Kevin Ash

 

Brother, Son, American Hero

Kevin Ash loved people. Throughout his life he was a team player, a leader, and a protector of others who understood what it was to struggle and to overcome.

He grew up in the small town of Owatonna, Minnesota with his mother Joy Kieffer and his father Daniel Ash and step-mother Gloria Ash, who lived in Austin, Minnesota. Kevin Ash grew up with his two siblings: older sister Erica and younger brother Conner. As a child, Kevin was quiet, but driven, always striving to overcome learning disabilities. He continually pushed himself to accomplish what was needed to move forward.

Kevin found his place in athletics, where he excelled from a young age. He played tennis, ran track, participated in youth intramural wrestling, and played 4 years of high school football.

He was tenacious. Kevin knew what he wanted and how to make it happen. During his senior year of high school, between football and track season, he signed up for the Owatonna Invite open wrestling tournament, even though he hadn’t wrestled since he was nine years old. To everyone’s surprise, including the bewildered high school wrestling coach, Kevin took third place.

With his physical prowess and big heart, Kevin wanted to serve and protect others. He knew that a career in law enforcement and possibly the military was the path for him. He graduated from high school in 2001, and enrolled in the local community college to begin his work toward a law enforcement degree.

His plans changed after 9/11. Kevin regarded the attack on American soil as an attack on our national identity. It was a personal call to action. Such acts of terrorism had no place in the US, the country he loved. He felt called to protect others and immediately decided to enlist in the  Minnesota Army National Guard, where he could be a citizen soldier.

His love for working out, achieving athletic goals, and being part of a team all helped him successfully complete basic training. Kevin never gave anything less than 110% and the Army National Guard gave him the chance to combine his drive and talents with his desire to serve. He was an asset to his unit.

Immediately after completing basic training, Kevin’s unit, the Minnesota Red Bulls, was sent to Kosovo on a police mission. They assisted UN-sanctioned forces in the area. His work included searching houses, confiscating contraband weapons, and locating landmines.

On base, Kevin spent his time laughing, joking, and pulling pranks with his friends. He went to the movies and made frequent contact with his family back in Minnesota, even sharing a picture of a Humvee he somehow got stuck over a gap, balancing on two wheels, 10 feet off the ground. The photo showed he and his comrades standing underneath the truck laughing.

During that first deployment, he was just a 20-year-old guy, out in the world, working hard and enjoying life with his buddies.

When he returned home, he took up martial arts, naturally got his black belt, and started to teach classes.

Things began to change drastically during Kevin’s second deployment to Iraq where he endured the longest deployment allowed for a Minnesota Army National Guard unit: 22 months.

During that time, Kevin was a combat infantryman in Fallujah and was regularly exposed to improvised explosive devices (IEDs). He didn’t share as much about that experience with his family.

But Kevin continued to give 110% to his unit and was recognized for his actions in Iraq, receiving commendations including the Iraq Campaign Medal, the Army Achievement Medal, the Army Good Conduct Medal, National Defense Service Medal, Combat Infantryman Medal, and the Global War on Terrorism Service Medal, adding to his medals from his service in Kosovo.

Kevin truly believed that his service in Operation Iraqi Freedom, Operation Enduring Freedom, and Operation New Dawn was to ensure safety and freedom for everyone, no matter their differences.

When he returned home in 2007, Kevin began fighting a very different battle. He experienced blackouts, dizziness, and symptoms similar to PTSD. He was newly married and his wife had difficulties understanding his mood changes, outbursts, struggles with sleep, night terrors, depression and anxiety. Family members agreed that Kevin had changed after his time in Iraq and encouraged him to seek help through the VA.

While the local VA hospital ascribed his symptoms to PTSD, he fell short of the number required for an official diagnosis. Kevin didn’t want to pursue that line of inquiry anyway because he felt it would have been a black mark on his record and wouldn’t allow him to continue serving in the military or to pursue a career in law enforcement.

