of spouses into the military life, such as taking advantage of educational opportunities provided by the military and making connections with other spouses in their service member's unit. We also consider how military medical centers can intentionally educate and empower spouses on what life in the military looks like and how to access resources when needed. Lastly, we look to the success of the Oak Leaf Club at Walter Reed to encourage other auxiliaries and organizations to provide similar programs.
 
(0:42:55) - Challenges and Opportunities for Military Spouses (10 Minutes)
We consider the impact of gender roles on military medical spouses and the evolution of male and female roles within the military over the years. We talk to spouses directly about the unique challenges they face and the role of social media in helping them find jobs. We also learn about Guest Host Kim Causey's journey with her career and how the choice to stay at home with their baby has benefited their family. Lastly, we explore ways to strengthen the buy-in of spouses into the military community to ensure they are supported.
 
Take Home Messages:
Military medical spouses play a significant role in supporting the demanding lifestyle of their partners and face unique challenges.
The importance of having strong support systems and learning from senior military spouses is vital for coping with the uncertainties of deployments.
Strategies for coping with deployments and reintegration into family life after deployment can include distractions, finding a good support group, and communication.
Educating military spouses on available resources and strengthening their buy-in to military life can better support them and their families.
Programs such as the Oak Leaf Club at Walter Reed can serve as models for how auxiliaries and organizations can provide support for military medical spouses.
Navigating the transition from clinical practice to operational command in the military can be a significant challenge, creating a demanding lifestyle of traveling away from family and making it difficult to identify with the military side of life.
Understanding the impact of gender roles on military medical spouses and the evolution of male and female roles within the military over the years is important.
The importance of community and finding your "people" within the military community is emphasized, whether it's through neighbors, spouse clubs, churches, or friends.
Empowering and educating spouses on what life in the military looks like and how to access resources when needed can better support them.
For junior spouses or those new to the military lifestyle, saying yes to invitations, engaging in social situations, and learning from senior spouses can be beneficial.
Episode Keywords:
Military Medical Spouses, Military Medical Families, Unsung Heroes, Deployments, Reintegration, Support Systems, Oak Leaf Club, Walter Reed, Social Media, Career Choices, Buy-In, Sacrifices, Uncertainties, Strengthening, Educating, Empowering
Hashtags:
#wardocs #military #medicine #podcast #MilMed #MedEd #MilitaryMedicalSpouses #MilitarySpouses #UnsungHeroes #MilitaryLife #MilitaryFamilies #DeploymentChallenges #ResilientSpouses #MilitaryFamilySupport #DeploymentCopingStrategies #MilitarySpouseEducation #BehindEverySoldier #SilentWarriors
Honoring the Legacy and Preserving the History of Military Medicine
The WarDocs Mission is to honor the legacy, preserve the oral history, and showcase career opportunities, unique expeditionary experiences, and achievements of Military Medicine. We foster patriotism and pride in Who we are, What we do, and, most importantly, How we serve Our Patients, the DoD, and Our Nation.
 
Find out more and join Team WarDocs at https://www.wardocspodcast.com/
Check our list of previous guest episodes at https://www.wardocspodcast.com/episodes
Listen to the “What We Are For” Episode 47. https://bit.ly/3r87Afm
WarDocs- The Military Medicine Podcast is a Non-Profit, Tax-exempt-501(c)(3) Veteran Run Organization run by volunteers. All donations are tax-deductible and go to honoring and preserving the history, experiences, successes, and lessons learned in Military Medicine. A tax receipt will be sent to you.
WARDOCS documents the experiences, contributions, and innovations of all military medicine Services, ranks, and Corps who are affectionately called "Docs" as a sign of respect, trust, and confidence on and off the battlefield, demonstrating dedication to the medical care of fellow comrades in arms.
 
  Follow Us on Social Media
Twitter: @wardocspodcast
Facebook: WarDocs Podcast
Instagram: @wardocspodcast
LinkedIn: WarDocs-The Military Medicine Podcast
 
 
 

Capt. Sidney Zven, MD: Innovations and Education to Win the Battle Against Food Insecurity in the Military

       Did you know that up to one in four active-duty service members struggle to find sufficient nutritious food? In this eye-opening conversation, we're joined by Air Force Captain Dr. Sidney Zven, MD, who shares his groundbreaking research on food insecurity in the military. We discuss the often-unappreciated prevalence of this issue and its impact on recruitment, retention, and overall military readiness.
  We also explore the challenges military families face in accessing crucial resources like the Supplemental Nutrition Assistance Program (SNAP) Women and Infants and Children (WIC) program, as well as the logistical issues that arise for those stationed overseas. We discuss the historical stigma surrounding food stamps and WIC and how Military Medicine is working to identify high-risk families and connect them with much-needed benefits.
Don't miss this compelling episode that sheds light on a hidden crisis affecting our military families. Discover the potential for policy changes, the role nonprofit and governmental organizations can play in tackling this urgent problem, and the importance of nutrition education for the military community. Join us as we delve into the crucial issue of food insecurity and its impact on the health of our brave service members and their families.
 
Chapters:
(0:00:00) - Combatting Food Insecurity in the Military
(0:04:20) - Military Food Insecurity and Government Programs
(0:15:55) - Military Families and WIC Challenges
(0:19:32) - Military Food Insecurity and Historical Stigma
 
Chapter Summaries:
(0:00:00) - Combatting Food Insecurity in the Military (4 Minutes)
     We explore the critical issue of food insecurity in the military, discussing the challenges Service Members face and the innovative solutions and initiatives that Military Medicine is employing to combat this concern. Today we're joined by Air Force Captain Dr Sidney Zven, MD, who tells us about his pathway to medicine and his research into food insecurity in the military. The Department of Defense reported that up to 24% of military service members experienced food insecurity between October of 2020 and January 2021, in comparison to the 10.3% that is expected for the civilian population - one in four Active Duty Service Members may struggle to sufficient nutritious food for their families.
 
