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All across America and around the world, this is Veterans Radio.

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This is Veterans Radio.

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Welcome to Veterans Radio.

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I am Jim Fossone.

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I'm the officer of the deck today.

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We've got some great programs for you.

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We always want to remind you you can find more about Veterans Radio at its Facebook

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You can find a lot of our podcasts there as well.

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We post new ones every Tuesday so you can get a new story, a new interview, something

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you didn't know before by going to veteransradio.org.

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And before we get started we want to thank our sponsors.

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Next up we want to thank National Veteran Business Development Council, NVBDC.org.

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You'll find out how they can help your business by going to NVBDC.org.

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Legal Help for Veterans fights for veterans disability rights all across the nation.

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You can reach them at 800-693-4800 or on the web at legalhelpforveterans.com.

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And finally, PuroClean.

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You can learn more about them by going to puroclean.com.

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We want to welcome to Veterans Radio today Lieutenant Colonel US Army retired Lanny Snodgrass

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who is more importantly I should say is Dr. Lanny Snodgrass, a respected psychiatrist.

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Lanny, welcome to Veterans Radio.

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Thank you.

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Now this is a real pleasure to talk to somebody with your experience and your expertise in

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the field of psychiatry and your time in the Army.

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So let's start with this.

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You earned your PhD in psychology from the University of Oregon.

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You went out and got your MD degree.

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And then you went off and did residency and training and all of that and then worked for

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almost 20 years I think with the Veterans Affairs doing psychiatry.

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And with the department, well, yeah, well, it'd be also with the Department of Defense

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because I volunteered to leave the Veterans Service and go into the Gulf War and be assigned

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to the Narnia General Hospital in Germany in Nuremberg.

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You developed through all of that experience and expertise if you will in PTSD and military

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psychiatry.

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Is that fair to say?

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Yes.

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And somewhere along the line later in your life and years you said, hey, I want to get

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off the sidelines.

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I actually want to join up and serve.

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Talk to us about that process and what some might say is an advanced age.

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Well, for decades, I had witnessed the profound impact of war upon veterans and active duty,

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visible and invisible scars only I was dealing primarily with the invisible scars.

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Although we know that certainly psychiatric problems can lead to also somatic problems

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or disorders, medical disorders.

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That's all integrated, the mind and body.

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But after listening to these soldiers, these service members, soldiers, airmen, all of

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the different branches of the service and hearing the problems of depression, anxiety,

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and post-traumatic stress that they were dealing with, I felt like there was something that

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I had to do to feel this void that I had.

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Not having ever joined that Sanctisville and this group of people known as the Battle

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Buddy, I felt that fraternity was something that I had to become a part of.

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I just had to become a part of it before I died.

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This just nodded me like a discomfort that chased me through most of my career.

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Until at age 63, I dove in and in spite of the fact that having waited three years after

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my physical examination for the military to give me a pass from my age, I had developed

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a heart condition.

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I had a base rate of 43 and I skipped and beat about 3.5 seconds between weeks.

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I was very marginal to go into any kind of basic exercise of training.

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But I said, you know, this kills me, okay, but I'm going to do it and you can load my

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license.

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Well, this is an amazing part of this story.

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A guy who's 60 years old, professional, accomplished, has done so much, still has this burning desire

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of saying, hey, I want to serve and really the name of your book that we're talking about

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is the Ageless Call to Serve, Rethinking Military Service for a Changing World.

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You go in, as you say, it takes some three years, you're 63 when you go into basic training.

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The average age is probably down in the 20s.

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Talk to us about the physicalness of this.

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Yeah, I was a bunch of with the grandchildren.

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They were like, I mean, I was like another planet, so green in so many ways.

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It was a, I had no real free orientation.

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And so getting down there, I remember meeting one of the, one of the enlisted coming in

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and she said, well, where is the head, where are we having our meetup?

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I said, I don't know.

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I'm trying to find it myself, the building.

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And she said, well, I said, what do you do in the military?

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And she says, well, she says, well, I pass gas.

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And what she's a man is.

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Right, right.

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Yeah.

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And I'm thinking, whoa, they got some new nomenclature.

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I'm going to have to really, you know, bone up here to find out what this culture is all

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about.