Despite difficulties with his memory, Kevin still managed to complete his associate degree in law enforcement in 2009. However, Kevin was unable to secure a position in his desired field. He decided to focus on a military career, earning the rank of Sergeant just prior to his final deployment to Iraq and Kuwait.

Although he was already struggling with symptoms of what we now know was CTE, Kevin volunteered for this deployment because he thought being with his military brothers was the right thing to do.

Several months after reaching Kuwait, Kevin began sending ominous emails saying goodbye to family members, and that he wouldn’t make it back from his deployment. His family worried that he was suicidal and reached out to the military to alert them. Within 24 hours of a phone call by his mother to the Minnesota Chaplin for the Red Bulls, Kevin was evaluated and it was determined that he should be removed from his tour of duty. He was evacuated to Germany, eventually completing his term with the Warrior Transition Unit in El Paso, TX. After receiving psychiatric help for suicidal ideation, anxiety and depression, Kevin was honorably discharged at Fort Bliss in 2012.

Kevin’s struggles continued as he isolated himself from his friends and family. His young wife filed for divorce. He became completely withdrawn, taking a third shift job at a factory that would allow him to work alone.

To help himself cope, Kevin returned to athletics. He began working out, focusing on training to complete in Iron Man event. He started to get into mixed martial arts, and joined a rugby team that seemed to give him a new band of brothers. Slowly, his family thought he was swinging back around to connection, to joy, and to life.

On September 21, 2013, Kevin made an unremarkable tackle in rugby game. The game would mark the beginning of the end of Kevin’s life from CTE. At the time, no one understood how such a routine tackle resulted in such a catastrophic Traumatic Brain Injury. He started breathing erratically, prompting a 911 call, and the first responders called for ambulance transportation. When he arrived at the hospital Kevin’s Glasgow Scale was a 2 (a score of 3 or less indicates the person is totally unresponsive to a set of defined stimuli). The impact on Kevin’s brain was unlike anything the doctors had ever seen, as the neurons throughout Kevin’s entire brain seemed to have sheared away from each other. No one could explain how that hit had caused such a devastating injury.

Kevin was placed in a medically induced coma for two weeks to allow the brain swelling to go down. Kevin experienced continuous seizures as he woke up from the coma.

For two months, he was hospitalized in St. Paul, then moved to the Minneapolis VA hospital for another six months. Kevin was a puzzle to his doctors and therapists who were unable to easily stabilize him and account for such extreme symptoms. He did not respond to treatments in what were typically expected manners. The TBI left Kevin blind, hearing impaired, and with early onset dementia. He was unable to sit or stand on his own, and he struggled to control movements on the right side of his body. The 31-year-old former soldier and athlete was unable to care for himself without assistance and he required constant one-on-one supervision.

Despite his many challenges, Kevin could talk and he often said he felt like he was trapped in a nightmare he couldn’t escape. He said he dreamt in colors and in his dreams he could run, see, and be part of the world again. He could not understand what had happened to him and his life.

Kevin continued to show symptoms that doctors wrote off as anxiety, depression, PTSD, or consequences of the concussion from the rugby tackle. Doctors and therapists never considered that his condition was related to the concussive and nonconcussive IED incidents and combat missions from his deployments. Kevin knew there was something more to his story, but his family struggled to find anyone who would take his whole history into account.

After eight months of hospitalization, Kevin was moved to a group home, where his family insisted that he participate in physical therapy, horse therapy, and contribute by volunteering at a cat rescue. He went to a local fitness center and worked out with a personal trainer secured by his family. His recovery seemed to be going well, but then his rehabilitation progress stopped. His family watched as this young, strong, independent, loving man lost his love of life, his ability to care for himself and he eventually became unable to roll over, sit, walk, or even swallow.

After suffering a fall at his care facility, Kevin’s condition deteriorated rapidly and the medical professionals attributed the decline to “failure to thrive.” He was transferred back to the VA medical hospital in Minneapolis, MN, where he was evaluated, and finally he entered hospice care. Kevin was released from his struggles after just 34 years on this earth when he passed on January 15, 2017.

