I continue to work on my ‘memoirs’, if that is what they are, for they deal not just with the past; they extend to the present. Here are two; one is a necessary corollary to the other.
Pot Luck
War is like love, it always finds a way.
——Bertolt Brecht, Mother Courage and Her Children
It’s called a potshot: a shot taken at random at an unknown target. Not anything to fret over, the odds that a tiny bit of metal would impact your body in a critical area were quite small. Base camps were quite large. Viet Cong, way out beyond the perimeter to avoid detection, sent a number of them our way nightly. Sometimes, one of our reconnaissance patrols, moving stealthily, would be close enough to estimate the shooter’s position. Never did they succeed in actually finding him. It’s not easy to find a lone, black–clad figure in a black jungle, not without giving yourself away. If you make any noise while closing in you’ll find him quickly—just after a bullet finds you.
Another starry, warry night; just past midnight. Most were asleep in base camp of the First Battalion, 26th Infantry, First Division—commonly known as the Big Red One. These guys needed a medic for their long–range recon team. I was it. Legendary director Samuel Fuller made a movie about this storied division’s history, and it’s a good one. Lee Marvin is well–cast as the cigar–chomping, Sgt. Rock–type warrior of comic–book fame. A real sergeant dozed peacefully just a few beds away from me. With four or five hundred yards between him and the muzzle of an AK-47 that had just discharged out there in the jungle I’ll bet he never dreamed that tiny projectile would find its final resting place right next to his navel.
The sarge groaned loudly and sat up for a second before collapsing back on his cot. “I’m hit.” he moaned. “MEDIC,” came the cry, and I was instantly awake, reflexively grabbing the aid kit by my side, making another, all–too–familiar, mad dash. I ripped open the fatigue shirt, took one look, and screamed, “DOCTOR’S TENT! NOW!” as I plunged a needle into the sergeant’s arm to start an IV. The medical tent, a small dispensary that housed all our drugs[1] and other paraphernalia, was used for sick call and minor surgical procedures. Our M.D. slept there, and since the medics slept in the tent closest to it, it was just a scant twenty yards away.
Four men grabbed the cot, I ran alongside holding the IV bag, and we burst in less than half a minute later. The captain looked at the tiny hole, felt under the back and determined there was no exit wound, told me to start another IV, and barked out an order for an emergency evac chopper. NOW!
The chopper was there in less than ten minutes. Ten agonizing minutes spent watching the abdomen dilate as the sergeant slipped into shock. Such a tiny, harmless–looking little hole; such a helpless feeling. We had him aboard so quickly the chopper’s skids just bounced once before it took off.
In the Civil War the death rate among Union troops who survived long enough to reach a hospital was 14%; in World War II it was down to 5%; by Vietnam, with medical miracles occurring every day, it was down to just 1%. The odds were 99 to 1 that the sarge would make it. That chopper would have him in an OR in fifteen minutes. They started two more IVs in the chopper, but that bullet didn’t care about the laws of probability. It nicked the aorta. The chopper changed course and veered away from the hospital halfway through the flight.
[1] This was 1966, and it is worth noting that the safe, where thousands of morphine syrettes and other narcotics were kept, was never locked; nothing was ever stolen. The ‘drug problem’ was still in its infancy, 10,000 miles away.
Just a Nick…
War is politics with bloodshed.
——Mao Tse Tung.
When I saw that little puncture wound I breathed a sigh of relief; I had been taught that an abdominal wound was never fatal if the patient could be transported to a hospital setting within the first day after being wounded. All I had to do was control the bleeding, surround the wound with a sterile bandage, and keep a close watch on the patient’s vital signs until the Medevac chopper came. That assurance quickly morphed into a mere parlor trick; within minutes an adumbration of death surrounded us like a cocoon. Within it were the sergeant, Doctor Hutchens, and myself. The two of us were working feverishly over a man who, just moments before, was sound asleep and seemingly out of harm’s way.
That was the anomaly about Vietnam: unlike other wars, there was no rear echelon where one could be completely insulated, out of reach of the enemy. There was Vung Tau, the much‑ballyhooed in‑country R & R resort where one could supposedly bask on the sand, enjoy a cooling ocean breeze, and pack up all your cares and woes for three whole days. I can’t attest to that; I never took my in‑country R & R, I never gave it a thought when I was in the field, and when I took over the lab I was just too darned busy. (I did take my seven‑day out‑of‑country R & R; I marveled at the beauty of Hong Kong and, like a typical American consumer, I spent all my money on things I didn’t need.) I don’t know if there were ever any incidences at Vung Tau where the VC or NVA harmed our troops. I don’t want to know.