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Well, it is an interesting culture to be in the military and certainly most of us do

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it at a young age, but you got yourself through basic.

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And this is 2003, the Iraq war started.

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There's a huge shortage of military doctors.

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That's probably why the standards on age got relaxed in your instance.

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And I know some other doctors who went in around that time, again, added a more advanced

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age because they have the specialty and the services that are needed.

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And I found your book interesting because you tell us a lot about some history.

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I wasn't paying any attention to, I guess, on the age of those who fight or those who

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get drafted in the Civil War.

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The draft was up to 45 in age.

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World War II was up to 35 in age.

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In Britain, World War II, they had a home guard that if you were between 40 and 70 years,

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you can serve.

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And even today, apparently in the Russian army and the Ukraine war, if you're up to

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70, they still may pull you in.

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So the American model, which is just focused on youth, is not necessarily used all around

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the world, is it?

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Not at all.

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It isn't at all.

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It's been very inflexible.

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And over the century, we have not changed the limits or the age restrictions in the

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military.

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The upper or lower.

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That is, I mean, okay, the last two years, I think the Navy changed the upper limits

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of enlistment for those that were 39 to move that to 41.

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But other than that, I mean, there has been virtually nothing done.

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And I don't think that there's any mandate out there by the upper echelon to even give

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serious thought to this.

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Well, let's admit young recruits have to be a whole lot more malleable than an old

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crusty guy like you, who's been around the world before and said, I don't know if this

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makes sense.

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But the reason this is important, this age issue is important, is what you write about

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in the book too, on how, and I'd like to expand on this, how younger recruits, younger enlisted

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folks are more likely to find themselves exposed to and suffering from PTSD in the long term.

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I found this discussion on age really interesting.

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Could you talk about that?

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Yeah, well, a recent study that's come out by people like the researcher, Dolan, and

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his associates have discovered that if you send a person into a war zone into combat,

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underage 25, that person has way more than twice the risk of developing post-traumatic

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stress disorder, as those are 25 and older.

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The prefrontal cortex of young people is not matured until around age 25.

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But the recruitment objectives are to go and recruit these young men, these young men or

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women, and to have them be the bulwark for the grunt work in the line of fire.

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Now why are they so attractive?

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Well, because they have virtual, they believe they have this virtual vitality, which they

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have a lot of.

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They also have naivety.

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And the other element is fearlessness.

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They have fearlessness.

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So they will take an order even though they know that this order by the commander is going

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to result in total annihilation.

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They will still follow that order.

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Well, and our young folks don't have the same level of responsibility at home, maybe.

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Maybe they don't have a family yet or a wife or a mortgage or a spouse and kids.

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I mean, it's a different, whole different way of thinking when you're unburdened by

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all of that than somebody who's 60 years old and says, okay, I've paid off the house,

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I've paid off the bills, but I got these other responsibilities.

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It's very interesting to think about should you do something different on the age of combatants,

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because this is a long-term implication.

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If I'm sending folks, young folks in less than 25 years of age and I'm increasing their likelihood

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of PTSD, on the back end, the nation has to pay for those folks for their healthcare,

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their treatment, their disability when they get out over on the VA side.

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Not on the DOD side.

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I'm taking those young guys in.

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But if you're looking at the total cost of this, and this is probably what you saw when

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you worked at the VA is, hey, these guys come out and they've got this problem for a long

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time.

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Absolutely.

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The chronicity is what you really worry about.

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It's the one third that never gets really much better.

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And I doubt so much of this over the years of how this leaves such scars that cannot

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be healed and they suffer the rest of their life.

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And then what we've seen is the children of those with PTSD of how this affects them.

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There was some program here not long ago that was addressing this and had several fathers

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and children together and talking about the impact that PTSD has left on the lives and

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how the children tried to in some way be a healing force, but not knowing how to do

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it, but wanting to care for the father that was dealt this horrible disease.

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And it created lots of anxiety, even some suicidal thoughts.

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Well, there's a good point I want to jump off from because, again, there's this long-term,

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you know, you want, the book talks about we really should rethink this strategy a little

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bit.

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And then area where you make some interesting observations is the recruitment or enlistment

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screening that is or isn't done for things like suicide and generational trauma.

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Can you talk a little bit about that so people can get your get a thought of what your ideas

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are here?

