If you had seen a smiling Richard Pineda stand up cleanly on wave after wave, with confidence and uncanny balance, you couldn't have imagined he needs a GPS device to remember how to get back home after an outing.
But this is what the medical staff at the VA hospital in West L.A. is trying, and Pineda is among dozens of veterans who say the prescription is helping.
"Being out there, I have freedom," said Pineda, 32, a Marine who lives in Los Feliz.
Pineda was too close to far too many explosions and mortar attacks while serving in Iraq in 2003 and 2004. Like a lot of vets, he kept his struggles to himself after returning home. He didn't talk about the memory lapses or the noises and smells that triggered flashbacks, but friends knew he needed help when they saw him cowering at a fireworks show in 2005. It turned out that on top of his emotional issues, Pineda was having small cerebral aneurysms. He was referred to a polytrauma unit at the VA.
The chief of physical therapy there, Randi Woodrow, had been to a Camp Pendleton surf clinic run by a friend.
"It was absolutely one of those life-changing events," said Woodrow, who saw smiles on the faces of injured vets and knew she had to make surfing a regular part of her program in Los Angeles.
The guy who helped make it happen was Tom Tapp, a Los Angeles entertainment journalist who had been inspired by meeting an amputee while surfing. He then saw a news story about men and women with missing limbs coming home from the war and immediately started Operation Amped, getting support from the William Morris Agency and Billabong, among other companies.
Tapp and Woodrow have staged several of the surf clinics each year since 2007, and one of Woodrow's first patients to put on a wetsuit was Richard Pineda.
"I was pretty excited about it," said Pineda, but that's not how Woodrow remembers it.
"Tatiana and Richard were both very timid," she recalled. "It was a lot of sensory overload."
Not only had neither of them ever surfed; their disabilities made the prospect of getting thrashed by waves all the more intimidating. They had one thing going for them, though, Woodrow said. They were trained to follow orders, and she and Tapp had recruited a battalion of volunteer surf instructors -- including physicians and therapists -- to lead the mission.
On his very first day as a surfer, Pineda stood up on a board. Now that he's been back several times, he rides everything. Small rollers. Right breaks. Even waves that are probably too big, but no instructor is inclined to hold him back.
"Yeah, Richard!" is heard over and over at Zuma, as a smiling Pineda comes barreling toward the shore in a spray of white foam.
"He's a horse," VA psychiatrist and longtime surfer Jon Sherin told me as we bobbed in the waves and watched Pineda ride to shore time after time in his low stance, arms extended like wings.
Sherin, associate chief of psychiatry and mental health, has given surfing pointers to vets battling post-traumatic stress disorder, and he's also helped paraplegics and a quadriplegic ride waves.
"Whether you agree with the war or not," Sherin said, "we have a duty to help look after them and re-integrate them."
Surfer that he is, Sherin said there's something Zen about riding waves and being present in the moment, rather than in a constant reflection of lingering pain and stress. For vets, in particular, he thinks standing up on a board with a tidal force at your back helps to "de-mysticize and de-energize fear."