In this episode of the Jocko Podcast, Army combat medic Rob Black shares his experiences serving in Ramadi during the Iraq invasion. Black describes his journey from high school graduate to military medic, his time providing support to Seal Team 3's Task Unit Bruiser, and the challenges his unit faced in a territory largely controlled by enemy forces.
The conversation covers Black's transition back to civilian life and his struggles with PTSD, depression, and substance abuse following his deployment. Black discusses how he sought professional help and found ways to manage his mental health, and explains his current work as a firefighter and paramedic, where he applies his military medical training while teaching the next generation of emergency responders at a local community college.
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After graduating high school in 2003, Rob Black joined the Army as a medic, inspired by "Saving Private Ryan" and conversations with his Vietnam veteran uncle. Following intensive training at Fort Sam Houston, he was assigned to a reconnaissance troop in Ramadi during the Iraq invasion.
In Ramadi, Rob's troop operated on the city's edges, where enemy forces controlled roughly 75% of the territory. They faced daily mortar attacks and intense combat situations. Rob recalls particularly tragic moments, including the loss of Sergeants Story and Best to an IED near the university. His unit also provided crucial support to Seal Team 3's Task Unit Bruiser, serving as overwatch and quick reaction forces during their missions.
Rob describes the profound psychological impact of combat, noting that approximately one in three soldiers in his unit received Purple Hearts. The constant exposure to danger and loss of fellow soldiers led to significant mental health challenges. Upon returning to civilian life, Rob struggled with the abrupt transition, which occurred just six weeks after leaving the combat zone. He initially found work with an ambulance service, using his EMT credentials from his military training.
Rob's post-deployment struggles included severe PTSD, depression, and suicidal thoughts. After attempting to self-medicate with alcohol, Rob sought professional help following a serious overdose attempt. He underwent 30 days of inpatient treatment in Utah, where he participated in various therapies, including EMDR. Today, Rob manages his mental health through therapy, meditation, and medication, while actively working to destigmatize mental health issues among veterans and first responders.
Now serving as an engineer in the Moreno Valley fire service, Rob applies his military medical training to his work as a firefighter and paramedic. He champions aggressive, proactive firefighting tactics and serves as an adjunct faculty member at a local community college, where he teaches aspiring firefighters and paramedics. Rob combines his practical experience with classroom instruction to mentor the next generation of emergency responders.
1-Page Summary
Rob Black's journey from a normal life in Orange County to a high-stakes role as an Army medic in the midst of the Iraq War's fierce battles is one of transformation and intense experiences.
Rob Black graduated from high school in June of 2003, around the time the Iraq invasion began in March of that year. Influenced by talks with his uncle, a Vietnam War veteran who suggested it was Rob's time to serve, and inspired by wartime films like "Saving Private Ryan," Rob forwent his mother's offer to pay for college and instead joined the military.
After deciding to join the Army only two weeks after his high school graduation, Rob became a medic following 16 weeks of intensive training at Fort Sam Houston, Texas. The first half of his training was focused on meeting national EMT standards, and the second half turned him into a "trauma machine" for military medicine. Later, he would find himself in Friedberg, Germany, assigned to the 501st Forward Support Battalion before deployment because the brigade reconnaissance troop he would join did not yet have a medic.
Rob's transition into the reconnaissance troop was challenging as he needed to quickly adapt to the higher discipline and soldiering skills required. Despite starting with limited knowledge of the role of a Cavalry scout, he learned on the job and through training, becoming an integral team member. In the field, Rob experienced the fierce realities of war in Ramadi, where his troop was stationed on the edges of a city largely controlled by the enemy. Daily mortar attacks were common, and the threat of violence was a constant.
He recounts harrowing instances, such as a nighttime operation when Soldier Dietrich was shot. Rob's response required quick action and clear decision-making under pressure. As they provided aid in the hostile environment of a nearly enemy-occupied Ramadi, the reality of the situation was stark—Rob's brigade's hold was limited to the outskirts of the city, where missions to check arms trafficking were conducted amidst sporadic mortar attacks.
A particularly tragic moment unfolded near the university in Ramadi when White Platoon was hit by an IED, which resulted in the loss of Sergeant Story and Sergeant Best. In a poignant description of the aftermath, Rob details retrieving bodies and providing immediate medical attention amidst chaos and danger.
During his deployment, Rob's troop not only executed their specialized conventional roles but als ...
Rob Black's Role as Army Medic in Ramadi
Rob Black recounts his harrowing experiences in combat and the profound mental health issues that followed, including survivor's guilt and the challenges of returning to civilian life.
Rob Black's account of combat paints a vivid picture of the constant dangers faced by his unit. He recalled moments of sheer terror, such as when he was shot at while standing on a wall at COP Grant. The experience of being in a firefight was life-altering, and while at first the encounters were shocking, he later became accustomed to the sounds of enemy fire and could gauge the severity of the threat. Combat situations often felt like "a shit show," as the enemy would shoot from hidden locations and immediately flee, making it hard to identify and counter the threat.