 
(0:04:20) - Military Food Insecurity and Government Programs (12 Minutes)
   We explore the multifaceted issue of food insecurity in the military and how it impacts recruitment, retention, and overall military readiness. We discuss the prevalence of obesity as a contributing factor to military recruit shortage, the impact of food insecurity on families' decisions to stay in the military, and the link between food insecurity and elevated risk of anxiety and depression among military members. We also examine the impact of the COVID-19 pandemic on levels of food insecurity, the Women and Infants and Children (WIC) program, and other state and federal programs available to support service members.
 
(0:15:55) - Military Families and WIC Challenges (4 Minutes)
  We discuss the difficulties encountered in enrolling in WIC and other logistical issues that can arise when dealing with military families, such as the disconnect between providers and local WIC offices, the burden placed on families to navigate the enrollment process, and the double appointments and wait times at WIC offices. We also discuss the process for families stationed overseas and the supply chain issues they may face when utilizing WIC benefits.
 
(0:19:32) - Military Food Insecurity and Stigma (7 Minutes)
The historical stigma associated with receiving food stamps and WIC can be a major barrier to service members needing these resources. The military has made efforts to de-stigmatize these programs and provide more resources for military families. A study conducted at Walter Reed revealed that many families are unknowingly eligible for WIC. A unique approach is being implemented to identify high-risk military families and enroll them in these benefits.  We discuss the importance of nutrition education and how providing access to healthy and affordable food is essential for the well-being of military families. We look at how food insecurity can be addressed through policy changes and the role of governmental and nonprofit organizations in providing resources and support. We also examine the effects of food insecurity on service members' overall health and the importance of providing nutritional education to the military community.
 
Episode Keywords: Food Insecurity, Military, Active-Duty Service Members, Air Force Captain Dr. Sidney Zven, Multifaceted Impact, Women and Infants and Children (WIC) Program, Logistical Issues, Stigma, Military Medicine, Nutrition Education, Healthy and Affordable Food, Policy Changes, Mental Health, Recruitment, Retention, Military Readiness, Obesity, Anxiety, Depression, COVID-19, Double Appointments, Supply Chain Issues, Eligibility, High-Risk Families
Hashtags: #WarDocs #Military #Medicine #Podcast #MilitaryFoodInsecurity #FeedingOurTroops #NourishingDefenders #WICProgram #CombattingHunger #FoodInsecuritySolutions
 
Honoring the Legacy and Preserving the History of Military Medicine
The WarDocs Mission is to honor the legacy, preserve the oral history, and showcase career opportunities, unique expeditionary experiences, and achievements of Military Medicine. We foster patriotism and pride in Who we are, What we do, and, most importantly, How we serve Our Patients, the DoD, and Our Nation.
 
Find out more and join Team WarDocs at https://www.wardocspodcast.com/
Check our list of previous guest episodes at https://www.wardocspodcast.com/episodes
Listen to the “What We Are For” Episode 47. https://bit.ly/3r87Afm
WarDocs- The Military MedicinePodcast is a Non-Profit, Tax-exempt-501(c)(3) Veteran Run Organization run by volunteers. All donations are tax-deductible and go to honoring and preserving the history, experiences, successes, and lessons learned in Military Medicine. A tax receipt will be sent to you.
WARDOCS documents the experiences, contributions, and innovations of all Military MedicineServices, ranks, and Corps who are affectionately called "Docs" as a sign of respect, trust, and confidence on and off the battlefield, demonstrating dedication to the medical care of fellow comrades in arms.
 
  Follow Us on Social Media
Twitter: @wardocspodcast
Facebook: WarDocs Podcast
Instagram: @wardocspodcast
LinkedIn: WarDocs-The Military MedicinePodcast

COL(R) Kimberlie Biever, MS, RN, ANP-BC, ACNP-BC, CCNS, CCRN- Nursing Considerations in Operational Medicine- Past, Present and Future

   Join us as we engage in an enlightening conversation with retired Army Colonel Kim Biever, a seasoned medical professional with vast experience in critical care nursing. Listen in as Kim discusses the emerging need for large-scale combat operations preparation in the current operational environment. She shares invaluable insights on the importance of readying medical personnel for the future and the urgency to tailor training to the right level of provider. We also touch on the necessity of reflecting on past events and experiences for lessons learned and innovative ways to simplify tasks for medical professionals on the battlefield.
Later, Kim highlights the weight of kindness and flexibility when leading others and sheds light on the various roles in nursing, emphasizing that there's something for everyone in this noble field. Learn from her experiences of creating positive outcomes through the simple act of being kind to people and gain insights into the diverse opportunities available in the nursing field.
 
Chapters:
(0:00:00) - Preparing for Large-Scale Medical Operations
(0:11:31) - Leadership Lessons and Nursing Advice
 
Chapter Summaries:
(0:00:00) - Preparing for Large-Scale Medical Operations (12 Minutes)
We hear from retired Army Colonel Kim Biever, a Critical Care Nurse, Nurse Practitioner, and Clinical Nurse Specialist. We discuss the current operational environment and the need to prepare for large-scale combat operations. Kim shares her insights on the importance of preparing medical personnel for the future and the need to bring training to the right level of provider. We also explore the need to look back at past events and experiences to apply lessons learned and how to innovate and make things easier for medical professionals on the battlefield.
 
