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Thursday September 9th 2010

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Band-aids Instead of Bullets

Lt. Amy Zaycek, the severe trauma platoon nurse with the Female Corpsman Team, poses for a photo with Afghan children during a recent patrol in the area of Now Zad, Afghanistan. The FCT recently returned to Now Zad, Jan. 3, to assist members of the Female Engagement Team, Marine Expeditionary Brigade-Afghanistan, with their effort to further the process of treating, educating and engaging the women of Now Zad. Zaycek is a native of Wall, N.J. Photo by Cpl. Zachary Nola

Lt. Amy Zaycek, the severe trauma pla­toon nurse with the Female Corps­man Team, poses for a photo with Afghan chil­dren dur­ing a recent patrol in the area of Now Zad, Afghanistan. The FCT recently returned to Now Zad, Jan. 3, to assist mem­bers of the Female Engage­ment Team, Marine Expe­di­tionary Brigade-Afghanistan, with their effort to fur­ther the process of treat­ing, edu­cat­ing and engag­ing the women of Now Zad. Zaycek is a native of Wall, N.J. Photo by Cpl. Zachary Nola

Recently dur­ing Oper­a­tion Cobra's Anger, a multi-day oper­a­tion led by Lima Com­pany, 3rd Bat­tal­ion, 4th Marine Reg­i­ment, to rid the Now Zad area of Tal­iban con­trol, mem­bers of the company's severe trauma pla­toon extended an invi­ta­tion to mem­bers of the battalion's civil affairs group to take cover from the rain in their mobile severe trauma bay.

Within the secu­rity and warmth of the STB the mem­bers of the two par­ties began talk­ing about the day's events.

"We started talk­ing about stuff on the bat­tle front," said Cmdr. Tom Craig, the officer-in-charge of the emer­gency med­ical facil­ity, Severe Trauma Pla­toon 3. "What CAG said was that there were a lot of females that needed to voice com­plaints and that if we could get a female in the bat­tle zone to talk to these peo­ple, we could prob­a­bly help a lot of folks."

CAG's obser­va­tion about the female pop­u­la­tion was cor­rect. In the Now Zad area med­ical treat­ment is scarce, often out of reach and varies in level from town to town.

Mem­o­ries of Tal­iban repres­sion still cause women to sec­ond guess leav­ing their home in search of help. For any type of sur­gi­cal treat­ment, women must travel many miles to Lashkar Gah, where they receive no post-operational care and due to cul­tural prac­tices women in the area are often uncom­fort­able seek­ing treat­ment from men.

"There is no doc­tor in the vil­lages of [Khwaja Jamal], Chang­walak, and Dehanna that the women feel com­fort­able going to," said Lt. Amy Zaycek, the severe trauma pla­toon nurse with the FCT.

The end result of this scarcity, fear, long dis­tance and poten­tial embar­rass­ment is the women of the Now Zad suf­fer­ing unnecessarily.

It is because of this rea­son, upon return­ing to his for­ward oper­at­ing base, Craig relayed this mes­sage to his com­mand at Com­bat Logis­tics Reg­i­ment 2 and requested female sup­port at his position.

The response to this request was the Female Corps­man Team an all female med­ical team con­sist­ing of a nurse and three corpsmen.

Lt. Amy Zaycek, the severe trauma platoon nurse with the Female Corpsman Team inspects the hand of an Afghan girl during a recent patrol in the area of Now Zad, Afghanistan. Photo by Cpl. Zachary Nola

Lt. Amy Zaycek, the severe trauma pla­toon nurse with the Female Corps­man Team inspects the hand of an Afghan girl dur­ing a recent patrol in the area of Now Zad, Afghanistan. Photo by Cpl. Zachary Nola

"I was on a twelve-hour notice," said Zaycek. "Cobra's Anger had ended, peo­ple were com­ing to the vil­lages, and from what Dr. Craig had gauged, female med­ical care was needed."

In the wake of Cobra's Anger the team vis­ited sur­round­ing areas, includ­ing the vil­lage of Chang­walak, which reflected how valu­able it was to have female med­ical per­son­nel on hand.

"We saw approx­i­mately 40 patients there; 27 women and 13 chil­dren," said Zaycek a native of Wall, N.J. "Some­thing to gain from that, was that I was told we were see­ing women, but the women brought their chil­dren. So, that was an unusual cir­cum­stance. In addi­tion, it's some­thing that's never gone on before."

The FCT even­tu­ally had to move on to dif­fer­ent oper­a­tions but recently returned to Now Zad on Jan.3 to assist mem­bers of the Female Engage­ment Team, Marine Expe­di­tionary Brigade-Afghanistan to fur­ther the process of treat­ing, edu­cat­ing and engag­ing the women of Now Zad.

