1 00:00:11,697 --> 00:00:14,937 Speaker 1: You're listening to the Buck Sexton Show podcast, make sure 2 00:00:14,977 --> 00:00:17,977 Speaker 1: you subscribe to the podcast on the iHeartRadio app or 3 00:00:18,017 --> 00:00:19,737 Speaker 1: wherever you get your podcasts. 4 00:00:20,097 --> 00:00:22,537 Speaker 2: Hi, everybody, welcome to the Buck Brief. On this episode, 5 00:00:22,657 --> 00:00:25,777 Speaker 2: our friend Chris Free joins us. Now he's got a 6 00:00:25,817 --> 00:00:29,577 Speaker 2: book out, operator syndrome. He wants to talk to us 7 00:00:29,577 --> 00:00:35,417 Speaker 2: about this very important phenomenon that faces our military veterans. 8 00:00:35,577 --> 00:00:39,377 Speaker 2: And Chris, would you first just tell everybody about yourself 9 00:00:39,457 --> 00:00:41,177 Speaker 2: and how you came to this point, just give some 10 00:00:41,217 --> 00:00:44,937 Speaker 2: background before we dive into operator syndrome and the medical 11 00:00:44,977 --> 00:00:46,977 Speaker 2: and behavioral components of it. 12 00:00:47,817 --> 00:00:52,257 Speaker 1: Sure. So, first of all, thanks for having me Buck. So, 13 00:00:52,777 --> 00:00:55,697 Speaker 1: my father was a Vietnam veteran growing up, he was 14 00:00:55,777 --> 00:00:59,217 Speaker 1: not a combatant, he was an Air Force physician. And 15 00:00:59,417 --> 00:01:02,297 Speaker 1: my great grandfather, who I knew very well, was a 16 00:01:02,777 --> 00:01:05,697 Speaker 1: veteran of the Spanish American War. He fought at the 17 00:01:05,737 --> 00:01:08,577 Speaker 1: Battle of San Juan Hill. So, as a young man, 18 00:01:08,617 --> 00:01:12,457 Speaker 1: after college, I want to work with veterans. Went to school, 19 00:01:12,497 --> 00:01:15,297 Speaker 1: got a PhD in clinical psychology in nineteen ninety two, 20 00:01:15,377 --> 00:01:17,257 Speaker 1: and I worked in the VA system and the Medical 21 00:01:17,377 --> 00:01:21,617 Speaker 1: University of South Carolina for fifteen years. Left there in 22 00:01:21,657 --> 00:01:23,737 Speaker 1: two thousand and six, and I've been at the University 23 00:01:23,817 --> 00:01:28,137 Speaker 1: of Hawaii ever since, and along the way about half 24 00:01:28,417 --> 00:01:30,617 Speaker 1: you know, quite a bit of my time. For twelve years, 25 00:01:30,617 --> 00:01:33,017 Speaker 1: I commuted to Houston every month for work, first at 26 00:01:33,057 --> 00:01:36,337 Speaker 1: Baylor College Medicine and the University of Texas. So my 27 00:01:36,457 --> 00:01:40,617 Speaker 1: career has been a mixture of clinical work, teaching, and 28 00:01:40,737 --> 00:01:42,897 Speaker 1: quite a bit of research. So I have over three 29 00:01:42,977 --> 00:01:47,817 Speaker 1: hundred scientific publications and all the grants and presentations and 30 00:01:47,817 --> 00:01:50,817 Speaker 1: all that stuff. But my passion has been working with 31 00:01:50,897 --> 00:01:54,057 Speaker 1: the special operations community over the last decade or so, 32 00:01:55,137 --> 00:02:00,337 Speaker 1: and that includes operators from every branch of the US military, 33 00:02:01,217 --> 00:02:07,217 Speaker 1: including probably maybe several hundred Tier one operators, maybe one 34 00:02:07,257 --> 00:02:10,497 Speaker 1: hundred Tier one operators. I've worked with people that are 35 00:02:10,537 --> 00:02:14,697 Speaker 1: still active duty, no longer active. A lot of the 36 00:02:14,737 --> 00:02:17,857 Speaker 1: work has also been with private defense contractors, which is 37 00:02:17,897 --> 00:02:22,177 Speaker 1: an invisible population to Americans because America doesn't know how 38 00:02:22,257 --> 00:02:26,217 Speaker 1: many people who deployed to Iraq or Afghanistan during the 39 00:02:26,297 --> 00:02:31,177 Speaker 1: last twenty plus years were not deployed as members of 40 00:02:31,177 --> 00:02:33,897 Speaker 1: the armed forces but were private defense contractors. 41 00:02:34,617 --> 00:02:37,817 Speaker 2: How do you first come upon your research on this 42 00:02:38,097 --> 00:02:43,457 Speaker 2: specific constellation of medical and behavioral health care needs of 43 00:02:43,537 --> 00:02:46,857 Speaker 2: military special operations forces. As I'm reading from your article 44 00:02:46,897 --> 00:02:50,657 Speaker 2: here that toute operator syndrome. How do you find yourself 45 00:02:50,737 --> 00:02:55,017 Speaker 2: first finding yourself drawn to the study of this and 46 00:02:55,097 --> 00:02:56,457 Speaker 2: this challenge and this problem. 47 00:02:58,017 --> 00:03:00,657 Speaker 1: Well, if we back up to nineteen ninety two in 48 00:03:00,697 --> 00:03:03,577 Speaker 1: my career, when I started at the VA, and I 49 00:03:03,617 --> 00:03:06,057 Speaker 1: really loved working at the VIA. I loved my patients. 