Hospital Officials Knew of NeglectComplaints About Walter Reed Were Voiced for Years
By Anne Hull and Dana PriestWashington Post Staff WritersThursday, March 1, 2007; A01
Top officials at Walter Reed Army Medical Center, including the Army's surgeon general, have heard complaints about outpatient neglect from family members, veterans groups and members of Congress for more than three years.
A procession of Pentagon and Walter Reed officials expressed surprise last week about the living conditions and bureaucratic nightmares faced by wounded soldiers staying at the D.C. medical facility. But as far back as 2003, the commander of Walter Reed, Lt. Gen. Kevin C. Kiley, who is now the Army's top medical officer, was told that soldiers who were wounded in Iraq and Afghanistan were languishing and lost on the grounds, according to interviews.
Steve Robinson, director of veterans affairs at Veterans for America, said he ran into Kiley in the foyer of the command headquarters at Walter Reed shortly after the Iraq war began and told him that "there are people in the barracks who are drinking themselves to death and people who are sharing drugs and people not getting the care they need."
"I met guys who weren't going to appointments because the hospital didn't even know they were there," Robinson said. Kiley told him to speak to a sergeant major, a top enlisted officer.
A recent Washington Post series detailed conditions at Walter Reed, including those at Building 18, a dingy former hotel on Georgia Avenue where the wounded were housed among mice, mold, rot and cockroaches.
Kiley lives across the street from Building 18. From his quarters, he can see the scrappy building and busy traffic the soldiers must cross to get to the 113-acre post. At a news conference last week, Kiley, who declined several requests for interviews for this article, said that the problems of Building 18 "weren't serious and there weren't a lot of them." He also said they were not "emblematic of a process of Walter Reed that has abandoned soldiers and their families."
But according to interviews, Kiley, his successive commanders at Walter Reed and various top noncommissioned officers in charge of soldiers' lives have heard a stream of complaints about outpatient treatment over the past several years. The complaints have surfaced at town hall meetings for staff and soldiers, at commanders' "sensing sessions" in which soldiers or officers are encouraged to speak freely, and in several inspector general's reports detailing building conditions, safety issues and other matters.
Retired Maj. Gen. Kenneth L. Farmer Jr., who commanded Walter Reed for two years until last August, said that he was aware of outpatient problems and that there were "ongoing reviews and discussions" about how to fix them when he left. He said he shared many of those issues with Kiley, his immediate commander. Last summer when he turned over command to Maj. Gen. George W. Weightman, Farmer said, "there were a variety of things we identified as opportunities for continued improvement."
In 2004, Rep. C.W. Bill Young (R-Fla.) and his wife stopped visiting the wounded at Walter Reed out of frustration. Young said he voiced concerns to commanders over troubling incidents he witnessed but was rebuffed or ignored. "When Bev or I would bring problems to the attention of authorities of Walter Reed, we were made to feel very uncomfortable," said Young, who began visiting the wounded recuperating at other facilities.
Beverly Young said she complained to Kiley several times. She once visited a soldier who was lying in urine on his mattress pad in the hospital. When a nurse ignored her, Young said, "I went flying down to Kevin Kiley's office again, and got nowhere. He has skirted this stuff for five years and blamed everyone else."
Young said that even after Kiley left Walter Reed to become the Army's surgeon general, "if anything could have been done to correct problems, he could have done it."
Soldiers and family members say their complaints have been ignored by commanders at many levels.
More than a year ago, Chief Warrant Officer Jayson Kendrick, an outpatient, attended a sensing session, the Army's version of a town hall meeting where concerns are raised in front of the chain of command. Kendrick spoke about the deterioration and crowded conditions of the outpatient administrative building, which had secondhand computers and office furniture shoved into cubicles, creating chaos for family members. An inspector general attending the meeting "chuckled and said, 'What do you want, pool tables and Ping-Pong tables in there?' " Kendrick recalled.
Army officials have been at other meetings in which outpatient problems were detailed.
On Feb. 17, 2005, Kiley sat in a congressional hearing room as Sgt. 1st Class John Allen, injured in Afghanistan in 2002, described what he called a "dysfunctional system" at Walter Reed in which "soldiers go months without pay, nowhere to live, their medical appointments canceled." Allen added: "The result is a massive stress and mental pain causing further harm. It would be very easy to correct the situation if the command element climate supported it. The command staff at Walter Reed needs to show their care."
