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Resolved Question: Pentagon:No Purple Hearts to Soldiers for PTSD, well do we agree, is this about stigma, mental illness or what?
Dod News Monday, January 19, 2009
Pentagon decides: No Purple Hearts to Soldiers for PTSD
American Forces Press Service
Published: Thursday, January 15, 2009 9:27 AM CST
WASHINGTON, D.C. – After months of evaluating the criteria, Defense Department officials have decided against the notion of awarding the Purple Heart to military members who suffer from post-traumatic stress disorder.
“The Defense Department has determined that based on current Purple Heart criteria, PTSD is not a qualifying Purple Heart wound,” department spokeswoman Eileen Lainez said Jan. 6.
The decision was reached in November when David S.C. Chu, undersecretary of Defense for Personnel and Readiness, conferred with the Pentagon Awards Advisory Group, which researched the matter. The group is composed of awards experts from the Office of the Secretary of Defense, the Joint Staff, the military departments, the Institute of Heraldry, and the Center for Military History, Lainez said.
Lainez explained, “PTSD is an anxiety disorder caused by witnessing or experiencing a traumatic event.” It is not, she said, “a wound intentionally caused by the enemy from an outside force or agent.”
By that definition, PTSD sufferers do not qualify for the Purple Heart, she said.
“The Purple Heart recognizes those individuals wounded to a degree that requires treatment by a medical officer in action with the enemy or as the result of enemy action where the intended effect of a specific enemy action is to kill or injure the service member,” she continued.
Other factors that resulted in the advisory group’s findings are:
- Based on the definition of a wound – “an injury to any part of the body from an outside force or agent” – other Purple Heart award criteria, and 76 years of precedent, the Purple Heart has been limited to physical, not psychological, wounds.
- PTSD is specifically listed as not justifying award of the Purple Heart in Title 32 of the Code of Federal Regulations.
- The requirement that a qualifying Purple Heart wound be caused by “an outside force or agent” provides a fairly objective assessment standard that minimizes disparate treatment between service members. Several members could witness the same traumatic event, for instance, but only those who suffer from PTSD would receive the Purple Heart.
- Current medical knowledge and technologies do not establish PTSD as objectively and routinely as would be required for this award at this time.
- Historically, the Purple Heart has never been awarded for mental disorders or psychological conditions resulting from witnessing or experiencing traumatic combat events – for example, combat stress reaction, “shell-shock,” combat stress fatigue, acute stress disorder, or PTSD.
Service members diagnosed with PTSD “still warrant appropriate medical care and disability compensation” even though they’re not eligible for the Purple Heart, Lainez said.
Open Question: How long until all these drugs leave my body, any permanent damage?
1. Dexamphetamine 30mg
2. Xanax (alprazolam) 2mg
3. Prinivil (lisinopril) 20mg
4. Temaze (Temazepam) 30mg
5. Buspar (Buspirone Hydrochloride) 30mg
6. Zyban (Bupropion Hydrochloride) 300mg
I really can’t be bothered explaining why I took all these drugs yesterday … well I can.
I’m a male in my early twenties diagnosed with anxiety, depression and ADHD disorders. After subsequent failure to treat me with Zoloft earlier this year (didn’t like the diminished libido, erectile dysfunction and genital sensory impairment) my doctor wanted to try this concoction – err, not all six – just Dexamphetamine which I had already been on for five months or so, and the newly added Buspar and Zyban for the anxiety and depression disorders.
So I started them both at the same time, was on them for nine days in total – yesterday being the last. I began on Zyban 150mg and Buspar 15mg, I worked my way up as directed by 5mg every three days with the Buspar, but the Zyban I only put up to 300mg after seven days instead of the three days I was told. This is because of the immense anxiety it seemed to produce … but I remained optimistic … until yesterday.
I had just polished off my last of the three daily dosing schedules which was 10mg of Dexamphetamine, 10mg of Buspar, and the second 150mg of Zyban. All four hours apart from about 7am, the Zyban is of course not included in the midday dose. About three hours pass and then …
Lying on my bed, I notice my heart beating hard, hard enough to notice my body moving back on forth on the bed. It wasn’t a rapid heart rate to begin with, just hard, and I had noticed this the day before too, probably since moving up to 300mg of Zyban. Then I took my blood pressure, about 100/170, not critical, but higher than my usual 83/133 or so. I would say based on the way I was feeling a little bit later, my blood pressure may have reached 120/200 – but I was in no condition to take my blood pressure then.
I began shaking excessively, became very anxious, very nervous, and naturally very worried about my wellbeing. I walked outside, became lightheaded for a few moments, I recall my arm felt warm for a bit and pressure was mounting on my head. The most concerning symptom was the feeling of my heart thudding very hard up and down in my chest, putting my hand to chest I felt the thuds on the surface and then looking at my hands, they were shaking uncontrollably. I decided I wouldn’t call the ambulance or go to the hospital and figured they wouldn’t do much different than what I can do with the medicines available to me in the house.
The first thing I did was go to my own cupboard and grabbed my bottle of Xanax (use as needed) for my tremendous anxiety and crunched up a 2mg bar in my mouth before washing it down with water (tastes horrible, unlike Temaze and Prinivil). I waited for what felt like 20 minutes with no change (long enough in my condition) and thought I’d better take care of my blood pressure and crunched up one of my fathers Prinivil tablets from the kitchen cupboard and took that down with water. My hands were still shaking tremendously and had to rip open the packet, I also noticed a popping sensation in my left ear and an acute onset of tinnitus.
Then I thought I’d better address my risk of seizures and grabbed my bottle of Temaze (use as needed) from my cupboard and swished three tablets in my mouth with water and bit them up a bit before taking them down. I then tried to sit in a chair and calm down – it took perhaps another forty minutes before noticing that I’m getting better, that is my heart didn’t feel like it was going to thud out of my body anymore, then I went to my bed and lied down.
I took my blood pressure not long thereafter and it was ok, about 90/100. I was ok for the following few hours, the only thing that didn’t go away was rapid heart rate, taking it manually (blood pressure unit is also a manual) by finger for ten seconds, it came in at about 120-130bpm, I imagine it must’ve been about 200bpm at its worst.
I then had a desire for fatty foods, so went to the store and bought some cheese cake, frozen lasagna and coke. Cooked it up, ate it, and thought that I was better off just going to sleep before my desire to eat kicked in and wasn’t all that confident I would wake up in the morning (given my life’s problems I didn’t think it was ALL that bad).
Well today, being alive, I obviously took nothing, my blood pressure this morning was good at about 80/130, but I still have tinnitus. I also recently noticed a pain in the right side of my stomach area … looking at a diagram, I’d say it’s the small intestine or something in that area, got any idea what it is?
Also have another two questions;
How long till all this crap leaves my bloodstream completely so I can comfortably go back on my Dexamphetamine? How long until my tinnitus goes away, it’s not permanent is it? It’s not likely any permanent damage has been done, right?
Resolved Question: what is an average daily dose of xanax for an adult?
just wondering, my rx calls for 1mg per day, is this high, low or average for someone with acute anxiety disorder? I weigh 150lbs
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