Thursday, October 20, 2005

Chapter 5: The Mortars Poem, and SGT A

Aussie,

The following are excerpts from my journal:
Dr. G

MORTARS

Ear drums burst
the death spray comes
warriors fall...uniforms smolder

Healing hands work fast
to late for some
furrowed brows and sweat stained foreheads
play the ultimate tug-of-war with death

Time stands still...
eyes glaze over
limbs tremble as life's essence
ebbs into the sand.

I look into this warrior's eyes
his color darkens and he begins
the journey across the river Hades
as soldiers shout "Hang in there... Don't give up on me!!"

Doc G



Sgt A

I've lost count of the casualties we've treated today, or how many hours Ive been in the O.R. My legs ache, and I feel like I could sleep for a week. My surgical scrubs are covered in sweat and my hands are showing that slite tremulousness of fatigue and hunger, but there's no time. We have a report of 3 more soldiers coming in, victims of an IED, we don't yet have an updated report on the extent of their injuries. The trauma surgeon, Dr. S and I quickly down a bottle of water as we help clean and re-prep the OR and regown.

As I quickly reglove, they bring a young Army Sergeant to the table. His eyes are wild with panic and his mouth drawn in pain. My medics have done an excellent job in containing the bleeding and there are dressings and splints in place to all his extremities. Dr. S and I separate as two other surgeons join us, (there's a surgeon at each extremity now)unwrapping dressings, hanging blood, assessing vital signs, examining for wounds.

The soldier begins speaking in spanish, and answers alll questions in spanish. The anesthesiologists and other surgeons look at each other,an then at me. I make my way to the head of the bed and begin to speak softly to him in Spanish. I explained that we have 4 surgeons at his side who will help take care of him. The sound of someone speaking to him in spanish has a calming effect as the anesthesiologist administers a sedative.(His medical history, medications,allergies, etc have all been obtained my very skilled medics) and we're ready to proceed.

I end up evaluating his left arm with Dr. M, our orthopaedic surgeon. As I remove the wooden splint, my heart sinks as his forearm bends in half at mid shaft. Arterial blood spurts out and venous blood begins to ooze as the bandages come off. I see a macerated stump with two jagged bones standing sentinel at mid forearm. It's apparent that his forearm is held together by a thin, single strap of skin from his upper forearm. We quickly apply a pneumatic tourniquet and I look over at Dr. M who shakes his head "no" (signifying that we can't save this arm). I ask for the bone cutters and begin the process of converting the skin and bones into a viable flap.

I feel a rush of emotion come over me as we amputate the arm, and I want to burst into tears and sob uncontrollably as I look at this young soldier's face. I can't help but think of all the challenges he'll face in life when he wakes up. I try to focus and avert my gaze, trying to concentrate on the task at hand. I'm hoping that no one has noticed my tears.

Despite his many injuries, the young Sergeant lives, and will be air-evac'd, as soon as he's comes to. I wait by his side until he opens his eyes and gains recognition. The only remaining task is for me to break the news that we had to take off his left arm...

Doc G

Chapter 4: Letter 3 "Jump Start"

Dr G

I changed a name here and there, and took out any references to locations and units, but otherwise I think it shows the true nature of battle medicine. Thanks for sharing it with me.

SSG Oz
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Aussie,
More to come and thanks for "jump starting" my creative channels. i enjoy your songs and pics,blog as well.

Doc G
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Hi Dr G

I posted your note from your journal to my blog. I haven't got any comments yet, but I wanted you to see it and let me know what you thought.If you have any more letters I could post, let me know.Take care.

