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It's a helicopter ride 70 kilometers southeast of Kabul and you enter a forbidding terrain once dubbed the gates of sheep Lugar province on the border with Pakistan this is Taliban we land at a Forward Operating Base delivered to the very personal confronting of America's Generation Y most of those now fighting and dying here we're still in the school of George Bush declared war on terror nearly nine long years ago the Obama administration has ordered a huge troop surge to finally defeat the Taliban but more boots on the ground means more casualties I don't take my wife for granted because that surrounds me it's trauma in its head as they fight to save lives in this deadly combat it's a personal conflict it's emotional conflict that's you know trying to keep people alive we joined the US Army medevac crews doctors and nurses engage in what can be a dangerous and parylene task welcome to mash 2021 this is the canvas and climate world of the 8th forward surgical team leading a small group of doctors nurses and medics our surgeons Matt Heyman and Brian Hill so this isn't my first rodeo I've done this before I've you know worked at major trauma centers I've trained in Los Angeles County Hospital which is a major place of trauma and it's not that it doesn't affect you it's just you learn to cope and you learn to distance yourself and you have to be passionate to make these people get better but you also have to have a bad memory from that Heymann the army is his life he joined at 17 and has spent 16 years training as an officer and surgeon to be here and business is brisk we've been the busiest port surgical team not just in Afghanistan but in Iraq and Afghanistan in just 10 months a small tent at a hospital has received a staggering 600 trauma cases it's designed to do damage control surgery which means save someone's life so that they can get further in the evacuation system to get definitive surgery it's about to get much busier the surge will soon push us and coalition troopers beyond 150,000 their orders to take the fight to the Taliban at first they've got to secure the deadly roads riddled with improvised explosive devices or IEDs the barely a stone's throw away from the operating theater over here more patrols and convoys are preparing to head out in their huge EM wraps mine-resistant patrol vehicles it's now midwinter in Afghanistan and this is usually a time when there's a traditional lull in the fighting brought about by the bitterly cold weather this time last year there was a meter of snow here but not this year it's unseasonally warm and that means the Taliban are still out there laying IEDs setting ambushes and for these guys that means more casualties and when you get that call you hear medevac you're not.