For those of you wondering if all I ever write about is Alexander Payne, here’s a story that shows what I’m capable of outside the whole filmmaking and arts-culture arena. It’s a profile of Iraq war veteran Jacob Hausman, a native Nebraskan whose battle with PTSD I chronicle. Thankfully, Jake’s found peace with the help of counseling, prescription drugs, friends, and a lot of work on himself. The extensive profile is the cover story in the current Nov/Dec issue of Omaha Magazine, whose editors graciously alloted a 12-page layout, which is almost unheard of these days. Thanks to Jake for sharing his story. It’s my privilege to share it with all of you.
Iraq War Veteran Jacob Hausman Battles PTSD and Finds Peace
©by Leo Adam Biga
In the Nov/Dec issue of Omaha Magazine
One Man’s Journey into War
Growing up in Beatrice, Neb. Jacob “Jake” Hausman harbored a childhood dream of serving in the U.S. military. Both his grandfathers and an uncle served. He volunteered for the Army in 2002 and upon completing the rite of passage known as basic training he finally realized his long-held dream. He made it as an infantryman, too, meaning he’d joined the “hardcore” ranks of the all-guts-and-no-glory grunts who do the dirty work of war on the ground.
By the time his enlistment ended three years later Hausman earned a combat service badge during a year’s deployment in Iraq. He participated in scores of successful missions targeting enemy forces. He saw comrades in arms, some of them close friends, die or incur life-threatening wounds. He survived but there were things he saw and did he couldn’t get out of his mind. Physical and emotional battle scars began negatively impacting his quality of life back home.
Headaches. Ringing in the ears. Dizziness. Nightmares. Panic attacks. Irritability. Depression. Anxiety. Certain sounds bothered him. He felt perpetually on edge and on high alert, as if still patrolling the hostile streets of Mosul or Fallujah. With his fight or flight response system stuck in overdrive, he slept only fitfully.
A relationship he started with a woman ended badly. He lived in his parents’ basement, unemployed, isolating himself except for beer-soaked nights out that saw him drink to oblivion in order to escape or numb the anguish he felt inside. No one but his fellow vets knew the full extent of his misery.
With things careening out of control Hausman sought professional help. Hardly to his own surprise, he was diagnosed with Post Traumatic Stress Disorder (PTSD). Anyone who’s endured trauma is prone to develop it. Sustained exposure to combat makes soldiers particularly vulnerable. Not all combat veterans are diagnosed with PTSD but nearly a third are.
What did surprise Hausman was learning he’d suffered a Traumatic Brain Injury (TIB). In retrospect, it made sense because the Stryker combat vehicle he was in absorbed an IED (Improvised Explosive Device) blast that knocked him unconscious. Studies confirm ever stronger charges like that one caused many more such injuries as the Iraq and Afghanistan conflicts wore on. Injuries of this type often went undetected or unreported in the past.
So it was Hausman became a casualty among returning veterans. Some estimates put their numbers with PTSD and/or TIB at a quarter of a million. Statistics alone don’t tell the story. In each case an individual experiences disruptive symptoms that make adjusting to civilian life difficult. The suicide rate among this group is high.
The scope of this health care crisis has strained VA resources. In some locales benefit claims are months behind schedule. Nebraska’s VA system has largely kept pace with demand. Hausman’s own claim was expedited quickly. He was found to be 90 percent disabled.
Six years after starting a VA treatment regimen of counseling and medication to address his PTSD issues, along with physical therapy to mitigate his TBI symptoms, his life’s turned around. He earned bachelor’s and master’s degrees from Bellevue University. He’s gainfully employed today as a veterans service representative at the Lincoln VA. He also does outreach work with vets. He recently married the former Kendra Koch of Beatrice and the couple reside in a home in Papiliion.
They adopted a Lab-Golden Retriever mixed dog, Lucy, from a rescue animal shelter. Kendra’s an animal lover like Jacob, who with his mother Gayla Hausman and his friend Matthew Brase own and operate the foundation Voice for Companion Animals.
