Nadja Yudith West (née Grammer; March 20, 1961) is a United States Army lieutenant general and the 44th U.S. Army Surgeon General and Commanding General of the U.S. Army Medical Command. West is the first black Army Surgeon General, and is the first black female active-duty major general and the first black female major general in Army Medicine. West is also the first Army black female lieutenant general. She is the highest ranking woman to have graduated from the United States Military Academy. West joined the Army because I come from a military family. I kind of grew up eating, drinking, breathing, living Army. My dad was in — he joined the Army in 1939, when the Army was segregated, and stayed in for 33 years. She is a Karlsruhe BRAT.