Traumatic Brain Injury & Purple Heart

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Questions and Answers

Which of the following is NOT a symptom Matt experiences as a result of his traumatic brain injury (TBI)?

  • Memory loss
  • Difficulty concentrating
  • Increased appetite (correct)
  • Headaches

Why does Matt experience mixed feelings about receiving the Purple Heart?

  • He feels it is an inadequate recognition of his sacrifices.
  • He thinks it should have been awarded to someone else in his unit.
  • He is concerned it will single him out for additional dangerous assignments.
  • He believes he is unworthy of the honor due to unanswered questions about the incident. (correct)

How does Matt's family primarily react to his return home from Iraq?

  • They pressure him to talk about his experiences.
  • They are relieved he is alive, despite struggling to fully understand his experience. (correct)
  • They are curious about his daily life in Iraq.
  • They focus on planning a welcome home party.

Why is Matt initially scared when thinking about Ali?

<p>He begins to suspect that he may have been involved in Ali's death. (C)</p> Signup and view all the answers

What does Justin mean when he calls the Green Zone 'America on the Tigris'?

<p>It is a safe haven with familiar amenities, separate from the war's realities. (B)</p> Signup and view all the answers

How does Matt initially react to Caroline's letter, and what does this reveal about his state of mind?

<p>He is hurt because she acts distantly, reinforcing his sense of isolation. (B)</p> Signup and view all the answers

Why is Matt hesitant to fully disclose his feelings and doubts to Dr. Kwong?

<p>He fears being perceived as weak or unfit for duty. (D)</p> Signup and view all the answers

What prompts Matt to begin questioning the details of Justin's account of the incident in the alley?

<p>He notices inconsistencies as his own memories slowly return. (A)</p> Signup and view all the answers

Why might the military leadership prefer to avoid a full investigation into the events of the alley incident?

<p>To maintain a positive public image and prevent scrutiny. (D)</p> Signup and view all the answers

Why does Matt feel terrible after Lieutenant Brody dismisses Ali's death as 'collateral damage'?

<p>He sees Ali as a child he knew, not just an unavoidable loss. (D)</p> Signup and view all the answers

Flashcards

Traumatic Brain Injury Symptoms

Loss of memory, confusion and difficulty concentrating are common.

Matt's feelings about the Purple Heart

Mixed feelings because he is uncertain if he truly deserves it and struggles with guilt.

The Green Zone

A heavily fortified area in Baghdad where U.S. military and government officials operate.

Matt's reaction to Caroline's letter

Feelings of hurt and disconnection because life at home moves on without him.

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Memory triggers of the incident

Small details, conversations, and dreams trigger memories of the incident.

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Why Matt hides his feelings

He fears being seen as weak or unfit for duty like pressure many soldiers feel.

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Collateral damage meaning

Highlighting how the military sometimes sees civilian deaths as an unavoidable.

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How Charlene is treated

The other soldiers mock her because they don't take her seriously.

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Matt's discovery in the alley

He feels shocked because it means Ali was helping the enemy. Ali was a spotter for insurgents.

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Matt's reaction to Justin's confession

Matt feels betrayed by Justin for keeping the truth from him.

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Study Notes

  • Matt suffers from Traumatic Brain Injury.
  • He experiences memory loss, confusion, headaches, dizziness, and difficulty concentrating after the injury.
  • Matt is unable to recall the events that led to his injury.

Matt's Feelings about the Purple Heart

  • He has mixed feelings about receiving the Purple Heart.
  • The Purple Heart is meant to honor his service and sacrifice.
  • Matt feels uncertain about whether he truly deserves the award.
  • He struggles with guilt and has unanswered questions about the incident that led to his injury.

Justin's Character and Friendship with Matt

  • Justin is a young soldier and one of Matt's closest friends.
  • Matt and Justin bonded over their shared experiences in the war specifically a mission where their unit was attacked where Matt was hurt.
  • Justin tells Matt that he was injured during a mission when their unit was attacked.

Matt's Family and Motivation

  • Matt's family is supportive but struggles to understand what he is going through in Iraq.
  • They are relieved that he is alive but do not fully grasp the mental and emotional impact of his experiences.
  • Matt is in Iraq because he enlisted as a soldier, likely motivated by duty, patriotism, or personal reasons.

Ali and Matt's Fear

  • Ali is an Iraqi boy whom Matt befriended before his injury.
  • Matt is scared when he thinks about Ali because he begins to suspect that Ali may have been involved in his death.
  • As his memories return, he is haunted by guilt and uncertainty about what really happened.

The Green Zone

  • The hospital is located in the Green Zone
  • The Green Zone is a heavily fortified area in Baghdad where U.S. military and government officials operate.
  • The Green Zone is relatively safe compared to the rest of the war-torn city.
  • The Green Zone is also called “America on the Tigris” because it is like a miniature version of the U.S., complete with familiar food, entertainment, and security
  • The name “America on the Tigris" makes it feel separate from the realities of war outside its borders.