As we labored, feverishly starting two more IVs and helplessly watching the sergeant go into shock, the abdomen began to swell slightly. I was now long past any wide‑eyed wonder about the sanctity of life; I had seen how war could transform a pastoral setting into a slaughterhouse. The carnage that man inflicted on his own kind every single day stripped me of any simplistic thoughts about good and evil, right or wrong; the acrid taste of anguish, a damnable despondency, burned my mouth and throat. This business of dying was no longer an abstract concept; it was my new reality. The closer it came, the blacker the cave that would swallow those who entered became. The air grew cold; the chasm between existence and oblivion lessened. All those never‑to‑be‑answered questions clogged my thoughts; questions that would remain only that, for no one ever came back from the void with the answers. We were at that place where faith replaces life.
Doctor Hutchens gently probed the wound site; the swelling was more pronounced than it had been just a couple of minutes earlier. “Internal bleeding.” I heard him whisper. He picked up a scalpel from the opened sterile wound pack on the cart next to the litter on which the sergeant lay. Just then the sound of the chopper could be heard; faint at first, but quickly becoming an intense ‘whup‑whup’. The scalpel went back on the tray and he grabbed two litter posts at one end while I took hold of the other. We scurried outside, two more pairs of hands relieved us each of one post, and the four of us moved carefully yet at top speed to where the chopper was coming down. We handed the litter over to four arms beckoning from the open chopper just as it settled down, then instantly reversed itself and lifted off into the stars and blackness. “They know what to do. He’s in good hands.” Doctor Hutchins said softly. I was probably the only one who heard.
We trudged back to the combination infirmary/doctor’s quarters and I began to straighten things up while Doctor Hutchens leafed through some forms, selected a few, and moved back to a desk next to his cot where he began to write. I finished quickly, everything was tidy once more, and I leaned in toward the Doc and asked, “He’ll make it, won’t he?” “It’s in God’s hands now; those men on the evac team are doing everything that can possibly be done. I would have made an incision and tried to find the bleeder if they hadn’t shown up when they did.”
We muttered something to each other that amounted to, “See you in the morning.” I walked back to my tent and over to my cot. It seemed as if it took a long time. What had just taken place was on a continuous loop, replaying itself in my mind. I kept coming back to that moment of decision. Or was it indecision? That second where the scalpel went back on the tray and we lifted the litter and headed outside. Did I want to grab that scalpel and cut, or was I losing my mind? What would have happened if I did? I thought about that; I figured the only thing that could have taken place was for the Doc to take a quick look. Maybe a fast clamp and then we go? And after that what would happen? To me? I didn’t much care; if I was to be punished, so be it. That was a silly and meaningless detail.
How was the sarge doing? That was all that mattered. That was all I could think about—that, and the ‘what if’ scenario that left me wondering if I was imagining that which could never have happened. And then I would say to myself, “Why not?” And the cycle would repeat.
I don’t remember getting much sleep; suddenly it was morning. Did I fall asleep and my mind kept fighting the same battle as when I was awake? Did it matter? Then we found out the sarge died en route. He never made it to the hospital. Later on, Doctor Hutchens called me over and told me, “The bullet took a chunk out of the aorta. There was nothing we could have done.” Was that true? Was he just trying to keep me from blaming myself, him, or us? Was it possible to somehow, just briefly, mend an aortal leak? Could we have done it?
I’ll never know the answer to those questions; they will haunt me forever. No matter how precisely I described the situation to another doctor, there would be no definitive answer. Not without being there at that time, seeing that wound. And how much skill and training was required to attempt a bold move like that? Could we have done more harm than good? Knowing the outcome, the answer is easy. At that moment, there was no answer.
And here I am, four‑plus decades later, still batting that ball around. Countless innings are on the scoreboard. The action never changes: I watch it squirt from one wall to another, or reflect off the ceiling, or simply bounce off the ground, with always the same ending. That ball winds up squarely in my mitt, right back where it started from. Ready to do it again. Ready for another journey, destination known. Like so many things in life, you get but one try and do the best you can. Like dying.





