MEDEVAC II
The medevac helo took the wounded to the 85th Evacuation Hospital, a U.S. Army field hospital south of Danang.
Zinni’s wounds were serious enough for an immediate operation. After the pre-op X ray (rounds were still in his back), he was cleaned up and prepped, and IVs were inserted. As he lay there on his stomach after the prep, he noticed an unexpected flurry of whispers and huddling among the doctors and nurses. Something was up.
After a time, the huddles broke up, and a nurse pulled a chair up to his gurney, turned it around, and sat down backward, with her face almost touching Zinni’s.
“I’m the senior nurse,” she said. “Can you clearly understand me?”
“Yeah,” Zinni said.
“We have recently received an experimental drug called ketamine,” she continued, “and we’d like to use it on you. An officer like you can give us good feedback on its effectiveness.”
Zinni gave her a tentative nod. These were medical people. He trusted them to know what they were doing.
“The drug is experimental,” she added. “We’ll need your permission before we can use it. You should know that you’ll remain conscious throughout the operation and won’t have tubes jammed down your throat, the way you normally might in an operation of this kind.”
“That sounds good,” Zinni said. “But how can I be conscious?”
“It’s a hallucinogen,” she said, “but it’s an effective anesthetic without the ill effects of normal anesthesia.”
“I guess that’s okay,” Zinni answered, “and not having tubes jammed down my throat is appealing. So let’s do it.”
“That’s a good decision,” she said. “I’m sure you won’t regret it. And you’ll be helping us.”
The Ketamine turned out to be living hell. Though there was no physical pain, he had nightmares so vivid that he actually felt he was living through them: One was like an out-of-body experience — floating above his body as the surgeons were cutting into it. In another, he horribly relived the chaos, carnage, and deaths of the battle where he had taken his wounds. In another, he was dead and in a box, returning to his wife and family back in the States. The nightmares were so present, powerful, and
He woke up in a sweat, strapped to a bed in the intensive care unit.
With him was his first sergeant, Alls, with tears in his eyes, grasping Zinni’s hand. He’d been holding Zinni’s hand since he’d arrived in intensive care (Zinni had been vaguely aware of the squeeze; it had been a small and welcome comfort). After giving Zinni a heads-up about his company — who had been hit and evaced — he left.
“You went through a really rough trip,” the nurse told him after he had gone.
“I know,” Zinni told her. “I still remember it.”
At that moment, he tried to move. And that was when he began to realize something was wrong. Not much above his waist worked right — like his arms.
Later, the surgeon explained why. “As we removed the rounds from your back,” he said, “we couldn’t just clean the wound and put you back together. The injury had wrecked too much. What we had to do, in order to prevent infection, was to debride the wound. That is, cut away about a third of the muscle tissue on your back and side. You’ve got a pretty big crater back there,” he added sympathetically.
“What’s going to happen,” the surgeon went on, “is we’ll keep you here for about a week, then we’ll send you to Guam for extensive physical therapy. There they’ll also take skin grafts taken from your legs and butt to cover the hole in your back.
“I have to be honest with you,” he concluded. “I doubt if you’ll regain full use of your arms and back.”
This was a shock. “What will this mean for my family and my future?” Zinni asked himself.
On his way out, the surgeon gave Zinni one of the rounds he’d dug out of his back.
The next week was tough. Twice a day the medics literally ripped the bandages off the wound, with the most excruciating pain he’d ever known. Before this ritual, any troops on the ward who could move left the area. It was too painful to witness.
“Sir, you’re really fucked up,” a wounded lance corporal told him. “You should see your back.”
“No, thanks,” Zinni thought.
After a few days, he was able to get up and walk a little. It wasn’t easy, but he was able to get himself upright and to shuffle around the ward. The troops on the ward did everything to help.