July 16, 2009 10:53 AM

Did Doctors Deny Iraq Shooter's Stress?

By
CBSNews
(CBS)  A soldier in accused shooter Army Sgt. John Russell's unit says Russell was angry because he thought he was suffering from combat stress.

But he told his fellow troopers that the doctors at the clinic he allegedly attacked did not believe him, reports CBS News correspondent Kimberly Dozier at the Pentagon.

The 44-year-old signals specialist from the 54th Engineering Battalion, based in Bamberg, Germany, was charged with five counts of murder and one count of aggravated assault for Monday's shooting, which killed two military doctors and three soldiers, at a combat stress clinic at Camp Liberty, in Iraq.

Russell had been relieved of his weapon a week earlier, after making some "inappropriate remarks," his fellow soldier said, and he'd been referred to the stress clinic for counseling. But each day, the counselors "sent him back to his base," where Russell complained the doctors were refusing to take his symptoms seriously or give him the medication he thought he needed.

On Monday, the soldier says Russell was being transported back and forth to the mental health clinic by his staff sergeant escort.

After yet another argument at the clinic, he and his escort had just returned to Russell's brigade headquarters. That's when he "assaulted his escort, stole his weapon," and held him at briefly at gunpoint. Russell snatched away the keys for the vehicle, and drove back to the treatment center, where he allegedly opened fire.

The overpowered escort rushed inside to alert his command, and the battalion's physician's assistant immediately called over to the clinic, but it was too late. The call went through "just in time to hear the gun shots."

These "stress clinics" were supposed to be part of the answer, with hundreds of thousands of troops reporting symptoms of post traumatic stress, and the more severe post-traumatic stress disorder.

Symptoms of PTSD vary, but can include sleeplessness, nightmares, hyper vigilance, depression, and in some of the rarer cases, violent behavior. An army study last year showed troops on a third or fourth deployment are twice as likely to develop PTSD.

Adm. Mike Mullen, chairman of the Joint Chiefs of Staff told Congress today that the shooting shows clearly that more needs to be done.

"The stress of multiple deployments, and the institutional pressure real or imagined, is driving some people to either leave the service or take their own lives," Mullen said. "It can also drive them to hurt others as this week's tragic shooting in Baghdad appears to have confirmed.

Medical health professionals within the military tell CBS News they've sometimes faced an uphill fight convincing some more "traditionally minded" military commanders that help is needed. Admiral Mullen and his staff have proved allies in changing minds, they say, but that progress had still been painfully slow.

One equated the problem to 2002 and 2003 in Iraq, when the Pentagon's top brass finally came around to the idea that troops in Iraq needed armored vehicles - but that meant funding them, building them, and shipping them out. The same process is underway trying to set up a mental health system within the military, but they literally can't hire psychologists and psychiatrists fast enough.

The troops in Russell's unit had been counseled recently to look out for symptoms that could lead to suicide. But the soldier says "no one had been warned to watch for something like this." It's left his troops bewildered, trying understand why a man "with a wife and kids waiting for him back in Germany," would do this, the soldier said.

The staff sergeant Russell overpowered is struggling to cope with the knowledge that his gun was used to murder five fellow troops, the soldier added. And for the entire battalion, this has blackened what had seemed to them to be a winning year in Iraq.

