Whistleblowers say military doctors and VA have overprescribed powerful narcotics for more than a decade. An Eyewitness News investigation shows thousands of US soldiers, airmen, sailors and Marines survived the wars in Iraq and Afghanistan only to be ambushed back home by an unexpected enemy. Military records and independent studies obtained by 13 Investigates show many returning veterans received staggering amounts of powerful narcotics to treat their physical and emotional wounds. Veterans and military insiders are now coming forward to expose the Department of Veteran’s Affairs’ flawed and dangerous pain management program. They insist that program accidentally killed returning servicemen and destroyed thousands of lives.
INDIANAPOLIS - As a boy growing up in southern Indiana, Jeremy Brooking knew he wanted to serve his country.
“Ever since I was little, I knew that's what I wanted to do. I wanted to be a Marine,” he says. “Becoming a Marine, it was a dream come true.”
That dream was cut short by an Iraqi sniper.
Barely a year after his graduation from Mitchell High School, the new Marine was on patrol in Fallujah. Brooking was looking for signs of trouble – insurgents planting road-side explosives or suicide bombers – when his observation post came under attack.
“I just heard this pop and flew backwards. I knew I was shot,” he told WTHR, looking down towards his chest.
A single armor-piercing round penetrated Brooking's bullet-proof vest and lodged between his heart and his spine. As medics rushed him to surgery, fellow Marines placed an urgent phone call to Brooking’s wife and then handed the phone to Jeremy for what was characterized as a final phone call.
“They told me it was really bad,” recalls Tia Brooking, unable to hold back tears. “I remember telling him I love him, but I didn't want him to know I knew he probably wasn’t going to make it.”
He did make it. Despite being pronounced dead twice before surgery, despite suffering a brain injury due to massive blood loss, despite having a bullet lodged millimeters from his heart that doctors believed to be too dangerous to remove, the 19-year-old Marine survived the sniper attack and was sent to Camp Lejeune, NC, to recover.
That's when Brooking discovered a new enemy the military hadn’t discussed with him.
“Getting shot was just the beginning. After I got home, that's when the real battle began,” he said.
1 Veteran + 1 Year = 15,000 Pills
The battle Brooking is talking about is an addiction to pain killers. Military doctors prescribed him 22 different medications -- many of them powerful narcotics like Oxycontin and Hydrocodone -- to numb his chest pain. A VA hospital gave Brooking 43 pills a day. That’s nearly 1,300 pills a month. More than 15,000 pills a year. A 1-month supply of medication filled a plastic grocery bag.
“I lost three years of my life where I barely remember anything,” he said. “I'd sleep 23 out of 24 hours of the day because of those pills. It destroyed our family. It really destroyed me.”
Tia Brooking saw her childhood sweetheart turn into a different person. He rarely talked. He could barely walk. He fell asleep while eating cereal.
When she complained to doctors at the VA hospital and asked for a different pain treatment, she received bad news.
“The doctor said 'Your husband is never going to get better. This is how he's always going to be.' And I said 'What can I do?' And he said 'I can write you any prescription you want. Tell me what you want, and I'll write it.' He said 'I'm in the business of writing prescriptions.' I remember him saying that, and I said 'I don't want prescriptions. I want him to get better,” she recalls, shaking her head. “It was horrible. Sometimes … when I got home, I thought he was going to be dead.”
At the Roudebush VA Medical Center in Indianapolis, the number of prescriptions issued for both hydrocodone and morphine jumped more than 400% in the decade following 9-11. The dramatic increase, documented by The Center for Investigative Reporting, far outpaced the VA’s center’s 43% increase in patients during the same time period.
The jump is even bigger at the VA system in Marion, Ind. The number of prescriptions written for hydrocodone climbed 639% and morphine prescriptions skyrocketed 1,252% between 2001 and 2012. During that time, the number of patients at the Marion VA increased 63%, according to CIR’s analysis.
It's a similar story at VA facilities all over the country, and Dr. Pamela Gray saw it firsthand.
“This is inexcusable, it really is,” she said.
Gray was a doctor at the VA Medical Center in Hampton, Va., from 2008 to 2010.
“The patients that I came across, it was not at all unusual to get 1,000, 2,000, 3,000 tablets per 30 days,” she said. “These were excessive amounts, often mailed to the patient’s home and the patient didn't even have to come in for a visit. This is gross malpractice.”
Gray remembers the VA issuing a prescription for painkillers to a veteran who, just 48 hours earlier, had been released from the VA emergency room after she attempted to commit suicide by overdosing on the exact same medication.
