Week Nine

 

In one of my previous emails I wrote the following:

 

The sun is shining (as usual) the temperature and humidity are perfect.  Our campus is littered with sand and palm trees.  If you gaze in just the right direction, you can almost imagine being at the beach.  I’m serious!  The atmosphere is a perfect spring break day.  The only problem is, that instead of the continuous sound of waves lapping against the shore, there is the sporadic barrage of gun-fire off in the distance.

 

This sporadic barrage is not an exaggeration.  It is usually accompanied by two to three large explosions each day.  Many of the explosions shake our FOB buildings.  Today, I was sitting in an ambulance at the hospital when a mortar round hit so close, the entire vehicle shook.

 

The sources of these attacks are label insurgents.  The insurgents are considered disgruntled Iraqis not content with the current political structure or path.  They may not necessarily be Bathist party members or Saddam loyalists.  More likely they just don’t agree with the status quo.  Many don’t even have a grudge with the US.  They oppose their own current government and law enforcement.

 

For the most part, the attacks are against Iraqis.  Many, many civilians are injured or killed in these attacks.  Few US soldiers are involved.

 

In fact, since the beginning of Operation Iraqi Freedom (OIF), the US military reports roughly 1500 casualties.  1200 of these are combat related and 300 attributed to accidents.  Of the 1200, only a few hundred occurred during the initial invasion.  The rest have been result of these insurgent attacks.  I can report actual numbers at a later time.

 

The attacks come in the form of handgun and rifle fire, rocket propelled grenade launcher (RPG), mortar fire, improvised explosive devices (IED), and vehicle borne improvised explosive devices (VBIED).  I can’t say with certainty, but they may have had one or two surface-to-air missiles at their disposal as well.

 

High scoring hits have mostly been against helicopters.  As many as 20 soldiers can be found in helicopter overhead, and high casualty rates occur with these attacks.

 

Two high mortality events happened last year here in the Green Zone.  Suicide bombers blew themselves up at local café’s simultaneously.  40+ soldiers lost their lives that day.

 

The remaining combat related deaths of soldiers comes from the sporadic gun-fire and explosive events.

 

We patrol the streets daily, convoys bring goods from location to location, and areas are routinely swept for weapons caches.  These activities bring on contact with the insurgents.

 

As we train the new Iraqi ARMY, we increase their presence with us on these patrols.  The insurgents tend to find their own Iraqi soldiers to be higher value targets.  This is so for many reasons:

 

  1. It physically decreases their numbers.
  2. It detracts from enlistment.
  3. It makes a political statement.
  4. It’s safer than shooting at US troops.

 

In a typical day, I hear 5-10 episodes of gun-fire and 2-3 explosions.  These result in extremely few US injuries, but substantial amounts of civilian and ING (Iraqi National Guard) casualties.  Today, a VBIED took the lives of 11-12 civilians.

 

          

Rocket Propelled Grenade Launcher                                              Rocket Propelled Grenades (RPG)                 

 

People routinely ask me to evaluate my level of safety.

 

As my colonel likes to put it, “These guys won’t go toe-to-toe with us”.  It’s true.  To what he is referring is that the insurgents will not get out there like a regular army and fight with structured lines and embattlements.  It is this kind of warfare, in which the US is the leader in.  Attacking US troops in such a manner would be totally ineffective, and they know it.

 

Instead they must resort to small surprise attacks.

 

Additionally, up until now, they have also lacked the ability to enact coordinated attacks.  By this I mean, their attacks have been limited to one or two insurgents acting at one point with one weapons system.  (i.e. a car bomb, RPG, hand grenade, IED, or small arms fire, but never more than one at a time)

 

The insurgents have learned that these types of attacks are best aimed at locals.  Shooting at US troops results in immediate annihilation.  If suicide is your plan of attack, then it’s worth a try, but we also have a tendency to shoot first and ask questions later.  In most cases, insurgents that have come too close to US soldiers, were obliterated before they could get within a good kill radius.

 

“Obliterated” is NOT an exaggeration either.  During Vietnam, soldiers used to “spray and prey”.  The idea was that a wall of lead would be fired down range and anything in its path would die.  Then the ARMY adopted the “one shot, one kill” philosophy.  A new setting on the M16 was created.  This was the three-round-burst.  It limited wasteful ammo expenditure, controlled collateral damage (innocent bystander injuries) and made US forces significantly more lethal.

 

Now we seem to have an unofficial “one shot, one kill, and then send a whole lot more lead his way” approach.  Enemy forces are usually found in small pieces.

 

Our weapons systems are significantly more lethal as well.  A burst from a coaxial mounted weapon can deliver so much volume of metal in a manner of time, that targets are effectively cut in half.