Since Kevin’s death, his family questioned everything that had happened during Kevin’s deployments, and the final four years of his life. Why had an ordinary rugby tackle resulted in such trauma to his brain? Why had his behavior changed so radically after his second deployment? What was everyone missing?

Their search for answers led them to donate Kevin’s brain to Boston University’s CTE Center where research could provide Kevin with the opportunity to continue to serve and could provide answers for their family.

In July 2017, Dr. Ann McKee called Kevin’s mother and confirmed her suspicions that Kevin’s brain had begun to deteriorate long before the rugby accident. The tackle and subsequent TBI only accelerated his deterioration. Dr. McKee confirmed that Kevin had CTE, likely from the years of concussive impacts to his brain from IED’s and combat. The blow from the rugby tackle was the proverbial final straw.

The last 10 years of Kevin’s life, with all the symptoms that appeared following his first Iraq deployment, started to fall into place. His family is just beginning to understand exactly how much his life and his mind endured. They donated his brain in hopes that through this ultimate sacrifice and service we can start to understand the impact of CTE and diagnose it sooner.


An untitled poem written by Sgt. Kevin Ash

Kevin Ash wrote this poem during one of his tours in Iraq. His mother, Joy, estimates he wrote it around 2006.

Inspired by pain and anger
I continue to force my body to drive on.
This madness inside of me drowns the voices all around me.
Gripped by war, I continue to live on.
Why am I full of this thing inside me?
What is it?
This darkness, this hole that cannot take shape.
I cannot fight its ever-changing shape as it starts to surround me, drinking the light around it.
But even so my feet will not move.
I will not run!
They stay planted in the blood stained ground
Like that of aged oak trees standing against the test time.

Patrick Atkins

I am so grateful to the Concussion Legacy Foundation for this opportunity to share and honor Pat’s life in the Donor Gallery. It is so important to be able to communicate with an audience who understands, believes, and can empathize with the pain of the effects of CTE for all involved. One of the greatest challenges in addition to the pain, as I am sure others can attest to, is having those around you not understand and believe the disease and refuse to be educated about it. They judge your loved one about their bizarre and often damaging behaviors. The person you once knew is no longer there, and misunderstandings, isolation, and judgement abound. The amazing work of the wonderful researchers, doctors, and team members at Boston University, the Concussion Legacy Foundation, and the VA are not only helping prevent future generations from this debilitating disease, but provides comfort and understanding for those family members and friends left behind.

My husband “Pat” was one of six children, born fourth in line, to a loving, hardworking Irish Catholic family in Peoria, Illinois. Pat, who had always been athletic, outgoing, smart, but somewhat of a rebel was perfect for competitive sports. At a young age, according to his siblings, Pat was always on the go, playing neighborhood baseball, memorizing stats, and combing over the newspaper sports’ pages. One of his favorite memories was attending a Chicago White Sox game with his dad. The tickets and trip which they could not have been able to afford was given to Pat by a scout who was impressed by Pat’s knowledge of the games and players he was observing just one afternoon on the bleachers – Pat was ten years old. Pat’s dad nurtured his love of sports and the comradery Pat experienced at his grade school through high school teams were irreplaceable and lasted throughout his lifetime. He loved his teammates and the game of football. His high school teammates from his undefeated Spalding High School team were his best and most loyal friends until Pat passed away in 2019. His high school football success gave Pat the opportunity to be the first in his family to graduate from college when he received a scholarship to the University of Wyoming.

His junior year, Pat transferred to Illinois State University where we literally met on the Redbird football field. I was a cheerleader and he whispered to one of his teammates, “I am going to marry that girl.” He did! He had caught my eye as well, and two years later we were married.