(0:11:31) - Leadership Lessons and Nursing Advice (6 Minutes)
Kim found her passion in nursing. She realized that taking a moment to be kind to people can be highly beneficial in creating positive outcomes. Kim shares the importance of kindness and flexibility when leading others. She also explains the variety of nursing roles and how there is something for everyone in the nursing field.
Episode Keywords:
Medical Operations, Combat Operations, Training, Provider Proficiency, Past Experiences, Lessons Learned, Innovations, Kindness, Flexibility, Nursing Roles, Army Colonel, Critical Care Nurse, Nurse Practitioner, Clinical Nurse Specialist
Hashtags:
#wardocs #military #medicine #podcast #CombatMedicine #MilitaryNursing #BattlefieldInsights #PowerOfKindness #NursingLeadership #OperationalMedicine #RetiredMilitary #HealthcareHeroes #ArmyMedics
 
Honoring the Legacy and Preserving the History of Military Medicine
The WarDocs Mission is to honor the legacy, preserve the oral history, and showcase career opportunities, unique expeditionary experiences, and achievements of Military Medicine. We foster patriotism and pride in Who we are, What we do, and, most importantly, How we serve Our Patients, the DoD, and Our Nation.
 
Find out more and join Team WarDocs at https://www.wardocspodcast.com/
Check our list of previous guest episodes at https://www.wardocspodcast.com/episodes
 Listen to the “What We Are For” Episode 47. https://bit.ly/3r87Afm
WarDocs- The Military Medicine Podcast is a Non-Profit, Tax-exempt-501(c)(3) Veteran Run Organization run by volunteers. All donations are tax-deductible and go to honoring and preserving the history, experiences, successes, and lessons learned in Military Medicine. A tax receipt will be sent to you.
WARDOCS documents the experiences, contributions, and innovations of all military medicine Services, ranks, and Corps who are affectionately called "Docs" as a sign of respect, trust, and confidence on and off the battlefield, demonstrating dedication to the medical care of fellow comrades in arms.
 
  Follow Us on Social Media
Twitter: @wardocspodcast
Facebook: WarDocs Podcast
Instagram: @wardocspodcast
LinkedIn: WarDocs-The Military Medicine Podcast

Battles, Bandages and Beyond- The Evolution of Military Medicine from an AF Medic’s Perspective- CMSgt (Ret) Steve Cum

      Picture this - you're in the middle of a war zone, your resources are limited, and lives hang in the balance. Now you're starting to grasp the reality of retired Air Force Chief Master Sergeant Steve Cum's three-decade-long career in the Air Force. In this episode, Steve recounts his remarkable journey, sharing insights on how medical training has evolved over the years, his time in special ops, and his firsthand experiences during the 9-11 deployments, all while highlighting the crucial role of medical personnel in the world's most challenging environments.
  As Steve takes us through his time as an aeromedical specialist, the challenges he faced in the demanding Independent Duty Technician Course, and his experiences in the Special Operations community, we can't help but marvel at his resilience and dedication to the cause. When he talks about his experience in Afghanistan, his tales of patient care under extreme conditions, and the complex logistics of patient evacuation, you'll feel the tension of life on the frontlines, the adrenaline rush, and the immense responsibility that comes with it.
 Steve shares valuable leadership lessons that he's picked up from his deployments, his passion for training medical personnel, and the invaluable experiences he gained from his time deployed around the globe. He offers valuable advice to young Air Force airmen looking to make a career in military medicine while reminiscing over the changes he has seen in Air Force Medicine during his illustrious career and contemplating the legacy he hopes to leave in military medicine. Join us as we navigate the highs and lows of a military medic's life with retired Chief Master Sergeant Steve Cum.
Chapters:
(0:00:00) - Air Force Medic Training and Journey
(0:05:20) - Aeromedical Specialist and Independent Duty Medical Technician
(0:12:10) - Medical Response to 9-11 Deployments
(0:18:52) - Medical Response in War Zone
(0:23:38) - Special Operations Medical Training Lessons Learned
(0:36:30) - Leadership Lessons and Memorable Deployments
(0:40:17) - Success in Military Medicine
 
Chapter Summaries:
(0:00:00) - Air Force Medic Training and Journey (5 Minutes)
Retired Chief Master Sergeant Steve Cum shares his story of joining the Air Force, as well as the unique opportunities and experiences he encountered throughout his 30 years of Active Duty service. We discuss how the training of Air Force medics has changed from the 1990s to now and the clinical skills they must have to be successful. Steve also shares valuable leadership advice from his distinguished career in Special Operations and at the top strategic echelons of military medicine.
 
(0:05:20) - Aeromedical Specialist and Independent Duty Medical Technician (7 Minutes)
Steve describes his first assignment as an Aeromedical Specialist, the challenges of the Independent Duty Technician Course, and his experiences in the Special Operations community. He talks about the various schools he attended in the pre-911 era and explains what motivated him to pursue each one.
 
(0:12:10) - Medical Response to 9-11 Deployments (7 Minutes)
We discuss the real-world patient experiences and 9-11 story of Chief Master Sergeant Steve Cum. We explore the planning process for missions and trips, the activation of medical personnel after 9-11, and the priority of establishing medical care at an abandoned Russian airfield. Steve shares his experience coordinating a forklift and setting up a small clinic with limited resources. We learn how the Air Force secured the airfield and how they managed patient movement without vehicles.
 
(0:18:52) - Medical Response in War Zone (5 Minutes)
Chief Master Sergeant Steve Cum shares his experience as a medic in Afghanistan. He tells the story of a patient who went into the OR with severe internal bleeding and the process of collecting blood from fellow Soldiers and Airmen. He explains how the team managed to get the patient evacuated for further treatment and shares his story of responding to a JDAM mass casualty. He also discusses the evacuation process for patients and the different types of missions the team flew on.
 
