The night of the ferry boat accident, I heard screams in the dark and rough sea. Sailors were screaming for their lives, and I was the first medical responder on the aft platform that night. I witnessed the deaths of my friends and my shipmates. I had just talked to these guys earlier in the day only to perform CPR on them later that night. I continue to have nightmares about my friends, and I still see them in my dreams. I have what they call PTSD, and I have suffered with this over twenty years now. I didn't realize, but I was screaming mentally for help for years, and I didn't realize it. Screams Overboard is not just about a book of what I heard that night but also about my silent screams for help with PTSD that I didn't realize I had till later in life.