SSG Oz
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AUSSIE,

THANKS FOR SHARING MY STORY IN YOUR BLOG... I'M IMPRESSED WITH THE WAY IT CAME OUT... SOUNDS PRETTY GOOD. I ALWAYS WORRY THAT PEOPLE WILL THINK WE'RE GRANDSTANDING. I REALLY WANT PEOPLE TO KNOW THE WAY THING ARE IN IRAQ. I'LL BE FORWARDING MORE STUFF TO YOU.
YOUR PAL


DOC G

Chapter Three:Mortar Attack

2/25/05 - 1800 hours

I am in the chow tent with Cpt G, our Jag Lawyer (Officer), when we hear a "swoosh", shrill whistle and a very large explosion, that literally rocks the earth. We dive under the table. Aproximately 30-60 seconds later, a second explosion rocks me. As I scramble out the main door there are flames and dark smoke shooting up some 15 feet into the air from one of the plywood hut areas approximately 100 yards from me.I run towards the fire as the Fire Department arrives and I see inside to see if I can find anyone. I traverse through the debris and feel the bitter smoke in the back of my throat as my eyes begin to water. I comeout at a backwall has been blown out and I take some fresh air. My medics have arrived and I take a second pass through the burning, splintered remains of this "Hooch". I hear moaning outside, and find that a marine wounded has been found - all together there are seven. I decide to muster the medics and direct arriving ambulances after we place dressings on the wounded marine's left arm.I make my way to the Surgical center, and make my way into the operating room. We received a very wounded marine with shrapnel wounds so bad that it severed his right femoral vein, broke his tibia thru and thru, placed a large hole through his right foot and near amputation of his 3rd toe. His right calcaneous (heel) is a mess of tiny bony fragments held together by the skin of his foot. His left leg has multiple fractures all the way to the foot. Most horrifically, the skin on both his legs is peeled off from his thighs all the way down and hanging by his toes. He has many shrapnel wounds, many are BB sized, but others range from the size of a nickel all the way to tennis ball size on his legs. These are the bone breakers and ones that tear the nerves and blood vessels.We spend 4 and 1/2 hours in the OR stabilizing this patient and metering blood supply to his legs and feet so he doesn't get them amputated. Finally he is ready for air evac to Germany for futher treatment.This was one mortar attack, a strike for the bad guys. There will be many more mortar, rocket and IED (Improvised Explosive Devices) casualties to follow.


Dr G

Chapter 2: Greetings

Hi Doc
How is your sunny state.
Great to hear from you also. I am here for a few more months, then home to Montana for a few days, then to Australia for my Brother's wedding. I am glad that you are feeling better. Are you still writing?
I have been keeping a web Blog (Journal) of my thoughts and adventures. I wrote one about meeting willie, and Jessica Simpson.
I would like to do an article on you, but not using your name for safety reasons. The Hospital Public Affairs person said that I would have to have written consent if i used any photos of patients.This I can fax if you want also.
I was thinking of using my blog as a publishing site for your stories, or I could make one for you specifically. I have been careful in my articles to not include any information which could jepardise safety concerns. Let me know what you think, my blog site is
armynurse.blogspot.com

There are many articles, some serious to some light hearted. From cooking chilli, Don King, how to help donate to the Chaplains closet here, and how to hypnotise chickens. It is alot of fun and keeps me occupied. It is pretty easy to make even for the computer challenged like me.
You are in my prayers, and are most welcomed to come visit me and my family when you are able. Take care

SSG Oz


Aussie,
Great to hear from you and yes I'm very interested in your blog site. I write a bit but have so much more I can write and have had so many expeiences. I'd be willing to let you write anything or use any photos you want because you're much more talented at putting things together and giving a story the perspective it needs. My home is great, the "wolf cubs" are a lot of fun and the wife is doing great.... lots of blessings to be thankful for. we'll have to keep in touch and visit each other's families. Aussie you have a tremendous gift in music and the ability to put feeling into words stay with it!
This is not just encourqagement , it's the truth and you need to keep writing and playing your songs...perhaps we could ollaborate on a book that will have your songs in it as well. I'll send you some stuff later.your friend,
Doc G

P.S. my regards to Dr. F, if you see him , he did a great job on my leg.

Chapter 1: The Start

Aussie,
great to hear from you! Thanks so much for the pics and the music last time... I really enjoyed them. My leg is still on the mend, it looks like maybe another surgery to repair my Anterior Cruciate Ligament sometime in November.Overall though I'm doing ok and hope you are too.so how long will you be stationed in Germany? do you miss the states?
Let's keep in touch please caause it's really good to hear from you... as soon as I get more computer literate I'll send you some pics.
Tzke care Oz, I have to go for now.
your friend,
Dr G.