And
The veterans come from different generations and different wars, yet they share a common and increasingly costly wartime affliction — post-traumatic stress disorder and other forms of psychological damage. Last year, mental illnesses accounted for 35 percent of the
Compensating veterans with psychological scars has helped fuel a 76 percent surge in service-related disability costs since 2003, the Tribune found, burdening an already overwhelmed system and underscoring the reality that the biggest costs of war are not often immediate or visible.
Studies suggest costs will continue to soar. The percentage of military evacuations from
“”When you look at the epidemic of PTSD, you see the future,”” said
The Tribune’s analysis of claim records from the
Gibson, Emmer and Johnson represent veterans at different stages of an evolving psychological struggle.
Johnson is a reminder that psychological damage can consume an adult life — in his case, 40 years. Johnson left
“”I felt stripped naked without a gun,”” said the burly, dreadlocked Johnson, who after his return would wear twin shoulder holsters carrying .45 automatics. When Johnson showered, he always took a gun, sealed in a plastic bag. He slept with a gun under his pillow. His first wife, Cookie, knew not to shake him awake or touch his feet.
For years he couldn’t acknowledge he had a problem, but in 1979 Johnson was diagnosed with PTSD.
The VA spent an estimated
Johnson also reflects the reality that compensation payments to
PTSD has changed Johnson, a guarded man who is slow to trust strangers and rarely socializes. He ignores holidays and birthdays (including his own) and avoids family functions. The night terrors of
Johnson’s second wife, Erma, has learned to recognize and deal with the enemy in his dreams. “”She’ll wake me up and say, ‘Don’t go — I got him,’ “” he said.
A retired postal worker who worked through his injuries, Johnson said he does not drink or take drugs, beyond pain relievers for his back and legs and medications to treat his diabetes.
“”Mentally, I’m a survivor,”” he said with a smile. “”I’m more fortunate than the average veteran because I’ve figured a few things out.””
Gibson is today where Johnson was in 1970. Volatile and solitary, Gibson tallies his losses after his tour of duty in
Gibson is part of a generation of younger vets whose problems are only starting to emerge. Last year, veterans of the war-on-terror era received
A paramedic from
Gibson chooses not to dwell on what happened in
When he returned home in 2004, “”My fiance knew right away. ‘You’ve changed, you’re different,’ she kept saying,”” he said. There were night terrors and flashbacks. He became hypersensitive to perceived slights. “”It doesn’t help that I’m a male nurse,”” he said.
Gibson sleeps little and spends a lot of time alone, walking the neighborhood with his dog, Gibby. One night, while his fiance slept with her head resting on his chest, Gibson had a terrible nightmare and curled his body, putting her in a powerful headlock. She pounded on his chest to wake him up. Soon after, she left him, Gibson said.
He has been diagnosed with PTSD but also complains of other troubles, such as dizziness, a loss of long-term memory and back pain, which he says stems from his being thrown from the truck. After returning in 2004, he often slept less than an hour a night until he bought and mounted the rifle above his bed. “”My sleep went from 45 minutes a night to about two hours,”” he said. He calls the gun “”an extension of my arm.””
Gibson, who receives compensation for PTSD, recently filed a claim with the VA for traumatic brain injury. He spends most of his time at home, on his computer or watching videos. The shades are drawn.
Emmer, a retired
A medic in the
Today, the combination of PTSD and traumatic brain injury, or TBI, has enveloped Emmer in a light fog marked by physical imbalance, disorientation, anxiety and a round-the-clock headache. As a result of her injuries, Emmer is at a higher risk of stroke and early-onset Alzheimer’s disease. The ultimate cost of her maladies is unknown.
A pleasant woman with a boyish smile, Emmer appears on her front porch nearly every morning to plant the American flag and reappears to remove it at sundown. There is little physical evidence to suggest she is a severely wounded veteran.
But these days, when Emmer leaves the house, she writes down where she is going and why.
“”Unless you lose a limb, I don’t think other injuries resonate with the public,”” Emmer said in the living room of her Civil-War era home in rural
She still longs to jump out of airplanes, which she did about 60 times during her 23-year military career with the 82nd. But that won’t happen. Emmer said she wants to go back to college and get a degree in history, so she can be a substitute teacher. But her doctor has advised against it, saying college might be too stressful.
Emmer, who has two children enlisted in the military, is determined to regain much of her old self. She finds support in other veterans “”on the roller coaster”” who are working toward the same goal. “”They want the old normal back,”” she said.