Thus began our life in Peoria, Illinois. After graduation from ISU, I became a special education teacher. Pat worked a couple of jobs until he found his niche as a State Farm Insurance Agent. Pat loved serving people and meeting their needs. He built his business from the ground up. I still remember him making cold calls on a little card table set up in our basement. Pat loved people and his outgoing, fun-loving personality served him well in this occupation and he became a successful State Farm Agent. For 30 years, he was able to provide a generous and beautiful life for our three children and me. Pat was a wonderful family man and was so supportive of everything our three, very active children did. He loved coaching Little League for the boys for years, and I don’t think he ever missed a game throughout their high school years or any of our daughter’s dance performance. Pat loved God and his family. He was active at church for many years and always put his wife and children first. He was very selfless about doing things for himself but took good care of his body by playing softball, running, exercising, and occasionally golfing with his fellow insurance agents. He provided us with lovely vacations at the beach, which he loved. Pat also loved music and writing and shared that appreciation with our children. I am so grateful for the beautiful life Pat gave me and my children for the first 50 years of his life.

The Challenging Years

I recall it was around Pat’s 50th birthday, and ironically we were going to Pat’s high school football team’s induction into the Peoria Hall of Fame. Pat had been instrumental in nominating them and it was then I noticed he started experiencing bouts of paranoia. His anxiety was off the charts and he would obsess about everything. At one point, at his mother’s funeral he overdosed on Xanax, a prescription he had been given for 20 years prior, unbeknownst to me. Finally, after a bizarre and grizzly suicide attempt in our home where he had hallucinated and ended up in a psychiatric hospital ward. Thus began the downward spiral of the next 19 years.

I am not sure if I can justly describe all the numerous events that occurred with Pat in those last 19 years before his death at age 69. I just know they were extremely painful, stressful, and debilitating to Pat, our children and their families, our loyal friends, and me, who chose to stay involved. Pat was in and out of psychiatric hospitals with diagnoses from temporal lobe seizures, to schizoaffective disorder, to bipolar mania and everything in between, including alcoholism. He was also an inpatient at several addiction centers and nothing seemed to help. He had trouble doing the cognitive work involved in the treatment programs. I tried everything to get him help, and at one point a loyal friend and I flew him to Houston to admit him to an inpatient psychiatric hospital. There, while under the 24-hour care of doctors and nurses, he lit himself on fire. He then spent several months in the hospital burn unit in Houston where another doctor suspected temporal lobe seizures. Upon return to Illinois, I took Pat to Mayo Clinic in Minnesota for further testing. No seizures were detected but the neuropsychiatrist could see that his frontal lobe was deteriorating and frontotemporal dementia was suspected. Upon our return to Illinois, Pat’s behavior continued to wax and wane. Sometimes, frightened for my life, I called the police and the emergency response service. I am forever grateful for one response team member named Dan who spent many hours at our home calming Pat down, easing my fears and educating me about mental illness. Dan often accompanied Pat to psychiatric facilities in our area if the local unit was full. I look back at many “angels”, such as Dan, who I could not have made it through the last 19 years without.

Pat continued to decline cognitively, and his anxiety was out of control. During this time after his staff (more angels) and I tried to help his insurance business stay afloat, we finally closed his agency. I attended support groups wherever I could, including NAMI, Al-Anon, AA, and FTD, but nothing seemed to entirely fit. I had difficulty finding anyone that seemed to be able to identify with what our family was going through and for the length of time it had been going on.

Pat’s cognitive abilities continued to decline and while I was away at work he started ordering everything in sight from catalogs that came to our home. He even bought a home in Florida, sight unseen. He would become very argumentative if I tried to talk to him. I talked to doctors and lawyers about his mental state, and was discouraged to try and gain legal guardianship to take over his finances. His behavior would be okay for a while and at one point went on a lovely day fishing trip with his granddaughter and friends. On the way home, they were hit from behind by a drunk driver going 90 MPH. They were all treated and released form the ER, but Pat sustained fractures in his hands and back and was told to go to pain clinics. He became addicted to opioids quickly and began drinking in between. At one point, we got an emergency call from his internist that his PSA was sky high and he had prostate cancer. Shortly after a call from his doctor that an x-ray revealed both of his hips were bone-on-bone and needed replacement. In 2012, Pat endured 42 radiation treatments for cancer, and two hip replacements. He was tough! He was hospitalized so much at that point that I was able to realize that he had depleted most of our savings. Pat continued on prescribed opioids and by this time they had taken over.