Copyright 2009 CBS. All rights reserved.
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by cbsnews_viewer May 17, 2009 8:48 PM EDT
He killed other patients in there along with 2 staff workers. Has anyone seen the picture of anguish on the 20year old 's Hispanic family killed in this case? Mad, depressed, angry or not.; they suffer. The big difference is if he had be charged by civilians he would of had 15 extra other charges unprovable charges filed with a DA. Then if he was found innocent then the Federal Government would file charges on him. The rules against Double Jeopardy in the US of A are a joke and a lie. A pure myth and it happens all over. . Its worse to be in a civilian prison, I know I have talked to those that did time in military ones.
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by babooph May 15, 2009 7:37 PM EDT
Looks like the DR.s did not have time for a second opinion.
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by labrat9999 May 15, 2009 4:39 PM EDT
For those here that are trying to link this to President Obama's plan to fix the health care system in the US and socialized medicine I have just one question. Who do you think is paying for those uninsured individuals that go to the hospital now? The hospital? The doctor? No you dope..we that have health insurance are paying, and it is coming out of city, state and federal funds too! President Obama's plan includes people that make enough money to pay for health care but choose not to....instead they sponge off of us. Sorry until hospitals and doctors turn away every single person that doesn't have health insurance we that are paying for health insurance our paying more than we should have to because of these people. So what's your plan???
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by arkieguy May 15, 2009 2:58 PM EDT
If this is the same army that I was in in 1951, the first response that you get upon reporting to sick call is scorn. " Soldiers don't complain, they just tough it through." This is not verbal, usually, but is a matter of attitude.
This would probably be more true in regard to mental conditions, particularly stress. Remember Gen. George Patton slapping the soldier with his glove in WW2 because he was unable to continue his duty because of mental stress? Some commanders take it personally when the soldier feels that he cannot "soldier on." The army brass need to be educated and they should educate the non-commissioned officers.
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by czechtraveler May 15, 2009 1:35 PM EDT
this guy has been in the Army something like 20 years and he is a buck sergeant......? what's the deal here? he's either a bad actor or slow
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by antoniof123 May 15, 2009 11:18 AM EDT
A great example of what we would expect from socialized (government-run) medicine.
Posted by rrozsa at 7:05 AM : May 15, 2009

No that is incorrect he was stating what happens in the Military not in medcine. Get it straight. You try to confuse the issue to justify your point the fact is in the Military you are not a person you are an asset to be used up and then discarded. You remeber the Republican catch pharse "Support the Troops" they had no intention of supporting them in fact the ones who didn't want us to start a war support them more than a wing nut does.
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by rrozsa May 15, 2009 10:05 AM EDT
When I was in the Air Force (Viet Nam era), if you had reason to go to sick call, the doctors considered you a "goldbrick" until proven otherwise. On one occasion I had a foreign object, a tiny metal fragment, in my eye and was refused treatment until it swelled shut.

Unless things have changed, and I doubt that they have, I shall consider that the military health care system is at least partially to blame for this tragedy.
Posted by omnibus66 at 4:47 AM : May 15, 2009

==========================

A great example of what we would expect from socialized (government-run) medicine.
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by mjinba07 May 15, 2009 9:27 AM EDT
I'm getting a kick out of this thread arguing over whether or not PTSD "causes" someone to kill noncombatants. As if people were machines and we all run the same way once you put gas in the tank. Use a little sense, people.


Posted by lastdance150 at 7:02 PM : May 14, 2009 - You say the info on Cheney's group was removed from the web - too bad. There are other ways to check, though. Re. insurance companies not wanting to provide life insurance for combat vets, if that's true it's a shame but a predictable one. Insurance companies' first priority isn't to help people but to make money. I haven't run across a one that'll pay on a suicide death, veteran or not. They all have exclusions for that.
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by gangesdak May 15, 2009 8:48 AM EDT
This stress stuff is going too far my father, three uncles and father in law fought in WWII I was in Viet Nam and were all still all alive without killing any civilians due to stress or PWS and without any suicidal thoughts. This soldier was weak and very likely had problems long before he went into the military.
Posted by npkppprc at 8:21 PM

Thank your lucky star that none of your three uncles, your father, father-in-law and your self have gone to war, and never had unusual stress. War is a horrible business; every decorated soldier has said so. Are your sure that your family is normal? Take a look at yourself in the mirror from time to time.
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by gangesdak May 15, 2009 8:35 AM EDT
When I was in the Air Force (Viet Nam era), ....
Unless things have changed, and I doubt that they have, I shall consider that the military health care system is at least partially to blame for this tragedy.
Posted by omnibus66 at 4:47 AM : May 15

Most of the doctors are Frank Burns kind (MASH fame). They are more interested in saluting than treating. They may treat physical injury under protest. Metal fatigue, no way!
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