A U.S. Marine's picture taken in Fallujah in November 2004 became one of the iconic images of the Iraq War. The man in the photo, a cigarette dangling out of his mouth, has become widely known as The Marlboro Man.

The intervening years have not been kind to Lance Cpl. James Blake Miller, who has been diagnosed with post-traumatic stress syndrome. The marines kicked him out after a violent incident. The fame that stemmed from his photo has made for even more stress on his life.

Los Angeles Times photographer Luis Sinco took the photo. This series is his follow-up on Miller.

Here's an excerpt:

The local newspaper had been calling him about rumors that he was getting divorced. It was a major local story. Finally, he wrote a statement. He asked for compassion and respect for their privacy.

The next day, I found Miller in a back bedroom at his uncle's house. He told me that he had come close to committing suicide the night before. He had thought about driving his motorcycle off the edge of a mountain road.

He showed me the morning newspaper. His divorce was the lead story.

I felt torn. I didn't want to get involved. I desperately wanted to close the book on Iraq. But if I hadn't taken Miller's picture, this very personal drama wouldn't be front-page news. I felt responsible.

Sometimes, when things get hard to witness, I use my camera as a shield. It creates a space for me to work -- and distance to keep my eyes open and my feelings in check. But Miller had no use for a photojournalist. He needed a helping hand.

I flashed back to the chaos of combat in Fallouja. In the rattle and thunder, brick walls separated me from the world coming to an end. In the tight spaces, we were scared mindless. Everybody dragged deeply on cigarettes.

Above the din, I heard what everybody was thinking: This is the end.

I've never felt so completely alone.

I snapped back to the present, and before I knew it, the words spilled out.

"I have to ask you something, Blake," I said. "If I'd gone down in Fallouja, would you have carried me out?"

"Damn straight," he said, without hesitation.

"OK then," I said. "I think you're wounded pretty badly. I want to help you."

He looked at me for a moment. "All right," he said.