Word: knoxes
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...Fort Knox, Cassidy spent most of his time alone in his room with his laptop computer and Xbox video game. "While he was at Fort Knox," his wife says, "he was actually getting worse." He met with his case manager weekly but saw Kearney, his psychiatrist and only regular doctor, barely once a month. Their first visit was on May 30, 2007, nearly two months after he arrived at Fort Knox. "Alert and smiles throughout the interview, is anxious," Kearney typed into Cassidy's file. "He was under fire and under constant stress and was mortared frequently." Kearney prescribed Valium...
...while the pills sometimes worked, they didn't keep the headaches at bay. "We kept asking, 'What's the treatment plan here?'" his wife recalls. "There was never an answer for that." After a terrible headache drove Cassidy to Fort Knox's emergency room, Kearney prescribed methadone for the first time on Sept...
Cassidy's final day of Army medical care began early on Tuesday, Sept. 18. That morning the Fort Knox medical clinic noted that he was "awake, alert, oriented to time, place and person, well developed, well nourished, well hydrated, healthy appearing, in no acute distress." A short time later, Cassidy met with Kearney, who observed in his file that "the methadone worked for the headache...used 40 mg without difficulty or too much sedation." So Kearney wrote a prescription for 16 more 10-mg methadone tablets "for severe pain" after discussing "potential side effects with patient who indicated understanding." Cassidy...
Martin, who found Cassidy's body, can still recall his horror but says he understands how it happened. "Nobody there had accountability for nobody," he says. Sergeant Jim Hunt, who lived in the Fort Knox barracks from January to July 2007, says only about half of those who were supposed to show up for mandatory formations--at 7 a.m., 1 p.m. and 4:30 p.m.--actually...
Five days after Cassidy's death, the Government Accountability Office told Congress that more than half the WTUS had "significant shortfalls" in key positions. At Fort Knox, more than half the squad-leader positions--those most responsible for Cassidy's well-being--were unfilled. An Army report on TBI released in January also offered a grim assessment, finding "no specific standards" for dealing with the TBI problem, "major gaps" in coordinating care and "no medical-provider core competencies." Now the Army is rushing to catch up, setting up screening tools and treatment plans to deal with TBI and a "center...