(0:23:38) - Special Operations Medical Training Lessons Learned (13 Minutes)
We hear from Chief Master Sergeant Steve Cum about the lessons learned during his deployments, the value of TCCC and Prolonged Field Care in the Special Operations community, and his experience in medical exercises and deployments. We also hear about Steve's passion for training medical personnel and his mission as the Chief of the Medical Enlisted Force for the Air Force Special Operations Command.
 
(0:36:30) - Leadership Lessons and Memorable Deployments (4 Minutes)
Chief Master Sergeant Steve Cum recounts his most memorable deployment story from Haiti. He shares the experience of working with the media in the wake of the Haiti earthquake, as well as the process of transporting a patient who had jumped out of a two-story hotel window. We hear about the challenges of getting the man to an appropriate medical facility and how medics play a critical role in en-route care. We also consider the value of this experience in terms of learning about leadership and growing up.
 
(0:40:17) - Success in Military Medicine (6 Minutes)
Chief Master Sergeant Steve Cum shares the advice he provides to young Air Force airmen looking to make a career in Military Medicine, the most essential leadership lesson he learned, and the remarkable changes he noticed in Air Force Medicine over his 30-plus year career. He also shares his thoughts on the remarkable young medics coming into the service, as well as the legacy he hopes to leave in Military Medicine.
 
Episode Keywords: Air Force, Medical Training, Special Ops, 9-11 Deployments, War Zone, Aeromedical Specialist, Independent Duty Medical Technician, Patient Care, Logistics, Patient Evacuation, Leadership Lessons, Haiti Earthquake, Military Medicine, Young Medics, Air Force Airmen, TCCC, Prolonged Field Care, Media, JDAM Mass Casualty
 
Hashtags: #MilitaryMedicine #AirForceJourney #MedicOnFrontlines #WarZoneExperiences #SpecialOpsMedics #LeadershipLessons #MilitaryService #AirForceMedic #AirForceTraining
Honoring the Legacy and Preserving the History of Military Medicine
 The WarDocs Mission is to honor the legacy, preserve the oral history, and showcase career opportunities, unique expeditionary experiences, and achievements of Military Medicine. We foster patriotism and pride in Who we are, What we do, and, most importantly, How we serve Our Patients, the DoD, and Our Nation.
Find out more and join Team WarDocs at https://www.wardocspodcast.com/
Check our list of previous guest episodes at https://www.wardocspodcast.com/episodes
Listen to the “What We Are For” Episode 47. https://bit.ly/3r87Afm
WarDocs- The Military Medicine Podcast is a Non-Profit, Tax-exempt-501(c)(3) Veteran Run Organization run by volunteers. All donations are tax-deductible and go to honoring and preserving the history, experiences, successes, and lessons learned in Military Medicine. A tax receipt will be sent to you.
WARDOCS documents the experiences, contributions, and innovations of all military medicine Services, ranks, and Corps who are affectionately called "Docs" as a sign of respect, trust, and confidence on and off the battlefield, demonstrating dedication to the medical care of fellow comrades in arms.
  Follow Us on Social Media
Twitter: @wardocspodcast
Facebook: WarDocs Podcast
Instagram: @wardocspodcast
LinkedIn: WarDocs-The Military Medicine Podcast

Major General Tim Hodgetts, CBE, KHS, OStJ, MBBS, PhD, MBA- UK Surgeon General: Transforming Battlefield Medical Care and Leading Change in Military Medicine

    Discover the powerful journey of Major General Tim Hodgetts, the Surgeon General of the United Kingdom Defense Medical Services, in revolutionizing military Emergency Medicine, as he shares his experience in leading a contemporary revolution in combat casualty care, his principles for leadership, and the many benefits of a continuing partnership. In this fascinating conversation, Major General Hodgetts recounts how he demonstrated that the outcomes of a mixed military and civilian hospital in Kosovo were the same as those of a civilian hospital and how he established a telephone conference of all deployed Medical Treatment Facilities (MTFs), paving the way for advancements in Military Medical care.
Uncover Major General Hodgetts' unique insights into multinational collaboration, the importance of interoperability, and standardization in the Armed Services as you listen to his experiences learning Danish and studying International Cultural Theory. Learn how he developed resilience for younger military personnel through sports psychology and mindfulness techniques and how he uses poetry and journaling in his personal life. Also, discover his innovative approach to setting up a Field Hospital simulation using actors to create realistic casualties.
Finally, explore the essential collaboration between the military and civilian sectors as Major General Hodgetts delves into the NATO Medical Support Capstone Concept and its potential impact on the National Health Service's Major Incident and Mass Casualty Guidelines. Listen in as he discusses how these guidelines were implemented and he reflects on his proudest career accomplishments and future plans. Don't miss this captivating and inspiring conversation with one of the most influential figures in Military Medicine.
EPISODE CHAPTERS
(0:00:00) - Military Medicine and Emergency Care
(0:10:01) - Revolutionizing Military Emergency Medicine
(0:21:52) -Multinational Collaboration
(0:28:06) - Military Medicine and Coping Mechanisms
(0:39:24) - Preparing for Civilian-Military Collaboration in Wartime
 