50 00:03:06,657 --> 00:03:09,057 Speaker 1: Most of the people I worked with were Vietnam era 51 00:03:09,177 --> 00:03:12,657 Speaker 1: veterans I'm Korean, even some World War II veterans still 52 00:03:12,697 --> 00:03:15,537 Speaker 1: coming into the VA at that time. What I didn't 53 00:03:15,617 --> 00:03:18,617 Speaker 1: love about my job, and by two thousand and six 54 00:03:18,697 --> 00:03:20,537 Speaker 1: I just couldn't take it anymore. What I didn't love 55 00:03:20,657 --> 00:03:23,897 Speaker 1: was the bureaucracy of the VA and the politics and 56 00:03:23,937 --> 00:03:27,257 Speaker 1: the policies, and the harm that I saw the VA 57 00:03:27,457 --> 00:03:31,497 Speaker 1: was doing too many veterans via their policies, and the 58 00:03:31,577 --> 00:03:33,537 Speaker 1: poor care and the lack of care that was pretty 59 00:03:33,617 --> 00:03:38,137 Speaker 1: predominant in many ways. So that's why I left the VA, 60 00:03:38,177 --> 00:03:43,617 Speaker 1: and a few years later, really just by fortune, good fortune, 61 00:03:43,697 --> 00:03:48,057 Speaker 1: I made some friends in Houston who were former operators. 62 00:03:48,137 --> 00:03:52,617 Speaker 1: One was a Tier one Navy seal who had been 63 00:03:52,657 --> 00:03:55,337 Speaker 1: on a lot of the big time missions that movies 64 00:03:55,377 --> 00:03:58,457 Speaker 1: have been made about. And I also met guys from 65 00:03:58,617 --> 00:04:02,057 Speaker 1: Army and Marines and Air Force while I was there, 66 00:04:02,057 --> 00:04:04,537 Speaker 1: and so just kind of had a friend circle of 67 00:04:04,937 --> 00:04:09,777 Speaker 1: former operators. One of the things that was interesting and 68 00:04:10,057 --> 00:04:14,137 Speaker 1: infusing was they did not seem to have PTSD. And 69 00:04:14,177 --> 00:04:18,817 Speaker 1: a very common thing that I was hearing initially was, hey, 70 00:04:18,817 --> 00:04:22,337 Speaker 1: can you help me. I don't know what's wrong. Something 71 00:04:22,417 --> 00:04:26,537 Speaker 1: is off. I feel different, but I don't know what 72 00:04:26,577 --> 00:04:29,937 Speaker 1: it is. And so with my background of PTSD, I 73 00:04:29,937 --> 00:04:33,257 Speaker 1: thought I had this expertise blah blah blah. Turns out 74 00:04:33,297 --> 00:04:35,617 Speaker 1: I did not have expertise. Turns out I did not 75 00:04:35,697 --> 00:04:38,377 Speaker 1: know how to help these guys. So these are my friends, 76 00:04:38,417 --> 00:04:41,977 Speaker 1: and we're just kind of playing trial and error. Let's 77 00:04:41,977 --> 00:04:44,417 Speaker 1: get a sleep study, Well, let's get a blood test, 78 00:04:44,457 --> 00:04:48,617 Speaker 1: and let's look at your hormones. Let's have a conversation. 79 00:04:49,737 --> 00:04:52,017 Speaker 1: Can I talk to your spouse or your partner and 80 00:04:52,097 --> 00:04:54,697 Speaker 1: get some information about how you behave, how you think, 81 00:04:54,817 --> 00:04:57,977 Speaker 1: how you function, and how you sleep. And it was 82 00:04:58,017 --> 00:05:02,377 Speaker 1: eye opening, and gradually, over time I kept seeing it 83 00:05:02,417 --> 00:05:06,657 Speaker 1: was the same pattern of injuries and illnesses over and 84 00:05:06,697 --> 00:05:11,137 Speaker 1: over and over again. Every guy I met had low testosterone. Hell, 85 00:05:11,217 --> 00:05:14,737 Speaker 1: how is that possible? Why does a big, strong, thirty 86 00:05:14,777 --> 00:05:18,017 Speaker 1: seven year old Navy seal who's just a year out, 87 00:05:18,057 --> 00:05:21,097 Speaker 1: why does he have low testosterone? I didn't understand that. 88 00:05:21,337 --> 00:05:25,497 Speaker 1: So over the course of time, we began I and 89 00:05:25,577 --> 00:05:28,257 Speaker 1: some of my colleagues who kind of shared an interest. 90 00:05:28,377 --> 00:05:31,097 Speaker 1: We talked with a lot of guys and a lot 91 00:05:31,097 --> 00:05:33,137 Speaker 1: of listening and a lot of trial and error, but 92 00:05:33,257 --> 00:05:35,377 Speaker 1: we began to figure some things out. We began to 93 00:05:35,377 --> 00:05:37,897 Speaker 1: find that we could help guys, and from there it 94 00:05:37,977 --> 00:05:41,257 Speaker 1: was just a matter of word of mouth, just hey, 95 00:05:41,297 --> 00:05:44,817 Speaker 1: you help my friend, could you talk you helped me? 96 00:05:44,977 --> 00:05:46,617 Speaker 1: Could you talk to my friend? Maybe you can help 97 00:05:46,657 --> 00:05:49,857 Speaker 1: my friend, and then the friends of friends. So in 98 00:05:49,897 --> 00:05:53,417 Speaker 1: the last decade, I would say I've come to just organically, 99 00:05:53,777 --> 00:05:56,257 Speaker 1: I've probably talked to two hundred and fifty three hundred 100 00:05:56,257 --> 00:06:00,657 Speaker 1: and fifty operators, and then I've also done some forensic 101 00:06:01,137 --> 00:06:04,937 Speaker 1: work on the side of the defense private defense contractors, 102 00:06:04,977 --> 00:06:07,377 Speaker 1: so I've worked with I think I've evaluated over two 103 00:06:07,417 --> 00:06:11,817 Speaker 1: hundred and fifty private defense contractors putting in Defense Base 104 00:06:11,857 --> 00:06:13,697 Speaker 1: Act insurance claims. 105 00:06:13,737 --> 00:06:16,337 Speaker 2: So what what is operators syndrome and how is it 106 00:06:16,337 --> 00:06:19,777 Speaker 2: different from PTSD Yeah. 107 00:06:19,017 --> 00:06:22,537 Speaker 1: So well, let's start with how are operators different? And 108 00:06:22,857 --> 00:06:26,977 Speaker 1: I'm gonna let's acknowledge there's a formal definition of operators. 