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Potty Talk in the Army

January 30, 2010 posted by Lt. Col. William E. Geesey

When I’m passionate about something, I don’t hold back. I thought I’d take this opportunity to address what seems to be a well-documented case of intestinal issues among Soldiers in deployed environments. Having been to numerous countries on countless tours with the Army, I can attest to the fact that, yes, diarrhea happens.

Why is this relevant to MC4? Since 2006, Col. William Grimes, former TF 62 commander, has been advocating the importance of proper medical C2 in the combat zone. He cites examples of how utilizing MC4 data in Iraq enabled him to quickly switch a sports medicine doctor for an internal medicine specialist to address an outbreak of diarrhea—a trend he says otherwise would have taken weeks to identify.

Most recently, the 34th "Red Bull" Infantry Division in Iraq described how they’ve been using MC4 to track and analyze disease non-battle injuries (DNBI), such as diarrhea and food borne illnesses.

Historically, issues such as these have been the leading cause of crippled units. It is widely thought that it contributed significantly to Rommel’s Afrika Korps defeat in World War II.

Currently, the Armed Forces Research Institute of Medical
Sciences (AFRIMS), in Bangkok, Thailand, uses MC4 systems to document Soldiers’ occupational health care. We look forward to continued partnership with AFRIMS, furthering the Army’s research and monitoring of DNBI outbreaks throughout Southwest Asia.

My point—outbreaks of infectious diarrhea are important to medical commands because they are often symptoms of other issues, like dirty water, unsanitary cooking facilities or poor hygiene. Identifying the sources of these symptoms can mean the difference between a ready and fit unit, and one that is quickly incapacitated to the point where they are unable to accomplish their mission objectives.

Other examples of where using MC4 helped commanders with their medical C2 responsibilities include:

  • 2009: 3rd MDSC identifying and tracking possible H1N1 cases occurring throughout Kuwait
  • 2008: AMEDD improves helmet gear and body armor based on wound patterns and point-of-injury medical assessments
  • 2008: 79th Medical Squadron in Iraq identifies vehicular rollover injuries resulting in equipment training deficiencies
  • 2008: TF 261 identifies varied levels of TBI associated with increased incidents from ground travel; treats chicken pox outbreak within local force population
  • 2005: Maj. Gen. (R) Elder Granger identifies CSH blood supply error, fully-implements MC4 making 86th CSH first fully-paperless MTF in Iraq

Keep this in mind the next time your unit deploys with MC4 systems. The cumulative medical data captured among your Soldiers may help identify a larger, more important issue that lies below.

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3 comments Comments (3)  Category: Field News

Showing 3 comments

LTC William Geesey

I’m not very familiar with the flow of medical records during WWII. The best reference is probably at http://www.history.army.mil/html/bookshelves/collect/ww2-ts.html. I would also recommend contacting the AMEDD Library at http://medlinet.amedd.army.mil/ and submitting a question to the librarian. If any information made it into your brother’s records, you should be able to get a copy at http://www.archives.gov/veterans/military-service-records/.

March 2, 2012

Bill

This is a question about medical records and the 1st "Big Red One" Infantry Division in WWII. The Regimental Antitank Company was assigned to 2/18. My much older brother was in the 3rd Platoon. He was wounded in combat while taking the "shortcut" straight through the center of Sicily. I never found a Letter Order for his wounds and hence no Purple Heart. He never came home to tell me about the wounds because he died on Omaha Beach close to 1000. Awarded DSC posthumously. Excluding SNAFU, what would the possible medical paper trails have been?

February 27, 2012

Potty Talk in the Army: Wonderful and entertaining article highlighting the important role MC4 plays in making trend analysis (DNBI trends in this case) more efficient.

February 3, 2010

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