In 2006, Joe Wilson, a clinical social worker in the department of psychiatry, briefed several colonels at Walter Reed about problems and steps that could be taken to improve living conditions at Building 18. Last March, he also shared the findings of a survey his department had conducted.
It found that 75 percent of outpatients said their experience at Walter Reed had been "stressful" and that there was a "significant population of unsatisfied, frustrated, disenfranchised patients." Military commanders played down the findings.
"These people knew about it," Wilson said. "The bottom line is, people knew about it but the culture of the Army didn't allow it to be addressed."
Last October, Joyce Rumsfeld, the wife of then-Defense Secretary Donald H. Rumsfeld, was taken to Walter Reed by a friend concerned about outpatient treatment. She attended a weekly meeting, called Girls Time Out, at which wives, girlfriends and mothers of soldiers exchange stories and offer support.
According to three people who attended the gathering, Rumsfeld listened quietly. Some of the women did not know who she was. At the end of the meeting, Rumsfeld asked one of the staff members whether she thought that the soldiers her husband was meeting on his visits had been handpicked to paint a rosy picture of their time there. The answer was yes.
When Walter Reed officials found out that Rumsfeld had visited, they told the friend who brought her -- a woman who had volunteered there many times -- that she was no longer welcome on the grounds.
Last week, the Army relieved of duty several low-ranking soldiers who managed outpatients. This week, in a move that some soldiers viewed as reprisal for speaking to the media, the wounded troops were told that early-morning room inspections would be held and that further contact with reporters is prohibited.
Yesterday, Walter Reed received an unscheduled inspection by a hospital accreditation agency. Members of the Joint Commission, formerly the Joint Commission on Accreditation of Healthcare Organizations, began a two-day visit "for cause" to examine discharge practices that have allowed soldiers to go missing or unaccounted for after they are released from the hospital.
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Editor & Publisher
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Military Press Crackdown Extends Further Than Walter Reed
By Joe Strupp
Published: February 28, 2007 2:45 PM ET
NEW YORK A report today that soldiers at Walter Reed Army Medical Center are being told not to speak with the press is apparently just the latest move in a recent effort to tighten restrictions on journalists' access to many military facilities, according to the president of Military Reporters and Editors.
James Crawley, a military reporter with MediaGeneral and MRE president, said today's revelation by Army Times that Walter Reed patients had been barred from speaking with reporters is not the first case of tightened restrictions.
In recent months, he says several MRE members have reported similar crackdowns. What's worse, many of the denials are apparently in reaction to the potential negativity of a planned story."
It is starting to look like it is becoming a policy in some areas where they are not allowing reporters on the base unless it is an absolutely positively good news story," said Crawley. "The military is making it harder and harder to do stories on bases, as far as doing man on the street interviews."
A Pentagon spokesman contacted by E&P had no immediate comment.Crawley's accusations followed today's Times story, which reported that Walter Reed patients had been muzzled just a week after The Washington Post revealed that outpatients at the facility were forced to live in rundown, poorly maintained housing.
The Times also reported that "The Pentagon ... clamped down on media coverage of any and all Defense Department medical facilities, to include suspending planned projects by CNN and the Discovery Channel, saying in an e-mail to spokespeople: 'It will be in most cases not appropriate to engage the media while [the Walter Reed] review takes place.'"
But some MRE members said that the clampdown is in place at other military facilities, not just medical centers. Sig Christenson, former MRE president and military writer at the San Antonio Express-News, cited two recent instances of access denials he received.Several weeks ago, he said he was denied entrance to Brooke Army Medical Center in San Antonio for a story related to the 3,000th death in Iraq. Just this week, he said Lackland Air Force Base had refused to let him in for a story related to the recent controversy surrounding drill sergeant Michelle Manhart, who was demoted by the Air Force for posing in Playboy."I wanted to spend some time with the trainers there and show how they instill core values and integrity in these troops," said Christenson. "They refused me access because Michelle Manhart was part of the story.