109 00:06:26,977 --> 00:06:30,497 Speaker 1: Somebody who's gone through selection and then training for a 110 00:06:30,817 --> 00:06:34,337 Speaker 1: you know, for one of the special operations units. That's 111 00:06:34,417 --> 00:06:39,817 Speaker 1: Navy Seals, that's Army Special Forces, that's and I include 112 00:06:40,337 --> 00:06:44,457 Speaker 1: ranger rangers in there, that is Marine raiders, and Force 113 00:06:44,617 --> 00:06:50,297 Speaker 1: recon that is Air Force pjs and combat controllers. And 114 00:06:50,497 --> 00:06:53,657 Speaker 1: there's you know, paramilitary. You know from your your prior 115 00:06:53,697 --> 00:06:58,657 Speaker 1: work that the the intelligence agencies have paramilitary and they 116 00:06:58,737 --> 00:07:05,137 Speaker 1: employ private defense contractors global response, and so that's that's 117 00:07:05,177 --> 00:07:06,657 Speaker 1: kind of the def I mean, that's kind of the 118 00:07:06,657 --> 00:07:09,297 Speaker 1: people we're talking about. And then what makes them different 119 00:07:09,337 --> 00:07:13,337 Speaker 1: from convention? This is something I think most people have 120 00:07:13,417 --> 00:07:17,017 Speaker 1: no awareness of. Yeah, everybody knows that a Green Beret 121 00:07:17,097 --> 00:07:21,657 Speaker 1: is cool, he's a badass dude, but nobody really understands 122 00:07:21,697 --> 00:07:25,657 Speaker 1: the magnitude of the differences. So what we're talking about 123 00:07:25,857 --> 00:07:31,297 Speaker 1: is just extensive experience, training and deployments with blasts. Last 124 00:07:31,377 --> 00:07:34,657 Speaker 1: exposures cause a very unique type of damage to the brain. 125 00:07:34,817 --> 00:07:38,897 Speaker 1: If you're standing within the radius that explosion is going 126 00:07:38,977 --> 00:07:40,577 Speaker 1: to pass through the body. It's going to have a 127 00:07:40,617 --> 00:07:44,377 Speaker 1: sharing effect through all of the soft tissue in the body. 128 00:07:44,457 --> 00:07:49,937 Speaker 1: You have the incredibly high operational tempo going in and out. 129 00:07:51,217 --> 00:07:53,737 Speaker 1: There's very little time off, so you do a six 130 00:07:53,817 --> 00:07:58,137 Speaker 1: month deployment. On that deployment, you may be running missions 131 00:07:58,497 --> 00:08:03,137 Speaker 1: twice a week, twice a night. Oftentimes it's nighttime work, 132 00:08:04,057 --> 00:08:08,617 Speaker 1: not daytime work, so the sleep schedule is shifted and dysregulated. 133 00:08:09,177 --> 00:08:12,617 Speaker 1: Come home from the employment, and then there's new training 134 00:08:12,617 --> 00:08:17,577 Speaker 1: evolutions constantly, so there's really very very little downtime. That 135 00:08:17,737 --> 00:08:23,617 Speaker 1: high operational tempo means our soldiers are living with chronically 136 00:08:23,657 --> 00:08:29,137 Speaker 1: elevated cortisol and stress hormones flowing through their blood constantly. 137 00:08:29,257 --> 00:08:34,737 Speaker 1: The sleep is always jacked up to some extent. Then 138 00:08:34,777 --> 00:08:40,217 Speaker 1: you have the You have the massive amount of chronic 139 00:08:40,257 --> 00:08:44,177 Speaker 1: pain on the joints, jumping out a helicopter, repelling out 140 00:08:44,177 --> 00:08:47,417 Speaker 1: of helicopters, jumping out of perfectly good airplanes, rocking with 141 00:08:47,457 --> 00:08:51,377 Speaker 1: heavy weight and body armor. Every guy I know who 142 00:08:51,417 --> 00:08:58,057 Speaker 1: by the time he's thirty, has chronic pain and shoulders, neck, back, knees, elbows, ankles. 143 00:08:59,377 --> 00:09:03,297 Speaker 1: That adds another burden. So part of how we describe 144 00:09:03,337 --> 00:09:08,297 Speaker 1: this as allostatic load. Alostatic load is a is a hypothetical. 145 00:09:08,497 --> 00:09:11,537 Speaker 1: It's not a specific it doesn't refer to anything specific, 146 00:09:11,577 --> 00:09:16,017 Speaker 1: but it's a hypothetical construct that refers to the entire 147 00:09:16,337 --> 00:09:20,737 Speaker 1: dose of everything that is on a soldier's back for 148 00:09:20,817 --> 00:09:24,457 Speaker 1: the course of their career. And that's another thing that's different. 149 00:09:24,657 --> 00:09:27,537 Speaker 1: Most operators have careers that are ten years long or 150 00:09:27,577 --> 00:09:31,577 Speaker 1: fifteen or twenty. Very few of them are doing a 151 00:09:31,617 --> 00:09:33,897 Speaker 1: four year enlistment and then being out. In fact, that's 152 00:09:33,937 --> 00:09:37,017 Speaker 1: almost notheard of. So it's not just that they have 153 00:09:38,097 --> 00:09:42,217 Speaker 1: maybe a magnitude of blast exposures that's ten thousand times 154 00:09:42,377 --> 00:09:45,657 Speaker 1: more than a conventional soldier in one given year, but 155 00:09:45,697 --> 00:09:48,737 Speaker 1: they're doing that for twenty years maybe, So you just 156 00:09:48,777 --> 00:09:52,897 Speaker 1: have an incredible burden on the entire body. Then you 157 00:09:53,017 --> 00:09:57,777 Speaker 1: talk about then you have the toxic exposures. Are soldiers 158 00:09:57,857 --> 00:10:00,937 Speaker 1: in the Special Forces and we're seeing this now. It's 159 00:10:01,017 --> 00:10:05,657 Speaker 1: just emerging the high rates of cancer and respiratory illnesses. Yes, 160 00:10:05,737 --> 00:10:07,537 Speaker 1: we know burn pits are a thing, and those have 161 00:10:07,617 --> 00:10:12,777 Speaker 1: affected soldiers from all branches who deployed, But it's not 162 00:10:12,817 --> 00:10:15,777 Speaker 1: the burn pits that are really hammering the community of 163 00:10:15,777 --> 00:10:21,097 Speaker 1: Special Operations it's the radiological