Page 109 - Journal of Special Operations Medicine - Fall 2016
P. 109

Russ, Pappas, you—my first doc in the Ranger Regiment   Later that night, I was getting ready to go take a shower
               way back when I showed up as a Private in ’91. I still re-  and I was walking in the dark. From a nearby tent I heard
               member you grilling me on questions, and I was like,   some young Rangers talking. One of the Rangers was
               ”They didn’t teach me that in AIT [advanced individual   complaining because he was getting his combat scroll
               (medic) training]!” I was in survival mode; I had just arrived   and he didn’t get into a big firefight or engage the enemy.
               at the Regiment.                                   So he felt that he didn’t deserve his Ranger scroll [combat
                                                                  patch]. I couldn’t help but think that at the other target
               When you first get there, you’re in a probationary period.   we had a brown-out when one of the birds flipped over
               There are a lot of guys getting kicked out. Attrition rate   on the target and two Rangers got crushed and killed.
               back then was that out of the 15 guys to make it through   I remember thinking when I was a young Ranger that I
               RIP [Ranger Indoctrination Program], only five or six would   wanted to go to combat to see what it was about. I real-
               still be around 6 months later. We had a high attrition rate.   ized that once you’ve been to combat and you’ve had a
               That first year, I was just focused on making sure that I   serious experience, you go to combat because it’s your
               didn’t get kicked out of Ranger Regiment. I was following   job, not because you want to do it. Most of the time, war’s
               what my squad leader told me to do. I loved it!    boring, but when it’s high intensity and you lose people,
                                                                  you don’t want that again. The first time is naiveté. The
               In the 2001 initial insertion into Objective RHINO, TC3   second time—that’s bravery. It doesn’t matter how ba-
               principles allowed for the collection of data that [were]   dass you are, sometimes you’re just in the wrong spot. I
               later published in Dr Kotwal’s  Eliminating Preventable   wasn’t going to say anything to the young Rangers but it
               Death [on the Battlefield]. Those TC3 principles equipped   kept bugging me, so I stepped into the tent. I told them,
               the Ranger Regiment with the capability of producing   “You know what? You might think that you didn’t do any-
               those results—eliminating preventable deaths. But that   thing to earn that scroll. There were two guys that died
               success hinged on the fact that we had the training, the   on this operation that gave their lives for that. So when
               equipment, and the command endorsement prior to go-  you’re thinking and you’re looking at that scroll, just keep
               ing to war.                                        in mind that two Rangers died. Maybe that will give you
                                                                  a better sense of what that scroll on your shoulder really
               One of the most powerful things that was done (though it   means and you can be proud that you earned it.”
               may not seem as glorious as some other things because
               nobody else wants to take the time to do the paperwork),   I remember in 1993, Private First Class Marcus
               was the work that Sergeant Montgomery did to make sure   Muralles [a peer PFC Ranger Medic of FLO] . . .
               that those programs became legacy programs that are   died in Operation Red Wings [mentioned in the
               still in effect today. Prior to these lessons learned, we were   book, Lone Survivor]. He was the SFC 160th SOAR
               seeing the first friction point in a mission occur when we   medic in the Chinook helicopter.
               started sustaining casualties. We got bogged down. We   He took me under his wing. I was really impressed with his
               didn’t have a good plan, because we had only conducted   intelligence. He was a smart guy and he had a happy, smil-
               medical rehearsals for actions on the target. It happened in   ing, laughing personality. He had such a big presence. I
               Somalia: we had not planned casualties in the other phases   remember that I tried to talk him out [of leaving]. We were
               of the operation. So when PFC Blackburn fell during fast-  doing a fixed-wing [bilateral operation]. We were on Law-
               roping, it became an unforecasted requirement. We had   son Army Airfield. He was sitting there, and he told me he
               not war-gamed taking a casualty during [infiltration].  was thinking of going to Task Force 160. I tried to talk him
                                                                  out of it because I didn’t want him to leave the Ranger
               Somalia was a catalyst. We learned that we couldn’t just   Regiment. He told me, “I’m tired of road-marching every-
               focus on casualties [on] the objective. We needed to look   where. I just want to get into a helicopter and fly around.”
               at casualties from the moment we left until the moment   When I last saw him, I was down on the [San Antonio]
               we came back. Those were the things that made us better,   Riverwalk and I ran into him while he was at [Advanced
               because we were honest with each other and we didn’t try   Noncommissioned Officer Course]. He was getting ready
               to hide our faults. We identified and fixed them.  to deploy—his last deployment. The funny thing was that
                                                                  he had a few beers and got the great idea to call our old
               When we jumped into Objective Rhino, one of the main   Battalion Surgeon, Dr Kotwal, at [0200] so that we could
               missions where I was on target, we had minimal resis-  have lunch with him the next day. His sense of humor is
               tance. It was the one they showed on TV [television]. I was   one of the things that Marcus was known for.
               on the third bird going in. I never expected that this was
               going to be in the news. I thought it was just going to   The quality of people that I have been privileged to work
               be another Ranger mission that nobody would ever hear   with—to me, it’s humbling. I feel fortunate that I can call
               about because that’s just the nature of the stuff we did.   guys like Rob [Miller], John [Holcomb], Russ [Kotwal],
               We came back from the mission, and they had it in the   John [Detro], and you, friends. Think of all the things that
               chow hall on the big screen. I was surprised and thought   these guys have accomplished! Their hearts have been in
               to myself, “They didn’t even tell us that we were going to   the right place and I think that’s what sets them apart. It
               be on TV!” We had a sense of pride.                always starts with the heart. Some guys want to do stuff,


               Special Talk: An Interview                                                                       91
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