After completing the radiation and recovering from surgeries, Pat took off to Florida. Who knows what happened there. He finally ended up in a hospital there and his loyal friends (more angels) brought him back home. We sold our home tin Illinois and moved to Chicago to be closer to my daughter, who had been an amazing support. Because of her medical training as a PT who had worked with patients with brain injuries, she was more understanding and better equipped to deal with her father’s behaviors despite the terrible toll they took on her. During our residency in Chicago, we went to Northwestern for Pat’s medical needs, and it was there that the neuro department suspected Chronic Traumatic Encephalopathy (CTE). He had shared with them about the numerous hits he received in football practices and often being knocked out and “seeing stars”. For a time, he saw a psychiatrist who treated his bipolar mania but Pat often resisted treatment. Twice, Pat was taken to the ER, only to be released the next morning by a failed system and communication.

Pat became aware of the liberal cannabis laws in Illinois and received an easy OK from a local clinic because of his previous prostate cancer. The clinic was within walking distance of our apartment. Illinois allowed for $2500 worth of marijuana a month, and believe me Pat used every bit of it! Although the medical marijuana “sidewalk stores” were secure and regulated, there was no regulation on THC levels. Of course, Pat chose and was legally able to use one with the highest THC. His behaviors became out of control. After speaking with a representative (another angel), she instructed me on how to get his license to obtain medical marijuana revoked. But I had to have a safety plan in place because she feared for my life if he went to get the marijuana and couldn’t. The opportunity came when I drove Pat to another ER in our hometown at his request. I left him there and he became hospitalized. After several weeks, a physician organized a placement at a nursing home in Florida, which Pat agreed to. This ended in his removal from the facility and more months of me trying to find him and manage his care. At one point, I felt my only option was to divorce him to protect what assets we had left. But somehow he became so ill and through the help of many wonderful lawyers and bankers, I was able to manage our finances and get control.

He finally ended up back in an assisted living facility in Florida where his behavior was relatively managed. I moved there temporarily and accompanied Pat on all doctor appointments. Though he was still addicted to opioids, at least they were controlled by nurses at the facility. We then discovered Pat had lung cancer. Because of Pat’s limited cognitive ability, his mania, and still having legal rights, he refused treatment in the early stages. By the time I got him moved to South Carolina, where my daughter and family now reside, he was having additional urinary tract problems and spent many months in the hospital. Finally, some health issues were resolved and I was able to move us into an assistive living facility to help care for him. Although cancer treatment was tried, it was too late. Pat passed away in a hospice facility on September 26, 2019.

I am so grateful for the last two years we had together! Though every day was difficult, Pat’s behavior became more stable and he was able to heal many relationships with his children, extended family, and friends. I am so grateful for those who showed Pat unbelievable unconditional love and forgiveness during this time. They remembered the wonderful Pat they once knew and were so supportive of us both. I am especially grateful for my children and their families for their daily support. Pat was able to spend many wonderful moments with our daughter, her husband and new little grandson. My sons and their families traveled from Arizona to be with him, and many more beautiful memories were made. What started as a tragic story ended in love and forgiveness. The friends we met at the assisted living facility and the staff who cared for him were life-changing and eternal to me, as well as my church family.

I do not share these events to dishonor my family – quite the contrary. My husband was a wonderful man before his illness manifested itself. My hope in sharing our story is to make others more aware of how brain trauma can affect so many; not only the individual, but their families, friends, physicians, and caregivers. New developments in sport safety are happening, but we need everyone’s help. I also hope this story will help people not to ever judge. One never knows what someone else is going through.

Be kind. Be compassionate. Educate yourself.