Throughout his active duty Army tenure Jake carried inside his kevlar helmet a photo of his favorite adolescent companion, a chihuahua named Pepe. Not long after Jake’s return from Iraq the dog took sick and had to be put down.
Jacob and Kendra are seriously considering starting a family.
Emotional and physical challenges persist for him but he has tools to manage them. No longer stuck in the past, he lives one day at a time to his fullest and looks ahead to realizing some dreams. Contentment seemed impossible when he was in the depths of his malaise. His is only one man’s story, but his recovery illustrates PTSD and TBI need not permanently debilitate someone.
He’s certainly not the same Jake Hausman who joined the Army a decade ago. “I came back a completely different person. I had so much life experience,” he says. Good and bad. If nothing else, it matured him. His views on the military and war have changed. He’s not bitter, but he is wizened beyond his 28 years and he wants people to know just how personal and final the cost of waging war is. He also wants fellow vets to know the VA is their friend.
Like a lot of young people, he had a romantic view of soldiering. He saw it as a ticket out of his small town to find thrills and see the world.
“People live in Beatrice for a hundred years. It’s like my grandpa lived here, my mom lived here, and I’m going to live here, and I didn’t want that for myself. I struggled at school, I didn’t succeed, I was in trouble with the law, I didn’t have a bright future. And the Army at least promised adventure, intrigue. I just thought, Gosh, I want to be part of a story that can be told from generations to generations. I wanted to be part of something greater than myself.
“I didn’t feel connected (before). I mean, I was social, I had friends and so forth, but I didn’t feel I belonged anywhere and I really craved that. I craved being a part of something bigger than what I was, and that (the infantry) really gave it to me.”
You might assume the catalyst for his enlistment was the 9/11 terrorist attacks, but you’d be wrong. Long before then he’d made up his mind he would enlist as soon as he could. He wanted it so bad that he was only 17 when the Army took him with his parents’ written consent. He completed high school early.
“Since I was like 5 years-old I wanted to be a part of the infantry. My mom’s father was in the infantry during the Korean War, and that’s why I ultimately joined. So I was always allured by the infantry because they’re the hardest, the best, the whole thing. I was beyond motivated.
“The struggle, the fight, well that’s all true.You actually get to experience those things and it’s not pretty and glorified. What I always tell people is that in combat and war no one’s playing music in the background. It’s not passionate, it’s pure survival instincts, and when you’re in those situations you’re not doing it for the flag you’re doing it for your friend to the left and right of you.”
He couldn’t know the hard realities of war before experiencing it. He only thought about the excitement, the camaraderie, the tradition.
“Well, I got all those things, and I got a little bit more than I bargained for.”
You’re in the Army Now
His service almost got shelved before getting started. Weeks before leaving for basic training he was behind the wheel of his car as friends imbibed from open alcohol containers when Beatrice police pulled them over. Already on probation for underage drinking violations, Hausman “freaked out” and fled the scene. He later turned himself in. Authorities could have used the pending charges to prevent him from going in the Army. A probation officer became his advocate.
“She went above and beyond for me,” he says. “She saw something in me and just really pushed for me and got it dropped. Two weeks later I left (for basic). About three years later when I came back I told her what that meant to me and who I am now because of it. If it wasn’t for her this story would have never happened.”
So off he went for the adventure of his life. Rude awakenings came early and often at Fort Benning, Ga. for this “spoiled only-child” who’d never done his own laundry.
“You grow into a man really fast. It kicked my ass.”
Mental and physical toughness are required of infantrymen and he had no choice but to steel himself for its rigors.
“You adapt fast or you suffer,” he says, “and I was one who adapted fast. The infantry is so hard. There’a lot of hazing. It’s survival of the fittest.”
Hazing and all, he says, “I thought basic training was the best thing I’ve ever done. The reason why it was powerful for me is that it was all about the mission, there was no individualism, we we’re all a team. I really loved that.