EPISODE CHAPTER SUMMARIES
(0:00:00) - Military Medicine and Emergency Care (10 Minutes)
 Major General Tim Hodgetts, the Surgeon General of the United Kingdom Defense Medical Services, is an expert in Emergency and Disaster Medicine and is the most senior uniformed medical officer within the UK armed forces. Major General Hodgetts shares how he led a contemporary revolution in combat casualty care, his principles for leadership, the similarities and differences between US and UK military health systems, and the many benefits of the continuing partnership. He also shares an inspiring story about the challenges he faced in developing the specialty of Military Emergency Medicine and his most memorable clinical case.
(0:10:01) - Revolutionizing Military Emergency Medicine (12 Minutes)
Major General Tim Hodgetts demonstrated that the outcomes of a mixed military and civilian hospital in Kosovo were the same as those of a civilian hospital. He established a telephone conference of all the deployed Medical Treatment Facilities (MTFs), and a process for an acute clinician to attend post-mortem autopsies and coroner inquests. He was also able to push for changes in vehicle and personal protection and develop a trauma registry to review lessons learned in real time. George Bernard Shaw's quote of “progress is only made by unreasonable people” can be applied to the advancements made in Military Medical care.
(0:21:52) -Multinational Collaboration (6 Minutes)
Major General Tim Hodgetts shares his experience of learning Danish and studying International Cultural Theory to better understand the differences between nations. He also outlines the need for interoperability across the Armed Services of our own nations and the need for standardization in tactics, techniques, equipment, drugs, and treatment guidelines. Finally, we discuss the implications of Brigadier General David Ward's statement that there is no safe place on the battlefield and ways to cope with the stress of seeing horrific things.
(0:28:06) - Military Medicine and Coping Mechanisms (11 Minutes)
Major General Tim Hodgetts reflects on the importance of keeping a war diary and shares a piece of his own poetry. He also discusses the introduction of sports psychology and mindfulness techniques to develop resilience for younger personnel in the military. He further shares his experiences of setting up a Field Hospital simulation and using actors to create realistic casualties.
(0:39:24) - Preparing for Civilian-Military Collaboration in Wartime (8 Minutes)
Major General Tim Hodgetts shares the NATO Medical Support Capstone Concept and how the civilian sector may need to rely on the military for support. He discusses how the military has informed the National Health Service's Major Incident and Mass Casualty Guidelines, and how they have been implemented. Major General Hodgetts reflects on his proudest career accomplishments and plans for the future.
EPISODE KEYWORDS
Military Medicine, Emergency Medicine, Disaster Medicine, Combat Casualty Care, Leadership, Partnership, Multinational Cooperation, Interoperability, Standardization, Mindfulness, Field Hospital Simulation,  NATO Medical Support Capstone, National Health Service, Mass Casualty Guidelines, Tourniquet
#Military #Medicine #Podcast #WarDocs #MilitaryMedicine #EmergencyMedicine #CombatMedicine #BattlefieldCare #MilitaryLeadership #TraumaRegistry #MilitaryInnovation #UnitedKingdom #Leadership #LessonsLearned
 
Honoring the Legacy and Preserving the History of Military Medicine
The WarDocs Mission is to improve military and civilian healthcare and foster patriotism by honoring the legacy, preserving the oral history, and showcasing Military Medicine career opportunities, experiences, and achievements.
Find out more and join Team WarDocs at https://www.wardocspodcast.com/
Check our list of previous guest episodes at https://www.wardocspodcast.com/episodes
 Listen to the “What We Are For” Episode 47. https://bit.ly/3r87Afm
WarDocs- The Military Medicine Podcast is a Non-Profit, Tax-exempt-501(c)(3) Veteran Run Organization run by volunteers. All donations are tax-deductible and go to honoring and preserving the history, experiences, successes, and lessons learned in Military Medicine. A tax receipt will be sent to you.
WARDOCS documents the experiences, contributions, and innovations of all Military Medicine Services, ranks, and Corps who are affectionately called "Docs" as a sign of respect, trust, and confidence on and off the battlefield, demonstrating dedication to the medical care of fellow comrades in arms.
 
        Follow Us on Social Media
Twitter: @wardocspodcast
Facebook: WarDocs Podcast
Instagram: @wardocspodcast
LinkedIn: WarDocs-The Military Medicine Podcast

Battlefield Transfusion Medicine: Evolution, Lessons, and Future of Hemostatic Resuscitation- LTC(R) Philip C. Spinella, MD

How does Military Medicine learn lessons and overcome barriers in trauma resuscitation?
How have transfusion practices on the battlefield evolved?
Tune in and find out!   
Intro:  WarDocs had the pleasure of discussing the evolution of transfusion medicine on the battlefield with LTC(R) Philip C. Spinella, MD, a Professor in the Departments of Surgery and Critical Care Medicine and Co-director of the Trauma and Transfusion Medicine Research Center at the University of Pittsburgh. We delved into the history of blood transfusion practices during the Vietnam War, the shift from using whole blood to a mixture of red cells and crystalloids, and the lessons learned from Iraq and Afghanistan. We also explored the concept of damage control resuscitation, the transition from component therapy to whole blood therapy, and the barriers faced in developing high-level evidence through randomized controlled trials. Additionally, we touched on life-threatening hemorrhage in pediatric patients, the differences between adult and pediatric populations, and the future of therapy for life-threatening hemorrhage. Don't miss this fascinating episode highlighting the importance of having various tools in the "toolbox" to ensure the best care for patients experiencing life-threatening hemorrhage.
 
Chapters:
(0:00:00) - Transfusion Medicine on Battlefield
(0:09:12) - The Evolution of Hemostatic Resuscitation
(0:18:24) - Damage Control Resuscitation
(0:28:10) - Trauma Care
(0:37:08) - Precision Transfusion Medicine
 