The emotional toll on Rob's unit escalated with each mission, especially during an extension period after they had already faced significant combat and lost friends. With a high casualty rate, where he believes one out of every three soldiers received a Purple Heart, every mission became more burdensome, reinforcing the persistent stress and trauma of daily combat experiences. The environment was brutal, reinforcing the notion that nothing can fully prepare someone for the harsh reality of watching friends die in combat.
Rob's personal accounts of combat move beyond the physical dangers to the emotional and psychological burdens carried after action. The survivor's guilt manifested in various ways. He questioned his own actions and what he could have done differently to detect signs of the IED that took the lives of his friends. Reflecting on his last interaction with Sergeant Quick and pondering why he couldn't save others like Dietrich brought immense emotional strain. Rob experiences a cycle of self-loathing, feeling the toxic impact of constantly questioning if different actions could have saved his fellow soldiers.
The weight of these losses leads Rob to question his place in the war and his overall purpose, affecting his mental health profoundly. He expresses feelings of wishing he had died instead of his comrades and battles with sadness and depression when thinking of t ...
Psychological and Emotional Impact of Combat and Loss
The recounting of Rob Black’s experiences post-deployment uncovers his journey through PTSD, depression, suicidal thoughts, and the eventual path toward healing and advocacy.
Rob Black experienced significant mental health challenges upon his return from deployment. He grappled with PTSD symptoms, including hypervigilance, flashbacks, and insomnia. An intense reaction to the smell of a burning vehicle would catapult him back to Iraq, a clear indication of PTSD flashbacks triggered by sensory stimuli. Black shared that sometimes he wakes up sad, malaise that's a part of his depression, spiraling into self-loathing.
Rob also commented on the mental and emotional difficulties faced by combat veterans as they try to convey the gravity of their experiences, and Jocko Willink, along with Rob, understood the struggle to communicate these intense experiences.
Initially, Rob Black attempted to manage his mental turmoil through alcohol, drinking excessively to blackout and escape his self-loathing. However, his wife's intervention and the realities of his condition led to his realization that professional help was necessary. After wrestling with the decision, fearing the imposition of his absence on his family, and confronting his own reluctance to ask for assistance, he acknowledges a need for treatment after a serious incident involving an overdose attempt with gaba pentin, [restricted term], and vodka.
Upon undergoing 30 days of inpatient treatment in Utah, Rob was involved in therapies, including EMDR, which helped him address childhood trauma as well as abandonment issues beyond his experiences in Iraq. His wife joined him for therapeutic sessions during his treatment, and together they strengthened their relationship through open communication.
Post-treatment, Rob confronts his mental health challenges head-on, learning to question negative thoughts and check the reality behind them. He identifies Therapy as vital in teaching him to diminish the validity of his self-critical thoughts.
Following his recovery, Rob embraces therapy, meditation, and effective coping mechanisms to manage his mental health. He uses meditation, such as listening to Native American flutes, to ground himself and challenge his negative thoughts. Rob sees a therapist regularly and uses prescribed medication responsibly, communicating openly with doctors about his "down days."
Understanding t ...
Rob's Battle With Ptsd, Depression, and Suicidal Thoughts Post-Return
Rob Black, a former army medic, now serves as an engineer in the Moreno Valley fire service, where he applies his medical and operational skills, mentors new recruits, and teaches aspiring firefighters and paramedics.
After his service in the army, Rob Black became a firefighter and a paramedic in California. He found his medical training from the military beneficial for trauma-related aspects on the field. However, he had to learn how to manage non-trauma medical issues, such as chest pains and diabetic seizures. He appreciated the randomness of his duties, which he likens to the unpredictability he enjoyed in firefighting. Rob also got into the “dorky stuff” like paramedicine, which he still loves.
Not only did Rob adapt his medical skills to firefighting, but he also thrived on the structured yet dynamic work schedule, which seems to be undergoing evolution for better work-life balance. His ability to cope with an unpredictable schedule aids him in his position, where duties vary widely.
He is organized and enjoys creating training materials, which he uses in leading training sessions for new firefighters. Rob also shares his enthusiasm and knowledge with those aspiring to enter the fire and emergency medical services, indicating his mentorship role.
Rob Black champions aggressive, proactive firefighting and emergency response, favoring an aggressive search-first tactic upon arriving at structure fires. He fosters a culture of proactive firefighting, which includes tactics like horizontal ventilation and a coordinated attack, stressing the need for teamwork and rapid, coordinated action.
Rob's firefighting philosophy emphasizes aggressive action, which he applies in both firefighting and paramedicine. He acknowledges that departments have shifted from a reactive to a more proactive approach, which he supports fully. In his view, firefighters should prioritize victim rescue and embody a search-first mentality, aggressively tackling fires while maintaining coordination and communication.
Rob encourages interior attacks and efficient fire management tactics. He finds the constant demand for quick, coordinated efforts to be a fulfilling aspect of his job. He notes that the schedule can be challenging, but believes in the importance of a cohesive team response to ...
Rob's Fire Service Work and Mentoring of Younger First Responders
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