“My master’s is in leadership, where the focus is on what can you do for the team, and that’s what the infantry is. No matter if you show up with a shaved head or dreadlocks, you get your head shaved. No matter if you’re clean shaved or you have a beard, you get your face shaved. It’s just part of it. They strip you down to your very bare minimum and it’s all about coming together as a team, being a man, learning how to get along with others and learning different cultures.
“You’re talking about someone who as a kid had one black person in his class and now I had blacks, Hispanics, Jamaicans in my barracks. I’d never dealt with that. I learned so much from other people, it was fantastic. They treated me like everyone else, I treated them like everyone else.”
Infantry training is largely about endurance.
“The whole infantry thing is walking and running while carrying a 50 to 75 pound rucksack,” he says. “Can you walk a long ways with all that weight?”
Before making it into the infantry, one must pass a final crucible. Hausman recalls it this way: “They have this legendary walk that’s like 25 miles of water, hills and so forth. It’s like your final capstone test at the very end. You know you’re an infantryman if you pass this thing. It’s hell on earth. I had to duck tape my thighs so they wouldn’t rub together. You walk through a river and your feet are wet. One entire foot was rubbed raw. I mean, it was the most painful thing I’ve ever done.
“It’s just a whole mental thing – can you get through the pain? It was so great getting that done. I was so proud.”
He then joined his unit in Fort Lewis, Wash. to await deployment. He says everything there was even more intense than at Fort Benning – the training, the hazing, the brotherhood, the partying. He felt he’d truly found his calling.
“I became very good at being an infantryman. You really felt a part of the team, you bonded. I mean, you just had a lot of brothers.”
He says the drills he and his mates did in the field, including playing realistic war games, made them into a cohesive fighting force.
“We were a killing machine.”
A downside to barracks life, he says, is all the alcohol consumption. “Drinking is the culture, I’m talking excessively. In the military you’re drinking hard liquor and you’re just drinking till you curl up. That’s the path that started going bad for me there.” But a substance abuse problem was the least of his worries once in Iraq in 2003.
His company was assigned to the new Stryker Brigade, which took its name from the 8-wheel Stryker combat vehicle. “Something in-between a Humvee and a tank,” Hausman describes it. “After Somalia our brass decided we needed a vehicle which could put infantry in the city, let us do our thing, and get us out fast.”
It carried a crew of six.
“We built cages (of slat armor) on the outside to stop RPGs (rocket propelled grenades).” The cages proved quite effective. However, Strykers had a problem with rollovers, a defect Hausman would soon experience to his horror.
“We had a lot of good intelligence from special forces initially. Every day we would kick someone’s door down and take out a terrorist. We’d either arrest him, kill him, do whatever. We killed a lot of bad guys.
“Once the intelligence stopped we kind of ran out of operations to do.”
Then his squad’s duty consisted of doing presence patrols “It basically was to show the Iraqis we were around, but in all reality it was walk around until we got shot at so we could kill people.”
Draw fire, identify target, engage.
Hausman was a specialist as the squad designated marksman. “I had an extra weapon – a snipe rifle. I’d go out with the snipers and we’d do recon on special missions,” he explains. “We’d take fire here and there but we’d maybe only get in a firefight every three weeks.”
He was part of a Quick Reaction Force unit that responded within minutes to crises in the field. That sometimes meant coming back from a long operation only to have to go right back out without any sleep.
“Once, we got into an 18-hour firefight when we were called to secure two HET vehicles hit by RPGs and abandoned by their transportation team. It was a residential district in Mosul. We got there and RPGs start blasting and IEDs started popping. It was just an ambush. The enemy had us surrounded 360 degrees . We were pinned down taking gunfire. This was life or death. At a certain point you’re not thinking, it’s pure survival animal instinct.
“I turned the corner at a T-intersection and there were muzzle flashes from windows. There were four of us versus about six muzzle flashes. It was just who could kill who fastest. A guy came across the roof and I fired my 203 grenade launcher, BOOM, dead. A squad member got shot and paralyzed. Another got wounded by an RPG, his intestines spilling out. He was EVACd out.”