materials, the biological materials. It's 164 00:10:21,137 --> 00:10:26,697 Speaker 1: the the many doses of vaccines and shots that they've received, 165 00:10:26,697 --> 00:10:30,657 Speaker 1: how much anthrax Us as a has a Navy seal 166 00:10:31,377 --> 00:10:34,417 Speaker 1: received by the end of his career. Then you have 167 00:10:34,697 --> 00:10:38,337 Speaker 1: the you just have the mystery things that are out 168 00:10:38,337 --> 00:10:43,137 Speaker 1: there wandering around a field, wandering around an airfield in 169 00:10:43,217 --> 00:10:45,977 Speaker 1: some other country. I won't say, I won't name countries, 170 00:10:46,017 --> 00:10:50,937 Speaker 1: but countries around Afghanistan where old Soviet military bases were, 171 00:10:51,337 --> 00:10:55,977 Speaker 1: and they're there for weeks months. I've talked to soldiers, 172 00:10:55,977 --> 00:11:00,217 Speaker 1: contractors who spent year at these places. They're describing green 173 00:11:00,377 --> 00:11:05,657 Speaker 1: ponds floating in the dirt. What's that? What's going on there? 174 00:11:06,297 --> 00:11:09,177 Speaker 1: One of the gentlemen that I met, who that I know, 175 00:11:09,217 --> 00:11:12,857 Speaker 1: who was one of these places, describes how he developed 176 00:11:13,257 --> 00:11:16,537 Speaker 1: type one diabetes, Type one, type one diabetes. 177 00:11:16,657 --> 00:11:19,257 Speaker 2: So you have to be born with that, right, is correct? 178 00:11:19,457 --> 00:11:22,177 Speaker 1: Correct, But if you get your your you know, you 179 00:11:22,217 --> 00:11:26,737 Speaker 1: get your pancreatic your pancreas smoked there, then you've got 180 00:11:26,777 --> 00:11:29,057 Speaker 1: you know, you're gonna have some real issues. So there 181 00:11:29,097 --> 00:11:32,417 Speaker 1: are there are maladies that we don't barely even understand. 182 00:11:33,337 --> 00:11:36,337 Speaker 1: I got a text about fifteen minutes ago before we 183 00:11:36,377 --> 00:11:39,137 Speaker 1: went on the air from a friend who spent twenty 184 00:11:39,137 --> 00:11:44,777 Speaker 1: five years. At first it's SF and then Delta, who 185 00:11:45,017 --> 00:11:48,777 Speaker 1: is in his mid forties and he just received a pacemaker, 186 00:11:49,737 --> 00:11:52,657 Speaker 1: and it's not for the usual reasons that people receive 187 00:11:52,697 --> 00:11:56,217 Speaker 1: a pacemaker for. And he, you know, he just can't 188 00:11:56,217 --> 00:11:59,417 Speaker 1: get his blood pressure regulated. He's on he's been diagnosed 189 00:11:59,457 --> 00:12:03,697 Speaker 1: with Parkinson's disease. He's concerned about, you know, sometimes several 190 00:12:03,697 --> 00:12:07,697 Speaker 1: doctors have told him he has als. Doctors themselves can't 191 00:12:07,737 --> 00:12:09,537 Speaker 1: figure out what's going on with a lot of our 192 00:12:10,097 --> 00:12:12,737 Speaker 1: a lot of our guys. And then if you take 193 00:12:12,737 --> 00:12:14,817 Speaker 1: that to the VA and kind of go back and 194 00:12:14,857 --> 00:12:17,617 Speaker 1: think about what I said about leaving the VA, I 195 00:12:17,657 --> 00:12:20,177 Speaker 1: think part of what I want to say to the 196 00:12:20,257 --> 00:12:22,657 Speaker 1: folks and part of the message is the VA is 197 00:12:22,737 --> 00:12:24,377 Speaker 1: completely missing the boat. 198 00:12:24,897 --> 00:12:26,777 Speaker 2: Can we they have hold on that? Chris for one second, 199 00:12:26,777 --> 00:12:28,537 Speaker 2: I want to go back to it, or just yep, 200 00:12:28,737 --> 00:12:30,497 Speaker 2: just a word from our sponsor will address this. I 201 00:12:30,497 --> 00:12:33,857 Speaker 2: want to know, Okay, Chris has these findings, has been 202 00:12:33,897 --> 00:12:37,097 Speaker 2: working with these operators. One would think in the civilian 203 00:12:37,137 --> 00:12:42,297 Speaker 2: world where I come from, that VADD would want to 204 00:12:42,297 --> 00:12:44,977 Speaker 2: do everything they can to address these issues and to 205 00:12:45,057 --> 00:12:47,297 Speaker 2: put resources behind it. I have a feeling Chris is 206 00:12:47,297 --> 00:12:49,257 Speaker 2: going to tell me it has not been that smooth. 207 00:12:49,537 --> 00:12:51,257 Speaker 2: So we'll get to that here in just a second. 208 00:12:51,697 --> 00:12:53,977 Speaker 2: But with everything going on these days, do you find 209 00:12:53,977 --> 00:12:56,617 Speaker 2: yourself wondering about how to protect yourself and your family 210 00:12:56,657 --> 00:13:00,537 Speaker 2: financially or otherwise. One form of financial protection is diversification 211 00:13:00,577 --> 00:13:04,217 Speaker 2: into precious metals. Gold has often been used as an 212 00:13:04,257 --> 00:13:07,457 Speaker 2: asset and it's also used as a hedge against inflation. 