Skip main navigation

Military Health System

Clear Your Browser Cache

This website has recently undergone changes. Users finding unexpected concerns may care to clear their browser's cache to ensure a seamless experience.

For Many Wounded Warriors, Not All Damage is Visible or Combat-Related

Image of A picture of Alex and Allison Pate. Alex and Allison Pate are pictured shortly after Alex’s cancer diagnosis in 2017 (Photo courtesy of Alex and Allison Pate).

Alex and Allison Pate have known each other since they were teenagers. Alex joined the Air Force after high school and the couple married shortly thereafter. Alex is now a retired staff sergeant, and the Pates currently live on a farm in the same rural southwestern Missouri town of Forsyth where they both grew up.

What makes them unique is that their journey back to home, while it may feel like a lifetime of experiences for the young couple, has actually only taken a little less than five years.

Alex is a 'wounded warrior,' but he never saw combat in his military career. His battle was against cancer and the toll that the subsequent treatment took on his body. He is a stark reminder that not all wounded warriors suffered their injuries in combat operations.

"About two years into his service, he was diagnosed with cancer," said Allison, who now serves as her husband's 'informal' caregiver. "He was having problems when he was doing PT and getting really fatigued and finally went and got things checked out."

At the time, she was 19 and he was 22.

Alex learned that his testicular cancer had already spread to his chest and abdomen, and required immediate intervention.

"They went ahead and, within the week, removed one of his testicles and had a port [for the administration of medication and fluids] put in. They also did some scans and realized they needed to start chemotherapy the following week," Allison said.

"His chemo schedule was very intense. He had five days of eight-hour sessions the first week and every week it would start over again."

The physical effects of Alex's treatment were almost immediate. The emotional effects would come later.

"We basically lived in the hospital and, within the first two months, he had lost 60 to 80 pounds. He couldn't keep a drink of water down, let alone food. It was very scary," Allison recalled.

After about six weeks of recovery following his final chemotherapy treatment, Alex returned to active duty.

"When he got back to work, they gave him light duties to get started, but the anxiety and depression due to being in a small room with no more than two or three people throughout chemo was taking over him," said Allison. "He just wasn't himself anymore. We were young and we wanted to act like it, to be excited. I had never seen him like this and we kind of shut down."

They were told that what he was going through was "normal" for a cancer patient and that the anxiety and depression would slowly go away.

"We were told that he would be the old Alex. He'll be athletic. He'll want to be outside. He hunts, he fishes, he'll be a 'man's man' - he loves to work," she said. "That wasn't Alex anymore. He would come home from work and sleep for 15 or 16 hours. He didn't have any drive and he didn't want to do anything anymore."

The chemotherapy had taken its toll, especially on his knees and back.

"He had no muscle carrying him when he lost all of that weight."

Air Force Wounded Warrior volleyball practice session Alex Pate serves a volleyball during an Air Force Wounded Warrior practice session at Scott Air Force Base, Illinois, in August of 2019 (Photo by Senior Airman Greg Erwin, 375th Air Mobility Wing Public Affairs).

"The old Alex" wasn't returning and, as a vehicle operator, he was expected to use heavy equipment, including operating tow trucks and rigs, as well as performing maintenance.

"His body was the main thing he used for his job, and he wasn't able to do those things anymore," Allison said.

Alex faced skepticism within his command. After fighting off cancer, they expected him to return to being "young and healthy" again, physically and mentally. This was not the case.

"He was treated like: 'You got through it - move on.'"

Two years of physical therapy couldn't fix the degenerated and bulging disks in his back. She recounts a medical visit to Louisiana State University's Surgery Center: "They walked in and opened his file and said, "Oh, this has to be the 80-year-old man next door. We're sorry. We must have mixed your X-rays up,""

But that was his X-ray at age 23, she said.

Even though his wounds aren't immediately visible, Allison says she and her husband are still able to identify with wounded warriors who have suffered injuries both inside and outside of combat.

"We don't ever compare our story to other people, who may have been injured in combat, because there's no two people who are going to be alike. But we can find common denominators and connect with people and be there for each other in the ways that we know how to."

Allison said she and Alex really found their support network when he became a part of the Air Force Wounded Warrior Program, or AFW2.

"That's where he found people that fully believed him and fully listened to what was going on. We still consider some of the people we've met through AFW2 as family," she said. "I have a notebook full of people that I can call at any time, when I might be doubting myself."

Looking back, Allison credits an unnamed Air Force psychiatrist at Barksdale Air Force Base in Louisiana - the Pates' one and only duty station - as being one of Alex's biggest advocates on the road that would eventually lead to him being medically retired.

"He is the main reason Alex was able to get out the way he did. A lot of people couldn't connect the dots - why his anxiety wasn't getting better; why his depression wasn't getting better; why his body was still so deteriorated," she said.

"That psychiatrist believed him from day one. That single person made him feel seen, heard and appreciated."

The telehealth technology that has expanded since the COVID-19 pandemic also helped lessen Alex's previous anxiety about attending in-person appointments.

"Alex will do things privately as much as he can," said Allison. "Being able to go online and book a doctor's appointment on the computer, doing therapy appointments at home - stuff like that has helped with his anxiety more than anything."

Testicular cancer is most common among males between the ages 15 and 34. It can be detected early through screenings both at home and by a doctor; recovery rates are very high among those who identify it early.

Alex has remained cancer-free since he left the Air Force. The Pates now have two children, ages one and two. Alex now works part-time as a tow truck driver, while Allison is a stay-at-home mom and caregiver.

You also may be interested in...