He says in situations like these you confront the question: “Are you really committed to killing another human being? And I have killed another person.” Despite today’s automatic weapons, he says, “you’re still seeing a human being face-to-face, you’re still pulling a trigger on someone, you still have that you’re-dead-or-I’m dead reality. You cannot shake that experience.”
In the aftermath of such intense action, he says, “you’re hiked up, you can’t sleep.” Indeed, he “couldn’t let down” for his entire nine months in Iraq. “You just can’t let your guard down.” Even on leave back home he was so conditioned by threats that “driving back from the airport,” he recalls, “I was looking for IEDs on the road, scanning the roofs for snipers.” When he could finally release the pent-up stress he slept three straight days.
A Tragic Accident
As bad as firefights got he says “the worst thing I’ve experienced in my life occurred about a month after I got to Iraq.” It didn’t involve a single gunshot or explosion either. It was his turn operating the Stryker. His team, followed by another in a second Stryker, were on a muddy backroad near Sumatra heading to do recon. A ravine on their side of the road led to a canal. Suddenly, the road gave way and both Strykers overturned into the canal. The ensuing struggle haunts him still.
“We’re upside down, water starts running in, it’s miserable cold. I’m thinking, ‘Oh no, it’s over.'”
He recalls hearing his father’s voice telling him not to panic.
“I don’t know how I got the hatch open, I just muscled it and the water rushed in. I took a deep breath and went down in it. My body got pinned between the ground and the vehicle. I’m struggling, I’m drowning. I thought, Is this how I’m going to die?
I escaped from the bottom somehow and got on the side.”
Only to find himself trapped again. He began swallowing water.
“I looked up and I could kind of see the moon. I started clawing, clawing, clawing and gasping for air. I made it. I gathered my thoughts, climbed on the vehicle, and saw one of my buddies had gotten flung out .We went to the back,” where they found their mates trapped below, desperate for escape. “We were all fighting to get the hatch open. It was just terrible. We get the hatch open and everyone’s there.”
A roll-call accounted for all hands. Except in the rush to get out a team member got “trampled over” and drowned.
“We got his body out and did CPR but it was five minutes too late.”
Hausman was “really good friends” with the victim, Joseph Blickenstaff.
The driver and squad leader in the second vehicle also died. Hausman was friends with the driver, J. Riverea Wesley. Staff sergeant Steven H. Bridges was the squad leader lost that day.
Assessing what happened, Hausman says, “It was chaos, it was tragedy. That really shattered me for a while. I won’t let it ruin my life, I’ll go swimming and stuff, but it was just traumatic. It is hard to deal with – getting over it. There’s some parts of it I will never get over.”
The Aftermath Comes Home
War being war, there’s no time or support for processing tragedy and trauma. “It was shove everything inside, shut up, move forward,” says Jake. Those unresolved feelings came tumbling out like an “avalanche” when he got back home in 2004.
“I was just a train wreck. I was miserable, destroyed. My emotions ran wild. I couldn’t sleep. I was just so anxious. I couldn’t take deep breaths, I would sniff, just like a dog panting. Like a 24-hour panic attack. You’re uncomfortable being you every second of the day. You’re not in control and that’s what you’re afraid of. Just freaking out about stuff. I was so afraid at night I would get up nine or 10 times and check the lock on my door. The nightmares are incredible.”
Excessive drinking became his coping mechanism. The more he drank, the more he needed to drink to keep his demons at bay.
“You’re in a vicious cycle and you can’t get out of it,” he says.
“At one point I contemplated suicide because I was like, What is the point of living when I am this bad, this miserable? Is it ever going to get better than this?”
His family saw him unraveling.
“Mom and dad were worried, deathly worried, but they didn’t know how to handle it. They didn’t know if it was a stage or my turning 21. They didn’t know what to do with me.”