213 00:13:07,777 --> 00:13:10,497 Speaker 2: It's a global reserve asset and countries are buying massive 214 00:13:10,497 --> 00:13:13,577 Speaker 2: amounts of gold, and this is something you should consider 215 00:13:13,617 --> 00:13:15,817 Speaker 2: for yourself. Stop thinking that things are just going to 216 00:13:15,897 --> 00:13:19,217 Speaker 2: get better. Take action today. My friends at the Oxford 217 00:13:19,217 --> 00:13:21,617 Speaker 2: Gold Group will help you understand why you need real 218 00:13:21,657 --> 00:13:24,297 Speaker 2: gold in your four oh one k and why you 219 00:13:24,297 --> 00:13:26,377 Speaker 2: should have real gold on hand. It's easy, it's simple, 220 00:13:26,697 --> 00:13:28,617 Speaker 2: and the Oxford Gold Group is there to help. Visit 221 00:13:28,657 --> 00:13:31,937 Speaker 2: Oxford Goldgroup dot com slash free and order the investment 222 00:13:31,937 --> 00:13:34,217 Speaker 2: guide or make a purchase of precious metals and turn 223 00:13:34,297 --> 00:13:37,057 Speaker 2: up at twenty five hundred dollars in free gold Oxford 224 00:13:37,057 --> 00:13:41,257 Speaker 2: Goldgroup dot com slash free. That's Oxford gooldgroup, dot com, 225 00:13:41,257 --> 00:13:46,337 Speaker 2: slash free. Okay, Chris, so you've studied this, You've identified 226 00:13:46,417 --> 00:13:48,897 Speaker 2: there's a problem. You try to bring the problem to 227 00:13:49,017 --> 00:13:53,297 Speaker 2: the VA and to people in the government that should 228 00:13:53,297 --> 00:13:57,177 Speaker 2: be helping our military and our warriors and what's been 229 00:13:57,217 --> 00:13:57,617 Speaker 2: going on. 230 00:13:59,057 --> 00:14:02,017 Speaker 1: Well, we'll talk about what the VA is for a moment. 231 00:14:02,297 --> 00:14:06,217 Speaker 1: The VA is a large bureaucracy healthcare organization. They are 232 00:14:06,297 --> 00:14:11,657 Speaker 1: set up to serve the vast majority of veterans, ninety 233 00:14:11,697 --> 00:14:15,937 Speaker 1: five percent of whom, including those who deployed, were not 234 00:14:15,977 --> 00:14:20,137 Speaker 1: necessarily combatants, and if they were combatants for the most part, 235 00:14:20,217 --> 00:14:21,977 Speaker 1: they were not doing the same thing as the one 236 00:14:22,017 --> 00:14:25,177 Speaker 1: to three percent of those who fought most of the 237 00:14:25,177 --> 00:14:32,657 Speaker 1: war and saw the heaviest combat and saw the constant stressors, 238 00:14:32,697 --> 00:14:37,937 Speaker 1: allostatic load, and the high operational tempo that they went through. 239 00:14:38,737 --> 00:14:41,297 Speaker 1: What the VA does is the VA is very good 240 00:14:41,377 --> 00:14:44,977 Speaker 1: at hitting the PTSD easy button. You served in a 241 00:14:45,097 --> 00:14:49,537 Speaker 1: rock boomy PTSD, that's PTSD. We have so far over 242 00:14:49,777 --> 00:14:52,337 Speaker 1: diagnosed PTSD. I mean, it's just it's a crime and 243 00:14:52,457 --> 00:14:55,897 Speaker 1: shame to be honest. The problem that operators have is 244 00:14:55,897 --> 00:14:58,017 Speaker 1: they don't really have PTSD. I mean, they may have 245 00:14:58,057 --> 00:15:00,657 Speaker 1: some of the symptoms, but they don't have the fear reactivity. 246 00:15:01,137 --> 00:15:02,977 Speaker 1: They don't have they don't show the same type of 247 00:15:03,017 --> 00:15:07,337 Speaker 1: avoidance of triggers and cues that you see with you know, 248 00:15:07,417 --> 00:15:12,857 Speaker 1: typical PTSD. What operators do have is massive traumatic brain injuries. 249 00:15:13,697 --> 00:15:18,777 Speaker 1: They have low testosterone and other hormonal dysregulation. They have 250 00:15:19,417 --> 00:15:23,217 Speaker 1: sleep dysregulation and insomnia. But they also many of them, 251 00:15:23,257 --> 00:15:26,177 Speaker 1: maybe eighty ninety percent of the guys that I've worked with, 252 00:15:26,217 --> 00:15:29,737 Speaker 1: have sleep apnea. Even when they're in their late thirties 253 00:15:29,817 --> 00:15:34,937 Speaker 1: early forties, they're developing sleep apnea. So put that together 254 00:15:35,017 --> 00:15:38,617 Speaker 1: with the chronic pain, the cognitive problems, and the headaches 255 00:15:38,657 --> 00:15:42,257 Speaker 1: that go with TBI, many of them have the other 256 00:15:42,417 --> 00:15:45,937 Speaker 1: some of the other classic symptoms of TBI, low poor balance, 257 00:15:47,377 --> 00:15:50,857 Speaker 1: blurry vision, they all pretty much all have ringing in 258 00:15:50,897 --> 00:15:56,377 Speaker 1: their ears and other perceptual system impairments vision, hearing, balance. 259 00:15:57,577 --> 00:16:00,857 Speaker 1: Think about how that ripples out to their family, how 260 00:16:00,857 --> 00:16:04,497 Speaker 1: that ripples out to their community, their work, and then 261 00:16:04,537 --> 00:16:07,817 Speaker 1: there's nobody that understands them. They go to see a 262 00:16:07,817 --> 00:16:10,057 Speaker 1: doctor and a doctor will say, oh, I've never seen 263 00:16:10,217 --> 00:16:11,657 Speaker 1: anything like this. I don't know what to tell you. 264 00:16:12,817 --> 00:16:15,177 Speaker 1: And in modern medicine, we have the problem of the 265 00:16:15,217 --> 00:16:18,537 Speaker 1: fragmentation of care. So a veteran goes to the VA 266 00:16:18,657 --> 00:16:20,937 Speaker 1: or any healthcare system, they're going to see one dock 267 00:16:21,057 --> 00:16:25,217 Speaker 1: for their sleep, another doc for pain, another if they're lucky, 268 00:16:25,297 --> 00:16:28,777 Speaker 1: another doc for urology if they're lucky. But these docks 269 00:16:28,857 --> 00:16:31,897 Speaker 1: rarely talk to each other, so they're not They're just 270 00:16:31,937 --> 00:16:36,017 Speaker 1: not getting what they need. My conversations with people who 271 00:16:36,057 --> 00:16:40,097 Speaker 1: work for VA, work for SOCOM, work for DoD, and 