Article Around MHS
Jan 11, 2024

How the U.S. Army Outfits Wounded Soldiers for Life After Recovery

Adaptive sports equipment, such as wheelchairs for rugby and basketball, are just a portion of the supply chain that soldiers in recovery use to thrive into their future as they overcome a wound, injury, or illness. (Photo by Mary Therese Griffin/Army Recovery Care Program)

There are many moving parts to the Army Recovery Care Program, not the least of which is adaptive reconditioning. This includes equipment and logistics for soldiers who want to recover and overcome their wounds, injury, or illness. “Part of our job is to help coaches, logistics folks, etc., work together to ensure our units and soldiers have the best ...

Article Around MHS
Dec 8, 2023

Are You Injury Prone?

Injuries are usually preventable in some way – they are rarely completely unavoidable accidents.  (graphic: Defense Public Health)

Do you know how many injuries you have had? Are there actions you can take to reduce your injury risk? Learn how to asses your injury susceptibility and the changes to reduce your injury risk and improve your physical performance.

Article Around MHS
Dec 4, 2023

Fort Campbell Soldiers' Innovation Helps Extremities Rehab for Injured Service Members

Commanding General, U.S. Army Medical Readiness Command, East, and Director, Defense Health Network East U.S. Army Brig. Gen. Lance Raney tests a simulated M-4 rifle charging handle that attaches to a strength-training machine to simulate real-life tasks for soldiers recovering from traumatic hand and upper extremity injuries. (Photo by Maria Christina Yager/Blanchfield Army Community Hospital)

A simulated M-4 rifle charging handle fashioned by an occupational therapy team at Blanchfield Army Community Hospital and refined by Fort Campbell’s EagleWerx Applied Tactical Innovation Center may gain broader use in other military hospitals and clinics after a senior Defense Health Agency official saw it demonstrated.

Article Around MHS
Nov 29, 2023

Green Beret Teams Up with the US Southern Command Warrior Care Program Care Coalition Competes in Department of Defenses Warrior Games Challenge and International Invictus Games

U.S. Army Sgt. 1st Class Jacob “Jake” Anthony competing in the 2023 Invictus Games held in Dusseldorf, Germany. (Courtesy photo)

Green Beret U.S. Army Sgt. 1st Class Jacob "Jake” Anthony was deployed to Afghanistan in 2005 on a mission to find a target. His team was breaching a door that turned out to be booby-trapped, resulting in an explosion that killed his teammate in front of him. Anthony would take shrapnel to the right frontal lobe to his brain and had to be initially ...

Article Around MHS
Nov 13, 2023

We May be Wounded Warriors, But We Can Still Serve

Retired U.S. Army Staff Sgt Michael Johnson reflects on his time at Yale University through the Warrior Scholarship Program in June 2023. (Photo courtesy Michael Johnson)

Retired U.S. Army Staff Sgt Michael Johnson reflects on his time at the Fort Belvoir Soldier Recovery Unit. “I was at the Fort Belvoir SRU after hurting my leg on deployment in Poland. I had perpetual headaches while recuperating, which led to imaging that showed I had lesions on my brain and, ultimately, the diagnosis of multiple sclerosis.”

Article Around MHS
Aug 23, 2023

Forward Care for the Warfighter: U.S. Army Medical Research and Development Command Talks Battlefield Countermeasures at MHSRS

Soldiers with the U.S. Army Medical Research and Development Command perform a battlefield care scenario during the MRDC 2023 Best Squad Competition at Fort A.P. Hill, Virginia, on April 11, 2023.  (Photo: Danae Johnson)

With time spent on the battlefield being an increasing reality, products to help deliver immediate prolonged care to the Warfighter are now more important than ever. A concept known well by Maj. Zachary Booms, an emergency medicine physician at the Combat Casualty Care Research Team at the U.S. Army Medical Research and Development Command's Institute ...

Article Around MHS
Apr 27, 2023

In the Army Recovery Care Program, You Have One Job

U.S. Army Cpt. Veronica, Jones shoots the ball during the U.S. Army Adaptive Sports Camp at Fort Bragg, North Carolina, on April 1. Over 70 wounded, ill and injured soldiers are training in a series of athletic events including archery, cycling, shooting, sitting volleyball, swimming, powerlifting, track, field, rowing, and wheelchair basketball. This year, the Warrior Games Challenge takes place in June 2023 at Naval Air Station North Island in San Diego, California. (Photo by U.S. Army Pvt. Theron Smith)

In the Army Recovery Care Program, soldiers have one job…to get better. The adaptive sports camp celebrates wounded, ill, and injured soldiers' ability to recover and overcome. The U.S. Army holds qualifying trials for active duty, wounded, ill, or injured soldiers to assess and select athletes for competition in the Warrior Games Challenge.

Article Around MHS
Feb 21, 2023

How One Officer is Chasing Her Dreams

U.S. Navy Lt. Tia Blythe

Her civilian physical therapy job wasn't enough. That's when Tia Laine Blythe decided to take her specialized skills to the military. Follow along with now U.S. Navy Lt. Tia Laine Blythe's military career path that has led to numerous awards, distinctions, and a whole new level of professional satisfaction.

Article Around MHS
Jan 17, 2023

There's No Excuse to Not Be Living Your Full Potential

Military personnel healing in hospital bed

Retired U.S. Army Staff Sgt. Armando Mejia was severely injured due to an explosion and firefight in Mosul, Iraq, in 2004. Staying in a medical hold while recovering, Mejia was eventually one of the first to experience the Army Recovery Care Program when it was stood up as Warrior Care and Transition.

Skip subpage navigation
Refine your search
Last Updated: July 11, 2023
Follow us on Instagram Follow us on LinkedIn Follow us on Facebook Follow us on X Follow us on YouTube Sign up on GovDelivery