Chapter Summaries:
(0:00:00) - Transfusion Medicine on Battlefield (9 Minutes)
In this episode, we explore the evolution of transfusion medicine on the battlefield with LTC(R) Philip C. Spinella, MD, a Professor in the Departments of Surgery and Critical Care Medicine and Co-director of the Trauma and Transfusion Medicine Research Center at the University of Pittsburgh. We discuss how strategies for hemostatic resuscitation have moved from component therapy to whole blood transfusion. Dr. Spinella shares his experiences deploying to Baghdad in 2004 and working with the 31st Combat Support Hospital.
(0:09:12) - The Evolution of Hemostatic Resuscitation (9 Minutes)
We dive into the history of blood transfusion practices during the Vietnam War and the shift from using whole blood to a mixture of red cells and crystalloids. The conversation highlights the lessons learned from Iraq and Afghanistan and the importance of keeping this knowledge alive for future conflicts. The discussion also covers the role of transfusion ratios in improving outcomes, the origin of the one-to-one-to-one ratio, and the use of recombinant activated factor VIIa in trauma resuscitation. Dr. Philip C Spinella shares the fascinating story behind these developments and the importance of considering a bundle of care for optimal patient outcomes.
(0:18:24) - Damage Control Resuscitation (10 Minutes)
We discuss the concept of damage control resuscitation and the transition from component therapy to whole blood therapy with the various barriers that needed to be overcome. Focusing on the importance of safety in transfusion medicine, we explore the challenges in developing high-level evidence through randomized controlled trials and the alternative approach of focused empiricism. We also examine the three main barriers to whole blood use in hemostatic resuscitation: ABO specificity, leukocyte reduction, and cold storage platelets.
(0:28:10) - Trauma Care (9 Minutes)
In this conversation, we examine life-threatening hemorrhages in pediatric patients and the differences between adult and pediatric populations. We discuss an NIH-sponsored prospective observational study that found a higher mortality rate in children with massive bleeding compared to adults. We also explore the types of whole blood, their nuances, and how they differ from component therapy. Additionally, we touch on the role of freeze-dried plasma in transfusion options and the current state of synthetic blood products. Ultimately, we emphasize the importance of having various tools in the "toolbox" to ensure the best care for patients experiencing life-threatening hemorrhage.
(0:37:08) - Precision Transfusion Medicine (9 Minutes)
We delve into the development of a dry artificial whole-blood product and its potential applications for various types of bleeding. This project, funded by DARPA, aims to create custom-made whole blood-like products specific to a patient's coagulopathy. We also discuss the challenges and barriers in conducting clinical trials in transfusion medicine, emphasizing the importance of funding, access to blood products, and the need for precision transfusion medicine. The conversation also touches on the future of therapy for life-threatening hemorrhage, focusing on metabolism-reducing agents to salvage patients in shock.
Episode Keywords:
Transfusion Medicine, Battlefield, Hemostatic Resuscitation, Whole Blood Therapy, Component Therapy, Damage Control Resuscitation, Vietnam War, Iraq and Afghanistan, Trauma Care, Life-Threatening Hemorrhage, Pediatric Patients, Blood Transfusion Practices, ABO Specificity, Leukocyte Reduction, Cold Storage Platelets, Freeze-Dried Plasma, Synthetic Blood Products, Precision Transfusion Medicine, Coagulopathy, Metabolism-Reducing Agents
 
#wardocs #military #medicine #podcast #TransfusionMedicine #BattlefieldMedicine #HemostaticResuscitation #WholeBloodTherapy #DamageControlResuscitation #PediatricHemorrhage #TransfusionResearch #MilitaryMedicine #BloodTransfusionEvolution #LifeSavingMedicine
 
Honoring the Legacy
and Preserving the History of Military Medicine
The WarDocs Mission is to improve military and civilian healthcare and foster patriotism by honoring the legacy, preserving the oral history, and showcasing military medicine career opportunities, experiences, and achievements.
Find out more and join Team WarDocs at https://www.wardocspodcast.com/
Check our list of previous guest episodes at https://www.wardocspodcast.com/episodes
 Listen to the “What We Are For” Episode 47. https://bit.ly/3r87Afm
WarDocs- The Military Medicine Podcast is a Non-Profit, Tax-exempt-501(c)(3) Veteran Run Organization run by volunteers. All donations are tax-deductible and go to honoring and preserving the history, experiences, successes, and lessons learned in military medicine. A tax receipt will be sent to you.
WARDOCS documents the experiences, contributions, and innovations of all military medicine Services, ranks, and Corps who are affectionately called "Docs" as a sign of respect, trust, and confidence on and off the battlefield, demonstrating dedication to the medical care of fellow comrades in arms.
 
        Follow Us on Social Media
Twitter: @wardocspodcast
Facebook: WarDocs Podcast
Instagram: @wardocspodcast
LinkedIn: WarDocs-The Military Medicine Podcast

RADM Pamela C. Miller, DO, MHA- Leadership, Mentorship, Innovation: Providing Medical Support to the US Marine Corps Around the Globe

In this episode, we had the privilege of speaking with Rear Admiral Pamela C. Miller, DO, about her journey into military medicine and the clinical and leadership lessons she learned throughout her distinguished career. We discussed her experiences providing medical support for Marine Corps Units, the unique relationship between the Navy and Marine Corps in healthcare, and the evolution of the Forward Resuscitative Surgical Systems (FRSS) Team. We also explored the role of Navy Emergency Medicine Physicians in various situations, the priorities and challenges in operational medicine for the Navy and Marines, and the importance of Military Medicine, specifically Navy/Marine medicine. Additionally, we touched on the value of mentorship and the potential impact of future innovations like shelf-stable blood products, wearables, telemedicine, and AI-assisted medical decision-making. Join us for an insightful conversation about the realities of Military Medicine, the dedication of those who serve in this field, and the unique opportunities and challenges it presents.
 
Chapters:
 
(0:00:00) - The Pathway to a Military Medicine Career
(0:05:08) - Career Progression in Military Medicine
(0:15:07) - Preparing for a Future Fight
(0:27:17) - Preparing for Military Combat
(0:35:59) - The Benefits of Military Medicine
(0:43:52) - Making a Difference in Military Medicine
(0:49:51) - The Privilege of a Lifetime
 
Chapter Summaries:
 
(0:00:00) - The Pathway to a Military Medicine Career (5 Minutes)
In this episode, we explore Rear Admiral Pamela C. Miller's journey into Military Medicine and the clinical and leadership lessons she has learned throughout her distinguished career. Dr. Miller talks about her experiences providing medical support for Marine Corps units and how Navy Medicine supports the Marines at the tip of the spear worldwide. She also discusses her experience being deployed and also as the Command Surgeon for the US Indo-Pacific Command and how Navy and Marine Medicine are preparing for the next conflict, which will likely be very different from recent counterinsurgency operations.
 