272 00:16:40,137 --> 00:16:42,497 Speaker 1: I want to be clear, I'm not affiliated with any 273 00:16:42,537 --> 00:16:45,497 Speaker 1: of these organizations. I'm a complete outsider. There's no reason 274 00:16:45,497 --> 00:16:48,817 Speaker 1: they should listen to me necessarily. But what I hear 275 00:16:48,857 --> 00:16:51,257 Speaker 1: over and over again is well, we already got programs 276 00:16:51,257 --> 00:16:56,577 Speaker 1: for everything. They will say, we can't build special programs 277 00:16:56,657 --> 00:17:00,777 Speaker 1: for special operations because that's not social justice. And I've 278 00:17:00,817 --> 00:17:04,257 Speaker 1: heard this argument over and over again, it's not socially 279 00:17:04,497 --> 00:17:08,257 Speaker 1: just to build special programs for operators. In my response 280 00:17:08,297 --> 00:17:11,697 Speaker 1: to that, and I'll I'll try not to drop any 281 00:17:12,297 --> 00:17:17,457 Speaker 1: f bombs here is in medicine, we need to treat 282 00:17:17,817 --> 00:17:20,497 Speaker 1: the injuries that people have. So if you have a 283 00:17:20,497 --> 00:17:24,257 Speaker 1: group of people with unique injuries, they need unique care. 284 00:17:24,977 --> 00:17:31,137 Speaker 1: They need care that is specifically contextually tailored for their needs. 285 00:17:31,977 --> 00:17:34,657 Speaker 1: And just to give an example of one thing that 286 00:17:34,697 --> 00:17:37,537 Speaker 1: I've heard over and over again, and this is a 287 00:17:37,577 --> 00:17:41,537 Speaker 1: story that I've heard so many times that you know, 288 00:17:41,777 --> 00:17:45,417 Speaker 1: I certainly believe it is. An operator goes into the VA, 289 00:17:45,457 --> 00:17:49,257 Speaker 1: they're referred to mental health, They meet their social worker 290 00:17:49,377 --> 00:17:52,017 Speaker 1: or their psychologist or what whoever their therapist is for 291 00:17:52,097 --> 00:17:55,337 Speaker 1: the first time, and they start talking and their therapist 292 00:17:55,417 --> 00:17:58,057 Speaker 1: has never heard the kinds of things that they're now 293 00:17:58,097 --> 00:18:02,417 Speaker 1: hearing for the first time, and frequently they break out 294 00:18:02,537 --> 00:18:05,497 Speaker 1: crying and sobbing. And so I've heard this many times, 295 00:18:05,537 --> 00:18:09,057 Speaker 1: and operators tell me, Yeah, I had one appointment ten 296 00:18:09,097 --> 00:18:12,417 Speaker 1: minutes in. My therap is just sobbing into her hands 297 00:18:12,497 --> 00:18:15,137 Speaker 1: and into tissues, and I just like, I'm sorry, I 298 00:18:15,177 --> 00:18:17,377 Speaker 1: get up and I walk out because what else am 299 00:18:17,417 --> 00:18:17,897 Speaker 1: I going to do? 300 00:18:21,337 --> 00:18:27,737 Speaker 2: Yeah? Wow? So, Chris, I want to get to what 301 00:18:27,897 --> 00:18:30,977 Speaker 2: can be done to so you've identified this, people are 302 00:18:30,977 --> 00:18:32,377 Speaker 2: pushing back on it. I want to get to the 303 00:18:32,417 --> 00:18:35,017 Speaker 2: treatment here next. And also why you wrote the book 304 00:18:35,057 --> 00:18:37,577 Speaker 2: Operator Syndrome, which for those who are watching and YouTube 305 00:18:37,577 --> 00:18:40,377 Speaker 2: can see there's a copy of the book behind Chris's head. 306 00:18:40,937 --> 00:18:43,537 Speaker 2: But first off, from our sponsor American Financing. 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Chris, how do we treat operator syndrome? 332 00:19:49,377 --> 00:19:52,337 Speaker 1: Yes, that's the important question here, and the good news 333 00:19:52,417 --> 00:19:55,457 Speaker 1: is we have treatments, we have ways to provide care. 334 00:19:56,697 --> 00:19:59,337 Speaker 1: I would start with a general principles. You need to 335 00:19:59,457 --> 00:20:03,177 Speaker 1: have some contextualization of the care. It's best if you 336 00:20:03,177 --> 00:20:05,857 Speaker 1: have providers who have talked to operators and know a 337 00:20:05,857 --> 00:20:08,177 Speaker 1: little bit about what an operator has been doing, what 338 00:20:08,217 --> 00:20:10,937 Speaker 1: that means from a career perspective, but as well as 339 00:20:10,977 --> 00:20:15,457 Speaker 1: also an injury perspective. I just go through some of 340 00:20:15,457 --> 00:20:17,657 Speaker 1: the treatments and then I'll talk about kind of how 341 00:20:17,657 --> 00:20:19,657 Speaker 1: we can put them together and some of the foundations 342 00:20:19,657 --> 00:20:23,977 Speaker 1: that are just doing phenomenal work out there. First off, 343 00:20:24,257 --> 00:20:29,017 Speaker 1: you know the basics. Yes, it's worth considering psychotherapy. Many 344 00:20:29,057 --> 00:20:33,617 Speaker 1: guys might benefit from psychiatric medications such as anti depressants. 345 00:20:34,097 --> 00:20:35,657 Speaker 1: What we don't want to do is load them up 346 00:20:35,657 --> 00:20:39,097 Speaker 1: on three or four or five psychiatric medications. Which is 347 00:20:39,137 --> 00:20:42,577 Speaker 1: what I commonly see, and that's a common complaint about 348 00:20:42,697 --> 00:20:47,217 Speaker 1: when guys have tried the VA. But there's treatments that 349 00:20:47,257 --> 00:20:52,297 Speaker 1: the VA doesn't typically provide, and but that they're out there. 