<strong>The</strong><strong>Doctor</strong> <strong>is</strong><strong>Deployed</strong>By Carla McKelvey, MDWHEN YOU SIT INDr. Jonathon Park’s officethere <strong>is</strong> no doubt where h<strong>is</strong>loyalty lies. H<strong>is</strong> office—and also h<strong>is</strong> bigred pickup truck—<strong>is</strong> decorated with thesymbols and memorabilia of the ArmyNational Guard. He wears h<strong>is</strong> pride inthe military on h<strong>is</strong> sleeve.Park was born in South Korea andimmigrated to the United States whenhe was six years old. H<strong>is</strong> commitmentto the military <strong>is</strong> a reflection of thedebt of gratitude he feels for h<strong>is</strong>adopted country. He joined as a fourthyear medical student in Puerto Rico,also finding the financial ass<strong>is</strong>tance aboon.He initially enl<strong>is</strong>ted with theanticipation of being out in a fewyears, but each time he re-enl<strong>is</strong>ted.He enjoyed being the physician forother National Guard troops as theydid their training and assignments atFort Drum, NY; Fort Pickett, VA; andIndian Town Gap, PA, to name a few.In the middle of it all, he completedh<strong>is</strong> family practice residency in Erie,Pennsylvania.In September 2001, the world changedand the troops in the NationalGuard began playing a role thatmany had never anticipated. Lt. Col.Park though, never questioned thecommitment he made. “I knew what Isigned up for,” he says. He knew whenhe joined that he might be called intoactive duty, so when the first call camein 2004, he went without question.Life “over there”He was assigned to Patrol BaseVolunteer which covered Sadr City inBaghdad and the Rusafa D<strong>is</strong>trict. Hewas the only physician on the base andwas responsible for maintaining thehealth of the troops—American, Iraqi,and Coalition forces—and also wasavailable to help local citizens. He wason call 24 hours a day for three andhalf months.<strong>The</strong> troops under h<strong>is</strong> care werea “quick reaction force”. <strong>The</strong>yresponded to any attacks in the areathey covered. Park says he would hearthe trucks start up and “wonder andpray that they [would] come back.”Sometimes they would be gone forhours and sometimes for days. It wasan emotionally stressful situation,according to Park, but eventuallyyou “get used to it” and becomeconditioned to it.Routinely he would see facial traumaand barotraumas from the explosionsof the IEDs. <strong>The</strong> worst situation hefaced was when nine Iraqi soldiers werehit by an IED and brought to theirpatrol base. H<strong>is</strong> job was to superv<strong>is</strong>e aphysician ass<strong>is</strong>tant and several medics14 • Medicine in Oregon
to stabilize them. Medevac helicopterswere able to transfer patients withinfive minutes to the main militaryhospital in Baghdad.“Military triage has gotten better witheach war,” states Park. <strong>The</strong> mortalityrate <strong>is</strong> significantly less than any otherwar but the morbidity <strong>is</strong> significantlyhigher. <strong>The</strong> body armor of the soldiers<strong>is</strong> a life saver, but the number ofamputations <strong>is</strong> much higher.Stateside SupportBack home, Park’s family practiceat North Bend Medical Center <strong>is</strong>typical: elderly patients with multiplemedical problems. H<strong>is</strong> day <strong>is</strong> not filledwith trauma or procedures like h<strong>is</strong>time in Iraq or Afghan<strong>is</strong>tan, whereh<strong>is</strong> patients in general were youngand healthy. When asked about thecontrast between h<strong>is</strong> military andprivate practice, Park says, “in civilianmedicine, you are limited by yourtraining and the special<strong>is</strong>ts available toyou. But in military medicine you areexpected to do it all. It <strong>is</strong> life and deathfor soldiers.”Park was assigned to a second tourof duty for another three and a halfmonths in Afghan<strong>is</strong>tan in 2006. H<strong>is</strong>practice was covered by h<strong>is</strong> fellowfamily practice doctors as well as locumtenens physicians. Th<strong>is</strong> maintainedh<strong>is</strong> practice, and kept h<strong>is</strong> employeespaid. <strong>The</strong> military tries to compensatephysicians by paying them a basesalary, combat pay and additionalpay based upon years of service andboard certification. For a primary carephysician, he felt the pay was sufficient.However, for a special<strong>is</strong>t such as anorthopedic surgeon, it might not be.In general, h<strong>is</strong> patients have been loyaland supportive of h<strong>is</strong> commitment.Every time he leaves for a deployment,he does lose patients, but not asignificant number.As of April 10, Park was back inBaghdad providing care at a detentioncenter. He has a daughter who <strong>is</strong> nowalmost four years old. <strong>The</strong> first timehe returned, she was afraid of himand didn’t recognize him. With newvideo phone technology such as Skype,however, he feels he will be able tokeep in touch better with her and h<strong>is</strong>newborn son. <strong>The</strong> hardest part of thedeployment <strong>is</strong> leaving h<strong>is</strong> wife behindto worry about h<strong>is</strong> safety, to take careof the bills, and ra<strong>is</strong>e the children.Robert Gerber, MD, one of Park’sfamily practice colleagues, states thatwhen Park <strong>is</strong> deployed, in generalh<strong>is</strong> own call days are busier. Alsohe believes Park’s patients are morecomplicated and tend to take moretime. However, Gerber states, “<strong>The</strong>greatest impact on my life with Jongone <strong>is</strong> [simply] that he <strong>is</strong> gone! If everI am busy with my kids, stressed out,over worked, out of time, Jon will stepin without a moment’s hesitation andtake some of my load…can’t replace apartner like that easily.”Park feels it takes a few weeks toget back to the routine when hereturns home. “I initially feel outof place and detached— a certainestrangement,” said Park. He agreesthat PTSD <strong>is</strong> a bigger <strong>is</strong>sue but hebelieves that <strong>is</strong> a cultural difference.“Previous generations did not feelcomfortable talking about it.” Now,screenings are done before and aftereach deployment. “Battle buddies” areencouraged to communicate with eachother and to let commanding officersknow of any <strong>is</strong>sues.As he gets ready to deploy, heemphasizes that public supporthas made a huge difference to thetroops. When overseas they receivecards and gifts. <strong>The</strong> support helpsencourage soldiers to re-enl<strong>is</strong>t, as hehas. Even though he says that fightingan “asymmetric war where there areno fronts and the enemy <strong>is</strong> hidingin public” <strong>is</strong> extremely stressful, thesat<strong>is</strong>faction he receives from serving <strong>is</strong>adequate compensation. •Carla McKelvey, MD, <strong>is</strong> a pediatrician inprivate practice in Coos Bay. She <strong>is</strong> thePresident-Elect of the OMA.Spring 2010 • 15