"The FET is really rid­ing shot­gun on this but they only have one female corps­man with them so that is why we requested more help," said Craig from Chesa­peake, Va. "Of course see­ing how Zaycek and her team were tried and true in the past, the com­mand ele­ment picked them."

Based on the teams last visit to the area the FCT will be con­fronted with numer­ous med­ical con­di­tions rang­ing from dehy­dra­tion, to joint and dysen­tery problems.

Another area the FCT is tack­ling is cre­at­ing instruc­tions for FET mem­bers on how to edu­cate Afghan women about basic hygiene principles.

Ideas include cre­at­ing a flip book for FET mem­bers which will include instruc­tions on how to teach den­tal hygiene, hand wash­ing, the impor­tance of three meals a day and prac­tices that will pre­vent clean water from becom­ing contaminated.

FCT mem­bers are also help­ing with the effort to re-establish those med­ical teach­ing aids which were once in place in Now Zad.

"Right out­side the wire there is a pub­lic health area and we were able to find scrolls that had been used four or five years ago as teach­ing aids," said Zaycek. "The [med­ical] edu­ca­tion was here in this coun­try. It needs to just come back."

An informational scroll educating Afghan women about child care hangs in a building in the area of Now Zad, Afghanistan. The Female Corpsman Team recently arrived in Now Zad, to work with Female Engagement Team members, to reestablish those medical teaching aids which once existed in the area in addition to treating, educating and engaging the women of Now Zad. Photo by Cpl. Zachary Nola

An infor­ma­tional scroll edu­cat­ing Afghan women about child care hangs in a build­ing in the area of Now Zad, Afghanistan. The Female Corps­man Team recently arrived in Now Zad, to work with Female Engage­ment Team mem­bers, to reestab­lish those med­ical teach­ing aids which once existed in the area in addi­tion to treat­ing, edu­cat­ing and engag­ing the women of Now Zad. Photo by Cpl. Zachary Nola

Basic med­ical assis­tance is not the only the ser­vice the FCT pro­vides. While Now Zad's male pop­u­la­tion is forth­com­ing about their phys­i­cal med­ical con­cerns, the area's female pop­u­la­tion has shown an anx­i­ety about emo­tional con­cerns. FET and FCT mem­bers have shown the abil­ity to pro­vide the female pop­u­la­tion an emo­tional out­let where they can voice men­tal issues and concerns.

"What [the FCT] has been able to pro­vide is really, truly an open door. When we've gone out into the vil­lages to see peo­ple, [the female pop­u­la­tion] tend to open up to the female providers," said Craig. "When I looked at the list of com­plaints that the females were pro­vid­ing to the [FCT] it was fear of Tal­iban, fear that my son is going to be brought into the Tal­iban, fear for my fam­ily, fear for my home. A lot of fear com­po­nents which the guys don't say at all."

Another sec­ondary effect of the FCT is giv­ing female med­ical per­son­nel valu­able field expe­ri­ence and knowl­edge, through work­ing with the FET, which can be passed to others.

"It's a good oppor­tu­nity. A lot of corps­man will never get to come here and will never get to expe­ri­ence this," said Petty Offi­cer 2nd Class Latese Smith, a hos­pi­tal corps­man with FCT from Chicago, Ill. "I'm look­ing for­ward to teach­ing [the women] to bet­ter take care of them­selves and their families."

"We'll take all our lessons learned, our knowl­edge gained, and give it to [other corps­man]." said Zaycek. "The plan is to train up other corps­man and nurses so they feel com­fort­able doing these mis­sions in dif­fer­ent locations"

While smaller than most units oper­at­ing in the Now Zad area, the FCT is show­ing size doesn't mat­ter. It's not just the impact they are hav­ing on the insur­gency but the means they are using to make that impact. They are fight­ing the insur­gency with knowl­edge and band-aids. Not bullets.

In recent weeks the mood in Now Zad has changed from one of con­stant ten­sion to one of recon­struc­tion. The area still presents chal­lenges and dan­gers to both civil­ians and mil­i­tary forces but the pos­i­tive results that Afghan national secu­rity forces, Lima Co., the FET and FCT have made are undeniable.

"It touched my heart while we were out in Dehanna see­ing the kids come up us." said the 51-year-old Craig. "Know­ing that they're actu­ally com­ing to us, trust­ing us with­out fear of ret­ri­bu­tion from the Tal­iban, lets me know that's a blow for freedom,"

DVIDS
Story by Cpl. Zachary Nola

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