 

It’s ugly, but definitive.  Merely being wounded by US troops is an unusual occurrence.

 

All this makes for an insurgent’s best option to attack the ING or civilians, rather than us.

 

This leaves really only one significant threat on my life.  The IED.  There’s not much I can do about this.  My driver tries very hard to keep an eye out for potential bombs.  Any cardboard box, trash can, rubber tire, mattress, or junk pile along the street is a potential threat.  Some times I have to just hold my breath and pray.  I keep my eyes peeled as well.

 

Our troops routinely patrol the streets that we travel along.  This reduces the threat level some.  One soldier commented to me the other day that he holds his breath every time he passes a garbage truck.  (The Ministry of Agriculture was hit by a VBIED in a garbage truck and 50+ people died)

 

And I thought my conditioned taste aversion to cold cheese was bad enough…

 

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If you noted a few paragraphs back, I said, “up until now…coordinated attacks…”

 

In a movie, the name of which eludes me, a great line was spoken, “the enemy is evolving, its adapting.”

 

Unfortunately, military sources here are worried that the insurgency is also adapting.

 

The most recent attack at Abu-Garib (sp?) was most definitely a complex attack, and may be the early signs of a more organized enemy.

 

Allow me to share some of the unclassified aspects of the attack to make my point.

 

Multiple elements made the simultaneous attack on the compound.  The elements were not adjacent to each other.  This meant that some form of coordination must have been present.  Either real-time communications took place via radio/cell phone, or a predetermined time-line of the attack was drawn out which designated where and at what time each element would engage.  This is a hallmark of a organized fighting force.

 

Second, multiple weapons systems were employed.  Each weapons system was targeted at a point where it was most effective.  Hence signs of further strategic planning.

 

Third, a large number of enemy troops were involved.  Emotionally motivated attacks can commonly include two or three people in a small group that feed off each other and build up to a immediate attack or a single combined violent effort.  Larger groups, with individual assignments of varying complexity, shows more of a political or tactical agenda.  It also shows the ability to recruit.  The motive does not die with its combatants.  It even allows for the possibility that the orchestrater of the attack was not even present, and lives on, ready to compose further assaults.

 

Fourth, VBIEDs were placed along strategic points that US forces were known to use as response routes to the area.  For this, surveillance of US activities was necessary.  Intelligence and counter-intelligence is probably one of the paramount indicators of an advanced enemy.  These people must have been monitoring our behavior for quite some time.  They knew the strength of our forces, the technology we’d employ and the method of our response.

 

They’ve evolved…

 

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I would also like to take a moment to fully explain what my battalion’s and my own role in all of this is.

 

Understand that I am a Battalion Surgeon.  A battalion is the smallest military element that can wage a complete war on another country.  A Delta-Force or Navy Seals team can run a mission or two, but they always rely on outside help to get them there, bring them back, buy them equipment, pay them, tend to their wounds, feed them, save for their retirement, recruit new members, re-enlist them, and generally do all the daily activities of a regular business.  The men themselves merely use their equipment and fight (or execute whatever their mission is).

 

A platoon is the next step up.  It is comprised of various squads.  Each can conduct similar or related missions.

 

Multiple platoons combine to form companies.  At company level, some extra command elements are added, but overall, the company still addresses very specific missions.

 

A battalion however, has many extra resources to sustain its entire membership indefinitely.  There are “shops” (departments) within a battalion.  These shops address all the issues facing a fighting force or a military.  There is a finance shop for getting soldiers paid and saving for their retirement.  There is a legal shop, a supply shop, an intelligence shop, a planning shop, a training shop, a recruiting and re-enlistment shop, a religious shop, a medical shop, a transportation shop, an engineering shop, a janitor shop, a potable water shop, a records shop, a civilian affairs shop and many others.  There are translators, and historical experts.  There are financial resources and a budget.  Many of these “shops” are actually referred to as such, others are incorporated into the companies that would control them.  Some shops have multiple employees, others are just one man.  A battalion can also employ civilians if necessary.

 

Essentially the Joint Chiefs of Staff could say to my commander, “Go wage war on that country” and he would have all of the necessary resources at his disposal to comply.

 

In truth, OIF requires far more than a single battalion to succeed.  OIF is currently being executed by dozens of battalions from multiple divisions, but the idea is still the same: each battalion can handle its own internal operations (including their own judicial system) and they function in unison with each other to form Operation Iraqi Freedom.

 

Our battalion has the mission to control the Green Zone

 

I got this off the internet.  Our satellite images are far more detailed.  You can actually see open car doors in them.  The blue outline is roughly the Green Zone, but I made it somewhat inaccurate.  You’ll get the idea however.  The map to the right shows the placement within Baghdad.  The area isn’t really that large.  I can drive from one end to the other in seven minutes at 45 mph.