350 00:20:52,337 --> 00:20:55,457 Speaker 1: So say gang block therapy, that's one of the things 351 00:20:55,457 --> 00:20:58,537 Speaker 1: I start with. Go get a steal gangly block therapy. 352 00:20:58,577 --> 00:21:02,417 Speaker 1: It's a safe, one time medical procedure. We've been using 353 00:21:02,417 --> 00:21:05,857 Speaker 1: it in medicine for over one hundred years. It's provided 354 00:21:05,937 --> 00:21:09,377 Speaker 1: not by mental health professionals, but by psychiatry and neurology. 355 00:21:10,217 --> 00:21:16,177 Speaker 1: It was a treatment for chronic headaches and certain types 356 00:21:16,177 --> 00:21:19,377 Speaker 1: of headaches. But about ten fifteen years ago, a couple 357 00:21:19,417 --> 00:21:23,217 Speaker 1: of neurologists at Fort Bragg working with soldiers noticed that 358 00:21:23,257 --> 00:21:27,017 Speaker 1: when they treated a soldiers headache that their anxiety went 359 00:21:27,097 --> 00:21:30,937 Speaker 1: down and they started to sleep better immediately, like that 360 00:21:31,137 --> 00:21:34,217 Speaker 1: night or the next day. And so since then Sean 361 00:21:34,297 --> 00:21:37,937 Speaker 1: mulvaney Jim Lynch have done some have done a number 362 00:21:37,937 --> 00:21:42,097 Speaker 1: of randomized clinical control medical trials. Others have two and 363 00:21:42,217 --> 00:21:45,897 Speaker 1: shown that it's a very effective treatment for reducing the 364 00:21:45,937 --> 00:21:50,257 Speaker 1: anxiety and insomnia that goes along with PTSD, but general 365 00:21:50,297 --> 00:21:53,817 Speaker 1: anxiety you know, as a rule, So this is a 366 00:21:53,857 --> 00:21:56,457 Speaker 1: great place to start because it just brings the volume 367 00:21:56,497 --> 00:22:00,617 Speaker 1: of that anxiety down. Now that isn't necessarily going to 368 00:22:00,737 --> 00:22:04,417 Speaker 1: last forever. It's a treatment that involves injecting a little 369 00:22:04,457 --> 00:22:07,697 Speaker 1: bit of lytocane or novacane into the stelic ganglian nerve. 370 00:22:08,497 --> 00:22:11,537 Speaker 1: This can be accessed on the side of the neck. 371 00:22:12,017 --> 00:22:14,937 Speaker 1: It goes down our central nervous system. It's the sympathetic 372 00:22:14,937 --> 00:22:17,777 Speaker 1: nervous system, the fight or flight. So we're just we're 373 00:22:17,777 --> 00:22:21,097 Speaker 1: just dialing it down. That's what the treatment does. This 374 00:22:21,257 --> 00:22:24,577 Speaker 1: benefit lasts for anywhere from two months to over a year. 375 00:22:24,977 --> 00:22:27,817 Speaker 1: Typically a lot of guys never even notice it when 376 00:22:27,817 --> 00:22:30,377 Speaker 1: it wears off because they're doing other things that are 377 00:22:30,417 --> 00:22:35,377 Speaker 1: really helpful. Ketamine infusion is a four to eight sessions 378 00:22:35,377 --> 00:22:40,097 Speaker 1: of ketamine infusions are are very powerful treatment, and I 379 00:22:40,297 --> 00:22:43,497 Speaker 1: and others have a hypothesis that combining the stelate and 380 00:22:43,537 --> 00:22:46,257 Speaker 1: the ketamine in the same week or the same month, 381 00:22:47,017 --> 00:22:50,577 Speaker 1: that they're symbiotic with each other. And we think they 382 00:22:50,617 --> 00:22:53,457 Speaker 1: help not just with the anxiety and the depression and 383 00:22:53,577 --> 00:22:56,617 Speaker 1: the know the mood and cognitive functioning, but that they 384 00:22:56,697 --> 00:23:00,977 Speaker 1: help regenerate. They help stimulate nerve regeneration in the brain, 385 00:23:01,137 --> 00:23:05,777 Speaker 1: so they're actually healing the brain. We are using very 386 00:23:05,817 --> 00:23:09,937 Speaker 1: effectively a lot of regenerative medicine techniques. Now this is 387 00:23:10,177 --> 00:23:12,777 Speaker 1: my thing, so I probably won't say too much about it, 388 00:23:12,817 --> 00:23:16,657 Speaker 1: but the soldiers that we refer to some of these 389 00:23:16,697 --> 00:23:22,297 Speaker 1: regenerative medicine clinics where they they use stem cells and 390 00:23:22,337 --> 00:23:26,497 Speaker 1: exomes and peptides really reduce the chronic joint pain, which 391 00:23:26,537 --> 00:23:29,337 Speaker 1: is a game changer. If you're living with chronic chronic 392 00:23:29,417 --> 00:23:32,177 Speaker 1: joint pain all the time at a high level, to 393 00:23:32,257 --> 00:23:36,337 Speaker 1: have that lifted off of you really profoundly changes your 394 00:23:36,337 --> 00:23:36,977 Speaker 1: life for the better. 395 00:23:37,017 --> 00:23:40,257 Speaker 2: And what are some have to sorry, because what are 396 00:23:40,297 --> 00:23:42,577 Speaker 2: some of the entities that are working on this problem 397 00:23:42,617 --> 00:23:46,537 Speaker 2: and that are trying to help operators who face the syndrome? 398 00:23:47,617 --> 00:23:51,457 Speaker 1: Right? So I'm the one I work most closely with 399 00:23:51,577 --> 00:23:55,217 Speaker 1: is the Seal Future Foundation. They have a program where 400 00:23:55,257 --> 00:23:58,137 Speaker 1: any seal who's not no longer active duty can call 401 00:23:58,617 --> 00:24:01,457 Speaker 1: and they're going to talk to another seal who's a 402 00:24:01,497 --> 00:24:04,897 Speaker 1: former Corman medic combat metic and they'll have a long 403 00:24:04,937 --> 00:24:08,137 Speaker 1: conversation and they'll talk with them about what's going on, 404 00:24:08,257 --> 00:24:11,937 Speaker 1: what are your needs. They do use the Operator Syndrome framework. 