Global Surgical and Medical Support Group

02/13/2026

Hot off the press from the DoD Irregular Warfare Center ◼️◼️◼️
Modern war has changed.
Medical doctrine hasn’t.
In denied, drone-saturated, ISR-dominated battlefields, mobility equals exposure. Evacuation is a fantasy. Connectivity is a liability. Large-footprint trauma systems become targets the moment they power on.

So why are we still planning medicine as if we own the sky?

In my latest publication with the Irregular Warfare Center, I argue for something different:

Not bigger systems.
Not more tech.
Not scalable networks.

But decentralized, low-signature, indigenous capability built to survive in the shadows.

This is not a call to lower standards.
It’s a demand to rethink survivability.

If you care about:
• The future of military medicine
• Lessons from Ukraine and other denied battlefields
• Building resilient systems instead of fragile ones
• What actually works under constant surveillance

Read it. Challenge it. Share it.

Because the next war won’t wait for our doctrine to catch up.

Link is below

https://irregularwarfarecenter.org/publications/insights/build-from-the-shadows-not-the-system-disruptive-medicine-for-denied-battlespaces-a-grounded-framework-for-irregular-and-clandestine-warfare/

02/07/2026

Winter warfare compresses timelines and punishes mistakes.
Surgical OR and ICU capability can’t be static, obvious, or slow. In cold environments, survivability depends on mobility, concealment, and care that moves with the fight.
Low-profile vehicles. Rapid displacement. Surgical and ICU-level care forward. Non marked convoys. No pause for weather.

GSMSG provides the most elite mobile, forward surgical and critical care services in the world built for environments where failure isn’t survivable.

Low visibility. High capability.
TacticalICU MobileSurgery WinterWarfare OperationalMedicine LowProfileOperations

02/04/2026

Regardless of your rank.
Regardless of your branch.
You took an oath to defend the Constitution of the United States.
Remember that.

(Video courtesy of the United States Marine Corps)

02/02/2026

02/01/2026

The unprepared ask for courage when war comes. The prepared already spent it in training.

01/29/2026

🇺🇸 From above, it’s all geometry.
Clean lines carved into winter snow.
Symmetry….Order…Control.

But inside those walls, decisions are made that do not stay abstract.
Policies become operations.
Memos become movement.
Words spoken in secure rooms ripple outward into unnamed places, carried out by unnamed men and women, where the consequences are anything but theoretical.
From 10,000 feet, it’s easy to forget that every line drawn here eventually intersects with a life on the ground. A body.. A moment that can’t be undone.

At GSMSG, we live at that intersection.
Where strategy meets reality anddecisions made far from the field arrive with weight, urgency, and human cost.

We don’t make the calls in those halls but when the results land hard, in cold places and harder moments, we do our part to stand in the gap.

geometry is only clean from a distance.
up close, it’s human.

WinterOverDC Pentagon AerialPerspective StrategyToReality OnTheGround GlobalHealth HumanitarianAid MedicalResponse GSMSG ServeThoseWhoServe InvisibleWork BehindTheScenes RealWorldConsequences SnowGeometry FromAbove

01/28/2026

Sic Semper Tyrannis.
There is a quiet generation of men growing older now.
Gray in the beard. Scars in places no one sees.
They spent more than twenty years moving through the long shadow of the GWOTacross deserts, mountains, cities without names watching what unchecked power does to human beings.
And even now when the wars fade from headlines and the world moves on, many of them still serve. Still show up. Still stand with people who don’t have the luxury of safety, voice, or choice.
Because tyranny doesn’t retire.
Oppression doesn’t age out.
We see it plainly.
In Iran, where the IRGC slaughters its own people for daring to speak freely.
In China, where millions of Uyghurs are erased behind walls and lies.
In the looming threat to Taiwan with an entire free society marked for subjugation.
In Ukraine, where Putin grinds generations of Ukrainians (and his own Russians) into the mud of a war built on ego and fear.
Tyranny and oppression are not welcome in this world. Not now. Not ever.

And there will always be those quiet, worn, uncelebrated who refuse to accept them as inevitable.

Sic Semper Tyrannis.

01/26/2026

🏴 🏴DOL🏴🏴 - crank the volume up then read.

01/23/2026

🇺🇸 🇬🇧 🇦🇺 🇨🇦 🇫🇷 🇸🇪 🇳🇴 🇵🇱 🇩🇰 🇳🇱
The claim that our NATO allies “stayed back from the front” in Afghanistan is not just wrong …it’s an insult to the men and women who fought, bled, and died shoulder to shoulder with us from Day One.
From the opening phase of the war, allied forces were embedded on the front line, not observing from the rear. British SAS and SBS, Australian SASR and Commandos, Canadian JTF-2, Polish GROM, Danish Jaeger Corps, Norwegian FSK/MJK, Dutch KCT, German KSK, French CPA 10 and Commandos Marine, and others operated in some of the most kinetic environments of the conflict ;conducting direct action, counterterrorism, reconnaissance, and high-risk intelligence missions alongside U.S. SOF.
This wasn’t symbolic participation. These units took casualties. They ran raids. They hunted high-value targets. They held ground under fire. They served inside joint task forces, JSOC elements, and intelligence units where the margin for error was zero and the cost of failure was measured in lives.
Members of GSMSG served shoulder to shoulder with these allied operators . not as visitors, not as observers, but as teammates. Some of those same elite allied SOF veterans now make up the ranks of GSMSG itself. They earned their place there the hard way.
Afghanistan was not a solo effort. It was a coalition war in the truest sense fought by professionals who shared risk, sacrifice, and responsibility. To rewrite that history for political convenience or nationalist chest-thumping dishonors allies who showed up, stayed, and paid the price.
If you weren’t on those teams, in those compounds, or on those battlefields, maybe listen to the people who were.
History remembers who stood on the line and our NATO allies were there, every step of the way.

01/21/2026

🇺🇸 America’s real power isn’t just military. It’s relational.

The U.S. remains the world’s dominant superpower and largest economy because of strong alliances.. NATO and other democratic, free nations that choose to stand with us.

Military reality:
We can only project power globally because partner nations allow U.S. bases on their soil. Those bases exist through mutual respect, shared interests, and trust…not coercion.

Economic reality (often ignored):
America’s financial strength depends on global confidence.
Foreign partners hold trillions in U.S. Treasuries because they trust U.S. stability, rule of law, and leadership.

If allies lose that trust and begin dumping Treasuries
• Interest rates spike
• Debt servicing explodes
• The dollar collapses
• Markets destabilize
• U.S. economic dominance erodes rapidly

This isn’t theory. It’s basic macroeconomics.

Our strength is not unilateral.
It’s built on mutual cooperation, respect, and credibility.

Sabotaging alliances doesn’t make America stronger.
It undermines the very system that makes American power possible both militarily and economically.

Great powers don’t burn bridges.
They maintain them.

01/17/2026

Forward is the only option. Get to the patient.

01/14/2026

You can’t treat the patient if you can’t get to the patient.

Medicine doesn’t happen in a vacuum and sometimes the environment is the problem. Sometimes a beachhead is in your way.
And sometimes… Terry’s gonna get a little froggy on the way in. 🐸

Access matters.