“Usually in this population patients turn to drinking or to other substance abuse and the number one reason they tell me they do it is because they can’t sleep or to fight off nightmares,” says Omaha VA social worker Heather Bojanski. “They don’t want to come in for help, they don’t want medication, and drugs and alcohol are easy to get a hold of. They’d rather try to cope themselves before they come in for help or actually have to face there is a problem.”
Jim Rose, a meant health physician’s assistant with the Lincoln VA, says recovery has to start with someone recognizing they have a problem and wanting to deal with it. “If they’re still reluctant to accept that as a problem then it makes it very difficult. Help’s out there but it is difficult with this group who by nature tend to be more self-reliant and have the world by the shoulders, and then to have something like this happen kind of turns things upside down.”
There’s no set timetable for when PTSD might present in someone.
“They’re all on a continuum,” says Bojanski. “Two veterans can come back who have seen and been through the same exact thing and one will seem perfectly fine and the other may immediately start struggling. That all depends on a few things – what was going on in their life when they came back, how much family support they have. It’s all going to depend on them and their family and what’s going on and how honest they are with themselves.
“If they come back and they have great family support and their family’s in tune and really watching them, then they’ll do well. But if nobody’s really paying attention and they’re just doing their own thing and they start isolating and drinking, then those are big issues to look at and people really need to encourage them to come in.”
Hausman says, “There’s a threshold of stress. It’s going to come out eventually if you don’t take care of it. For me it came out real early. I was a boy, I was not equipped for getting used up in the war machine.”
Rose says PTSD tends to be suppressed among active duty military because they’re in a protective environment around people with similar experiences. But once separated from the military it becomes a different matter.
“They feel isolated and the symptoms will probably intensify,” he says. “It’s usually a couple years after discharge people reach a point where they just can’t cope with it anymore and something’s going to happen – they’re going to get in trouble or they’re going to ask for help, and that’s when we see them.”
That’s how it was for Hausman, who concealed the extent of his problems from family and friends and tried coping alone.
“I didn’t want to burden them with that, My friends, they thought it was just old Jake because I’m a partier, I’m gregarious, so they enjoyed it. But they didn’t see the dark side of it. They didn’t understand the mega depression and anxiety. When I was drunk I could shield it.
“But there’s usually one of two people in your life that know you. Robert Engel is probably my best friend to this today. He was in my unit. He lives in Kansas City (Mo.).He recognizes when I’m down, I recognize when he’s down. We kind of pick each other up. He’s seen me at my lowest point but he accepts me for who I am and I accept him for who he is and we sincerely care about each other.”
“When I decided I wasn’t going to kill himself I resolved to figure this out,” says Jake. “I started reading spirituality, I started studying psychology.”
Most importantly, he sought help from the Veterans Administration. He and a fellow vet in Lincoln, Mike Krause, talked straight about what he needed to do. Like any vet seeking services Hausman underwent screenings. He had all the classic symptoms of PTSD.
The intake process works the same for all vets.
Bojanski says, “We sit down with each of them individually and decide what level of care they need.” In the case of Hausman, she says, “He came to the VA and we started to treat him and then when he started to take medication he stopped drinking and it was like an eye opening experience to him that, Oh my God, I’ve been suffering all this time. He started to go to groups, he talked to other people and realized, Wow, I’m not the only one suffering. Other people he knew from his unit were going.”
Rose says the medications commonly prescribed for PTSD are “a mixed bag” in terms of effectiveness. He emphasizes “there is no medication that cures these symptoms, but we have got things that can help people lead better lives, including anti-depressants and anti-psychotics.” To supplement the meds he says “we try to steer people to cognitive therapy counseling.”
A holistic mind-body-spirit approach has worked for Hausman.
“That’s why exercise is important, counseling is important, and you have to supplement it with medication,” he says. “It’s not just a one trick pony, you can’t just throw some meds at someone and expect them to get better, you have to do all those things.”
Rose salutes Hausman and anyone who embraces recovery. “It’s a fairly lengthy process and it involves commitment. It’s not a passive act. Jake’s a testament to people that if you really want to get through it you can.”