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Well, I've been on the other end of this course dealing with those that probably should have

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never come into the military in the beginning.

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And the front loading, I call it the front loading, where you have a history of trauma,

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you have a history of abuse.

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And I mean, some people are able to overcome that, but not all, not all.

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I think there should be a psychological test.

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We have a pretty good arsenal of psychological tests that can be given to detect those that

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are really on the on the marginal line survival as far as psychological survival in the military

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and those that aren't.

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And I just don't think enough attention is given to that.

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You know, the pressures are really pretty heavy on the recruiter.

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And he's he's obligated, you know, to keep his promotion moving forward, get and his

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pension to get that quota met every month.

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He has he has mandates.

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And I think that there have been a lot of misgivings about not wanting to do they'll

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be into the history further, not willing to want to get good screening techniques in order

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to not allow some of these that really don't have the resilience, they don't have the

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capabilities to adapt to this kind of stress.

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Now there are some some of these young people that go in the military that they could be

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salvaged if there was a mentor that they could identify with a sergeant, perhaps that that

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they could identify with it would that would, you know, give attention to help reinforce

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the right positive attitude and emotions towards stress and dealing with stress.

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But they don't have time for this.

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They don't.

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And it's very rare you find some exceptional sergeant or supervised position of a person

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that's going to take that kind of care and responsibility and time.

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So I think screening is very valuable, very important.

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It would, it would certainly spare a great number of these young people from disappointment

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from from failure and inability to adapt and continue the fulfill their obligation in the

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military.

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The burdensome problems of this are great when you consider the resource that has to

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be mustered in order to take care of those that that now have decompensated and their

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psychiatric condition is such that they require a great deal amount of care and intense work.

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You can really see that.

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Stabilize.

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Yeah, you can see that tension, right?

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The tension between the recruiting needs, but in the long term tension then of there's

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going to be a problem here that's going to take, you know, years and years of treatment

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because this person was maybe a little more susceptible.

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Maybe they had generational trauma their age.

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There really is sort of that tension.

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Well, we know that the acceptability that increases the chances of PTSD.

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We know that especially those that are abused along that study studies, you know, bring

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out this in terms of that age group that is most susceptible to PTSD when they are in

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a war zone when they're in combat that given given those facts of their mal development

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and not having the resilience.

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The percentage for PTSD goes up 97% for those individuals.

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It's just, you know, it's really amazing and it gets you back to where you have to really

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think about this better psychological screening tools would be so important.

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But you also talk about a concept that I want to get some of your thoughts on and that is

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resiliency.

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Talk to us about what resiliency is and how the military could be a do a better job at

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helping it exist in its service members.

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Well, I think resiliency if the military has some preparatory program before basic training

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before basic training ever starts.

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And let's say it's two weeks.

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I would say at least two weeks minimum of how to adapt to stress and how to approach stressful

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events, issues in your life that you're going to be confronted with in your service and

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your duty assignments for the military techniques.

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I mean, you know, in this orientation, what you need is role models.

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You need some good resilient role models to give them the kind of approach of mental approach

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to dealing with stresses and perceiving those not as problems, but as challenges.

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And that's a whole different mental shift when you look at a stress point and an issue

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that you have to confront as a challenge rather than as a problem.

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But people that really have resilience, that's exactly what they do.

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They perceive those, they say, bring it on.

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You know, I'm here to resolve these things.

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I'm here to grow from this.

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And I think that's the, you know, the approach has to be for all, I think, going into the

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military for all of these young people, you're talking, we're talking about 18, 19, I'm not,

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I'm not, you know, opposing for the military to not take 18, 19 year olds into service.

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It's just, I don't think that, I think it's a flawed concept.

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Well, we ought to prepare them.

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We ought to prepare them right, right?

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We ought to put them to put them into line of fire at that age.

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Now, you know, you know, 21, older, I don't know what the magic age is.

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That would be the really prime age, the appropriate age to go into a war zone and combat.

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I don't know if we, I'm not, I'm not capable of, you know, prophetically saying what that

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is, except that I think that that age group, I mean, we look, I mean, just based on the

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history, you look at Vietnam, look at, you know, what was the average age of a combat

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soldier in Vietnam?

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18, 19, that's what it was.