(0:05:08) - Career Progression in Military Medicine (10 Minutes)
In this conversation, we delve into Dr. Miller's decision to pursue Emergency Medicine and the impact of prior military and healthcare experience during her residency. The discussion also covers the unique relationship between the Navy and Marine Corps in providing healthcare support and the experience of deploying the first Forward Resuscitative Surgical Systems Team into combat operations. Furthermore, we examine the evolution of the FRSS personnel lineup and the development of the Mobile Shock Trauma Platoon
 
(0:15:07) - Preparing for a Future Fight (12 Minutes)
We examine the role of Navy Emergency Medicine physicians in various situations, such as the Mobile Shock Trauma Platoon and its personnel, mobile capabilities for emergency response, and memorable clinical cases from deployments. We also explore where these physicians are positioned in the battle space, supporting Navy and Marine units, and the various types of ships with Emergency Medicine physicians on board. Additionally, we discuss the priorities and challenges in operational medicine for the Navy and Marines, including ensuring a ready medical force, responding to contingency and crisis situations, and addressing concerns about contested logistics and patient movement.
 
(0:27:17) - Preparing for Military Combat (9 Minutes)
We focus on the priorities of military medicine and the importance of integrating the unique capabilities of each Service within the Joint Health Service support construct. We discuss the challenges of prolonged field care, the logistics of moving patients and resources, and the need for innovative training and planning to prepare for large-scale combat operations. We also address the importance of collaboration between Services and preparing for worst-case scenarios, emphasizing the need for continuous improvement and adaptability in the face of an ever-evolving environment.
 
(0:35:59) - The Benefits of Military Medicine (8 Minutes)
We discuss the importance of Military Medicine, specifically Navy/Marine medicine, and the dedication of those who serve in this field. The sense of family and connectedness among Military Medicine professionals is emphasized, as well as the readiness to care for the nation's service members in times of conflict. We also explore the value of mentorship, the role it has played in Rear Admiral Miller's career, and the importance of fostering diverse mentoring relationships. Additionally, we offer advice to those considering a career in medicine, particularly Military Medicine, and the importance of understanding the realities of the field.
 
(0:43:52) - Making a Difference in Military Medicine (6 Minutes)
We explore the unique opportunities and challenges Military Medicine offers and how it can make a difference in people's lives. We also discuss the future of battlefield care, highlighting the potential impact of shelf-stable blood products, wearables, telemedicine, and AI-assisted medical decision-making. Lastly, we reflect upon the personal legacy one hopes to leave in the field of Military Medicine, emphasizing the desire to make a positive difference in patient care and overall healthcare outcomes.
 
(0:49:51) - The Privilege of a Lifetime (1 Minute)
We discuss the privilege of serving in the military and how it has shaped Dr. Miller’s life.
 
Thank you for tuning into the Wardocs podcast and supporting our nonprofit organization through your tax-deductible donations, subscriptions, ratings, and reviews. Find out more about our show and guests at wardocspodcast.com, and be sure to share with your friends on social media.
Episode Keywords:
Military Medicine, Rear Admiral Pamela Miller, Navy Medicine, Marine Corps, Forward Resuscitative Surgical Systems, Emergency Medicine, Operational Medicine, Navy Marine Medicine, Mentorship, Telemedicine, AI-Assisted Medical Decision-Making, Battlefield Care, Healthcare Support, Mobile Shock Trauma Platoon, Prolonged Field Care, Patient Movement, Contested Logistics, Joint Health Service Support, Career Progression, Wardocs Podcast
 
Honoring the Legacy and Preserving the History of Military Medicine
 
The WarDocs Mission is to improve military and civilian healthcare and foster patriotism by honoring the legacy, preserving the oral history, and showcasing military medicine career opportunities, experiences, and achievements.
Find out more and join Team WarDocs at https://www.wardocspodcast.com/
Check our list of previous guest episodes at https://www.wardocspodcast.com/episodes
Listen to the “What We Are For” Episode 47. https://bit.ly/3r87Afm
 
WarDocs- The Military Medicine Podcast is a Non-Profit, Tax-exempt-501(c)(3) Veteran Run Organization run by volunteers. All donations are tax-deductible, and 100% of donations go to honoring and preserving the history, experiences, successes, and lessons learned in military medicine. A tax receipt will be sent to you.
WARDOCS documents the experiences, contributions, and innovations of all military medicine Services, ranks, and Corps who are affectionately called "Docs" as a sign of respect, trust, and confidence on and off the battlefield, demonstrating dedication to the medical care of fellow comrades in arms.
 