Matt's Reaction to Caroline's Letter

  • Matt feels hurt and disconnected after reading Caroline's letter.
  • Caroline is distant, making it clear that life back home is moving on without him.
  • It reinforces Matt's sense of isolation and the feeling that people who haven't experienced war can't truly understand what he's going through.

Matt's Memory of the Alley Incident

  • Matt's memories are triggered by small details, conversations, and dreams.
  • Over time, he remembers the incident in the alley involved a firefight and that Ali, the young Iraqi boy, was killed.
  • He struggles to comes to the painful realization that he may have played a role in Ali's death.

Matt's Reluctance to confide in Dr. Kwong

  • Matt does not fully open up to Dr. Kwong because he fears the consequences of admitting his doubts and trauma.
  • He worries he might be seen as weak or unfit for duty if he tells the truth.
  • He internalizes the pressure to act tough and suppress his emotions like many soldiers do.

Francis's Impact on Matt

  • Francis is hospitalized for injuries from combat.
  • Francis's story makes Matt reflect on his own situation and the randomness of survival in war.
  • Matt begins to question what really happened to him and whether his injury and Ali's death were avoidable.

Matt's Doubts about Justin's Story

  • As Matt's memory slowly returns, he notices inconsistencies in Justin's version of events.
  • Justin's account doesn't fully align with what Matt begins to remember.
  • It makes him question whether Justin is hiding something or altering the truth to protect himself or Matt.

The Meeting in Lieutenant Colonel Fuchs's Office

  • Lieutenant Colonel Fuchs discusses Matt's injury and his return to duty.
  • There seems to be underlying tension, with certain aspects of the incident in the alley are either avoided or downplayed.
  • The conversation suggests that the military may prefer to keep things quiet rather than fully investigating what happened.
  • Leaving Matt feeling uneasy and conflicted.

Interview in Lieutenant Brody's Office

  • Lieutenant Brody questions Matt about the alley incident.
  • Brody refers to Ali's death as "collateral damage" which means an unintended but acceptable loss in war.
  • Matt feels terrible because Ali wasn't just an accident — he was a child Matt personally knew.
  • This highlights how the military sees civilian deaths as unavoidable, while Matt sees it as a personal tragedy.

Matt's Anger and Meaghan's Salute

  • Matt is initially angry at Meaghan because she and Dr. Kwong approved his return to duty, even though he still feels mentally unfit.
  • He thinks she doesn't care about him.
  • Later he realizes she was just doing her job.
  • Meaghan salutes Matt as a sign of respect, even though privates don't usually get saluted.
  • This salute acknowledges his struggles and sacrifices.

Matt's Readiness

  • Matt is not truly ready to return.
  • He still struggles with guilt, PTSD, and confusion about what happened in the alley.
  • He reacts with frustration and doubt, but ultimately accepts the decision since he feels he has no choice.
  • This shows how soldiers are often sent back to war, even if they are not mentally prepared.

Why Matt Gives the Purple Heart Away

  • The Purple Heart is supposed to be a symbol of bravery and sacrifice, but Matt doesn't feel like a hero.
  • He feels guilty about Ali's death and believes he doesn't deserve the medal.
  • By giving the Purple Heart to Father Brennan, Matt is rejecting the idea that he should be honored for what happened.

Matt's Return to his Squad

  • When Matt returns, his squad treats him differently.
  • They joke with him but it feels forced.
  • He feels like an outsider as if he no longer belongs.
  • Justin acts cold and distant, avoiding Matt.
  • This behavior might be because Justin is hiding something most likely the truth about Ali's death.

Introduction of Charlene

  • Charlene is a new female soldier assigned to the squad.
  • The male soldiers mock and disrespect her because they don't take her seriously.
  • Matt realizes she is tough and capable.
  • Matt respects Charlene more than the others do.
  • Highlights sexism in the military and the extra struggles female soldiers face.

Matt's Return to the Alley

  • Matt returns to the alley because he wants to remember the truth about what happened.
  • He discovers that Ali was actually a spotter for insurgents.
  • This shocks him because it means Ali was helping the enemy.
  • However, this does not erase Matt's guilt and he sees Ali as a kid caught in a terrible situation.

The Squad and the Movie Rambo

  • The soldiers use Rambo as a way to escape the reality of war.
  • The movie glorifies violence and makes war seem heroic.
  • However, Matt realizes that real war is nothing like the movies.
  • This contrast shows how soldiers cope with war by pretending it's a game while Matt now sees the dark truth.

Justin's Delay in Revealing the Truth

  • Justin is afraid of how Matt will react.
  • He does not want to admit that Ali was working with the enemy.
  • Justin also feels guilty for keeping the truth from Matt.
  • When Justin is wounded, he finally confesses suggesting he can't hold it in any longer because he fears dying with the secret.
  • Matt is shocked and furious and feels like he was betrayed by Justin for keeping the truth from him.

Reflections on Ali's Actions

  • Ali became a spotter because he had no choice.
  • In war, children are often forced into dangerous roles.
  • Matt does not regret being friends with Ali because he realizes that Ali was just trying to survive.
  • This makes Matt understand that war is not about good guys and bad guys it is about survival.

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