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They come back, there's 30% of them over PBSD.

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20 years later, they're 15% of that group, that's half of them, they have still PBSD

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on their head with the rest of their life.

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I think that, you know, we really have to look at that clearly and say, what can we do to

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make any kind of adjustments here for mental health of our precious service members?

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What we're talking to Dr. Lenny Snodgrass, who is a retired Army Lieutenant Colonel,

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served in the early 2000s, and it's his observations, his experiences, his expertise that's rolled

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into this book called The Ageless Call to Serve Rethinking a Military Service for a

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Changing World.

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This is put out by casemate publishers.

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It's really a fascinating book talking about some issues you don't normally think about,

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and what I liked about it is you offered up fixes.

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We've talked about a number of them.

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But in those fixes is the recognition that in today's environment where there is telehealth

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and computers do so much, our professionals can, there certainly is a role for older

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professionals, those with experience in mastery, to join and serve.

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They don't have to be the frontline combat troops, but you offer up a number of fixes

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that I think are very interesting.

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Well, the comparative model for that is the VA.

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When you look at the 60-year-olds that come in and work at the VA, they've retired from

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their practice, they've been in practice for, this knows at least 30 years.

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They have all these skills and everything to offer, military won't take them, but the

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VA will take them, and they've proven to be some excellent, excellent resource for the

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medical needs of the veterans.

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The military could use them on an active doing basis.

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Just like you mentioned, telemedicine, oh my goodness, we've had an explosion of telemedicine

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during the pandemic, and it now has been accepted in many areas and disciplines and in industry

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and medicine to continue onward because it's been very effective.

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I mean, you take a radiologist, he can read these films anywhere it works in the world,

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and be as effective as if he were there in person reading them and sending the data and

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results and so forth.

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Well, as your subtitle says, it's a changing world.

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We're talking to and we appreciate the time that Dr. Lanny Snodgrass, Lieutenant Colonel

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Retard out of the U.S. Army, gave to us today to talk about his book, The Ageless Call to

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Serve.

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Lanny, first off, I'm glad you got a sense, you got the opportunity to quench that thirst

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that you had to serve even if you had to wait until you were 63 to do it, but I think it

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also gave you some unique perspective and insights and they're certainly captured in

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the book.

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Well, thank you, and I'm going to say that I would do it all over again.

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This opportunity ever occurred, it's not something that I regret in any sense, I regret

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never.

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It was a wonderful opportunity for me and I grew from it and I feel that I have been

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of help and it's been a life-changing experience for me.

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Much of what I've written in the book is about what came out of that experience.

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Well, we really appreciate your time today.

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Thanks, Lanny.

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Well, thank you.

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I appreciate the opportunity here, it's been a moment.

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And I want to thank everybody for listening to Veterans Radio today.

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I am Jim Fawson.

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It's been a pleasure to be your host.

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I'm a Veterans Disability Lawyer at Legal Help for Veterans and you can reach us at

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800-6934800 or LegalHelpforVeterans.com on the web.

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You can follow Veterans Radio on Facebook and listen to its podcasts and internet radio

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shows by visiting us at veteransradio.org.

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That's veteransradio.org.

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We again want to thank our national sponsors, the National Veterans Business Development

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Council, NVBDC.org.

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Legal Help for Veterans, a Veterans Disability Law Firm with a national practice before the

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VA can help you on your claims and your appeals.

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This can be reached at LegalHelpforVeterans.com or 1-800-6934800.

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And PuroClean, a leader in property emergency services.

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It's the paramedics of property damage, providing water damage remediation, flood water removal,

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fire and smoke damage remediation, mold and biohazard cleanups.

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You can reach them at PuroClean.com or 800-775-7876.

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We also want to thank our local sponsors.

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This would include the Charles S. Kettles chapter of the Vietnam Veterans of America,

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that's chapter 310.

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VFW, Graf O'Hara Post 423, the American Legion, Irwin Preskin Post 46 in Ann Arbor as well.

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The VA Ann Arbor Healthcare System and certainly the National Vietnam Veterans of America Association.

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You can be a sponsor by going to veteransradio.org, clicking on the about us and our sponsors

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Keep this program alive for the 21 and 22 years.

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Keep us going for another 20.

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Thank you.

