[Chuckster]

“Lt Gen Nadja West is US Army Surgeon General and Commander of US Army Medical Command out of Ft Sam Houston TX.”,(snip)

Something odd here.

What's odd is that the Surgeon General is Admiral Jerome Adams.

[Gulf War One]

You do understand that the Surgeon General of the United States is a different entity from the US Army Surgeon General, right?

The document presented to us by the anon on 8 Chan looks to be authentic.