They did not want to support another story that had Michelle Manhart in it."Christenson said the denials were serious because they were apparently in reaction to the subject of the story, not any security issue. "This is the first time in 10 years that any installation had denied me access on the basis of the content of my reporting," Christenson, a multiple Iraq embed, said. "It is a really dangerous thing that raises a lot of issues. It raises the question of my credibility."Crawley agreed. "This is troublesome because it keeps the average person from learning the real facts here," he said. "They are trying to censor the news, in this case it is bad news.
The military has gone into a bunker mentality." He also had heard reports from some reporters that casualty numbers were not being released as freely as in the past. "They are trying to manage the news," he said. "There has to be some middle ground and in the past there has been middle ground."***Related E&P story: Wounded Soldiers Told Not to Talk to Media
Joe Strupp (http://www.mediainfo.com/eandp/news/mailto:jstrupp@editorandpublisher.com) is a senior editor at E&P.
Links referenced within this article Wounded Soldiers Told Not to Talk to Mediahttp://www.editorandpublisher.com/eandp/news/article_display.jsp?vnu_content_id=1003551454jstrupp@editorandpublisher.comhttp://www.mediainfo.com/eandp/news/mailto:jstrupp@editorandpublisher.com
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ARMY TIMES
Walter Reed patients told to keep quiet
By Kelly Kennedy - Staff writer
Posted : Wednesday Feb 28, 2007 20:26:13 EST
Soldiers at Walter Reed Army Medical Center’s Medical Hold Unit say they have been told they will wake up at 6 a.m. every morning and have their rooms ready for inspection at 7 a.m., and that they must not speak to the media.
“Some soldiers believe this is a form of punishment for the trouble soldiers caused by talking to the media,” one Medical Hold Unit soldier said, speaking on the condition of anonymity.
It is unusual for soldiers to have daily inspections after Basic Training.
Soldiers say their sergeant major gathered troops at 6 p.m. Monday to tell them they must follow their chain of command when asking for help with their medical evaluation paperwork, or when they spot mold, mice or other problems in their quarters.
They were also told they would be moving out of Building 18 to Building 14 within the next couple of weeks. Building 14 is a barracks that houses the administrative offices for the Medical Hold Unit and was renovated in 2006. It’s also located on the Walter Reed Campus, where reporters must be escorted by public affairs personnel. Building 18 is located just off campus and is easy to access.
The soldiers said they were also told their first sergeant has been relieved of duty, and that all of their platoon sergeants have been moved to other positions at Walter Reed. And 120 permanent-duty soldiers are expected to arrive by mid-March to take control of the Medical Hold Unit, the soldiers said.
As of Tuesday afternoon, Army public affairs did not respond to a request sent Sunday evening to verify the personnel changes.
The Pentagon also clamped down on media coverage of any and all Defense Department medical facilities, to include suspending planned projects by CNN and the Discovery Channel, saying in an e-mail to spokespeople: “It will be in most cases not appropriate to engage the media while this review takes place,” referring to an investigation of the problems at Walter Reed.
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'Wash Post': Top Officials Knew About Walter Reed Problems Long Ago By E&P Staff Published: March 01, 2007 12:05 AM ET
NEW YORK Continuing with their scoops in this area well into a second week, Anne Hull and Dana Priest on Thursday reveal in a front-page Washington Post story that top officials at Walter Reed Army Medical Center, including the Army's surgeon general, "have heard complaints about outpatient neglect from family members, veterans groups and members of Congress for more than three years."A procession of Pentagon and Walter Reed officials expressed surprise last week about the living conditions and bureaucratic nightmares faced by wounded soldiers staying at the D.C. medical facility," they write. "But as far back as 2003, the commander of Walter Reed, Lt. Gen. Kevin C. Kiley, who is now the Army's top medical officer, was told that soldiers who were wounded in Iraq and Afghanistan were languishing and lost on the grounds, according to interviews...."In 2004, Rep. C.W. Bill Young (R-Fla.) and his wife stopped visiting the wounded at Walter Reed out of frustration. Young said he voiced concerns to commanders over troubling incidents he witnessed but was rebuffed or ignored. 'When Bev or I would bring problems to the attention of authorities of Walter Reed, we were made to feel very uncomfortable,' said Young, who began visiting the wounded recuperating at other facilities."Beverly Young said she complained to Kiley several times. She once visited a soldier who was lying in urine on his mattress pad in the hospital. When a nurse ignored her, Young said, 'I went flying down to Kevin Kiley's office again, and got nowhere. He has skirted this stuff for five years and blamed everyone else.'"Soldiers and family members say their complaints have been ignored by commanders at many levels."The rest of the report can be found at www.washingtonpost.com.