405 00:24:12,777 --> 00:24:17,857 Speaker 1: They one of the early things is hormones. So getting tested, 406 00:24:17,937 --> 00:24:21,777 Speaker 1: getting a full panel of endocrine panel of to look 407 00:24:21,817 --> 00:24:28,017 Speaker 1: at hormones, testosterone, estrogen, human growth hormone, thyroid and every 408 00:24:28,057 --> 00:24:30,617 Speaker 1: single and the rest of them, and getting that treated 409 00:24:30,657 --> 00:24:34,177 Speaker 1: early on is important. And that doesn't mean testosterone replacement 410 00:24:34,217 --> 00:24:36,937 Speaker 1: therapy necessarily, but it does mean a number of things 411 00:24:37,577 --> 00:24:41,817 Speaker 1: that can be targeted to improve the production of testosterone. 412 00:24:42,497 --> 00:24:45,497 Speaker 1: And so seal future, we'll talk to the guy make 413 00:24:45,537 --> 00:24:48,737 Speaker 1: the referrals and we've we've developed a large referral network 414 00:24:48,897 --> 00:24:49,897 Speaker 1: and then they'll pay for it. 415 00:24:51,697 --> 00:24:54,017 Speaker 2: And which is do you get into some more of 416 00:24:54,017 --> 00:24:56,017 Speaker 2: this in the book Operator Syndrome. 417 00:24:56,297 --> 00:25:02,617 Speaker 1: Oh yeah, oh yeah, yes, yeah, a little bit about that. Sure, yeah, yes, sure, 418 00:25:03,217 --> 00:25:05,937 Speaker 1: thank you for asking. So the book has written for 419 00:25:06,177 --> 00:25:09,577 Speaker 1: operators and for their spouses and their families. It's not 420 00:25:09,657 --> 00:25:12,297 Speaker 1: an actdemic book. It's not a book I've written for 421 00:25:12,417 --> 00:25:15,137 Speaker 1: other you know, desk jockeys like myself. It's written for 422 00:25:15,177 --> 00:25:19,977 Speaker 1: the community. Each chapter in the book provides they're kind 423 00:25:19,977 --> 00:25:22,897 Speaker 1: of like short magazine articles, so you can bounce around 424 00:25:22,937 --> 00:25:32,617 Speaker 1: if depression is your primary issue, or addiction or existential issues, guilt, shame, loss, 425 00:25:32,697 --> 00:25:36,017 Speaker 1: loss of tribe, Each chapter touches on one of the 426 00:25:36,377 --> 00:25:41,737 Speaker 1: components of the syndrome, and there's there's treatment, there's then 427 00:25:41,777 --> 00:25:44,497 Speaker 1: the third part of the book is about treatments and interventions, 428 00:25:44,537 --> 00:25:47,737 Speaker 1: including lifestyle, because lifestyles are a big part of it. Well, 429 00:25:47,937 --> 00:25:49,537 Speaker 1: you know, we need to change the way we eat 430 00:25:49,617 --> 00:25:56,337 Speaker 1: and sleep, and health practices like cold plunge, hot sawna, bathing, 431 00:25:56,537 --> 00:25:59,017 Speaker 1: those kinds of things can can make a profound difference. 432 00:25:59,297 --> 00:26:01,257 Speaker 1: The other thing about my book, which I want to say, 433 00:26:01,297 --> 00:26:03,417 Speaker 1: is I didn't write the whole book. I had a 434 00:26:03,457 --> 00:26:05,617 Speaker 1: lot of help I was. I kind of went through 435 00:26:05,617 --> 00:26:08,577 Speaker 1: it the other day. What I did is each chapter 436 00:26:08,977 --> 00:26:14,657 Speaker 1: starts with two to five quotes from real people, operators 437 00:26:14,777 --> 00:26:18,497 Speaker 1: and spouses. There are a handful of quotes from care 438 00:26:18,577 --> 00:26:22,017 Speaker 1: providers or scientists who work with the community. So in 439 00:26:22,057 --> 00:26:24,977 Speaker 1: the book are the voice of over forty operators are 440 00:26:25,017 --> 00:26:28,857 Speaker 1: represented in there, and their names and their units, not 441 00:26:28,897 --> 00:26:31,377 Speaker 1: their specific units, but the branches and the type of 442 00:26:31,457 --> 00:26:35,617 Speaker 1: unit that they were in. So I wanted the book 443 00:26:35,657 --> 00:26:39,657 Speaker 1: to be it's essentially an airport read for an operator 444 00:26:39,697 --> 00:26:41,977 Speaker 1: can pick it up, read chapter one and be like, okay, wow, 445 00:26:42,017 --> 00:26:44,057 Speaker 1: now I have a sense of some things, and I 446 00:26:44,057 --> 00:26:44,497 Speaker 1: didn't know. 447 00:26:44,697 --> 00:26:47,177 Speaker 2: Is it available on a specific website or just Amazon? 448 00:26:47,217 --> 00:26:48,897 Speaker 2: And wherever books are sold? Where can people get it? 449 00:26:49,937 --> 00:26:53,217 Speaker 1: Wherever books are sold? Amazon is it's on Amazon. The 450 00:26:53,257 --> 00:26:55,857 Speaker 1: publisher's Ballast Books. You can go to their website. It's 451 00:26:55,937 --> 00:26:59,217 Speaker 1: not released yet. It's coming out March twenty six. You 452 00:26:59,257 --> 00:27:02,577 Speaker 1: can pre order it now, but it won't be released 453 00:27:02,577 --> 00:27:03,937 Speaker 1: for another few weeks. 454 00:27:04,537 --> 00:27:06,577 Speaker 2: Chris Free, thank you for your work, thanks for your 455 00:27:06,577 --> 00:27:09,857 Speaker 2: time today, and for what you're doing for our warriors. 456 00:27:10,217 --> 00:27:12,457 Speaker 2: We all appreciate what you're doing for them, and thank 457 00:27:12,457 --> 00:27:13,097 Speaker 2: you very much, sir. 458 00:27:14,017 --> 00:27:14,577 Speaker 1: Thank you Buck