Lincoln VA substance abuse counselor Mary Ann Thompson admires him for getting sober and “remaining clean and sober and productive.”
Bojanski sees a new Jake, saying, “He has a much better outlook on life. He’s very proactive.”
More than most, Kendra Hausman appreciates how far her husband’s come: “I’ve seen a lot less anxiety. Overall, he’s more calm, more level-headed, he’s able to handle situations better. He doesn’t get as angry or as worked up about small things like he used to. He easily could have succumbed to all those issues and who knows where he’d be at now but I’m so proud of him for moving forward. He’s very determined. Once he puts his mind to doing something he’ll get it done no matter what. He’ll figure out what he needs to do, just like he did with his school and career.”
Jake himself says, “I’ve come a long ways. Life us so much better.” What he’s realized, he says, is “there are just some things you cannot willpower, you just have to get help from people. I’ve had a lot of good people in my life that have helped me. And that’s what I’ve learned -– you have to ask for help, you have to be willing to get help. The VA is there to help people. They’ve helped me so many times.”
Bojanski says the VA’s more responsive to veterans’ needs today.
“The VA realized we did a lousy job welcoming Vietnam veterans back home, so when this war started we wanted to be proactive and make sure we welcomed our veterans home. We didn’t want them to have a stigma with mental health, we wanted to make sure everything was in place. So we created these clinics (OEF or Operation Enduring Freedom and Operation Iraqi Freedom or OIE) where we work very hard with veterans. It’s very confidential, so not everybody in their unit is going to find out. We have an ER open 24 hours a day.
“It’s not like it used to be when you just had to soldier on or if you reached out for help it wasn’t confidential.”
She says there isn’t as much stigma now about seeking mental health care.
“It’s getting better, we’re still not where we need to be, but I will say the armed forces, the Department of Defense and our population in general are changing their views about that. We also do a lot of outreach, a lot of speaking to communities to make sure people are aware it’s OK to get help.”
Hausman does outreach himself as a way of giving back. He says when he addresses audiences of freshly returned vets he commands their attention.
“They believe in me because I’ve seen it, I’ve done it, and I’m working for the VA. I’m 90 percent service connected, I’ve got a combat infantry badge. Seeing them is like seeing my reflection. I’m motivated to get them right before they take the wrong path. Someone got me over the hump and I want to get them to that point, too. I want to help veterans get the services they need. It’s just so rewarding.”
Jacob,, Kendra and their dog
The War that Never Ends, Moving on with Life
His PTSD still flare-ups now and then.
“Recently I had a little struggle for a while but I didn’t fall back into the past because I’ve got good people in my life today.” He says he has combat veteran friends who still struggle because “they don’t have the support system.”
He accepts the fact he’ll always be dealing with the effects of war.
“There are some things I would change but it’s made me who I am even with all the disabilities and struggles and everything I face. I think through all the suffering I’ve come to know peace. There’s some breaking points where you feel sorry for yourself and you have little pity parties but then again I look around me and see what I have – a great support system, a wonderful wife. It’s made me stronger.”
Finding Kendra, who works as a speech pathologist with the Omaha Public Schools, has been a gift.
“She is the light of my life, she changed my life. Her enthusiasm for life is just breathtaking. She’s smart, beautiful, loving. She’s the greatest teacher in my life. She doesn’t need to understand everything I go through but sometimes I need her to help me get through it.
“I was going through a low point and she said something to me that no one else could say to me without offending me: ‘You got through war, now you can get through this, so suck it up.’ From her that meant a lot. She knows me at that fundamental level to tell me what I need to hear sometimes.
“We’re really good together.”
Flareups or not, Jake’s moving on with life and not looking back.
If you have a concern about a veteran or want more information, call 402-995-4149. The VA’s local crisis hotline is 1-800-273-8255. For the latest findings on PTSD, visit http://www.ptsd.va.gov/aboutface.