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EDITOR AND PUBLISHER
'Wash Post': Top Officials Knew About Walter Reed Problems Long Ago
By E&P Staff
Published: March 01, 2007 12:05 AM ET
NEW YORK Continuing with their scoops in this area well into a second week, Anne Hull and Dana Priest on Thursday reveal in a front-page Washington Post story that top officials at Walter Reed Army Medical Center, including the Army's surgeon general, "have heard complaints about outpatient neglect from family members, veterans groups and members of Congress for more than three years."
A procession of Pentagon and Walter Reed officials expressed surprise last week about the living conditions and bureaucratic nightmares faced by wounded soldiers staying at the D.C. medical facility," they write. "But as far back as 2003, the commander of Walter Reed, Lt. Gen. Kevin C. Kiley, who is now the Army's top medical officer, was told that soldiers who were wounded in Iraq and Afghanistan were languishing and lost on the grounds, according to interviews....
"In 2004, Rep. C.W. Bill Young (R-Fla.) and his wife stopped visiting the wounded at Walter Reed out of frustration. Young said he voiced concerns to commanders over troubling incidents he witnessed but was rebuffed or ignored. 'When Bev or I would bring problems to the attention of authorities of Walter Reed, we were made to feel very uncomfortable,' said Young, who began visiting the wounded recuperating at other facilities."
Beverly Young said she complained to Kiley several times. She once visited a soldier who was lying in urine on his mattress pad in the hospital. When a nurse ignored her, Young said, 'I went flying down to Kevin Kiley's office again, and got nowhere. He has skirted this stuff for five years and blamed everyone else.'"Soldiers and family members say their complaints have been ignored by commanders at many levels."The rest of the report can be found at www.washingtonpost.com.
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St. Petersburg Times
T-shirt earns exit from House gallery
Beverly Young, the outspoken wife of U.S. Rep. C.W. Bill Young, says officers objected to her "Support the Troops" shirt.
By BILL ADAIR, Times Washington Bureau Chief
Published February 1, 2006
WASHINGTON - Beverly Young, wife of Rep. C.W. Bill Young of Indian Shores, said she was ejected from the House gallery during Tuesday night's State of the Union address because she was wearing a T-shirt that said "Support the Troops - Defending Our Freedom."
Young said she was sitting in the gallery's front row, about six seats from first lady Laura Bush, when she was approached by someone from the Capitol Police or sergeant-at-arms office who told her she needed to leave the gallery.
She reluctantly agreed but argued with several officers in the hallway outside the House chamber.
"They said I was protesting," she said in a telephone interview late Tuesday. "I said, "Read my shirt, it is not a protest.' They said, "We consider that a protest.' I said, "Then you are an idiot."'
She said she was so angry that "I got real colorful with them."
They told her she was being treated the same as Cindy Sheehan, an antiwar protester who was ejected before the speech Tuesday night for wearing a T-shirt with an antiwar slogan and refusing to cover it up.
Young, 50, said her shirt was not a protest but a message of support for U.S. soldiers and Marines fighting for their country. She often wears the T-shirts when visiting her husband at the Capitol and during her visits to see the wounded at military hospitals.
Sgt. Kimberly Schneider of the Capitol Police could not provide details about the incident but said, "She was not ejected from the gallery. She did leave on her own."
Young's husband, a Republican who chairs the House appropriations subcommittee on defense, was unaware she was removed until after the speech. He said he was furious about the incident.
"I just called for the chief of police and asked him to get his little tail over here," Rep. Young said late Tuesday. "This is not acceptable."
Beverly Young said, "Wait until the president finds out."
© Copyright, St. Petersburg Times. All rights reserved.
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