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Monday, November 24, 2003

Associated Press : Family of dying GI battles bureaucracy

Family of dying GI battles bureaucracy
Associated Press

KARNACK - By the time he shipped out for the war in Iraq in January, Special Forces Sgt. James Alford was a wreck of a soldier.
For five months, he had been doing odd things. He disappeared from Fort Campbell, Ky., for several days. He lost equipment and lied to superiors. In December, he was demoted from staff sergeant to sergeant.

In the Kuwaiti desert, he came apart. The hotshot Green Beret, who a year earlier ran circles around his team members and earned a Bronze Star in Afghanistan, was ordered to carry a notepad to remember orders. By March, he was being cited for dereliction of duty, larceny and lying to superiors. He couldn't even keep up with his gas mask.

Finally, in April, his commanders had had enough. They ordered him to return to Fort Campbell to be court-martialed and kicked out of the Special Forces.

"Your conduct is inconsistent with the integrity and professionalism required by a Special Forces soldier," Lt. Col. Christopher Conner of the 2nd Battalion, 5th Special Forces Group Headquarters in Kuwait wrote April 10.

Confused and disgraced, the soldier moved back into his off-base home, where he ate canned meat and anchovies, unaware of the day, the month or the year.

Sensing something was wrong, a neighbor called Alford's parents. They drove 600 miles from East Texas to find a son who had lost 30 pounds and could no longer drink from a glass, use a telephone, button his shirt or say "Amber," the name of his soldier wife, who was still stationed in the Middle East.

They rushed him to an emergency room. A month and several hospitals later, Alford's family learned that he was dying of a disease eating away his brain. He had Creutzfeldt-Jakob disease, an extremely rare and fatal degenerative brain disorder akin to mad cow disease that causes rapid, progressive dementia.

Now, as the 25-year-old soldier wastes away in his boyhood home, his parents and his wife are struggling to understand how the military could have misdiagnosed Alford's erratic, forgetful behavior as nothing more than the symptoms of a sloppy, incompetent soldier.

"He had to hold his hands to keep them from shaking, but they saw nothing wrong with my child," his mother, Gail Alford, a nine-year Army veteran, said recently from her home in Karnack, a rural community near Marshall.

Alford's parents say Special Forces staff members told them that a doctor in Kuwait had found nothing wrong with him and that a psychiatrist there had said Alford was "faking it."

Army officials have acknowledged that the 5th Special Forces Group erred and, more than eight months after Alford's demotion, they reinstated his staff sergeant rank.

But the dying soldier's family members want more. They want a public apology for the ridicule and disgrace that they say filled Alford's final days of service.

"They called him stupid, told him he was lazy, he was a liar, that he wasn't any good, that he was a faker," his mother said, recalling what little her son could tell her about his time in Kuwait. "I want them shamed the way they shamed my son."

And they want his pay restored and his medical benefits maintained. The Army declared Alford medically incompetent, placed him on retirement status and froze his pay this month until his parents can prove in court that they are his legal guardians. His mother said she was given power of attorney long ago.

Special Forces blamed

Alford's father, retired Army Command Sgt. Maj. John Alford, who served 34 years, said that Army doctors have been caring and professional and that commanders stationed his son's wife, Spc. Amber Alford, in Texas near her husband.

He mainly faults the Special Forces.

"I think they did everything they could to break him, mentally and physically," he said.

A Special Forces spokesman did not respond to phone messages and an e-mail request for an interview with The Associated Press.

In a July 30 letter responding to an inquiry by U.S. Rep. Max Sandlin, D-Marshall, Army Lt. Col. Johan Haraldsen wrote that the Special Forces group to which Alford belonged expressed "its deepest concerns" to the soldier and his family.

"All actions taken ... involving Sergeant Alford were appropriate based on the best information available at that time," Haraldsen wrote.

Alford himself may have tried to conceal his symptoms, said Dr. Steve Williams, a clinical fellow in the division of infectious diseases at Vanderbilt University Medical Center in Nashville, Tenn.

"He was capable of masking the symptoms because he was resourceful and he was a smart guy," said Williams, who diagnosed Alford with Creutzfeldt-Jakob. "I'd ask him what floor he was on, and I could catch him looking outside and counting the number of windows."

Doctors believe that Alford has the classic form of the disease, which develops spontaneously. It affects one in 100 million people under 30, according to the Centers for Disease Control and Prevention.

Col. David Dooley, an infectious-disease doctor at Brooke Army Medical Center in San Antonio, said Special Forces staff members shouldn't take the blame for missing Alford's illness. A delayed diagnosis is "typical and classic"; the average lag time for the disease is five to seven months, he said.

"If I'm going to hold anything against them, they might have come around a little faster when a medical problem was recognized," Dooley said. "The Special Forces group was fairly inert to the face of data that we medics were showing them."

Alford's parents believe that he has the variant form of the disease, caused by eating brains or nervous-system tissue from an infected cow. They worry that he may have gotten it from eating sheep brains locals served to soldiers as an honor in Oman two years ago.

But there is no evidence that people can get the disease from sheep.

Doctors also note that Alford didn't have the outbursts of anger and depression usually associated with the variant form and that the fast progression of his illness is more consistent with the classic form.

Losing everything

Alford was the youngest man in the 5th Special Forces Group, and his wife says some of his team members resented his promotion. At least one said Alford seemed a bit immature and made a few bad decisions when he first joined, but military records show that he earned decorations.

He was awarded the Bronze Star in May 2002 for "gallant conduct" in leading reconnaissance patrols in the southern Afghan city of Kandahar and helping capture Iranian terrorism suspects.

Staff Sgt. Miguel Fabbiani, a friend of Alford's and a member of the same team based at Fort Campbell, said Alford's symptoms escalated during wartime when he was working with a new group that didn't know him as well.

Alford's parents said they didn't see him enough to detect a problem. His wife was stationed near him for a while in Kuwait, but she chalked up his odd behavior to stress.

Alford's father said the actions of his son's superiors broke the spirit of a young man who had wanted to become a soldier since he was 4.

He now lies in pastel sheets next to a wall painting of John Wayne. Wearing a Houston Texans T-shirt that hangs like a hospital gown, he stares absently into a television that glows 24 hours, his hands gripping stuffed animals to keep them from clenching shut.

"He knows his name, sometimes," says his wife, a tiny woman in sneakers who helps tend to her husband as she ponders a life alone. "Sometimes I'll go up to him, wink at him and make kissy faces, and he laughs."

Her eyes well up as she remembers the handsome, arrogant boy she met as a teen-ager at a barrel-racing contest in Texas.

As his brain deteriorates, his organs will fail.

"He will go blind, he will go deaf, he will lose everything," his father said.

He stopped walking more than a month ago, mumbles when he tries to speak, is fed intravenously and takes medicine for insomnia, pain and tremors. Doctors have told the family that he probably won't live to see Christmas.

The Army has said that the issues over Alford's pay could be resolved within weeks, but the family members are skeptical. They aren't sure how they will pay his bills and maintain his 24-hour care without his salary.

"It's very sad when the people who are putting their life on the line for this country should be treated like this," Alford's father said. "This has been a bureaucratic nightmare. We've got enough to deal with on a daily basis, caring after our son and dealing with our pain and weariness and our suffering to have to fight the U.S. Army."

They fought for four months before his rank was reinstated in September.

John Alford knew his son might not live long enough to get the good news, so he had already told him a "white lie" that he had been vindicated.

"It was very important to him because he kept saying, 'I didn't do anything wrong, Daddy.' "

Associated Press : Family of dying GI battles bureaucracy

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