“Doctors were told ‘Give the patient what [they] want,’ and when I questioned that, I was met with resistance,” Gray told 13 Investigates.
Gray recommended new policies to reduce the amount of narcotics prescribed at the VA and to wean patients off opioids in favor of alternative pain treatments. When her supervisors repeatedly balked at those suggestions, the doctor turned whistleblower. She shared her eyewitness accounts with state and federal lawmakers.
The VA eventually fired Gray after she publicly complained about its policies for prescribing pain medication. The doctor believes the VA medical system is still entrenched in a culture that relies too heavily on treating pain with narcotics.
“I don't care how entrenched it is. It doesn't give you the right to kill people under the guise of medicine,” she says.
Rising death toll
13 Investigates has discovered narcotics overdoses have been killing veterans at an alarming rate.
In Indiana alone, an average of 24 Hoosier veterans died each year from 2008 to 2011 because of opioid-related overdoses. Nationwide, the death toll is much higher.
“It's such a terrible loss to lose a child. It's a part of your heart that is cut out and gone forever,” said Judy Pilgrim.
Pilgrim’s son, Lance, is among those veterans who survived a foreign war, then later died from an overdose of pain medication back home.
“We never thought about the battle going on after he got back from the war. We felt like once he got back here safe, he was OK,” she said.
Lance Pilgrim was deployed to Iraq in 2003 as a rocket launch specialist in the U.S. Army. He returned to Daingerfield, Tex., with no physical injuries. But he had terrible nightmares about the horrors he experienced during his deployment.
“He was very quiet and withdrawn. I had never seen him like that,” said his father, Randy. “He was really struggling but he didn’t want to really talk about it.”
Like many soldiers returning from Iraq, Pilgrim was suffering from severe emotional pain. When he later broke a finger playing football at Fort Sill, Okla., no one understood the significance of what was about to happen.
Army doctors prescribed Pilgrim Oxycontin and Oxycodone for his finger pain, and a downward spiral followed. The opioids helped Pilgrim numb his debilitating depression and anxiety triggered by Post Traumatic Stress Disorder.
“It was a seriously addictive painkiller, and I was shocked they'd give it to him for a broken finger,” his father said. “They also gave him Hydrocodone for a root canal. He got hooked on pills after that. At one particular time, he called me on a cell phone, and I picked my son up sleeping in a dumpster. That’s how serious it had gotten.”
Lance began going AWOL from his army post and, upon the advice of his parents, finally reached out for help.
“He went to his commanding officer and said ‘I have a problem,’ and he was told 'You do not have a problem. Go back to the barracks,' his mother said.
Pilgrim eventually got into to a VA treatment program for PTSD. But doctors there prescribed him even more narcotics – even though his medical chart warned he had battled opioid addiction. Just days later, a few miles from his childhood home, the young veteran was found dead inside a motel room. The official cause of death: accidental drug overdose from too much Methadone and Hydrocodone.
The Department of Veterans Affairs is aware of the many overdose deaths that have occurred nationwide involving veterans addicted to narcotics.
“We acknowledge it’s a significant problem. Any person who dies from overdose of prescription opiod use is too much,” said Dr. Matt Bair, a pain management doctor at the Roudebush VA Medical Center in Indianapolis. “There has been an over-reliance on medication therapy… and these increased rates of prescription use have been done with the absence of new research showing this is a good thing.”
Bair says the VA realizes it now needs to reduce the high levels of narcotics dispensed to veterans – especially those suffering from PTSD and other psychological disorders.
“We've learned that [opioids] may be harming some patients and that may not be the most safe and effective approach,” he told WTHR.
Victims’ families say they’ve known that for years, and veterans like Jeremy Brooking have simply given up on the VA's pain program.
He's now seeing a private doctor who's helped the Marine stop taking opioids all together.
“For some reason, pain management became associated with just prescribing narcotics,” said Carmel pain specialist Dr. Dmitri Arbuck, who’s been treating Brooking since 2012. “That should really be stopped. It’s the wrong practice and there are so many other options.”
Brooking admits he still struggles daily with the aftermath of his injuries, but says “I’ve got my life back” after breaking free from his addiction to opioids.
He knows other servicemen are not as lucky. Brooking recently lost a close friend – another fellow Marine – who overdosed on pain medication prescribed by a VA hospital.
“I don’t know why we’re still doing this, why this is still happening,” he said. “More veterans are dying here at home by these narcotics than are dying overseas, and that's not right.”
Since WTHR began this investigation, the Department of Veterans Affairs has announced significant changes to its pain management policy. Friday night at 11:00, 13 Investigates will show what's now happening to help veterans end their addiction to narcotics – and whether it’s working.