 

 

The Green Zone has a wall around it.  Much like West Berlin did during the cold war.  This wall is interrupted by check points.  These check points are where people and vehicles that enter (and exit) the Green Zone are searched.  My battalion controls these check points.  We man them 24 hours a day.  I am the physician for the very soldiers that stand on the walls and guard towers at these points.

 

We employ many means of searching the people and vehicles that come through each day.  We have mirrors for looking under the vehicles, electronic chemical detectors, dogs, and just plain old manpower.  Some check points also have X-ray machines.

 

Various badges have been issued to people to travel around Iraq.  We also issue these badges.  There are levels of badges.  A Department of Defense badge (DOD) is the highest.  All soldiers have one.  We can go anywhere.  Some other US government agencies are present as well, they all carry the DOD badge. (FBI, CIA, State Dpt, NSA)

 

Coalition Force members carry United Nations badges (which we don’t issue).  They can go almost anywhere.

 

Then the locals get Iraq and Iraq-Wide badges.  These may or may not grant them access to the Green Zone (also known as IZ or International Zone).  Some people can even enter without being searched, but these are very few.  Most locals must be searched.

 

DOD members are usually not searched, but our soldiers on the checkpoints have the final say as far as our commander is concerned.  Those guys out there keep us safe at night, and if they damn well think something is amiss, they’ll search whoever they please.  Our commander is willing to back them up.  (His wife wants him to come home safe)

Some times local political officials object to some of these unauthorized searches, but until we stop finding things, we just may have to keep searching…

 

For the most part, I doubt enough explosive making supplies have made it into the IZ to assemble an effective IED or VBIED.  That is one of our greatest fears however…If enough supplies were amassed within our walls, a large number of soldiers could loose their lives.  Although we run routine patrols outside the IZ, most of us eat and sleep within it.  There may be well over 5000 US soldiers within these walls.

 

Other IZ residents include the other government agencies I mentioned earlier, as well as civilian contractors from the states.  Local contractors have also set up residence in the IZ.  And some squatters are also present.  (They are currently being removed)

 

Only a few local businesses are authorized in the IZ.  Most of the owners live hear as well, but some must go in and out everyday.

 

The last group of occupants are the Iraqi police force.  Their headquarters and training facilities are within the IZ.

 

I have no idea what the final population comes to, but I wouldn’t be surprised if it was over 10,000.

 

That’s a lot of people for our 980 “Tuskers” to take care of, but we manage.  So far, no big events.  Mortars fall with some regularity, but they are terribly inaccurate and don’t do much damage.

 

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I’ll conclude with my mission:

 

The first part is easy.  I am the doctor for those 980 “Tuskers”. 

 

“Tusker” is our name.  It refers to the tusk of the elephant we use as our trademark.  The trademark came from the fact that the 4-64 Armor Regiment was the first African American Armor unit in the US Army.  They were quite a fighting force!  Now the 4-64 is completely integrated and no racial lines differentiate us from anyone else.  Our motto is “We Pierce” which is exactly what both a tusk and our tanks do.  We pierce the enemy’s line.

 

Right now, were not doing much piercing.  We’re more protecting…But that’s fine.  A big-ass M1 Abrams tank staring down the check point at you is intimidating enough that most people think twice before attempting to bring any contraband into our IZ.

 

Did I mention how lethal the weapons systems on one of those tanks is?  It’s truly a scary thing.

 

As their doctor I am responsible for the health and welfare of every last one of those “killers”.  I like them, and for the most part they seem to like me.  I haven’t met every last one of them yet, but give me a week or two more and I will.

 

I have a second mission however.

 

My mission stems from the Task Force 4-64’s other mission: To win the hearts and minds of the locals.

 

Essentially, public relations.

 

And I’m loving it!!

 

I get to go out into the community and provide medical care to the locals.  I get to coordinate medical coverage to the population through the Iraqi Surgeon Generals office, local hospitals, and coalition providers.

 

I’ve been fostering relationships with members of the Ministry of Health and local hospital directors.

 

I even have my own set of local Iraqi business men with whom I converse with daily.

 

I’ve been attending local council and government meetings as well.

 

There is also a tactical advantage to my undertakings.  By providing much needed medical assistance to locals in our patrol areas, we bring about good will.  Much of this good favor has resulted in locals divulging information about weapons caches and insurgent operations.  I can’t directly account for a single event, but mine (and the rest of the medics) contributions have definitely been felt.

 

My final responsibility is the Medical Quick Response Force.  I think I mentioned it before, but this is simply a trauma team that goes to the scene of an event in which US troops are injured.  So far things in that arena have been light.

 

That’s all for now…Keeping my head down and my spirits up…

 

Daniel

 

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