        Follow Us on Social Media
Twitter: @wardocspodcast
Facebook: WarDocs Podcast
Instagram: @wardocspodcast
LinkedIn: WarDocs-The Military Medicine Podcast

LTC Christian A. Labra, MD- Warfighter to Healer: A Soldier’s Inspiring Journey from Injury to Medical Practice

   After a life-altering injury in Iraq, Lieutenant Colonel Christian Labra, MD, FAAFP, found himself on the other side of the Military Health System, navigating treatment and recovery as a patient. In this eye-opening conversation, Dr. Labra shares his first-hand experiences of evacuation, treatment in a war zone, and the challenges and triumphs he encountered along the way. Join us as he opens up about his journey and how it ultimately inspired him to pursue a medical career.
  From the point of injury to rehabilitation, Dr. Labra's story highlights the incredible work of healthcare professionals in difficult situations, as well as the importance of advocacy and understanding for patients within the Military Health System. As a family physician, he shares how his time as a patient influenced his approach to practicing medicine and the role primary care physicians play in advocating for their patients and providing continuity of care.
   Don't miss out on this unique perspective from a physician who has experienced both sides of the Military Healthcare System. Dr. Labra's experience offers invaluable insights into the challenges faced by patients and healthcare providers in a war zone and how his journey has shaped his approach to medicine. Tune in to hear his inspiring story and learn more about the importance of patient advocacy and continuity of care.
Chapters:
(0:00:00) - Combat Experience and Military Healthcare
(0:03:57) - Military Health Care and Deployment Injuries
(0:11:33) - War Zone Evacuation and Medical Care
(0:19:19) - Injury Treatment and Recovery Experience
(0:30:26) - From Warfighter to Doctor
(0:36:41) - Career in Military Medicine
 
Chapter Summaries:
(0:00:00) - Combat Experience and Military Healthcare (4 Minutes)
We welcome LTC Christian Labra MD, FAAFP to WarDocs to discuss his unique experience of encountering the Military Health System as a patient when he was injured as a Field Artillery officer on a patrol in Iraq. We hear about his care from the point of injury through evacuation to treatment, recovery, and rehabilitation, and how this experience led him to pursue a career in medicine and impacted his perspective and caring for Wounded Warriors. We also discuss how his journey to joining the Army and how the world changed after 9-11 impacted his career.
 
(0:03:57) - Military Health Care and Deployment Injuries (8 Minutes)
Dr. Labra's experience with the Military began at West Point and continued on active duty. He was assigned to a Field Artillery battalion in Baumholder, Germany, and later deployed to Iraq in 2003. He shares the story of his injury while on the deployment and the circumstances that led up to it.
 
(0:11:33) - War Zone Evacuation and Medical Care (8 Minutes)
Dr. Labra's experience with the Military Health System as a patient is discussed. From the initial diagnosis by a medic in the field to the care he received at the Baghdad ER, the unique circumstances of his evacuation and treatment are explored. The challenges of being a patient in a war zone and the impact of the lack of pain medication and medical records are discussed. The effects of his injuries, the measures taken to treat them, and the care he received in the operating room are also discussed.
 
(0:19:19) - Injury Treatment and Recovery Experience (11 Minutes)
Chris shares his experience with the Military Health System as a patient. He begins with his care in Baghdad and the surgeries he had in Germany. He speaks of the kindness of healthcare workers like Parker Hahn, and Ann Shields, the labor and delivery nurse whose daughter attended West Point and helped sponsor his family, as well as his surgeon John Friedland. He reflects on his unique experience of staying at Baumholder, which was both a gift and a challenge. We explore the system's blind spots and the casualties of the process when providing medical care abroad.
 
(0:30:26) - From Warfighter to Doctor (6 Minutes)
Chris shares his unique experience with the Military Health System as a patient. He was called to help, giving him purpose and a sense of being helpful. A series of unfortunate events led to him becoming an expert in the medical evacuation process. His surgeon came back to Landstuhl, and he spent a month there, which opened up many opportunities for him. He felt so indebted to the Military Health System and wanted to follow in the footsteps of his mentors to pursue a career in medicine.
 
(0:36:41) - Career in Military Medicine (12 Minutes)
We discuss how Dr. Labra’s injury led him to pursue family medicine over orthopedic surgery or urology and the advantages of being a primary care physician when it comes to providing continuity of care and advocating for patients. He shares his perspective on PTSD, the hospital system, and how being a patient gave him a level of skepticism and protection from falling into medical traps. Finally, we discuss his assignment at Landstuhl and how it gave him a chance to take care of evacuations from the theaters of war.
 
Episode Keywords: Military Healthcare, Patient Advocacy, Injury Treatment, Recovery Experience, Evacuation, Wounded Warrior, War Zone, Medical Care, Primary Care Physicians, Continuity of Care, PTSD, Hospital System, Combat Experience, Deployment Injuries, West Point, Baghdad ER, Landstuhl, Orthopedic Surgery, Urology
Hashtags: #wardocs #military #medicine #podcast #MilitaryHealthcare #WarZoneMedicine #PatientAdvocacy #ContinuityOfCare #InspiringJourney #HealingWarriors #PhysicianPerspective #FromInjuredToHealer #WoundedWarrior
 
Honoring the Legacy and Preserving the History of Military Medicine
 
The WarDocs Mission is to honor the legacy, preserve the oral history, and showcase career opportunities, unique expeditionary experiences, and achievements of Military Medicine. We foster patriotism and pride in Who we are, What we do, and, most importantly, How we serve Our Patients, the DoD, and Our Nation.
Find out more and join Team WarDocs at https://www.wardocspodcast.com/
Check our list of previous guest episodes at https://www.wardocspodcast.com/episodes
Listen to the “What We Are For” Episode 47. https://bit.ly/3r87Afm
 
WarDocs- The Military Medicine Podcast is a Non-Profit, Tax-exempt-501(c)(3) Veteran Run Organization run by volunteers. All donations are tax-deductible and go to honoring and preserving the history, experiences, successes, and lessons learned in Military Medicine. A tax receipt will be sent to you.
 
WARDOCS documents the experiences, contributions, and innovations of all military medicine Services, ranks, and Corps who are affectionately called "Docs" as a sign of respect, trust, and confidence on and off the battlefield, demonstrating dedication to the medical care of fellow comrades in arms.
 
  Follow Us on Social Media
Twitter: @wardocspodcast
Facebook: WarDocs Podcast
Instagram: @wardocspodcast
LinkedIn: WarDocs-The Military Medicine Podcast